ClinicalTrials.gg
Not yet recruitingNCT07929844Updated Nov 10, 2026

Safety and Efficacy Study of SKX-16 in Participants With Mild to Moderate Distal Subungual Onychomycosis

A Phase 2 interventional study of SKX-16 (Luliconazole 10% Solution) and Vehicle solution in Onychomycosis of Toenails, sponsored by SATO Pharmaceutical Co., Ltd.. Not yet recruiting at 6 sites in United States. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-11-10.

Sponsored by SATO Pharmaceutical Co., Ltd. · Phase 2, Interventional, and Treatment

Updated Nov 10, 2026Newly registeredGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
204
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

This is a parallel group, double blind, vehicle-controlled study in which SKX-16 or vehicle (2:1 randomization) is applied once a day for 52 weeks to all affected toenails to participants with mild to moderate distal subungual onychomycosis (DSO) of the toenails involving between 20 to 50% of at least one great toenail at Screening.

02

Conditions studied

  • Onychomycosis of Toenails

Browse trials for

Keywords

  • Onychomycosis
03

In context

Onychomycosis

158 studies on the registry are indexed under Onychomycosis; 16 are open to participants now.

This study's planned enrollment of 204 is above the median of 60 across 143 interventional studies indexed under Onychomycosis.

Browse Onychomycosis studies →

Lead sponsor

SATO Pharmaceutical Co., Ltd. is the lead sponsor of 2 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Participant is willing to participate and is capable of giving . Note: Consent must be obtained prior to any study-related procedures.
  • Male or female participant of any race aged 18 to 70 years, inclusive, at the time of consent.
  • Participants with a clinical diagnosis of DSO, involving 20%-50% of at least one of the great toenails at screening.
  • Participants must have no more than 5 toes with suspected presence of onychomycosis (ie, no more than a total of 5 infected toenails, including ≤3 non-great toenails and up to 2 great toenails) at screening.
  • Participant's target great toenail must have no involvement of the lunula (matrix) and have ≥ 4 mm of clear (unaffected) nail distal from the proximal nail fold at screening.
  • Clinical judgment supports that the historical growth rate of the target great toenail will permit monthly toenail clipping during the study.
  • Participant must be willing and able to comply with all study procedures and must be available for the duration of the study.

Exclusion criteria

Exclusion Criteria:

  • Participant is a female who is breastfeeding, pregnant, or who is planning to become pregnant during the study.
  • Participant has a history or presence of a skin condition on the feet that, in the opinion of the investigator, would interfere with the study assessments.
  • Participant is known to have immune deficiency or is .
  • Participant has continuous onychomycosis of the toenail(s) for ≥ 5 consecutive years immediately prior to Screening visit without any intervening period of complete resolution (information obtained from medical chart or participant's physician, or directly from the participant).
  • Participant has fingernails with suspected presence of onychomycosis.
  • Participant has disease involvement confined exclusively to the lateral edge of the target great toenail.
  • Participant has "spike" of onychomycosis extending to eponychium of the target great toenail.
  • Participant had a major surgery within 8 weeks prior to Day 1 or has a major surgery planned during the study.
  • Participant has any medical condition or physical/laboratory/vital signs abnormality that would, in the opinion of the investigator, put the participant at undue risk or interfere with interpretation of study results.
  • Participant has a known history of chronic infectious disease (eg, , , or [HIV]).
  • Participant has a known history of diabetes and an ≥ 8% at screening.
  • Participant has reported to have previously failed a standard course of oral antifungal treatment for onychomycosis.
  • Participant received prior laser treatment, photodynamic therapy, or chemical or surgical treatment for onychomycosis within the last 12 months prior to Day 1.
  • Participant has used any prescription or OTC topical antifungal therapy for the toenails within 4 weeks prior to Day 1.
  • Participant has used systemic antifungal therapies within 6 months prior to Day 1.
  • Participant has used any topical medicated treatment applied to the feet within 2 weeks prior to Day 1, including but not limited to, anti-inflammatory medications, topical , or topical immunomodulators.
  • Participant is currently receiving an product or device for any indication, or has received one within 4 weeks prior to Day 1 (excluding investigational products in trials pertaining to Exclusion Criterion #32).
  • Participant is unwilling to refrain from the use of other prescription or OTC onychomycosis treatments, nail cosmetics on their toenails (including nail lacquers), or pedicures from the screening visit until the end of the study.
  • Participant has a known or suspected or allergy to luliconazole or imidazole compounds or the of the formulation.
  • Participant has a known history of clinically significant drug or alcohol abuse in the last year prior to Day 1.
Terms in these criteria, in plain language(11)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
204 participants (estimated)

Study arms

  • Experimental
    Active Arm

    SKX-16 (Luliconazole 10% Solution)

    Drug: SKX-16 (Luliconazole 10% Solution)

  • Placebo comparator
    Vehicle Arm

    Vehicle solution that does not contain active ingredients.

    Drug: Vehicle solution

Interventions

  • Applied topically once daily for 52 weeks to all affected toenails identified by the investigator, followed by a Week 56 follow-up visit.

  • DrugVehicle solution

    Applied topically once daily for 52 weeks to all affected toenails identified by the investigator, followed by a Week 56 follow-up visit, under the same conditions as the active arm.

06

What researchers measure

Primary outcomes

  1. Complete Cure at Week 56

    Proportion of participants who achieve Complete Cure of the target toenail at Week 56, as defined by clinical cure (completely clear target great toenail as assessed by the investigator) and mycological cure (negative KOH microscopy and negative culture)

    Time frame: 56 weeks

Secondary outcomes

  1. Mycological Cure at Week 56

    Proportion of participants with mycological cure (negative KOH microscopy and negative culture) of the target toenail at Week 56

    Time frame: 56 weeks

  2. Clinical Cure at Week 56

    Proportion of participants with clinical cure (completely clear target great toenail as assessed by the investigator) at Week 56

    Time frame: 56 weeks

  3. ≤5% Affected Nail Area + Mycological Cure at Week 56

    Proportion of participants with ≤ 5% of affected target toenail area and mycological cure of the target toenail at Week 56

    Time frame: 56 weeks

  4. <10% Affected Nail Area + Mycological Cure at Week 56

    Proportion of participants with \< 10% of affected target toenail area and mycological cure of the target toenail at Week 56

    Time frame: 56 weeks

  5. Percent Change in Affected Nail Area

    Percent change from baseline in percentage of affected target toenail area at Week 56

    Time frame: Baseline and Week 56

  6. Clear Nail Growth at Week 56

    Clear nail growth of the target toenail at Week 56

    Time frame: 56 weeks

07

Study locations

6 sites
  • SKX16B01 Clinical Study - Site 105
    Los Angeles, California 900045, United States
    • Mehria Afzal Pts Recruitment and Site Engagement Specialist, Indero (CRO) · Contactmafzal@inderocro.com · 866-575-3111
  • SKX16B01 Clinical Study - Site 101
    San Francisco, California 94115, United States
    • Mehria Afzal Pts Recruitment and Site Engagement Specialist, Indero (CRO) · Contactmafzal@inderocro.com · 866-575-3111
  • SKX16B01 Clinical Study - Site 104
    Miami, Florida 11760, United States
    • Mehria Afzal Pts Recruitment and Site Engagement Specialist, Indero (CRO) · Contactmafzal@inderocro.com · 866-575-3111
  • SKX16B01 Clinical Study - Site 109
    Miami, Florida 33126, United States
    • Mehria Afzal Pts Recruitment and Site Engagement Specialist, Indero (CRO) · Contactmafzal@inderocro.com · 866-575-3111
  • SKX16B01 Clinical Study - Site 111
    College Station, Texas 77845, United States
    • Mehria Afzal Pts Recruitment and Site Engagement Specialist, Indero (CRO) · Contactmafzal@inderocro.com · 866-575-3111
  • SKX16B01 Clinical Study - Site 119
    Houston, Texas 77027, United States
    • Mehria Afzal Pts Recruitment and Site Engagement Specialist, Indero (CRO) · Contactmafzal@inderocro.com · 866-575-3111
08

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Nov 10, 2026
Show all 1 update
  1. Nov 10, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07929844
Lead sponsor
SATO Pharmaceutical Co., Ltd.
Responsible party
Sponsor
First posted
Nov 10, 2026
Start date
Nov 24, 2026 (estimated)
Primary completion
Sep 23, 2028 (estimated)
Completion
Oct 21, 2028 (estimated)
Last update
Nov 10, 2026

Study contacts

Mehria Afzal Patient Recruitment and Site Engagement Specialist
Contact
mafzal@inderocro.com
866-575-3111 ext. 326

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Nov 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Luliconazole

Start the discussion