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The purpose of this study is to compare, in a controlled fashion, the response to two anti-fungal agents, naftifine or terbinafine, with vehicle in novel topical gel formulations in the treatment of subjects with distal subungual tinea unguium of the toenails (onychomycosis).
The formulation used as the vehicle for the active agents has been shown in earlier studies to facilitate the penetration of the active agent through fungally-infected nails. This study will examine dose-response and agent differences in terms of efficacy and safety.
Once the subject has qualified for the study, he/she will be randomly assigned to one of five study groups, dispensed appropriate study medication and instructed to apply one drop to the great toe designated for study.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Organogel of naftifine, 2% | Drug | |||
| Organogel of terbinafine, 2% | Drug | |||
| Organogel of naftifine, 6% | Drug | |||
| Organogel of terbinafine, 6% | Drug |
| Measure | Description | Time Frame |
|---|---|---|
| Quanitative improvement in toenail appearance. | ||
| Assessment of dermatophyte culture and KOH examination. | ||
| Frequency and severity of adverse events. |
| Measure | Description | Time Frame |
|---|---|---|
| Time to achieve 90% and 100% clearance of fungus from nail. | ||
| Assessment of treatment success. | ||
| Assessment of mycological success. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Alabama at Birmingham | Birmingham | Alabama | 35233 | United States | ||
| Genova Clinical Research, Inc. |
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| ID | Term |
|---|---|
| D014009 | Onychomycosis |
| ID | Term |
|---|---|
| D014005 | Tinea |
| D003881 | Dermatomycoses |
| D009181 | Mycoses |
| D001423 | Bacterial Infections and Mycoses |
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| Tucson |
| Arizona |
| 85741 |
| United States |
| Greater Miami Skin and Laser Center | Miami Beach | Florida | 33140 | United States |
| Washington University | St Louis | Missouri | 63110 | United States |
| Northwest Cutaneous research | Portland | Oregon | 97210 | United States |
| D007239 |
| Infections |
| D012874 | Skin Diseases, Infectious |
| D009260 | Nail Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |