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This study will evaluate the efficacy, safety and tolerability of topical 10% terbinafine hydrogen chloride applied daily versus 5% amorolfine nail lacquer applied twice a week in patients with mild to moderate toenail onychomycosis, for a total treatment duration of 48 weeks.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Terbinafine | Experimental | 10% terbinafine hydrogen chloride (72.6 mg/ml nail lacquer). Patients applied one layer of the study medication once daily for 48 weeks, preferably at bedtime, to all affected toenails and allowed to dry. |
|
| Amorolfine | Active Comparator | 5% amorolfine nail lacquer. Patients applied study medication twice weekly for 48 weeks to all affected toenails. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| terbinafine hydrogen chloride | Drug | 10 % terbinafine hydrogen chloride (HCL) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants With Complete Cure at the End of Study After Treating Participants for 48 Weeks | Complete cure is defined as negative potassium hydroxide (KOH) microscopy and negative culture for dermatophytes and no residual involvement of the target toenail. | Week 52 |
| Percentage of Participants With Complete Cure at the End of Study After Treating Participants for 48 Weeks. | Complete cure is defined as negative potassium hydroxide (KOH) microscopy and negative culture for dermatophytes and no residual involvement of the target toenail. | Week 52 |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants With Clinical Effectiveness at the End of Study After Treating Patients for 48 Weeks. | Clinical effectiveness is defined as negative KOH microscopy and negative culture for dermatophytes and <= 10% residual involvement of the target toenail. | Week 52 |
| Percentage of Participants With Mycological Cure at End of Study After Treating Patients for 48 Weeks |
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Inclusion Criteria:
Exclusion Criteria:
Other protocol-defined inclusion/exclusion criteria may apply
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| Name | Affiliation | Role |
|---|---|---|
| Novartis | Novartis | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Novartis Investigative Site | Various Cities | Finland | ||||
| Novartis Investigative Site |
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| ID | Title | Description |
|---|---|---|
| FG000 | Terbinafine | 10% terbinafine hydrogen chloride (72.6 mg/ml nail lacquer). Patients applied one layer of the study medication once daily for 48 weeks, preferably at bedtime, to all affected toenails and allowed to dry. |
| FG001 | Amorolfine |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| amorolfine nail lacquer | Drug | 5 % amorolfine nail lacquer |
|
Mycological cure is defined as negative KOH microscopy and negative culture for dermatophytes |
| Week 52 |
| Safety and Tolerability Assessed by the Number of Participants With Adverse Events | Safety and tolerability data as assessed by the number of participants with Adverse Events (AE), Serious Adverse Events, Drug discontinuation due to an AE or SAE and death. Additional details can be found in the Adverse Event Section. | Week 52 |
| Various Cities |
| France |
| Novartis Investigative Site | Various Cities | Germany |
| Novartis Investigative Site | Various Cities | Hungary |
| Novartis Investigative Site | Various Cities | Iceland |
| Novartis Investigative Site | Various Cities | Norway |
| Novartis Investigative Site | Various Cities | Poland |
| Novartis Investigative Site | Various Cities | Russia |
| Novartis Investigative Site | Various Cities | Spain |
| Novartis Investigative Site | Various Cities | Turkey (Türkiye) |
5% amorolfine nail lacquer. Patients applied study medication twice weekly for 48 weeks to all affected toenails. |
| Safety Population |
|
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | Terbinafine | 10% terbinafine hydrogen chloride (72.6 mg/ml nail lacquer). Patients applied one layer of the study medication once daily for 48 weeks, preferably at bedtime, to all affected toenails and allowed to dry. |
| BG001 | Amorolfine | 5% amorolfine nail lacquer. Patients applied study medication twice weekly for 48 weeks to all affected toenails. |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
| ||||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Percentage of Participants With Complete Cure at the End of Study After Treating Participants for 48 Weeks | Complete cure is defined as negative potassium hydroxide (KOH) microscopy and negative culture for dermatophytes and no residual involvement of the target toenail. | The Intent-to-treat population (ITT) population consisted of all patients who were randomized and dispensed study drug. Last Observation Carried Forward (LOCF) | Posted | Number | Percentage of participants | Week 52 |
|
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| Secondary | Percentage of Participants With Clinical Effectiveness at the End of Study After Treating Patients for 48 Weeks. | Clinical effectiveness is defined as negative KOH microscopy and negative culture for dermatophytes and <= 10% residual involvement of the target toenail. | Intent-to-treat population, Last Observation Carried Forward (LOCF) | Posted | Number | Percentage of participants | Week 52 |
|
| ||||||||||||||||||||||||||||||
| Secondary | Percentage of Participants With Mycological Cure at End of Study After Treating Patients for 48 Weeks | Mycological cure is defined as negative KOH microscopy and negative culture for dermatophytes | Intent-to-treat population, Last Observation Carried Forward (LOCF) | Posted | Number | Percentage of participants | Week 52 |
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| Secondary | Safety and Tolerability Assessed by the Number of Participants With Adverse Events | Safety and tolerability data as assessed by the number of participants with Adverse Events (AE), Serious Adverse Events, Drug discontinuation due to an AE or SAE and death. Additional details can be found in the Adverse Event Section. | The Safety population consisted of all patients that received at least one dose of study drug and had at least one post-baseline safety assessment. | Posted | Number | Participants | Week 52 |
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| Primary | Percentage of Participants With Complete Cure at the End of Study After Treating Participants for 48 Weeks. | Complete cure is defined as negative potassium hydroxide (KOH) microscopy and negative culture for dermatophytes and no residual involvement of the target toenail. | The Per-protocol population (PP) consisted of ITT patients who completed the study without protocol deviations that led to exclusion according to criteria defined before database lock The per-protocol population was used to provide confirmation of efficacy findings from the ITT population. Last Observation Carried Forward (LOCF). | Posted | Number | Percentage of participants | Week 52 |
|
|
52 weeks
Safety population consisting of all patients who received at least one dose of study drug and had at least one post-baseline safety assessment.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Terbinafine | 10% terbinafine hydrogen chloride (72.6 mg/ml nail lacquer). Patients applied one layer of the study medication once daily for 48 weeks, preferably at bedtime, to all affected toenails and allowed to dry. | 9 | 493 | 186 | 493 | ||
| EG001 | Amorolfine | 5% amorolfine nail lacquer. Patients applied study medication twice weekly for 48 weeks to all affected toenails. | 18 | 512 | 168 | 512 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Lymphadenopathy | Blood and lymphatic system disorders | MedDRA | Systematic Assessment |
| |
| Arteriosclerosis coronary artery | Cardiac disorders | MedDRA | Systematic Assessment |
| |
| Atrial fibrillation | Cardiac disorders | MedDRA | Systematic Assessment |
| |
| Cardiac failure | Cardiac disorders | MedDRA | Systematic Assessment |
| |
| Coronary artery disease | Cardiac disorders | MedDRA | Systematic Assessment |
| |
| Myocardial infarction | Cardiac disorders | MedDRA | Systematic Assessment |
| |
| Vertigo | Ear and labyrinth disorders | MedDRA | Systematic Assessment |
| |
| Thyroid cyst | Endocrine disorders | MedDRA | Systematic Assessment |
| |
| Abdominal pain upper | Gastrointestinal disorders | MedDRA | Systematic Assessment |
| |
| Enterovesical fistula | Gastrointestinal disorders | MedDRA | Systematic Assessment |
| |
| Oesophagitis | Gastrointestinal disorders | MedDRA | Systematic Assessment |
| |
| Chest pain | General disorders | MedDRA | Systematic Assessment |
| |
| Cholecystitis acute | Hepatobiliary disorders | MedDRA | Systematic Assessment |
| |
| Appendicitis | Infections and infestations | MedDRA | Systematic Assessment |
| |
| Cystitis | Infections and infestations | MedDRA | Systematic Assessment |
| |
| Diverticulitis | Infections and infestations | MedDRA | Systematic Assessment |
| |
| Erysipelas | Infections and infestations | MedDRA | Systematic Assessment |
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| Peritonsillar abscess | Infections and infestations | MedDRA | Systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA | Systematic Assessment |
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| Pyelonephritis | Infections and infestations | MedDRA | Systematic Assessment |
| |
| Ligament rupture | Injury, poisoning and procedural complications | MedDRA | Systematic Assessment |
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| Haemarthrosis | Musculoskeletal and connective tissue disorders | MedDRA | Systematic Assessment |
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| Intervertebral disc displacement | Musculoskeletal and connective tissue disorders | MedDRA | Systematic Assessment |
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| Osteoarthritis | Musculoskeletal and connective tissue disorders | MedDRA | Systematic Assessment |
| |
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA | Systematic Assessment |
| |
| Breast cancer metastatic | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA | Systematic Assessment |
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| Cerebrovascular accident | Nervous system disorders | MedDRA | Systematic Assessment |
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| Transient ischaemic attack | Nervous system disorders | MedDRA | Systematic Assessment |
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| Breast dysplasia | Reproductive system and breast disorders | MedDRA | Systematic Assessment |
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| Cyst removal | Surgical and medical procedures | MedDRA | Systematic Assessment |
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| Dupuytren's contracture operation | Surgical and medical procedures | MedDRA | Systematic Assessment |
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| Arterial stenosis | Vascular disorders | MedDRA | Systematic Assessment |
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| Arteriosclerosis | Vascular disorders | MedDRA | Systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Influenza | Infections and infestations | MedDRA | Systematic Assessment |
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| Nasopharyngitis | Infections and infestations | MedDRA | Systematic Assessment |
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| Tinea pedis | Infections and infestations | MedDRA | Systematic Assessment |
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| Back pain | Musculoskeletal and connective tissue disorders | MedDRA | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA | Systematic Assessment |
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The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of the pooled data (i.e., data from all sites) in the clinical trial.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Study Director | Novartis Pharmaceuticals | 862 778-8300 |
| ID | Term |
|---|---|
| D014009 | Onychomycosis |
| D005533 | Foot Dermatoses |
| ID | Term |
|---|---|
| D014005 | Tinea |
| D003881 | Dermatomycoses |
| D009181 | Mycoses |
| D001423 | Bacterial Infections and Mycoses |
| D007239 | Infections |
| D012874 | Skin Diseases, Infectious |
| D009260 | Nail Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D005534 | Foot Diseases |
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| ID | Term |
|---|---|
| D000077291 | Terbinafine |
| ID | Term |
|---|---|
| D009281 | Naphthalenes |
| D011084 | Polycyclic Aromatic Hydrocarbons |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D011083 | Polycyclic Compounds |
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| >=65 years |
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| Male |
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