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A comparative safety and efficacy study of NatrOVA Creme Rinse - 1% versus NIX Creme Rinse, under actual use conditions in subjects 6 months of age or greater who are infested with Pediculosis capitis (Head lice).
This is a Phase 3 multi-site, randomized, evaluator/investigator-blinded, three-arm, parallel group study evaluating the safety and efficacy of NatrOVA Creme Rinse - 1% (with nit combing and without nit combing) versus NIX Creme Rinse in an "actual use" environment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| A - NatrOVA 1% - no nit combing | Experimental | NatrOVA Creme Rinse (spinosad) 1% - no nit combing required |
|
| B - NatrOVA 1% - nit combing required | Experimental | NatrOVA Creme Rinse (spinosad) 1% - nit combing regimen required |
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| C - NIX | Active Comparator | Nix Creme Rinse (permethrin 1%) applied according to OTC Instructions for Use |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Spinosad | Drug | 10 minute topical application of product, followed by a complete rinse off. |
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| Measure | Description | Time Frame |
|---|---|---|
| Efficacy of NatrOVA Creme Rinse - 1% Relative to NIX Creme Rinse in Subjects Infested With Head Lice | The primary efficacy endpoint was the proportion of primary subjects in the enrolled households who were lice free (no live lice, adults or nymphs), as assessed by the trained evaluator, 14 days after the last treatment (i.e., Day 14 for subjects who treated once and Day 21 for subjects who treated twice). | Assessment were made 14 days following the final product treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Evaluation of the Safety of NatrOVA Creme Rinse - 1% Based Upon Reported Adverse Events and Observed Skin/Scalp Reactions. | To evaluate the safety of NatrOVA® 1% Creme Rinse based upon reported adverse events and observed skin/scalp reactions. Additional safety assessments included cutaneous/ocular irritation. | Participants were followed for a minimum of 14 days (1 treatment) and a maximum of 21 days (2 treatments) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Bill Miller, MD | Concentrics Research | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Advanced Dermatology and Cosmetic Surgery | Ormond Beach | Florida | 32174 | United States | ||
| Lice Solutions Network, Inc. |
After admission to the study, subjects could have withdrawn at any time for any reason such as they no longer met the eligibility criteria, personal reasons, etc.
The first subject signed an informed consent and enrolled into the study on 21 September 2007; the last follow up visit occurred on 8 April 2008.
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| ID | Title | Description |
|---|---|---|
| FG000 | A - NatrOVA 1% - no Nit Combing | NatrOVA Creme Rinse (spinosad) 1% - no nit combing required Spinosad |
| FG001 | B - NatrOVA 1% - Nit Combing Required | NatrOVA Creme Rinse (spinosad) 1% - nit combing regimen required |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| Spinosad | Drug | 10 minute topical application followed by a complete rinse off, followed by a nit combing regimen. |
|
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| Permethrin 1% | Drug | Topical application for 10 minutes, followed by a complete rinse off, followed by a nit combing regimen |
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| West Palm Beach |
| Florida |
| 33407 |
| United States |
| Concentrics Center for Research | Indianapolis | Indiana | 46240 | United States |
| Alegent Health Clinic | Council Bluffs | Iowa | 51503 | United States |
| Celia Reyes-Acuna | Corpus Christi | Texas | 78411 | United States |
| Wee Care Pediatrics | Layton | Utah | 84041 | United States |
| FG002 | C - NIX | NIX Creme Rinse (permethrin 1%) applied to Over the Counter (OTC) Instructions for Use |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | A - NatrOVA 1% - no Nit Combing | NatrOVA Creme Rinse (spinosad) 1% - no nit combing required Spinosad |
| BG001 | B - NatrOVA 1% - Nit Combing Required | NatrOVA Creme Rinse (spinosad) 1% - nit combing regimen required |
| BG002 | C - NIX | Nix Creme Rinse (permethrin 1%) applied according to Over the Counter (OTC) Instructions for Use |
| BG003 | 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 |
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| Age Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Region of Enrollment | Number | 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 | ||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Secondary | Evaluation of the Safety of NatrOVA Creme Rinse - 1% Based Upon Reported Adverse Events and Observed Skin/Scalp Reactions. | To evaluate the safety of NatrOVA® 1% Creme Rinse based upon reported adverse events and observed skin/scalp reactions. Additional safety assessments included cutaneous/ocular irritation. | 480 subjects were randomized to treatment and 469 subjects used the study drug and returned for at least one post-baseline evaluation. At Day 0 the study drug was to be used within 24 hours. Thus subjects used 1 or 2 treatments. | Posted | Number | Incidents | Participants were followed for a minimum of 14 days (1 treatment) and a maximum of 21 days (2 treatments) |
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| Primary | Efficacy of NatrOVA Creme Rinse - 1% Relative to NIX Creme Rinse in Subjects Infested With Head Lice | The primary efficacy endpoint was the proportion of primary subjects in the enrolled households who were lice free (no live lice, adults or nymphs), as assessed by the trained evaluator, 14 days after the last treatment (i.e., Day 14 for subjects who treated once and Day 21 for subjects who treated twice). | Primary efficacy analysis was conducted using the Intent to Treat data obtained from primary subjects (i.e., youngest enrolled members of each household who had at least three live lice at the time of entry into the study). Subjects who were lice free 14 days post-treatment were considered successes and all other subjects were considered failures. | Posted | Number | participants | Assessment were made 14 days following the final product treatment |
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Through out the study (7 months).
Verbatim descriptions of AEs were assigned to system organ classes and preferred terms using the MedDRA dictionary (v10.1). All randomized subjects who were presumed to have used the study medication at least once and who provided at least one post-baseline evaluation or reported at least one AE subsequent to using the study medication.
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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 | A/B - NatrOVA 1% - With/Without Nit Combing | NatrOVA Creme Rinse (spinosad) 1% - With or without nit combing required | 0 | 258 | 2 | 258 | ||
| EG001 | C - NIX | Nix Creme Rinse (permethrin 1%) applied according to Over the Counter (OTC) Instructions for Use | 1 | 211 | 16 | 211 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Gastrointestinal Viral | Gastrointestinal disorders | MedDRA 10.1 | Systematic Assessment | Subject randomized to NIX, applied the study medication once. Notified by family subject was hospitalized with viral gastroenteritis. Subject withdrew from study. Condition resolved without sequelae and was considered unrelated to study medication. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Application site erythema | General disorders | MedDRA 10.1 | Systematic Assessment | Application site erythema |
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| Diarrhea | Gastrointestinal disorders | MedDRA 10.1 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Director, Quality and Regulatory | ParaPRO LLC | 317-810-6205 | kerrym@parapro.com |
| ID | Term |
|---|---|
| C415329 | spinosad |
| D013535 | Suspensions |
| ID | Term |
|---|---|
| D003102 | Colloids |
| D045424 | Complex Mixtures |
| D004304 | Dosage Forms |
| D004364 | Pharmaceutical Preparations |
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| Between 18 and 65 years |
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| >=65 years |
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| Male |
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| Gastrointestinal disorders - Diarrhea |
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| Gastroesophageal reflux disease |
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| Gastrointestinal disorders - Nausea |
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| Administration site conditions - Erythema |
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| Administration site conditions - Exfoliation |
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| Administration site conditions - Irritation |
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| Infections and infestations - Ear infection |
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| Infections and infestations -Gastroenteritis viral |
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| Infections and infestations - Nasopharyngitis |
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| Infections - Upper respiratory tract infection |
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| Musculoskeletal disorder - Fibromyalgia |
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| Nervous system disorders - Dizziness |
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| Pregnancy |
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| Respiratory -Chronic obstructive pulmonary disease |
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