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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 (human 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 |
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| 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 to Over the Counter (OTC) Instructions for Use |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Spinosad | Drug | 10 minute topical application product, following 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 |
|---|---|---|---|---|---|---|
| Hill Top Research | Scottsdale | Arizona | 85251 | United States | ||
| Burke Pharmaceutical Research |
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 25 September 2007; the last follow-up visit occurred on 22 April 2008.
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| ID | Title | Description |
|---|---|---|
| FG000 | A - NatrOVA 1% - No Nit Combing Required | NatrOVA Creme Rinse (spinosad) 1% - no nit combing required |
| FG001 | B - NatrOVA 1% - Nit Combing Required | NatrOVA Creme Rinse (spinosad) 1% - nit comb 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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| Hot Springs |
| Arkansas |
| 71913 |
| United States |
| Impact Clinical Trials | Beverly Hills | California | 90211 | United States |
| DMI Healthcare Group | Largo | Florida | 33773 | United States |
| Hill Top Research | Miamiville | Ohio | 45147 | United States |
| Haber Dermatology & Cosmetic Surgery | South Euclid | Ohio | 44118 | United States |
| FG002 | C - NIX Applied Per Over the Counter (OTC) Instructions | 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 Required | NatrOVA Creme Rinse - 1% - no nit combing required |
| BG001 | B - NatrOVA 1% - Nit Combing Required | NatrOVA Creme Rinse - 1% - nit comb regimen required |
| BG002 | C - NIX Applied Per Over the Counter (OTC) Instructions | NIX Creme Rinse applied 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 | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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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| 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. | 558 subjects were randomized to treatment and 540 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. At Day 7 if subject presented with live lice they were provided a second treatment 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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Through out the study (7 months).
Verbatim descriptions of Adverse Events (AE) were assigned to system organ classes and terms via 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 - 1% - With or without nit combing | 0 | 294 | 34 | 294 | ||
| EG001 | C - NIX Applied Per Over the Counter (OTC) Instructions | NIX Creme Rinse applied to Over the Counter (OTC) Instructions for Use | 2 | 246 | 49 | 246 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Application Site Erythema | General disorders | MedDRA 10.1 | Systematic Assessment | Subject randomized to NIX, applied the study medication twice. Day 8 the subject presented with application site erythema. Investigator reported event as a serious AE despite the fact that it did not meet the regulatory definition of a serious event. |
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| Cellulitis | Infections and infestations | MedDRA 10.1 | Systematic Assessment | Subject randomized to NIX, applied study medication twice. Day 14 presented with cellulitis. Subject was hospitalized, considered mild severity and unrelated to study medication. The event resolved with no sequelae. Subject didn't have Day 21 visit. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Eye irritation | Eye disorders | MedDRA 10.1 | Systematic Assessment |
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| Occular hyperaemia | Eye disorders | MedDRA 10.1 | Systematic Assessment |
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| Application site erythema | General disorders | MedDRA 10.1 | Systematic Assessment |
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| Application site irritation | General disorders | MedDRA 10.1 | Systematic Assessment |
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| Nasopharyngitis | Infections and infestations | MedDRA 10.1 | Systematic Assessment |
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| Upper respiratory tract infection | Infections and infestations | MedDRA 10.1 | Systematic Assessment |
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| Erythema | Skin and subcutaneous tissue disorders | MedDRA 10.1 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Director of Quality and Regulatory | ParaPRO LLC | 317-810-6205 | kerrym@parapro.com |
| ID | Term |
|---|---|
| D010373 | Lice Infestations |
| ID | Term |
|---|---|
| D004478 | Ectoparasitic Infestations |
| D012876 | Skin Diseases, Parasitic |
| D010272 | Parasitic Diseases |
| D007239 | Infections |
| D012874 | Skin Diseases, Infectious |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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| 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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