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This will be an interventional safety and efficacy study of CELENT07 when used as a topical treatment of onychomycosis in the toenails (tinea unguium) of adults 18 years and older. This is randomized, double-blind, parallel design, placebo and active controlled study in patients with mild to moderate toenail distal lateral subungual onychomycosis (DLSO) (n=120). Subjects will be randomized (1:1:1) to receive CELENXT07, placebo of CELENXT07 or PENLAC®, daily for 52 weeks. Efficacy assessments will include complete cure, mycologic cure and clinical efficacy and safety and tolerability.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CELEXT07 | Experimental | suspension that is applied topically to the infected nail(s) daily. |
|
| placebo | Placebo Comparator | placebo is a suspension that simulates the physical properties of the experimental agent CELEXT07. It is applied topically to the infected nail(s) daily. |
|
| Penlac | Active Comparator | Is a standard of care for the condition and is applied topically to the infected nail(s) daily. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CELEXT07 | Drug |
| ||
| Penlac |
| Measure | Description | Time Frame |
|---|---|---|
| Efficacy Assessed by Complete Cure Rate at the End of Study (Week 52) After Treating for 52 Weeks | Complete cure is defined as negative KOH microscopy and negative culture for dermatophytes. and no residual involvement of the target toenail. The complete cure is a composite binary variable defined as "Yes" if:
| week 52 |
| Measure | Description | Time Frame |
|---|---|---|
| Efficacy Assessed by Clinical Efficacy at the End of Study After Treating Patients for 52 Weeks. | Clinical effectiveness is defined as negative KOH microscopy and negative culture for dermatophytes and <= 10% residual involvement of the target toenail.Clinical effectiveness is a composite binary variable defined as "Yes" if
|
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Inclusion Criteria:
Subjects are eligible to be included in the study only if they meet all of the following criteria:
Exclusion Criteria
Subjects will be excluded from the study if they meet any of the following criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Wil Lee, DPM, AACFAS | Contact | 514-254-5000 | drwlee@hotmail.com | |
| Liza Lymberopoulos | Contact | 514-254-5000 |
| Name | Affiliation | Role |
|---|---|---|
| Céline Devaux, MD, FRCPC | 9305-9954 Quebec Inc | Principal Investigator |
| Guy Chamberland, M.Sc., Ph.D. | 9305-9954 Quebec Inc | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinique podiatrique de Montréal | Recruiting | Montreal | Quebec | H1X 2B3 | Canada |
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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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| ID | Term |
|---|---|
| D000077768 | Ciclopirox |
| ID | Term |
|---|---|
| D003510 | Cyclohexanes |
| D003516 | Cycloparaffins |
| D006840 | Hydrocarbons, Alicyclic |
| D006844 | Hydrocarbons, Cyclic |
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|
| vehicle solution | Other |
|
|
| week 52 |
| Efficacy Assessed by Mycological Cure (Negative Culture and Negative KOH Microscopy) at the End of Study After Treating Patients for 52 Weeks. | Mycological cure is defined as negative KOH microscopy and negative culture for dermatophytes. Mycological cure is a composite binary variable defined as "Yes"if :
| week 52 |
| Number of participants with treatment-related adverse events as assessed by CTCAE v4.0 | week 52 |
| D007239 |
| Infections |
| D012874 | Skin Diseases, Infectious |
| D009260 | Nail Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D006838 |
| Hydrocarbons |
| D009930 | Organic Chemicals |
| D011728 | Pyridones |
| D011725 | Pyridines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |