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The main purpose of this study is to demonstrate that dapaconazole cream 2% (experimental drug) is non-inferior to ketoconazole cream 2% (Nizoral® - active comparator) for the treatment of dermatological lesions of Tinea pedis, when applied to the skin (topically) once daily during 28 days. Additionally, the safety and tolerability aspects will be evaluated in a descriptive way, through the observation of the incidence of adverse events.
This is a non-inferiority, phase 3, multicenter, double-blind, randomized (allocation of treatment), balanced, controlled (active comparator) trial, with two parallel groups in a 1:1 proportion.
Randomization will depend on inclusion/exclusion criteria, taking into account the confirmation of diagnosis by the direct mycological test performed during the screening phase. However, cases whose diagnosis is not additionally confirmed by positive fungal culture (sampled during the screening phase) will be excluded from the efficacy analysis.
Participants will show up to the clinic, for treatment, during 42 consecutive days, when one of the investigational products (according to the randomization) will be applied by a blind member of the study staff. A non-blind member of the study staff will weigh the corresponding investigational product and pass on to the blind member only a spatula with the weighed product, in order to maintain the blinded aspect of the trial.
For exploratory purposes, clinical and mycological evaluations will also be performed after 7 and after 14 days of treatment.
Safety analysis will be performed considering all the randomized patients to which at least one dose of the investigational products has been applied, regardless of the result of the fungal culture.
Conclusion of non-inferiority will be based on the per protocol set. It will be deemed as per protocol those participants who do not miss more than 20% of the applications and, also, no more than four consecutive application days.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1 - dapaconazole cream 2% | Experimental | Topical application of dapaconazole cream 2%, once daily, during 42 days. |
|
| Group 2 - ketoconazole cream 2% | Active Comparator | Topical application of ketoconazole cream 2%, once daily, during 42 days. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dapaconazole | Drug | Application of 1 to 3 grams, depending on the lesion extension, per affected foot. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of participants with therapeutic cure | Proportion of participants, in each treatment group, who achieved therapeutic cure, defined as both clinical cure and mycological cure, on the assessment performed after 28 days of treatment. Clinical cure is defined as a score ≤ 2 for the sum of scores attributed to each sign or symptom (erythema, maceration/peeling, fissuring/cracking, itching and burning) as evaluated by a four-point categorical scale (0=absent, 1=mild, 2=moderate, 3=severe). Mycological cure is defined as negative result for the direct mycological examination (potassium hydroxide [KOH] test) and a negative fungal culture. | 28 days of treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of participants with therapeutic cure | Proportion of participants, in each treatment group, who achieved therapeutic cure, on the assessment performed after 42 days of treatment. | 42 days of treatment |
| Proportion of participants maintaining therapeutic cure |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Gilberto De Nucci, MD | Galeno Desenvolvimento de Pesquisas Clinicas Ltda. - ME | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Galeno Desenvolvimento de Pesquisas Clinicas Ltda. - ME | Campinas | São Paulo | Brazil |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Jun 30, 2021 | |
| Reset | Jul 20, 2021 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Jun 30, 2021 | Jul 20, 2021 |
| ID | Term |
|---|---|
| D014008 | Tinea Pedis |
| D009181 | Mycoses |
| D003881 | Dermatomycoses |
| ID | Term |
|---|---|
| D014005 | Tinea |
| D001423 | Bacterial Infections and Mycoses |
| D007239 | Infections |
| D012874 | Skin Diseases, Infectious |
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| ID | Term |
|---|---|
| C000593721 | 1-(2-(2,4-dichlorophenyl)-2-(4-(trifluoromethyl)benzyloxy)ethyl)-1H-imidazole |
| D007654 | Ketoconazole |
| ID | Term |
|---|---|
| D010879 | Piperazines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
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| Ketoconazole | Drug | Application of 1 to 3 grams, depending on the lesion extension, per affected foot. |
|
|
Proportion of participants, in each treatment group, maintaining the therapeutic cure in the evaluation performed approximately 14 days after the end of the 42 days treatment period. |
| 14 (±3) days after the end of treatment |
| Proportion of participants maintaining therapeutic cure | Proportion of participants, in each treatment group, maintaining the therapeutic cure in the evaluation performed approximately 28 days after the end of the 42 days treatment period. | 28 (±5) days after the end of treatment |
| Number of days until clinical cure | Number of days elapsed between the day of start of treatment and the day when the clinical cure is diagnosed, according to the daily assessment, in each treatment group. | up to 42 days |
| Number of adverse events per participant | Number of adverse events, in each treatment group, including clinically relevant alterations of vital signs and laboratory tests. | up to 80 (±5) days |
| D005533 |
| Foot Dermatoses |
| D005534 | Foot Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D011537 | Pruritus |
| D012877 | Skin Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |