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The efficacy and safety of Solver Pen (prototype number X92001704) is evaluated in this randomized, open label, controlled, investigator-blinded, comparative clinical trial in 76 patients. Subjects are treated with either the test medical device (Solver Pen) or the comparator (Loceryl, 5% amorolfine), respectively, for a period of 90 days. The primary objective of the investigation is the increase of percentage of healthy surface on the great toenail at study end versus baseline, as evaluated by a blinded investigator. Patients are followed up for a period of 90 days, with visits at D0 (baseline), D30, D60 and D90, respectively.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Solver Pen | Experimental |
| |
| Loceryl 5% | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Solver Pen | Device | One application per day for 3 months |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of healthy surface (performance) | Variation of the percentage of healthy surface after 90 days of treatment with the test medical device or reference versus baseline value. Evaluation is done in blind by digital analysis of photographs of the great, infected toenail. | 90 days |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of healthy surface (performance) | Variation of the percentage of healthy surface after 30 and 60 days of treatment with the test medical device or reference versus baseline. Blinded evaluation is performed by digital analysis of photographs of the great, infected toenail. | 30 and 60 days |
| Microbiological efficacy: KOH staining (performance) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Nejib Doss, MD | Eurofins Dermscan Tunisia | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pr Doss office | Tunis | Tunisia |
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| Loceryl 5% |
| Drug |
One application per week for 3 months |
|
Evaluation of microbiological efficacy of both treatments by KOH staining on D90 versus baseline. |
| 90 days |
| Microbiological efficacy: fungal culture (performance) | Evaluation of microbiological efficacy of both treatments by fungal culture on D90 versus baseline. | 90 days |
| Clinical efficacy: onychomycosis evolution (performance) | Blinded assessment of clinical efficacy of both treatments on D0 (baseline), D30, D60 and D90 by evaluation of onychomycosis evolution on a 4-point scale (failure to success) | 30, 60 and 90 days |
| Clinical efficacy: onycholysis (performance) | Blinded assessment of clinical efficacy of both treatments on D0 (baseline), D30, D60 and D90 by evaluation of onycholysis on a 5-point scale (none to severe) | 30, 60 and 90 days |
| Clinical efficacy: nail distrophy (performance) | Blinded assessment of clinical efficacy of both treatments on D0 (baseline), D30, D60 and D90 by evaluation of nail distrophy on a 5-point scale (none to severe) | 30, 60 and 90 days |
| Clinical efficacy: nail discoloration (performance) | Blinded assessment of clinical efficacy of both treatments on D0 (baseline), D30, D60 and D90 by evaluation of nail discoloration on a 5-point scale (none to severe) | 30, 60 and 90 days |
| Clinical efficacy: nail thickening (performance) | Blinded assessment of clinical efficacy of both treatments on D0 (baseline), D30, D60 and D90 by evaluation of nail thickening on a 5-point scale (none to severe) | 30, 60 and 90 days |
| Impact on quality of life (performance) | Evaluation of the impact on the quality of life (QoL) of the patients using a validated questionnaire (NailQoL: Nail Questionnaire Of Life from 0=no impact on life quality to 100=maximum impact on life quality) before (baseline) and 60 and 90 days of treatment with the test medical device or reference, respectively. | 60 and 90 days |
| Subjective evaluation questionnaire for the patient (performance) | Evaluation of efficacy, tolerance, and acceptability cosmetic aspect, usability…) of the investigational device by the patients using a subjective evaluation questionnaire (answers to questions with 5 modalities from "strongly disagree" to "strongly agree"), performed at each visit and at D14 (via phone). | 14, 30, 60 and 90 days of treatment |
| Assessment of local tolerance by the investigator (safety and tolerability) | Evaluation of local tolerance of the test medical device at each visit. Assessment is performed by the investigator via clinical evaluation and subject interrogation on a scale from 0 (bad tolerance) to 3 (very good tolerance) | 30, 60 and 90 days |
| Incidence of Adverse events (safety and tolerability) | Collection of Adverse events and adverse device effects throughout the study | 30, 60 and 90 days |