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| ID | Type | Description | Link |
|---|---|---|---|
| CTR20262184 | Other Identifier | Center for Drug Evaluation, NMPA |
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This is a multicenter, randomized, double-blind, placebo-controlled Phase 1b study in adult participants with tinea pedis caused by dermatophytes. The study will evaluate the safety, local tolerability, and pharmacokinetic profile of two concentrations of ZYG24004 (1% and 3%) after topical administration once or twice (once weekly for two consecutive weeks), and will explore preliminary efficacy.
The study uses a sequential cohort escalation design from lower to higher concentration and from single to two administrations. Four cohorts are planned: 1% ZYG24004 single administration, 1% ZYG24004 two administrations, 3% ZYG24004 single administration, and 3% ZYG24004 two administrations. Each cohort will enroll 16 participants randomized in a 3:1 ratio to active study drug or placebo (12 active and 4 placebo), for a total of 64 participants. Participants will have clinically diagnosed tinea pedis caused by dermatophytes, with lesions located in the interdigital area and potentially involving the sole and lateral foot, a positive fungal microscopy result at screening, and a target-foot clinical signs and symptoms score of at least 3.
The next cohort may start only after the preceding cohort completes the protocol-specified key safety and local tolerability review. Key safety/local tolerability review is planned at Day 8 +/- 1 after the first administration for single-administration cohorts and at Day 15 +/- 1 after the last administration for two-administration cohorts. The first cohort will also complete all planned pharmacokinetic sampling through Day 15 +/- 1 before the sponsor, investigators, and relevant medical/pharmacokinetic personnel assess whether later cohort pharmacokinetic sampling time points require optimization.
Safety, local tolerability, and pharmacokinetic assessments will be performed throughout the study. Preliminary efficacy will be explored using mycological outcomes and clinical signs and symptoms assessments through Day 43 +/- 2.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ZYG24004 1% single administration | Experimental | ZYG24004 1% (4 g:40 mg), topical film-forming formulation, approximately 2 g per foot (approximately 4 g total), administered once on Day 1. |
|
| Placebo matching ZYG24004 1% single administration | Placebo Comparator | Placebo topical formulation matching the ZYG24004 1% study drug cohort, approximately 2 g per foot (approximately 4 g total), administered once on Day 1. |
|
| ZYG24004 1% two administrations | Experimental | ZYG24004 1% (4 g:40 mg), topical film-forming formulation, approximately 2 g per foot (approximately 4 g total), administered on Day 1 and Day 8 +/- 1. |
|
| Placebo matching ZYG24004 1% two administrations | Placebo Comparator | Placebo topical formulation matching the ZYG24004 1% study drug cohort, approximately 2 g per foot (approximately 4 g total), administered on Day 1 and Day 8 +/- 1. |
|
| ZYG24004 3% single administration | Experimental | ZYG24004 3% (4 g:0.12 g), topical film-forming formulation, approximately 2 g per foot (approximately 4 g total), administered once on Day 1. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ZYG24004 1% topical film-forming formulation | Drug | ZYG24004 1% (4 g:40 mg) topical film-forming formulation. Approximately 2 g will be applied to each foot, with a total dose of approximately 4 g per administration, according to the protocol. |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of serious adverse events (SAEs) | The type and proportion of participants experiencing any SAE will be summarized, including investigator-assessed causal relationship to study drug. | From informed consent through Day 43 +/- 2 |
| Incidence of Grade 3 or higher treatment-emergent adverse events (TEAEs) or TEAEs leading to withdrawal | The proportion of participants with CTCAE Version 6.0 Grade >=3 TEAEs or TEAEs leading to withdrawal will be summarized by event type, severity, and relationship to study drug. | From first administration through Day 43 +/- 2 |
| Incidence and severity of local tolerability reactions at the application site | Local tolerability reactions include erythema, edema, burning/stinging, pruritus, blisters, pain, and other local symptoms. Frequency, type, severity, duration, and the proportion of participants with local tolerability reactions leading to treatment interruption or discontinuation will be summarized. | From first administration through Day 43 +/- 2 |
| Plasma concentration-time profile of efinaconazole and metabolite H3 | Plasma concentrations of efinaconazole and its major metabolite H3 will be measured at protocol-specified pharmacokinetic time points. | Single-administration cohorts: Day 1 through Day 15 +/- 1; two-administration cohorts: Day 1 through Day 22 +/- 1 |
| Maximum observed plasma concentration (Cmax) of efinaconazole and metabolite H3 | Cmax will be calculated using non-compartmental analysis where data permit. | Single-administration cohorts: Day 1 through Day 15 +/- 1; two-administration cohorts: Day 1 through Day 22 +/- 1 |
| Measure | Description | Time Frame |
|---|---|---|
| Mycological cure rate of the target area | Mycological cure is defined as both fungal microscopy and fungal culture being negative for the target area. | Week 1, Week 2, Week 4, and Week 6 after first administration |
| Time to mycological negativity |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yaheng Wang | Contact | +86-15312798046 | wangyaheng@sinomune.com |
| Name | Affiliation | Role |
|---|---|---|
| Ruoyu Li, MD | Peking University First Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Peking University First Hospital | Beijing | Beijing Municipality | 100034 | China |
The IPD sharing plan has not been determined at this time.
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| ID | Term |
|---|---|
| D014008 | Tinea Pedis |
| ID | Term |
|---|---|
| D014005 | Tinea |
| D003881 | Dermatomycoses |
| D009181 | Mycoses |
| D001423 | Bacterial Infections and Mycoses |
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|
| Placebo matching ZYG24004 3% single administration | Placebo Comparator | Placebo topical formulation matching the 3% study drug cohort, approximately 2 g per foot (approximately 4 g total), administered once on Day 1. |
|
| ZYG24004 3% two administrations | Experimental | ZYG24004 3% (4 g:0.12 g), topical film-forming formulation, approximately 2 g per foot (approximately 4 g total), administered on Day 1 and Day 8 +/- 1. |
|
| Placebo matching ZYG24004 3% two administrations | Placebo Comparator | Placebo topical formulation matching the 3% study drug cohort, approximately 2 g per foot (approximately 4 g total), administered on Day 1 and Day 8 +/- 1. |
|
| ZYG24004 3% topical film-forming formulation | Drug | ZYG24004 3% (4 g:0.12 g) topical film-forming formulation. Approximately 2 g will be applied to each foot, with a total dose of approximately 4 g per administration, according to the protocol. |
|
| Placebo topical formulation | Drug | Placebo topical formulation matching ZYG24004 in appearance and packaging. Approximately 2 g will be applied to each foot, with a total dose of approximately 4 g per administration, according to the protocol. |
|
| Time to maximum observed plasma concentration (Tmax) of efinaconazole and metabolite H3 |
Tmax will be calculated using non-compartmental analysis where data permit. |
| Single-administration cohorts: Day 1 through Day 15 +/- 1; two-administration cohorts: Day 1 through Day 22 +/- 1 |
| Area under the plasma concentration-time curve from time zero to the last quantifiable concentration (AUC0-t) | AUC0-t will be calculated using non-compartmental analysis where data permit. | Single-administration cohorts: Day 1 through Day 15 +/- 1; two-administration cohorts: Day 1 through Day 22 +/- 1 |
| Area under the plasma concentration-time curve from time zero extrapolated to infinity (AUC0-inf) | AUC0-inf will be calculated using non-compartmental analysis where data permit. | Single-administration cohorts: Day 1 through Day 15 +/- 1; two-administration cohorts: Day 1 through Day 22 +/- 1 |
| Terminal elimination half-life (t1/2) of efinaconazole and metabolite H3 | t1/2 will be calculated using non-compartmental analysis where data permit. | Single-administration cohorts: Day 1 through Day 15 +/- 1; two-administration cohorts: Day 1 through Day 22 +/- 1 |
Time from first administration to the first visit at which mycological testing is negative. Mycological negativity is based on negative fungal microscopy and negative fungal culture.
| From first administration through Week 6 |
| Change from baseline in clinical signs and symptoms score | Clinical signs and symptoms include scaling, erythema, pruritus, crusting, maceration, fissures, pustules, and blisters, each scored on a 0 to 3 scale, where 0 = absent and 3 = severe. | Week 2, Week 4, and Week 6 after first administration |
| Treatment success rate at Week 6 | Treatment success is defined as mycological cure and a total clinical signs and symptoms score <=2, with crusting, fissures, pustules, and blisters each scored 0 and scaling, erythema, maceration, and pruritus each scored 0 or 1. | Week 6 after first administration |
| D007239 |
| Infections |
| D012874 | Skin Diseases, Infectious |
| 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 |