The purpose of the study is to determine the safety and efficacy of 2.5%, 5.0%, and 7.5% AN2690 Solutions compared to the vehicle alone in the treatment of distal, subungual onychomycosis of the great target toenail.
The intent is for all subjects to complete a 180 day treatment period consisting of 90 consecutive days of once daily treatment with their assigned study treatment followed by an additional 90 days of three times weekly dosing, even if the treated toenail(s) is evaluated as a "complete responder" prior to the end of treatment 180 day treatment period. At the end of the 180-Day treatment period, subjects who remain in the study will be classified as complete responders, partial responders, or non-responders. All complete or partial responders will continue to be followed for an additional 180 days until the last evaluation for inclusion in the final analysis. Periodic efficacy and local tolerance evaluations of the test medication will be performed of the target great toenail and all other treated toenails. KOH wet mounts and fungal cultures from the treatment-targeted great toenail will be performed on the same schedule. Subjects will also be queried for adverse events and evaluated for application site reactions. Clinical laboratory assessment for safety will be made at Screening, periodically throughout the study, and upon premature discontinuation from the study.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
159
Once daily application for 90 days and 3 x weekly for 90 days
Once daily application for 90 days and 3 x weekly for 90 days
Once daily application for 90 days and 3 x weekly for 90 days
Unidad de Investigación en Salud (UIS)
Chihuahua City, Mexico
Hospital "Dr. Angel Leaño"
Guadalajara, Mexico
Instituto Dermatologico Jalisciense
Guadalajara, Mexico
Centro Dermatologico Pascua
Mexico City, Mexico
Clinical evidence of complete great toenail clearance or at least fungal-clear great toenail growth ("complete" = 5mm; "partial" = 2mm), plus a negative fungal culture from the treatment-targeted great toenail.
Time frame: Day 180
Absence of signs and symptoms of onychomycosis plus a negative fungal culture & negative KOH from the treatment-targeted toenail.
Time frame: Day 360
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Once daily application for 90 days and 3x weekly for 90 days
CIF-BIOTEC Medica Sur.
Mexico City, Mexico
IMIC
Mexico City, Mexico
Hospital Universitario Dr. José Eleuterio González
Monterrey, Mexico
MIRC / OCA Hospital
Monterrey, Mexico
ISSEMYM
Toluca, Mexico