Phase 2 study to examine how the study drug works and its side effects in subjects with toenail fungus.
A phase 2, randomized, double-blind, placebo-controlled, parallel-group, dose-ranging study to investigate the efficacy and safety of 4 dose regimens of ORAL albaconazole in subjects with distal subungual onychomycosis. Subjects will take oral study drug for up to 36 weeks and then will be followed for an additional 16 weeks to determine if the study drug was efficacious. Subjects will have routine blood draws and other safety assessments during the study, as well as regular assessments of their toenail fungus
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
582
Albaconazole for 36 weeks
Albaconazole for 36 weeks
Albaconazole for 36 weeks
The Percentage of Participants Who Achieve Effective Treatment at Week 52
At each study visit, the investigator assessed the percentage of affected toenail on the target nail by estimating the percent affected nail in each quadrant, summing the percent affected in each quadrant and dividing the sum by 4. Effective treatment was defined as a mycological cure and clear or almost clear nail (distal subungual hyperkeratosis and/or onycholysis leaving less than 10% of nail plate effected). Comparisons were carried out in a sequential step-down fashion, combined with the Holm procedure at step 2. P-value was based on a sequential step-down combined with the Holm procedure. It was assessed on Week 4, 8, 12, 16, 20, 24, 30, 36, 44 and 52.
Time frame: Week 52
The Percentage of Participants Who Achieve Clinical Cure at Week 52
At each study visit, the investigator assessed the percentage of affected toenail on the target nail by estimating the percent affected nail in each quadrant, summing the percent affected in each quadrant and dividing the sum by 4. Clinical cure was defined as 100% clear nail. It was assessed on Week 4, 8, 12, 16, 20, 24, 30, 36, 44 and 52.
Time frame: Week 52
The Percentage of Participants Who Achieve Mycological Cure at Week 52
At each study visit, the investigator assessed the percentage of affected toenail on the target nail by estimating the percent affected nail in each quadrant, summing the percent affected in each quadrant and dividing the sum by 4. Mycological cure was defined as negative potassium hydroxide (KOH) and negative cultures for dermatophytes. It was assessed on Week 12, 16, 20, 24, 30, 36, 44 and 52.
Time frame: Week 52
The Percentage of Participants Who Achieve Complete Cure at Week 52
At each study visit, the investigator assessed the percentage of affected toenail on the target nail by estimating the percent affected nail in each quadrant, summing the percent affected in each quadrant and dividing the sum by 4. Complete cure was defined as mycological cure plus clinical cure. It was assessed on Week 4, 8, 12, 16, 20, 24, 30, 36, 44 and 52.
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Albaconazole for 24 weeks, Placebo for 12 weeks
Placebo for 36 weeks
University of Alabama at Birmingham
Birmingham, Alabama, United States
Genova Clinical Research
Tucson, Arizona, United States
Impact Clinical Trials
Beverly Hills, California, United States
Northern California Research
Carmichael, California, United States
Center for Dermatology Clinical Research
Fremont, California, United States
Therapeutics Clinical Research
San Diego, California, United States
UCSF Dermatology Research
San Francisco, California, United States
Thomas J. Stephens & Associates, Inc. Colorado Research Center
Colorado Springs, Colorado, United States
International Dermatology Research Inc
Miami, Florida, United States
Greater Miami Skin & Laser Center
Miami Beach, Florida, United States
...and 23 more locations
Time frame: Week 52
Absolute Change in Unaffected Part of Target Nail From Baseline to Week 52
Length of the unaffected part of the target nail was measured in millimeters along the midpoint from the nail fold to the proximal border of the affected part (lowest point affected) along the midpoint of the target nail. It was assessed on Week 4, 8, 12, 16, 20, 24, 30, 36, 44 and 52. Baseline values were the observations at Week 0/Day 1 or before. Change from Baseline was a Baseline value subtracted from Week 52 value. P-value was based on analysis of variance (ANOVA) with treatment and pooled center. Statistics is provided for adjusted least square mean.
Time frame: Baseline (Week 0/Day 1 or before) and up to Week 52
The Percentage of Participants With a Global Change Score of Cleared or Much Improved at Week 52
A count of the number of toenails affected, using visual examination, was performed at all study visits (Week 12, 24, 30, 36, 44 and 52). The investigator given a global evaluation of the toenails condition, based on the investigator's assessment of the reduction in extent of nail involvement and improvement in clinical signs as compared with the status at the Baseline visit. The 0-5 rating scale was used: 0: cleared, 1: much improved, 2: minimally improved, 3: unchanged, 4: minimally worse and 5: much worse; where higher score indicates worse condition and lower score indicates clear toenail.
Time frame: Week 52