The primary objective of this study is to evaluate the efficacy of topical MOB015B in patients with mild to moderate distal subungual onychomycosis (DSO). The secondary objective is to evaluate the safety of topical MOB015B in patients with mild to moderate DSO.
Male or female subjects aged between 12 and 75 years with confirmed DSO involving 20-60% of at least one great toenail will be screened for randomization in this study. The diagnosis of DSO will be confirmed prior to randomization through a positive culture of dermatophytes. In addition, a central blinded assessment of the clinical disease involvement (i.e., affected nail area) will be performed at Screening. Subjects have to meet all eligibility criteria before being randomized in to the study. Eligible subjects will be randomized to the investigational medicinal products (MOB015B or vehicle) in a ratio of 2:1. The investigational medicinal products (IMPs) will be applied to all affected fingernails and/or toenails for 48 weeks once daily at bedtime. However, fingernails will not be assessed for efficacy. Since both the IMPs are indistinguishable in appearance and mode of administration, the study will be performed as a double-blind study, i.e., both the investigator and the subject will remain blinded throughout the entire study. After a 4-week follow-up period without IMP treatment the end of study (EoS) Visit will be performed at Week 52 (Visit 7). The primary efficacy variable will be assessed at Week 52. The end of the clinical study for each individual subject is defined as the EoS Visit at Week 52 (Visit 7). The end of the clinical study is defined as the last visit of the last subject in the study.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
365
MOB015B - Terbinafine hydrochloride (HCl) 10%, topical solution
MOB015B Vehicle without the active ingredient Terbinafine
Unnamed facility
Multiple Locations, California, United States
Unnamed facility
Multiple Locations, Florida, United States
Unnamed facility
Multiple Locations, Idaho, United States
Unnamed facility
Rolling Meadows, Illinois, United States
Subjects with complete cure of the target toe nail at Week 52
Complete cure was defined as negative fungal culture of dermatophytes, negative direct potassium hydroxide (KOH) microscopy and 0% clinical disease involvement of the target toenail.
Time frame: Week 52
Subjects with mycological cure of the target toe nail at Week 52
Mycological cure was defined as negative fungal culture of dermatophytes and negative direct KOH microscopy of the target toenail.
Time frame: Week 52
Subjects with treatment success of the target toe nail at Week 52
Treatment success was defined as negative fungal culture of dermatophytes, negative direct KOH microscopy and ≤10% clinical disease involvement of the target toenail.
Time frame: Week 52
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Unnamed facility
Fridley, Minnesota, United States
Unnamed facility
Multiple Locations, New Jersey, United States
Unnamed facility
Multiple Locations, Oregon, United States
Unnamed facility
Multiple Locations, Texas, United States
Unnamed facility
Multiple Locations, Virginia, United States
Unnamed facility
Multiple Locations, Canada