This is a randomized, observer-blinded, Aqueous Gel-controlled trial examining the safety and efficacy of daily application of DBI-001 Gel vs. DBI-002 Gel vs. Aqueous Gel for 24 consecutive weeks in subjects with onychomycosis.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
60
Topically administered
Topically administered
Topically administered
T. Joseph Raoof MD, Inc./Encino Research Center
Encino, California, United States
Minnesota Clinical Study Center
New Brighton, Minnesota, United States
Oregon Dermatology and Research Center
Portland, Oregon, United States
DermResearch
Austin, Texas, United States
Change in percentage of involved great toenail(s)
Absolute change from Baseline in percent of involved treatment-targeted great toenail(s) at Week 24.
Time frame: 24 weeks of participation
Changes in signs and symptoms of Onychomycosis
Change from baseline in individual signs and symptoms at Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, and 48 of sites treated with DBI-001 Gel or DBI-002 Gel. The minimum value is 0 and the maximum value is 4.
Time frame: Baseline through End of Study (up to 48 weeks of participation)
Change in percentage of involved great toenail(s)
Absolute change from Baseline in percent of involved treatment-targeted great toenail(s) at Week 48.
Time frame: 48 weeks of participation
Population with completely clear nail growth
Proportion of subjects with completely clear nail growth of the treatment-targeted great toenail(s) at Weeks 24 and 48 based on measurements from digital images.
Time frame: 48 weeks of participation
Change in Investigator's Static Global Assessment (ISGA)
Change from Baseline in Investigator's Static Global Assessment (ISGA) for the treatment-targeted great toenail(s) at Weeks 24 and 48. The minimum value of ISGA is 0 and the maximum value is 4.
Time frame: 48 weeks of participation
Length of new clear nail growth
Length in mm of new clear nail growth based on measurements from digital images at Weeks 24 and 48 of treatment-targeted great toenail(s).
Time frame: 48 weeks of participation
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North Sound Dermatology
Mill Creek, Washington, United States
Molecular diagnostic quantitative polymerase chain reaction (qPCR) and whole genome sequencing (WGS) comparison of DBI-001 Gel, DBI-002 Gel and Aqueous Gel on the impact of T. rubrum levels
Antimicrobial efficacy and microbiome community analysis
Time frame: 48 weeks of participation
Change in colony forming units after using DBI-001 Gel or DBI-002 Gel or Aqueous Gel at Weeks 24 and 48
Antimicrobial efficacy
Time frame: 48 weeks of participation
Evaluate the presence of DBI-001, DBI-002 based on qPCR and WGS and Weeks 24 and 48
Antimicrobial efficacy and microbiome community analysis
Time frame: 48 weeks of participation
Evaluate the effect of DBI-001 Gel and DBI-002 Gel on the change in relative abundance and diversity of the cutaneous microbiome of the great toenail(s) from Screening to Weeks 24 and 48 as measured by WGS
Antimicrobial efficacy
Time frame: 48 weeks of participation