OnychomycosisPhase 3NCT00781820
Comparative Efficacy of Bifonazole Cream vs Placebo After Nail Ablation With Urea Paste
A Phase 3 study testing Bifonazole cream 1% in people with Onychomycosis, run by Bayer at 51 sites in 3 countries.
Trial summary
The study is focused to prove that the efficacy of a 1% Bifonazole cream is superior to a placebo cream after non-surgical nail ablation with a 40% urea paste. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Onychomycosis
- What is being tested?
- Bifonazole cream 1%
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 693 participants
- Where
- 51 sitesin 3 countries
- Study dates
- Oct 2008to Jan 2010
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Age of at least 18 years;
- Positive clinical findings of onychomycosis according to the judgement of the investigator (e.g. thickening, discoloration, structural changes, misshaped nails);
- Positive mycological findings (positive microscopy and positive culture with identification of pathogen) in material taken from affected nail sites before the start of treatment;
- Nail mycosis with an affected nail area between 20% and 50% in the target nail,
- Nail mycosis in not more than 3 nails (each nail not more than 50% infected area)
Who cannot join
- Doubtful or negative mycological findings;
- Proximal subungual onychomycosis (PSO);
- Topical antimycotic treatment of feet or hands within 4 weeks prior to screening, topical treatment of onychomycosis of feet or hands within 12 weeks prior to screening;
- Systemic antimycotic treatment within 12 weeks prior to screening;
- Failure to treat tinea pedis/manus (diagnosed at screening) successfully with topical treatment between screening visit and visit 1 (baseline);
- Tinea pedis/manus at visit 1 (baseline);
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- Uncontrolled diabetes mellitus
- Psoriasis
- Peripheral arterial disease
- Chronic venous insufficiency;
- Diabetic neuropathy;
- History of hypersensitivity to bifonazole, or any other similar pharmacological agents or components of the products;
- Known sensitivity to plasters.
Trial locations and contacts
51 sites in 3 countries.
51 sites in 3 countries
Germany35 sites
Study site
Aachen, North Rhine-Westphalia, 52074
Study site
Augsburg, Bavaria, 86163
Study site
Augsburg, Bavaria, 86179
Study site
Berlin, State of Berlin, 10369
Study site
Berlin, State of Berlin, 10435
Study site
Berlin, State of Berlin, 10437
Study site
Berlin, State of Berlin, 10827
Study site
Berlin, State of Berlin, 12157
Study site
Berlin, State of Berlin, 13055
Study site
Berlin, State of Berlin, 13187
Study site
Berlin, State of Berlin, 13437
Study site
Berlin, State of Berlin, 13439
Study site
Berlin, State of Berlin, 13507
Study site
Berlin, State of Berlin, 13597
Study site
Chemnitz, Saxony, 09117
Study site
Dresden, Saxony, 01097
Study site
Dresden, Saxony, 01277
Study site
Dülmen, North Rhine-Westphalia, 48249
Study site
Frankenberg, Hesse, 35066
Study site
Freiburg im Breisgau, Baden-Wurttemberg, 79104
Study site
Gera, Thuringia, 07551
Study site
Halle, Saxony-Anhalt, 06108
Study site
Hamburg, Free and Hanseatic City of Hamburg, 20354
Study site
Hanover, Lower Saxony, 30159
Study site
Leipzig, Saxony, 04315
Study site
Löbau, Saxony, 02708
Study site
Lübeck, Schleswig-Holstein, 23558
Study site
Marburg, Hesse, 35037
Study site
Murnau am Staffelsee, Bavaria, 82418
Study site
Northeim, Lower Saxony, 37154
Study site
Oberschleißheim, Bavaria, 85764
Study site
Potsdam, Brandenburg, 14482
Study site
Reichenbach, Saxony, 08468
Study site
Straubing, Bavaria, 94315
Study site
Wuppertal, North Rhine-Westphalia, 42275
Czechia10 sites
Study site
Chomutov, 43012
Study site
Hlinsko, 539 01
Study site
Kutná Hora, 28401
Study site
Louny, 44001
Study site
Olomouc, 77900
Study site
Prague, 15500
Study site
Rychnov nad Kněžnou, 516 01
Study site
Slaný, 27401
Study site
Svitavy, 56802
Study site
Ústí nad Labem, 40010
Poland6 sites
Study site
Bialystok, 15-660
Study site
Gdansk, 80-177
Study site
Gdansk, 80-952
Study site
Olsztyn, 10-501
Study site
Pruszków, 05-800
Study site
Wroclaw, 50-369
About this study
Official title: A Double-blind, Randomized, Multicenter, Placebo- Controlled Phase 3 Trial to Prove the Superiority of Bifonazole vs. Placebo After 4 Weeks of Onychomycosis Treatment/ as a Follow-up of a 2 Weeks Treatment of Non-surgical Nail Ablation of Diseased Nail Matrix With 40% Urea Paste
The study is focused to prove that the efficacy of a 1% Bifonazole cream is superior to a placebo cream after non-surgical nail ablation with a 40% urea paste.
- Conditions
- Onychomycosis
- Being tested
- Bifonazole cream 1%, Placebo cream
- Keywords
- Bifonazole, Placebo, Urea, Nail fungus
- Medical subject headings
- Onychomycosis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Bifonazole cream 1%Drug
1 squeeze of Bifonazole cream sufficient to cover the infected nail bed(s) with a thin layer once daily for 28 days after nail ablation with urea paste
Placebo creamDrug
1 squeeze of Placebo cream sufficient to cover the infected nail bed(s) with a thin layer once daily for 28 days after nail ablation with urea paste
| Study group | Role | What they receive |
|---|---|---|
| Arm 2 | Placebo comparator | Not described Receives: Drug: Placebo cream |
| Arm 1 | Experimental | Not described Receives: Drug: Bifonazole cream 1% |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall cure rate comprising clinical cure and mycological cure microscopy + culture negative
Measured: 14 days after end of treatment (=visit 3)
Secondary outcomes (7)
Clinical cure rate
Measured: 14 days, 3 and 6 months after end of treatment (=visit 3, 4, and 5)
Culture negative
Measured: 14 days, 3 and 6 months after end of treatment (=visit 3, 4, and 5)
Microscopy negative
Measured: 14 days, 3 and 6 months after end of treatment (=visit 3, 4, and 5)
Relapse rate (overall cure at visit 3 but positive clinical or mycological findings at visit 4
Measured: 3 and 6 months after end of treatment (=visit 4 and 5)
Mycological cure rate (microscopy + culture negative)
Measured: 3 and 6 months after end of treatment (=visit 4 and 5)
Culture negative
Measured: 6 months after end of treatment (=visit 5)
Incidence of adverse events
Measured: 2 weeks, 3 and 6 months after end of treatment (=visit 3, 4, and 5)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Oct 2008 (estimated)
- Study startOct 2008
- Primary completionJan 2010
- Study completionJan 2010
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for OnychomycosisStudies of the same condition, open and under way.
- More trials run by BayerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 693 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bayer
- Sponsor type
- Industry (pharma, biotech, devices)
- Investigators
- Bayer Study Director, Study director, Bayer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00781820
- Sponsor's protocol ID
- 12999
- Other IDs
- 2008-003215-13, 2008
- Status last verified
- Jun 2013
- First submitted
- 28 Oct 2008
- Last updated
- 11 Jun 2013
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 11 Jun 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Double-blind, Randomized, Multicenter, Placebo- Controlled Phase 3 Trial to Prove the Superiority of Bifonazole vs. Placebo After 4 Weeks of Onychomycosis Treatment/ as a Follow-up of a 2 Weeks Treatment of Non-surgical Nail Ablation of Diseased Nail Matrix With 40% Urea Paste
- ClinicalTrials.gov ID
- NCT00781820
- Acronym / sponsor ID
- 12999
- Conditions
- Onychomycosis
- Keywords
- Bifonazole, Placebo, Urea, Nail fungus
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 693 participants (actual)
- Lead sponsor
- BayerIndustry (pharma, biotech, devices)
- Study start
- Oct 2008
- Primary completion
- Jan 2010 (actual)
- Study completion
- Jan 2010 (actual)
- First posted
- 29 Oct 2008 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The study is focused to prove that the efficacy of a 1% Bifonazole cream is superior to a placebo cream after non-surgical nail ablation with a 40% urea paste.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Arm 2 | Placebo comparator | Drug: Placebo cream |
| Arm 1 | Experimental | Drug: Bifonazole cream 1% |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Age of at least 18 years;
- Positive clinical findings of onychomycosis according to the judgement of the investigator (e.g. thickening, discoloration, structural changes, misshaped nails);
- Positive mycological findings (positive microscopy and positive culture with identification of pathogen) in material taken from affected nail sites before the start of treatment;
- Nail mycosis with an affected nail area between 20% and 50% in the target nail,
- Nail mycosis in not more than 3 nails (each nail not more than 50% infected area)
Key exclusion criteria (13 listed)
- Doubtful or negative mycological findings;
- Proximal subungual onychomycosis (PSO);
- Topical antimycotic treatment of feet or hands within 4 weeks prior to screening, topical treatment of onychomycosis of feet or hands within 12 weeks prior to screening;
- Systemic antimycotic treatment within 12 weeks prior to screening;
- Failure to treat tinea pedis/manus (diagnosed at screening) successfully with topical treatment between screening visit and visit 1 (baseline);
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Bifonazole cream 1%1 squeeze of Bifonazole cream sufficient to cover the infected nail bed(s) with a thin layer once daily for 28 days after nail ablation with urea paste | Drug | Arm 1 |
| Placebo cream1 squeeze of Placebo cream sufficient to cover the infected nail bed(s) with a thin layer once daily for 28 days after nail ablation with urea paste | Drug | Arm 2 |
Primary outcome
Overall cure rate comprising clinical cure and mycological cure microscopy + culture negative
Time frame: 14 days after end of treatment (=visit 3)
7 secondary outcomes
Clinical cure rate
Time frame: 14 days, 3 and 6 months after end of treatment (=visit 3, 4, and 5)
Culture negative
Time frame: 14 days, 3 and 6 months after end of treatment (=visit 3, 4, and 5)
Microscopy negative
Time frame: 14 days, 3 and 6 months after end of treatment (=visit 3, 4, and 5)
Relapse rate (overall cure at visit 3 but positive clinical or mycological findings at visit 4
Time frame: 3 and 6 months after end of treatment (=visit 4 and 5)
Mycological cure rate (microscopy + culture negative)
Time frame: 3 and 6 months after end of treatment (=visit 4 and 5)
Culture negative
Time frame: 6 months after end of treatment (=visit 5)
Incidence of adverse events
Time frame: 2 weeks, 3 and 6 months after end of treatment (=visit 3, 4, and 5)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Jun 2013.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bayer Study Director study director
Bayer
51 sites in 3 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Bifonazole cream 1% in people with Onychomycosis, run by Bayer at 51 sites in 3 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 11 Jun 2013. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 51 sites in Germany, Czechia, Poland. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Overall cure rate comprising clinical cure and mycological cure microscopy + culture negative (time frame: 14 days after end of treatment (=visit 3)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Jun 2013.