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Tinea Corporis,Tinea Cruris,Tinea FacieiPhase 4NCT07920354

Comparative Efficacy of Luliconazole and Bifonazole Combined With Itraconazole in Dermatophytosis

A Phase 4 study testing Itraconazole, Luliconazole Cream 1% and Bifonazole cream 1% in people with Tinea Corporis,Tinea Cruris,Tinea Faciei, run by University of Faisalabad at 2 sites in Pakistan.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

The goal of this randomized controlled trial is to compare the efficacy of topical luliconazole with topical bifonazole in adults aged 18-60 years with dermatophytosis. All participants will receive oral itraconazole, while either topical luliconazole or topical bifonazole will be added according to their assigned… Read more about this study

Who is it for?
Ages 18 to 60 years
Conditions the study is for
Tinea Corporis,Tinea Cruris,Tinea Faciei
What is being tested?
Itraconazole, Luliconazole Cream 1% and Bifonazole cream 1%
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
182 participants
Where
2 sitesPakistan
Study dates
1 Dec 2026to Jul 2027
Phase
Phase 4
Are there results?
Not yet: the study is under way

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 to 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Patients of either gender
  • Age 18 to 60 years.
  • Clinically diagnosed cases of tinea cruris, tinea corporis and tinea faciei.
  • Diagnosis confirmed by positive 10% KOH mount microscopy.
  • Patients providing written informed consent.
  • Patients willing to adhere to the treatment regimen and follow-up visits.

Who cannot join

  • Pregnant or lactating females.
  • Known hypersensitivity to itraconazole, luliconazole, or bifonazole.
  • Diagnosed systemic fungal infections.
  • Patients who have received topical or systemic antifungal therapy within the past 4 weeks.
  • Patients with known liver disease.
  • Patients with co-existing skin conditions that may interfere with assessment.

Trial locations and contacts

2 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Areeba Basharat, MBBS contact

+923074396418

areebabasharat567@gmail.com

Tanzeela Khalid, MBBS,FCPS Dermatology contact

+923336501571

tanzeelakhalid@tuf.edu.pk

Pakistan2 sites
  • Madinah Teaching Hospital

    Faisalabad, Punjab Province, 38000

    Areeba Basharat, MBBS, +923074396418, areebabasharat567@gmail.com

    Sabeen Riaz, MBBS, +923157472819, drsabeenriaz907@gmail.com

  • Madinah Teaching Hospital

    Faisalabad, Punjab Province

    Areeba Basharat, MBBS

Other trials in Pakistan

About this study

Official title: Effectiveness of Topical Luliconazole With Oral Itraconazole Versus Topical Bifonazole With Oral Itraconazole in Patients With Dermatophytosis: A Randomized Controlled Trial

The goal of this randomized controlled trial is to compare the efficacy of topical luliconazole with topical bifonazole in adults aged 18-60 years with dermatophytosis. All participants will receive oral itraconazole, while either topical luliconazole or topical bifonazole will be added according to their assigned treatment group. The main questions it aims to answer are:

  • Does topical luliconazole result in greater improvement in clinical severity, as measured by the DeASI score, compared with topical bifonazole?
  • Does topical luliconazole result in better mycological clearance on 10% KOH microscopy and lower relapse compared with topical bifonazole? Researchers will compare topical luliconazole with topical bifonazole, with oral itraconazole given to both groups, to assess differences in clinical improvement, mycological cure, and relapse.
Read more

Participants will:

  • Receive oral itraconazole 100 mg once daily together with either topical luliconazole 1% or topical bifonazole 1% once daily for 28 days.
  • Attend follow-up visits at weeks 2, 4, and 6 for clinical assessment, DeASI scoring, and 10% KOH microscopy.
Read the detailed description

Dermatophytosis is a superficial fungal infection caused by dermatophytes and commonly affects keratinized tissues such as the skin. In this study, dermatophytosis refers specifically to tinea faciei, tinea corporis, and tinea cruris.

Itraconazole is an oral antifungal commonly used in the treatment of dermatophytosis. Bifonazole is a topical antifungal that has been used for the treatment of dermatophyte infections, while luliconazole is a newer topical antifungal agent with activity against dermatophytes.

There is limited direct clinical evidence comparing topical luliconazole with topical bifonazole when both are used along with oral itraconazole. In this study, oral itraconazole will be given to both groups, while the topical antifungal will differ. This will allow a direct comparison of the efficacy of topical luliconazole and topical bifonazole.

The study will be conducted as an open-label randomized controlled trial at the Department of Dermatology, Madinah Teaching Hospital, Faisalabad. The clinical and mycological outcomes of the two treatment groups will be compared.

Being tested
Itraconazole, Luliconazole Cream 1%, Bifonazole cream 1%
Keywords
Dermatophytosis,Luliconazole,Bifonazole,Itrazconazole,DeASI
Medical subject headings
Tinea

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ItraconazoleDrug

    Itraconazole 100 mg orally twice daily for 28 days. It will be administered to participants in both treatment groups.

  • Luliconazole Cream 1%Drug

    Luliconazole 1% cream applied topically once daily for 28 days to the affected areas.

  • Bifonazole cream 1%Drug

    Bifonazole 1% cream applied topically once daily for 28 days to the affected areas.

Study groups in NCT07920354
Study groupRoleWhat they receive
Luliconazole+ItraconazoleExperimentalParticipants will receive oral itraconazole 100 mg twice daily for 28 days together with topical luliconazole 1% cream once daily for 28 days.
Receives: Drug: Itraconazole; Drug: Luliconazole Cream 1%
Bifonazole+ItraconazoleActive comparatorParticipants will receive oral itraconazole 100 mg twice daily for 28 days together with topical bifonazole 1% cream once daily for 28 days.
Receives: Drug: Itraconazole; Drug: Bifonazole cream 1%

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Mean reduction in DeASI score from baseline to Week 4

    Mean reduction in Dermatophytosis Area and Severity Index (DeASI) score from baseline to Week 4, assessed by clinical examination and DeASI scoring.

    Measured: Baseline to Week 4

Secondary outcomes (2)
  1. Proportion of patients with negative 10% KOH microscopy at Week 4

    Proportion of patients with negative 10% KOH microscopy at Week 4 after treatment.

    Measured: Week 4

  2. Proportion of patients with relapse at Week 6

    Proportion of patients with relapse at Week 6 after treatment.

    Measured: Week 6

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Nov 2026
  2. Study start1 Dec 2026 (estimated)
  3. Primary completionJul 2027 (estimated)
  4. Study completionJul 2027 (estimated)

Resources

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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
182 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07920354
Sponsor's protocol ID
UMDC/IRB/31/26
Status last verified
Oct 2026
First submitted
30 Oct 2026
Last updated
5 Nov 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Individual participant data will not be shared with other researchers because the study data will be maintained by the research team for the purposes of this study, with participant confidentiality and privacy protected.

Publications

  • Amudha G, Bharathi MK, Mukund PR. Comparative Evaluation of Clinical Efficacy of Topical Luliconazole 1% versus Terbinafine 1% in Tinea Corporis and Tinea Cruris: A Clinical Scoring Analysis. Int J Life Sci Biotechnol Pharma Res. 2025;14(1).

  • Samal A, Singh BSTP, Kar BR, Mohapatra L. Comparison of Efficacy of Luliconazole 1% w/w Cream Versus Amorolfine 0.25% w/w Cream in the Treatment of Tinea cruris: A Single-center, Randomized, Double-blind, Non-inferiority Study. J Pure Appl Microbiol. 2024;18(4):2885-2894. doi:10.22207/JPAM.18.4.59.

  • Vyas A, Jain V. Luliconazole promising drug for Dermatophytes: A Review. Int J Technol. 2023;13(2):79-84. doi:10.52711/2231-3915.2023.00010.

  • Mucha P, Borkowski B, Erkiert-Polguj A, Budzisz E. Ciclopirox and Ciclopirox Olamine: Antifungal Agents in Dermatology with Expanding Therapeutic Potential. Appl Sci. 2024;14(24):11859. doi:10.3390/app142411859.

  • Abdolrasouli A, Borman AM, Johnson EM, Hay RJ, Arias M. Terbinafine-resistant Trichophyton indotineae causing extensive dermatophytosis in a returning traveller, London, UK. Clin Exp Dermatol. 2024 May 21;49(6):635-637. doi: 10.1093/ced/llae042. No abstract available.

    PubMed 38320217
  • Ortiz B, Ballesteros-Monrreal MG, Rosales-Tamashiro J, Bush M, Salmanton-Garcia J, Fontecha G. Global Insights and Trends in Research on Dermatophytes and Dermatophytosis: A Bibliometric Analysis. Mycoses. 2024 Oct;67(10):e13803. doi: 10.1111/myc.13803.

    PubMed 39343727
  • Lin B, Wang W, Ba W, Li H, Fan J. Preparation and partial pharmacodynamic studies of luliconazole ethosomes. Clin Exp Pharmacol Physiol. 2022 May;49(5):549-557. doi: 10.1111/1440-1681.13623. Epub 2022 Feb 28.

    PubMed 35090058
  • Ebrahimi Barogh R, Rahimnia SM, Nosratabadi M, Maleki A, Khosravi Ebrahimi F, Yahyazade Z, Haghani I, Ebrahimnejad P, Saeedi M, Armstrong-James D, Abastabar M, Badali H. Antifungal Efficacy of Luliconazole-Loaded Nanostructured Lipid-Carrier Gel in an Animal Model of Dermatophytosis. J Fungi (Basel). 2025 Apr 19;11(4):324. doi: 10.3390/jof11040324.

    PubMed 40278144
  • Sonego B, Corio A, Mazzoletti V, Zerbato V, Benini A, di Meo N, Zalaudek I, Stinco G, Errichetti E, Zelin E. Trichophyton indotineae, an Emerging Drug-Resistant Dermatophyte: A Review of the Treatment Options. J Clin Med. 2024 Jun 18;13(12):3558. doi: 10.3390/jcm13123558.

    PubMed 38930086
  • Tyagi H, Goel S, Puri A, Singla I, Rathore A. Comparative Efficacy of Three Oral Itraconazole Formulations in Superficial Dermatophytosis. Mycoses. 2025 Jun;68(6):e70080. doi: 10.1111/myc.70080.

    PubMed 40536246
  • Ali M, Ahmed N, Khan S, Kiran A. EFFICACY OF ORAL VORICONAZOLE VERSUS ORAL ITRACONAZOLE, IN THE TREATMENT OF DERMATOPHYTE INFECTIONS. J Ayub Med Coll Abbottabad. 2024 Apr-Jun;36(2):294-298. doi: 10.55519/JAMC-02-12891.

    PubMed 39609968
  • Priyadarshi D, Agarwal D, Talwar A. Safety and Efficacy of Oral Itraconazole versus Combination with Oral Isotretinoin in Superficial Dermatophytosis: A Randomised Clinical Trial. J Clin Diagn Res. 2023;17(5):WC01-WC05.

  • Chowdhary A, Singh A, Kaur A, Khurana A. The emergence and worldwide spread of the species Trichophyton indotineae causing difficult-to-treat dermatophytosis: A new challenge in the management of dermatophytosis. PLoS Pathog. 2022 Sep 29;18(9):e1010795. doi: 10.1371/journal.ppat.1010795. eCollection 2022 Sep. No abstract available.

    PubMed 36173977
  • Jartarkar SR, Patil A, Goldust Y, Cockerell CJ, Schwartz RA, Grabbe S, Goldust M. Pathogenesis, Immunology and Management of Dermatophytosis. J Fungi (Basel). 2021 Dec 31;8(1):39. doi: 10.3390/jof8010039.

    PubMed 35049979
  • Kaliyadan F, Das A, Ashique KT, Jayasree P, Panda M, Panda S, Chatterjee M, Dhafiri MA, Harrison P, Sasidharanpillai S, Samad KA, Jagadeesan S, Panicker VV, Kumar KA, Kumar P, Jakhar D, Samuel S, Rajalakshmi VP. Proposal for a Severity Score (DeASI, Dermatophytosis Area and Severity Index) for the Evaluation of Dermatophyte Infections - A Delphi Consensus Study. Indian J Dermatol. 2023 Nov-Dec;68(6):642-646. doi: 10.4103/ijd.ijd_266_23. Epub 2024 Jan 9.

    PubMed 38371562

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Itraconazole, Luliconazole Cream 1% and Bifonazole cream 1% in people with Tinea Corporis,Tinea Cruris,Tinea Faciei, run by University of Faisalabad at 2 sites in Pakistan.

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 6 inclusion and 6 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: opening soon, as of the sponsor's last update on 5 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Pakistan. 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. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Areeba Basharat, MBBS (+923074396418, areebabasharat567@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Mean reduction in DeASI score from baseline to Week 4 (time frame: Baseline to Week 4). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07920354, which also lists 15 linked publications.

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 5 Nov 2026.

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