Clinical Equivalence of Two Generic Butenafine Hydrochloride 1% Creams as Compared to Lotrimin Ultra Cream in Patients With Interdigital Tinea Pedis (BNF-0909)

This study has been terminated.
(Insufficient number of baseline eligible patient)
Sponsor:
Information provided by (Responsible Party):
Taro Pharmaceuticals USA
ClinicalTrials.gov Identifier:
NCT01119742
First received: May 6, 2010
Last updated: January 19, 2012
Last verified: January 2012
  Purpose

To demonstrate comparable safety and efficacy of Taro Pharmaceuticals, Inc butenafine hydrochloride cream 1% test product and Lotrimin Ultra cream (reference listed drug) in the treatment of interdigital tinea pedis, and to show the superiority of the active treatments over that of the placebo (vehicle).


Condition Intervention Phase
Interdigital Tinea Pedis
Drug: Butenafine Hydrochloride 1%
Drug: Butenafine Hydrochloride 1% B
Drug: Vehicle A
Drug: Vehicle B
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Bio-equivalence Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: A Randomized, Double-Blind, Placebo Controlled, Parallel Design, Multiple-Site Study to Evaluate the Clinical Equivalence of Two Generic Butenafine Hydrochloride 1% Creams to Lotrimin Ultra® Cream in Patients With Interdigital Tinea Pedis

Resource links provided by NLM:


Further study details as provided by Taro Pharmaceuticals USA:

Primary Outcome Measures:
  • Therapeutic Cure [ Time Frame: 42 Days ] [ Designated as safety issue: No ]
    Patients with clinical cure and mycologic cure are considered therapeutic cures.


Secondary Outcome Measures:
  • Clinical Cure [ Time Frame: 42 days ] [ Designated as safety issue: No ]
    Patient will be considered a "clincal cure" if the score for erythema is equal or less than 2 and the total score for all of the other seven signs and symptoms is less than 2.

  • Mycologic Cure [ Time Frame: 42 Days ] [ Designated as safety issue: No ]
    Patient will be considered a "mycological cure" if the results of both the potassium hydroxide (KOH) and the fungal culture are negative.


Enrollment: 428
Study Start Date: July 2010
Study Completion Date: July 2011
Primary Completion Date: March 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Butenafine Hydrochloride 1% A
1
Drug: Butenafine Hydrochloride 1%
Twice daily application for 7 days
Experimental: Butenafine Hydrochloride 1% B
2
Drug: Butenafine Hydrochloride 1% B
Twice daily application for 7 days
Active Comparator: Butenafine Hydrochloride 1%
3
Drug: Butenafine Hydrochloride 1%
Twice daily application for 7 days
Other Name: Lotrimin Ultra Cream
Placebo Comparator: Vehicle A
4
Drug: Vehicle A
Twice daily application for 7 days
Placebo Comparator: Vehicle B
5
Drug: Vehicle B
Twice daily application for 7 days

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Male or non-pregnant, non lactating females 18 years of age or older.
  2. Signed informed consent form, which meets all criteria of current FDA regulations and the requirements of the India regulatory authorities.
  3. If female and of child bearing potential, have a negative urine pregnancy test at the baseline visit,
  4. A total score of at least six (6) for the following eight (8) clinical signs and symptoms of interdigital tinea pedis: fissuring, erythema, maceration, vesiculation, desquamation/scaling, exudation, pruritus, burning/stinging. In addition the most infected area must have a minimum score of at least 2 for erythema and a minimum score of at least 2 for either pruritus or desquamation/scaling
  5. A confirmed clinical diagnosis of interdigital tinea pedis.
  6. The presence of tinea pedis infection, confirmed by the observation of segmented fungal hyphae during a microscopic KOH wet mount examination (potassium hydroxide mount preparation).
  7. Identification of an appropriate dermatophyte by culture sent to the central laboratory. The appropriate dermatophytes are Trichophyton rubrum, Trichophyton mentagrophytes or Epidermophyton floccosum.

Exclusion Criteria:

  1. Use of any of the following within the indicated timeline:

    • Oral or injectable steroids within four weeks of the study start.
    • Any oral anti-fungals within 4 weeks of the study start.
    • Use of topical corticosteroids or any other topical antipruritics on the feet within 72 hours of the study start.
    • Any prescription or OTC topical antifungal on the feet within two weeks prior to study entry.
    • Use of any antihistamines within 72 hours of the study start.
  2. Any known hypersensitivity to butenafine or other antifungal agents.
  3. Evidence of any concurrent dermatophytic infection of toe nails (onychomycosis) or other dermatological condition of the foot that may interfere with the Investigators evaluation of tinea pedis.
  4. Patients with recurrent tinea pedis (more than 3 infections in the past 12 months) who have been unresponsive to previous antifungal therapy.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01119742

Locations
India
KBN Institute of Medical Sciences
Gulbarga, Karnataka, India, 585 101
Drug Monitoring Research Institute Pvt. Ltd.,
Mumbai, Maharashtra, India., India, 400705
Radiance Skin Clinic
Nagpur, Maharashtra,, India, 440001
Pooja Clinic
Alibag, Maharashtra, India, 402201
CUTIZ
Mumbai, Maharashtra, India, 400080
Dr. Sachin Patel Clinic
Mumbai, Maharashtra, India, 400 077
Skin Care Clinic
Mumbai, Maharashtra, India, 400080
N.M. Skin and Cosmetology Clinic
Mumbai, Maharashtra, India, 400016
Dr. Satish Udare Clinic
Mumbai, Maharashtra, India, 400705
G. T. Hospital Grant Medical College,
Mumbai, Maharashtra, India, 400001
Dr. Lokesh Siddana Jappa Clinic
Nagpur, Maharashtra, India, 440024
Dr. Vikrant Saoji
Nagpur, Maharashtra, India, 440010
NKP Salve Institute of Medical Sciences and Lata Maneshkar Hospital
Nagpur, Maharashtra, India, 440019
Skin Care Clinic
Nagpur, Maharashtra, India, 440009
Dr. Vijay Manekar
Nashik, Maharashtra, India, 422002
Deepak Kotkar Clinic
Nashik, Maharashtra, India, 422002
Milind Deshmukh Clinic
Nashik, Maharashtra, India, 422009
Skin Clinic
Nashik, Maharashtra, India, 422101
Skin Care Clinic
Nashik, Maharashtra, India, 422 013
Alok Clinic
Panvel, Maharashtra, India, 410206
Sponsors and Collaborators
Taro Pharmaceuticals USA
Investigators
Principal Investigator: Vijay Aswani, MD Cutiz Clinic
Principal Investigator: Sandeep Buddhadeo, MD Skin Care Clinic
Principal Investigator: Milind Deshmukh, MD Dr. Milind Deshmukh
Principal Investigator: K Y Guruprasad, MD KBN Institute of Medical Sciences and KBN General & Teaching Hospital,
Principal Investigator: Rizwan Haq, MD Radiance Skin Clinic
Principal Investigator: Lokesh Siddana Jappa, MD Dr. Lokesh Siddana Jappa
Principal Investigator: Deepak Kotkar Kotkar, MD Dr,. Deepak Kotkar Clinic
Principal Investigator: Rahul Kote Skin Care Clinic,
Principal Investigator: Dipak Kulkarni, MD Alok Clinic
Principal Investigator: Vijay Manekar, MD Dr. Vijay Manekar
Principal Investigator: Sudhir Medhekar, MD G.T. Hospital
Principal Investigator: Nimesh Mehta, MD N.M. Skin and Cosmetology Clinic
Principal Investigator: Kiran Nabar, MD Pooja Clinic
Principal Investigator: Sushil Pande, MD NKP Salve Institute of Medical Sciences and Lata Maneshkar Hospital
Principal Investigator: Sachin Patel, MD Dr. Sachin Patel Clinic
Principal Investigator: Vikrant Saoji, MD Dr. Vikrant Saoji
Principal Investigator: Vinod Titarmare, MD Skin Care Clinic
Principal Investigator: R G Torsekar, MD Kiran Pratap Clinic
Principal Investigator: Satish Udare, MD Dr. Satish Udare
Principal Investigator: Suneel Vartak, MD Skin Clinic
Principal Investigator: Vijay Zawar, MD Dr. Vijay Zawar
  More Information

No publications provided

Responsible Party: Taro Pharmaceuticals USA
ClinicalTrials.gov Identifier: NCT01119742     History of Changes
Other Study ID Numbers: BTNF-0909
Study First Received: May 6, 2010
Last Updated: January 19, 2012
Health Authority: India: Ministry of Health
United States: Food and Drug Administration

Keywords provided by Taro Pharmaceuticals USA:
Tinea Pedis
Interdigital

Additional relevant MeSH terms:
Tinea
Tinea Pedis
Dermatomycoses
Skin Diseases, Infectious
Infection
Mycoses
Skin Diseases
Foot Dermatoses
Foot Diseases
Pruritus
Skin Manifestations
Signs and Symptoms
Clotrimazole
Miconazole
Butenafine
Anti-Infective Agents, Local
Anti-Infective Agents
Therapeutic Uses
Pharmacologic Actions
14-alpha Demethylase Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Antifungal Agents

ClinicalTrials.gov processed this record on May 21, 2013