Efficacy and Safety of RV4104A Ointment in Onychomycosis

The recruitment status of this study is unknown because the information has not been verified recently.
Verified December 2008 by Pierre Fabre Dermo Cosmetique.
Recruitment status was  Recruiting
Information provided by:
Pierre Fabre Dermo Cosmetique
ClinicalTrials.gov Identifier:
First received: December 12, 2008
Last updated: NA
Last verified: December 2008
History: No changes posted
The purpose of the study is to evaluate the efficacy of RV4104A ointment versus bifonazole-urea ointment for the complete removal of the clinically infected nail plate area in patients with toenail onychomycosis.

Condition Intervention
Drug: Keratolytic/Antifungal

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Randomized, Parallel-Group, Multicentre, Open-Labelled, Active-Controlled Study to Assess the Efficacy, Safety and Tolerability of RV4104A Ointment Versus Bifonazole-Urea Ointment for the Complete Removal of the Clinically Infected Nail Plate Area in Patients With Toenail Onychomycosis

Resource links provided by NLM:

Further study details as provided by Pierre Fabre Dermo Cosmetique:

Primary Outcome Measures:
  • Complete removal of the clinically infected target nail plate area after treating for 3 weeks assessed by a blinded imaging expert's panel on the basis of standardized photographs [ Time Frame: D21 ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Complete removal of the clinically infected target nail plate area after treating for 3 weeks assessed by the investigator on the basis of clinical evaluation [ Time Frame: D21 ] [ Designated as safety issue: No ]
  • Patient self-assessment [ Time Frame: D21, D77, D105 ] [ Designated as safety issue: No ]
  • Clinical cure [ Time Frame: D77, D105 ] [ Designated as safety issue: No ]
  • Mycological cure [ Time Frame: D105 ] [ Designated as safety issue: No ]
  • Complete cure of onychomycosis [ Time Frame: D105 ] [ Designated as safety issue: No ]
  • Local tolerability [ Time Frame: D7, D21 ] [ Designated as safety issue: Yes ]
  • Adverse Event reporting [ Time Frame: Throughout the study ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 228
Study Start Date: October 2008
Estimated Study Completion Date: October 2009
Estimated Primary Completion Date: June 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: RV4104A ointment Drug: Keratolytic/Antifungal
Intial treatment with RV4104A ointment for 3 weeks. Subsequent topical antifungal treatment with bifonazole cream for 8 weeks.
Active Comparator: bifonazole-urea ointment Drug: Keratolytic/Antifungal
Initial treatment with bifonazole-urea ointment for 3 weeks. Subsequent topical antifungal treatment with bifonazole cream for 8 weeks.


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

Inclusion Criteria:

  • Clinical diagnosis of distal-lateral or lateral subungual onychomycosis of one great toenail (the target nail)
  • Target nail plate showing ≥ 12.5% of clinically infected area
  • Patient must have at least 2 mm of the proximal end of the target nail free of infection
  • Target nail infection due exclusively to a dermatophyte (from both positive direct microscopy examination and positive fungal culture as reported by the central mycological laboratory)

Exclusion Criteria:

  • Patient with more than 2 affected toenails
  • Patient with psoriasis, lichen planus or other abnormalities that could result in clinically abnormal toenail(s)
  • Patient with moccasin-type tinea pedis
  • Patient who has received systemic antifungal therapy or topical antifungal nail lacquer within 3 months or any other topical antifungal therapy applied to the feet or toenails within 2 months prior to screening visit
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00808366

Contact: Marine Maigret, PhD + marine.maigret@pierre-fabre.com

Hôpital Purpan Recruiting
Toulouse, France, 31059
Sponsors and Collaborators
Pierre Fabre Dermo Cosmetique
Principal Investigator: Carle PAUL, Professor Hôpital Purpan, Toulouse - FRANCE
  More Information

Responsible Party: Anne-Marie Schmitt, MD, Pierre Fabre Dermo Cosmetique
ClinicalTrials.gov Identifier: NCT00808366     History of Changes
Other Study ID Numbers: RV4104A2007593 
Study First Received: December 12, 2008
Last Updated: December 12, 2008
Health Authority: France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis)

Additional relevant MeSH terms:
Nail Diseases
Skin Diseases
Skin Diseases, Infectious
Antifungal Agents
Keratolytic Agents
14-alpha Demethylase Inhibitors
Anti-Infective Agents
Cytochrome P-450 CYP2C9 Inhibitors
Cytochrome P-450 CYP3A Inhibitors
Cytochrome P-450 Enzyme Inhibitors
Dermatologic Agents
Enzyme Inhibitors
Hormone Antagonists
Hormones, Hormone Substitutes, and Hormone Antagonists
Molecular Mechanisms of Pharmacological Action
Physiological Effects of Drugs
Steroid Synthesis Inhibitors

ClinicalTrials.gov processed this record on May 23, 2016