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OpenTrials
Completed

NCT Number: NCT00835510

Clinical Equivalence of Two Butenafine Hydrochloride 1% Creams in Patients With Interdigital Tinea Pedis

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).

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Key information

Age range

12 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Investigator Site, Belize City, Belize

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Microbiologically confirmed clinical diagnosis of interdigital tinea pedis
  • If female and of child bearing potential, prepare to abstain from sexual intercourse or use a reliable method of contraception during the study (e.g., condom, intra-uterine device (IUD), oral, transdermal, injected or implanted hormonal contraceptives).
  • A confirmed clinical diagnosis of interdigital tinea pedis. Lesions are to be predominately interdigital but may extend to other areas of the foot (the non-interdigital lesions must not be hyperkeratotic).
  • The presence of tinea pedis infection, confirmed by the observation of segmented fungal hyphae during a microscopic potassium hydroxide (KOH) wet mount examination (potassium hydroxide mount preparation).
  • Identification of an appropriate dermatophyte by culture sent to the central laboratory. The appropriate dermatophytes are Trichophyton rubrum, Trichophyton mentagrophyte or Epidermophyton floccosum.

Exclusion criteria

  • Use of any of the following within the indicated timeline:
  • Oral or injectable steroids
  • 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 over-the-counter (OTC) topical antifungals on the feet within two weeks prior to study entry
  • Use of any antihistamines within 72 hours of the study start.
  • Any known hypersensitivity to butenafine or other antifungal agents.
  • Evidence of any concurrent dermatophytic infection of toe nails (onychomycosis) or other dermatological condition of the foot that may interfere with the Investigator's evaluation of tinea pedis.
  • Patients with recurrent tinea pedis (more than 3 infections in the past 12 months) who have been unresponsive to previous antifungal therapy.

Treatment and study plan

Butenafine cream 1% manufactured by Taro

Drug

Treatment applied to affected area twice daily for 7 days

Lotrimin Ultra (butenafine) 1%

Drug

Treatment applied to affected area twice daily for 7 days

Butenafine Vehicle manufactured by Taro

Drug

Treatment applied to affected area twice daily for 7 days

Primary outcomes

  1. Therapeutic Cure - Superiority Analysis

    Time frame: 42 days

    Therapeutic Cure requires both Clinical Cure and Mycological Cure.

    Clinical Cure was based on the following signs and symptoms: fissuring, erythema, maceration, vesiculation, scaling, exudation, pruritus, burning. Each clinical symptom was evaluated using a 0-3 point rating scale: none=0, mild=1, moderate=2 or severe=3. If the score for erythema was ≤ 2 and the sum for all of the other 7 signs and symptoms was <2 then the patient was considered a Clinical Cure.

    Mycological Cure: The potassium hydroxide (KOH) and the fungal culture were both negative.

  2. Therapeutic Cure Non-Inferiority Comparison of Butenafine Cream and Lotrimin Ultra

    Time frame: 42 days

    Patient was cured both by symptoms (Clinical Cure) and by the results of fungal testing (Mycological Cure).

Secondary outcomes

  1. Therapeutic Cure

    Time frame: 7 days

    Subject with clinical and mycological cure at day 7

  2. Mycologic Cure

    Time frame: 42 days

    Negative KOH and fungal culture at day 42

  3. Clinical Cure

    Time frame: 42 days

    The following 8 signs and symptoms are rated at each visit:

    Erythema Fissuring Maceration Vesiculation Desquamation/scaling Exudation Pruritus Stinging/Burning

    Each symptom is evaluated using the following scale:

    0 = None- Complete absence of any sign or symptom

    • = Mild - obvious but minimal involvement
    • = Moderate - something that is easily noted
    • = Severe - quite marked

    Clinical cure is defined as a score of 2 (moderate) or less for erythema and a total score for seven other signs and symptoms less than 2.

  4. Safety and Adverse Event Profile

    Time frame: 42 days

Sponsors and collaborators

Lead sponsor

Sun Pharmaceutical Industries, Inc.

Industry

Registry information

Official study title

A Randomized, Double-Blind, Placebo Controlled, Parallel Design, Multiple-Site Study to Evaluate the Clinical Equivalence of Two Butenafine Hydrochloride 1% Creams in Patients With Interdigital Tinea Pedis

Important dates

Study start
2008
Primary completion
2008
Study completion
2008
First posted
Feb 3, 2009
Registry last updated
Feb 4, 2014

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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