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Completed

NCT Number: NCT01841996

Pharmacokinetics and Safety Study of ME1111 in Moderate to Severe Onychomycosis Patients

This study is Randomized, Double-Blind, Vehicle-Controlled, Multiple-Dose Study.

The purpose is to determine the safety, tolerability, systemic exposure and pharmacokinetics of ME1111 after repeated daily topical application of ME1111 in a maximal use setting in adults with distal subungual onychomycosis of the toenails.

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Key information

Age range

18 year–70 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Austin, Texas, United States

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Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Male or female of any race and between the ages of 18 and 70 inclusive
  • Clinically diagnosed onychomycosis of the target nail
  • Presence of moderate to severe distal subungual onychomycosis
  • A positive potassium hydroxide(KOH) microscopy test result
  • A positive fungal culture for a dermatophyte
  • Females of childbearing potential must be using a highly effective method of birth control and be willing to remain on the same method of birth control throughout the study
  • Good general health as determined by the Investigator based on the subject's medical history and physical examination

Exclusion criteria

  • Clinical significant laboratory abnormalities that would interfere with the conduct or interpretation of the study or jeopardize subject's safety
  • Subjects with a history of diabetes mellitus
  • Unwilling to refrain from the use of nail cosmetics such as clear and/or colored nail solutions
  • Females who are nursing, pregnant, or planning a pregnancy during the study
  • Failure to complete the specified washout period(s) for the following topical medications: Antifungals drugs within 4 weeks; Anti-inflammatory drugs, corticosteroids, immunomodulators within 2 weeks
  • Failure to complete the specified washout period(s) for the following systemic medications: Corticosteroids within 2 weeks; Antifungals for treatment of onychomycosis or any antifungal with known activity against dermatophyte within the previous 24 weeks or 5 half-lives of the drug, whichever is longer; Immunomodulators within 4 weeks
  • History of cardiac disease and cardiac arrhythmic activity, or prolonged QT interval
  • Received treatment for any type of cancer within the last 6 months
  • History of any significant disease or disorder that might put subjects at risk by participating in study or influence results of study
  • Nail or anatomic abnormalities of the toe
  • Positive test for HIV, Hepatitis B or Hepatitis C
  • History of street drug or alcohol abuse
  • Donated or lost blood or participated in a clinical study which involved the withdrawal of a large volume of blood (500 mL or more), within the last 6-week
  • Participated in any other trial of an investigational drug or device within 30 days or 5 half-lives of the investigational drug or participation in a research study concurrent with this study
  • Unable to communicate or cooperate with the Investigator due to comprehension, mental development, or impaired cerebral function
  • Presence of any underlying disease that the Investigator deems uncontrolled, and poses a concern for the subjects safety while participating on the study

Treatment and study plan

ME1111 solution

Drug

Once a day for 28 days

Vehicle solution

Drug

Once a day for 28 days

Primary outcomes

  1. The number of adverse events observed throughout the study period.

    Time frame: from Baseline to Day 57

  2. Application site reactions will be evaluated using categorical scales for signs and symptoms throughout the study period.

    Time frame: from Baseline to Day 57

  3. Area under the plasma concentration of ME1111 will be assessed based on the analysis of blood samples over 24 hours

    Time frame: Day 1, 28

  4. Urinary excretion rate will be assessed based on the analysis of urinary samples over 24 hours

    Time frame: Day 1, 28

  5. Plasma trough levels of ME1111

    Time frame: Day 4, 8, 15, 22, 25, 43, 57

Secondary outcomes

  1. Area under the nail concentration of ME1111

    Time frame: Day 2, 15, 29, 57

  2. The proportion of subjects who achieve negative KOH microscopy testing results

    Time frame: Day 29, 57

  3. The proportion of subjects who achieve negative fungal culture results

    Time frame: Day 29, 57

  4. The change from baseline in linear toenail growth at Days 29 and 57 will be analyzed

    Time frame: Day 1, 29, 57

Sponsors and collaborators

Lead sponsor

Meiji Seika Pharma Co., Ltd.

Industry

Registry information

Official study title

A Phase 1 Randomized, Double-Blind, Vehicle-Controlled, Multiple-Dose Study of the Safety, Absorption and Systemic Pharmacokinetics of ME1111 Topical Agent Applied to All Toenails of Adult Moderate to Severe Onychomycosis Patients for 28 Days

Important dates

Study start
2013
Primary completion
2013
First posted
Apr 29, 2013
Registry last updated
Dec 17, 2013

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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