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Completed

NCT Number: NCT04287777

Safety and Efficacy of Mupirocin Gel in Children With Impetigo

The purpose of the study is to show non inferiority in terms of safety and efficacy of topical administration BID (Twice daily) of Mupirocin Gel 20 mg/g compared to topical administration of Mupirocin Ointment 20 mg/g TID (three times daily) (Bactroban) in the treatment of impetigo in paediatric population.

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Key information

Age range

18 month–15 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

CAP La Algaba, Seville, Andalusia, Spain

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Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Age between 18 months and 15 years at the signature of informed consent
  • Impetigo susceptible to be treated with topical mupirocin and non requiring systemic antibiotic treatment (maximum of 4 different affected areas and no fever).
  • Global score of Skin Infection Rating Scale (SIRS) ≥ 4, with positive value (≥ 1) in at least 3 of the 5 categories evaluated.
  • Signature of informed consent by parent or legal tutor and, in case of mature minor (12 years or more), signature of informed assent.
  • Patient or parent's ability to understand and fulfill with protocol requirements.
  • In potentially pregnant patients, negative pregnancy urine test at baseline and use of reliable contraception double barrier methods during the trial.

Exclusion criteria

  • Allergy to any compound of the trial treatments
  • Have received systemic treatment with antibiotics or steroids, during the week prior to the baseline visit.
  • Have received topical treatment with corticosteroids, antibiotics or antifungals, during the 48 hours prior to the baseline visit.
  • Primary or secondary immunodeficiency.
  • Have received cytostatic or immunosuppressive treatment three months prior to baseline.
  • Any skin disorder that could interfere with the evaluation of the results of impetigo, such as presence of staphylococcal or streptococcal ecthyma, cellulitis, furunculosis, acute dermatitis, contact dermatitis or impetiginized eczema.
  • Diabetes mellitus.
  • Infection that, in the investigator's opinion, should be treated with systemic antibiotic.
  • Any medical condition which, in the investigator's opinion, contraindicates the subject's participation in the trial.
  • Forecast of little cooperation, non-compliance with medical treatment or low credibility.
  • Have participated in any clinical investigation with medicine within 30 days prior to basal visit.

Treatment and study plan

Mupirocin gel

Drug

Topical administration of Mupirocin gel 20 mg/g BID for 7 days

Mupirocin ointment

Drug

Topical treatment of Mupirocin ointment 20 mg/g TID for 7 days

Other names: Bactroban

Placebo

Drug

Topical administration of Placebo (ointment) TID during 7 days

Primary outcomes

  1. Clinical cure at the end of treatment by SIRS assessed by blind observer

    Time frame: Day 8

    Proportion of subjects with clinical cure at the Day 8 visit, assessed by blind observer, according to criteria described in the Protocol (SIRS < or = 2).

  2. Clinical cure as assessed by the proportion of subjects with no additional antibiotic therapy required to treat impetigo at day 8

    Time frame: Day 8

    proportion of subjects with no additional antibiotic therapy required to treat impetigo

Secondary outcomes

  1. Clinical cure at the end of follow up by SIRS assessed by blind observer

    Time frame: Day14

    Proportion of subjects with clinical cure at the Day 14 visit, assessed by blind observer, according to criteria described in the protocol (SIRS < or = 2).

  2. Clinical cure as assessed by the proportion of subjects with no additional antibiotic therapy required to treat impetigo at day 14

    Time frame: Day14

    proportion of subjects with no additional antibiotic therapy required to treat impetigo

  3. Total SIRS score at the end of treatment and follow-up by blind observer

    Time frame: Day 8 and 14

  4. Bacteriology cure at follow-up

    Time frame: Day 14

    Bacteriology eradication at the end of follow-up period according to culture at screening and follow up visits

  5. Clinical cure at the end of treatment and follow-up by investigator

    Time frame: Day 8 and 14

    Proportion of subjects with clinical cure at the Day 8 and Day 14 visits, assessed by investigator, according to protocol criteria.

  6. SIRS total score at the end of treatment and follow-up by investigator

    Time frame: Day 8 and 14

    SIRS total Score at Day 8 and Day 14 visits, assessed by the investigator

Sponsors and collaborators

Lead sponsor

Reig Jofre Group

Industry

Registry information

Official study title

Ph-III Randomized, Multicentric, Controlled , Non-inferiority Trial to Evaluate the Safety and Efficacy of Mupirocin Gel 20 mg/g Versus Mupirocin Ointment 20 mg/g and Placebo in the Treatment of Impetigo in Paediatric Population

Important dates

Study start
2014
Primary completion
2016
Study completion
2016
First posted
Feb 27, 2020
Registry last updated
Mar 12, 2021

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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