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Efficacy, Safety and Cost-effectiveness of a Sequential Therapy With RV4104A Ointment, Ciclopiroxolamine Cream and Ciclopirox Film-forming Solution Compared With Amorolfine Nail Lacquer in Dermatophytic Onychomycosis

A Multicentre, Randomized, Controlled Study of the Efficacy, Safety and Cost-effectiveness of a Sequential Therapy With RV4104A Ointment, Ciclopiroxolamine Cream and Ciclopirox Film-forming Solution Compared With Amorolfine Nail Lacquer Alone for the Treatment of Dermatophytic Onychomycosis (Toenail) Without Matrix Involvement

Status
UNKNOWN
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01014637
Acronym
ONICO
Enrollment
260
Registered
2009-11-17
Start date
2009-08-31
Completion date
2011-09-30
Last updated
2009-11-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Onychomycosis

Keywords

Dermatomycoses, Infection, Mycoses, Nail diseases, Ski diseases, Skin diseases/infectious

Brief summary

The purpose of the study is to evaluate and compare the efficacy of the sequential association RV4104A ointment followed by ciclopiroxolamine 1% cream and ciclopirox 8% film-forming solution versus amorolfine 5% nail lacquer alone in the treatment of patients with dermatophytic onychomycosis (toenail) without matrix involvement.

Interventions

DRUGAmorolfine (Antifungal)

Treatment with Amorolfine for 36 weeks

DRUGRV4104A, Ciclopiroxolamine, Cyclopirox (Keratolytic Agents/Antifungal)

Initial treatment with RV4104A ointment for 3 weeks, followed by treatment with ciclopiroxolamine 1% cream for 8 weeks and by cyclopirox 8% film-forming solution for 25 weeks.

Sponsors

Quanta Medical
CollaboratorINDUSTRY
Pierre Fabre Dermo Cosmetique
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Clinical diagnosis of distal-lateral or lateral subungual onychomycosis of one great toenail (the target nail) without matrix involvement * Target nail plate showing between 25% and 60% of clinically infected area * Patient must have at least 2 mm of unaffected proximal target nail area * Target nail infection due exclusively to a dermatophyte (from positive fungal culture as reported by the central mycological laboratory) * Female patient of childbearing potential must use an efficient contraceptive method for at least 2 months prior to screening visit * Female patient of childbearing potential must have a negative urinary pregnancy test at the screening visit

Exclusion criteria

* Patient with more than 3 affected nails * Patient with onychomycosis with matrix involvement * 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 any topical antifungal therapy applied to the toenails within 3 months prior to screening visit * Patient with known hypersensitivity to investigational products' ingredient(s) * Patient who is currently participating or who has participated in another clinical study within 4 weeks prior to screening visit

Design outcomes

Primary

MeasureTime frame
To evaluate and compare the efficacy of the sequential association RV4104A ointment-ciclopiroxolamine 1% cream-ciclopirox 8% film-forming solution versus amorolfine 5% nail lacquer alone in dermatophytic onychomycosis (toenail) without matrix involvementDay 336

Secondary

MeasureTime frame
To evaluate and compare the local tolerability of the sequential association RV4104A-ciclopiroxolamine-ciclopirox versus amorolfine 5% alone in the treatment dermatophytic onychomycosis (toenail) without matrix involvementDay 21, Day 77, Day 156, Day 262
To evaluate and compare the cost-effectiveness of the sequential association RV4104A ointment-ciclopiroxolamine 1% cream-ciclopirox 8% film-forming solution vs amorolfine 5% alone in the treatment of dermatophytic onychomycosis without matrix involvementDay 336
To evaluate and compare the clinical cure of the sequential association RV4104A ointment-ciclopiroxolamine-ciclopirox 8 versus amorolfine alone in the treatment dermatophytic onychomycosis (toenail) without matrix involvementDay 77, Day 168, Day 252
Averse Events ReportingThroughout the study

Countries

France

Contacts

Primary ContactJean-Jacques VOISARD, MD
jean.jacques.voisard@pierre-fabre.com+33 5 63 58 88 00
Backup ContactHéla COUBETERGUES
hela.coubetergues@pierre-fabre.com+ 33 5 61 73 73 38

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026