Onychomycosis
Conditions
Brief summary
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.
Interventions
DRUGME1111 solution
Once a day for 28 days
DRUGVehicle Solution
Once a day for 28 days
Sponsors
Meiji Seika Pharma Co., Ltd.
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
1. Male or female of any race and between the ages of 18 and 70 inclusive 2. Clinically diagnosed onychomycosis of the target nail 3. Presence of moderate to severe distal subungual onychomycosis 4. A positive potassium hydroxide(KOH) microscopy test result 5. A positive fungal culture for a dermatophyte 6. 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 7. Good general health as determined by the Investigator based on the subject's medical history and physical examination
Exclusion criteria
1. Clinical significant laboratory abnormalities that would interfere with the conduct or interpretation of the study or jeopardize subject's safety 2. Subjects with a history of diabetes mellitus 3. Unwilling to refrain from the use of nail cosmetics such as clear and/or colored nail solutions 4. Females who are nursing, pregnant, or planning a pregnancy during the study 5. 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 6. 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 7. History of cardiac disease and cardiac arrhythmic activity, or prolonged QT interval 8. Received treatment for any type of cancer within the last 6 months 9. History of any significant disease or disorder that might put subjects at risk by participating in study or influence results of study 10. Nail or anatomic abnormalities of the toe 11. Positive test for HIV, Hepatitis B or Hepatitis C 12. History of street drug or alcohol abuse 13. 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 14. 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 15. Unable to communicate or cooperate with the Investigator due to comprehension, mental development, or impaired cerebral function 16. Presence of any underlying disease that the Investigator deems uncontrolled, and poses a concern for the subjects safety while participating on the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Application site reactions will be evaluated using categorical scales for signs and symptoms throughout the study period. | from Baseline to Day 57 |
| Area under the plasma concentration of ME1111 will be assessed based on the analysis of blood samples over 24 hours | Day 1, 28 |
| Urinary excretion rate will be assessed based on the analysis of urinary samples over 24 hours | Day 1, 28 |
| Plasma trough levels of ME1111 | Day 4, 8, 15, 22, 25, 43, 57 |
| The number of adverse events observed throughout the study period. | from Baseline to Day 57 |
Secondary
| Measure | Time frame |
|---|---|
| Area under the nail concentration of ME1111 | Day 2, 15, 29, 57 |
| The proportion of subjects who achieve negative KOH microscopy testing results | Day 29, 57 |
| The proportion of subjects who achieve negative fungal culture results | Day 29, 57 |
| The change from baseline in linear toenail growth at Days 29 and 57 will be analyzed | Day 1, 29, 57 |
Countries
United States
Outcome results
None listed