Tinea Capitis
Conditions
Brief summary
Several studies globally have assessed the efficacy of terbinafine and itraconazole in the treatment of tinea capitis, but local data in this regard is scarce. Therefore, this study was planned with the aim of assessing the difference between the therapeutic efficacy of itraconazole pulse therapy and terbinafine in children with tinea capitis.
Detailed description
The existing literature carries varying results between the effectiveness of itraconazole pulse therapy and continuous terbinafine therapy in treating tinea capitis, and local data in this regard is also scarce. The findings of this study would not only add to the statistics but would also help clinicians to offer a treatment modality in pediatric tinea capitis, which should have better efficacy, a low incidence of side effects, and better patient compliance.
Interventions
Terbinafine will be given at a dose of 62.5 mg in patients with a body weight \< 20 kg, 125 mg from 20 to 40 kg, and 250 mg in \> 40 kg for a period of 4 weeks.
Itraconazole will be given at a dose of 5 mg/kg/day for 7 days and then 14 days off. Three such pulses will be given to the patients.
Sponsors
Study design
Eligibility
Inclusion criteria
* Any gender * Aged 1-13 years * With KOH mount positive before start of treatment * Duration of disease more than 1 month
Exclusion criteria
* KOH mount negative before starting the treatment * Topical treatment with antifungal agents within past 4 weeks * Systemic treatment with antifungal agents within past 4 weeks * Patients with active liver disease * Patients with elevated liver enzymes
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Fungus eradication | 9 weeks | Treatment will be labeled efficacious if the patient will be cured clinically as well as mycologically, i.e., samples treated with KOH will show no fungal elements. |
Countries
Pakistan