Clinical trial • Phase III • Dermatology

Betamethasone dipropionate; Clotrimazole for Candidiasis of the skin

Phase III trial of Betamethasone dipropionate; Clotrimazole for Candidiasis of the skin.

Overview

Trial Therapeutic Area
Dermatology
Trial Disease
Candidiasis of the skin
Trial Stage
Phase III
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
02-05-2024
First CTIS Authorization Date
15-05-2024

Trial design

Randomised, three-arm, double-blind randomized comparison: mecloderm ointment (test; clotrimazole 10 mg/g + betamethasone dipropionate 0.64 mg/g) vs. lotricomb® ointment (reference; clotrimazole 10 mg/g + betamethasone dipropionate 0.64 mg/g) vs. vehicle to mecloderm ointment (placebo/vehicle). topical (cutaneous) application; main examination (eot) at 14 days. exact application frequency/schedule not specified in the available record.-controlled Phase III trial in Germany.

Randomised
Yes
Comparator
Three-arm, double-blind randomized comparison: Mecloderm Ointment (Test; clotrimazole 10 mg/g + betamethasone dipropionate 0.64 mg/g) vs. LOTRICOMB® Ointment (Reference; clotrimazole 10 mg/g + betamethasone dipropionate 0.64 mg/g) vs. Vehicle to Mecloderm Ointment (placebo/vehicle). Topical (cutaneous) application; main examination (EOT) at 14 days. Exact application frequency/schedule not specified in the available record.
Target Sample Size
552
Trial Duration For Participant
14

Eligibility

Recruits 552 Vulnerable population flag selected in the registry. All participants must be adults (≥18 years). Written informed consent is required: "Written consent to study participation after thorough information of the patient through the investigator or another medical competent member of the study team". No assent process is described; consent is provided directly by the participant. No additional vulnerable-population-specific consent procedures or surrogate consent details are provided in the available record..

Pregnancy Exclusion
Women with existing or intended pregnancy or during lactation
Vulnerable Population
Vulnerable population flag selected in the registry. All participants must be adults (≥18 years). Written informed consent is required: "Written consent to study participation after thorough information of the patient through the investigator or another medical competent member of the study team". No assent process is described; consent is provided directly by the participant. No additional vulnerable-population-specific consent procedures or surrogate consent details are provided in the available record.

Inclusion criteria

  • {"criterion_text":"- Women and men ≥ 18 years of age\n- Written consent to study participation after thorough information of the patient through the investigator or another medical competent member of the study team\n- Diagnosis of candidiasis of the skin based on clinical symptoms\n- Positive mycological result of a swab revealing at least a moderate number of fungi, microscopically proven\n- Sum score of all clinical parameters (erythema, exudation, dysesthesia/burning, maceration) ≥ 7\n- At least moderate severity of inflammation parameters erythema and exudation (i.e. score value ≥ 2)\n- For women of childbearing potential: Application of an highly effective contraceptive method during the whole study\n- For women of childbearing potential: Pregnancy test with negative result prior to study start"}

Exclusion criteria

  • {"criterion_text":"- The treatment area exceeds 10% of the body surface\n- Reasonable doubt concerning the co-operation of the patient\n- Participation in another clinical study within the last 30 days prior to inclusion in this study\n- Participation in this study at an earlier date\n- Women with existing or intended pregnancy or during lactation\n- Topical treatment in the observation area during the last 7 days prior to study inclusion\n- Presence of any of the following skin conditions in the treatment area: viral infections (e.g. herpes simplex, herpes zoster, varicella), lues or tuberculosis of the skin, inoculation reactions, rosacea or rosacea-like dermatitis, perioral dermatitis, acne, primary purulent skin infections (like e.g. folliculitis), atrophied skin, wounds, ulceration, suspected additional bacterial infection\n- Necessity of application of the study medication in the area around the eyes\n- Systemic treatment with antimycotics and/or glucocorticoids within the last 4 weeks prior to study inclusion\n- Known intolerance or hypersensitivity against clotrimazole or other imidazole antimycotics, betamethasone dipropionate or other glucocorticoids, or any of the other ingredients in the study medications\n- Other severe acute or chronic concomitant disease with severe impairment of the general condition\n- Other concomitant diseases which may - taking the present knowledge into account - influence the parameters evaluated in the study in a way that an objective evaluation would be impossible\n- Other concomitant medication which may - taking the present knowledge into account - influence the methods of measurement used in this study or the resulting data"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Number (percentage) of patients with treatment success (defined as sum score of clinical parameters ≤ 2 and all individual score values ≤ 1 and negative mycological result) at the main examination (EOT visit 3 after 14 days).","definition_or_measurement_approach":"Treatment success defined as: sum score of clinical parameters ≤ 2 AND all individual score values ≤ 1 AND negative mycological result; assessed at main examination (EOT visit 3 after 14 days)."}

Secondary endpoints

  • {"endpoint_text":"- Change of the sum score of clinical parameters between baseline and follow-up visits, and between main examination (EOT) and final examination\n- Number (percentage) of patients with mycological success (negative mycological cultivation and/or negative microscopical result) at visit 3 (EOT) and at the final visit (visit 4)\n- Evaluation of therapeutic success at visit 2 and EOT by the investigator and by the patient\n- Evaluation of overall therapeutic success by the investigator at the final examination\n- Number (percentage) of patients with clinical relapse/re-infection at the final examination visit","definition_or_measurement_approach":"Secondary endpoints include: change in sum score of clinical parameters between baseline and follow-ups (measured by clinical scoring of erythema, exudation, dysesthesia/burning, maceration); mycological success defined as negative cultivation and/or negative microscopy at visit 3 (EOT) and visit 4 (final); investigator and patient global evaluations at visit 2 and EOT; investigator evaluation at final examination; and occurrence (number/percentage) of clinical relapse/re-infection at final visit."}

Recruitment

Planned Sample Size
552
Recruitment Window Months
57
Consent Approach
Written informed consent is required from the participant after thorough information is provided by the investigator or another medically competent member of the study team ("Written consent to study participation after thorough information of the patient through the investigator or another medical competent member of the study team"). Participants are adults (≥18). A 'Subject Information and Informed Consent Form' document is listed; languages available are not specified. No assent procedures or surrogate consent are described.

Methods

  • Recruitment arrangements and informed consent materials (document: K1_ClotriBet-S_RecruitmentInformedConsent) — targeted to patients with skin candidiasis via participating dermatology and related clinics in Germany.
  • Flyers (document: K2_ClotriBet-S_RecruitmentMaterial_Flyer) — distribution in participating clinics/dermatology practices to inform potential participants.
  • Referral letters (document: K2_ClotriBet-S_RecruitmentMaterial_Referral Letter) — referral of potential participants from other physicians/clinics to participating sites.

Geography

Total Number Of Sites
9
Total Number Of Participants
552

Germany

Latest Decision Or Authorization Date
24-02-2025
Number Of Sites
9
Number Of Participants
552

Sites

Site Name
Skin Care Center
Department Name
Skin Care Center
Contact Person Name
Eörs Szabó
Contact Person Email
post@hautarzt-hamm.de
Site Name
Dermatology Dr. Wildfeuer
Department Name
Hautarztpraxis Dr. med. Thomas Wildfeuer
Contact Person Name
Thomas Wildfeuer
Site Name
Dermatologie Quist
Department Name
Dermatologie Quist
Contact Person Name
Sven Quist
Contact Person Email
studie@dermatologie-quist.de
Site Name
Hautarztpraxis Dr. Leitz Und Kollegen
Department Name
Studienzentrum Triderm
Contact Person Name
Nicolas Leitz
Contact Person Email
nicolas.leitz@tri-derm.de
Site Name
ZENTderma
Department Name
ZENTderma
Contact Person Name
Rolf Ostendorf
Contact Person Email
buero@zentderma.de
Site Name
Praxis Dr. Julia Reichle
Department Name
Praxis Dr. Julia Reichle
Contact Person Name
Julia Reichle
Contact Person Email
praxis-jreichle@web.de
Site Name
Hautarztpraxis Dr. Pfennig
Department Name
Hautarztpraxis Dr. Pfennig
Contact Person Name
Karsten Pfennig
Contact Person Email
info@dr-med-pfennig.de
Site Name
Frauenarzt-Praxis Erwin Göckeler-Leopold
Department Name
Frauenarztpraxis Göckeler-Leopold
Contact Person Name
Erwin Göckeler-Leopold
Contact Person Email
studien@mygyn.de
Site Name
Gemeinschaftspraxis Drs. Grosskopf
Department Name
Gemeinschaftspraxis Dres Großkopf
Contact Person Name
Josef Großkopf
Contact Person Email
info@drs-grosskopf.de

Sponsor

Primary sponsor

Full Name
Dermapharm AG
Organisation Type
Pharmaceutical company
Country Of Registered Address
Germany

Investigational products

Investigational Product Name
Mecloderm Ointment
Active Substance
Betamethasone dipropionate; Clotrimazole
Modality
Small molecule
Routes Of Administration
Cutaneous use (topical)
Route
Cutaneous use
Maximum Dose
100 g
Investigational Product Name
LOTRICOMB® Salbe, 0,64 mg/g + 10 mg/g, Salbe
Active Substance
Betamethasone dipropionate; Clotrimazole
Modality
Small molecule
Routes Of Administration
Cutaneous use (topical)
Route
Cutaneous use
Authorisation Status
Authorised in Germany (marketing authorisation number 5571.00.01)
Maximum Dose
100 g
Investigational Product Name
Vehicle to Mecloderm Ointment
Modality
Other
Combination Treatment
Yes

Related trials

Other published trials that may interest you.