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
- Contact Person Email
- hautarztpraxis-dr.wildfeuer@gmx.de
- 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
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