Clinical trial • Phase III • Dermatology|Infectious Disease
Mupirocin for Impetigo
Phase III trial of Mupirocin for Impetigo.
Overview
- Trial Therapeutic Area
- Dermatology|Infectious Disease
- Trial Disease
- Impetigo
- Trial Stage
- Phase III
- Drug Modality
- Small molecule
- Paediatric Trial
- Yes
Key dates
- Initial CTIS Submission Date
- 20-03-2025
- First CTIS Authorization Date
- 27-06-2025
Trial design
Randomised, open-label, impetine® 20 mg/g gel (mupirocin 20 mg/g, topical gel) administered bid (test) versus bactroban® 20 mg/g ointment (mupirocin 20 mg/g, topical ointment) administered tid (comparator).-controlled Phase III trial in Spain.
- Randomised
- Yes
- Open Label
- Yes
- Comparator
- Impetine® 20 mg/g Gel (mupirocin 20 mg/g, topical gel) administered BID (test) versus Bactroban® 20 mg/g ointment (mupirocin 20 mg/g, topical ointment) administered TID (comparator).
- Target Sample Size
- 464
Eligibility
Recruits 464 paediatric patients.
- Pregnancy Exclusion
- Pregnant, breast feeding, or planning a pregnancy.
- Vulnerable Population
- The study enrols paediatric participants (aged 18 months to 15 years). Consent must be provided by a parent (father, mother) or legal guardian. For "mature" minors (12 years or older) an informed assent signed by the participant is also required. Inclusion criteria require ability of participant and/or parents/guardians to understand and comply with trial requirements. Separate PIS/ICF documents exist for minors older than 12 years, minors younger than 12 years, parents/legal guardian and for a pregnant partner (documents listed in CTIS).
Inclusion criteria
- {"criterion_text":"- Clinical diagnosis of bullous or non-bullous impetigo.\n- Participants in good health, as confirmed by medical history and physical examination, and free of any clinically significant disease/condition, other than impetigo, which could interfere with the study evaluations.\n- Impetigo treatable with topical antibiotic in monotherapy.\n- Male and female aged between 18 months and 15 years old (inclusive) at the time of signing consent form.\n- Suspected positive baseline culture for Staphylococcus aureus and/or Streptococcus pyogenes from a sample taken from the target site.\n- SIRS total score for the target lesion of at least 4 with at least 3 of the five signs/symptom categories present at baseline (≥ 1)\n- Any type of skin or race providing skin pigmentation allows a correct clinical evaluation of SIRS.\n- Informed consent signed by father, mother or legal guardian and, for “mature” minors (12 or more years old), also an informed assent signed by the participant.\n- Ability of participant and/or their parents/guardians to understand and comply with requirements of the trial.\n- In participants of childbearing potential, a urine pregnancy test with negative result at baseline visit, and females of childbearing potential or male participants, if heterosexually active and with a female partner of childbearing potential or a pregnant or breastfeeding partner, who agree to utilize an adequate form of contraception as defined in Section 8.3 of the Protocol."}
Exclusion criteria
- {"criterion_text":"- History of hypersensitivity or allergy to mupirocin and/or any of the study medication ingredients.\n- Subjects whose disease is so widespread or severe that, in the opinion of the investigator, systemic treatment is needed.\n- Any dermatological disorder that may interfere with the evaluation of the subject’s impetigo, including presence of staphylococcal and/or streptococcal ecthyma, cellulitis, furunculosis, abscess, acute dermatitis, contact dermatitis, impetiginized eczema, or impetigo secondary to any human or animal bite.\n- Primary or secondary immunodeficiency or diabetes mellitus.\n- Participants with unstable, life-threatening medical disorders or ongoing malignancies.\n- Any medical condition that, in the investigator’s opinion, contraindicates participation of subject in the trial.\n- Use of topical corticosteroid, topical antibiotic, or topical antifungal within 48 hours prior to baseline.\n- Use of systemic antibiotic or systemic corticosteroid within 1 week prior to baseline.\n- Having received cytostatic or immunosuppressant treatment during the three months prior to baseline visit.\n- Having taken part in any clinical research involving medication in the 30 days prior to baseline visit.\n- Pregnant, breast feeding, or planning a pregnancy.\n- Low level of cooperation foreseen, or non-compliance with treatment."}
Endpoints
Primary endpoints
- {"endpoint_text":"- Clinical cure at EOF – Visit 4 measured as the proportion of subjects with clinical cure based on SIRS according to the blinded assessor.","definition_or_measurement_approach":"Measured as the proportion of subjects with clinical cure based on the Skin Infection Rating Scale (SIRS) at end of follow-up (EOF, Visit 4) as assessed by a blinded assessor."}
Secondary endpoints
- {"endpoint_text":"- Clinical cure at EOT – Visit 3 measured as the proportion of subjects with clinical cure based on SIRS according to the blinded assessor.","definition_or_measurement_approach":"Proportion with clinical cure at end of treatment (EOT, Visit 3) based on SIRS evaluated by blinded assessor."}
- {"endpoint_text":"- Clinical cure at EOT and EOF measured as the proportion of subjects with clinical cure based on SIRS according to the investigator.","definition_or_measurement_approach":"Proportion with clinical cure at EOT and EOF based on SIRS evaluated by the investigator."}
- {"endpoint_text":"- Total SIRS scores at EOT and EOF according to the blinded assessor.","definition_or_measurement_approach":"Total Skin Infection Rating Scale (SIRS) scores at EOT and EOF as assessed by blinded assessor."}
- {"endpoint_text":"- Total SIRS scores at EOT and EOF according to the investigator.","definition_or_measurement_approach":"Total SIRS scores at EOT and EOF as assessed by the investigator."}
- {"endpoint_text":"- Bacteriological cure at EOF.","definition_or_measurement_approach":"Bacteriological cure assessed at end of follow-up (EOF) from baseline and follow-up cultures of the target site."}
- {"endpoint_text":"- Treatment satisfaction at EOT.","definition_or_measurement_approach":"Patient/parent treatment satisfaction measured at end of treatment (EOT) using a satisfaction questionnaire (D4 Satisfaction Questionnaire document listed)."}
- {"endpoint_text":"- Incidence of adverse events.","definition_or_measurement_approach":"Recording and reporting of adverse events throughout the study period; incidence summarized as safety endpoint."}
Recruitment
- Planned Sample Size
- 464
- Recruitment Window Months
- 14
- Consent Approach
- Informed consent must be signed by father, mother or legal guardian. For "mature" minors (12 years or older) an informed assent signed by the participant is also required. Separate participant information sheets and informed consent forms are provided for minors older than 12 years, minors younger than 12 years, parents/legal guardians and for a pregnant partner (documents L1 listed). The protocol requires ability of participant and/or their parents/guardians to understand and comply with study requirements. Documents in CTIS include English and Spanish versions of synopses and SmPCs; consent/ICF documents are provided (titles listed) in the submission package.
Geography
- Total Number Of Sites
- 26
- Total Number Of Participants
- 464
Spain
- Earliest CTIS Part Ii Submission Date
- 19-06-2025
- Latest Decision Or Authorization Date
- 27-06-2025
- Processing Time Days
- 8
- Number Of Sites
- 26
- Number Of Participants
- 464
Sites
- Site Name
- CAP Gregorio Marañón
- Department Name
- Pediatrics
- Contact Person Name
- González Ruiz de León
- Contact Person Email
- egruizdeleon@salud.madrid.org
- Site Name
- CAP Pavones
- Department Name
- Pediatrics
- Contact Person Name
- María Teresa Urgel Gómez
- Contact Person Email
- mteresa.urgel@salud.madrid.org
- Site Name
- CAP Oliveros
- Department Name
- Pediatrics
- Contact Person Name
- Cristina Castro Abad
- Contact Person Email
- cris-na.castro.sspa@juntadeandalucia.es
- Site Name
- CAP Alhambra
- Department Name
- Pediatrics
- Contact Person Name
- Núria Freixenet Guitart
- Contact Person Email
- nfreixenet@casap.cat
- Site Name
- CS Huerta de los Frailes
- Department Name
- Pediatrics
- Contact Person Name
- Olga Velasco Guijarro
- Contact Person Email
- olga.velasco@salud.madrid.org
- Site Name
- CAP Doctor Luengo Rodríguez
- Department Name
- Pediatrics
- Contact Person Name
- Susana María Viver Gómez
- Contact Person Email
- susanamaria.viver@salud.madrid.org
- Site Name
- CAP Los Pintores
- Department Name
- Pediatrics
- Contact Person Name
- Jorge Ademir Lévano Vásquez
- Contact Person Email
- jorgeademir.levano@salud.madrid.org
- Site Name
- CAP Las Tablas
- Department Name
- Pediatrics
- Contact Person Name
- Maite Augusta Gil-Ruiz Gil-Esparza
- Contact Person Email
- maitegilr@gmail.com
- Site Name
- CAP Parque Loranca
- Department Name
- Pediatrics
- Contact Person Name
- Marta Crespo Medina
- Contact Person Email
- marta.crespo@salud.madrid.org
- Site Name
- CAP Nueva Andalucía
- Department Name
- Pediatrics
- Contact Person Name
- Joanna Martínez Moya
- Contact Person Email
- joannamartinezpediatra@gmail.com
- Site Name
- CS Ansoáin
- Department Name
- Pediatrics
- Contact Person Name
- Jorge Álvarez García
- Contact Person Email
- jorge.alvarez.garcia@navarra.es
- Site Name
- CAP Luis Vives
- Department Name
- Pediatrics
- Contact Person Name
- María de las Mercedes Ruiz Bermejo
- Contact Person Email
- mruizb@salud.madrid.org
- Site Name
- CAP Valdelasfuentes
- Department Name
- Pediatrics
- Contact Person Name
- Carmen Hernández Marqués
- Contact Person Email
- chernandezm@salud.madrid.org
- Site Name
- CAP Parque Oeste
- Department Name
- Pediatrics
- Contact Person Name
- Ana Isabel Rodríguez Cordobés
- Contact Person Email
- arcordobes@salud.madrid.org
- Site Name
- CS Fuencarral
- Department Name
- Pediatrics
- Contact Person Name
- Beatriz Nieto Almeida
- Contact Person Email
- beatriz.nieto@salud.madrid.org
- Site Name
- UCG Santa María del Águila
- Department Name
- Pediatrics
- Contact Person Name
- Magdalena Berenguer Callejón
- Contact Person Email
- magdalena.berenguer.sspa@juntadeandalucia.es
- Site Name
- CAP Can Bou
- Department Name
- Pediatrics
- Contact Person Name
- Víctor Manuel Silvestre Puerto
- Contact Person Email
- vsilvestre@casap.cat
- Site Name
- UCG Ejido Sur
- Department Name
- Pediatrics
- Contact Person Name
- Sana Maadi Ahmed
- Contact Person Email
- sanaescala@gmail.com
- Site Name
- CAP Sanchinarro
- Department Name
- Pediatrics
- Contact Person Name
- Carolina Blanco Rodríguez
- Contact Person Email
- carolina.blanco@salud.madrid.org
- Site Name
- CAP Levante Sur Dr. Manuel Barragán Solís
- Department Name
- Pediatrics
- Contact Person Name
- Miriam González Herero
- Contact Person Email
- miriam.gonzalez.sspa@juntadeandalucia.es
- Site Name
- CAP Alicante
- Department Name
- Pediatrics
- Contact Person Name
- Nieves Sánchez Cordero
- Contact Person Email
- nscordero@salud.madrid.org
- Site Name
- University Hospital Son Espases
- Department Name
- Dearmatology department
- Contact Person Name
- Ana Martín Santiago
- Contact Person Email
- ana.martinsatiago@ssib.es
- Site Name
- CAP Santa Rosa
- Department Name
- Pediatrics
- Contact Person Name
- María del Carmen de la Torre Cecilia
- Contact Person Email
- carmen.torre.cecilia.sspa@juntadeandalucia.es
- Site Name
- CAP La Mina
- Department Name
- Pediatrics
- Contact Person Name
- José Antonio Losada Lembo
- Contact Person Email
- jantonio.losada.bcn.ics@gencat.cat
- Site Name
- CS Guayaba
- Department Name
- Pediatrics
- Contact Person Name
- Ana Isabel Monzón Bueno
- Contact Person Email
- anaisabel.monzon@salud.madrid.org
- Site Name
- CAP Las Américas
- Department Name
- Pediatrics
- Contact Person Name
- Paola Carmen Ruiz Martíne
- Contact Person Email
- dasur@salud.madrid.org
Sponsor
Primary sponsor
- Full Name
- Laboratorios Ojer Pharma S.L.
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- Spain
Third parties
- {"country":"Spain","full_name":"Hospital Sant Joan De Deu Barcelona","duties_or_roles":"13","organisation_type":"Hospital/Clinic/Other health care facility"}
- {"country":"Italy","full_name":"Opis S.r.l.","duties_or_roles":"1,11,12,2,5,6,7,8","organisation_type":"Pharmaceutical company"}
- {"country":"Spain","full_name":"Fundacio Privada Dau","duties_or_roles":"14","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"Spain","full_name":"Laboratorio Echevarne S.A.","duties_or_roles":"4","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"Spain","full_name":"Hospital Universitario De Navarra","duties_or_roles":"13","organisation_type":"Hospital/Clinic/Other health care facility"}
- {"country":"Spain","full_name":"Hospital HM Nens","duties_or_roles":"13","organisation_type":"Hospital/Clinic/Other health care facility"}
- {"country":"Spain","full_name":"University Hospital Son Espases","duties_or_roles":"13","organisation_type":"Hospital/Clinic/Other health care facility"}
Investigational products
- Investigational Product Name
- Impetine® 20mg/g Gel
- Active Substance
- Mupirocin
- Modality
- Small molecule
- Routes Of Administration
- Topical
- Route
- Topical
- Authorisation Status
- Authorised (marketing authorisation PT: 5703020)
- Starting Dose
- 2 per day (BID)
- Frequency
- BID
- Maximum Dose
- Max daily: 2 per day; Max total: 14 (as reported in Part 1 product fields)
- Investigational Product Name
- Bactroban 20 mg/g pomada
- Active Substance
- Mupirocin
- Modality
- Small molecule
- Routes Of Administration
- Topical
- Route
- Topical
- Authorisation Status
- Authorised (marketing authorisation ES: 58.868)
- Starting Dose
- 3 per day (TID)
- Frequency
- TID
- Maximum Dose
- Max daily: 3 per day; Max total: 21 (as reported in Part 1 product fields)
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