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
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
Site Name
CAP Los Pintores
Department Name
Pediatrics
Contact Person Name
Jorge Ademir Lévano Vásquez
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
Site Name
CS Ansoáin
Department Name
Pediatrics
Contact Person Name
Jorge Álvarez García
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
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
Site Name
CAP Levante Sur Dr. Manuel Barragán Solís
Department Name
Pediatrics
Contact Person Name
Miriam González Herero
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
Site Name
CAP La Mina
Department Name
Pediatrics
Contact Person Name
José Antonio Losada Lembo
Site Name
CS Guayaba
Department Name
Pediatrics
Contact Person Name
Ana Isabel Monzón Bueno
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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