Ignite Creation Date:
2024-07-17 @ 11:05 AM
Last Modification Date:
2024-10-26 @ 3:33 PM
Study NCT ID:
NCT06485505
Status:
NOT_YET_RECRUITING
Last Update Posted:
2024-07-03
First Post:
2024-05-30
Brief Title:
Isotretinoin Versus Excimer Light an Adjuvant in Treating Onychomycosis
Sponsor:
Zagazig University
Organization:
Zagazig University
Study Overview
Official Title:
Efficacy of Low Dose Isotretinoin Versus Excimer Light as an Adjuvant for Itraconazole in Treatment of Onychomycosis a Randomized Controlled Trial
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-07
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
3 groups of patients with onychomycosis will be recruited Group A will receive itraconazole alone Group B will receive itraconazole low dose isotretinoin and group C will be treated with itraconazole excimer light sessions
Detailed Description:
The sample size will be calculated by a statistician based upon the rate of onychomycosis cases attending at the outpatient clinical 3 equal groups of patients will be included inclusion criteria include -definite diagnosis of dermatophyte onychomycosis using KOH examination and a fungal culture - a washout period of at least 1 month of any previous therapy -age 16 years Exclusion criteria include -pregnancy and lactation -Any active infection or inflammation in or around the nails other than onychomycosis -patients with liver diseases heart disease and diabetes
Steps of performance and techniques used
1 Complete history taking
2 Detailed local examination
Local examination will be done for the nail to detect swelling induration erythema around the nail local pain and presence of pus during the sessions
Patients with proven onychomycosis clinically dermoscopically and through culture will be included in the study
The included patients will sign an informed written consent before the beginning of the study and the study will be done under the approval of the ethical committee for postgraduate studies and research of faculty of Medicine Zagazig University
Onychomycosis severity index OSI will be used for grading of onychomycosis severity where 0no onychomycosis1-5 mild onychomycosis6- 15moderate onychomycosis and 16-35severe onychomycosis
The patients will be divided into 3 equal groups
GROUP 1 itraconazole group all patients will be prescribed Itraconazole in the dose of 200mg twice daily for 1 week per month for 3 consecutive months after screening of complete blood count liver and renal function tests patients were advised to record any side effects
GROUP 2 will be given low dose of isotretinoin as an adjuvant to itraconazole in the same previously mentioned protocol
Treatment protocol consists of low dose isotretinoin 20mg every other day for a 3- month course After completion of the course treating dose of isotretinoin will be maintained for 4-6 weeks to prevent recurrence and to improve healing During treatment an infrequent application of the previous therapies will be permitted
GROUP 3 will be treated with excimer light as an adjuvant to itraconazole in the same previously mentioned protocol Nails will be treated with XeCl2 excimer light Eximal Elite Device
Steps of performance and techniques used
1 Complete history taking
2 Detailed local examination
Local examination will be done for the nail to detect swelling induration erythema around the nail local pain and presence of pus during the sessions
Patients with proven onychomycosis clinically dermoscopically and through culture will be included in the study
The included patients will sign an informed written consent before the beginning of the study and the study will be done under the approval of the ethical committee for postgraduate studies and research of faculty of Medicine Zagazig University
Onychomycosis severity index OSI will be used for grading of onychomycosis severity where 0no onychomycosis1-5 mild onychomycosis6- 15moderate onychomycosis and 16-35severe onychomycosis
The patients will be divided into 3 equal groups
GROUP 1 itraconazole group all patients will be prescribed Itraconazole in the dose of 200mg twice daily for 1 week per month for 3 consecutive months after screening of complete blood count liver and renal function tests patients were advised to record any side effects
GROUP 2 will be given low dose of isotretinoin as an adjuvant to itraconazole in the same previously mentioned protocol
Treatment protocol consists of low dose isotretinoin 20mg every other day for a 3- month course After completion of the course treating dose of isotretinoin will be maintained for 4-6 weeks to prevent recurrence and to improve healing During treatment an infrequent application of the previous therapies will be permitted
GROUP 3 will be treated with excimer light as an adjuvant to itraconazole in the same previously mentioned protocol Nails will be treated with XeCl2 excimer light Eximal Elite Device
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None