Ignite Creation Date:
2024-07-17 @ 11:19 AM
Last Modification Date:
2024-10-26 @ 3:33 PM
Study NCT ID:
NCT06485050
Status:
ACTIVE_NOT_RECRUITING
Last Update Posted:
2024-07-03
First Post:
2024-05-22
Brief Title:
Photodynamic Therapy and Topical Antifungal for Onychomycosis in Patients With Diabetes
Sponsor:
Universidad Complutense de Madrid
Organization:
Universidad Complutense de Madrid
Study Overview
Official Title:
Photodynamic Therapy as Adjuvant Therapy to Topical Antifungal Treatments for Onychomycosis in Patients With Diabetes A Prospective Case Series
Status:
ACTIVE_NOT_RECRUITING
Status Verified Date:
2024-06
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:
There are different therapeutic alternatives for onychomycosis Systemic therapy is widely used due to its easy accessibility low cost and high efficacy but may be associated with systemic adverse events and drug-drug interactions so its use in patients with diabetes immunocompromised and frequently take more than five drugs is not recommended even though these individuals are at serious risk of fungal infection On the other hand laser therapy would be contraindicated in patients with neuropathy or peripheral vascular disease diabetic foot patients because of possible burns Topical antifungals or lacquers are associated with a low risk of systemic adverse events and drug-drug interactions and would therefore be the most appropriate treatment for patients with diabetic foot However they require very long treatment periods are generally applied daily for 12 months to allow the normal nail to grow and replace the regions damaged by the infection and have a lower cure rate
Because of all the above difficulties there is a need to augment topical treatments in routine clinical practice with adjunctive therapies such as photodynamic therapy for the treatment of onychomycosis in patients with diabetes
The main aim of this study is to observe the effectiveness and safety of the combination of photodynamic therapy with the usual antifungal treatment in consultation in patients with diabetes Secondary aims have been defined as follows
To determine whether 3 sessions of photodynamic therapy combined with topical therapy over a period of 6 months is sufficient to achieve clinical mycological and complete cure of onychomycosis And to analyse the influence of the type of onychomycosis ODL total dystrophic superficial the causal fungal agent dermatophyte mould or yeast and the degree of severity of onychomycosis through the OSI on the response to treatment
Patients included in the study will be visited every 2 weeks during the first two months applying photodynamic therapy during visits 2 3 and 4 Subsequently a check-up will be performed two weeks after the last application of photodynamic therapy and monthly visits for the remainder of the study At each visit and at subsequent check-ups the nail plate and peri- and subungual hyperkeratotic tissue will be debrided and reamed in order to improve the effects of the treatment
Because of all the above difficulties there is a need to augment topical treatments in routine clinical practice with adjunctive therapies such as photodynamic therapy for the treatment of onychomycosis in patients with diabetes
The main aim of this study is to observe the effectiveness and safety of the combination of photodynamic therapy with the usual antifungal treatment in consultation in patients with diabetes Secondary aims have been defined as follows
To determine whether 3 sessions of photodynamic therapy combined with topical therapy over a period of 6 months is sufficient to achieve clinical mycological and complete cure of onychomycosis And to analyse the influence of the type of onychomycosis ODL total dystrophic superficial the causal fungal agent dermatophyte mould or yeast and the degree of severity of onychomycosis through the OSI on the response to treatment
Patients included in the study will be visited every 2 weeks during the first two months applying photodynamic therapy during visits 2 3 and 4 Subsequently a check-up will be performed two weeks after the last application of photodynamic therapy and monthly visits for the remainder of the study At each visit and at subsequent check-ups the nail plate and peri- and subungual hyperkeratotic tissue will be debrided and reamed in order to improve the effects of the treatment
Detailed Description:
None
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