Title

A Study to Evaluate the Efficacy and Safety of Oral VT-1161 in Patients With Moderate - Severe Interdigital Tinea Pedis
A Phase 2a, Randomized, Double-Blind, Placebo-Controlled, Dose Ranging Study to Evaluate the Efficacy and Safety of VT-1161 Oral Tablets in the Treatment of Patients With Moderate to Severe Interdigital Tinea Pedis
  • Phase

    Phase 2
  • Study Type

    Interventional
  • Study Participants

    50
The purpose of this study is to determine if the novel oral agent VT-1161 is safe and effective in treating patients with moderate - severe tinea pedis (also referred to as athletes foot). VT-1161 has been designed to inhibit CYP51, an enzyme essential for fungal growth. Inhibition of CYP51 results in the accumulation of chemicals know to be toxic to the fungus. CYP51 is the molecular target of the class of drugs referred to as 'azole antifungals'. All currently approved azole drugs have poor selectivity for CYP51 and this results in many of the side effects associated with the azole antifungals. The safety profile of the class similarly limits use in chronic treatment of non-life-threatening fungal infections. A safer antifungal drug would improve treatment options for infections seen in otherwise healthy individuals where significant side-effect risks are unacceptable.
Study Started
Aug 31
2013
Primary Completion
Dec 31
2014
Study Completion
Dec 31
2014
Results Posted
Jul 06
2018
Last Update
Aug 01
2018

Drug VT-1161

Drug placebo

VT-1161 200/50mg Experimental

VT-1161 600/150mg Experimental

VT-1161 1200/300mg Experimental

Matching placebo Placebo Comparator

Criteria

Key Inclusion Criteria:

Healthy male and non-pregnant female patients ≥18 years and <65 years
Clinical diagnosis of tinea pedis
Positive baseline KOH
Clinical signs and symptoms score of the target lesion is at least 6, including a minimum score of at least 2 for erythema AND a minimum score of 2 for either scaling or pruritus (on a scale of 0-3, where 2 indicates moderate severity)
Patients must be able to swallow capsules intact
Use acceptable birth control methods

Key Exclusion Criteria:

Major organ system disease or clinical infection
Poorly controlled diabetes mellitus
Pregnant or lactating
Confluent, diffuse moccasin-type tinea pedis
Presence of onychomycosis involving a) more than 5 toe nails, b) any fingernail
Recent use of topical corticosteroids, topical antibiotics, or topical antifungal therapy to the foot
Recent use of systemic corticosteroids or antifungal therapy
Known(HIV)infection
Known significant hepatic, or hematologic impairment .Requirement for treatment with concomitant antimicrobial or systemic antifungal therapy for any reason.

Summary

VT-1161 200/50mg

VT-1161 600/150mg

VT-1161 1200/300mg

Matching Placebo

All Events

Event Type Organ System Event Term VT-1161 200/50mg VT-1161 600/150mg VT-1161 1200/300mg Matching Placebo

Percentage of Subjects With Therapeutic Cure at 42 Days for All-analysis Population

For this trial, therapeutic cure was defined as clinical AND mycological cure. Clinical cure was defined as the absence of signs and symptoms of clinical disease. Mycological cure was defined as a negative KOH test and a negative fungal culture.

VT-1161 200/50mg

VT-1161 600/150mg

VT-1161 1200/300mg

Matching Placebo

Total

50
Participants

Age, Continuous

38.9
years (Mean)
Standard Deviation: 12.32

Sex: Female, Male

Overall Study

VT-1161 200/50mg

VT-1161 600/150mg

VT-1161 1200/300mg

Placebo