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Terbinafine

Phase 3FDA approved

Onychomycosis | Small molecule | Infectious Disease |Novartis AG|Trials Updated: May 31, 2017

Terbinafine development status

FDA approval on record Apr 29, 1998 as Lamisil
Approval holderKaro Hlthcare
ApplicationNDA020846
Highest phase Phase 3
Registered trials 4 across 3 sponsors since Mar 2007

Terbinafine target and mechanism

ModalitySmall molecule

Also known as Terbinafine hydrochloride, Terbinafine hydrochloride (HCl), Lamisil

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials5
Total Enrollment2,774

FDA Designations

No designations recorded

Terbinafine clinical trials

Terbinafine · 5 trials · 3 indications

Phase 3 5
NCT01433107Efficacy and Safety of Terbinafine Film Forming Solution in Patients With Tinea PedisTinea Pedis
COMPLETED290 Analytics
NCT00443820Efficacy Safety, and Tolerability of Topical Terbinafine in Patients With Mild to Moderate Toenail Fungus of the Big ToenailOnychomycosis
COMPLETED526 Analytics
NCT00443898Efficacy, Safety, and Tolerability of Topical Terbinafine in Patients With Mild to Moderate Toenail Fungus of the Big ToenailOnychomycosis
COMPLETED518 Analytics
NCT00117754Terbinafine Compared to Griseofulvin in Children With Tinea CapitisTinea Capitis
COMPLETED720 Analytics
NCT00117767Terbinafine Compared to Griseofulvin in Children With Tinea CapitisTinea Capitis
COMPLETED720 Analytics
PHASE3COMPLETED
Efficacy and Safety of Terbinafine Film Forming Solution in Patients With Tinea Pedis
Tinea PedisUnlock trial analytics
PHASE3COMPLETED
Efficacy Safety, and Tolerability of Topical Terbinafine in Patients With Mild to Moderate Toenail Fungus of the Big Toenail
OnychomycosisUnlock trial analytics
PHASE3COMPLETED
Efficacy, Safety, and Tolerability of Topical Terbinafine in Patients With Mild to Moderate Toenail Fungus of the Big Toenail
OnychomycosisUnlock trial analytics
PHASE3COMPLETED
Terbinafine Compared to Griseofulvin in Children With Tinea Capitis
Tinea CapitisUnlock trial analytics
PHASE3COMPLETED
Terbinafine Compared to Griseofulvin in Children With Tinea Capitis
Tinea CapitisUnlock trial analytics

Study Endpoints

Primary Endpoints

Effective Treatment Outcome (Direct Microscopy and Culture Negative and Total Signs and Symptom Score Less or Equal to 2)
week 6

Each clinical sign or symptom will be assessed separately. The investigator will evaluate the severity of each sign or symptom over the entire target foot. Clinical signs and symptoms including desquamation (scaling), erythema, incrustation (crusting), pustules, vesiculation and pruritus will be evaluated by the investigator or designee and recorded at every visit using the following scale: 0 = absent 1. = mild 2. = moderate 3. = severe In order to calculate the total symptoms score the rating for all symptoms are added up. Possible range 0 to 18

Efficacy Assessed by the Percentage of Participants With Complete Cure at the End of Study (Week 52) After Treating for 24 or 48 Weeks
52 weeks

Complete cure is defined as negative KOH microscopy and negative culture for dermatophytes and no residual involvement of the target toenail.

Efficacy Assessed by Complete Cure Rate at the End of Study (Week 52) After Treating for 24 or 48 Weeks.
52 weeks

Complete cure is defined as negative KOH microscopy and negative culture for dermatophytes. and no residual involvement of the target toenail. The complete cure was a composite binary variable defined as "Yes" if: * Mycological cure (negative KOH and negative culture for dermatophytes) and * No residual involvement of the target toenail "No" if otherwise

Complete cure (negative mycology and clinical cure) rate at Week 10

Secondary Endpoints

Total Clinical Signs and Symptoms (S/S) Scores
week 6
Number of Subjects With Adverse Event
6 weeks
Efficacy Assessed by the Percentage of Participants With Mycological Cure at the End of Study After Treating Participants for 24 or 48 Weeks
52 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
TerbinafineEXPERIMENTALDrug
PlaceboPLACEBO_COMPARATORDrug
1EXPERIMENTALTerbinafine hydrochloride (HCl) 10 % Nail Solution for Onychomycosis (NSO) for 48 weeks
2PLACEBO_COMPARATORVehicle (placebo) for 48 weeks
3EXPERIMENTALTerbinafine hydrochloride (HCl) 10 % Nail Solution for Onychomycosis (NSO) for 24 weeks
4PLACEBO_COMPARATORVehicle (placebo) for 24 weeks

Interventions

NameTypeDescription
TerbinafineDRUG1% single application
Terbinafine PlaceboDRUGsingle application
PlaceboDRUGVehicle (placebo) once daily for 48 weeks
Terbinafine hydrochlorideDRUG -
Terbinafine hydrochloride (HCl)DRUGTerbinafine hydrochloride (HCl) pediatric formulation (minitablets)o.d. administration
GriseofulvinDRUGGriseofulvin pediatric suspension o.d. administration
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites6

Inclusion Criteria: * Patients ≥18 years of age with interdigital tinea pedis infection, with clinical diagnosis meeting required baseline total sign \& symptom score and positive microscopy Exclusion Criteria: * Allergy to the allylamine class of antimycotics or excipients in the formulation. * ...

Countries:ChinaUnited StatesFranceGermanyCanadaIceland
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Frequently asked questions about Terbinafine

What is terbinafine used for?

Terbinafine is an antifungal medicine used to treat fungal infections of the skin and nails. Its studied indications include onychomycosis, a fungal infection of the toenails, tinea capitis, a scalp infection in children, and tinea pedis, commonly known as athlete's foot. It is a small molecule therapeutic in the infectious disease area.

Who makes terbinafine?

Terbinafine is developed by Novartis AG, which trades under the ticker NVS. The company has sponsored Phase 3 clinical trials of the drug in onychomycosis, tinea capitis, and tinea pedis.

What phase is terbinafine in?

Terbinafine has been studied in Phase 3 clinical development. The trials listed for the drug are completed, and no active trials are currently recorded. The program includes randomized, double-blind, placebo-controlled studies across its studied fungal infection indications.

What clinical trials is terbinafine in?

Terbinafine has been evaluated in completed Phase 3 trials including NCT01433107 in tinea pedis in China, NCT00443898 and NCT00443820 in onychomycosis of the big toenail, and NCT00117767 comparing terbinafine to griseofulvin in children with tinea capitis in the United States. Total enrollment across these studies was 1,440 participants.

Is terbinafine the same as terbinafine hydrochloride?

Yes. Terbinafine is also known as terbinafine hydrochloride and terbinafine hydrochloride (HCl). These names refer to the same antifungal small molecule developed by Novartis AG for fungal infections including onychomycosis, tinea capitis, and tinea pedis.