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AN2690

Phase 2

Onychomycosis | Small molecule | Infectious Disease |Pfizer, Inc.|Last Updated: Apr 9, 2019

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLED
Total Trials6
Total Enrollment221

FDA Designations

No designations recorded

Clinical trial landscape

AN2690 · 6 trials · 1 indication

Phase 2 5Phase 1 1
NCT00679601Absorption and Systemic Study of AN2690 in Patients With Moderate to Severe Onychomycosis (ADME II)Onychomycosis
COMPLETED20 Analytics
NCT01278394Safety and Efficacy Study of Subjects With Onychomycosis of the Great ToenailOnychomycosis
COMPLETED29 Analytics
NCT00680134Safety and Efficacy Evaluation of Topically Applied AN2690 Solutions for Subjects With OnychomycosisOnychomycosis
COMPLETED60 Analytics
NCT00680160Absorption and Systemic Study of AN2690 in Patients With Moderate to Severe Onychomycosis (ADME I)Onychomycosis
COMPLETED15 Analytics
NCT00679523Safety and Efficacy Study of Subjects With Onychomycosis of the Great ToenailOnychomycosis
COMPLETED60 Analytics
PHASE2COMPLETED
Absorption and Systemic Study of AN2690 in Patients With Moderate to Severe Onychomycosis (ADME II)
OnychomycosisUnlock trial analytics
PHASE2COMPLETED
Safety and Efficacy Study of Subjects With Onychomycosis of the Great Toenail
OnychomycosisUnlock trial analytics
PHASE2COMPLETED
Safety and Efficacy Evaluation of Topically Applied AN2690 Solutions for Subjects With Onychomycosis
OnychomycosisUnlock trial analytics
PHASE2COMPLETED
Absorption and Systemic Study of AN2690 in Patients With Moderate to Severe Onychomycosis (ADME I)
OnychomycosisUnlock trial analytics
PHASE2COMPLETED
Safety and Efficacy Study of Subjects With Onychomycosis of the Great Toenail
OnychomycosisUnlock trial analytics

Study Endpoints

Primary Endpoints

Plasma concentration of AN2690 in plasma and the concentration of AN2690 in urine over time
Days 0, 1, 14, 15, and 28
Clinical Evidence of Complete Clearance of the Treatment-targeted Great Toenail Plus a Negative Fungal Culture at Day 360
Day 360

Proportion of subjects with a clinical assessment of a clear (completely normal) nail unit plus a negative fungal culture from the treatment-targeted toenail at Day 360.

Complete or partial clinical evidence of great toenail clearance or at least 2 mm of fungal clear linear great toenail growth plus a negative fungal culture from the treatment targeted toenail at the End-of-treatment (Day 180)
Day 180
Efficacy measures of linear toenail growth, fungal culture results, KOH results, and clear toenail
Days 0, 14, 28, 42, 84, 120, 150, 180, 240, 300, and 360
A calculated endpoint of treatment response at Day 180 comprised of the ISGA, clear nail growth and fungal culture results
Day 180
Severe irritation (Grade 3 or 4) observed at any site
Daily for 21 days

Secondary Endpoints

Efficacy measures of linear toenail growth, fungal culture results, KOH results, and clear toenail growth
Days 0, 14, 28, and 42
Safety and tolerance assessed by application site reactions, adverse events, vital signs, physical examinations, and 12-lead EKG
Days 0-28, and 42
Clear Nail Growth of the Targeted Toenail
Day 360
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Study Design & Arms

MaskingNONE
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Group 1EXPERIMENTALAN2690 Solution, 5.0%
Group/Cohort 1EXPERIMENTALAN2690 1% Solution (30 subjects)
Group/Cohort 2EXPERIMENTALAN2690 5% Solution (30 subjects)
Group 2EXPERIMENTALAN2690 Solution, 7.5%
AEXPERIMENTALAN2690 Solution, 2.5%
BEXPERIMENTALAN2690 Solution, 7.5%
CEXPERIMENTALAN2690 Solution, 5.0%
DACTIVE_COMPARATORAN2690 Solution, Vehicle
EACTIVE_COMPARATORSodium Lauryl Sulfate, 0.5%

Interventions

NameTypeDescription
AN2690DRUGAN2690 7.5% Solution, once daily for 28 days
AN2690 Solution, 5.0%DRUGOnce daily application for 360 days
AN2690 Solution, 7.5%DRUGOnce daily application for 180 days
AN2690 Solution, VehicleOTHERAN2690 Solution, Vehicle, Daily for up to 21 days
Sodium Lauryl Sulfate, 0.5%OTHERSodium Lauryl Sulfate, 0.5%, Daily for up to 21 days
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Eligibility Criteria

Age Range18 Years to 65 Years
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Male or female ≥18 and ≤65 * BMI between 18.5 and 35 inclusive * Moderate to severe onychomycosis involving ≥80% of both great toenails, as determined by visual inspection after the nail has been trimmed * Combined thickness of the nail plate and nail bed of each great toenail...

Countries:United StatesMexico
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Frequently asked questions about AN2690

What is AN2690 used for?

AN2690 is an investigational small molecule being developed for the treatment of onychomycosis, a fungal infection of the nail. It is specifically studied for distal, subungual onychomycosis and onychomycosis of the toenails. The drug is administered as a topical solution.

Who makes AN2690?

AN2690 is being developed by Pfizer, Inc. (NYSE: PFE). The company has sponsored clinical trials evaluating the drug's safety and efficacy in patients with onychomycosis of the toenail.

What phase is AN2690 in?

AN2690 is in Phase 2 clinical development. While some completed trials were Phase 1 and Phase 3, the current development stage is Phase 2. The drug is investigational and has not been approved by regulatory authorities.

What clinical trials is AN2690 in?

AN2690 has been studied in six completed clinical trials with a total enrollment of 1,198 participants. Key trials include NCT00679523, a Phase 2 study in Mexico, and NCT01270971 and NCT01302119, both Phase 3 studies in the United States and Canada.

Is AN2690 the same as tavaborole?

AN2690 is the investigational code name for the drug also known as tavaborole. Pfizer has studied this topical antifungal under both names in clinical trials for onychomycosis of the toenails.