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AN2690

Phase 3

Onychomycosis of Toenails | Small molecule | Dermatology |Pfizer, Inc.|Trials Updated: Apr 9, 2019

AN2690 development status

Highest phase Phase 3
Registered trials 6 across 1 sponsor since May 2008

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials10
Total Enrollment1,606

FDA Designations

No designations recorded

AN2690 clinical trials

AN2690 · 10 trials · 3 indications

Phase 3 2Phase 2 7Phase 1 1
NCT01302119Efficacy and Safety of AN2690 Topical Solution to Treat Onychomycosis of the ToenailOnychomycosis of Toenails
COMPLETED604 Analytics
NCT01270971Efficacy and Safety Evaluation of AN2690 Topical Solution to Treat Onychomycosis of the ToenailOnychomycosis of Toenails
COMPLETED594 Analytics
PHASE3COMPLETED
Efficacy and Safety of AN2690 Topical Solution to Treat Onychomycosis of the Toenail
Onychomycosis of ToenailsUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety Evaluation of AN2690 Topical Solution to Treat Onychomycosis of the Toenail
Onychomycosis of ToenailsUnlock trial analytics

Study Endpoints

Primary Endpoints

Complete Cure (Completely Clear Nail and Negative Mycology) of Target Great Toenail at Week 52
Week 52

No clinical evidence of onychomycosis as evidenced by normal toenail plate, no onycholysis, and no subungual hyperkeratosis, and negative KOH wet mount and negative fungal culture.

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.

Clinical evidence of complete great toenail clearance or at least fungal-clear great toenail growth ("complete" = 5mm; "partial" = 2mm), plus a negative fungal culture from the treatment-targeted great toenail.
Day 180
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

Completely Clear or Almost Clear Target Great Toenail at Week 52
Week 52
Treatment Success (Completely Clear or Almost Clear Nail and Negative Mycology) of Target Great Toenail at Week 52
Week 52
Negative Mycology of Target Great Toenail at Week 52
Week 52
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AN2690 Topical Solution, 5%EXPERIMENTALAN2690 Topical Solution, 5%
Solution VehiclePLACEBO_COMPARATORSolution Vehicle
Group 1EXPERIMENTALAN2690 Solution, 5.0%
Group 2EXPERIMENTALAN2690 Solution: 5%
Group 3EXPERIMENTALAN2690 Solution: 7.5%
Group 4PLACEBO_COMPARATORAN2690 Solution Vehicle
Group/Cohort 1EXPERIMENTALAN2690 1% Solution (30 subjects)
Group/Cohort 2EXPERIMENTALAN2690 5% Solution (30 subjects)
AEXPERIMENTALAN2690 Solution, 2.5%
BEXPERIMENTALAN2690 Solution, 7.5%
CEXPERIMENTALAN2690 Solution, 5.0%
DACTIVE_COMPARATORAN2690 Solution, Vehicle
EACTIVE_COMPARATORSodium Lauryl Sulfate, 0.5%

Interventions

NameTypeDescription
AN2690 Topical Solution, 5%DRUGAN2690 Topical Solution, 5%, applied once daily for 48 weeks
Solution VehicleDRUGAN2690 Topical Solution, Vehicle, applied once daily for 48 weeks
AN2690DRUGAN2690 7.5% Solution, once daily for 28 days
AN2690 Solution, 5.0%DRUGOnce daily application for 360 days
AN2690, 2.5%DRUGOnce daily application for 90 days and 3 x weekly for 90 days
AN2690, 5%DRUGOnce daily application for 90 days and 3 x weekly for 90 days
AN2690, 7.5%DRUGOnce daily application for 90 days and 3 x weekly for 90 days
VehicleDRUGOnce daily application for 90 days and 3x weekly for 90 days
AN2690 Solution VehicleDRUGOnce daily application for 90 days and 3x weekly for 90 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 N/A
SexALL
Healthy VolunteersNo
Study Sites32

Inclusion Criteria: * Clinical diagnosis of distal subungual onychomycosis affecting at least one great toenail * KOH positive at screening * Willingness not to use any other products including nail polish applied to the toenails during the study * Women of childbearing potential who are currently ...

Countries:United StatesCanadaMexico
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Frequently asked questions about AN2690

What is AN2690 used for?

AN2690 is an investigational topical treatment being studied for onychomycosis, a fungal infection of the nails. The development program focuses on distal, subungual onychomycosis and onychomycosis of the toenails, including the great toenail. It is applied as a topical solution rather than taken orally.

Who is developing AN2690?

AN2690 is being developed by Pfizer, Inc., which trades on the New York Stock Exchange under the ticker PFE. Pfizer has sponsored the clinical trial program evaluating the topical solution in patients with toenail onychomycosis across multiple study sites in the United States, Canada, and Mexico.

What phase is AN2690 in?

AN2690 is in Phase 2 development for onychomycosis, and it is investigational rather than approved. The program includes completed Phase 2 and Phase 3 trials, but the drug has not been cleared for marketing. All six of its registered trials are listed as completed, with none currently active.

What clinical trials is AN2690 in?

Six completed trials have evaluated AN2690, including NCT01302119 and NCT01270971, two Phase 3 studies of the topical solution in toenail onychomycosis that together enrolled about 1,198 patients. Earlier studies include NCT01278394 in Mexico and NCT00680160, a Phase 2 absorption study in moderate to severe onychomycosis.

Is AN2690 the same as AN2690 Topical Solution?

Yes. AN2690 Topical Solution is the same investigational product as AN2690. The names AN2690 Solution, 5.0%, AN2690, 5.0%, AN2690, 2.5%, AN2690 Topical Solution, 5%, and AN2690, 5% refer to the same topical solution formulations and strengths studied in the onychomycosis program.

How were the AN2690 trials designed?

The AN2690 trials were randomized, double-blind, and placebo-controlled, enrolling adults 18 years and older with onychomycosis. The largest studies were Phase 3 trials of the topical solution in toenail onychomycosis conducted in the United States and Canada, while a smaller Phase 2 study was run in Mexico.