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CTRI Number  CTRI/2024/01/061161 [Registered on: 05/01/2024] Trial Registered Prospectively
Last Modified On: 18/10/2024
Post Graduate Thesis  No 
Type of Trial  BA/BE 
Type of Study    
Study Design  Other 
Public Title of Study   A Bioequivalence study to Evaluate the Efficacy and Safety of Ketoconazole Shampoo in Subjects with Tinea Versicolor. 
Scientific Title of Study   A Multicenter, Randomized, Double-Blind, Three-Arm, Placebo-Controlled, Parallel Design, Study to Evaluate the Efficacy and Safety of Ketoconazole 2% Shampoo of Encube Ethicals Private Limited, India with Ketoconazole Shampoo, 2% of Padagis (Perrigo) Allegan, MI 49010 in Subjects with Tinea Versicolor. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
Protocol No.: C2A03362 Version: 01 Date: 01 Aug 2023  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Dharmesh Domadia 
Designation  Vice President Global Clinical Operation 
Affiliation  Cliantha Research Limited 
Address  Cliantha Research Ltd., Cliantha Corporate, TP 86, FP 28/1, Off S.P. Ring Road, Sarkhej, Ahmedabad - 382 210, Gujarat, India

Ahmadabad
GUJARAT
382210
India 
Phone  9879590828  
Fax    
Email  ddomadia@cliantha.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ankesh Barnwal 
Designation  Associate Director- II– Clinical Trial Medical Services 
Affiliation  Cliantha Research Limited 
Address  Cliantha Research Ltd., Cliantha Corporate, TP 86, FP 28/1, Off S.P. Ring Road, Sarkhej, Ahmedabad - 382 210, Gujarat, India

Ahmadabad
GUJARAT
382210
India 
Phone  07966219500  
Fax    
Email  abarnwal@cliantha.com  
 
Details of Contact Person
Public Query
 
Name  Mr Devesh Verma 
Designation  Associate Director-I - Clinical Trials 
Affiliation  Cliantha Research Limited 
Address  Cliantha Research Ltd., Cliantha Corporate, TP 86, FP 28/1, Off S.P. Ring Road, Sarkhej, Ahmedabad - 382 210, Gujarat, India

Ahmadabad
GUJARAT
382210
India 
Phone  9712908404  
Fax    
Email  dverma@cliantha.com  
 
Source of Monetary or Material Support  
Encube Ethicals Private Limited, Unit No. 24, Steelmade Industrial Estate, Marol Village, Andheri (E), Mumbai – 400059, Maharashtra, India.  
 
Primary Sponsor  
Name  Encube Ethicals Private Limited 
Address  Unit No. 24, Steelmade Industrial Estate, Marol Village, Andheri (E), Mumbai – 400 059 Maharashtra, India.  
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
Cliantha Research Limited  TP 86, FP 28-1, Off S P Ring Road, Sarkhej Ahmedabad 
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 15  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Bhavarth Kalaria  Care and Cure Multi Speciality Hospital  Sixth Floor, Clinical Research Department, Besides Nilamkunj Society, Nr. Gokulnathji Haveli Mira Cinema Cross Road, Bhairavnath, Shah Alam Rd, Maninagar, Ahmedabad - 380028, Gujarat, India.
Ahmadabad
GUJARAT 
8866220033

bhavarthkalaria@gmail.com 
Dr V Revathi  Government Medical College & Government General Hospital  OPD No. 16, 3rd Floor, Department of Dermatology, Srikakulam - 532001, Andhra Pradesh, India
Srikakulam
ANDHRA PRADESH 
9908066043

drrevathivggh@gmail.com 
Dr Bangaru H  K R Hospital Attached to Mysore Medical College and Research Institute  K R Hospital, Attached to Mysore Medical College and Research Institute, Irwin Road - 570001 , Mysuru, Karnataka, India.
Mysore
KARNATAKA 
9886789231

drbangaruskin@gmail.com 
Dr Patnala Guru Prasad  King George Hospital  Clinical research Room, Department of Dermatology, Andhra Medical College, Maharanipeta, Visakhapatnam - 530002, Andhra Pradesh, India
Visakhapatnam
ANDHRA PRADESH 
9848022615

drpguruprasadresearch@gmail.com 
Dr Gnanasuriyan R  Mahatma Gandhi Medical College Research Institute  Department of Dermatology, Venereology & Leprosy (DVL), Clinical trial and training centre, 1st Floor, Hospital Block, Pondicherry - Cuddalore ECR Main Road, Pillayarkuppam, Puducherry- 607402, India
Pondicherry
PONDICHERRY 
9790878344

surya.0904@gmail.com 
Dr Manjunath Shenoy M  Omega Hospital  Mahaveer Circle, Kankanady, Mangalore - 575002, Karnataka, India
Dakshina Kannada
KARNATAKA 
9845009976

manjunathshenoy.dermatology@gmail.com 
Dr Jilhare Devendra Annaji  Orange City Hospital & Research Institute  19, Pandey Layout, Veer Sawarkar Square, Nagpur - 440015, Maharashtra, India
Nagpur
MAHARASHTRA 
8605179727

dr.jilharedevendra@gmail.com 
Dr Perumal Manoharan  Panimalar Medical College Hospital & Research Institute  Room No. 468, 3rd Floor, Division of Clinical Research, Varadharajapuram, Poonamallee, Chennai - 600123, Tamil Nadu, India
Chennai
TAMIL NADU 
9629048549

perumd88@gmail.com 
Dr Dhwani Makwana  Parth Hospital  E 405-4, 407-411, Fourth Floor Galaxy Arcade, Near Galaxy Cinema, Naroda, Gujarat 382330, India
Ahmadabad
GUJARAT 
9662133253

dhwanimakwanacr722@gmail.com 
Dr Sonal Shendkar  Saikrupa Hospital  Third Floor, Clinical Research Department, plot 4/14/B, sector 34, Renuka corner, Tapkir chock, Pune - 411033, Maharashtra, India
Pune
MAHARASHTRA 
9960178611

drsonalshendkar@gmail.com 
Dr Neela Patel  Sheth L.G Municipal General Hospital  Room No. 5, Second Floor, Dermatology Department, Near Rambaug, Maninagar- 380008, Ahmedabad, Gujarat, India
Ahmadabad
GUJARAT 
9824058208

patelneela1974@yahoo.co.in 
Dr Swati Engineer  Shraddha Hospital  Second Floor, Clinical Research Department, Vaibhav Complex, Opp. Civil Hospital, Kalol - 382721, Gujarat, India.
Gandhinagar
GUJARAT 
9824021254

srengineer6@gmail.com 
Dr Shyamal Balki  Shree Hospital and Critical care center  Third Floor, Research Department, Nagpur - 440009, Maharashtra, India
Nagpur
MAHARASHTRA 
9730310367

drshyamalb@gmail.com 
Dr Nikhil Kajale  Shree Siddhivinayak Maternity & Nursing Home  Third Floor, Clinical Research Department, Unity Campus, 2nd floor, Opp. KTHM College, Gangapur Road, Nashik 422002, Maharashtra, India
Nashik
MAHARASHTRA 
9619841393

niks_kajale@rediffmail.com 
Dr Murali Narasimhan  SRM Medical college Hospital & Research Centre  3rd & 4th floor, D Block, Centre for Clinical Pharmacology, SRM Nagar, Potheri, Kattankulathur, Chengalpattu, Tamil Nadu - 603203, India
Kancheepuram
TAMIL NADU 
9840168711

muralin1@srmist.edu.in 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 15  
Name of Committee  Approval Status 
AMC MET Ethics Committee  Approved 
IEC King George Hospital  Approved 
IEC-MMC and RI  Approved 
Institutional Ethics Committee  Approved 
Institutional Human Ethics Committee Mahatma Gandhi Medical College Research Institute  Approved 
Omega Ethical Committee  Approved 
Orange City Hospital Institutional Ethics Committee  Approved 
Parth Hospital Ethics Committee   Approved 
PMCHRI-IHEC  Approved 
Riddhi Medical Nursing Home IEC  Approved 
Riddhi Medical Nursing Home IEC  Approved 
Saikrupa Hospital Institutional Ethics Committee  Approved 
Shree Hospital Ethics Committee  Approved 
Shree Siddhivinayak Hospital Ethics Committee  Approved 
SRM MCH & RC Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: B360||Pityriasis versicolor,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Ketoconazole 2% Shampoo  Each subject will use the assigned study product as instructed on a single occasion on the day of randomization [Day 0 (+1 day)]. Caregiver can help subject (ifrequired) for study drug application. Drug application can be done at study site or home as per subject’s convenience. Following instructions will be given to the subjects: • Apply the shampoo to the damp skin of the affected area and a wide margin surrounding this area. • Lather, leave in place for 5 minutes, and then rinse off with water. • Avoid study product contact with eye.  
Intervention  Ketoconazole 2% Shampoo   Each subject will use the assigned study product as instructed on a single occasion on the day of randomization [Day 0 (+1 day)]. Caregiver can help subject (ifrequired) for study drug application. Drug application can be done at study site or home as per subject’s convenience. Following instructions will be given to the subjects: • Apply the shampoo to the damp skin of the affected area and a wide margin surrounding this area. • Lather, leave in place for 5 minutes, and then rinse off with water. • Avoid study product contact with eye.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Subject will be eligible for inclusion in this study only if all of the following criteria apply:
1. Male or non-pregnant, non-lactating female subjects of 18 to 65 years of age.
2. Subject with a clinical diagnosis of tinea versicolor and both of the following:
a. A combined severity score of at least 4, with at least one of the following signs and symptoms rated at least 2, using the following scale:
Signs/symptoms Scale
desquamation/scaling - 0 equals to absent
pruritus/itching - 1 equals to mild
erythema - 2 equals to moderate & 3 equal to severe
b. Presence of infection with Malassezia furfur (Pityrosporum orbiculare or P. ovale) confirmed by a positive KOH cellophane tape test showing the characteristic “spaghetti and meatballs” appearance of the round budding yeast cells and short hyphae.
3. Subject able to understand the investigational nature of this study and provide written informed consent prior to screening.
4. Female of childbearing potential, have a negative urine pregnancy test and willing to use an acceptable form of birth control including abstinence during the study.
5. Able to comply with study requirements in the opinion of Investigator.
6. Agree not to take a shower, bath, or swim, for at least 4 hours before all study visits
7. Agree to use only non-medicated shampoos and soaps during the entire study period.
 
 
ExclusionCriteria 
Details  Subject will not be eligible for inclusion in this study if any of the following criteria apply:
1. Has recent history or evidence of other fungal infections, including oral, vaginal or chronic mucocutaneous candidiasis, systemic fungal infections or dermatophyte infections that may interfere with assessment of tinea versicolor.
2. Use of any systemic antifungals (oral or injectable), corticosteroids or
immunosuppressive drugs within 30 days prior to randomization.
3. Any eye disease that could be irritated by shampoo.
4. Subject with known history of uncontrolled diabetes (based on HbA1c report [greater than 7%] within last 3 months) or expected change in anti-diabetic medication during study or within last 1 month.
5. Use of any prescription or over the counter (OTC), topical antifungal, anti-pruritus, corticosteroid, selenium sulfide or zinc pyrithione preparations within 14 days prior to randomization or used antihistamines that may interfere with the subjects ability to experience cutaneous sensations within 24 hours prior to randomization, unless on a stable dose of antihistamine for at least 30 days.
6. Any known hypersensitivity or allergy to ketoconazole or any other inactive ingredients used in the study products or other imidazole antifungals or other shampoos, soaps or cosmetics.
7. Treatment for tinea versicolor within the past six months that has been unresponsive to prescription topical or oral antifungals.
8. History of alcohol or other substance abuse within the last one year.
9. Any other clinical investigation using experimental drug within past 30 days of prior to randomization.
10. Institutionalized subject.
11. Live in the same household as currently enrolled subject or in the same household of a subject who has previously participated in the study.
12. Other severe acute or chronic medical or psychiatric conditions or laboratory abnormalities or on any medication that may increase the risk associated with study participation or study drug administration or may interfere with the interpretation of study results and, in the judgment of the Investigator, would make the subject inappropriate for entry into the trial.
13. Inability to understand the requirements of the study and the study information or is unable or unwilling to comply with the study protocol.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Other 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
1. To evaluate bioequivalence (with clinical endpoint) of test product (Ketoconazole 2% Shampoo) of Encube Ethicals Private Limited, India with reference product (Ketoconazole Shampoo, 2%) of Padagis (Perrigo) Allegan, MI 49010 in subjects with tinea versicolor.
2. To evaluate superiority of test and reference product with placebo in subjects with tinea versicolor.
 
4 Week(±4 days) 
 
Secondary Outcome  
Outcome  TimePoints 
1. To assess safety and tolerability of study treatments.

Incidence of treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs).
 
4 Week(±4 days) 
 
Target Sample Size   Total Sample Size="425"
Sample Size from India="425" 
Final Enrollment numbers achieved (Total)= "425"
Final Enrollment numbers achieved (India)="425" 
Phase of Trial   N/A 
Date of First Enrollment (India)   25/01/2024 
Date of Study Completion (India) 26/07/2024 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

A study is A Multicenter, Randomized, Double-Blind, Three-Arm, Placebo-Controlled, Parallel Design study. This clinical trial intended to Evaluate the Efficacy and Safety of Ketoconazole 2% Shampoo of Encube Ethicals Private Limited, India with Ketoconazole Shampoo, 2% of Padagis (Perrigo) Allegan, MI 49010 in Subjects with Tinea Versicolor.

 
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