Evidence map›Paper›PMID 31206779›Full record

Trial reportThe Journal of dermatology2019

Efficacy of long-term treatment with efinaconazole 10% solution in patients with onychomycosis, including severe cases: A multicenter, single-arm study.

Ken Iozumi, Masatoshi Abe, Yoshiko Ito, Takashi Uesugi, Takashi Onoduka, Ichiro Kato, Fumihiro Kato, Kazuo Kodama, Hidetoshi Takahashi, Osamu Takeda and 30 more

Open access · hybridAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in The Journal of dermatology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 35 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Dermatophytomas: Clinical Overview and Treatment.Journal of fungi (Basel, Switzerland) · 2022
    Review
  10. Article
  11. Article
  12. Updated Perspectives on the Diagnosis and Management of Onychomycosis.Clinical, cosmetic and investigational dermatology · 2022
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Diagnosis and management of tinea infections.American family physician · 2014
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

40 authors at 19 institutions in 1 country.

Ken IozumiDepartment of Dermatology, Tokyo Metropolitan Police Hospital, Tokyo, Japan.ORCID https://orcid.org/0000-0001-5806-4355
Masatoshi AbeSapporo Skin Clinic, Hokkaido, Japan.ORCID https://orcid.org/0000-0002-8863-9428
Yoshiko ItoIto Skin Clinic, Hokkaido, Japan.
Takashi UesugiUesugi Dermatology Clinic, Hokkaido, Japan.
Takashi OnodukaAsanuma Dermatology Clinic, Hokkaido, Japan.
Ichiro KatoEniwa Station Dermatology Clinic, Hokkaido, Japan.
Fumihiro KatoKato Dermatology Clinic, Hokkaido, Japan.
Kazuo KodamaMegumino Dermatologic Clinic, Hokkaido, Japan.
Hidetoshi TakahashiTakagi Dermatological Clinic, Hokkaido, Japan.
Osamu TakedaTakeda Dermatological Skin Care Clinic, Hokkaido, Japan.
Koki TomizawaNopporo Dermatology Clinic, Hokkaido, Japan.
Tomoko NomiyamaShowa Skin Clinic, Hokkaido, Japan.ORCID https://orcid.org/0000-0002-5299-2756
Mizue FujiiDepartment of Dermatology, Asahikawa Medical University Hospital, Hokkaido, Japan.ORCID https://orcid.org/0000-0003-2571-1071
Jun MayamaChitose Dermatology and Plastic Surgery Clinic, Hokkaido, Japan.
Fumio MuramotoShinoro Dermatology Clinic, Hokkaido, Japan.
Hidemi YasudaFukuzumi Dermatology Clinic, Hokkaido, Japan.
Kiyomitsu YamanakaYamanaka Skincare Clinic, Hokkaido, Japan.
Tomotaka SatoDepartment of Dermatology, Teikyo University Chiba Medical Center, Chiba, Japan.
Tsunao Oh-IAtago Dermatology Clinic, Tokyo, Japan.
Hiroko KasaiDepartment of Dermatology, Kitasato University Kitasato Institute Hospital, Tokyo, Japan.
Ryoji TsuboiDepartment of Dermatology, Tokyo Medical University, Tokyo, Japan.
Naoko HattoriNaoko Dermatology Clinic, Tokyo, Japan.
Ryuji MaruyamaMaruyama Dermatology Clinic, Tokyo, Japan.
Tokuya OmiQueen's Square Medical Center, Kanagawa, Japan.
Harunari ShimoyamaDepartment of Dermatology, Teikyo University Mizonokuchi Hospital, Kanagawa, Japan.
Yoshihiro SeiDepartment of Dermatology, Teikyo University Mizonokuchi Hospital, Kanagawa, Japan.
Ichiro NakasuNemunoki Dermatology Clinic, Kanagawa, Japan.
Shuhei NishimotoDepartment of Dermatology, Saiseikai Kanagawa Hospital, Kanagawa, Japan.
Yasuki HataDepartment of Dermatology, Saiseikai Kanagawa Hospital, Kanagawa, Japan.
Takashi MochizukiDepartment of Dermatology, Kanazawa Medical University, Ishikawa, Japan.ORCID https://orcid.org/0000-0002-3793-980X
Masao FukuzawaDepartment of Dermatology, Ina Central Hospital, Nagano, Japan.
Mariko SeishimaDepartment of Dermatology, Gifu University Graduate School of Medicine, Gifu, Japan.ORCID https://orcid.org/0000-0003-0007-3632
Kazumitsu SugiuraDepartment of Dermatology, Fujita Health University School of Medicine, Aichi, Japan.
Ichiro KatayamaDepartment of Dermatology, Osaka University, Osaka, Japan.
Osamu YamamotoDivision of Dermatology, Department of Medicine of Sensory and Motor Organs, Tottori University Faculty of Medicine, Tottori, Japan.
Masahisa ShindoDepartment of Dermatology, National Hospital Organization Hamada Medical Center, Shimane, Japan.
Hiroe KiryuKiryu Dermatology Clinic, Fukuoka, Japan.
Masahiro KusuharaKusuhara Dermatology Clinic, Fukuoka, Japan.
Motoi TakenakaDepartment of Dermatology, Nagasaki University Hospital, Nagasaki, Japan.ORCID https://orcid.org/0000-0002-7045-2518
Shinichi WatanabeDepartment of Dermatology, Teikyo University School of Medicine, Tokyo, Japan.
Ono Clinic · JPTeikyo University · JPSaiseikai Kanagawa Hospital · JPAsahikawa Medical University · JPFujita Health University · JPGifu University · JPHokkaido Chitose College of Rehabilitation · JPKanazawa Medical University · JPKitasato Institute Hospital · JPNagasaki University Hospital · JPNational Hospital Organization · JPSeiwa Hospital · JPTakayanagi Dental Clinic · JPTakeda (Japan) · JPTeikyo University Chiba Medical Center · JPThe University of Osaka · JPTokyo Medical University · JPTokyo Metropolitan Police Hospital · JPTottori University · JP

Funding

Kaken Pharmaceutical Co., Ltd
6 · The paper itself

Abstract

We evaluated the efficacy of efinaconazole 10% topical solution in long-term use, for up to 72 weeks, for onychomycosis, including severe cases. Among 605 participants, 219 patients diagnosed as having onychomycosis were evaluated for the efficacy of efinaconazole. The treatment success rate (<10% clinical involvement of the target toenail) at the final assessment time point was 56.6%, the complete cure rate was 31.1% and the mycological cure rate was 61.6%, all of which increased over time, demonstrating that continuous application contributed to the improvement of cure rate. Even in severe cases, reduction of the affected nail area was observed, showing the potential efficacy of the treatment. Responses to a quality of life questionnaire among patients with onychomycosis, OnyCOE-t, suggested that efinaconazole treatment improved the patients' quality of life. The incidence of adverse drug reaction in the patients eligible for the assessment was 6.3%, and this developed only in the administration site in all cases. No systemic adverse event was observed. In addition, no increase in the incidence of adverse drug reaction due to long-term use was found. Efinaconazole therapy was proved to exhibit excellent balance between efficacy and safety, and thus may serve as a useful treatment option for onychomycosis.

Indexed as

Administration, TopicalAgedAntifungal AgentsDrug-Related Side Effects and Adverse ReactionsFemaleFoot DermatosesHumansIncidenceLong-Term CareMaleMiddle AgedOnychomycosisQuality of LifeSeverity of Illness IndexTime FactorsTreatment OutcomeAntifungal AgentsefinaconazoleTriazolesefinaconazolelong-term observationonychomycosissevere casetopical triazole antifungal

Identifiers

PMID31206779
PMCPMC6771904
OpenAlexW2952911388

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.