Evidence map›Paper›PMID 37766823›Full record

Trial reportDrug design, development and therapy2023

Efficacy of Super-Bioavailable Itraconazole and Conventional Itraconazole at Different Dosing Regimens in Glabrous Tinea Infection - A Randomized Clinical Trial.

Manjunath M Shenoy, Abhishek De, Bela Shah, Anupam Das, Abir Saraswat, Koushik Lahiri, Sheetal Yadav, Aarti Sarda, Disha Chakraborty, Dharmender J and 9 more

Erratum issuedOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Drug design, development and therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 4 institutions in 1 country.

Manjunath M ShenoyDepartment of Dermatology, Omega Hospital, Mangalore, Karnataka, India.
Abhishek DeDepartment of Dermatology, Wizderm Specialty Skin and Hair Clinic, Kolkata, West Bengal, India.
Bela ShahDepartment of Dermatology, BJ Medical College and Civil Hospital, Ahmedabad, Gujarat, India.
Anupam DasDepartment of Dermatology, Iris Multispecialty Hospital, Kolkata, West Bengal, India.
Abir SaraswatDepartment of Dermatology, Indushree Skin Clinic, Lucknow, Uttar Pradesh, India.ORCID 0000-0003-3319-2080
Koushik LahiriDepartment of Dermatology, Wizderm Specialty Skin and Hair Clinic, Kolkata, West Bengal, India.
Sheetal YadavDepartment of Dermatology, ABVIMS and Dr. RML Hospital, New Delhi, India.
Aarti SardaDepartment of Dermatology, Wizderm Specialty Skin and Hair Clinic, Kolkata, West Bengal, India.
Disha ChakrabortyDepartment of Dermatology, Calcutta National Medical College, Kolkata, West Bengal, India.
Dharmender JDepartment of Dermatology, Wizderm Specialty Skin and Hair Clinic, Kolkata, West Bengal, India.ORCID 0000-0001-5217-7762
Shruti KamatDepartment of Dermatology, Wizderm Specialty Skin and Hair Clinic, Kolkata, West Bengal, India.
Yashika DoshiDepartment of Dermatology, Wizderm Specialty Skin and Hair Clinic, Kolkata, West Bengal, India.
Nelry GonsalvesDepartment of Dermatology, Wizderm Specialty Skin and Hair Clinic, Kolkata, West Bengal, India.
Ankita ChoudharyDepartment of Dermatology, Wizderm Specialty Skin and Hair Clinic, Kolkata, West Bengal, India.
Dhiraj DhootDepartment of Global Medical Affairs, Glenmark Pharmaceuticals Ltd, Mumbai, Maharashtra, India.ORCID 0000-0002-2045-9324
Namrata MahadkarDepartment of Global Medical Affairs, Glenmark Pharmaceuticals Ltd, Mumbai, Maharashtra, India.
Sumit BhushanDepartment of Global Medical Affairs, Glenmark Pharmaceuticals Ltd, Mumbai, Maharashtra, India.
Rujuta GadkariDepartment of Global Medical Affairs, Glenmark Pharmaceuticals Ltd, Mumbai, Maharashtra, India.
Hanmant BarkateDepartment of Global Medical Affairs, Glenmark Pharmaceuticals Ltd, Mumbai, Maharashtra, India.
Glenmark Pharmaceuticals (India) · INB.J. Medical College · INCalcutta National Medical College and Hospital · INVardhman Mahavir Medical College & Safdarjung Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Itraconazole follows non-linear pharmacokinetics and hence is recommended once daily, but in real-world practice, is commonly prescribed as twice daily. Hence, this study aimed to evaluate the efficacy and safety of super-bioavailable-itraconazole-130 mg (SB-130) and conventional-itraconazole-200 mg (CITZ-200) once daily compared with conventional-itraconazole-100 mg (CITZ-100) twice daily in glabrous tinea. Methods: A total of 261 eligible patients were enrolled in this prospective, randomized, clinical study from December-2021 to August-2022 at seven centers in India. Efficacy and safety assessments were done at week-3 and 6, with follow-up at week-10 for relapse. The primary objective was to assess the proportion of patients who achieved complete cure at week-6 following treatment in all itraconazole groups. The secondary outcomes were safety and clinical and mycological cure rates. Results: Of 261 patients, 240 were included in the analysis. At week-6, 140 patients were completely cured; thus, overall cure rate was 58.33%. Fifty-five patients (69%) in SB-130 while 47/77 (61%) and 38/83 (46%) patients were completely cured in CITZ-200 and CITZ-100 groups respectively (p<0.05; SB-130: CITZ-100, p=0.32; SB-130: CITZ-200, p=0.058; CITZ-200: CITZ-100). There was no statistical difference in the mycological cure rate and area clearance rate between any of the groups (p=0.14); however, a statistically significant difference was noted for OD dosing over BD dosing in achieving clinical cure rates (p<0.05). A total of 13/140 patients (9%) relapsed following complete cure, with no statistically significant difference between any of the groups (p=0.50). All treatments were safe and well-tolerated, with no discontinuation. Conclusion: In this clinical study, moderate efficacy with all doses of ITZ was reported but was better with OD dosing. Although there was no statistical difference between SB-130 and CITZ-200, SB-130 may be preferred over CITZ-200 owing to the advantage of SB over the conventional ITZ.

Indexed as

ItraconazoleTineaAntifungal AgentsHumansNeoplasm Recurrence, LocalProspective StudiesTreatment OutcomeAntifungal AgentsItraconazole130mgdermatophytosisefficacyIndiaitraconazoleODrelapsesafetysuper-bioavailable itraconazole

Identifiers

PMID37766823
PMCPMC10520254
OpenAlexW4386879214

What OpenQuestion holds

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Registered trials

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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.