Evaluating a new treatment for toenail fungus

Evaluation of the Effectiveness of Nail Genesis DLSO Product for Onychomycosis

Not applicable Interventional Nail Genesis LLC · NCT06074315

This study is testing a new product to see if it can effectively treat toenail fungus in adults aged 18 to 65.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment338 (estimated)
Ages18 Years to 65 Years
SexAll
SponsorNail Genesis LLC Industry-sponsored
Locations10 sites (Fayetteville, Arkansas and 9 other locations)
Trial IDNCT06074315 on ClinicalTrials.gov

What this trial studies

This clinical trial assesses the safety and effectiveness of the Nail Genesis DLSO Product for treating distal lateral subungual onychomycosis in infected great toenails. It is a multicenter, randomized, double-blind, vehicle-controlled study involving 338 participants aged 18 to 65. Participants will be randomly assigned to receive either the Nail Genesis product or a placebo vehicle for 48 weeks, with a focus on measuring the treatment's impact on nail fungal infections. A washout period is required before randomization to ensure participants are free from other topical or oral treatments.

Who should consider this trial

Good fit: Ideal candidates are males and non-pregnant, non-lactating females aged 18 to 65 with a fungal infection affecting their great toenail.

Not a fit: Patients with severe nail matrix involvement or those unable to apply the product to their toenails may not benefit from this study.

Why it matters

Potential benefit: If successful, this treatment could provide an effective solution for patients suffering from toenail fungus, improving nail health and quality of life.

How similar studies have performed: While similar studies have been conducted, the specific approach of using the Nail Genesis DLSO Product is novel and has not been extensively tested.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Subject is male or female, and 18 to 65 years of age, inclusive.
* Subject has nail fungal infection of at least one great toenail (per visual assessment, positive KOH preparation, and positive dermatophyte culture).
* Subject has target toenail showing 20-50% involvement without matrix (lunula) involvement.
* Subject has 3 mm of unaffected nail (from proximal nail fold) on target toenail.
* Subject has target toenail thickness of 3 mm or less.
* Subject must be physically able to reach toes to clean, trim, and apply product to the target toenail.
* Subject is willing and available to return for study follow up.
* Subject or legal representative is able to understand and provide signed consent for participating in the study.
* Female subject of childbearing potential has negative urine pregnancy test.
* Females must be post-menopausal or must agree to use approved contraceptives (actions, de- vices or medications to prevent or reduce the likelihood of pregnancy) throughout the study (abstinence is NOT an accepted form of contraception).

Exclusion Criteria:

* Subject has known hypersensitivity or allergy to the product materials.
* Subject has negative KOH preparation or dermatophyte culture.
* Subject has dermatophytoma on target toenail.
* Subject is enrolled in another investigational drug, device, or product protocol that would interfere with this study.
* Subject is using other topical or pharmaceutical treatments for any nail conditions; a wash-out period of at least four weeks after discontinuation of a topical product or 12 months after discontinuation of an oral product or light-based therapy for treatment of nail fungus is required.
* Subject has history of immunosuppression and/or clinical signs indicative of possible immunosuppression.
* Subject with possible chronic disease, including: diabetes, psoriasis, immune deficiency (HIV), severe foot injury, chronic vascular disease, or in which delayed treatment (approved treatment) of DLSO for one year could present a significant health concern.
* Subject has presence of toenail infection other than dermatophytes on target toenail.
* Subject has any disease/condition that might cause toenail abnormalities or interfere with evaluation.
* Subject has had previous toenail surgery on target toenail.
* Subject is a pregnant or nursing female.
* Subject is an Investigator, Nail Genesis' personnel, or Nail Genesis' Scientific Advisory Board (SAB) members, or their immediate family.

Where this trial is running

Fayetteville, Arkansas and 9 other locations

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Distal Lateral Subungual OnychomycosisOnychomycosis
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.