Using LunulaLaser to treat toenail fungus
An Evaluation of the Effect of the Erchonia® LunulaLaser™ for the Treatment of Toenail Onychomycosis
This study tests if the LunulaLaser can help people with toenail fungus get better and improve their nail health.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 40 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Erchonia Corporation Industry-sponsored |
| Locations | 1 site (Edenfield, Cheshire) |
| Trial ID | NCT06006455 on ClinicalTrials.gov |
What this trial studies
This clinical study aims to evaluate the effectiveness of the Erchonia LunulaLaser™ in treating toenail onychomycosis, a fungal infection. Participants will receive treatment with the LunulaLaser™ and will be monitored for improvements in their condition. The study focuses on individuals with a confirmed diagnosis of onychomycosis, specifically targeting those with distal subungual onychomycosis. The goal is to demonstrate the laser's efficacy in clearing the infection and improving nail health.
Who should consider this trial
Good fit: Ideal candidates are adults aged 18 and older with a confirmed diagnosis of toenail onychomycosis caused by Trichophyton rubrum or other common dermatophytes.
Not a fit: Patients with severe onychomycosis affecting more than 50% of the nail or those currently using other treatments may not benefit from this study.
Why it matters
Potential benefit: If successful, this treatment could provide a non-invasive and effective option for patients suffering from toenail fungus.
How similar studies have performed: While the use of laser therapy for fungal infections is gaining interest, this specific approach with the LunulaLaser™ is relatively novel and has not been extensively tested in prior studies.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Confirmation of the presence of fungal infection through a positive KOH stain finding and a positive fungal culture finding * Identification through fungal culture of the growth of Trichophyton rubrum (T. rubrum) or other common dermatophyte * Visual clinical presentation of onychomycosis in the target great toenail is distal subungual onychomycosis (DSO), visualized as a nail with normal surface texture and thickness but variable "bays" of white nail that extend from the distal nail tip proximally into the area of the nail bed * Clinical involvement of onychomycosis in the target toenail is between 20%-50% * Subject is willing and able to refrain from employing other (non-study) treatments (traditional or alternative) for his or her toenail onychomycosis throughout study participation. * Subject is willing and able to refrain from the use of nail cosmetics such as clear and/or colored nail lacquers throughout study participation * Male or female * 18 years of age or older Exclusion Criteria: * Lack of confirmation of the presence of fungal infection through a negative KOH stain finding and/or a negative fungal culture finding * Visual clinical presentations of onychomycosis in the target great toenail that are inconsistent with the clinical presentation of distal subungual onychomycosis (DSO), in whole or in part (i.e. indicative of mixed etiology); specifically visual clinical presentations consistent with one or more of the following: * Proximal subungual onychomycosis (PSO): visualized as a white discoloration below the nail plate at the base of the nail, near the lunula. The distal nail retains normal appearance and texture. PSO involves infection near the matrix, deep to the nail. It may be associated with trauma to the nail or to immune compromise * Superficial white onychomycosis (SWO): visualized by the appearance of a white coating on the nail surface that can be eliminated by filing or buffing the surface of the affected portion of the nail * Complete dystrophy: Nails which are 100% dystrophic are manifested by yellowing and thickening of the entire nail unit * Other nail changes: Nails that visually present with changes that appear as parallel lines, small pinpoint depressions, brown spots, black or brown linear streaks, complete yellowing of all nails without textural change, green debris below the nail, or notches in the nail margin * Less than 2mm clear (unaffected) nail plate length beyond the proximal fold * Presence of dermatophytoma (thick masses of fungal hyphae and necrotic keratin between the nail plate and nail bed) * Infection involving lunula e.g., genetic nail disorders, primentary disorders * Severe plantar (moccasin) tinea pedis * Psoriasis of the skin and/or nails, lichen planus, or other medical conditions known to induce nail changes * Onychogryphosis * Trauma from ill-fitting shoes, running, or overly-aggressive nail care * Previous toenail surgery * Uncontrolled diabetes mellitus * Peripheral vascular disease * Recurrent cellulitis * Lymphatic insufficiency * Immune compromise (whether due to underlying medical disorders or immunosuppressive treatments) * Other compromised states of health * Known photosensitivity disorder * Use of oral antifungal drugs in the prior 6 months * Use of topical treatment of the skin or nails within the prior 2 months * Any abnormality of the toenail that could prevent a normal appearing nail from occurring if clearing of infection is achieved. * Current trauma, open wound on or about the treatment area * Deformity of the target toe/toenail secondary to fungal infection/onychomycosis due to prior injury, surgical procedures or another medical condition * Pregnant or planning pregnancy prior to the end of study participation * Serious mental health illness such as dementia or schizophrenia; psychiatric hospitalization in the past two years * Developmental disability or cognitive impairment that would preclude adequate comprehension of the informed consent form and/or ability to follow study subject requirements and/or record the necessary study measurements * Involvement in litigation and/or receiving disability benefits related in any way to the parameters of the study * Participation in a clinical study or other type of research in the past 30 days.
Where this trial is running
Edenfield, Cheshire
- Blemish Clinic — Edenfield, Cheshire, United Kingdom (Recruiting)
Study contacts
- Principal investigator: Robin Stones, MB.ChB — Blemish Clinic
- Study coordinator: Travis Sammons
- Email: tsammons@erchonia.com
- Phone: 8882420571
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.