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Comparison of Topical Permethrin 5% and Spinosad 0.9% for Scabies Treatment

7. november 2026 oppdatert av: University of Faisalabad

Comparison of the Efficacy of Topical Permethrin 5% and Spinosad 0.9% in the Treatment of Scabies: A Randomised Controlled Trial

The goal of this randomized controlled clinical trial is to compare the effectiveness of topical Permethrin 5% cream and Spinosad 0.9% suspension in treating scabies in patients aged 5-60 years.

The main questions it aims to answer are:

  • Is there a difference in the effectiveness of topical Permethrin 5% and Spinosad 0.9% in treating scabies at Day 14?
  • What are the treatment-related adverse effects of these two medications?

Researchers will compare the two treatment groups to determine whether there is a significant difference in treatment efficacy.

Participants will be randomly assigned to one of two groups:

  • Group A will receive topical Permethrin 5% cream, applied from the neck to the toes for 8-12 hours, followed by washing. A second application will be given after 7 days.
  • Group B will receive topical Spinosad 0.9% suspension, applied similarly, with repeat application only if clinically indicated.

Participants will be instructed regarding correct treatment application, hygiene measures, and treatment of close contacts. They will be assessed at baseline, Day 7, and Day 14.

The main outcome will be treatment efficacy at Day 14, defined as complete resolution of itching, healing of skin lesions, and absence of new lesions.

Studieoversikt

Status

Har ikke rekruttert ennå

Forhold

Intervensjon / Behandling

Detaljert beskrivelse

Scabies is a common parasitic skin infestation characterized by nocturnal itching and characteristic skin lesions. It can affect the quality of life of patients and may lead to secondary complications.

Topical Permethrin 5% is a standard treatment for scabies. Spinosad 0.9% is a topical ectoparasiticidal agent with a different mechanism of action. This study is designed to compare the efficacy of these two topical treatments in patients with clinically diagnosed scabies.

This study will be conducted as a randomized controlled trial in the Department of Dermatology. A total of 180 patients of either gender, aged 5-60 years, will be enrolled using non-probability consecutive sampling after fulfilling the predefined inclusion and exclusion criteria and providing informed written consent.

Participants will be randomly allocated into two groups using a computer-generated randomization method.

Group A will receive topical Permethrin 5% cream applied from neck to toe for 8-12 hours, followed by washing. A second application will be given after seven days.

Group B will receive topical Spinosad 0.9% suspension applied similarly, with repeat application only if clinically indicated.

Participants will be instructed regarding correct application technique, hygiene measures, and treatment of close contacts. Follow-up assessments will be conducted on Day 7 and Day 14.

Treatment efficacy will be assessed at Day 14 based on complete resolution of pruritus, healing of skin lesions, and absence of new lesions. Clinical response, visual analogue scale for pruritus, number of active lesions, new lesions, and treatment-related adverse effects will also be assessed.

Data will be analyzed using SPSS version 25. The Chi-square test will be used to compare treatment efficacy between the two groups. A p-value of 0.05 or less will be considered statistically significant.

Studietype

Intervensjonell

Registrering (Antatt)

180

Fase

  • Ikke aktuelt

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiekontakt

Studer Kontakt Backup

Studiesteder

    • Punjab Province
      • Faisalābad, Punjab Province, Pakistan, 38000
        • Madina Teaching Hospital
        • Ta kontakt med:
        • Ta kontakt med:
        • Hovedetterforsker:
          • Sabeen Riaz, MBBS
        • Underetterforsker:
          • Areeba Basharat, MBBS

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

5 år til 60 år (Barn, Voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

Inclusion Criteria:

  1. Patients of either gender.
  2. Patients aged 5-60 years.
  3. Patients presenting with clinically diagnosed scabies, characterized by nocturnal pruritus and characteristic skin lesions such as burrows, papules, or nodules.

Exclusion Criteria:

  1. Patients with secondary bacterial infection requiring systemic antibiotics.
  2. Patients who have received anti-scabies treatment within the last four weeks.
  3. Patients with known hypersensitivity to permethrin or spinosad.
  4. Pregnant or lactating women.
  5. Patients with chronic dermatological conditions that may interfere with assessment.

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: Group A - Permethrin 5%

Patients randomized to Group A will receive topical Permethrin 5% cream applied from neck to toe for 8-12 hours, followed by washing. A second application will be given after 7 days.

Patients will receive topical Permethrin 5% cream applied from neck to toe for 8-12 hours followed by washing. A second application will be given after 7 days.

Eksperimentell: Group B - Spinosad 0.9%

Patients randomized to Group B will receive topical Spinosad 0.9% suspension applied similarly. Repeat application will be performed only if clinically indicated.

Patients will receive topical Spinosad 0.9% suspension. Repeat application will be performed only if clinically indicated.

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Proportion of participants achieving treatment efficacy at day 14
Tidsramme: Day 14 after treatment initiation

Treatment efficacy will be defined as complete resolution of pruritus, healing of skin lesions, and absence of new lesions at day 14 after treatment initiation, as determined by clinical examination and patient-reported symptoms. The proportion of participants achieving treatment efficacy will be compared between the permethrin 5% and spinosad 0.9% groups.

Day 14 after treatment initiation

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Etterforskere

  • Studieleder: Tanzeela Khalid, MBBS, FCPS Dermatology, The University of Faisalabad

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Antatt)

1. februar 2027

Primær fullføring (Antatt)

1. juli 2027

Studiet fullført (Antatt)

1. juli 2027

Datoer for studieregistrering

Først innsendt

7. november 2026

Først innsendt som oppfylte QC-kriteriene

7. november 2026

Først lagt ut (Faktiske)

13. november 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

13. november 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

7. november 2026

Sist bekreftet

1. november 2026

Mer informasjon

Begreper knyttet til denne studien

Andre studie-ID-numre

  • UMDC/IRB/34/26

Plan for individuelle deltakerdata (IPD)

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NEI

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Studerer et amerikansk FDA-regulert medikamentprodukt

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Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

produkt produsert i og eksportert fra USA

Nei

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