A Comparative Trial on Scabies Treatments: Topical Permethrin, Oral Ivermectin and Combination of Topical Permethrin and Oral Ivermectin

2024-520348-40-00 Protocol GIU_PER_IV_0024 Therapeutic use (Phase IV) Ongoing, recruiting

Start 2 Oct 2025 · Status Ongoing, recruiting · 1 EU/EEA countries · 3 sites · Protocol GIU_PER_IV_0024

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ongoing, recruiting
Participants planned 156
Countries 1
Sites 3

Clinical and light microscopy confirmed scabies

To compare the clinical cure rate (CCR) of standard treatments of scabies (topical permethrin 5% vs. oral ivermectin or their combination) in the short-term clinical cure rate. A superiority trial.

Key facts

Sponsor
Giuliani S.p.A.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Skin and Connective Tissue Diseases [C17]
Trial duration
2 Oct 2025 → ongoing
Decision date (initial)
2025-07-08
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy

To compare the clinical cure rate (CCR) of standard treatments of scabies (topical permethrin 5% vs. oral ivermectin or their combination) in the short-term clinical cure rate. A superiority trial.

Secondary objectives 1

  1. To compare the clinical cure rate (CCR) of standard treatments of scabies (topical permethrin 5% vs. oral ivermectin or their combination) in the long term clinical cure rate. To evaluate safety and tolerability.

Conditions and MedDRA coding

Clinical and light microscopy confirmed scabies

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 4

  1. Male and female aged >18 years and <80 years
  2. Presence of uncomplicated scabies confirmed by dermatological evaluation and a positive scraping test demonstrating the presence of Sarcoptes Scabiei mites, their eggs or faecal pellets (scybala). If the patient has positive result it is recommended to also visit the cohabitants to whom to propose the study in case they are positive
  3. Immunocompetent
  4. Giving informed written consent to participate to the trial

Exclusion criteria 7

  1. Subjects with crusted scabies
  2. Subjects HIV positive
  3. Antiscabietic treatments in the previous 4 weeks before entry into the study
  4. Pregnancy or breastfeeding
  5. Medical History with hepatic, cardiac or renal diseases
  6. Participant must not be simultaneously enrolled in any interventional clinical trial
  7. Women with childbearing potential if they do not agree with the use of highly effective contraceptive methods with low user dependency, or to be abstinent from heterosexual intercourse

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Percentage of subjects (Score 0; see below) with Complete cure rate (CCR) at Visit 1 (week 1)

Secondary endpoints 7

  1. Percentage of subjects (Score 0; see below) with Complete cure rate (CCR) at Visit 2 (week 2)
  2. Percentage of Subjects with score 0 or 1 at week 1
  3. Percentage of subjects with CCR at week 2
  4. Percentage of subjects with score 0 or 1 at week 2
  5. Subjective evaluation of itching at week 1 and 2
  6. Percentage of treatment failure at week 1 and week 2 (treatment failure is defined as: no improvement at all of itching intensity and skin lesions count and/or appearance of new lesions)
  7. Safety and Tolerability endpoints: (at week 1, week 2) - Evaluation and recording of spontaneous reported adverse events - Blood pressure monitoring - Heart rate

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 2

SCABIACID 5% crema

PRD11200174 · Product

Active substance
Permethrin (Cis:trans 25:75)
Pharmaceutical form
CREAM
Route of administration
CUTANEOUS USE
Max daily dose
30 g gram(s)
Max total dose
210 g gram(s)
Max treatment duration
7 Day(s)
Authorisation status
Authorised
ATC code
P03AC04 — PERMETHRIN
Marketing authorisation
036290017
MA holder
GIULIANI SPA
MA country
Italy
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

IVERMECTINA GIULIANI 3 mg compresse

PRD11410214 · Product

Active substance
Ivermectin
Substance synonyms
L-640471, EQU-001, CD5024, MK-933
Pharmaceutical form
TABLET
Route of administration
ORAL USE
Max daily dose
200 µg/Kg microgram(s)/kilogram
Max total dose
400 µg/Kg microgram(s)/kilogram
Max treatment duration
2 Day(s)
Authorisation status
Authorised
ATC code
P02CF01 — IVERMECTIN
Marketing authorisation
049873033
MA holder
GIULIANI SPA
MA country
Italy
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Giuliani S.p.A.

Sponsor organisation
Giuliani S.p.A.
Address
Via Pelagio Palagi 2
City
Milan
Postcode
20129
Country
Italy

Scientific contact point

Organisation
Giuliani S.p.A.
Contact name
Daniela Pinto

Public contact point

Organisation
Giuliani S.p.A.
Contact name
Roberto Novellini

Third parties 1

OrganisationCity, countryDuties
Gb Pharma S.r.l.
ORG-100001300
Milan, Italy On site monitoring, Code 11, Code 12, Code 2, Code 5, Data management, E-data capture, Code 8

Locations

1 EU/EEA country · 3 investigational sites

By country

CountryMS statusPlanned subjectsSites
Italy Ongoing, recruiting 156 3
Rest of world 0

Investigational sites

Italy

3 sites · Ongoing, recruiting
Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico
Dermatologia, Via Pace 9, 20122, Milan
Hospital Santa Maria Della Misericordia
Dermatologia, Piazzale Giorgio Menghini 1, 06129, Perugia
Fondazione Policlinico Universitario Campus Bio-medico In Forma A Bbreviata Fon
Dermatologia, Via Alvaro Del Portillo N 200, 00128, Rome

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Italy 2025-10-02 2025-10-23

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 9 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol_2024-520348-40-00_for publication 5
Protocol (for publication) D4_Patient facing document_diary 1
Recruitment arrangements (for publication) K1_Recruitment arrangements 1
Subject information and informed consent form (for publication) L1_SIS and ICF_IT for publication 2
Subject information and informed consent form (for publication) L2_Privacy ICF_IT 1
Subject information and informed consent form (for publication) L3_GP Letter_IT 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Ivermectina Giuliani 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Scabiacid 1
Synopsis of the protocol (for publication) D1_Protocol synopsis_2024-520348-40-00 IT_for publication 5

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-04-04 Italy Acceptable
2025-07-07
2025-07-08