A randomized controlled trial evaluating the efficacy and safety of a MYCOFUNGI CREAM in patients with skin mycoses
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Antimicrobial and Biocontrol Agents Unit, Faculty of Science, LPMPS, University of Yaounde 1, Yaoundé, Cameroon
Drug Discovery and Development Research Unit, Laboratoire Roger Ducos, PO Box 20133 Yaounde, Cameroon
Department of Biochemistry, Faculty of Science, University of Bamenda, PO Box 39, Bambili, Cameroon
Elig-Essono Sub-divisional Medical Center, Elig-Essono, Yaounde, Cameroon
National Multi-sector Program to Combat Maternal, Newborn and Child Mortality (PLMI), Ministry of Public Health, Yaounde, Cameroon
Laboratory of Public Health Biotechnology, University of Yaoundé 1, Yaounde, Cameroon
Patrick Valere Tsouh Fokou   

Antimicrobial and Biocontrol Agents Unit, Faculty of Science, LPMPS, University of Yaounde 1, Yaoundé, Bambili, Cameroon
Introduction and objective:
Skin mycoses is a neglected condition with low quality of life and morbidity that primarily affects school-aged children in developing nations. Current treatment options have considerable limits, emphasizing the critical need for alternative therapies. The purpose of this clinical trial was to evaluate the potential benefit of Mycofungi cream in individuals with superficial fungal skin infection disorders.

Material and methods:
Patients with cutaneous mycoses ranging in age from 2–65 years were randomly assigned to either Mycofungi (Syzygium aromaticum (L.) Merr.) cream or Terbinafine creams. Within a four-week follow-up, the rates of cure or improvement were compared between the two groups. An incidental side-effect was also noted.

A total of 256 individuals with skin mycoses were preliminarily screened, and 80 eligible participants enrolled and randomly assigned to the Mycofungi (n=40) or Terbinafine (n=40) groups. Overall, 92.5% (37/40) of patients with cutaneous mycoses were asymptomatic or had improved condition following Mycofungi application at the final follow-up appointment. After four weeks of treatment, the clinical cure rate was high and nearly identical in the two groups: 80% in the Mycofungi group and 85% in the Terbinafine group. Both terbinafine and mycofungy were well tolerated.

The efficacy of Mycofungi cream (S. aromaticum) in treating or reducing the severity of skin mycoses was proven in this clinical trial. Nonetheless, additional detailed experiments are needed to reach a conclusion on the efficacy of Mycofungi.

The authors thank all participants for their cooperation. We also thank Dr Bita Gertrude, the then Director of the Elig-Essono Sub-divisional Medical Center, Yaounde, Cameroon, for granting authorization to conduct the study.
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