I've got US 15 feet that are quite narrow, and long pointy big toes, and pretty much the only shoes I can use are La Sportiva Mythos.
Trick is to get them well tight, because they are unlined and stretch a lot. I buy their size 45 (street shoe is closer to 49.5) and as they wear in they assume the shape of the foot. Best thing about Mythos is, they lace down to the toe, giving support for the longer, narrow foot.
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