NCT01498640

Brief Summary

The objectives of this study are to assess the safety and efficacy of AA4500 in the retreatment of recurrent contractures in joints that were effectively treated with AA4500 in a previous Auxilium-sponsored Phase 3 study.

Trial Health

90
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
52

participants targeted

Target at P25-P50 for phase_4

Timeline
Completed

Started Mar 2012

Geographic Reach
4 countries

13 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

December 17, 2011

Completed
6 days until next milestone

First Posted

Study publicly available on registry

December 23, 2011

Completed
2 months until next milestone

Study Start

First participant enrolled

March 1, 2012

Completed
1.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2013

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2013

Completed
1.4 years until next milestone

Results Posted

Study results publicly available

February 20, 2015

Completed
Last Updated

October 5, 2017

Status Verified

September 1, 2017

Enrollment Period

1.6 years

First QC Date

December 17, 2011

Results QC Date

February 4, 2015

Last Update Submit

September 7, 2017

Conditions

Keywords

XIAFLEXXIAPEXDupuytren's diseasecontracture

Outcome Measures

Primary Outcomes (3)

  • Clinical Success

    Clinical success defined as reduction in fixed-flexion contracture to less than or equal to 5 degrees 30 days after the last injection of AA4500

    30 days after last injection

  • Percent Change From Baseline in Degree of Contracture

    Change in fixed-flection contracture measured in degrees where a decrease of 100% would correspond to a reduction in contracture to 0 degrees

    Baseline and 30 days after last injection

  • Change in Range of Motion

    Range of motion defined as difference between full flexion angle and full extension angle expressed in degrees

    Baseline and 30 days after last injection

Secondary Outcomes (3)

  • Physician Global Assessment of Improvement

    30 days after last injection

  • Subject Global Assessment of Satisfaction

    30 days after last injection

  • Recurrence of Contracture

    Day 365

Study Arms (2)

XIAFLEX/XIAPEX MP Joint

EXPERIMENTAL

Up to 3 injections of collagenase clostridium histolyticum 0.58 mg in the metacarpophalangeal (MP) joint cord

Biological: Collagenase clostridium histolyticum

XIAFLEX/XIAPEX PIP Joint

EXPERIMENTAL

Up to 3 injections of collagenase clostridium histolyticum 0.58 mg in the proximal interphalangeal (PIP) joint cord

Biological: Collagenase clostridium histolyticum

Interventions

up to three 0.58 mg injections

Also known as: XIAFLEX, XIAPEX, AA4500
XIAFLEX/XIAPEX MP JointXIAFLEX/XIAPEX PIP Joint

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Provide written informed consent
  • Be currently participating in the AUX-CC-860 follow-up study
  • Have at least one joint with all of the following:
  • The joint was effectively treated (had a correction to 5 degrees or less at the Day 30 evaluation after the last injection of AA4500) in a previous Auxilium Phase 3 study
  • The effectively treated joint has an increase in contracture of at least 20 degrees compared with the Day 30 value after the last injection of AA4500 in a previous Auxilium Phase 3 study
  • A palpable cord is present in the joint to be treated
  • Be able to comply with the study visit schedule as specified in the protocol

You may not qualify if:

  • Is a pregnant or lactating female or female intending to become pregnant during the study
  • Has hypersensitivity to AA4500 or any of the AA4500 excipients
  • Is currently receiving or plans to receive anticoagulant medication or has received anticoagulant medication (except for equal to or less than 150 mg aspirin daily and over-the-counter nonsteroidal antiinflammatory drugs \[NSAIDs\]) within 7 days before injection of AA4500

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (13)

HOPE Research Institute

Phoenix, Arizona, 85050, United States

Location

Rockford Orthopedic Associates

Rockford, Illinois, 61107, United States

Location

The Indiana Hand to Shoulder Center

Indianapolis, Indiana, 46260, United States

Location

Marquette General Health System

Marquette, Michigan, 49855, United States

Location

East River Professional Building

New York, New York, 10021, United States

Location

Health Reserarch Institute

Oklahoma City, Oklahoma, 73109, United States

Location

Hand Microsurgery and Reconstructive Orthopaedics

Erie, Pennsylvania, 16507, United States

Location

Peninsula Private Hospital

Kippa-Ring, Queensland, 4021, Australia

Location

AusTrials Sherwood

Sherwood, Queensland, 4075, Australia

Location

Emeritus Research

Malvern East, Victoria, 3145, Australia

Location

Uppsala Akademiska University Hospital

Uppsala, SE, SE-751, Sweden

Location

Pulvertaft Hand Center

Derby, GB, DE22 3NE, United Kingdom

Location

Newcastle Upon Tyne Hospitals

Newcastle, GB, NE1 4LP, United Kingdom

Location

MeSH Terms

Conditions

Dupuytren ContractureContracture

Interventions

Microbial Collagenasexiapex

Condition Hierarchy (Ancestors)

FibromaNeoplasms, Fibrous TissueNeoplasms, Connective TissueNeoplasms, Connective and Soft TissueNeoplasms by Histologic TypeNeoplasmsMuscular DiseasesMusculoskeletal DiseasesConnective Tissue DiseasesSkin and Connective Tissue DiseasesJoint Diseases

Intervention Hierarchy (Ancestors)

CollagenasesMetalloendopeptidasesEndopeptidasesPeptide HydrolasesHydrolasesEnzymesEnzymes and CoenzymesMetalloproteases

Results Point of Contact

Title
Clinical Trial Coordinator
Organization
Endo Pharmaceuticals, Inc.

Study Officials

  • Veronica Urdaneta, MD, MPPH

    Endo Pharmaceuticals

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 4
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 17, 2011

First Posted

December 23, 2011

Study Start

March 1, 2012

Primary Completion

October 1, 2013

Study Completion

October 1, 2013

Last Updated

October 5, 2017

Results First Posted

February 20, 2015

Record last verified: 2017-09

Locations