AA4500 (XIAFLEX™, Proposed Name) in the Treatment of Dupuytren's Contracture

NCT ID: NCT00528606

Last Updated: 2017-12-02

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

308 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-08-31

Study Completion Date

2008-04-30

Brief Summary

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This was a Phase 3, double-blind, randomized, placebo-controlled study conducted in the United States. Subjects with a diagnosis of Dupuytren's contracture in a metacarpophalangeal (MP) or proximal interphalangeal (PIP) joint that resulted in a fixed flexion deformity of at least one finger, other than the thumb, that was at least 20° as measured by finger goniometry and was suitable for injection were randomized 2:1 to receive AA4500 0.58 mg or placebo.

This study was designed to be part of the larger clinical program, for adult patients with Dupuytren's contracture with a palpable cord, where the data from 2 pivotal Placebo-Controlled studies (AUX-CC-857 (NCT00528606) and AUX-CC-859 (NCT00533273)) and 7 non-pivotal studies were evaluated.

Detailed Description

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Conditions

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Dupuytren's Contracture

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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AA4500 0.58 mg

Group Type EXPERIMENTAL

collagenase clostridium histolyticum

Intervention Type BIOLOGICAL

Subjects could have received up to three injections of AA4500 into the cord of the affected hand. Each injection was separated by at least 30 days. Individual cords may have received up to a maximum of three injections.

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

Subjects could have received up to three injections of placebo into the cord of the affected hand. Each injection was separated by at least 30 days. Individual cords may have received up to a maximum of three injections.

Interventions

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collagenase clostridium histolyticum

Subjects could have received up to three injections of AA4500 into the cord of the affected hand. Each injection was separated by at least 30 days. Individual cords may have received up to a maximum of three injections.

Intervention Type BIOLOGICAL

Placebo

Subjects could have received up to three injections of placebo into the cord of the affected hand. Each injection was separated by at least 30 days. Individual cords may have received up to a maximum of three injections.

Intervention Type BIOLOGICAL

Other Intervention Names

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XIAFLEX® AA4500

Eligibility Criteria

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Inclusion Criteria

* Subjects with a diagnosis of Dupuytren's contracture, with a fixed flexion deformity of at least one finger, other than the thumb, that had a contracture at least 20°, but not greater than 100°, for MP (80° for PIP) joints, caused by a palpable cord that had never been treated with AA4500.
* Had a positive "table top test," defined as the inability to simultaneously place the affected finger(s) and palm flat against a table top.
* Judged to be in good health.

Exclusion Criteria

* Had a chronic muscular, neurological, or neuromuscular disorder that affected the hands.
* Had received a treatment for Dupuytren's contracture, including surgery (fasciectomy or surgical fasciotomy), needle aponeurotomy/fasciotomy, or injection of verapamil and/or interferon on the selected primary joint within 90 days before the first dose of study drug.
* Had a known recent history of stroke, bleeding, a disease process that affected the hands, or other medical condition, which in the investigator's opinion, would make the subject unsuitable for enrollment in the study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Endo Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Veronica Urdaneta, MD

Role: STUDY_DIRECTOR

Endo Pharmaceuticals

Locations

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100 UCLA Medical Plaza, Suite 305

Los Angeles, California, United States

Site Status

Hand Surgery Clinic

Palo Alto, California, United States

Site Status

Hand Surgery Associates, PC

Denver, Colorado, United States

Site Status

The Hand and Upper Extremity Center of Georgia, P.C.

Atlanta, Georgia, United States

Site Status

Rockford Orthopedic Associates, Ltd.

Rockford, Illinois, United States

Site Status

The Indiana Hand Center

Indianapolis, Indiana, United States

Site Status

Brigham and Women's Hospital, Department of Orthopedic Surgery

Boston, Massachusetts, United States

Site Status

Newton-Wellesley Hospital

Newton, Massachusetts, United States

Site Status

TRIA Orthopaedic Center

Minneapolis, Minnesota, United States

Site Status

Hospital for Special Surgery

New York, New York, United States

Site Status

SUNY Stony Brook - Department of Orthopedics

Stony Brook, New York, United States

Site Status

Health Research Institute

Oklahoma City, Oklahoma, United States

Site Status

Hand Microsurgery & Reconstructive Orthopaedics

Erie, Pennsylvania, United States

Site Status

University Orthopedics Center

State College, Pennsylvania, United States

Site Status

Department of Orthopaedics, Brown University, Rhode Island Hospital

Providence, Rhode Island, United States

Site Status

Countries

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United States

References

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Witthaut J, Bushmakin AG, Gerber RA, Cappelleri JC, Le Graverand-Gastineau MP. Determining clinically important changes in range of motion in patients with Dupuytren's Contracture: secondary analysis of the randomized, double-blind, placebo-controlled CORD I study. Clin Drug Investig. 2011 Nov 1;31(11):791-8. doi: 10.1007/BF03256918.

Reference Type DERIVED
PMID: 21967070 (View on PubMed)

Hurst LC, Badalamente MA, Hentz VR, Hotchkiss RN, Kaplan FT, Meals RA, Smith TM, Rodzvilla J; CORD I Study Group. Injectable collagenase clostridium histolyticum for Dupuytren's contracture. N Engl J Med. 2009 Sep 3;361(10):968-79. doi: 10.1056/NEJMoa0810866.

Reference Type DERIVED
PMID: 19726771 (View on PubMed)

Related Links

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Other Identifiers

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AUX-CC-857

Identifier Type: -

Identifier Source: org_study_id