Safety and Efficacy Study of AA4500 (XIAFLEX™, Proposed Name) in the Treatment of Advanced Dupuytren's Disease

NCT ID: NCT00528840

Last Updated: 2017-12-02

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

201 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-10-31

Study Completion Date

2008-10-31

Brief Summary

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This was a Phase 3, 9-month, open-label study conducted in the United States. Subjects with a diagnosis of advanced Dupuytren's disease 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 evaluation and injection were enrolled.

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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Advanced Dupuytren's Disease

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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AA4500 0.58 mg

Group Type EXPERIMENTAL

collagenase clostridium histolyticum

Intervention Type BIOLOGICAL

Up to five injections of AA4500 into cord(s) of the affected hand(s). Each injection was separated by at least 30 days.

Interventions

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collagenase clostridium histolyticum

Up to five injections of AA4500 into cord(s) of the affected hand(s). Each injection was separated by at least 30 days.

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 advanced Dupuytren's disease, 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.
* Had a positive "table top test," defined as the inability to simultaneously place the affected finger(s) and palm flat against a table top.
* Were naïve to AA4500 treatment or had received one or two injections of AA4500 for the treatment of advanced Dupuytren's disease in Auxilium Studies AUX-CC-851, AUX-CC-853, or AUX-CC-855.
* Were judged to be in good health.

Exclusion Criteria

* Had a chronic muscular, neurological, or neuromuscular disorder that affected the hands.
* Had received treatment for advanced Dupuytren's disease within 90 days of enrollment on the joint selected for the initial injection of AA4500, including surgery (fasciectomy or surgical fasciotomy), needle aponeurotomy/fasciotomy, or injection of verapamil and/or interferon.
* 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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Hope Research Institute

Phoenix, Arizona, United States

Site Status

Tucson Orthopedic Institute, P.C.

Tucson, Arizona, United States

Site Status

Providence Clinical Research

Burbank, California, United States

Site Status

Southern Illinois Hand Center, S.C.

Effingham, Illinois, United States

Site Status

Rockford Orthopedic Associates, Ltd.

Rockford, Illinois, United States

Site Status

The Indiana Hand Center

Indianapolis, Indiana, United States

Site Status

Pri Via

Wichita, Kansas, United States

Site Status

St. Alexius Medical Center

Bismarck, North Dakota, United States

Site Status

David R. Mandel, Inc.

Mayfield, Ohio, United States

Site Status

St. Vincent Medical Center

Portland, Oregon, United States

Site Status

Hamot Center for Clinical Research

Erie, Pennsylvania, United States

Site Status

Alpha Clinical Research

Clarksville, Tennessee, United States

Site Status

The Rheumatic Disease Clinic of Houston

Houston, Texas, United States

Site Status

Accurate Clincal Research

Houston, Texas, United States

Site Status

Countries

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United States

Related Links

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Other Identifiers

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AUX-CC-856

Identifier Type: -

Identifier Source: org_study_id