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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01407068
Registration number
NCT01407068
Ethics application status
Date submitted
29/07/2011
Date registered
1/08/2011
Date last updated
5/10/2017
Titles & IDs
Public title
Administration of Two Injections for Multiple Dupuytren's Contractures
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Scientific title
An Open-label Study to Assess the Safety and Efficacy of Concurrent Administration of Two Injections of AA4500 0.58 mg Into the Same Hand of Subjects With Multiple Dupuytren's Contractures
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Secondary ID [1]
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AUX-CC-864
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Dupuytren's Contracture
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Condition category
Condition code
Human Genetics and Inherited Disorders
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Other human genetics and inherited disorders
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Musculoskeletal
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Other muscular and skeletal disorders
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Skin
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Other skin conditions
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - AA4500 collagenase clostridium histolyticum
Experimental: AA4500 - AA4500 collagenase clostridium histolyticum
Treatment: Other: AA4500 collagenase clostridium histolyticum
2 concurrent injections (0.58 mg) into 2 cords on the same hand
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Intervention code [1]
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Treatment: Other
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Percent Change From Baseline in Total Fixed Flexion
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Assessment method [1]
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Total fixed flexion is defined as the sum of the fixed flexion contractures of the two joints receiving treatment. Change in fixed-flexion contracture is measured in degrees where a decrease of 100% would correspond to a reduction in contracture to 0 degrees
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Timepoint [1]
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30 days after last injection
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Primary outcome [2]
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Change in Total Range of Motion
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Assessment method [2]
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The total range of motion is the sum of the range of motion measurements of the two treated joints. Range of motion is defined as difference between full flexion angle and full extension angle expressed in degrees.
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Timepoint [2]
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30 days after last injection
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Secondary outcome [1]
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Subject Satisfaction With Treatment
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Assessment method [1]
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At the Day 60 follow-up visit, each subject will be asked to rate his/her satisfaction with treatment as follows:
1. Very Satisfied
2. Quite Satisfied
3. Neither Satisfied nor Dissatisfied
4. Quite Dissatisfied
5. Very Dissatisfied
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Timepoint [1]
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60 days after last injection
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Secondary outcome [2]
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Investigator Assessment of Improvement With Treatment
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Assessment method [2]
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At the Day 60 follow-up visit, the investigator will determine the degree of improvement in the severity of the subject's treated finger(s) compared with screening as follows:
1. Very Much Improved
2. Much improved
3. Minimally Improved
4. No Change
5. Minimally Worse
6. Much Worse
7. Very Much Worse
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Timepoint [2]
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60 days after last injection
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Secondary outcome [3]
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Clinical Success by Joint Type
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Assessment method [3]
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Clinical success is defined as a reduction in fixed flexion contracture to 5° or less 30 days after injection of AA4500.
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Timepoint [3]
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30 days after injection
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Eligibility
Key inclusion criteria
1. Provide written informed consent
2. Be a man or woman = 18 years of age
3. Have a diagnosis of Dupuytren's disease and have at least 2 fixed-flexion contractures on the same hand that are = 20º in PIP and/or MP joints in fingers, other than the thumbs, which are caused by palpable cords suitable for treatment
4. Have a positive "table top test" defined as the inability to simultaneously place the affected finger(s) and palm flat against a table top
5. Either be using an accepted method of birth control (ie, surgical sterilization; intra uterine contraceptive device; oral contraceptive; diaphragm or condom in combination with contraceptive cream, or jelly or foam) and have negative pregnancy testing before administration of AA4500, if a female of childbearing potential, or be a postmenopausal female (no menses for at least 1 year or hysterectomy)
6. Not have any clinically significant medical history or condition(s) that would, in the opinion of the investigator, substantially increase the risk associated with the subject's participation in the protocol or compromise the scientific objectives of the study
7. Be able to comply with the study visit schedule as specified in the protocol
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Received surgery (fasciectomy or surgical fasciotomy) and/or needle aponeurotomy/fasciotomy on the selected joints to be treated within 90 days before the first injection of AA4500
2. Has a chronic muscular, neurological, or neuromuscular disorder that affects the hands
3. Has a known systemic allergy to collagenase or any other excipient of AA4500
4. Has received any collagenase treatments (eg, Santyl® ointment and/or XIAFLEX/XIAPEX) within 30 days before injection of AA4500
5. Is currently receiving or plans to receive anticoagulant medication or has received anticoagulant medication (except for = 150 mg aspirin daily and over-the-counter nonsteroidal anti-inflammatory drugs [NSAIDs]) within 7 days before injection of AA4500)
6. Has a known recent history of stroke, bleeding, or other medical condition, which in the investigator's opinion would make the subject unsuitable for enrollment in the study
7. Is known to be immunocompromised or human immunodeficiency virus (HIV) positive
8. Has a history of illicit drug abuse or alcoholism within the year before injection of AA4500
9. Received an investigational drug within 30 days before injection of AA4500
10. Is a pregnant or lactating female
11. Has any clinically significant medical history or condition(s), including conditions that affect the hands, that would, in the opinion of the investigator, substantially increase the risk associated with the subject's participation in the protocol or compromise the scientific objectives of the study
12. Has jewelry on the hand to be treated that cannot be removed
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/09/2011
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/02/2012
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Sample size
Target
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Accrual to date
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Final
60
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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AusTrials - Auchenflower
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Recruitment hospital [2]
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AusTrials - Kippa Ring
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Recruitment hospital [3]
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Emeritus Research - Malvern
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Recruitment postcode(s) [1]
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QLD 4067 - Auchenflower
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Recruitment postcode(s) [2]
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QLD4066 - Auchenflower
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Recruitment postcode(s) [3]
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QLD 4020 - Kippa Ring
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Recruitment postcode(s) [4]
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VIC 3144 - Malvern
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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Arizona
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Country [2]
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United States of America
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State/province [2]
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Indiana
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Country [3]
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United States of America
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State/province [3]
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New York
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Country [4]
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United States of America
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State/province [4]
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Oklahoma
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Endo Pharmaceuticals
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The objectives of this study are to assess the safety and efficacy of concurrent administration of two injections of AA4500 into the same hand of subjects with multiple Dupuytren's contractures caused by palpable cords.
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Trial website
https://clinicaltrials.gov/study/NCT01407068
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Veronica Urdaneta, MD, MPPH
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Address
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Endo Pharmaceuticals
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT01407068
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