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An open-label study of safety and effectiveness of EN3835 in the treatment of cellulite in adult women.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| EN3835 Active | Experimental | EN3835 0.84mg (Collagenase Clostridium Histolyticum) |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Collagenase Clostridium Histolyticum | Biological | During 3 treatment visits 12 injections will be given per treatment area |
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| Measure | Description | Time Frame |
|---|---|---|
| Investigator Clinician-Reported Photonumeric Cellulite Severity Scale (CR-PCSS) 2-level Responders | Percentage of responders defined as participants with an improvement in cellulite severity from baseline of at least 2-levels of severity of at least one buttock (left or right) on the Investigator-rated Clinician-Reported Photonumeric Cellulite Severity Scale (CR-PCSS) with ratings ranging from "0" (None) to "4" (Severe). A 2-level responder is a participant with a reduction in severity of at least 2-levels from Baseline at that particular visit. Number of participants analyzed is determined by observed participants at each visit. | Day 22, 43, 90, and 180 |
| Measure | Description | Time Frame |
|---|---|---|
| Investigator Clinician-Reported Photonumeric Cellulite Severity Scale (CR-PCSS) 1-level Responders | Percentage of responders defined as participants with an improvement in cellulite severity from baseline of at least 1-level of severity of at least one buttock (left or right) on the Investigator-rated Clinician-Reported Photonumeric Cellulite Severity Scale (CR-PCSS) with ratings ranging from "0" (None) to "4" (Severe). A 1-level responder is a participant with a reduction in severity of at least 1-level from Baseline at that particular visit. Percentages are based on the observed counts. Number of participants analyzed is determined by observed participants at each visit. |
| Measure | Description | Time Frame |
|---|---|---|
| Overall Anti-AUX-I Serum Antibody by Visit | Percent of participants that are seropositive. Descriptive statistics were based on log10 transformation of titer levels. Percentages were based on the number of subjects who had immunogenicity lab samples drawn at the visit. Overall number of participants analyzed is determined by the number of participants in the study. At each visit, the number of participants analyzed is determined by observed participants that had a seropositive sample. |
Inclusion Criteria:
Voluntarily sign and date an informed consent agreement
Be a female ≥18 years of age
At Screening visit, have at least 2 bilateral quadrants with each quadrant having:
At Day 1 visit, have assigned bilateral quadrants with each quadrant having:
Be willing to apply sunscreen to the assigned treatment quadrants before each exposure to the sun while participating in the study (i.e., Screening through end of study)
Be judged to be in good health, based upon the results of a medical history, physical examination, and laboratory profile at Screening
Have a negative serum pregnancy test at Screening and a negative urine pregnancy test before injection of study drug and be using a stable and effective contraception method (e.g., abstinence, intrauterine device [IUD], hormonal [estrogen/progestin] contraceptives, or double barrier method) for at least 1 menstrual cycle prior to study enrollment and for the duration of the study; or be menopausal defined as 12 months of amenorrhea in the absence of other biological or physiological causes, as determined by the Investigator; or post-menopausal for at least 1 year; or be surgically sterile
Be willing and able to cooperate with the requirements of the study
Be able to read, complete and understand the patient-reported outcomes rating instruments in English
Exclusion Criteria:
Has any of the following systemic conditions:
Has any of the following local conditions in the area to be treated:
Requires the following concomitant medications before or during participation in the trial:
a. Anticoagulant or antiplatelet medication or has received anticoagulant or antiplatelet medication (except for ≤150 mg aspirin daily) within 7 days before injection of study drug
Has used any of the following for the treatment of EFP on the legs or buttock within the timelines identified below or intends to use any of the following at any time during the course of the study:
Is presently nursing or providing breast milk
Intends to become pregnant during the study
Intends to initiate an intensive sport or exercise program during the study
Intends to initiate a weight reduction program during the study
Intends to use tanning spray or tanning booths during the study
Has received an investigational drug or treatment within 30 days before injection of study drug
Has a known systemic allergy to collagenase or any other excipient of study drug
Has received any collagenase treatments at any time prior to treatment
Was a subject in a previous cellulite clinical trial of collagenase clostridium histolyticum (CCH) : AUX-CC-830, AUX-CC-831, EN3835-102, EN3835-104, EN3835-201, and/or EN3835-202
Any other condition(s) that, in the Investigator's opinion, might indicate the subject to be unsuitable for the study.
Female birth gender
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| Name | Affiliation | Role |
|---|---|---|
| Mike McLane, PhD | Endo USA Inc., a Keenova Therapeutics Company | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Endo Clinical Trial Site #1 | Scottsdale | Arizona | 85258 | United States | ||
| Endo Clinical Trial Site #2 |
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| ID | Title | Description |
|---|---|---|
| FG000 | Collagenase Clostridium Histolyticum (CCH) | 12 injections of CCH (Collagenase Clostridium Histolyticum) were administered per treatment area at each treatment visit during 3 visits. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Aug 31, 2017 | Aug 25, 2020 |
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| Day 22, 43, 90, and 180 |
| Subject Satisfaction With Cellulite Treatment Assessment at End of Study | At Day 180, participants rated their satisfaction with cellulite treatment using the 5-point subject satisfaction scale. Ratings range from Very Satisfied with Treatment (2), Satisfied with Treatment (1), Neither Dissatisfied nor Satisfied with Treatment (0), Dissatisfied with Treatment (-1), and Very Dissatisfied with Treatment (-2). Percentages are based on the observed counts. | Day 180 |
| Day 1 to Day 180 |
| Overall Anti-AUX-I Antibody Log Titer Levels by Visit | Descriptive statistics were based on log10 transformation of titer levels. Overall number of participants analyzed is determined by the number of participants in the study. At each visit, the number of participants analyzed is determined by observed participants that had a seropositive sample. | Day 1 to Day 180 |
| Overall Anti-AUX-II Serum Antibody by Visit | Percent of participants that are seropositive. Descriptive statistics were based on log10 transformation of titer levels. Percentages were based on the number of subjects who had immunogenicity lab samples drawn at the visit. Overall number of participants analyzed is determined by the number of participants in the study. At each visit, the number of participants analyzed is determined by observed participants that had a seropositive sample. | Day 1 to Day 180 |
| Overall Anti-AUX-II Antibody Log Titer Levels by Visit | Descriptive statistics were based on log10 transformation of titer levels. Overall number of participants analyzed is determined by the number of participants in the study. At each visit, the number of participants analyzed is determined by observed participants that had a seropositive sample. | Day 1 to Day 180 |
| Anti-AUX-I Neutralizing Antibodies by Visit | A subset of all CCH Treated participants who had positive binding antibody titer levels were tested for the presence or absence of Neutralizing Antibodies. Overall Number of Participants Analyzed is determined by the number of participants in the highest and lowest quartiles at Day 90 (Q1 and Q4) of seropositive participants at each of two visits (Day 90 and Day 180). | Day 1 to Day 180 |
| Anti-AUX-II Neutralizing Antibodies by Visit | A subset of all CCH Treated participants who had positive binding antibody titer levels were tested for the presence or absence of Neutralizing Antibodies. Overall Number of Participants Analyzed is determined by the number of participants in the study. Number of Participants Analyzed is determined by observed participants that had a seropositive sample at each visit and the antibody level at Day 71 in Q1 and Q4. | Day 1 to Day 180 |
| Huntington Beach |
| California |
| 92647 |
| United States |
| Endo Clinical Trial Site #3 | San Diego | California | 92121 | United States |
| Endo Clinical Trial Site #4 | Santa Monica | California | 90404 | United States |
| Endo Clinical Trial Site #5 | Coral Gables | Florida | 33146 | United States |
| Endo Clinical Trial Site #6 | Tampa | Florida | 33626 | United States |
| Endo Clinical Trial Site #7 | West Palm Beach | Florida | 33401 | United States |
| Endo Clinical Trial Site #8 | Alpharetta | Georgia | 30022 | United States |
| Endo Clinical Trial Site #9 | New York | New York | 10003 | United States |
| Endo Clinical Trial Site #10 | Franklin | Tennessee | 37067 | United States |
| Endo Clinical Trial Site #11 | Austin | Texas | 78746 | United States |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | Collagenase Clostridium Histolyticum (CCH) | 12 injections of CCH (Collagenase Clostridium Histolyticum) were administered per treatment area at each treatment visit during 3 visits. |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| Body Mass Index (BMI) | Mean | Standard Deviation | kg/m^2 |
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| Skin Category (Fitzpatrick Scale) | Count of Participants | Participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Investigator Clinician-Reported Photonumeric Cellulite Severity Scale (CR-PCSS) 2-level Responders | Percentage of responders defined as participants with an improvement in cellulite severity from baseline of at least 2-levels of severity of at least one buttock (left or right) on the Investigator-rated Clinician-Reported Photonumeric Cellulite Severity Scale (CR-PCSS) with ratings ranging from "0" (None) to "4" (Severe). A 2-level responder is a participant with a reduction in severity of at least 2-levels from Baseline at that particular visit. Number of participants analyzed is determined by observed participants at each visit. | Effectiveness Population | Posted | Count of Participants | Participants | Day 22, 43, 90, and 180 |
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| Secondary | Investigator Clinician-Reported Photonumeric Cellulite Severity Scale (CR-PCSS) 1-level Responders | Percentage of responders defined as participants with an improvement in cellulite severity from baseline of at least 1-level of severity of at least one buttock (left or right) on the Investigator-rated Clinician-Reported Photonumeric Cellulite Severity Scale (CR-PCSS) with ratings ranging from "0" (None) to "4" (Severe). A 1-level responder is a participant with a reduction in severity of at least 1-level from Baseline at that particular visit. Percentages are based on the observed counts. Number of participants analyzed is determined by observed participants at each visit. | Effectiveness Population | Posted | Count of Participants | Participants | Day 22, 43, 90, and 180 |
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| Secondary | Subject Satisfaction With Cellulite Treatment Assessment at End of Study | At Day 180, participants rated their satisfaction with cellulite treatment using the 5-point subject satisfaction scale. Ratings range from Very Satisfied with Treatment (2), Satisfied with Treatment (1), Neither Dissatisfied nor Satisfied with Treatment (0), Dissatisfied with Treatment (-1), and Very Dissatisfied with Treatment (-2). Percentages are based on the observed counts. | Overall number of participants analyzed is the number participants in effectiveness population at Day 180. | Posted | Count of Participants | Participants | Day 180 |
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| Other Pre-specified | Overall Anti-AUX-I Serum Antibody by Visit | Percent of participants that are seropositive. Descriptive statistics were based on log10 transformation of titer levels. Percentages were based on the number of subjects who had immunogenicity lab samples drawn at the visit. Overall number of participants analyzed is determined by the number of participants in the study. At each visit, the number of participants analyzed is determined by observed participants that had a seropositive sample. | Safety Population | Posted | Count of Participants | Participants | Day 1 to Day 180 |
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| Other Pre-specified | Overall Anti-AUX-I Antibody Log Titer Levels by Visit | Descriptive statistics were based on log10 transformation of titer levels. Overall number of participants analyzed is determined by the number of participants in the study. At each visit, the number of participants analyzed is determined by observed participants that had a seropositive sample. | Safety Population | Posted | Mean | Standard Deviation | log 10 titer | Day 1 to Day 180 |
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| Other Pre-specified | Overall Anti-AUX-II Serum Antibody by Visit | Percent of participants that are seropositive. Descriptive statistics were based on log10 transformation of titer levels. Percentages were based on the number of subjects who had immunogenicity lab samples drawn at the visit. Overall number of participants analyzed is determined by the number of participants in the study. At each visit, the number of participants analyzed is determined by observed participants that had a seropositive sample. | Safety Population | Posted | Count of Participants | Participants | Day 1 to Day 180 |
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| Other Pre-specified | Overall Anti-AUX-II Antibody Log Titer Levels by Visit | Descriptive statistics were based on log10 transformation of titer levels. Overall number of participants analyzed is determined by the number of participants in the study. At each visit, the number of participants analyzed is determined by observed participants that had a seropositive sample. | Safety Population | Posted | Mean | Standard Deviation | log 10 titer | Day 1 to Day 180 |
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| Other Pre-specified | Anti-AUX-I Neutralizing Antibodies by Visit | A subset of all CCH Treated participants who had positive binding antibody titer levels were tested for the presence or absence of Neutralizing Antibodies. Overall Number of Participants Analyzed is determined by the number of participants in the highest and lowest quartiles at Day 90 (Q1 and Q4) of seropositive participants at each of two visits (Day 90 and Day 180). | Safety Population | Posted | Count of Participants | Participants | Day 1 to Day 180 |
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| Other Pre-specified | Anti-AUX-II Neutralizing Antibodies by Visit | A subset of all CCH Treated participants who had positive binding antibody titer levels were tested for the presence or absence of Neutralizing Antibodies. Overall Number of Participants Analyzed is determined by the number of participants in the study. Number of Participants Analyzed is determined by observed participants that had a seropositive sample at each visit and the antibody level at Day 71 in Q1 and Q4. | Safety Population | Posted | Count of Participants | Participants | Day 1 to Day 180 |
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All (serious and non-serious) AEs, from Day 1 up to Day 180
All (serious and nonserious) AEs, whether elicited or observed during study visits or spontaneously reported by the participant, including events that occurred from the time the participant signed the study-specific consent form until completion of or discharge from the study.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Collagenase Clostridium Histolyticum (CCH) | EN3835 0.84mg (Collagenase Clostridium Histolyticum) Collagenase Clostridium Histolyticum: During 3 treatment visits 12 injections is given per treatment area | 0 | 158 | 1 | 158 | 158 | 158 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Chronic obstructive pulmonary disease | Respiratory, thoracic and mediastinal disorders | MedDRA Version 19 | Systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Injection site bruising | General disorders | MedDRA Version 19 | Systematic Assessment |
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| Injection site pain | General disorders | MedDRA Version 19 | Systematic Assessment |
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| Injection site swelling | General disorders | MedDRA Version 19 | Systematic Assessment |
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| Injection site pruritus | General disorders | MedDRA Version 19 | Systematic Assessment |
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| Injection site discolouration | General disorders | MedDRA Version 19 | Systematic Assessment |
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| Injection site nodule | General disorders | MedDRA Version 19 | Systematic Assessment |
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| Injection site warmth | General disorders | MedDRA Version 19 | Systematic Assessment |
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| Injection site haemorrhage | General disorders | MedDRA Version 19 | Systematic Assessment |
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| Injection site mass | General disorders | MedDRA Version 19 | Systematic Assessment |
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| Hemosiderin stain | Skin and subcutaneous tissue disorders | MedDRA Version 19 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Saji Vijayan, MBBS | Endo Pharmaceuticals | 800-462-3636 | ClinicalTrials@Endo.com |
| Prot_001.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Aug 30, 2018 | Aug 25, 2020 | SAP_002.pdf |
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| ID | Term |
|---|---|
| D000071697 | Cellulite |
| ID | Term |
|---|---|
| D012877 | Skin Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D003012 | Microbial Collagenase |
| ID | Term |
|---|---|
| D017364 | Collagenases |
| D008666 | Metalloendopeptidases |
| D010450 | Endopeptidases |
| D010447 | Peptide Hydrolases |
| D006867 | Hydrolases |
| D004798 | Enzymes |
| D045762 | Enzymes and Coenzymes |
| D045726 | Metalloproteases |
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| Unknown or Not Reported |
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| Native Hawaiian or Other Pacific Islander |
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| Black or African American |
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| White |
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| More than one race |
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| Unknown or Not Reported |
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| III (Darker White) |
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| IV (Light Brown) |
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| V (Brown) |
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| VI (Dark Brown) |
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| At Least One of two areas (Left & Right): Day 43 |
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| At Least One of two areas (Left & Right): Day 90 |
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| At Least One of two areas (Left & Right): Day 180 |
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