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A Phase 3b, Open-Label Extension Study to evaluate safety and how long response of EN3835 (Collagenase Clostridium Histolyticum [CCH]-aaes) lasts in the treatment of Cellulite.
This study included participants who completed EN3835-302 (NCT03428750) or EN3835-303 (NCT03446781) double-blind parent studies. The first part of this study consisted of an observational period conducted in a blinded fashion and where no treatments were administered between Day 71 of the parent studies and Day 180 in this Open-label extension study. Once these participants were unblinded at Day 180, only participants who received active CCH-aaes in the parent studies remained in this study and those who received placebo in the parent studies were not eligible to continue in the Open-label study. Assessments made at the Day 71/(End of Study [EOS]) visit of the parent studies served as initial screening assessments for this study.
In the Open-label Phase of the study, all participants who qualified for, and opted for, retreatment were administered CCH-aaes at 3 treatment sessions at 21-day intervals.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CCH-aaes Treatment in Parent Studies (EN3835-302/303) | Experimental | Participants who received CCH-aaes treatment in EN3835-302/303 were followed for 180 days of observation with no treatment. Participants who were identified as received CCH-aaes in the parent studies following the 180-day Observation Phase and entered the Open-label Phase of the study. Participants in the Open-label Phase who qualified for, and opted for, retreatment were administered CCH-aaes up to 1.68 mg at 3 treatment sessions, at 21-day intervals. |
|
| Placebo Treatment in Parent Studies (EN3835-302/303) | Other | Participants who received placebo in the parent studies, were followed for 180 days of observation with no treatment. After Day 180, all participants who received placebo during the double-blind parent studies were discontinued. No treatment was administered. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CCH-aaes | Biological | Administered to participants who qualified for, and opted for, retreatment. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Treatment-emergent Adverse Events (TEAEs) | An adverse event (AE) was any unfavorable or unintended change in body structure (signs), body function (symptoms), laboratory result, or worsening of a pre-existing condition associated temporally with the use of the study medication whether or not considered related to the study medication. TEAEs were defined as any AEs with a start date equal to or after the date of the first injection. A summary of all Serious Adverse Events and Other Adverse Events (nonserious) regardless of causality is located in the 'Reported Adverse Events' Section. | Up to Day 1080 |
| Percentage of Participants Who Were Seropositive for Anti-Drug Antibodies (ADAs) After CCH-aaes Treatment | Serum samples were analyzed for ADAs. The percentage of participants who developed ADAs (seropositive results) during the Open-label Phase of the study are reported. | From Day 180 (Open-label Phase) up to Day 1080 |
| Measure | Description | Time Frame |
|---|---|---|
| Time to 2-Level Reduction of Response in Clinician Reported Photonumeric Cellulite Severity Scale (CR-PCSS) and Patient Reported Photonumeric Cellulite Severity Scale (PR-PCSS) | CR-PCSS and PR-PCSS assess improvement in cellulite severity using a 5-level scale ranging from "0" (None) to "4" (Severe). Time to reduction of response (days) was defined as the number of days from Screening assessment of composite improvement in cellulite severity in PR-PCSS and CR-PCSS to the time at which a 2-level composite worsening of response was observed for the first time. |
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Key Inclusion Criteria
All Participants (Through Day 180):
Key Inclusion Criteria for Participants Eligible for Retreatment:
1. Have a negative pregnancy test and using a stable and effective contraception method.
Key Exclusion Criteria
All Participants (Through Day 180):
Additional Exclusion Criteria may apply Post Day 180:
1. Has received any collagenase treatments at any time since completion of the double-blind study (EN3835-302 or EN3835-303).
Key Exclusion Criteria for Participants Eligible for Retreatment:
1. Has systemic conditions (coagulation disorders, malignancy, keloidal scar, abnormal wound healing) that restricts study participation
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| Name | Affiliation | Role |
|---|---|---|
| Karen Chajko | Endo USA Inc., a Keenova Therapeutics Company | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Endo Clinical Trial Site #3 | Glendale | Arizona | 85308 | United States | ||
| Endo Clinical Trial Site #11 |
Rollover participants from the parent studies, EN3835-302 or EN3835-303 (CCH-aaes-treated or placebo-treated) were unblinded at Day 180 (after observation phase) and only participants who received active CCH-aaes remained in this Open-label Phase of the study.
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| ID | Title | Description |
|---|---|---|
| FG000 | CCH-aaes Treatment in Parent Studies EN3835-302/303 | Participants who received CCH-aaes treatment in the parent studies were followed for 180 days of observation with no treatment. Participants who were identified as received CCH-aaes in the parent studies following the 180-day Observation Phase entered the Open-label Phase. Participants in the Open-label Phase who qualified for, and opted for, retreatment were administered CCH-aaes up to 1.68 mg at 3 treatment sessions, at 21-day intervals. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| 180 Days Observational Phase |
|
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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 | Jan 14, 2021 | Oct 7, 2022 |
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Investigators, participants, and site personnel were blinded to the treatment administered in the EN3835-302/303 parent studies until all Day 180 visit assessments were completed.
CCH-aaes retreatment in this study was provided in an open-label manner.
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| Observation | Other | No treatment administered during 180 days of observation. |
|
| From Day 180 (Open-label Observation Phase) up to Day 1080 |
| Time to 1-Level Reduction of Response in CR-PCSS and PR-PCSS | CR-PCSS and PR-PCSS assess improvement in cellulite severity using a 5-level scale ranging from "0" (None) to "4" (Severe). Time to reduction of response (days) was defined as the number of days from Screening assessment of composite improvement in cellulite severity in CR-PCSS and PR-PCSS to the time at which 1-level composite worsening of response was observed for the first time. | From Day 180 (Open-label Observation Phase) up to Day 1080 |
| Time to Complete Loss of Response in CR-PCSS and PR-PCSS | CR-PCSS and PR-PCSS assess improvement in cellulite severity using a 5-level scale ranging from "0" (None) to "4" (Severe). Complete loss of response is defined as both CR-PCSS and PR-PCSS ratings returned to the baseline severity of the double-blind study or worse for both the buttocks. Time to complete loss of response (days) was defined as the number of days from Screening assessment of composite improvement in cellulite severity in CR-PCSS and PR-PCSS to the time at which complete loss of response was observed for the first time. | From Day 180 (Open-label Observation Phase) up to Day 1080 |
| Scottsdale |
| Arizona |
| 85258 |
| United States |
| Endo Clinical Trial Site #41 | North Little Rock | Arkansas | 72116 | United States |
| Endo Clinical Trial Site #14 | Encinitas | California | 92024 | United States |
| Endo Clinical Trial Site #9 | Long Beach | California | 90806 | United States |
| Endo Clinical Trial Site #35 | Murrieta | California | 92562 | United States |
| Endo Clinical Trial Site #42 | Newport Beach | California | 92663 | United States |
| Endo Clinical Trial Site #17 | Oceanside | California | 92056 | United States |
| Endo Clinical Trial Site #39 | San Diego | California | 92121 | United States |
| Endo Clinical Trial Site #23 | Greenwood Village | Colorado | 80111 | United States |
| Endo Clinical Trial Site #38 | Boca Raton | Florida | 33486 | United States |
| Endo Clinical Trial Site #8 | Coral Gables | Florida | 33146 | United States |
| Endo Clinical Trial Site #40 | Largo | Florida | 33770 | United States |
| Endo Clinical Trial Site #27 | Miami | Florida | 33137 | United States |
| Endo Clinical Trial Site #36 | Miami | Florida | 33185 | United States |
| Endo Clinical Trial Site #20 | Snellville | Georgia | 30078 | United States |
| Endo Clinical Trial Site #19 | Meridian | Idaho | 83642 | United States |
| Endo Clinical Trial Site #34 | Chicago | Illinois | 60654 | United States |
| Endo Clinical Trial Site #30 | Indianapolis | Indiana | 46260 | United States |
| Endo Clinical Trial Site #16 | Metairie | Louisiana | 70006 | United States |
| Endo Clinical Trial Site #10 | New Orleans | Louisiana | 70115 | United States |
| Endo Clinical Trial Site #25 | New Orleans | Louisiana | 70124 | United States |
| Endo Clinical Trial Site #33 | Quincy | Massachusetts | 02169 | United States |
| Endo Clinical Trial Site #18 | Washington | Missouri | 63090 | United States |
| Endo Clinical Trial Site #4 | Omaha | Nebraska | 68144 | United States |
| Endo Clinical Trial Site #24 | Mount Kisco | New York | 10549 | United States |
| Endo Clinical Trial Site #32 | New York | New York | 10016 | United States |
| Endo Clinical Trial Site #12 | New York | New York | 10022 | United States |
| Endo Clinical Trial Site #15 | New York | New York | 10065 | United States |
| Endo Clinical Trial Site #29 | New York | New York | 10075 | United States |
| Endo Clinical Trial Site #26 | Cincinnati | Ohio | 45236 | United States |
| Endo Clinical Trial Site #5 | Nashville | Tennessee | 37215 | United States |
| Endo Clinical Trial Site #22 | Austin | Texas | 78759 | United States |
| Endo Clinical Trial Site #6 | Beaumont | Texas | 77701 | United States |
| Endo Clinical Trial Site #13 | Houston | Texas | 77056 | United States |
| Endo Clinical Trial Site #7 | Houston | Texas | 77494 | United States |
| Endo Clinical Trial Site #28 | Pflugerville | Texas | 78660 | United States |
| Endo Clinical Trial Site #21 | San Antonio | Texas | 78229 | United States |
| Endo Clinical Trial Site #37 | Sugar Land | Texas | 77497 | United States |
| Endo Clinical Trial Site #31 | Salt Lake City | Utah | 84101 | United States |
| Endo Clinical Trial Site #1 | Charlottesville | Virginia | 22911 | United States |
| Endo Clinical Trial Site #2 | Lynchburg | Virginia | 24501 | United States |
| FG001 | Placebo Treatment in Parent Studies EN3835-302/303 | Participants who received placebo in the parent studies, were followed for 180 days of observation with no treatment. After Day 180, all participants who received placebo during the double-blind parent studies were discontinued. |
| Completed Day 180 |
|
| COMPLETED | Completed 180 days of observation and consented to continue in the Open-label Phase. |
|
| NOT COMPLETED |
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| Open-label Phase |
|
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Day 180 Observation Phase Population: All rollover participants who completed the parent studies (EN3835-302 or EN3835-303) (CCH-aaes-treated or placebo-treated).
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| ID | Title | Description |
|---|---|---|
| BG000 | Overall Participants | Participants who received CCH-aaes or placebo treatment in the parent studies were followed for 180 days of observation with no treatment. Participants who were identified as received CCH-aaes in the parent studies following the 180-day Observation Phase entered the Open-label Phase. Participants in the Open-label Phase who qualified for, and opted for, retreatment were administered CCH-aaes up to 1.68 mg at 3 treatment sessions, at 21-day intervals and participants who received placebo during the parent studies were discontinued. |
| 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 |
| ||||||||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| |||||||||||||||||||||||
| Race/Ethnicity, Customized | Count of Participants | Participants |
| |||||||||||||||||||||||
| Body Mass Index (BMI) | Mean | Standard Deviation | kg/m^2 |
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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 | Number of Participants With Treatment-emergent Adverse Events (TEAEs) | An adverse event (AE) was any unfavorable or unintended change in body structure (signs), body function (symptoms), laboratory result, or worsening of a pre-existing condition associated temporally with the use of the study medication whether or not considered related to the study medication. TEAEs were defined as any AEs with a start date equal to or after the date of the first injection. A summary of all Serious Adverse Events and Other Adverse Events (nonserious) regardless of causality is located in the 'Reported Adverse Events' Section. | Day 180 Observation Phase Population included all rollover participants who completed the parent studies (EN3835-302 or EN3835-303) (CCH-aaes-treated or placebo-treated). Open-label Phase Population included participants who received CCH-aaes in the parent study and who consented to continue in the Open-label Phase of the study. Open-label CCH-aaes Retreatment Population included participants in the Open-label Phase who qualified for, and opted for, retreatment with CCH-aaes. | Posted | Count of Participants | Participants | Up to Day 1080 |
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| Primary | Percentage of Participants Who Were Seropositive for Anti-Drug Antibodies (ADAs) After CCH-aaes Treatment | Serum samples were analyzed for ADAs. The percentage of participants who developed ADAs (seropositive results) during the Open-label Phase of the study are reported. | Open-label Phase Population included participants who received CCH-aaes in the parent study and who consented to continue in the Open-label Phase of the study. Open-label CCH-aaes Retreatment Population included participants in the Open-label Phase who qualified for, and opted for, retreatment with CCH-aaes. Participants who received placebo during the parent studies did not continue in the Open-label Phase. | Posted | Number | percentage of participants | From Day 180 (Open-label Phase) up to Day 1080 |
| |||||||||||||||||||||||||||||||||||||
| Secondary | Time to 2-Level Reduction of Response in Clinician Reported Photonumeric Cellulite Severity Scale (CR-PCSS) and Patient Reported Photonumeric Cellulite Severity Scale (PR-PCSS) | CR-PCSS and PR-PCSS assess improvement in cellulite severity using a 5-level scale ranging from "0" (None) to "4" (Severe). Time to reduction of response (days) was defined as the number of days from Screening assessment of composite improvement in cellulite severity in PR-PCSS and CR-PCSS to the time at which a 2-level composite worsening of response was observed for the first time. | Participants who were treated with CCH-aaes and had a 2-level composite response in CR-PCSS and PR-PCSS in the parent studies and who consented to continue in the Open-label Phase of this study. Participants who had a 2-level reduction in response in CR-PCSS and PR-PCSS were to be assessed for time to event. | Posted | Number | days | From Day 180 (Open-label Observation Phase) up to Day 1080 |
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| Secondary | Time to 1-Level Reduction of Response in CR-PCSS and PR-PCSS | CR-PCSS and PR-PCSS assess improvement in cellulite severity using a 5-level scale ranging from "0" (None) to "4" (Severe). Time to reduction of response (days) was defined as the number of days from Screening assessment of composite improvement in cellulite severity in CR-PCSS and PR-PCSS to the time at which 1-level composite worsening of response was observed for the first time. | This assessment includes both 1-level and 2-level composite responders in the parent studies who had a 1-level reduction of response in CR-PCSS and PR-PCSS. | Posted | Mean | Standard Deviation | days | From Day 180 (Open-label Observation Phase) up to Day 1080 |
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| Secondary | Time to Complete Loss of Response in CR-PCSS and PR-PCSS | CR-PCSS and PR-PCSS assess improvement in cellulite severity using a 5-level scale ranging from "0" (None) to "4" (Severe). Complete loss of response is defined as both CR-PCSS and PR-PCSS ratings returned to the baseline severity of the double-blind study or worse for both the buttocks. Time to complete loss of response (days) was defined as the number of days from Screening assessment of composite improvement in cellulite severity in CR-PCSS and PR-PCSS to the time at which complete loss of response was observed for the first time. | This assessment includes both 1-level and 2-level composite responders in the parent studies who had complete loss of response in CR-PCSS and PR-PCSS. | Posted | Mean | Standard Deviation | days | From Day 180 (Open-label Observation Phase) up to Day 1080 |
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Up to Day 1080
Day 180 Observation Phase Population included all rollover participants who completed the parent studies (CCH-aaes-treated or placebo-treated). Open-label Phase Population included participants who received CCH-aaes in the parent study and who consented to continue in the Open-label Phase of the study. Open-label CCH-aaes Retreatment Population included participants in the Open-label Phase who qualified for, and opted for, retreatment with CCH-aaes.
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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 | Day 180 Observation Phase: CCH-aaes Treatment in Parent Studies EN3835-302/303 | Participants who received CCH-aaes in the parent studies were followed for 180 days of observation with no treatment. | 0 | 243 | 1 | 243 | 27 | 243 |
| EG001 | Day 180 Observation Phase: Placebo Treatment in Parent Studies EN3835-302/303 | Participants who received placebo in the parent studies were followed for 180 days of observation with no treatment. | 0 | 240 | 1 | 240 | 0 | 240 |
| EG002 | Open-label Phase (Prior to Retreatment) | Participants who were identified as received CCH-aaes in the parent studies following the 180-day Observation Phase and who consented to continue in the Open-label Phase of the study. | 0 | 202 | 3 | 202 | 7 | 202 |
| EG003 | Open-label CCH-aaes Retreatment Phase | Participants in the Open-label Phase who qualified for, and opted for, retreatment were administered CCH-aaes up to 1.68 mg at 3 treatment sessions, at 21-day intervals. | 0 | 55 | 3 | 55 | 31 | 55 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Meningitis viral | Infections and infestations | MedDRA 19.0 | Systematic Assessment |
| |
| Hip fracture | Injury, poisoning and procedural complications | MedDRA 19.0 | Systematic Assessment |
| |
| Diffuse large B-cell lymphoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 19.0 | Systematic Assessment |
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| Malignant melanoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 19.0 | Systematic Assessment |
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| Squamous cell carcinoma of skin | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 19.0 | Systematic Assessment |
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| Cholecystitis acute | Hepatobiliary disorders | MedDRA 19.0 | Systematic Assessment |
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| Corona virus infection | Infections and infestations | MedDRA 19.0 | Systematic Assessment |
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| Diabetic ketoacidosis | Metabolism and nutrition disorders | MedDRA 19.0 | Systematic Assessment |
| |
| Osteoarthritis | Musculoskeletal and connective tissue disorders | MedDRA 19.0 | Systematic Assessment |
| |
| Premature separation of placenta | Pregnancy, puerperium and perinatal conditions | MedDRA 19.0 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Injection site bruising | General disorders | MedDRA 19.0 | Systematic Assessment |
| |
| Injection site discolouration | General disorders | MedDRA 19.0 | Systematic Assessment |
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| Corona virus infection | Infections and infestations | MedDRA 19.0 | Systematic Assessment |
| |
| Injection site pain | General disorders | MedDRA 19.0 | Systematic Assessment |
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| Injection site pruritus | General disorders | MedDRA 19.0 | Systematic Assessment |
| |
| Injection site erythema | General disorders | MedDRA 19.0 | Systematic Assessment |
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| Injection site nodule | General disorders | MedDRA 19.0 | Systematic Assessment |
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| Injection site swelling | General disorders | MedDRA 19.0 | Systematic Assessment |
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| Injection site haemorrhage | General disorders | MedDRA 19.0 | Systematic Assessment |
| |
| Injection site induration | General disorders | MedDRA 19.0 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Clinical Operations | Endo Pharmaceuticals | 1-800-462-3636 | ClinicalTrials@Endo.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | May 25, 2021 | Oct 7, 2022 | SAP_001.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 |
|---|---|
| D019370 | Observation |
| ID | Term |
|---|---|
| D008722 | Methods |
| D008919 | Investigative Techniques |
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| Lost to Follow-up |
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| Other than Specified |
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| Race : Black or African American |
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| Race : Native Hawaiian or Other Pacific Islander |
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| Race : White |
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| Race : Other |
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| Race : Multiple |
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| Ethnicity: Hispanic or Latino |
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| Ethnicity: Not Hispanic or Latino |
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| Units | Counts |
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| Participants |
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