search
Back to results

Impact of CCH Treatment of Buttock and Thigh Cellulite in Adult Women

Primary Purpose

Cellulite, Edematous Fibrosclerotic Panniculopathy (EFP)

Status
Terminated
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
EN3835
Sponsored by
Endo Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cellulite

Eligibility Criteria

18 Years - 50 Years (Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

  1. Have both buttocks or both posterolateral thighs with:

    1. A score of 3 or 4 (moderate or severe) as reported by the investigator using the Clinician-Reported Photonumeric Cellulite Severity Scale (CR-PCSS).
    2. A Hexsel Cellulite Severity Scale (CSS) Subsection A "Number of Evident Depressions" score of >0, and Subsection B "Depth of Depressions" score of 2 )medium depth depression) or 3 (deep depressions)..
  2. Have a minimum of 2 well defined and isolated cellulite dimples.
  3. Be willing to apply sunscreen to the treatment area before each exposure to the sun for the duration of the study (from the Screening Visit through the Day 251/Early Termination Visit).
  4. Be judged to be in good health.
  5. Have a negative pregnancy test.
  6. Be willing and able to cooperate with the requirements of the study.

Exclusion Criteria:

  1. Is from a vulnerable population, as defined by the United States (US) Code of Federal Regulations (CFR) Title 45, Part 46, Section 46.111(b) and other local and national regulations, including but not limited to, employees (temporary, part-time, full time, etc) or a family member of the research staff conducting the study, or of the sponsor, or of the contract research organization, or of the Institutional Review Board (IRB)/Independent Ethics Committee (IEC).
  2. Has a history of sensitivity or allergy to collagenase or any other excipient of CCH.
  3. Has systemic conditions (coagulation disorders, malignancy, keloidal scar, abnormal wound healing) that restricts study participation.
  4. Has local (in areas to be treated) conditions (thrombosis, vascular disorder, active infection/inflammation, active cutaneous alteration, tattoo/mole) that restricts study participation.
  5. Has skin laxity or linear undulations on the treatment region (both buttocks or both thighs) that can be effaced by lifting skin.
  6. Requires anticoagulant or antiplatelet medication during the study.
  7. Has used or intends to use any of the local applications/therapies/injections/procedures that restricts study participation.
  8. Has used any form of artificial tanning (sprays, lotions, tanning booth, etc) within the 30 days prior to the first dose of study treatment or plans to use any form of artificial tanning during the study (through the Day 251/Early Termination Visit).
  9. Has a positive HIV test and/or a positive Hepatitis B surface antigen (HBsAg) or Hepatitis B core antibody (HBcAb) test at screening.
  10. Has had any surgery, invasive procedure (eg, liposuction), injectable treatment (eg, KYBELLA®) or any similar treatment.
  11. Has a history of keloids, hypertrophied scars, and/or other complications following biopsy.
  12. Has any contraindications for MRI(implant containing metal, internal metallic object, permanent cosmetics/make-up, claustrophobia, syncope, low blood pressure, epilepsy, asthma, sickle cell disease) that restricts study participation.
  13. Has received any collagenase treatments at any time prior to treatment in this study and/or has received EN3835 or CCH in a previous investigational study for cellulite.
  14. Has previously received treatment with CCH in this clinical study.
  15. Has received treatment with an investigational product within 30 days (or 5 half-lives, whichever is longer) of the Screening Visit.
  16. Is pregnant and/or is providing breast milk or plans to become pregnant and/or to provide breast milk during the course of the study.
  17. Has any other condition(s) that, in the investigator's opinion, might indicate the subject to be unsuitable for the study.

Sites / Locations

  • Endo Clinical Trial Site #1

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Buttock & Posterolateral Thigh

Arm Description

EN3835 up to 1.68 mg (Collagenase Clostridium Histolyticum)

Outcomes

Primary Outcome Measures

The Change From Baseline (Screening) in PR-PCSS
Patient-Reported Photonumeric Cellulite Severity Scale (PR-PCSS) is a 5-point photonumeric scale rating cellulite severity from "0" (None) to "4" (Severe) from a patient's perspective

Secondary Outcome Measures

The Change From Baseline (Screening) in CR-PCSS
Clinician-Reported Photonumeric Cellulite Severity Scale (CR-PCSS) is a 5-point photonumeric scale rating cellulite severity from "0" (None) to "4" (Severe) from a clinician's perspective
The Change From Baseline (Screening) in Hexsel Cellulite Severity Scale (CSS)
Hexsel CSS is a photonumeric scale that looks at 5 key morphologic features of cellulite, each feature is evaluated on a 4-point scale from "0" (Low) to "3" (High)
MRI Before and After CCH Treatment
Magnetic Resonance Imaging (MRI) of cellulite before and after CCH treatment
Histopathology Before and After CCH Treatment
Histopathology of biopsies defined by the observation of the biopsied specimen by a trained Pathologist

Full Information

First Posted
December 11, 2019
Last Updated
September 10, 2021
Sponsor
Endo Pharmaceuticals
search

1. Study Identification

Unique Protocol Identification Number
NCT04209530
Brief Title
Impact of CCH Treatment of Buttock and Thigh Cellulite in Adult Women
Official Title
A Phase 2a, Open Label Study to Assess the Impact of CCH Treatment of Buttock and Thigh Cellulite in Adult Females Using Photonumeric Scales, Magnetic Resonance Imaging and Histopathology
Study Type
Interventional

2. Study Status

Record Verification Date
November 2020
Overall Recruitment Status
Terminated
Why Stopped
Study terminated due to COVID-19 impact
Study Start Date
November 20, 2019 (Actual)
Primary Completion Date
July 23, 2020 (Actual)
Study Completion Date
October 5, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Endo Pharmaceuticals

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a single center, open-label, Phase 2a study to assess the photonumeric scale, morphological, and histopathological changes associated with Collagenase Clostridium Histolyticum (CCH) in adult women with moderate or severe Edematous Fibrosclerotic Panniculopathy (EFP).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cellulite, Edematous Fibrosclerotic Panniculopathy (EFP)

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
7 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Buttock & Posterolateral Thigh
Arm Type
Experimental
Arm Description
EN3835 up to 1.68 mg (Collagenase Clostridium Histolyticum)
Intervention Type
Drug
Intervention Name(s)
EN3835
Intervention Description
Collagenase Clostridium Histolyticum (CCH)
Primary Outcome Measure Information:
Title
The Change From Baseline (Screening) in PR-PCSS
Description
Patient-Reported Photonumeric Cellulite Severity Scale (PR-PCSS) is a 5-point photonumeric scale rating cellulite severity from "0" (None) to "4" (Severe) from a patient's perspective
Time Frame
Day 71
Secondary Outcome Measure Information:
Title
The Change From Baseline (Screening) in CR-PCSS
Description
Clinician-Reported Photonumeric Cellulite Severity Scale (CR-PCSS) is a 5-point photonumeric scale rating cellulite severity from "0" (None) to "4" (Severe) from a clinician's perspective
Time Frame
Day 22, Day 43 and Day 71
Title
The Change From Baseline (Screening) in Hexsel Cellulite Severity Scale (CSS)
Description
Hexsel CSS is a photonumeric scale that looks at 5 key morphologic features of cellulite, each feature is evaluated on a 4-point scale from "0" (Low) to "3" (High)
Time Frame
Day 22, Day 43 and Day 71
Title
MRI Before and After CCH Treatment
Description
Magnetic Resonance Imaging (MRI) of cellulite before and after CCH treatment
Time Frame
Day 71
Title
Histopathology Before and After CCH Treatment
Description
Histopathology of biopsies defined by the observation of the biopsied specimen by a trained Pathologist
Time Frame
Day 71

10. Eligibility

Sex
Female
Gender Based
Yes
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Have both buttocks or both posterolateral thighs with: A score of 3 or 4 (moderate or severe) as reported by the investigator using the Clinician-Reported Photonumeric Cellulite Severity Scale (CR-PCSS). A Hexsel Cellulite Severity Scale (CSS) Subsection A "Number of Evident Depressions" score of >0, and Subsection B "Depth of Depressions" score of 2 )medium depth depression) or 3 (deep depressions).. Have a minimum of 2 well defined and isolated cellulite dimples. Be willing to apply sunscreen to the treatment area before each exposure to the sun for the duration of the study (from the Screening Visit through the Day 251/Early Termination Visit). Be judged to be in good health. Have a negative pregnancy test. Be willing and able to cooperate with the requirements of the study. Exclusion Criteria: Is from a vulnerable population, as defined by the United States (US) Code of Federal Regulations (CFR) Title 45, Part 46, Section 46.111(b) and other local and national regulations, including but not limited to, employees (temporary, part-time, full time, etc) or a family member of the research staff conducting the study, or of the sponsor, or of the contract research organization, or of the Institutional Review Board (IRB)/Independent Ethics Committee (IEC). Has a history of sensitivity or allergy to collagenase or any other excipient of CCH. Has systemic conditions (coagulation disorders, malignancy, keloidal scar, abnormal wound healing) that restricts study participation. Has local (in areas to be treated) conditions (thrombosis, vascular disorder, active infection/inflammation, active cutaneous alteration, tattoo/mole) that restricts study participation. Has skin laxity or linear undulations on the treatment region (both buttocks or both thighs) that can be effaced by lifting skin. Requires anticoagulant or antiplatelet medication during the study. Has used or intends to use any of the local applications/therapies/injections/procedures that restricts study participation. Has used any form of artificial tanning (sprays, lotions, tanning booth, etc) within the 30 days prior to the first dose of study treatment or plans to use any form of artificial tanning during the study (through the Day 251/Early Termination Visit). Has a positive HIV test and/or a positive Hepatitis B surface antigen (HBsAg) or Hepatitis B core antibody (HBcAb) test at screening. Has had any surgery, invasive procedure (eg, liposuction), injectable treatment (eg, KYBELLA®) or any similar treatment. Has a history of keloids, hypertrophied scars, and/or other complications following biopsy. Has any contraindications for MRI(implant containing metal, internal metallic object, permanent cosmetics/make-up, claustrophobia, syncope, low blood pressure, epilepsy, asthma, sickle cell disease) that restricts study participation. Has received any collagenase treatments at any time prior to treatment in this study and/or has received EN3835 or CCH in a previous investigational study for cellulite. Has previously received treatment with CCH in this clinical study. Has received treatment with an investigational product within 30 days (or 5 half-lives, whichever is longer) of the Screening Visit. Is pregnant and/or is providing breast milk or plans to become pregnant and/or to provide breast milk during the course of the study. Has any other condition(s) that, in the investigator's opinion, might indicate the subject to be unsuitable for the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ashley Dayoub
Organizational Affiliation
Endo Pharmaceuticals
Official's Role
Study Director
Facility Information:
Facility Name
Endo Clinical Trial Site #1
City
Coral Gables
State/Province
Florida
ZIP/Postal Code
33146
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Yes

Learn more about this trial

Impact of CCH Treatment of Buttock and Thigh Cellulite in Adult Women

We'll reach out to this number within 24 hrs