Efficacy, Safety, and Tolerability, of EN3835 vs Placebo in the Treatment of Plantar Fibromatosis
Primary Purpose
Plantar Fibromatosis
Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
EN3835
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Plantar Fibromatosis
Eligibility Criteria
Inclusion Criteria:
- Has a diagnosis of plantar fibromatosis AND have at least 1 measurable, hard or firm, palpable fibrous nodule on clinical examination.
- Has no significant medical history or examination findings related to the participant's plantar nodule(s), which in the investigator's opinion, would make the participant unsuitable for study intervention administration.
- Agree not to use opioids during the study period and has not used opioids 2 weeks before the Screening Visit.
- Agree to not initiate or change use of orthotics or inserts designed to relieve symptoms of plantar fibromatosis during the study period.
- If female, be of non-childbearing potential (history of hysterectomy, bilateral oophorectomy, bilateral tubal ligation, or postmenopausal with no history of menstrual flow in the 12 months prior to the Screening Visit); or, if of childbearing potential, be non-pregnant, non-lactating and agree to use effective contraception when with a male partner for the duration of the study and for 28 days after any active treatment period.
- Willing and able to comply with all protocol required visits and assessments.
- Be adequately informed and understand the nature and risks of the study and be able to provide consent.
Exclusion Criteria:
- Has the presence of non-plantar fibromatosis-related nodules on the foot/feet (eg, neurofibroma, rhabdomyosarcoma, liposarcoma, neurilemmomas, rheumatoid nodules, desmoid tumors, or malignant soft tissue lesions of the foot or ankle).
- Has any musculoskeletal, neuromuscular, neurosensory, other neurological or related disorder that affects the participant's use of his or her feet and/or would impair his/her completion of study assessments as determined by the investigator.
- Has a known allergy to collagenase or any other excipient of EN3835.
- Has a known coagulation disorder or is taking any medications that would increase the risk of bleeding (except <150mg of aspirin daily), 7 days prior to first injection and for the duration of the study.
- Has concurrent diseases that might interfere with the conduct of the study, confound the interpretation of the study results or endanger the participant's well-being. If there is a history of such disease and the condition has been stable for greater than one year and is judged by the investigator not to interfere, the participant may be included, with the documented approval of the Medical Monitor.
- Is from a vulnerable population, as defined by the 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 IRB/IEC.
- Has any other condition(s) that, in the investigator's opinion, might indicate the participants to be unsuitable for the study.
Sites / Locations
- Endo Clinical Trial Site #29
- Endo Clinical Trial Site #42
- Endo Clinical Trial Site #15
- Endo Clinical Trial Site #41
- Endo Clinical Trial Site #9
- Endo Clinical Trial Site #27
- Endo Clinical Trial Site #30
- Endo Clinical Trial Site #12
- Endo Clinical Trial Site #36
- Endo Clinical Trial Site #22
- Endo Clinical Trial Site #13
- Endo Clinical Trial Site #16
- Endo Clinical Trial Site #43
- Endo Clinical Trial Site #40
- Endo Clinical Trial Site #10
- Endo Clinical Trial Site #3
- Endo Clinical Trial Site #14
- Endo Clinical Trial Site #38
- Endo Clinical Trial Site #31
- Endo Clinical Trial Site #32
- Endo Clinical Trial Site #19
- Endo Clinical Trial Site #33
- Endo Clinical Trial Site #23
- Endo Clinical Trial Site #28
- Endo Clinical Trial Site #20
- Endo Clinical Trial Site #34
- Endo Clinical Trial Site #4
- Endo Clinical Trial Site #35
- Endo Clinical Trial Site #5
- Endo Clinical Trial Site #24
- Endo Clinical Trial Site #17
- Endo Clinical Trial Site #2
- Endo Clinical Trial Site #7
- Endo Clinical Trial Site #39
- Endo Clinical Trial Site #25
- Endo Clinical Trial Site #8
- Endo Clinical Trial Site #1
- Endo Clinical Trial Site #21
- Endo Clinical Trial Site #6
- Endo Clinical Trial Site #18
- Endo Clinical Trial Site #26
- Endo Clinical Trial Site #37
- Endo Clinical Trial Site #11
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
EN3835 Group
Placebo Group
Arm Description
Participant will receive a maximum dose of up to 1.8mg of EN3835 injection
Participant will receive a maximum dose of up to 1.8mg of Placebo injection
Outcomes
Primary Outcome Measures
Mean Change between EN3835 and placebo in the Foot Function Index (FFI) pain subscale
Mean change on the foot pain subscale (total score on 9 items) of the FFI ranging from 0 ("None") to 4 ("Extreme").
Secondary Outcome Measures
Mean Change with EN3835 and placebo in the FFI pain subscale
Mean change on the foot pain subscale (total score on 9 items) of the FFI ranging from 0 ("None") to 4 ("Extreme").
Mean change between EN3835 and placebo on the total score of the FFI pain and difficult subscales (combined)
Mean change between EN3835 and placebo on the total score of the FFI pain and difficult subscales (combined)
Mean change between EN3835 and placebo on the total score of the FFI pain and difficult subscales (combined)
Mean change between EN3835 and placebo on the total score of the FFI pain and difficult subscales (combined)
Change in the proportion of EN3835-treated participants and those receiving only placebo reporting a 7-point scale Clinician Global Impression of Change Scale
Change in the proportion of EN3835-treated participants and those receiving only placebo reporting a 7-point scale Clinician Global Impression of Change Scale ranging from -3 ("Very Much Worse") to +3 ("Very Much Improvement")
Mean change between EN3835 and placebo in the nodular hardness of the treated nodules by durometer measurement
Mean change between EN3835 and placebo in the nodular hardness of the treated nodules by durometer measurement
Mean change from Baseline in the nodular hardness of the treated nodules by durometer measurements with EN3835 vs placebo
Mean change from Baseline in the nodular hardness of the treated nodules by durometer measurements with EN3835 vs placebo
Safety of EN3835 as assessed by incidence, severity, and duration of treatment-emergent adverse events (TEAEs), adverse events of special interest (AESIs), and serious adverse events (SAEs)
Safety of EN3835 as assessed by incidence, severity, and duration of treatment-emergent adverse events (TEAEs), adverse events of special interest (AESIs), and serious adverse events (SAEs)
Presence of anti-AUX-I and anti-AUX-II antibody titer levels in EN3835 treated participants
Presence of anti-AUX-I and anti-AUX-II antibody titer levels in EN3835 treated participants
Presence of neutralizing antibodies to AUX-I and AUX-II in EN3835 treated-participants
Presence of neutralizing antibodies to AUX-I and AUX-II in EN3835 treated-participants
Full Information
NCT ID
NCT05152173
First Posted
November 29, 2021
Last Updated
January 18, 2023
Sponsor
Endo Pharmaceuticals
1. Study Identification
Unique Protocol Identification Number
NCT05152173
Brief Title
Efficacy, Safety, and Tolerability, of EN3835 vs Placebo in the Treatment of Plantar Fibromatosis
Official Title
Phase 2, Double-blind, Randomized, Placebo-Controlled Study to Assess the Efficacy, Safety, and Tolerability of EN3835 vs Placebo in the Treatment of Plantar Fibromatosis
Study Type
Interventional
2. Study Status
Record Verification Date
January 2023
Overall Recruitment Status
Completed
Study Start Date
November 29, 2021 (Actual)
Primary Completion Date
January 10, 2023 (Actual)
Study Completion Date
January 10, 2023 (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
5. Study Description
Brief Summary
This randomized, double-blind, placebo-controlled study will evaluate the efficacy and safety of up to 2 treatments of EN3835 vs placebo in participants with plantar fibromatosis.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Plantar Fibromatosis
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
177 (Actual)
8. Arms, Groups, and Interventions
Arm Title
EN3835 Group
Arm Type
Experimental
Arm Description
Participant will receive a maximum dose of up to 1.8mg of EN3835 injection
Arm Title
Placebo Group
Arm Type
Placebo Comparator
Arm Description
Participant will receive a maximum dose of up to 1.8mg of Placebo injection
Intervention Type
Biological
Intervention Name(s)
EN3835
Intervention Description
Participant will receive a maximum dose of up to1.8mg of EN3835 injection
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Participant will receive a maximum dose of up to1.8mg of Placebo injection
Primary Outcome Measure Information:
Title
Mean Change between EN3835 and placebo in the Foot Function Index (FFI) pain subscale
Description
Mean change on the foot pain subscale (total score on 9 items) of the FFI ranging from 0 ("None") to 4 ("Extreme").
Time Frame
Baseline (Day1) to Day 57
Secondary Outcome Measure Information:
Title
Mean Change with EN3835 and placebo in the FFI pain subscale
Description
Mean change on the foot pain subscale (total score on 9 items) of the FFI ranging from 0 ("None") to 4 ("Extreme").
Time Frame
Mean Change from Baseline (Day 1) to Days 15, 29, 43, and 57
Title
Mean change between EN3835 and placebo on the total score of the FFI pain and difficult subscales (combined)
Description
Mean change between EN3835 and placebo on the total score of the FFI pain and difficult subscales (combined)
Time Frame
Baseline (Day 1) to Day 57
Title
Mean change between EN3835 and placebo on the total score of the FFI pain and difficult subscales (combined)
Description
Mean change between EN3835 and placebo on the total score of the FFI pain and difficult subscales (combined)
Time Frame
Mean change from Baseline (Day 1) to Days15, 29, 43, and 57
Title
Change in the proportion of EN3835-treated participants and those receiving only placebo reporting a 7-point scale Clinician Global Impression of Change Scale
Description
Change in the proportion of EN3835-treated participants and those receiving only placebo reporting a 7-point scale Clinician Global Impression of Change Scale ranging from -3 ("Very Much Worse") to +3 ("Very Much Improvement")
Time Frame
Days 15, 29, 43, and 57
Title
Mean change between EN3835 and placebo in the nodular hardness of the treated nodules by durometer measurement
Description
Mean change between EN3835 and placebo in the nodular hardness of the treated nodules by durometer measurement
Time Frame
Baseline (Day 1) to Day 57
Title
Mean change from Baseline in the nodular hardness of the treated nodules by durometer measurements with EN3835 vs placebo
Description
Mean change from Baseline in the nodular hardness of the treated nodules by durometer measurements with EN3835 vs placebo
Time Frame
Baseline (Day 1) to Days 15, 29, 43, 57
Title
Safety of EN3835 as assessed by incidence, severity, and duration of treatment-emergent adverse events (TEAEs), adverse events of special interest (AESIs), and serious adverse events (SAEs)
Description
Safety of EN3835 as assessed by incidence, severity, and duration of treatment-emergent adverse events (TEAEs), adverse events of special interest (AESIs), and serious adverse events (SAEs)
Time Frame
Up to Day 57
Title
Presence of anti-AUX-I and anti-AUX-II antibody titer levels in EN3835 treated participants
Description
Presence of anti-AUX-I and anti-AUX-II antibody titer levels in EN3835 treated participants
Time Frame
Day 1 and Day 57
Title
Presence of neutralizing antibodies to AUX-I and AUX-II in EN3835 treated-participants
Description
Presence of neutralizing antibodies to AUX-I and AUX-II in EN3835 treated-participants
Time Frame
Day 1 and Day 57
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Has a diagnosis of plantar fibromatosis AND have at least 1 measurable, hard or firm, palpable fibrous nodule on clinical examination.
Has no significant medical history or examination findings related to the participant's plantar nodule(s), which in the investigator's opinion, would make the participant unsuitable for study intervention administration.
Agree not to use opioids during the study period and has not used opioids 2 weeks before the Screening Visit.
Agree to not initiate or change use of orthotics or inserts designed to relieve symptoms of plantar fibromatosis during the study period.
If female, be of non-childbearing potential (history of hysterectomy, bilateral oophorectomy, bilateral tubal ligation, or postmenopausal with no history of menstrual flow in the 12 months prior to the Screening Visit); or, if of childbearing potential, be non-pregnant, non-lactating and agree to use effective contraception when with a male partner for the duration of the study and for 28 days after any active treatment period.
Willing and able to comply with all protocol required visits and assessments.
Be adequately informed and understand the nature and risks of the study and be able to provide consent.
Exclusion Criteria:
Has the presence of non-plantar fibromatosis-related nodules on the foot/feet (eg, neurofibroma, rhabdomyosarcoma, liposarcoma, neurilemmomas, rheumatoid nodules, desmoid tumors, or malignant soft tissue lesions of the foot or ankle).
Has any musculoskeletal, neuromuscular, neurosensory, other neurological or related disorder that affects the participant's use of his or her feet and/or would impair his/her completion of study assessments as determined by the investigator.
Has a known allergy to collagenase or any other excipient of EN3835.
Has a known coagulation disorder or is taking any medications that would increase the risk of bleeding (except <150mg of aspirin daily), 7 days prior to first injection and for the duration of the study.
Has concurrent diseases that might interfere with the conduct of the study, confound the interpretation of the study results or endanger the participant's well-being. If there is a history of such disease and the condition has been stable for greater than one year and is judged by the investigator not to interfere, the participant may be included, with the documented approval of the Medical Monitor.
Is from a vulnerable population, as defined by the 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 IRB/IEC.
Has any other condition(s) that, in the investigator's opinion, might indicate the participants to be unsuitable for the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Nina Green
Organizational Affiliation
Endo Pharmaceuticals
Official's Role
Study Director
Facility Information:
Facility Name
Endo Clinical Trial Site #29
City
Mesa
State/Province
Arizona
ZIP/Postal Code
85206
Country
United States
Facility Name
Endo Clinical Trial Site #42
City
Tucson
State/Province
Arizona
ZIP/Postal Code
85712
Country
United States
Facility Name
Endo Clinical Trial Site #15
City
Bakersfield
State/Province
California
ZIP/Postal Code
93311
Country
United States
Facility Name
Endo Clinical Trial Site #41
City
Encinitas
State/Province
California
ZIP/Postal Code
92024
Country
United States
Facility Name
Endo Clinical Trial Site #9
City
Fresno
State/Province
California
ZIP/Postal Code
93710
Country
United States
Facility Name
Endo Clinical Trial Site #27
City
La Mesa
State/Province
California
ZIP/Postal Code
91942
Country
United States
Facility Name
Endo Clinical Trial Site #30
City
Los Angeles
State/Province
California
ZIP/Postal Code
90010
Country
United States
Facility Name
Endo Clinical Trial Site #12
City
Tarzana
State/Province
California
ZIP/Postal Code
91356
Country
United States
Facility Name
Endo Clinical Trial Site #36
City
Torrance
State/Province
California
ZIP/Postal Code
90502
Country
United States
Facility Name
Endo Clinical Trial Site #22
City
Vista
State/Province
California
ZIP/Postal Code
92083
Country
United States
Facility Name
Endo Clinical Trial Site #13
City
Whittier
State/Province
California
ZIP/Postal Code
90603
Country
United States
Facility Name
Endo Clinical Trial Site #16
City
Atlantis
State/Province
Florida
ZIP/Postal Code
33462
Country
United States
Facility Name
Endo Clinical Trial Site #43
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32209
Country
United States
Facility Name
Endo Clinical Trial Site #40
City
Miami
State/Province
Florida
ZIP/Postal Code
33176
Country
United States
Facility Name
Endo Clinical Trial Site #10
City
Pinellas Park
State/Province
Florida
ZIP/Postal Code
33782
Country
United States
Facility Name
Endo Clinical Trial Site #3
City
South Miami
State/Province
Florida
ZIP/Postal Code
33143
Country
United States
Facility Name
Endo Clinical Trial Site #14
City
Sweetwater
State/Province
Florida
ZIP/Postal Code
33172
Country
United States
Facility Name
Endo Clinical Trial Site #38
City
Lawrenceville
State/Province
Georgia
ZIP/Postal Code
30043
Country
United States
Facility Name
Endo Clinical Trial Site #31
City
Meridian
State/Province
Idaho
ZIP/Postal Code
83642
Country
United States
Facility Name
Endo Clinical Trial Site #32
City
Decatur
State/Province
Illinois
ZIP/Postal Code
62521
Country
United States
Facility Name
Endo Clinical Trial Site #19
City
O'Fallon
State/Province
Illinois
ZIP/Postal Code
62269
Country
United States
Facility Name
Endo Clinical Trial Site #33
City
Springfield
State/Province
Illinois
ZIP/Postal Code
62704
Country
United States
Facility Name
Endo Clinical Trial Site #23
City
Pasadena
State/Province
Maryland
ZIP/Postal Code
21122
Country
United States
Facility Name
Endo Clinical Trial Site #28
City
Jefferson City
State/Province
Missouri
ZIP/Postal Code
65109
Country
United States
Facility Name
Endo Clinical Trial Site #20
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89119
Country
United States
Facility Name
Endo Clinical Trial Site #34
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73109
Country
United States
Facility Name
Endo Clinical Trial Site #4
City
York
State/Province
Pennsylvania
ZIP/Postal Code
17402
Country
United States
Facility Name
Endo Clinical Trial Site #35
City
Arlington
State/Province
Texas
ZIP/Postal Code
76015
Country
United States
Facility Name
Endo Clinical Trial Site #5
City
Bedford
State/Province
Texas
ZIP/Postal Code
76021
Country
United States
Facility Name
Endo Clinical Trial Site #24
City
Cedar Park
State/Province
Texas
ZIP/Postal Code
78613
Country
United States
Facility Name
Endo Clinical Trial Site #17
City
Dallas
State/Province
Texas
ZIP/Postal Code
75208
Country
United States
Facility Name
Endo Clinical Trial Site #2
City
Dallas
State/Province
Texas
ZIP/Postal Code
75251
Country
United States
Facility Name
Endo Clinical Trial Site #7
City
Fort Worth
State/Province
Texas
ZIP/Postal Code
76104
Country
United States
Facility Name
Endo Clinical Trial Site #39
City
Georgetown
State/Province
Texas
ZIP/Postal Code
78628
Country
United States
Facility Name
Endo Clinical Trial Site #25
City
Houston
State/Province
Texas
ZIP/Postal Code
77027
Country
United States
Facility Name
Endo Clinical Trial Site #8
City
Houston
State/Province
Texas
ZIP/Postal Code
77095
Country
United States
Facility Name
Endo Clinical Trial Site #1
City
McAllen
State/Province
Texas
ZIP/Postal Code
78501
Country
United States
Facility Name
Endo Clinical Trial Site #21
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78211
Country
United States
Facility Name
Endo Clinical Trial Site #6
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Endo Clinical Trial Site #18
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84107
Country
United States
Facility Name
Endo Clinical Trial Site #26
City
Lynchburg
State/Province
Virginia
ZIP/Postal Code
24501
Country
United States
Facility Name
Endo Clinical Trial Site #37
City
Midlothian
State/Province
Virginia
ZIP/Postal Code
23114
Country
United States
Facility Name
Endo Clinical Trial Site #11
City
Suffolk
State/Province
Virginia
ZIP/Postal Code
23434
Country
United States
12. IPD Sharing Statement
Plan to Share IPD
Yes
Learn more about this trial
Efficacy, Safety, and Tolerability, of EN3835 vs Placebo in the Treatment of Plantar Fibromatosis
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