search
Back to results

Safety and Pharmacokinetics of a Single Dose of CCH (3.36 mg) in Subjects With EFP

Primary Purpose

Edematous Fibrosclerotic Panniculopathy

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
CCH (collagenase clostridium histolyticum)
Sponsored by
Endo Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Edematous Fibrosclerotic Panniculopathy focused on measuring Cellulite, Edematous Fibrosclerotic Panniculopathy, EFP

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

  • No subject will be dosed until all eligibility criteria have been satisfied. In order to be eligible to participate in the study, subjects must meet the following criteria:

    1. Be a female ≥18 years of age.
    2. Have evidence of cellulite within 4 quadrants (a quadrant is defined as a left buttock, right buttock, left posterolateral thigh or right posterolateral thigh) as assessed by the Investigator using the Clinician-Reported Photonumeric Cellulite Severity Scale (CR-PCSS) at the Screening visit; has a score of 2 (mild), 3 (moderate) or 4 (severe) as reported by the Investigator (CR-PCSS) in 4 quadrants at the Screening visit.
    3. Have a body mass index (BMI) between 20.0 and 35.0 kg/m^2, and intends to maintain stable body weight throughout the duration of the study (a variation of ≤10% from baseline body weight is permitted).
    4. Be willing to apply sunscreen to the dosing quadrants before each exposure to the sun while participating in the study (ie, screening through end of study).
    5. Be judged to be in good health, based upon the results of a medical history, physical examination, and laboratory profile at screening.
    6. Have a negative pregnancy test at the Screening visit and on Day -1 at admission (before injection of study drug); and be using an effective contraception method (e.g., abstinence, intrauterine device [IUD], hormonal [estrogen/progestin] contraceptives, or double barrier control) 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 (i.e., hysterectomy, bilateral oophorectomy, tubal ligation).
    7. Be willing and able to cooperate with the requirements of the study.
    8. Voluntarily sign and date an informed consent form approved by the Institutional Review Board/Independent Ethics Committee/Human Research Ethics Committee (IRB/IEC/HREC).

Exclusion Criteria:

  • A subject will be excluded from study participation if she:

    1. Has any of the following systemic conditions:

      1. Coagulation disorder
      2. Evidence or history of malignancy (other than excised basal-cell carcinoma) unless there has been no recurrence in at least 5 years
      3. History of keloidal scarring or abnormal wound healing
      4. Concurrent diseases or conditions that might interfere with the conduct of the study, confound the interpretation of the study results, or endanger the subject's well-being. Any questions about concurrent diseases should be discussed with the Medical Monitor.
      5. Evidence of clinically significant abnormalities on physical examination, vital signs, electrocardiogram (ECG), or clinical laboratory values.
    2. Has any of the following local conditions in the areas to be treated:

      1. History of lower extremity thrombosis or post-thrombosis syndrome
      2. Vascular disorder (e.g., varicose veins) in areas to be treated
      3. Inflammation or active infection
      4. Active cutaneous alteration including rash, eczema, psoriasis, or skin cancer
      5. Has a tattoo located within 2 cm of the site of injection
    3. 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

    4. Has a positive test on a urine drug screen for drugs of abuse
    5. Has a history of drug or alcohol abuse
    6. 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:

      1. Liposuction within the treatment quadrants during the 12-month period before injection of study drug
      2. Injections (e.g., mesotherapy); radiofrequency device treatments; laser treatment; or surgery (including subcision and/or powered subcision) within the treatment quadrants during the 12-month period before injection of study drug
      3. Endermologie or similar treatments within the treatment quadrants during the 6-month period before injection of study drug
      4. Massage therapy within the treatment quadrants during the 3-month period before injection of study drug
      5. Creams (e.g., Celluvera™, TriLastin®) to prevent or mitigate EFP within the treatment quadrants during the 2-week period before injection of study drug
    7. Is presently nursing a baby or providing breast milk for a baby
    8. Intends to become pregnant during the study
    9. Intends to initiate an intensive sport or exercise program during the study
    10. Intends to initiate a weight reduction program during the study
    11. Has received an investigational drug or treatment within 30 days before injection of study drug
    12. Has a known systemic allergy to collagenase or any other excipient of study drug
    13. Has received any collagenase treatments at any time prior to treatment
    14. Has been a subject in a previous cellulite clinical trial of CCH: AUX-CC-830, AUX-CC-831, EN3835-102, EN3835-104, EN3835-201, EN3835-202, EN3835-205, EN3835-302, EN3835-303, EN3835-304, and/or EN3835-209.

Sites / Locations

  • Endo Clinical Trial Site #1

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

CCH (Collagenase clostridium histolyticum)

Arm Description

Outcomes

Primary Outcome Measures

Plasma AUX-I and AUX-II Concentrations
Determine if there is systemic exposure following a subcutaneous single dose of Collagenase clostridium histolyticum (CCH) (3.36 mg) as 12 injections per quadrant in 4 quadrants concurrently (0.84 mg per quadrant) in adult women with Edematous Fibrosclerotic Panniculopathy (EFP). There were no quantifiable levels of plasma AUX-I or AUX-II observed at any collection time point following subcutaneous injection of EN3835. As a result, no pharmacokinetic (PK) parameters were calculated.
Investigator CR-PCSS Rating
Clinician-Reported Photonumeric Cellulite Severity Scale (CR-PCSS) scores for each quadrant are based on the investigator's CR-PCSS evaluation done at the Screening visit (Baseline) and at End of Study (Day 22). CR-PCSS is a 5-level scale ranging from "0" (None) to "4" (Severe). Negative change reflects an improvement in cellulite severity; positive change reflects a worsening in cellulite severity.
Investigator CR-PCSS Change From Baseline
Change from Baseline (Day 22 - Baseline). Baseline Clinician-Reported Photonumeric Cellulite Severity Scale (CR-PCSS) scores for each quadrant are based on the investigator's CR-PCSS evaluation done at the Screening visit. CR-PCSS is a 5-level scale ranging from "0" (None) to "4" (Severe). Negative change reflects an improvement in cellulite severity; positive change reflects a worsening in cellulite severity.
Investigator CR-PCSS Responder Analysis at End of Study
Clinician-Reported Photonumeric Cellulite Severity Scale (CR-PCSS) scores for each quadrant are based on the investigator's CR-PCSS evaluation at the end of study. CR-PCSS is a 5-level scale ranging from "0" (None) to "4" (Severe). A 2-point responder is a participant with a reduction of cellulite severity by at least 2 severity levels from baseline to end of study (i.e., change from baseline CR-PCSS rating of -2, -3, or -4). A 1-point responder is a participant with a reduction of cellulite severity by at least 1 severity level from baseline to end of study (i.e., change from baseline CR-PCSS rating of -1, -2, -3, or -4).

Secondary Outcome Measures

Full Information

First Posted
September 15, 2018
Last Updated
September 14, 2020
Sponsor
Endo Pharmaceuticals
search

1. Study Identification

Unique Protocol Identification Number
NCT03675685
Brief Title
Safety and Pharmacokinetics of a Single Dose of CCH (3.36 mg) in Subjects With EFP
Official Title
A Phase 1, Open-Label Study to Assess the Safety and Pharmacokinetics of a Single Dose of CCH (3.36 mg) in Subjects With Edematous Fibrosclerotic Panniculopathy
Study Type
Interventional

2. Study Status

Record Verification Date
September 2020
Overall Recruitment Status
Completed
Study Start Date
September 18, 2018 (Actual)
Primary Completion Date
November 1, 2018 (Actual)
Study Completion Date
November 1, 2018 (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 study will evaluate the safety and Pharmacokinetics (PK) of a single 3.36-mg dose of Collagenase Clostridium Histolyticum (CCH) in 4 quadrants concurrently, in subjects with Edematous fibrosclerotic panniculopathy (EFP). This study will provide insight to the PK profile and safety of concurrent subcutaneous injections of CCH 0.84 mg/quadrant into 4 quadrants.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
12 (Actual)

8. Arms, Groups, and Interventions

Arm Title
CCH (Collagenase clostridium histolyticum)
Arm Type
Experimental
Intervention Type
Biological
Intervention Name(s)
CCH (collagenase clostridium histolyticum)
Intervention Description
A single dose of 3.36 mg of CCH will be administered as subcutaneous injections (CCH 0.84 mg) per quadrant concurrently in 4 quadrants. A quadrant is defined as one of the following: left buttock, right buttock, left posterolateral thigh, or right posterolateral thigh.
Primary Outcome Measure Information:
Title
Plasma AUX-I and AUX-II Concentrations
Description
Determine if there is systemic exposure following a subcutaneous single dose of Collagenase clostridium histolyticum (CCH) (3.36 mg) as 12 injections per quadrant in 4 quadrants concurrently (0.84 mg per quadrant) in adult women with Edematous Fibrosclerotic Panniculopathy (EFP). There were no quantifiable levels of plasma AUX-I or AUX-II observed at any collection time point following subcutaneous injection of EN3835. As a result, no pharmacokinetic (PK) parameters were calculated.
Time Frame
Day 1 to Day 22
Title
Investigator CR-PCSS Rating
Description
Clinician-Reported Photonumeric Cellulite Severity Scale (CR-PCSS) scores for each quadrant are based on the investigator's CR-PCSS evaluation done at the Screening visit (Baseline) and at End of Study (Day 22). CR-PCSS is a 5-level scale ranging from "0" (None) to "4" (Severe). Negative change reflects an improvement in cellulite severity; positive change reflects a worsening in cellulite severity.
Time Frame
Day 1 to Day 22
Title
Investigator CR-PCSS Change From Baseline
Description
Change from Baseline (Day 22 - Baseline). Baseline Clinician-Reported Photonumeric Cellulite Severity Scale (CR-PCSS) scores for each quadrant are based on the investigator's CR-PCSS evaluation done at the Screening visit. CR-PCSS is a 5-level scale ranging from "0" (None) to "4" (Severe). Negative change reflects an improvement in cellulite severity; positive change reflects a worsening in cellulite severity.
Time Frame
Day 1 to Day 22
Title
Investigator CR-PCSS Responder Analysis at End of Study
Description
Clinician-Reported Photonumeric Cellulite Severity Scale (CR-PCSS) scores for each quadrant are based on the investigator's CR-PCSS evaluation at the end of study. CR-PCSS is a 5-level scale ranging from "0" (None) to "4" (Severe). A 2-point responder is a participant with a reduction of cellulite severity by at least 2 severity levels from baseline to end of study (i.e., change from baseline CR-PCSS rating of -2, -3, or -4). A 1-point responder is a participant with a reduction of cellulite severity by at least 1 severity level from baseline to end of study (i.e., change from baseline CR-PCSS rating of -1, -2, -3, or -4).
Time Frame
Day 22

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: No subject will be dosed until all eligibility criteria have been satisfied. In order to be eligible to participate in the study, subjects must meet the following criteria: Be a female ≥18 years of age. Have evidence of cellulite within 4 quadrants (a quadrant is defined as a left buttock, right buttock, left posterolateral thigh or right posterolateral thigh) as assessed by the Investigator using the Clinician-Reported Photonumeric Cellulite Severity Scale (CR-PCSS) at the Screening visit; has a score of 2 (mild), 3 (moderate) or 4 (severe) as reported by the Investigator (CR-PCSS) in 4 quadrants at the Screening visit. Have a body mass index (BMI) between 20.0 and 35.0 kg/m^2, and intends to maintain stable body weight throughout the duration of the study (a variation of ≤10% from baseline body weight is permitted). Be willing to apply sunscreen to the dosing quadrants before each exposure to the sun while participating in the study (ie, 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 pregnancy test at the Screening visit and on Day -1 at admission (before injection of study drug); and be using an effective contraception method (e.g., abstinence, intrauterine device [IUD], hormonal [estrogen/progestin] contraceptives, or double barrier control) 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 (i.e., hysterectomy, bilateral oophorectomy, tubal ligation). Be willing and able to cooperate with the requirements of the study. Voluntarily sign and date an informed consent form approved by the Institutional Review Board/Independent Ethics Committee/Human Research Ethics Committee (IRB/IEC/HREC). Exclusion Criteria: A subject will be excluded from study participation if she: Has any of the following systemic conditions: Coagulation disorder Evidence or history of malignancy (other than excised basal-cell carcinoma) unless there has been no recurrence in at least 5 years History of keloidal scarring or abnormal wound healing Concurrent diseases or conditions that might interfere with the conduct of the study, confound the interpretation of the study results, or endanger the subject's well-being. Any questions about concurrent diseases should be discussed with the Medical Monitor. Evidence of clinically significant abnormalities on physical examination, vital signs, electrocardiogram (ECG), or clinical laboratory values. Has any of the following local conditions in the areas to be treated: History of lower extremity thrombosis or post-thrombosis syndrome Vascular disorder (e.g., varicose veins) in areas to be treated Inflammation or active infection Active cutaneous alteration including rash, eczema, psoriasis, or skin cancer Has a tattoo located within 2 cm of the site of injection 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 a positive test on a urine drug screen for drugs of abuse Has a history of drug or alcohol abuse 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: Liposuction within the treatment quadrants during the 12-month period before injection of study drug Injections (e.g., mesotherapy); radiofrequency device treatments; laser treatment; or surgery (including subcision and/or powered subcision) within the treatment quadrants during the 12-month period before injection of study drug Endermologie or similar treatments within the treatment quadrants during the 6-month period before injection of study drug Massage therapy within the treatment quadrants during the 3-month period before injection of study drug Creams (e.g., Celluvera™, TriLastin®) to prevent or mitigate EFP within the treatment quadrants during the 2-week period before injection of study drug Is presently nursing a baby or providing breast milk for a baby 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 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 Has been a subject in a previous cellulite clinical trial of CCH: AUX-CC-830, AUX-CC-831, EN3835-102, EN3835-104, EN3835-201, EN3835-202, EN3835-205, EN3835-302, EN3835-303, EN3835-304, and/or EN3835-209.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Saji Vijayan, MD
Organizational Affiliation
Endo Pharmaceuticals
Official's Role
Study Director
Facility Information:
Facility Name
Endo Clinical Trial Site #1
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21201
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Yes

Learn more about this trial

Safety and Pharmacokinetics of a Single Dose of CCH (3.36 mg) in Subjects With EFP

We'll reach out to this number within 24 hrs