Drugs / Collagenase Clostridium Histolyticum
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Collagenase Clostridium Histolyticum

Protein / enzyme biologic

Developed for
palmar fibromatosis · Peyronie disease · cellulitis · panniculitis and localized lipodystrophy · frozen shoulder · decubitus ulcer · plantar fibromatosis · ulcer of lower limbs
+9 more · arterial occlusion · chronic ulcer of skin · extensor tendons of finger anomalies · leiomyoma · lipoma · panniculitis · plantar fasciitis · ulcer disease · urethral stricture
Investigated by
Endo USA Inc., a Keenova Therapeutics Company · Healthpoint · Stony Brook University · Smith & Nephew, Inc. · Advance Biofactures Corporation · Charitable Union for the Research and Education of Peyronie's Disease
+32 more · State University of New York · The University of Texas Health Science Center, Houston · Asahi Kasei Therapeutics Corporation · Auxilium Pharmaceuticals, Inc. · Azidus Brasil · Biospecifics Technologies Corp. · Central Finland Hospital District · DMR Research, PLLC · Finnish Institute for Health and Welfare · Helsinki University Central Hospital · Hospital for Special Surgery, New York · Indiana Hand to Shoulder Center · Kuopio University Hospital · Louisiana State University Health Sciences Center Shreveport · Manhattan Medical Research Practice, PLLC · Matrizyme Pharma Corporation · Medcare Oy · Men's Health Boston · Orton Orthopaedic Hospital · Oulu University Hospital · Pfizer · Region Skane · Sheba Medical Center · Sunnybrook Health Sciences Centre · Tampere University · Tampere University Hospital · Turku University Hospital · University of Alberta · University of Louisville · University of Miami · University of South Florida · Zachary Gerut

Regulatory milestones approvals, filings & regulatory actions · 5 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Label expansions (3) US (FDA) XIAFLEX 2013-12-06 – 2015-05-15 fda.gov
Approved EU (EMA) Xiapex 2011-02-28 europa.eu
Approved US (FDA) SANTYL 1965-06-04 fda.gov

Trials 68 · started per year

today
US approved 1965
EU approved 2011
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PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 02 trials
Phase 0 NCT07693556 Sep 2026 → May 2031 expected The University of Texas Health Science Center, Houston Not yet recruiting No outcome recorded
Phase 0 NCT07693569 Sep 2026 → May 2031 expected The University of Texas Health Science Center, Houston Not yet recruiting No outcome recorded
Phase 15 trials
Phase 1 NCT03675685 Sep → Nov 2018 panniculitis and localized lipodystrophy Endo USA Inc., a Keenova Therapeutics Company Completed No outcome recorded
Phase 1 NCT02889848 Oct 2016 → Oct 2018 leiomyoma Advance Biofactures Corporation Completed No outcome recorded
Phase 1 NCT01518907 Jan → Dec 2012 cellulitis, panniculitis and localized lipodystrophy Endo USA Inc., a Keenova Therapeutics Company Completed No outcome recorded
Phase 1 NCT01271335 Nov 2009 → Sep 2011 arterial occlusion Sunnybrook Health Sciences Centre Completed No outcome recorded
Phase 1 NCT00528931 Sep → Dec 2007 palmar fibromatosis Endo USA Inc., a Keenova Therapeutics Company Completed No outcome recorded
Phase 1/21 trial
Phase 1/2 NCT00261209 Jan 2005 → Jan 2008 extensor tendons of finger anomalies Stony Brook University Completed No outcome recorded
Phase 222 trials
Phase 2 NCT06169319 Jan → Sep 2024 plantar fasciitis Endo USA Inc., a Keenova Therapeutics Company Completed No outcome recorded
Phase 2 NCT05419505 Jun 2022 → Jan 2023 cellulitis, panniculitis and localized lipodystrophy Endo USA Inc., a Keenova Therapeutics Company Completed No outcome recorded
Phase 2 NCT05152173 Nov 2021 → Jan 2023 plantar fibromatosis Endo USA Inc., a Keenova Therapeutics Company Completed No outcome recorded
Phase 2 NCT04496167 Jul 2020 → Apr 2022 frozen shoulder Endo USA Inc., a Keenova Therapeutics Company Completed No outcome recorded
Phase 2 NCT02948842 May 2020 → Mar 2023 urethral stricture University of South Florida Completed No outcome recorded
Phase 2 NCT04236635 Dec 2019 → Sep 2020 Endo USA Inc., a Keenova Therapeutics Company Completed No outcome recorded
Phase 2 NCT04209530 Nov 2019 → Jul 2020 cellulitis, panniculitis Endo USA Inc., a Keenova Therapeutics Company Terminated No outcome recorded
Phase 2 NCT03329989 Nov 2017 → Sep 2018 cellulitis, panniculitis and localized lipodystrophy Endo USA Inc., a Keenova Therapeutics Company Completed No outcome recorded
Phase 2 NCT02942160 Oct 2016 → Jun 2018 cellulitis, panniculitis and localized lipodystrophy Endo USA Inc., a Keenova Therapeutics Company Completed No outcome recorded
Phase 2 NCT02724644 Feb → Sep 2016 cellulitis, panniculitis and localized lipodystrophy Endo USA Inc., a Keenova Therapeutics Company Completed No outcome recorded
Phase 2/31 trial
Phase 2/3 NCT00701974 Feb 2008 ulcer disease Azidus Brasil Suspended No outcome recorded
Phase 319 trials
Phase 3 NCT06151197 Nov 2023 → Jun 2026 plantar fibromatosis Endo USA Inc., a Keenova Therapeutics Company Completed No outcome recorded
Phase 3 NCT05254457 Feb 2022 → Mar 2024 plantar fibromatosis Endo USA Inc., a Keenova Therapeutics Company Completed No outcome recorded
Phase 3 NCT04170296 Nov 2019 → Oct 2020 cellulitis, panniculitis and localized lipodystrophy Endo USA Inc., a Keenova Therapeutics Company Completed No outcome recorded
Phase 3 NCT03526549 Apr 2018 → Oct 2021 cellulitis, panniculitis and localized lipodystrophy Endo USA Inc., a Keenova Therapeutics Company Completed No outcome recorded
Phase 3 NCT01776892 May 2013 → Mar 2014 palmar fibromatosis University of Alberta Withdrawn No outcome recorded
Phase 3 NCT01674634 Sep 2012 → Jul 2013 palmar fibromatosis Endo USA Inc., a Keenova Therapeutics Company Completed No outcome recorded
Phase 3 NCT01685437 Sep 2012 → Dec 2013 Peyronie disease Endo USA Inc., a Keenova Therapeutics Company Completed No outcome recorded
Phase 3 NCT01588353 May 2012 → Jan 2014 palmar fibromatosis Asahi Kasei Therapeutics Corporation Completed No outcome recorded
Phase 3 NCT01407068 Sep 2011 → Feb 2012 palmar fibromatosis Endo USA Inc., a Keenova Therapeutics Company Completed No outcome recorded
Phase 3 NCT01229436 Dec 2010 → Oct 2012 palmar fibromatosis Pfizer Completed No outcome recorded
Phase 417 trials
Phase 4 NCT06649539 Oct 2024 → Oct 2029 expected Peyronie disease Charitable Union for the Research and Education of Peyronie's Disease Recruiting No outcome recorded
Phase 4 NCT05777031 Oct 2023 → Jan 2027 expected Peyronie disease, psychosexual disorder University of Miami Active not recruiting No outcome recorded
Phase 4 NCT05108558 Sep 2021 → Dec 2025 overdue Peyronie disease Charitable Union for the Research and Education of Peyronie's Disease Active not recruiting No outcome recorded
Phase 4 NCT05026216 Mar → Aug 2021 cellulitis DMR Research, PLLC Completed No outcome recorded
Phase 4 NCT03815331 Jan 2019 → Dec 2020 Peyronie disease Men's Health Boston Completed No outcome recorded
Phase 4 NCT03767452 Oct 2018 → Dec 2019 Peyronie disease Manhattan Medical Research Practice, PLLC Unknown No outcome recorded
Phase 4 NCT03406338 Mar 2018 → Sep 2024 overdue palmar fibromatosis Region Skane Active not recruiting No outcome recorded
Phase 4 NCT03192020 Sep 2017 → May 2026 overdue palmar fibromatosis Tampere University Active not recruiting No outcome recorded
Phase 4 NCT02716519 Aug 2016 → Dec 2018 decubitus ulcer, ulcer of lower limbs Smith & Nephew, Inc. Withdrawn No outcome recorded
Phase 4 NCT02718625 Aug 2016 → Mar 2017 decubitus ulcer Smith & Nephew, Inc. Terminated No outcome recorded
Phase not applicable1 trial
NCT01208220 Jun 2010 → Dec 2011 decubitus ulcer Louisiana State University Health Sciences Center Shreveport Terminated No outcome recorded
Also used as a comparator or background therapy in 30 trials
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 12 trials
Phase 1 NCT04963829 Comparator Feb → Nov 2018 chronic ulcer of skin, ulcer disease Universidade do Vale do Sapucai Completed No outcome recorded
Phase 1 NCT02131961 Background Oct 2014 → Jun 2015 ulcer of lower limbs University of Miami Completed No outcome recorded
Phase 24 trials
Phase 2 NCT04580303 Comparator Oct 2020 → Aug 2021 cellulitis, cutis laxa, panniculitis and localized lipodystrophy Endo USA Inc., a Keenova Therapeutics Company Completed No outcome recorded
Phase 2 NCT03588130 Comparator Dec 2019 → Dec 2021 ulcer of lower limbs MediWound Ltd Completed No outcome recorded
Phase 2 NCT03632993 Comparator Sep 2018 → Jan 2019 Endo USA Inc., a Keenova Therapeutics Company Completed No outcome recorded
Phase 2 NCT02249052 Comparator Aug 2014 → Apr 2016 lipoma Gerut, Zachary, M.D. Completed No outcome recorded
Phase 36 trials
Phase 3 NCT04874870 Comparator Jul 2021 → Dec 2023 palmar fibromatosis Foundation for Orthopaedic Research and Education Completed No outcome recorded
Phase 3 NCT03446781 Comparator Feb → Sep 2018 panniculitis and localized lipodystrophy Endo USA Inc., a Keenova Therapeutics Company Completed No outcome recorded
Phase 3 NCT03428750 Comparator Feb → Sep 2018 panniculitis and localized lipodystrophy Endo USA Inc., a Keenova Therapeutics Company Completed No outcome recorded
Phase 3 NCT02725528 Comparator Jul 2017 → Dec 2021 palmar fibromatosis McMaster University Completed No outcome recorded
Phase 3 NCT02004626 Comparator Jan → Jun 2015 decubitus ulcer Cristália Produtos Químicos Farmacêuticos Ltda. Withdrawn No outcome recorded
Phase 413 trials
Phase 4 NCT05309525 Comparator Apr → Sep 2022 Luxurgery Completed No outcome recorded
Phase 4 NCT04786106 Comparator Dec 2020 → Feb 2027 expected Peyronie disease Charitable Union for the Research and Education of Peyronie's Disease Active not recruiting No outcome recorded
Phase 4 NCT04677712 Comparator Dec 2020 → Jun 2021 cellulitis, panniculitis and localized lipodystrophy Endo USA Inc., a Keenova Therapeutics Company Completed No outcome recorded
Phase 4 NCT03000114 Comparator Jan 2016 → Jan 2021 palmar fibromatosis University of Calgary Unknown No outcome recorded
Phase 4 NCT02476461 Comparator Apr 2015 → Apr 2016 palmar fibromatosis Oslo University Hospital Unknown No outcome recorded
Phase not applicable5 trials
NCT06065436 Background Jan 2024 → Dec 2026 expected Peyronie disease, erectile dysfunction Mayo Clinic Recruiting No outcome recorded
NCT05646602 Background Mar 2023 → Dec 2024 Peyronie disease, erectile dysfunction Mayo Clinic Withdrawn No outcome recorded
NCT03722485 Comparator Dec 2018 → Apr 2022 KCI USA, Inc Terminated No outcome recorded
NCT02482948 Comparator Jun 2015 → Mar 2017 ulcer disease Integra LifeSciences Corporation Terminated No outcome recorded
NCT01538017 Comparator Feb 2012 → Oct 2016 palmar fibromatosis Jeppe Lange, MD Completed No outcome recorded

Evidence & citations 22 cited values

Every value below carries the sentence it was read from. 102 sources stand behind the page.

FieldValueCited text
Known as Collagenase Clostridium Histolyticum “The primary objective of this pilot study is to determine whether testosterone therapy offers increased efficacy of Xiaflex® (collagenase clostridium histolyticum) in subjects...” NCT03815331
37

Collagenase clostridium histolyticum (CCH; Xiaflex, Auxilium Pharmaceuticals, Inc., Chesterbrook, PA, USA) is a Food and Drug Administration-approved, intralesional treatment...” PMID 25388099 Nov 2014

“Combined data from the collagenase Clostridium histolyticum phase 3 study program, IMPRESS (Investigation for Maximal Peyronie's Reduction Efficacy and Safety Studies) I and...” PMID 26199168 Jul 2015

“Injection of collagenase clostridium histolyticum, an office-based, nonsurgical option, may reduce joint contractures caused by Dupuytren's disease.” PMID 19726771 Sep 2009

“Efficacy of a Novel Collagenase Clostridium Histolyticum Protocol for Peyronie's Disease Among Prior Non-responders” NCT05108558

Collagenase clostridium histolyticum will be used to treat participants in this arm of the study.” NCT01776892

“enzyme, collagenase clostridium histolyticum, xiaflex” NCT02725528

“EN3835 0.84mg (Collagenase Clostridium Histolyticum)” NCT03428750

“AA4500 collagenase clostridium histolyticumNCT01407068

Collagenase Clostridium Histolyticum (CCH)” NCT04170296

NCT03406338

NCT03192020

NCT01588353

NCT02724644

NCT03329989

NCT06169319

NCT01518907

NCT05646602

NCT03632993

NCT05777031

NCT03675685

NCT02193828

NCT01987986

NCT00528606

NCT01498640

NCT04786106

NCT04580303

NCT00528931

NCT00260429

NCT02006719

NCT04236635

NCT00528840

NCT06065436

NCT01613313

NCT04874870

NCT02942160

NCT00533273

NCT06649539

Known as AA4500 ClinicalTrials.gov intervention name — accepted as the source's own label NCT01430169
8

NCT01407068

NCT02249052

NCT00528424

NCT01483963

NCT00755222

NCT02267460

NCT01685437

NCT01221623

Known as AK160 AK160 (Collagenase Clostridium Histolyticum) 0.58 mg” NCT01588353
Known as CCH “We tested the hypothesis that injection of a purified form of collagenase Clostridium histolyticum (CCH) that selectively digests type I and type III collagens would alter ECM...” PMID 34323413 Jul 2021
9

“Collagenase clostridium histolyticum (CCH; Xiaflex, Auxilium Pharmaceuticals, Inc., Chesterbrook, PA, USA) is a Food and Drug Administration-approved, intralesional treatment...” PMID 25388099 Nov 2014

“Endo Pharmaceuticals Inc. (Endo) is developing collagenase clostridium histolyticum (CCH) for the treatment of EFP.” NCT03632993

“OBJECTIVE: To assess collagenase clostridium histolyticum-aaes (CCH) for the treatment of cellulite.” PMID 33840781 May 2021

“Collagenase Clostridium Histolyticum 0.9 MG [Xiaflex] (CCH)” NCT04786106

“collagenase clostridium histolyticum (CCH) injection” PMID 28854973 Aug 2017

CCH (collagenase clostridium histolyticum)” NCT03675685

“Collagenase Clostridium Histolyticum (CCH)” NCT05777031

“Collagenase Clostridium Histolyticum (CCH)” NCT04170296

“Collagenase Clostridium Histolyticum (CCH)” NCT06169319

Known as CCH-aaes ClinicalTrials.gov intervention name — accepted as the source's own label NCT03526549
2

NCT04677712

NCT05419505

Known as CCO “Enzymatic debridement with clostridial collagenase ointment (CCO) can be used to remove necrotic tissue from wounds.” PMID 25767565 Feb 2015
Known as clostridial collagenase “Clinical Outcomes for Diabetic Foot Ulcers Treated With Clostridial Collagenase (SANTYL®) Ointment or With a Comparator Product Containing Silver” NCT02581488
4

“Enzymatic debridement with clostridial collagenase ointment (CCO) can be used to remove necrotic tissue from wounds.” PMID 25767565 Feb 2015

Clostridial Collagenase (Santyl®) Ointment” NCT02111291

NCT01265420

NCT01226121

Known as Clostridial collagenase for injection (AA4500) Clostridial collagenase for injection (AA4500)NCT00755222
Known as Clostridium Histolyticum Collagenase ClinicalTrials.gov intervention name — accepted as the source's own label NCT02948842
Known as Collagenase “A Vehicle-Controlled Study to Determine the Effect of Four Weeks of Debridement With Collagenase Santyl Ointment (Santyl) on the Healing of Diabetic Foot Ulcers” NCT01143714
21

“Unfortunately, to date there has been no research examining the potential benefits of using collagenase in patients with facial burn injuries.” NCT01668030

CollagenaseNCT00261144

NCT00261196

NCT03722485

NCT07693556

NCT00261209

NCT00261144

NCT01197898

NCT01208220

NCT02673229

NCT01753180

NCT02482948

NCT07693569

NCT00004409

NCT01271335

NCT01516463

NCT02004626

NCT00014742

NCT04963829

NCT02131961

NCT00701974

Known as Collagenase clostridium histolyticum-aaes Collagenase clostridium histolyticum-aaes is a combination of bacterial collagenases AUX-I and AUX-II, in an approximate 1:1 mass ratio, which are isolated and purified from...” NCT05026216
3

“OBJECTIVE: To assess collagenase clostridium histolyticum-aaes (CCH) for the treatment of cellulite.” PMID 33840781 May 2021

“OBJECTIVE: To assess collagenase clostridium histolyticum-aaes (CCH) for the treatment of cellulite.” PMID 33840781 May 2021

NCT05309525

Known as EN3835 EN3835 0.84mg (Collagenase Clostridium Histolyticum)” NCT03329989
8

NCT05254457

NCT04170296

NCT03446781

NCT06151197

NCT04209530

NCT05152173

NCT04496167

NCT02889848

Known as IRUXOL “collagenase (IRUXOL)” NCT00701974
Known as Kollagenase “collagenase (Kollagenase)” NCT00701974
Known as Qwo “To Assess the Effectiveness of Multiple Dose, Multiple Concentrations of Clostridium Histolyticum-aases, Qwo, for the Treatment of Mild to Moderate Cellulite in Adult Females...” NCT05026216
Known as Santyl “A Vehicle-Controlled Study to Determine the Effect of Four Weeks of Debridement With Collagenase Santyl Ointment (Santyl) on the Healing of Diabetic Foot Ulcers” NCT01143714
10

“This study is designed to compare SANTYL® versus hydrogel (SoloSite®) in the treatment of pressure ulcers for participants in a long-term care facility.” NCT02718625

“Clinical Outcomes for Diabetic Foot Ulcers Treated With Clostridial Collagenase (SANTYL®) Ointment or With a Comparator Product Containing Silver” NCT02581488

“Evaluate the effectiveness of Collagenase Santyl ointment when used in conjunction with NPWT for the treatment of chronic pressure ulcers” NCT01208220

Santyl (Enzymatic debridement) or commercially approved Hydrogel” NCT03588130

“Biological: Collagenase Santyl Ointment” NCT01197898

“Collagenase SANTYL® Ointment” NCT02111291

NCT01143727

NCT02716519

NCT01056198

NCT02718625

Known as Xiaflex XIAFLEX is an FDA-Approved collagenase for treatment of Dupuytren's contracture with a palpable cord in the fingers, and Peyronie's disease in the penile tissue.” NCT07693569
8

XIAFLEX is an FDA-Approved collagenase for treatment of Dupuytren's contracture with a palpable cord in the fingers, and Peyronie's disease in the penile tissue.” NCT07693556

“Collagenase Clostridium Histolyticum (CCH) 2.9 MG/ML [Xiaflex]” NCT03192020

Xiaflex (FDA approved collagenase)” NCT01237964

NCT01674634

NCT03815331

NCT03000114

NCT03767452

NCT01450397

Known as Xiaflex( Collagenase Clostridium Histolytiucm) Xiaflex( Collagenase Clostridium Histolytiucm)NCT01237964
Known as XIAFLEX, Collagenase Clostridium Histolyticum XIAFLEX, Collagenase Clostridium HistolyticumNCT02249052
Known as Xiapex ClinicalTrials.gov intervention name — accepted as the source's own label NCT01229436
3

NCT02476461

NCT01538017

NCT02647619

Modality Protein / enzyme biologic “Biological: collagenase clostridium histolyticum” NCT00528840
Route Other “Patients receive a single collagenase injection into the target finger cord on day 0.” NCT00014742