Treatment Of Dupuytren's Contracture With Collagenase Clostridium Histolyticum Injection (Xiapex) (POINT X)

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Pfizer
ClinicalTrials.gov Identifier:
NCT01229436
First received: October 26, 2010
Last updated: November 28, 2012
Last verified: November 2012
  Purpose

This study will evaluate the impact of Xiapex treatment on the range of motion (ROM) of the affected fingers and the patient and physician reported treatment satisfaction and disease severity and their relation to ROM. Recovery to normal activities, recovery time (How long overall, time to use hand, time to return to work or daily activities, amount of work or daily activity time missed or reduced and affects on productivity and daily activities) will be assessed via patient diary. Use of concomitant analgesic medications will be recorded and total healthcare resource utilization (HCRU).


Condition Intervention Phase
Dupuytren's Contracture
Drug: Xiapex
Phase 3

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Prospective Open-Label Investigation Of The Non-surgical Treatment With Collagenase Clostridium Histolyticum (Xiapex)

Resource links provided by NLM:


Further study details as provided by Pfizer:

Primary Outcome Measures:
  • TPED and PED* (Total Passive Extension Deficit: a sum of the Passive Extension Deficits (PED) in the Metacarpal-Phalangeal, Proximal Interphalangel, and Distal Interphalangeal joints). [ Time Frame: 11 months ] [ Designated as safety issue: No ]
  • Change in TPED and PED for each joint treated. [ Time Frame: 11 months ] [ Designated as safety issue: No ]
  • Range Of Movement [ Time Frame: 11 months ]
  • Patient and physician global assessment of treatment satisfaction and disease severity [ Time Frame: 11 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Type and amount of concomitant pain medications [ Time Frame: 11 months ] [ Designated as safety issue: No ]
  • Total recovery time, time to use the hand, daily activities, work vs. hobbies [ Time Frame: 11 months ] [ Designated as safety issue: No ]
  • Healthcare resource utilization questionnaire [ Time Frame: 11 months ] [ Designated as safety issue: No ]
  • Functional Assesment (URAM scale) [ Time Frame: 11 months ] [ Designated as safety issue: No ]

Enrollment: 254
Study Start Date: December 2010
Study Completion Date: October 2012
Primary Completion Date: October 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Xiapex Injection Drug: Xiapex
Xiapex 0.58 mg in diluent, 0.25 ml for MP joints and 0.20 ml for PIP joints, injection to cord over joint using either 26 or 27 gauge needle, maximum 3 injections with 30 days interval between injections to any single site, maximum 5 injections in this protocol

  Eligibility

Ages Eligible for Study:   18 Years to 70 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Presenting with a Dupuytren's contracture of at least 20 degrees caused by a palpable cord in at least one finger other than the thumb.
  • Positive "table top test" defined as the inability to simultaneously place the affected finger(s) and palm flat against a table top.

Exclusion Criteria:

  • Received a treatment on the selected joint, within 90 days of enrollment in the study, for Dupuytren's contracture including needle aponeurotomy or any surgical procedure
  • On anticoagulant medication or has received anticoagulant medication (except aspirin less than 150 mg daily) within 7 days before the first injection
  • Has a chronic muscular, neurological, or neuromuscular disorder that affects the hands
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01229436

Locations
Denmark
Pfizer Investigational Site
Copenhagen, Denmark, 1402 K
Pfizer Investigational Site
Silkeborg, Denmark, 8600
France
Pfizer Investigational Site
Montpellier cedex 5, France, 34295
Pfizer Investigational Site
Nice, France, 06000
Pfizer Investigational Site
Paris, France, Cedex 15 75908
Pfizer Investigational Site
Paris, France, 75016
Germany
Pfizer Investigational Site
Bad Neustadt, Germany, 97616
Pfizer Investigational Site
Berlin, Germany, 10627
Pfizer Investigational Site
Bonn, Germany, 53123
Pfizer Investigational Site
Muenster, Germany, 48149
Pfizer Investigational Site
Nurnberg, Germany, 90471
Pfizer Investigational Site
Tubingen, Germany, 72076
Hungary
Pfizer Investigational Site
Miskolc, Hungary, 3526
Italy
Pfizer Investigational Site
Sesto San Giovanni, Milano, Italy, 20099
Pfizer Investigational Site
Modena, Italy, 41124
Pfizer Investigational Site
Savona, Italy, 17100
Spain
Pfizer Investigational Site
Elche, Alicante, Spain, 03203
Pfizer Investigational Site
Hospitalet De Llobregat, Barcelona/ Spain, Spain, 08907
Pfizer Investigational Site
Barcelona, Spain, 08022
Pfizer Investigational Site
Barcelona, Spain, 08036
Pfizer Investigational Site
Málaga, Spain, 29010
Sweden
Pfizer Investigational Site
Malmö, Sweden, SE-205 02
Pfizer Investigational Site
Stockholm, Sweden, SE 118 83
Pfizer Investigational Site
Uppsala, Sweden, 751 85
United Kingdom
Pfizer Investigational Site
Derby, United Kingdom, DE22 3NE
Pfizer Investigational Site
Glasgow, United Kingdom, G4 0SF
Pfizer Investigational Site
Norwich, United Kingdom, NR4 7UY
Pfizer Investigational Site
Southampton, United Kingdom, SO16 6YD
Sponsors and Collaborators
Pfizer
Investigators
Study Director: Pfizer CT.gov Call Center Pfizer
  More Information

Additional Information:
No publications provided

Responsible Party: Pfizer
ClinicalTrials.gov Identifier: NCT01229436     History of Changes
Other Study ID Numbers: B1531002
Study First Received: October 26, 2010
Last Updated: November 28, 2012
Health Authority: United Kingdom: Medicines and Healthcare Products Regulatory Agency

Keywords provided by Pfizer:
Dupuytren's
treatment
injection
recovery
health care resources

Additional relevant MeSH terms:
Contracture
Dupuytren Contracture
Joint Diseases
Musculoskeletal Diseases
Muscular Diseases
Connective Tissue Diseases

ClinicalTrials.gov processed this record on May 21, 2013