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Efficacy and Safety of Xiaflex Injection for Treatment of Dupuytren's Contracture of the Thumb

This study has been completed.
Information provided by (Responsible Party):
F. Thomas D. Kaplan, MD, Indiana Hand to Shoulder Center Identifier:
First received: December 21, 2010
Last updated: April 8, 2015
Last verified: April 2015
This study will evaluate the efficacy and safety of clostridial collagenase injections for treatment of Dupuytren's contracture of the thumb and first web space. The investigators hypothesis is that clostridial collagenase will have safety not significantly different to that demonstrated in Phase III clinical trials, and will be effective in significantly reducing the degree of thumb contracture.

Condition Intervention Phase
Dupuytren's Contracture Biological: Injectable clostridial collagenase Phase 4

Study Type: Interventional
Study Design: Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: The Efficacy and Safety of Xiaflex Injections for the Treatment of Thumb Cords in Dupuytren's Contractures

Resource links provided by NLM:

Further study details as provided by F. Thomas D. Kaplan, MD, Indiana Hand to Shoulder Center:

Primary Outcome Measures:
  • Number Patients Obtaining Clinical Improvement (>50% Reduction in Contracture) [ Time Frame: 30 days after last injection ]

Enrollment: 7
Study Start Date: December 2010
Study Completion Date: February 2014
Primary Completion Date: February 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Injectable clostridial collagenase
Patients with thumb 1st web contracture secondary to Dupuytren's disease will be treated with 0.58mg of collagenase
Biological: Injectable clostridial collagenase
Injection of 0.58mg clostridial collagenase into Dupuytren's cord, up to three injections
Other Name: Xiaflex


Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • Adult subjects (> 18 years) of either gender with an MP and/or IP joint contracture and a palpable cord of > 20 degrees of the thumb
  • First web space contracture with a palpable cord due to Dupuytren's contracture

Exclusion Criteria:

  • Prior surgical, percutaneous needle aponeurotomy or Xiaflex treatment for Dupuytren's contracture of the same thumb.
  • Any subject using anti-coagulant therapy other than low dose aspirin (up to 150mg/day).
  • Any subject in the opinion of the MD investigators with chronic, severe or terminal medical illness which would make them unsuitable for study participation.
  • Any subject with known allergy to Xiaflex (Clostridial collagenase).
  • Pregnant or nursing female
  • Any subject who cannot conform to the study visit schedule
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01265420

United States, Indiana
Indiana Hand to Shoulder Center
Indianaplis, Indiana, United States, 46260
Sponsors and Collaborators
Indiana Hand to Shoulder Center
  More Information

Responsible Party: F. Thomas D. Kaplan, MD, MD, Indiana Hand to Shoulder Center Identifier: NCT01265420     History of Changes
Other Study ID Numbers: IHtSC-Thumb 101
Study First Received: December 21, 2010
Results First Received: March 28, 2015
Last Updated: April 8, 2015

Keywords provided by F. Thomas D. Kaplan, MD, Indiana Hand to Shoulder Center:
Dupuytren's Disease

Additional relevant MeSH terms:
Dupuytren Contracture
Joint Diseases
Musculoskeletal Diseases
Muscular Diseases
Connective Tissue Diseases processed this record on September 21, 2017