Title

Safety and Efficacy of Delayed Manipulation After Xiaflex Treatment in Subjects With Dupuytren's Contracture
A Post Market, Open-Label Study of the Safety and Efficacy of Delayed Manipulation After Xiaflex Treatment in Subjects With Dupuytren's Contracture
  • Phase

    Phase 4
  • Study Type

    Interventional
  • Study Participants

    37
The purpose of this study is to determine if of manipulation of digits following collagenase injection for treatment of Dupuytren's contracture is effected by the amount of time between injection and manipulation.
Patients with Metacarpophalangeal joint contractures caused by Dupuytren's disease will be evaluated as to the timing of the finger manipulation procedure that is performed following collagenase injection. Three groups will be evaluated: group 1 will have the manipulation procedure on the day following collagenase injection, group 2 will have the manipulation procedure on the second day following collagenase injection,and group 3 will have the manipulation procedure on the fourth day following collagenase injection,
Study Started
Dec 31
2010
Primary Completion
Dec 31
2012
Study Completion
Dec 31
2012
Results Posted
Jun 16
2014
Estimate
Last Update
Jun 16
2014
Estimate

Biological Clostridial collagenase injectable

Finger manipulation performed 1, 2, or 4 days following collagenase injection

Day 1 manipulation Active Comparator

Finger manipulation one day following Clostridial collagenase injectable

Day 2 manipulation Active Comparator

Finger manipulation two days following Clostridial collagenase injectable

Day 4 manipulation Active Comparator

Finger manipulation four days following Clostridial collagenase injectable

Criteria

Inclusion Criteria:

Adult subjects (> 18 years) of either gender with an metacarpophalangeal joint contracture and a palpable cord of > 20 degrees of a digit (excluding the thumb) due to Dupuytren's contracture

Exclusion Criteria:

Any subject who has had prior surgical, percutaneous needle aponeurotomy or Xiaflex treatment for Dupuytren's contracture.
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).
Any subject who cannot conform to the study visit schedule

Summary

Day 1 Manipulation

Day 2 Manipulation

Day 4 Manipulation

All Events

Event Type Organ System Event Term Day 1 Manipulation Day 2 Manipulation Day 4 Manipulation

Percentage of Patients With Clinical Improvement (> 50% Reduction in Contracture)

Day 1 Manipulation

92.0
percentage of participants

Day 2 Manipulation

91.0
percentage of participants

Day 4 Manipulation

85.0
percentage of participants

Percentage of Patients Obtaining Clinical Success at 90 Days (<=5 Degree Residual Contracture)

Day 1 Manipulation

91.0
percentage of patients

Day 2 Manipulation

82.0
percentage of patients

Day 4 Manipulation

83.0
percentage of patients

Total

37
Participants

Age, Continuous

65.44
years (Mean)
Standard Deviation: 9.02

Region of Enrollment

Sex: Female, Male

Overall Study

Day 1 Manipulation

Day 2 Manipulation

Day 4 Manipulation

Drop/Withdrawal Reasons

Day 1 Manipulation

Day 4 Manipulation