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Trial · NCT04236635

Histopathology Following CCH Injection

NCT04236635, Phase 2, Completed, Endo USA Inc., a Keenova Therapeutics Company; results first posted 2022-04-12

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ConductScience Library. Histopathology Following CCH Injection. Trials, record NCT04236635. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04236635

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Histopathology Following CCH Injection
NCT number
NCT04236635
Status
Completed
Phases
Phase 2
Enrollment
10 participants, actual
Lead sponsor
Endo USA Inc., a Keenova Therapeutics Company
Conditions
Characteristics of Subcutaneous Tissue
Interventions
Collagenase Clostridium Histolyticum Single Injection Technique, Collagenase Clostridium Histolyticum Multiple Injection Technique
First posted
2020-01-22
Last updated
2022-04-12
Results first posted
2022-04-12
Limitations and caveats
This was considered an exploratory study by the Sponsor. No formal sample size calculations were performed. Completion of 8 participants provided minimal data to meet the primary objective in the evaluable population.

Source ClinicalTrials.gov

Registered outcomes4

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Participants With a Histologic Change in a Tissue Specimen That Was Injected With CCHUp to collection of the excised abdominal tissue on Day 0 (day of abdominoplasty)
Tissue specimens isolated from participants undergoing an abdominoplasty procedure were observed for histopathological structure changes of tissues post treatment with CCH. The number of participants with a histologic change (as determined by the pathologist) in tissue dosed with CCH relative to control tissue (tissue not dosed with CCH) is reported.
SecondaryNumber of Participants With a Histologic Change in a Tissue Specimen After 2 CCH Dose Injections Relative to a Tissue Specimen After 1 CCH Dose InjectionUp to collection of the excised abdominal tissue on Day 0 (day of abdominoplasty)
Tissue specimens isolated from participants undergoing an abdominoplasty procedure were observed for histopathological structure changes of tissues post treatment with CCH. The number of participants with a histologic change (as determined by the pathologist) in a tissue specimen injected with 2 CCH dose injections (Treatment Area 1) relative to 1 CCH dose injection (Treatment Area 2) is reported.
SecondaryNumber of Participants With Anti-AUX-I and Anti-AUX-II Anti-Drug Antibodies (ADAs) After CCH TreatmentEnd of Study (Day 28)
Serum samples were analyzed for anti-AUX-I clostridial class I collagenase of ADAs and anti-AUX-II Clostridial class II collagenase of ADAs. The number of participants who developed anti-AUX-I and anti-AUX-II ADAs (positive ADA result) are reported.
SecondaryNumber of Participants With Anti-AUX-I and Anti-AUX-II Neutralizing Antibodies (NAbs) After CCH TreatmentEnd of Study (Day 28)
Serum samples were analyzed for anti-AUX-I and Anti-AUX-II Nabs. The number of participants who developed anti-AUX-I and Anti-AUX-II NAbs (positive NAb results) are reported. Neutralizing antibodies were only tested from ADA positive participants.

Outcomes4

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Participants With a Histologic Change in a Tissue Specimen That Was Injected With CCHUp to collection of the excised abdominal tissue on Day 0 (day of abdominoplasty)
Evaluable Population: All participants who received at least 1 injection of study drug, underwent abdominoplasty within the protocol specified timelines, and had a histopathology and immunohistochemistry report.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With a Histologic Change in a Tissue Specimen After 2 CCH Dose Injections Relative to a Tissue Specimen After 1 CCH Dose InjectionUp to collection of the excised abdominal tissue on Day 0 (day of abdominoplasty)
Evaluable Population: All participants who received at least 1 injection of study drug, underwent abdominoplasty within the protocol specified timelines, and had a histopathology and immunohistochemistry report.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Anti-AUX-I and Anti-AUX-II Anti-Drug Antibodies (ADAs) After CCH TreatmentEnd of Study (Day 28)
Safety Population: All participants who received at least 1 injection of study drug irrespective of the timing window of abdominoplasty. ADA data is reported as overall population instead of individual groups due to the small number of participants per arm and to protect PII of the participants.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Anti-AUX-I and Anti-AUX-II Neutralizing Antibodies (NAbs) After CCH TreatmentEnd of Study (Day 28)
All participants who received at least 1 injection of study drug and were positive for ADAs. NAb data is reported as overall analysis population instead of individual groups due to the small number of participants per arm and to protect PII of the participants.
ParticipantsCOUNT_OF_PARTICIPANTS

Results by group16

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Participants With a Histologic Change in a Tissue Specimen That Was Injected With CCHGroup 1: CCH Single Injection Technique2Participants
Number of Participants With a Histologic Change in a Tissue Specimen That Was Injected With CCHGroup 2: CCH Single Injection Technique1Participants
Number of Participants With a Histologic Change in a Tissue Specimen That Was Injected With CCHGroup 3: CCH Single Injection Technique1Participants
Number of Participants With a Histologic Change in a Tissue Specimen That Was Injected With CCHGroup 4: CCH Multiple Injection Technique2Participants
Number of Participants With a Histologic Change in a Tissue Specimen That Was Injected With CCHGroup 5: CCH Multiple Injection Technique1Participants
Number of Participants With a Histologic Change in a Tissue Specimen That Was Injected With CCHGroup 6: CCH Multiple Injection Technique1Participants
Number of Participants With a Histologic Change in a Tissue Specimen After 2 CCH Dose Injections Relative to a Tissue Specimen After 1 CCH Dose InjectionGroup 1: CCH Single Injection Technique2Participants
Number of Participants With a Histologic Change in a Tissue Specimen After 2 CCH Dose Injections Relative to a Tissue Specimen After 1 CCH Dose InjectionGroup 2: CCH Single Injection Technique1Participants
Number of Participants With a Histologic Change in a Tissue Specimen After 2 CCH Dose Injections Relative to a Tissue Specimen After 1 CCH Dose InjectionGroup 3: CCH Single Injection Technique1Participants
Number of Participants With a Histologic Change in a Tissue Specimen After 2 CCH Dose Injections Relative to a Tissue Specimen After 1 CCH Dose InjectionGroup 4: CCH Multiple Injection Technique2Participants

Participant flow30

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDGroup 1: Collagenase Clostridium Histolyticum (CCH) Single Injection Technique2
Overall StudySTARTEDGroup 2: CCH Single Injection Technique1
Overall StudySTARTEDGroup 3: CCH Single Injection Technique1
Overall StudySTARTEDGroup 4: CCH Multiple Injection Technique4
Overall StudySTARTEDGroup 5: CCH Multiple Injection Technique1
Overall StudySTARTEDGroup 6: CCH Multiple Injection Technique1
Overall StudySafety PopulationGroup 1: Collagenase Clostridium Histolyticum (CCH) Single Injection Technique2
Overall StudySafety PopulationGroup 2: CCH Single Injection Technique1
Overall StudySafety PopulationGroup 3: CCH Single Injection Technique1
Overall StudySafety PopulationGroup 4: CCH Multiple Injection Technique4

Adverse events102

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherInjection site oedemaGeneral disordersGroup 1: CCH Single Injection Technique02
otherInjection site oedemaGeneral disordersGroup 2: CCH Single Injection Technique01
otherInjection site oedemaGeneral disordersGroup 3: CCH Single Injection Technique01
otherInjection site oedemaGeneral disordersGroup 4: CCH Multiple Injection Technique24
otherInjection site oedemaGeneral disordersGroup 5: CCH Multiple Injection Technique01
otherInjection site oedemaGeneral disordersGroup 6: CCH Multiple Injection Technique01
otherInjection site bruisingGeneral disordersGroup 1: CCH Single Injection Technique12
otherInjection site bruisingGeneral disordersGroup 2: CCH Single Injection Technique11
otherInjection site bruisingGeneral disordersGroup 3: CCH Single Injection Technique11
otherInjection site bruisingGeneral disordersGroup 4: CCH Multiple Injection Technique34

Adverse event totals18

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityGroup 1: CCH Single Injection Technique02
Total, all-cause mortalityGroup 2: CCH Single Injection Technique01
Total, all-cause mortalityGroup 3: CCH Single Injection Technique01
Total, all-cause mortalityGroup 4: CCH Multiple Injection Technique04
Total, all-cause mortalityGroup 5: CCH Multiple Injection Technique01
Total, all-cause mortalityGroup 6: CCH Multiple Injection Technique01
Total, other adverse eventsGroup 1: CCH Single Injection Technique22
Total, other adverse eventsGroup 2: CCH Single Injection Technique11
Total, other adverse eventsGroup 3: CCH Single Injection Technique11
Total, other adverse eventsGroup 4: CCH Multiple Injection Technique44

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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