collagenase clostridium histolyticum
Trade name: xiaflex
Approved
Jun 4, 1965
Collagenase clostridium histolyticum is an enzyme produced by the bacterium Clostridium histolyticum that dismantles collagen. It is used as a powder-and-solvent injection kit for the treatment of Dupuytren's contracture, a condition where the fingers bend towards the palm and cannot be fully straightened, and Peyronie's disease, a connective tissue disorder involving the growth of fibrous plaques in the soft tissue of the penis. BioSpecifics Technologies developed the preparation, which is manufactured and marketed by Endo Pharmaceuticals as Xiaflex in the US and by Sobi as Xiapex in Europe. — Wikipedia
Clinical trial activity
98 trials · 61 clinical orgs · 5 marketing orgs
Earliest trial started Aug 1, 1995 (NCT00004409)
Timeline
1960s
- Jun 4, 1965
Earliest FDA Approval
- Jun 4, 1965
Biospecifics Technologies Corp. — Marketing Organization
- Jun 4, 1965
Smith & Nephew — Marketing Organization
- Jun 4, 1965
Smith & Nephew — NDA Secondary Org
1990s
- Jan 1, 1995
Earliest Phase 2 Sponsor(trial)
- May 23, 1996
Biospecifics Technologies Corp. — IND Organization
- May 23, 1996
Biospecifics Technologies Corp. — IND Organization
2010s
2020s
- Jul 6, 2020
Endo Pharmaceuticals — Marketing Organization
- Jul 6, 2020
Bristol-Myers Squibb — NDA Secondary Org
Indications
Approved for
Studied for
- Anastomotic Leak · Early Phase 1
- Arterial Occlusive Diseases · Phase 1
- Burns · Phase 4
- Bursitis · Phase 2
- Cellulite · Phase 4
- Cicatrix · Phase 4
- Collagen · Early Phase 1
- Constriction, Pathologic · Early Phase 1
- Contracture · Phase 2
- Coronary Disease · Phase 2
- Dermatology · Phase 2
- Diabetes Mellitus · Phase 4
- Diabetic Foot · Phase 4
- Esophageal Stenosis · Early Phase 1
- Fasciitis, Plantar · Phase 2
- Fibromatosis, Plantar · Phase 3
- Foot Ulcer · Phase 1
- Genital Diseases, Male · Phase 4
- Leiomyoma · Phase 1
- Lipoma · Phase 2
- Panniculitis · Phase 4
- Penis · Phase 4
- Peptic Ulcer · Phase 1
- Pressure Ulcer · Phase 4
- Sexual Dysfunctions, Psychological · Phase 4
- Tissue Adhesions · Phase 1/Phase 2
- Tissues · Phase 2
- Ulcer · Phase 2/Phase 3
- Urethral Stricture · Phase 2
- Wound Healing · Phase 4
- Wounds and Injuries · Phase 4
Mechanism of action
- CollagenHYDROLYTIC ENZYME
Collagen hydrolytic enzyme
- Collagen alpha-2(I) chain (COL1A2) ↗
- Collagen alpha-1(I) chain (COL1A1) ↗
- Collagen alpha-1(II) chain (COL2A1) ↗
- Collagen alpha-1(III) chain (COL3A1) ↗
- Collagen alpha-1(IV) chain (COL4A1) ↗
- Collagen alpha-1(V) chain (COL5A1) ↗
- Collagen alpha-1(VI) chain (COL6A1) ↗
- Collagen alpha-1(XI) chain (COL11A1) ↗
- Collagen alpha-1(XV) chain (COL15A1) ↗
- Collagen alpha-1(XVIII) chain (COL18A1) ↗
- Collagen alpha-1(XXIV) chain (COL24A1) ↗
- Collagen alpha-1(XXVII) chain (COL27A1) ↗
- Collagen alpha-1(XXVIII) chain (COL28A1) ↗
- Collagen alpha-2(IV) chain (COL4A2) ↗
- Collagen alpha-2(V) chain (COL5A2) ↗
- Collagen alpha-2(VI) chain (COL6A2) ↗
- Collagen alpha-2(XI) chain (COL11A2) ↗
- Collagen alpha-3(IV) chain (COL4A3) ↗
- Collagen alpha-3(V) chain (COL5A3) ↗
- Collagen alpha-3(VI) chain (COL6A3) ↗
- Collagen alpha-4(IV) chain (COL4A4) ↗
- Collagen alpha-5(IV) chain (COL4A5) ↗
- Collagen alpha-5(VI) chain (COL6A5) ↗
- Collagen alpha-6(IV) chain (COL4A6) ↗
- Collagen alpha-6(VI) chain (COL6A6) ↗
Approval history
- approvedJun 4, 1965
Chemistry & pharmacology
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Parenteral
- Availability
- Prescription Only
Oral
No
Parenteral
Yes
Topical
No
Sources
- WikipediaCollagenase clostridium histolyticum ↗
- NCATS9X7O8V25IT ↗
- ChEMBLCHEMBL2108709 ↗
Also known as
- aa4500
- aa4500
- clostridial collagenase
- clostridium histolyticum collagenase
- clostridium histolyticum enzymes
- collagenase
- collagenase
- collagenase
- collagenase
- collagenase
- collagenase
- collagenase
- collagenase
- collagenase clostridium histolycum
- collagenase clostridium histolyticum
- collagenase clostridium histolyticum
- collagenase clostridium histolyticum
- collagenase clostridium histolyticum
- collagenase clostridium histolyticum
- collagenase clostridium histolyticum
- collagenase clostridium histolyticum
- en3835
- santyl
- santyl
- xiaflex
- xiaflex
- xiaflex
- xiaflex
- xiapex
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT06649539 | Phase 4 | Oct 11, 2024 | Charitable Union for the Research and Education of Peyronie's Disease, Endo Pharmaceuticals |
| NCT06169319 | Phase 2 | Dec 31, 2023 | Endo Pharmaceuticals |
| NCT06065436 | N/A | Nov 30, 2023 | Mayo Clinic |
| NCT06151197 | Phase 3 | Nov 30, 2023 | Endo Pharmaceuticals |
| NCT05777031 | Phase 4 | Oct 2, 2023 | Endo Pharmaceuticals, University of Miami |
| NCT05646602 | N/A | Mar 31, 2023 | Mayo Clinic |
| NCT05419505 | Phase 2 | Jun 15, 2022 | Endo Pharmaceuticals |
| NCT05309525 | Phase 4 | Apr 22, 2022 | Luxurgery |
| NCT05254457 | Phase 3 | Feb 14, 2022 | Endo Pharmaceuticals |
| NCT05152173 | Phase 2 | Nov 29, 2021 | Endo Pharmaceuticals |
| NCT05108558 | Phase 4 | Sep 20, 2021 | Charitable Union for the Research and Education of Peyronie's Disease, CURE PD |
| NCT04874870 | Phase 3 | Jul 12, 2021 | Endo Pharmaceuticals, Florida Orthopaedic Institute, Foundation for Orthopaedic Research and Education |
| NCT05026216 | Phase 4 | Mar 29, 2021 | DMR Research, PLLC, Endo Pharmaceuticals |
| NCT04786106 | Phase 4 | Dec 30, 2020 | Charitable Union for the Research and Education of Peyronie's Disease, Endo Pharmaceuticals |
| NCT04677712 | Phase 4 | Dec 28, 2020 | DeNova Research, Endo Pharmaceuticals, Investigate MD, LLC, University of California, San Diego |
| NCT04580303 | Phase 2 | Oct 1, 2020 | Endo Pharmaceuticals |
| NCT04496167 | Phase 2 | Jul 29, 2020 | Endo Pharmaceuticals |
| NCT04236635 | Phase 2 | Dec 20, 2019 | Endo Pharmaceuticals |
| NCT04209530 | Phase 2 | Nov 20, 2019 | Endo Pharmaceuticals |
| NCT04170296 | Phase 3 | Nov 1, 2019 | Endo Pharmaceuticals |
Organizations
Research & Development (61)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Endo Pharmaceuticals | For profit | 47 | 39 | 4 | 2003 |
| Healthpoint | For profit | 11 | 8 | 2 | 2008 |
| Auxillium | For profit | 6 | 0 | 3 | 2010 |
| Biospecifics Technologies Corp. | For profit | 5 | 1 | 3 | 2003 |
| Stony Brook University | Academic/Hospital | 5 | 4 | 3 | 2003 |
| Smith & Nephew | For profit | 4 | 3 | 1 | 2014 |
| Charitable Union for the Research and Education of Peyronie's Disease | Academic/Hospital | 3 | 3 | 1 | 2020 |
| University of Miami | Academic/Hospital | 3 | 3 | 2 | 2014 |
| Gerut, Zachary, M.D. | Academic/Hospital | 2 | 1 | 1 | 2012 |
| Indiana Hand to Shoulder Center | Academic/Hospital | 2 | 2 | 1 | 2010 |
| Mayo Clinic | Academic/Hospital | 2 | 2 | 1 | 2023 |
| State University of New York | Academic/Hospital | 2 | 2 | 2 | 1995 |
| University of Kansas | Academic/Hospital | 2 | 1 | 1 | 2012 |
| University of Toronto | Academic/Hospital | 2 | 1 | 2 | 2009 |
| Asahi Kasei Pharma | For profit | 1 | 1 | 1 | 2012 |
| Associated Foot & Ankle Specialists | Academic/Hospital | 1 | 0 | 1 | 2010 |
| Azidus | For profit | 1 | 1 | 1 | 2008 |
| Cristália Produtos Químicos Farmacêuticos Ltda. | For profit | 1 | 1 | 1 | 2015 |
| CURE PD | Academic/Hospital | 1 | 0 | 1 | 2021 |
| DeNova Research | For profit | 1 | 0 | 1 | 2020 |
Marketing (8)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Auxillium | For profit | MKTG | Feb 2, 2010 |
| Auxillium | For profit | NDA | Feb 2, 2010 |
| Biospecifics Technologies Corp. | For profit | MKTG | Jun 4, 1965 |
| Biospecifics Technologies Corp. | For profit | IND | May 23, 1996 |
| Bristol-Myers Squibb | For profit | NDA2 | Jul 6, 2020 |
| Endo Pharmaceuticals | For profit | MKTG | Jul 6, 2020 |
| Smith & Nephew | For profit | MKTG | Jun 4, 1965 |
| Smith & Nephew | For profit | NDA2 | Jun 4, 1965 |