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Peyronie's DiseasePhase 3NCT01221597

Study of AA4500 in the Treatment of Peyronie's Disease

A Phase 3 study testing AA4500 in people with Peyronie's Disease, run by Endo USA Inc., a Keenova Therapeutics Company at 34 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This study is a Phase 3, double-blind, randomized, placebo-controlled study of the safety and efficacy of AA4500 0.58 mg in subjects with Peyronie's disease. Approximately 400 (267 AA4500 and 133 placebo) men will be randomized. Read more about this study

Who is it for?
Ages 18 years and older, men only
Conditions the study is for
Peyronie's Disease
What is being tested?
AA4500
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
418 participants
Where
34 sitesin 2 countries
Study dates
Sep 2010to Apr 2012
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Be a male and be ≥ 18 years of age
  • Be in a stable relationship with a female partner/spouse for at least 3 months before screening and be willing to have vaginal intercourse with that partner/spouse
  • Have symptom(s) of Peyronie's disease for at least 12 months before the first dose of study drug and have evidence of stable disease as determined by the investigator
  • Have curvature deformity of at least 30° in the dorsal, lateral, or dorsal/lateral plane at screening. It must be possible to delineate the single plane of maximal curvature for evaluation during the study
  • Be judged to be in good health, based upon the results of a medical history, physical examination, and laboratory profile
  • Voluntarily sign and date an informed consent agreement approved by the Institutional Review Board/Independent Ethics Committee (IRB/IEC). The subject must also sign an authorization form to allow disclosure of his protected health information (PHI). The PHI authorization form and informed consent form may be an integrated form or may be separate forms depending on the institution
  • Be able to read, complete and understand the various rating instruments in English

Who cannot join

  • Has a penile curvature of less than 30° or greater than 90° at the screening visit
  • Has any of the following conditions:
  • Chordee in the presence or absence of hypospadias
  • Thrombosis of the dorsal penile artery and/or vein
  • Infiltration by a benign or malignant mass resulting in curvature deformity
  • Infiltration by an infectious agent, such as lymphogranuloma venereum
Show all 32Show fewer
  • Ventral curvature from any cause
  • Presence of an active sexually transmitted disease
  • Known active hepatitis B or C
  • Known immune deficiency disease or be positive for human immunodeficiency virus (HIV)
  • Has previously undergone surgery for Peyronie's disease
  • Fails to have an erection which in the opinion of the investigator is sufficient to accurately measure the subject's penile deformity after administration of prostaglandin E1 (PGE1) or trimix
  • Has a calcified plaque as evident by appropriate radiographic evaluation, penile x-ray or penile ultrasound that would prevent proper injection of study medication. Non-contiguous stippling of calcium is acceptable for inclusion provided the calcium deposit does not interfere with the injection of AA4500 into the plaque
  • Has an isolated hourglass deformity of the penis
  • Has the plaque causing curvature of the penis located proximal to the base of the penis, so that the injection of the local anesthetic would interfere with the injection of AA4500 into the plaque
  • Has previously received alternative medical therapies for Peyronie's disease administered by the intralesional route (including, but not limited to, steroids, verapamil, and the naturally occurring low molecular weight protein, interferon-α2b) within 3 months before the first dose of study drug or plans to use any of these medical therapies at any time during the study
  • Has received alternative medical therapies for Peyronie's disease administered by the oral (including, but not limited to, vitamin E [> 500 U], potassium aminobenzoate [Potaba], tamoxifen, colchicine, pentoxifylline, over-the-counter erectile dysfunction medications, or steroidal anti-inflammatory drugs) or topical routes (including, but not limited to, verapamil applied as a cream) within 3 months before the first dose of study drug or plans to use any of these medical therapies at any time during the study
  • Has had extracorporeal shock wave therapy (ESWT) for correction of Peyronie's disease within the 6-month period before screening or plans to have ESWT at any time during the study
  • Has used any mechanical type device for correction of Peyronie's disease within the 2-week period before screening or plans to use any these devices at any time during the study
  • Has used a mechanical device to induce a passive erection within the 2-week period before screening or plans to use any of these devices at any time during the study
  • Has significant erectile dysfunction that has failed to respond to oral treatment with phosphodiesterase type 5 (PDE5) inhibitors
  • Has a penile Duplex Doppler ultrasound evaluation at screening that shows compromised penile hemodynamics that in the opinion of the investigator is clinically significant
  • Has uncontrolled hypertension, as determined by the investigator
  • Has a known recent history of stroke, bleeding, or other significant medical condition, which in the investigator's opinion would make the subject unsuitable for enrollment in the study
  • Is unwilling or unable to cooperate with the requirements of the study including completion of all scheduled study visits
  • Has received an investigational drug or treatment within 30 days before the first dose of study drug
  • Has a known systemic allergy to collagenase or any other excipient of AA4500
  • Has a known allergy to any concomitant medication required as per the protocol
  • Has received anticoagulant medication (except for ≤ 165 mg aspirin daily or ≤ 800 mg of over-the-counter non-steroidal anti-inflammatory drugs [NSAIDS] daily) during the 7 days before each dose of study drug
  • Has received any collagenase treatments within 30 days of the first dose of study drug
  • Has, at any time, received AA4500 for the treatment of Peyronie's disease
  • -

Trial locations and contacts

34 sites in 2 countries.

34 sites in 2 countries

United States29 sites
  • Urology Associates of North Texas

    Arlington, Texas, 76017

  • Urology of Indiana LLC

    Avon, Indiana, 46123

  • Chesapeake Urology Research Associates

    Baltimore, Maryland, 21204

  • Johns Hopkins Hospital

    Baltimore, Maryland, 21287

  • Mens Health Boston

    Brookline, Massachusetts, 02445

  • Division of Urology at Maimonides Medical Center

    Brooklyn, New York, 11235

  • Urology Health Specialists,LLC

    Bryn Mawr, Pennsylvania, 19010

  • Urology Associates Medical Group

    Burbank, California, 91505

  • DCT-Celebration, LLC dba Discovery Clinical Trials

    Celebration, Florida, 34747

  • Tristate Urologic Services PSC Inc. dba TUG Research

    Cincinnati, Ohio, 45212

  • Alpha Clinical Research, LLC

    Clarksville, Tennessee, 37043

  • Southeastern Medical Research Institute

    Columbus, Georgia, 31904

  • DuPage Medical Group

    Downers Grove, Illinois, 60515

  • Alliance Urology Specialists, PA

    Greensboro, North Carolina, 27403

  • Center for Reproductive Medicine

    Hackensack, New Jersey, 07601

  • Urology Centers of Alabama, PC

    Homewood, Alabama, 35209

  • Baylor College of Medicine, Department of Urology

    Houston, Texas, 77030

  • Urological Associates of Lancaster

    Lancaster, Pennsylvania, 17604

  • Medical College of Wisconsin, Department of Urology

    Milwaukee, Wisconsin, 53226

  • Grove Hill Clinical Research, Grove Hill Medical Center

    New Britain, Connecticut, 06052

  • The Urology Center, PC

    New Haven, Connecticut, 06511

  • California Professional Research

    Newport Beach, California, 92660

  • Urology of Virginia - Sentara Medical Group

    Norfolk, Virginia, 23502

  • HOPE Research Institute, LLC

    Phoenix, Arizona, 85050

  • Wake Urological Associates

    Raleigh, North Carolina, 27607

  • Mayo Clinic at Rochester, Dept. of Urology

    Rochester, Minnesota, 55905

  • Salt Lake Research, PLLC

    Salt Lake City, Utah, 84107

  • San Diego Sexual Medicine

    San Diego, California, 92120

  • Palm Beach Urology Associates

    Wellington, Florida, 33414

Other trials in United States

Australia5 sites
  • Repatriation General Hospital

    Daws Park, South Australia, SA 5041

  • AusTrials

    Kipparing, Queensland, QLD 4019

  • Australian Urology Associates Pty Ltd

    Malvern, Victoria, VIC 3144

  • Australian Centre for Sexual Health

    St Leonards, New South Wales, NSW 2065

  • Western Urology

    Westmead, New South Wales, NSW 2145

Other trials in Australia

About this study

Official title: A Phase 3, Double-blind, Randomized, Placebo-controlled Study of the Safety and Effectiveness of AA4500 Administered Twice Per Treatment Cycle for up to Four Treatment Cycles (2 x 4) in Men With Peyronie's Disease

This study is a Phase 3, double-blind, randomized, placebo-controlled study of the safety and efficacy of AA4500 0.58 mg in subjects with Peyronie's disease. Approximately 400 (267 AA4500 and 133 placebo) men will be randomized. Subjects will be screened for study eligibility within 21 days before the initial injection of study drug in the first treatment cycle.

Before dosing, subjects will be stratified by degree of penile curvature deformity (ie, 30º to 60º or 61º to 90º) and then randomized into two treatment groups to receive in a 2:1 ratio either AA4500 0.58 mg or placebo.

Read more

In this study, qualified subjects may receive up to four treatment cycles; each cycle will be separated by a period of 42 days (± 5 days). During each treatment cycle, subjects will receive two injections of study drug with at least 24 hours but not more than 72 hours between injections. After the final injection of each treatment cycle, the investigator or qualified designee will model the penile plaque in an attempt to stretch or elongate the plaque. If the subject's penile curvature is reduced to <15 degrees after the first, second, or third cycle of injections or if further treatment is not clinically indicated, subsequent treatment cycles will not be administered.

Following the maximum of four treatment cycles, each subject will be followed for additional safety and efficacy assessments on Days 169 (± 7 days), 232 (± 7 days), 295 (± 7 days), 365 (± 7 days) (nominal weeks 24, 33, 42 and 52). Subjects randomized to placebo may receive open-label AA4500 treatment after completing this study as part of another protocol.

Being tested
AA4500, Placebo
Keywords
Peyronie's Disease, penile plaque, penile curvature
Medical subject headings
Penile Induration

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • AA4500Biological

    Also called XIAFLEX

    2 injections separated by at least 24 hours but not more than 72 hours. At least 24 hours but not more than 72 hours after the 2nd injection of the treatment cycle, the investigator will model the plaque (ie, gradual, gentle stretching of the flaccid penis in the direction opposite to the curvature). Treatment may be repeated after 42 days (± 5 days) for up to 4 treatment cycles.

  • PlaceboBiological

    2 injections separated by at least 24 hours but not more than 72 hours. At least 24 hours but not more than 72 hours after the 2nd injection of the treatment cycle, the investigator will model the plaque (ie, gradual, gentle stretching of the flaccid penis in the direction opposite to the curvature). Treatment may be repeated after 42 days (± 5 days) for up to 4 treatment cycles.

Study groups in NCT01221597
Study groupRoleWhat they receive
AA4500Experimentalcollagenase clostridium histolyticum
Receives: Biological: AA4500
PlaceboPlacebo comparatorplacebo
Receives: Biological: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage Change From Baseline in Penile Curvature

    A negative value in the percentage change from baseline in penile curvature deformity (angle measured in degrees) indicates less curvature.

    Measured: Baseline and Week 52

  2. Change From Baseline in the Peyronie's Disease Bother Domain of the Peyronie's Disease Questionnaire (PDQ)

    Peyronie's disease bother score range 0 (no issue or not at all bothered) to 4 (extremely bothered) on 4 questions; total score range 0 to 16. A decrease in the change from baseline total score in the Peyronie's disease bother domain of the PDQ is indicated by a negative number.

    Measured: Baseline and Week 52

Secondary outcomes (7)
  1. A Responder Analysis Based on Subject Overall Global Assessment of Peyronie's Disease

    A responder was defined as a subject who recorded his Peyronie's disease had either improved in a small but important way, moderately improved, or much improved in overall global assessment question.

    Measured: Week 52

  2. Change From Baseline in the Severity of Peyronie's Disease Physical and Psychological Symptoms

    Peyronie's disease symptoms (physical and psychological) severity score range 0 (none) to 4 (very severe) on 6 questions; total score range 0 to 24. A decrease in the change from baseline total score in the Peyronie's disease symptoms domain of the PDQ is indicated by a negative number.

    Measured: Baseline and Week 52

  3. Change in the Overall Satisfaction Domain of the International Index of Erectile Function (IIEF)

    Overall satisfaction domain of the IIEF score range 0 to 5 on 2 questions where higher scores indicate improved function or satisfaction; total score range 0 to 10.

    Measured: Baseline and Week 52

  4. Change From Baseline in Penile Plaque Consistency

    Penile plaque consistency score range 1 (non-palpable) to 5 (hard). A decrease in the change from baseline score in penile plaque consistency is indicated by a negative number.

    Measured: Baseline and Week 52

  5. Change From Baseline in Penile Length

    A negative value represents a reduction in measurement from baseline.

    Measured: Baseline and Week 52

  6. Change From Baseline in the Penile Pain Domain of the PDQ in Subjects With Baseline Penile Pain Score ≥4

    Penile pain scale range 0 (no pain) to 10 (extreme pain) on 3 questions; total score range 0 to 30. A decrease in the change from baseline total score in the penile pain domain of the PDQ is indicated by a negative number. Subjects were required to have a penile pain score of 4 or greater at baseline.

    Measured: Baseline and Week 52

  7. Composite Responder Based on Change in Curvature Deformity and Change in Peyronie's Disease Bother Score

    A responder was defined as a subject who satisfied the following 2 criteria at that visit: a) percent reduction from baseline in curvature deformity was ≥20% and b) reduction from baseline in PDQ Peyronie's disease bother score was ≥1, or had a change from reporting no sexual activity at screening to reporting sexual activity.

    Measured: Week 52

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Oct 2010 (estimated)
  2. Study startSep 2010
  3. Primary completionApr 2012
  4. Study completionApr 2012

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
418 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01221597
Sponsor's protocol ID
AUX-CC-803
Status last verified
Sep 2017
First submitted
8 Oct 2010
Last updated
5 Oct 2017
Data monitoring committee
No

Publications

  • Hellstrom WJ, Feldman RA, Coyne KS, Kaufman GJ, Smith TM, Tursi JP, Rosen RC. Self-report and Clinical Response to Peyronie's Disease Treatment: Peyronie's Disease Questionnaire Results From 2 Large Double-Blind, Randomized, Placebo-Controlled Phase 3 Studies. Urology. 2015 Aug;86(2):291-8. doi: 10.1016/j.urology.2015.04.047. Epub 2015 Jul 18.

    PubMed 26199168

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing AA4500 in people with Peyronie's Disease, run by Endo USA Inc., a Keenova Therapeutics Company at 34 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 32 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 5 Oct 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 34 sites in United States, Australia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 7 Apr 2015). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage Change From Baseline in Penile Curvature (time frame: Baseline and Week 52). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01221597, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Oct 2017.

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