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Plantar FibromatosisPhase 3NCT05254457

Long-Term Safety, Efficacy, and Durability of EN3835 in the Treatment and Retreatment of Plantar Fibromatosis

A Phase 3 study testing EN3835 in people with Plantar Fibromatosis, run by Endo USA Inc., a Keenova Therapeutics Company at 27 sites in United States.

Completed

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

Official record
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Trial summary

Assess the long-term safety and efficacy of EN3835 in participants who have participated in a parent placebo-controlled study of EN3835 (EN3835-222, NCT05152173) and assess the efficacy and safety of EN3835 in the treatment and retreatment of plantar fibromatosis. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Plantar Fibromatosis
What is being tested?
EN3835
Could I receive a placebo?
No, everyone receives an active treatment
How many people
145 participants
Where
27 sitesUnited States
Study dates
14 Feb 2022to 21 Mar 2024
Phase
Phase 3
Are there results?
None posted in the registry

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
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Have been enrolled and completed a sponsored-clinical study of EN3835 (for the EN3835-222 study, participants who completed the study are those that completed the Day 57 visit, were assessed for safety and received at least 1 dose of study intervention).
  • Willing and able to comply with all protocol required visits and assessments.
  • Agree not to use opioids during the study period and has not used opioids 2 weeks prior to the Observational Day 1 Visit.
  • Agree to not initiate or change use of orthotics or inserts designed to relieve symptoms of plantar fibromatosis during the study period.
  • Willing and able to comply with all protocol required visits and assessments.
  • Be adequately informed and understand the nature and risks of the study and be able to provide consent
  • If female, be of non-childbearing potential (history of hysterectomy, bilateral oophorectomy, bilateral tubal ligation, or postmenopausal with no history of menstrual flow in the 12 months prior to the Day 1 Visit), or, if of childbearing potential, be nonpregnant, non-lactating and agree to use effective contraception when with a male partner for the duration of the study and for 28 days after any active treatment period.
  • Have no significant medical history or examination findings related to the participant's plantar nodules, which in the investigator's opinion, would make the participant unsuitable for EN3835 administration.

Who cannot join

  • Has any musculoskeletal, neuromuscular, neurosensory, or other neurological or related disorder that affects the participant's use of his or her feet and/or would impair his/her completion of study assessments as determined by the investigator.
  • Any other significant medical condition or had an SAE in the parent study which in the investigator's opinion, would make the participant unsuitable for enrollment in the study.
  • Received or plans to receive surgical or non-surgical treatments on the foot or nodules that were treated.
  • Has a known systemic allergy to collagenase or any other excipient of EN3835.
  • Has a known bleeding disorder that would make the participant unsuitable for treatment or retreatment in the study.
  • Has significant medical history or examination findings related to the participant's plantar nodules, which in the investigator's opinion, would make the participant unsuitable for EN3835 administration.
  • Has a known coagulation disorder or is taking any medications that would increase the risk of bleeding (except <150mg of aspirin daily, 7 days prior to first injection and for the duration of the study.

Trial locations and contacts

27 sites in 1 country.

27 sites in 1 country

United States27 sites
  • Endo Clinical Trial Site #12

    Bakersfield, California, 19331

  • Endo Clinical Trial Site #4

    Bedford, Texas, 76021

  • Endo Clinical Trial Site #17

    Dallas, Texas, 75208

  • Endo Clinical Trial Site #26

    Dallas, Texas, 75251

  • Endo Clinical Trial Site #19

    Decatur, Illinois, 62521

  • Endo Clinical Trial Site #5

    Fort Worth, Texas, 76104

  • Endo Clinical Trial Site #3

    Fresno, California, 93710

  • Endo Clinical Trial Site #27

    Georgetown, Texas, 78628

  • Endo Clinical Trial Site #7

    Houston, Texas, 77027

  • Endo Clinical Trial Site #10

    Houston, Texas, 77095

  • Endo Clinical Trial Site #16

    Jefferson City, Missouri, 65109

  • Endo Clinical Trial Site #23

    La Mesa, California, 91942

  • Endo Clinical Trial Site #22

    Lawrenceville, Georgia, 30043

  • Endo Clinical Trial Site #1

    McAllen, Texas, 78501

  • Endo Clinical Trial Site #25

    Meridian, Idaho, 83642

  • Endo Clinical Trial Site #24

    Miami, Florida, 33176

  • Endo Clinical Trial Site #2

    O'Fallon, Illinois, 62269

  • Endo Clinical Trial Site #6

    Pasadena, Maryland, 21122

  • Endo Clinical Trial Site #8

    Pinellas Park, Florida, 33782

  • Endo Clinical Trial Site #11

    Salt Lake City, Utah, 84107

  • Endo Clinical Trial Site #14

    Springfield, Illinois, 62704

  • Endo Clinical Trial Site #20

    Suffolk, Virginia, 23434

  • Endo Clinical Trial Site #21

    Sweetwater, Florida, 33172

  • Endo Clinical Trial Site #13

    Tarzana, California, 91356

  • Endo Clinical Trial Site #15

    Vista, California, 92083

  • Endo Clinical Trial Site #18

    Whittier, California, 90603

  • Endo Clinical Trial Site #9

    York, Pennsylvania, 17402

Other trials in United States

About this study

Official title: A Multi-Center, Open-Label, Extension Study to Evaluate the Long-Term Safety, Efficacy, and Durability of EN3835 in the Treatment and Retreatment of Plantar Fibromatosis

Assess the long-term safety and efficacy of EN3835 in participants who have participated in a parent placebo-controlled study of EN3835 (EN3835-222, NCT05152173) and assess the efficacy and safety of EN3835 in the treatment and retreatment of plantar fibromatosis.

Being tested
EN3835
Medical subject headings
Fibromatosis, Plantar

What participants receive

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

  • EN3835Biological

    Treatment or retreatment with EN3835

Study groups in NCT05254457
Study groupRoleWhat they receive
Observation Only GroupNo interventionNot described
Treated or Retreated GroupExperimentalNot described
Receives: Biological: EN3835

What is being measured

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

  1. Proportion of participants reporting adverse events (AE)

    Proportion of participants reporting AE during the study assessed by incidence, severity and duration

    Measured: Day 1 to Day 450

Secondary outcomes (24)
  1. Change from baseline on the Foot Function Index (FFI) total score in participants treated in the parent studies, and participants retreated in this study

    Change from baseline on the FFI total score on a 5-point rating scale (0-4). This score is comprised of activity limitation, difficulty, and pain subscales. Each subscale is scored on a 5-point rating scale, ranging from 0 to 4, with 0 being never, no difficulty, or none and 4 being always, a lot of difficulty, and extreme.

    Measured: Observational Days 60, 120, 180, 270, 360, and 450

  2. Change from baseline on the Foot Function Index (FFI) subscales in participants treated in the parent studies, and participants retreated in this study

    Change from baseline on the FFI subscales (pain, difficulty, and activity limitation). This score is comprised of activity limitation, difficulty, and pain subscales. Each subscale is scored on a 5-point rating scale, ranging from 0 to 4, with 0 being never, no difficulty, or none and 4 being always, a lot of difficulty, and extreme.

    Measured: Observational Days 60, 120, 180, 270, 360, and 450

  3. Change from baseline in the nodular hardness in participants treated in the parent studies, and participants retreated in this study

    Change from baseline in the nodular hardness of the treated nodules measured by durometer

    Measured: Observational Days 60, 120, 180, 270, 360, and 450

  4. Change from baseline in the nodular consistency of the treated nodules by palpation in participants treated in the parent studies, and participants retreated in this study

    Change from baseline in the nodular consistency of the treated nodules by palpation

    Measured: Observational Days 60, 120, 180, 270, 360, and 450

  5. Change from baseline on the Pain Intensity Numerical Rating Scale (NRS) in the parent studies, and participants retreated in this study

    Change from baseline on the Pain Intensity NRS ranging from 0 (No Pain) to 10 (Worst Pain Imaginable)

    Measured: Observational Days 60, 120, 180, 270, 360, and 450

  6. Proportion of participants that meet Treatment Session 1 criteria in the parent studies, and participants retreated in this study

    Proportion of participants that meet Treatment Session 1 criteria

    Measured: Days 180 or 270

  7. Proportion of participants on the Subject Satisfaction with Treatment Scale in the parent studies, and participants retreated in this study

    Proportion of participants reporting "Quiet Satisfied" (+1) and "Very Satisfied" (+2) on the Subject Satisfaction with Treatment Scale

    Measured: Observational Days 60, 120, 180, 270, 360, and 450

  8. Proportion of participants on the Clinician Global Impression of Change Scale in the parent studies, and participants retreated in this study

    Proportion of participants reporting "Minimally Improved" (+1), "Much Improved" (+2) or "Very Much Improved" (+3) on the Clinician Global Impression of Change Scale

    Measured: Observational Days 60, 120, 180, 270, 360, and 450

  9. Change from baseline (Retreatment) on the Foot Function Index (FFI) total score in the parent studies, and participants retreated in this study

    Change from baseline (Retreatment Day 1) with EN3835 on the FFI total score on a 5-point rating scale (0-4). This score is comprised of activity limitation, difficulty, and pain subscales. Each subscale is scored on a 5-point rating scale, ranging from 0 to 4, with 0 being never, no difficulty, or none and 4 being always, a lot of difficulty, and extreme.

    Measured: Change from baseline (Retreatment Day 1) to Retreatment Days 15, 29,43, 57, 117, 197, and 237

  10. Change from baseline (Retreatment) on the Foot Function Index (FFI) subscales (pain, difficulty, and activity limitation) in the parent studies, and participants retreated in this study

    Change from baseline (Retreatment Day 1) with EN3835 on the FFI subscales (pain, difficulty, and activity limitation). This score is comprised of activity limitation, difficulty, and pain subscales. Each subscale is scored on a 5-point rating scale, ranging from 0 to 4, with 0 being never, no difficulty, or none and 4 being always, a lot of difficulty, and extreme.

    Measured: Change from baseline (Retreatment Day 1) to Retreatment Days 15, 29,43, 57, 117, 197, and 237

  11. Change from baseline (Retreatment) in the nodular hardness of the treated nodules in the parent studies, and participants retreated in this study

    Change from baseline (Retreatment Day 1) with EN3835 in the nodular hardness of the treated nodules measured by durometer

    Measured: Change from baseline (Retreatment Day 1) to Retreatment Days 15, 29, 43, 57, 117, 197, and 237

  12. Change from baseline (Retreatment Day 1) in the nodular consistency of the treated nodules by palpation in the parent studies, and participants retreated in this study

    Change from baseline (Retreatment Day 1) with EN3835 in the nodular consistency of the treated nodules by palpation

    Measured: Change from baseline (Retreatment Day 1) to Retreatment Days 15, 29, 43, 57, 117, 197, and 237

  13. Change from baseline (Retreatment Day 1) on the Pain Intensity Numerical Rating Scale (NRS) in the parent studies, and participants retreated in this study

    Change from baseline (Retreatment Day 1) with EN3835 on the Pain Intensity NRS ranging from 0 (No Pain) to 10 (Worst Pain Imaginable)

    Measured: Change from baseline (Retreatment Day 1) to Retreatment Days 15, 29, 43, 57, 117, 197, and 237

  14. Proportion of participants reporting on the Subject Satisfaction with Treatment Scale in the parent studies, and participants retreated in this study

    Proportion of participants reporting to be "Quiet Satisfied" (+1) and "Very Satisfied" (+2) on the Subject Satisfaction with Treatment Scale on Retreatment Days

    Measured: Retreatment Days 15, 29, 43, 57, 117, 197, and 237

  15. Proportion of participants reporting on the Clinician Global Impression of Change Scale in the parent studies, and participants retreated in this study

    Proportion of participants reporting "Minimally Improved" (+1), "Much Improved (+2)" or "Very Much Improved (+3) on the Clinician Global Impression of Change Scale on Retreatment Days

    Measured: Retreatment Days 15, 29, 43, 57, 117, 197, and 237

  16. Change from baseline (Treatment Day 1) on the Foot Function Index (FFI) total score in the parent studies, and participants retreated in this study

    Change from baseline (Treatment Day 1) with EN3835 on the FFI total score on a 5-point rating scale (0-4). This score is comprised of activity limitation, difficulty, and pain subscales. Each subscale is scored on a 5-point rating scale, ranging from 0 to 4, with 0 being never, no difficulty, or none and 4 being always, a lot of difficulty, and extreme.

    Measured: Change from baseline (Treatment 1) to Treatment Days 15, 29, 43, 57, 117, 197, and 237

  17. Change from baseline (Treatment Day 1) on the Foot Function Index (FFI) subscales in the parent studies, and participants retreated in this study

    Change from baseline (Treatment Day 1) with EN3835 on the FFI subscales (pain, difficulty, and activity limitation). This score is comprised of activity limitation, difficulty, and pain subscales. Each subscale is scored on a 5-point rating scale, ranging from 0 to 4, with 0 being never, no difficulty, or none and 4 being always, a lot of difficulty, and extreme.

    Measured: Change from Baseline (Treatment 1) to Treatment Days 15, 29, 43, 57, 117, 197, and 237

  18. Change from baseline (Treatment Day 1) in the nodular hardness of the treated nodules in the parent studies, and participants retreated in this study

    Change from baseline (Treatment Day 1) with EN3835 in the nodular hardness of the treated nodules measured by durometer

    Measured: Change from baseline (Treatment Day 1) to Treatment Days 15, 29, 43, 57, 117, 197, and 237

  19. Change from baseline (Treatment Day 1) in the nodular consistency of the treated nodules in the parent studies, and participants retreated in this study

    Change from baseline (Treatment Day 1) with EN3835 in the nodular consistency of the treated nodules be palpation

    Measured: Change from baseline (Treatment Day 1) to Treatment Days 15, 29, 43, 57, 117, 197, and 237

  20. Change from baseline (Treatment Day 1) on the Pain Intensity Numerical Rating Scale (NRS) in the parent studies, and participants retreated in this study

    Change from baseline (Treatment Day 1) with EN3835 on the Pain Intensity NRS ranging from 0 (No Pain) to 10 (Worst Pain Imaginable)

    Measured: Change from baseline (Treatment Day 1) to Treatment Days 15, 29, 43, 57, 117, 197, and 237

  21. Proportion of participants reporting on the Subject Satisfaction with Treatment Scale in the parent studies, and participants retreated in this study

    Proportion of participants reporting to be "Quite Satisfied" (+1) and "Very Satisfied" (+2) on the Subject Satisfaction with Treatment Scale

    Measured: Treatment Days 15, 29, 43, 57, 117, 197, and 237

  22. Proportion of participants reporting on the Clinician Global Impression of Change Scale in the parent studies, and participants retreated in this study

    Proportion of participants reporting "Minimally Improved" (+1 ), "Much Improved" (+2) or "Very Much Improved" (+3) on the Clinician Global Impression of Change Scale

    Measured: Treatment Days 15, 29, 43, 57, 117, 197, and 237

  23. Presence of anti-AUX-I and anti-AUX-II antibody titer levels

    Presence of anti-AUX-I and anti-AUX-II antibody titer levels in EN3835 treated and retreated participants

    Measured: Retreatment/Treatment Day 57 and Day 450

  24. Presence of neutralizing antibodies to AUX-I and AUX-II

    Presence of neutralizing antibodies to AUX-I and AUX-II in EN3835 treated and retreated participants

    Measured: Retreatment/ Treatment Day 57 and Day 450

Timeline

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

  1. First posted24 Feb 2022
  2. Study start14 Feb 2022
  3. Primary completion21 Mar 2024
  4. Study completion21 Mar 2024

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
None (open label)
Enrolment
145 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05254457
Sponsor's protocol ID
EN3835-306
Status last verified
Mar 2025
First submitted
15 Feb 2022
Last updated
21 Mar 2025
Results posted
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing EN3835 in people with Plantar Fibromatosis, run by Endo USA Inc., a Keenova Therapeutics Company at 27 sites in United States.

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 8 inclusion and 7 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 21 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 27 sites in United States. 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. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Proportion of participants reporting adverse events (AE) (time frame: Day 1 to Day 450). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 21 Mar 2025.

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