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Edematous Fibrosclerotic PanniculopathyPhase 2APHRODITENCT05419505

Study of Different Interventions to Reduce Bruising Following CCH-Aaes Treatment for Cellulite of the Buttocks

A Phase 2 study testing CCH-aaes and Antifibrinolytic Agent in people with Edematous Fibrosclerotic Panniculopathy and Cellulite, run by Endo USA Inc., a Keenova Therapeutics Company at 13 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

The study will evaluate the effect of different doses, strengths (concentrations), diluent additives, depths of injection, and methods of injection on the severity of bruising potentially induced by QWO (collagenase clostridium histolyticum-aaes [CCH-aaes]). Read more about this study

Who is it for?
Ages 18 to 60 years, women only
What is being tested?
CCH-aaes and Antifibrinolytic Agent
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
91 participants
Where
13 sitesUnited States
Study dates
15 Jun 2022to 21 Jun 2023
Phase
Phase 2
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 to 60 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • Have a body mass index of 18 to <32 kilograms (kg)/meter (m)^2 and intends to maintain stable body weight during the study.
  • Have both buttocks with moderate or severe cellulite as reported by the investigator using the Clinician Reported Photonumeric Cellulite Severity Scale (CR-PCSS).
  • Have a Hexsel Cellulite Severity Scale (CSS) Total Score of ≤12.
  • Has a Fitzpatrick Skin Type of I-IV
  • Be willing to apply sunscreen to the treatment areas before each exposure to the sun for the duration of participation in the study.
  • Be willing and able to comply with the requirements of the study.

Who cannot join

  • Has systemic conditions (coagulation disorders, skin pigmentation disorders, malignancy, keloidal scarring, abnormal wound healing) that restricts study participation.
  • Is pregnant and/or is breast-feeding or plans to become pregnant and/or to breast-feed during the course of the study.
  • Has any local (in the areas to be treated) conditions (thrombosis, post-thrombosis syndrome, vascular disorder, inflammation, active infection, active cutaneous alteration, tattoo or mole) that restricts study participation.
  • Requires antiplatelet medication, anticoagulants, or non-steroidal anti-inflammatory drugs during the study.
  • Any medications, supplements, or foods that have, or have been reported to have anticoagulant effects within 14 days of treatment.
  • Has received treatment with investigational treatment within 30 days before treatment.
Show all 23Show fewer
  • Has used or intends to use any of the local applications, therapies, injections, or procedures for the treatment of cellulite on either buttock that would restrict study participation.
  • Intends to initiate an intensive sport or exercise program or intensive weight reduction program during the study.
  • Intends to engage in strenuous activity within 48 hours of study intervention administration.
  • Has recently tanned or intends to tan (outdoors or indoors) during the study.
  • Has a history of hypersensitivity or allergy to collagenase or any other excipient of CCH.
  • Has any condition(s) that, in the investigator's opinion, might indicate the participant to be unsuitable for the study.
  • Has participated in a previous investigational study of CCH or received any collagenase treatments at any time prior to treatment in this study for the treatment of cellulite of the buttocks.
  • In addition to the applicable aforementioned exclusion criteria, participants enrolling in Cohort 7 will be excluded from study participation if the participant:
  • Has any of the following medical conditions:
  • history of venous or arterial thromboembolism or current thromboembolic disease.
  • history of or current renal impairment.
  • serum creatinine concentration > 1.4 milligram/deciliter at Screening.
  • Requires the following concomitant medications during the study and cannot discontinue these medications within the time specified before CCH-aaes treatment:
  • concurrently taking combination hormonal contraceptives.
  • concurrently undergoing hormone replacement therapy.
  • is a current smoker of nicotine or cannabinoids.
  • Participants in Cohort 7 should avoid smoking (including vaping, nicotine, or marijuana cigarettes) during the study.

Trial locations and contacts

13 sites in 1 country.

13 sites in 1 country

United States13 sites
  • Endo Clinical Trial Site #4

    Beverly Hills, California, 90210

  • Endo Clinical Trial Site #3

    Chicago, Illinois, 60611

  • Endo Clinical Trial Site #8

    Coral Gables, Florida, 33146

  • Endo Clinical Trial Site #9

    Encinitas, California, 92024

  • Endo Clinical Trial Site #12

    Greenwood Village, Colorado, 80111

  • Endo Clinical Trial Site #2

    Metairie, Louisiana, 700006

  • Endo Clinical Trial Site #13

    Miami, Florida, 33137

  • Endo Clinical Trial Site #1

    Nashville, Tennessee, 37215

  • Endo Clinical Trial Site #11

    New York, New York, 10021

  • Endo Clinical Trial Site #5

    Pflugerville, Texas, 78660

  • Endo Clinical Trial Site #10

    San Diego, California, 92121

  • Endo Clinical Trial Site #6

    Scottsdale, Arizona, 85255

  • Endo Clinical Trial Site #7

    Solana Beach, California, 92075

Other trials in United States

About this study

Official title: APHRODITE-1: A Phase 2, Open Label, Self-Controlled Study of Different Interventions to Reduce Bruising Following CCH-Aaes Treatment for Cellulite of the Buttocks in Adult Females

The study will evaluate the effect of different doses, strengths (concentrations), diluent additives, depths of injection, and methods of injection on the severity of bruising potentially induced by QWO (collagenase clostridium histolyticum-aaes [CCH-aaes]).

Read the detailed description

The study will comprise a Screening Period (28 days), Treatment Period (90 days), and Follow-up Period (90 days). Participants will receive CCH-aaes in different doses, concentrations, diluent additives, depths of injection, and methods of injection in a split buttock arrangement, with the right buttock serving as the control, and the left buttock (investigational side) receiving a study intervention.

Being tested
CCH-aaes, Antifibrinolytic Agent
Keywords
Collagenase Clostridium Histolyticum, collagenase clostridium histolyticum-aaes
Medical subject headings
Cellulite

What participants receive

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

  • CCH-aaesDrug

    Also called Collagenase clostridium histolyticum-aaes, QWO®

    Administered by subcutaneous injection.

  • Antifibrinolytic AgentDrug

    Self-administered by participants enrolled in Cohort 7.

Study groups in NCT05419505
Study groupRoleWhat they receive
Cohort 1: CCH-aaes Dose EvaluationExperimentalParticipants will be administered CCH-aaes at different doses. Participants will receive CCH-aaes treatments in a split buttock arrangement, with the right buttock as the control, and the left buttock as the investigational treatment.
Receives: Drug: CCH-aaes
Cohort 2: CCH-aaes Concentration EvaluationExperimentalParticipants will be administered CCH-aaes at different concentrations. Participants will receive CCH-aaes treatments in a split buttock arrangement, with the right buttock as the control, and the left buttock as the investigational treatment.
Receives: Drug: CCH-aaes
Cohort 3: CCH-aaes Injection Depth EvaluationExperimentalParticipants will be administered CCH-aaes using different injection depths. Participants will receive CCH-aaes treatments in a split buttock arrangement, with the right buttock as the control, and the left buttock as the investigational treatment.
Receives: Drug: CCH-aaes
Cohort 4: CCH-aaes Injection Method EvaluationExperimentalParticipants will be administered CCH-aaes using different injection methods. Participants will receive CCH-aaes treatments in a split buttock arrangement, with the right buttock as the control, and the left buttock as the investigational treatment.
Receives: Drug: CCH-aaes
Cohort 5: CCH-aaes and Diluent Additive EvaluationExperimentalParticipants will be administered CCH-aaes and diluent additive. Participants will receive CCH-aaes treatments in a split buttock arrangement, with the right buttock as the control, and the left buttock as the investigational treatment.
Receives: Drug: CCH-aaes
Cohort 6: CCH-aaes Dose, Concentration, and Treatment Schedule EvaluationExperimentalParticipants will be administered CCH-aaes using a different treatment schedule and different doses and concentrations. Participants will receive CCH-aaes treatments in a split buttock arrangement, with the right buttock as the control, and the left buttock as the investigational treatment.
Receives: Drug: CCH-aaes
Cohort 7: CCH-aaes and Antifibrinolytic AgentExperimentalParticipants will be administered CCH-aaes and an antifibrinolytic agent. Participants will receive CCH-aaes treatments in a split buttock arrangement, with the right buttock as the control, and the left buttock as the investigational treatment.
Receives: Drug: CCH-aaes; Drug: Antifibrinolytic Agent

What is being measured

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

  1. Percentage of Participants With at Least 1-Level Lower Score 3 to 5 Days After Initial CCH-aaes Injection, as Assessed by the Investigator Assessment of Bruising Severity Scale (IABSS) After Initial CCH-aaes Injection

    The investigator assessed the severity of bruising using the IABSS, The IABSS is a 5-point scale ranging from 0-4, with 0 indicating no bruising or almost none, and 4 indicating very severe bruising. Higher scores indicated worse outcomes.

    The investigator compared the bruising of the left (test) buttock to the right (control) buttock. Responders were participants whose left buttock/test side demonstrated at least a 1-level lower IABSS score versus the right buttock/control side.

    Percentages are based on the number of participants with an assessment at specified timepoint.

    Measured: 3 to 5 days after initial CCH-aaes injection of left buttock (test) and right buttock (control)

Secondary outcomes (3)
  1. Percentage of Participants With at Least 1-Level Lower Score, as Assessed by the IABSS

    The investigator assessed the severity of bruising using the IABSS, The IABSS is a 5-point scale ranging from 0-4, with 0 indicating no bruising or almost none, and 4 indicating very severe bruising. Higher scores indicated worse outcome.

    The investigator compared the bruising of the left buttock (test) to the right (control) buttock. Responders were participants whose left buttock/test side at Visit A demonstrated at least a 1-level lower IABSS score versus the right buttock/control side at Visit B, where Visit A and B could either be the same or different. Follow-up after first injection is presented: Follow-up 1 is 1 to 2 days after injection visit, Follow-up 2 is 3 to 5 days after injection visit, Follow-up 3 is 6 to 9 days after injection visit, and Follow-up 4 is 10 to 14 days after injection visit.

    Percentages are based on the number of participants with an assessment at specified timepoint.

    Measured: Follow-up 1, 2, 3, and 4 after CCH-aaes injection of left buttock (test) and right buttock (control)

  2. Percentage of Participants With at Least +1 or Higher Score on the Investigator-Global Aesthetic Improvement Scale (I-GAIS) After CCH-aaes Injection

    The investigator determined the degree of improvement of each buttock by comparing treated cellulite dimples from the Day 1 pre-treatment (Baseline) digital image of each buttock to the treated dimples observed in a live assessment.

    The investigator determined the degree of improvement of each buttock with the I-GAIS, which uses a 7-point scale ranging from +3 (very much improved) to -3 (very much worse). A higher score indicated a better outcome. The investigator compared the bruising of the left (test) buttock to the right (control) buttock.

    A 1-level I-GAIS responder was defined as any participant with an improved (+1, +2 or +3) score on the I-GAIS at an analysis visit for that treatment area.

    Percentages are based on the number of participants with an assessment at specified timepoint.

    Measured: Day 22 and Day 43 for Cohorts 1 to 5, Day 43 for Cohort 6, Day 22, Day 43, and Day 64 for Cohort 7, and Day 90, Day 135, and Day 180 for all cohorts

  3. Percentage of Participants With Injection Site Reactions

    Treatment-emergent adverse events (TEAEs) were defined as any adverse events (AEs) that occur or worsen (increase in severity) on the same day or after the study intervention administration on Day 1. Percent of participants with TEAEs of injection site reactions are presented by left buttock (test) and right buttock (control).

    A summary of serious and all other non-serious adverse events regardless of causality is located in the Reported Adverse Events module.

    Measured: From Day 1 (after dose) through Day 180

Timeline

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

  1. First posted15 Jun 2022
  2. Study start15 Jun 2022
  3. Primary completion3 Jan 2023
  4. Study completion21 Jun 2023

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
91 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05419505
Sponsor's protocol ID
EN3835-226
Acronym
APHRODITE
Status last verified
Mar 2025
First submitted
9 Jun 2022
Last updated
7 Mar 2025
Data monitoring committee
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 2 study testing CCH-aaes and Antifibrinolytic Agent in people with Edematous Fibrosclerotic Panniculopathy and Cellulite, run by Endo USA Inc., a Keenova Therapeutics Company at 13 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 6 inclusion and 23 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 7 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 13 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 Mar 2025). 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 of Participants With at Least 1-Level Lower Score 3 to 5 Days After Initial CCH-aaes Injection, as Assessed by the Investigator Assessment of Bruising Severity Scale (IABSS) After Initial CCH-aaes Injection (time frame: 3 to 5 days after initial CCH-aaes injection of left buttock (test) and right buttock (control)). 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 7 Mar 2025.

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