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NCT04170296

Real World CCH Study in Adult Females With Cellulite

Completed Phase 3 Results posted Last updated 22 February 2022
What this trial tests

Phase 3 trial testing EN3835 in Edematous Fibrosclerotic Panniculopathy (EFP) in 153 participants. Completed in 8 January 2021.

Timeline
1 November 2019
Primary endpoint
6 October 2020
8 January 2021

Quick facts

Lead sponsorEndo Pharmaceuticals
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment153
Start date1 November 2019
Primary completion6 October 2020
Estimated completion8 January 2021
Sites12 locations across Puerto Rico, United States

Drugs / interventions tested

Conditions studied

Sponsor

Endo Pharmaceuticals — full company profile →

Who can join

Adults 18 to 60, female only, with Edematous Fibrosclerotic Panniculopathy (EFP) or Cellulite. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

The Proportion of Participants With Improved (+1 or Better) Score on I-GAIS for Either Posterolateral Thigh Primary · 90 Days

Investigator Global Aesthetic Improvement Scale (I-GAIS) is a 7-point scale rating global aesthetic improvement in appearance, compared to pretreatment, as judged by the investigator. The rating categories are "Very Much Worse", "Much Worse", "Worse", "No Change", "Improved", "Much Improved", and "Very Much Improved".

GroupValue95% CI
Cohort 1: Posterolateral Thigh58
The Proportion of Participants With Improved (+1 or Better) Score on I-GAIS for Either Buttock Primary · 90 Days

Investigator Global Aesthetic Improvement Scale (I-GAIS) is a 7-point scale rating global aesthetic improvement in appearance, compared to pretreatment, as judged by the investigator. The rating categories are "Very Much Worse", "Much Worse", "Worse", "No Change", "Improved", "Much Improved", and "Very Much Improved".

GroupValue95% CI
Cohort 2: Buttocks58
Mean Change From Baseline in CR-PCSS for Each Buttock Secondary · Day 22, 43, 90 and 180

Clinician-Reported Photonumeric Cellulite Severity Scale (CR-PCSS) is a 5-point photonumeric scale rating cellulite severity from "0" (none) to "4" (severe) from a clinician's perspective.

Day 22
GroupValue95% CI
Cohort 2: Buttocks (Left)-0.3± 0.52
Cohort 2: Buttocks (Right)-0.3± 0.50
Day 43
GroupValue95% CI
Cohort 2: Buttocks (Left)-0.6± 0.63
Cohort 2: Buttocks (Right)-0.5± 0.59
Day 90
GroupValue95% CI
Cohort 2: Buttocks (Left)-0.7± 0.70
Cohort 2: Buttocks (Right)-0.7± 0.53
Day 180
GroupValue95% CI
Cohort 2: Buttocks (Left)-0.7± 0.63
Cohort 2: Buttocks (Right)-0.6± 0.63
Mean Change From Baseline in Body Q Appraisal of Cellulite for Posterolateral Thigh Based on Total Score Secondary · Day 90, Day 180

The Body-Q Appraisal of Cellulite is a subset of questions from the Body-Q questionnaire developed to measure participant perceptions of weight loss and/or body contouring. The minimum possible score is 11 and the maximum possible score is 44. Higher scores indicate the individual is less bothered by their cellulite. Copyright Memorial Sloan-Kettering Cancer Center

Day 90
GroupValue95% CI
Cohort 1: Posterolateral Thigh10.9± 9.84
Day 180
GroupValue95% CI
Cohort 1: Posterolateral Thigh10.9± 9.76
Mean Change From Baseline in Body Q Appraisal of Cellulite for Buttock Based on Total Score Secondary · Day 90, Day 180

The Body-Q Appraisal of Cellulite is a subset of questions from the Body-Q questionnaire developed to measure participant perceptions of weight loss and/or body contouring. The minimum possible score is 11 and the maximum possible score is 44. Higher scores indicate the individual is less bothered by their cellulite. Copyright Memorial Sloan-Kettering Cancer Center

Day 90
GroupValue95% CI
Cohort 2: Buttocks8.8± 8.38
Day 180
GroupValue95% CI
Cohort 2: Buttocks8.8± 9.57
The Proportion of Participants With Improved (+1 or Better) Score on I GAIS for Either Posterolateral Thigh Secondary · Day 22, 43, and 180

Investigator Global Aesthetic Improvement Scale (I-GAIS) is a 7-point scale rating global aesthetic improvement in appearance, compared to pretreatment, as judged by the investigator. The rating categories are "Very Much Worse", "Much Worse", "Worse", "No Change", "Improved", "Much Improved", and "Very Much Improved".

Day 22
GroupValue95% CI
Cohort 1: Posterolateral Thigh64
Day 43
GroupValue95% CI
Cohort 1: Posterolateral Thigh59
Day 180
GroupValue95% CI
Cohort 1: Posterolateral Thigh61
The Proportion of Participants With Improved (+1 or Better) Score on I-GAIS for Either Buttock Secondary · Day 22, 43, and 180

Investigator Global Aesthetic Improvement Scale (I-GAIS) is a 7-point scale rating global aesthetic improvement in appearance, compared to pretreatment, as judged by the investigator. The rating categories are "Very Much Worse", "Much Worse", "Worse", "No Change", "Improved", "Much Improved", and "Very Much Improved".

Day 22
GroupValue95% CI
Cohort 2: Buttocks50
Day 43
GroupValue95% CI
Cohort 2: Buttocks62
Day 180
GroupValue95% CI
Cohort 2: Buttocks59
Percentage of Participants With Positive Antibody Titers for Anti-AUX-I and Anti AUX-II (Posterolateral Thigh) Secondary · Day 1, 90, and 180

Immunogenicity samples with a positive titer value will undergo a log transformation for analyses. Samples with titer level less than 10 were assigned or imputed as a log transformed titer of 1 for analyses

Day 1
GroupValue95% CI
Cohort 1: Posterolateral Thigh (Anti AUX-I)5
Cohort 1: Posterolateral Thigh (Anti AUX-II)5
Day 90
GroupValue95% CI
Cohort 1: Posterolateral Thigh (Anti AUX-I)60
Cohort 1: Posterolateral Thigh (Anti AUX-II)60
Day 180
GroupValue95% CI
Cohort 1: Posterolateral Thigh (Anti AUX-I)68
Cohort 1: Posterolateral Thigh (Anti AUX-II)68
Percentage of Participants With Positive Antibody Titers for Anti-AUX-I and Anti AUX-II (Buttocks) Secondary · Day 1, 90 and 180

Immunogenicity samples with a positive titer value will undergo a log transformation for analyses. Samples with titer level less than 10 were assigned or imputed as a log transformed titer of 1 for analyses

Day 1
GroupValue95% CI
Cohort 2: Buttocks (Anti AUX-I)7
Cohort 2: Buttocks (Anti AUX-II)5
Day 90
GroupValue95% CI
Cohort 2: Buttocks (Anti AUX-I)61
Cohort 2: Buttocks (Anti AUX-II)61
Day 180
GroupValue95% CI
Cohort 2: Buttocks (Anti AUX-I)66
Cohort 2: Buttocks (Anti AUX-II)65
Presence of Neutralizing Antibody (NAb) Anti AUX-I and AUX-II (Posterolateral Thigh) Secondary · Day 1, 90 and 180

All the samples with positive ADAs for the participants who had had every other titer levels in the first quartile and fourth quartile of all positive ADAs at Day 90 (performed separately for AUX-I and AUX-II) were tested for NAb.

Day 1
GroupValue95% CI
Cohort 1: Posterolateral Thigh (Anti AUX-I)1
Cohort 1: Posterolateral Thigh (Anti AUX-II)0
Cohort 1: Posterolateral Thigh (Anti AUX-I)1
Cohort 1: Posterolateral Thigh (Anti AUX-II)1
Day 90
GroupValue95% CI
Cohort 1: Posterolateral Thigh (Anti AUX-I)13
Cohort 1: Posterolateral Thigh (Anti AUX-II)16
Cohort 1: Posterolateral Thigh (Anti AUX-I)0
Cohort 1: Posterolateral Thigh (Anti AUX-II)1
Day 180
GroupValue95% CI
Cohort 1: Posterolateral Thigh (Anti AUX-I)8
Cohort 1: Posterolateral Thigh (Anti AUX-II)12
Cohort 1: Posterolateral Thigh (Anti AUX-I)3
Cohort 1: Posterolateral Thigh (Anti AUX-II)3
Presence of NAb Anti AUX-I and AUX-II (Buttocks) Secondary · Day 1, 90 and 180

All the samples with positive ADAs for the participants who had had every other titer levels in the first quartile and fourth quartile of all positive ADAs at Day 90 (performed separately for AUX-I and AUX-II) were tested for NAb.

Day 1
GroupValue95% CI
Cohort 2: Buttocks (Anti AUX-I)2
Cohort 2: Buttocks (Anti AUX-II)2
Cohort 2: Buttocks (Anti AUX-I)0
Cohort 2: Buttocks (Anti AUX-II)0
Day 90
GroupValue95% CI
Cohort 2: Buttocks (Anti AUX-I)15
Cohort 2: Buttocks (Anti AUX-II)9
Cohort 2: Buttocks (Anti AUX-I)2
Cohort 2: Buttocks (Anti AUX-II)4
Day 180
GroupValue95% CI
Cohort 2: Buttocks (Anti AUX-I)15
Cohort 2: Buttocks (Anti AUX-II)9
Cohort 2: Buttocks (Anti AUX-I)2
Cohort 2: Buttocks (Anti AUX-II)4

Adverse events — posted to ClinicalTrials.gov

Time frame: Time of informed consent signature until Day 180. Reporting threshold: 1%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Cohort 1: Posterolateral Thigh
Serious: 0/81 (0%)
Deaths: 0/81
Cohort 2: Buttocks
Serious: 0/72 (0%)
Deaths: 0/72
Other adverse events (40 terms — click to expand)

ReactionSystemCohort 1: Posterolateral T…Cohort 2: Buttocks
Injection site bruisingGeneral disorders
Injection site painGeneral disorders
Injection site discolourationGeneral disorders
Injection site pruritusGeneral disorders
Injection site swellingGeneral disorders
Injection site oedemaGeneral disorders
Injection site noduleGeneral disorders
Injection site massGeneral disorders
Post-inflammatory pigmentation changeSkin and subcutaneous tissue disorders
Injection site haemorrhageGeneral disorders
Injection site reactionGeneral disorders
NasopharyngitisInfections and infestations
Urinary tract infectionInfections and infestations
Injection site dermatitisGeneral disorders
Injection site erythemaGeneral disorders
Injection site rashGeneral disorders
Injection site warmthGeneral disorders
PyrexiaGeneral disorders
Drug hypersensitivityImmune system disorders
Oral herpesInfections and infestations
SinusitisInfections and infestations
Thermal burnInjury, poisoning and procedural complications
Alanine aminotransferase increasedInvestigations
Aspartate aminotransferase increasedInvestigations
Blood potassium increasedInvestigations
Blood sodium increasedInvestigations
Blood urine presentInvestigations
Coronavirus test positiveInvestigations
Hepatic enzyme increasedInvestigations
Nitrite urine presentInvestigations
Urine ketone body presentInvestigations
Urine leukocyte esterase positiveInvestigations
White blood cell count increasedInvestigations
Pain in extremityMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
MigraineNervous system disorders
AnxietyPsychiatric disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
Diffuse alopeciaSkin and subcutaneous tissue disorders
HypertensionVascular disorders

Data from ClinicalTrials.gov NCT04170296 adverse events section.

Sponsor's own description

This is a multicenter, open-label, multiple dose, 2 cohort, Phase 3b study to assess the safety and efficacy of CCH in adult women with mild or moderate edematous fibrosclerotic panniculopathy (EFP). Cohort 1 will include approximately 80 subjects with mild or moderate EFP in the posterolateral thighs and Cohort 2 will include approximately 70 subjects with mild or moderate EFP in the buttocks.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Evaluation of five collagenase clostridium histolyticum-aaes injection techniques for the treatment of cellulite on the buttock or thigh.
    Kaufman-Janette J, Katz BE, Vijayan S, Xiang Q, et al · · 2022 · cited 7× · PMID 35150194 · DOI 10.1111/jocd.14842

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