Trial Outcomes & Findings for Double Blind Study to Evaluate the Efficacy of Collagenase Histolyticum in the Treatment of Lipoma (NCT NCT02249052)

NCT ID: NCT02249052

Last Updated: 2017-02-23

Results Overview

The primary efficacy outcome is lipoma visible surface area defined as the longest dimension ("length") times the longest dimension perpendicular to length ("width"). Visible surface area will be analyzed as the percent change from baseline at the 6-month visit.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

19 participants

Primary outcome timeframe

Baseline and 6 months post injection

Results posted on

2017-02-23

Participant Flow

Subjects were screened and enrolled at two study sites in the United States.

Subjects must present with 2 lipomas meeting inclusion criteria

Participant milestones

Participant milestones
Measure
AA4500 and Placebo
Each subject received a single injection of 1 mL containing 0.58 mg AA4500 in one lipoma and a single injection of 1 mL placebo in another lipoma Lipoma #1 was randomized to AA4500 or placebo with Lipoma #2 receiving the alternate intervention
Overall Study
STARTED
19
Overall Study
COMPLETED
19
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Double Blind Study to Evaluate the Efficacy of Collagenase Histolyticum in the Treatment of Lipoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
AA4500 and Placebo
n=19 Participants
single injection of 0.58 mg study drug and placebo Subjects must present with 2 lipomas; one to receive AA4500 and one to receive placebo simultaneously
Age, Continuous
49.9 years
STANDARD_DEVIATION 9.13 • n=99 Participants
Gender
Female
4 Participants
n=99 Participants
Gender
Male
15 Participants
n=99 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=99 Participants
Race (NIH/OMB)
White
18 Participants
n=99 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants

PRIMARY outcome

Timeframe: Baseline and 6 months post injection

Population: All 19 subjects enrolled with 2 lipomas. All received AA4500 in one lipoma and placebo in the other lipoma.

The primary efficacy outcome is lipoma visible surface area defined as the longest dimension ("length") times the longest dimension perpendicular to length ("width"). Visible surface area will be analyzed as the percent change from baseline at the 6-month visit.

Outcome measures

Outcome measures
Measure
AA4500
n=19 Participants
Each subject received a single injection of 1 mL containing 0.58 mg AA4500
Placebo
n=19 Participants
Each subject received a single injection of 1 mL placebo
Percent Change From Baseline in Surface Area of the Lipoma at Six Months
-81.277 percentage change from baseline
Standard Deviation 22.9
2.053 percentage change from baseline
Standard Deviation 12.1

SECONDARY outcome

Timeframe: Baseline and 6 months

Population: All 19 participants

The number of participants with at least 50% decrease in visible lipoma surface area of lipoma relative to baseline

Outcome measures

Outcome measures
Measure
AA4500
n=19 Participants
Each subject received a single injection of 1 mL containing 0.58 mg AA4500
Placebo
n=19 Participants
Each subject received a single injection of 1 mL placebo
Responder Analysis
17 participants
0 participants

SECONDARY outcome

Timeframe: Baseline and 6 months

Population: All study participants

Change from baseline in lipoma length Calculated as the percent change from baseline for length of the lipoma treated with AA4500 and the lipoma treated with placebo.

Outcome measures

Outcome measures
Measure
AA4500
n=19 Participants
Each subject received a single injection of 1 mL containing 0.58 mg AA4500
Placebo
n=19 Participants
Each subject received a single injection of 1 mL placebo
Percent Change From Baseline in Greatest Dimension (Length) of Lipoma at 6 Months
-64.1818 Percent change from baseline
Standard Deviation 28.97
0.156 Percent change from baseline
Standard Deviation 7.78

SECONDARY outcome

Timeframe: 6 months

Population: 1 participant did not complete the questionnaire at the final visit; therefore the analysis population was based upon 18 participants

Subjects very satisfied or somewhat satisfied with study treatment based upon Subject Questionnaire

Outcome measures

Outcome measures
Measure
AA4500
n=18 Participants
Each subject received a single injection of 1 mL containing 0.58 mg AA4500
Placebo
n=18 Participants
Each subject received a single injection of 1 mL placebo
Subject Satisfaction
18 participants satisfied
7 participants satisfied

OTHER_PRE_SPECIFIED outcome

Timeframe: 1 Month post injection

Population: All 19 subjects enrolled with 2 lipomas. All received AA4500 in one lipoma and placebo in the other lipoma.

Visible surface area is defined as the longest dimension ("length") times the longest dimension perpendicular to length ("width"). Visible surface area will be analyzed as the percent change from baseline.

Outcome measures

Outcome measures
Measure
AA4500
n=19 Participants
Each subject received a single injection of 1 mL containing 0.58 mg AA4500
Placebo
n=19 Participants
Each subject received a single injection of 1 mL placebo
Change in Visible Surface Area
-26.74 percentage change from baseline
Standard Deviation 35.57
0.174 percentage change from baseline
Standard Deviation 8.38

OTHER_PRE_SPECIFIED outcome

Timeframe: 3 month post injection

Population: All 19 subjects enrolled with 2 lipomas. All received AA4500 in one lipoma and placebo in the other lipoma.

Visible surface area is defined as the longest dimension ("length") times the longest dimension perpendicular to length ("width"). Visible surface area will be analyzed as the percent change from baseline.

Outcome measures

Outcome measures
Measure
AA4500
n=19 Participants
Each subject received a single injection of 1 mL containing 0.58 mg AA4500
Placebo
n=19 Participants
Each subject received a single injection of 1 mL placebo
Change in Visible Surface Area
-62.51 percentage change from baseline
Standard Deviation 32.14
0.402 percentage change from baseline
Standard Deviation 12.92

Adverse Events

AA4500

Serious events: 0 serious events
Other events: 19 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
AA4500
n=19 participants at risk
single injection of 0.58 mg study drug AA4500: Subjects must present with 2 lipomas; one to receive AA4500 and one to receive placebo simultaneously
Placebo
n=19 participants at risk
single injection of placebo placebo: Placebo
General disorders
Injection site Bruising
89.5%
17/19 • Number of events 17 • 6 months post administration study medication
Treatment emergent adverse events were collected after the date of administration of study medication through the last visit at 6 months post administration.
15.8%
3/19 • Number of events 3 • 6 months post administration study medication
Treatment emergent adverse events were collected after the date of administration of study medication through the last visit at 6 months post administration.
General disorders
Injection site swelling
78.9%
15/19 • Number of events 15 • 6 months post administration study medication
Treatment emergent adverse events were collected after the date of administration of study medication through the last visit at 6 months post administration.
0.00%
0/19 • 6 months post administration study medication
Treatment emergent adverse events were collected after the date of administration of study medication through the last visit at 6 months post administration.
General disorders
Injection site pain
52.6%
10/19 • Number of events 10 • 6 months post administration study medication
Treatment emergent adverse events were collected after the date of administration of study medication through the last visit at 6 months post administration.
0.00%
0/19 • 6 months post administration study medication
Treatment emergent adverse events were collected after the date of administration of study medication through the last visit at 6 months post administration.
General disorders
Injection site pruritis
21.1%
4/19 • Number of events 4 • 6 months post administration study medication
Treatment emergent adverse events were collected after the date of administration of study medication through the last visit at 6 months post administration.
0.00%
0/19 • 6 months post administration study medication
Treatment emergent adverse events were collected after the date of administration of study medication through the last visit at 6 months post administration.
General disorders
Injection site haemorrhage
10.5%
2/19 • Number of events 2 • 6 months post administration study medication
Treatment emergent adverse events were collected after the date of administration of study medication through the last visit at 6 months post administration.
0.00%
0/19 • 6 months post administration study medication
Treatment emergent adverse events were collected after the date of administration of study medication through the last visit at 6 months post administration.
General disorders
Injection site discolouration
5.3%
1/19 • Number of events 1 • 6 months post administration study medication
Treatment emergent adverse events were collected after the date of administration of study medication through the last visit at 6 months post administration.
0.00%
0/19 • 6 months post administration study medication
Treatment emergent adverse events were collected after the date of administration of study medication through the last visit at 6 months post administration.
Musculoskeletal and connective tissue disorders
Muscle spasms
5.3%
1/19 • Number of events 1 • 6 months post administration study medication
Treatment emergent adverse events were collected after the date of administration of study medication through the last visit at 6 months post administration.
0.00%
0/19 • 6 months post administration study medication
Treatment emergent adverse events were collected after the date of administration of study medication through the last visit at 6 months post administration.
Musculoskeletal and connective tissue disorders
Musculoskeletal stiffness
5.3%
1/19 • Number of events 1 • 6 months post administration study medication
Treatment emergent adverse events were collected after the date of administration of study medication through the last visit at 6 months post administration.
0.00%
0/19 • 6 months post administration study medication
Treatment emergent adverse events were collected after the date of administration of study medication through the last visit at 6 months post administration.
Skin and subcutaneous tissue disorders
Skin disorder
10.5%
2/19 • Number of events 2 • 6 months post administration study medication
Treatment emergent adverse events were collected after the date of administration of study medication through the last visit at 6 months post administration.
0.00%
0/19 • 6 months post administration study medication
Treatment emergent adverse events were collected after the date of administration of study medication through the last visit at 6 months post administration.

Additional Information

Dr. Zachary E. Gerut, Sponsor/Investigator

Dr. Zachary E. Gerut

Phone: 516 295-2100

Results disclosure agreements

  • Principal investigator is a sponsor employee The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 30 days from the time submitted to the sponsor for review. The sponsor cannot require changes to the communication and cannot extend the embargo.
  • Publication restrictions are in place

Restriction type: OTHER