Leiomyoma Clinical Trial
Official title:
An Open Label, Dose Escalation Study to Assess Safety and Tolerability of Collagenase Clostridium Histolyticum (EN3835) in Subjects With Uterine Leiomyoma (Fibroids)
This pilot study evaluates the safety and tolerability of a single injection of collagenase
enzyme directly into a uterine fibroid in subjects already selected for hysterectomy or
myomectomy.
Fibroids contain excessive amounts of collagen and it is possible that digestion of collagen
may be beneficial in reducing pain and bleeding associated with fibroids.
Three subjects will be injected with saline only to evaluate the safety and effectiveness of
the injection method. Additional subjects will then be injected with increasing doses of
study drug.
Collagenase enzyme breaks down collagen and has shown efficacy in clinical trials for a
number of diseases for which there is an accumulation of collagen.
It is possible that lysis of collagen may reduce the collagen content of fibroids thus
decreasing the size of fibroids, and possibly reducing the stiffness of fibroids. This may
result in reducing the symptoms of pain and bleeding associated with fibroids.
In this study three subjects will be injected with saline only followed immediately by
hysterectomy in order to evaluate the safety and effectiveness of the injection method.
Twelve subjects will receive a single injection of study drug as follows: three subjects will
receive a set dose of collagenase enzyme followed by hysterectomy or myomectomy 24-96 hours
later (Group 1) to evaluate safety of the injection of study drug. Nine subjects will then
receive increasing doses of collagenase enzyme followed by hysterectomy or myomectomy 60-90
days later (Group 2).
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