ClinicalTrials.gg
CompletedNCT05254457Updated Mar 21, 2025

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

A Phase 3 interventional study of EN3835 in Plantar Fibromatosis, sponsored by Endo Pharmaceuticals. Completed at 27 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-03-21.

Sponsored by Endo Pharmaceuticals (part of Keenova Therapeutics plc) · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Mar 2024, 2 years 7 months ago, and no results have been posted to the registry; the sponsor requested a delay in submitting them in Mar 2025.
Phase
Phase 3
Study type
Interventional
Enrollment
145
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study 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.

02

Conditions studied

  • Plantar Fibromatosis
03

In context

Lead sponsor

Endo Pharmaceuticals is the lead sponsor of 99 studies on the registry; none are open to participants now.

Of its 16 completed or terminated interventional studies of FDA-regulated products, 14 (88%) have results posted.

First submitted before Endo Pharmaceuticals became part of Keenova Therapeutics plc.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. 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).
  2. Willing and able to comply with all protocol required visits and assessments.
  3. Agree not to use opioids during the study period and has not used opioids 2 weeks prior to the Observational Day 1 Visit.
  4. Agree to not initiate or change use of orthotics or inserts designed to relieve symptoms of plantar fibromatosis during the study period.
  5. Willing and able to comply with all protocol required visits and assessments.
  6. Be adequately informed and understand the nature and risks of the study and be able to provide consent
  7. If female, be of non- (history of hysterectomy, bilateral oophorectomy, bilateral tubal ligation, or 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 when with a male partner for the duration of the study and for 28 days after any active treatment period.
  8. 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.

Exclusion criteria

Exclusion Criteria:

  1. 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.
  2. 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.
  3. Received or plans to receive surgical or non-surgical treatments on the foot or nodules that were treated.
  4. Has a known systemic allergy to collagenase or any other of EN3835.
  5. Has a known bleeding disorder that would make the participant unsuitable for treatment or retreatment in the study.
  6. 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.
  7. 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.
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
145 participants (actual)

Study arms

  • No intervention
    Observation Only Group
  • Experimental
    Treated or Retreated Group

    Biological: EN3835

Interventions

  • BiologicalEN3835

    Treatment or retreatment with EN3835

06

What researchers measure

Primary outcomes

  1. Proportion of participants reporting adverse events (AE)

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

    Time frame: Day 1 to Day 450

Secondary outcomes

  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.

    Time frame: 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.

    Time frame: 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

    Time frame: 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

    Time frame: 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)

    Time frame: 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

    Time frame: 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

    Time frame: 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

    Time frame: 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.

    Time frame: 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.

    Time frame: 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

    Time frame: 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

    Time frame: 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)

    Time frame: 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

    Time frame: 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

    Time frame: 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.

    Time frame: 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.

    Time frame: 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

    Time frame: 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

    Time frame: 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)

    Time frame: 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

    Time frame: 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

    Time frame: 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

    Time frame: 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

    Time frame: Retreatment/ Treatment Day 57 and Day 450

07

Study locations

27 sites
  • Endo Clinical Trial Site #12
    Bakersfield, California 19331, United States
  • Endo Clinical Trial Site #3
    Fresno, California 93710, United States
  • Endo Clinical Trial Site #23
    La Mesa, California 91942, United States
  • Endo Clinical Trial Site #13
    Tarzana, California 91356, United States
  • Endo Clinical Trial Site #15
    Vista, California 92083, United States
  • Endo Clinical Trial Site #18
    Whittier, California 90603, United States
  • Endo Clinical Trial Site #24
    Miami, Florida 33176, United States
  • Endo Clinical Trial Site #8
    Pinellas Park, Florida 33782, United States
  • Endo Clinical Trial Site #21
    Sweetwater, Florida 33172, United States
  • Endo Clinical Trial Site #22
    Lawrenceville, Georgia 30043, United States
  • Endo Clinical Trial Site #25
    Meridian, Idaho 83642, United States
  • Endo Clinical Trial Site #19
    Decatur, Illinois 62521, United States
  • Endo Clinical Trial Site #2
    O'Fallon, Illinois 62269, United States
  • Endo Clinical Trial Site #14
    Springfield, Illinois 62704, United States
  • Endo Clinical Trial Site #6
    Pasadena, Maryland 21122, United States
  • Endo Clinical Trial Site #16
    Jefferson City, Missouri 65109, United States
  • Endo Clinical Trial Site #9
    York, Pennsylvania 17402, United States
  • Endo Clinical Trial Site #4
    Bedford, Texas 76021, United States
  • Endo Clinical Trial Site #17
    Dallas, Texas 75208, United States
  • Endo Clinical Trial Site #26
    Dallas, Texas 75251, United States
  • Endo Clinical Trial Site #5
    Fort Worth, Texas 76104, United States
  • Endo Clinical Trial Site #27
    Georgetown, Texas 78628, United States
  • Endo Clinical Trial Site #7
    Houston, Texas 77027, United States
  • Endo Clinical Trial Site #10
    Houston, Texas 77095, United States
  • Endo Clinical Trial Site #1
    McAllen, Texas 78501, United States
  • Endo Clinical Trial Site #11
    Salt Lake City, Utah 84107, United States
  • Endo Clinical Trial Site #20
    Suffolk, Virginia 23434, United States
08

References and documents

Individual participant data

Plan to share: Yes

Supporting information: Study protocol, Statistical analysis plan

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Feb 2022 to primary completion in Mar 2024, 25 months.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 15, 2022
First posted
Feb 24, 2022
StartActual
Feb 14, 2022
Primary completionActual
Mar 21, 2024
CompletionActual
Mar 21, 2024
Results delay requested
Mar 19, 2025
Last update
Mar 21, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 21, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05254457
Responsible party
Sponsor
First posted
Feb 24, 2022
Start date
Feb 14, 2022
Primary completion
Mar 21, 2024
Completion
Mar 21, 2024
Last update
Mar 21, 2025

Study contacts

Nina Green
study director · Endo Pharmaceuticals

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Microbial Collagenase

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