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Not yet recruitingNCT07693556Updated Jul 9, 2026

Collagenase Injection for Contracture Management

An Early Phase 1 interventional study of Active XIAFLEX Collagenase injection in Contracture, sponsored by The University of Texas Health Science Center, Houston. Not yet recruiting at 1 site in United States. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-07-09.

Sponsored by The University of Texas Health Science Center, Houston · Early Phase 1, Interventional, and Treatment

Phase
Early Phase 1
Study type
Interventional
Enrollment
15
Allocation
Not applicable
Ages
18 Years to 75 Years
Sex
All
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Study summary

The overall goal is to investigate the effectiveness of a novel intervention - Collagenase injection, for contracture management in patients with neurological impairments, such as stroke, brain injury, and spinal cord injury.

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Conditions studied

  • Contracture

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03

In context

Contracture

79 studies on the registry are indexed under Contracture; 18 are open to participants now.

This study's planned enrollment of 15 is below the median of 33 across 62 interventional studies indexed under Contracture.

Browse Contracture studies →

Lead sponsor

The University of Texas Health Science Center, Houston is the lead sponsor of 897 studies on the registry; 214 are open to participants now.

Of its 173 completed or terminated interventional studies of FDA-regulated products, 142 (82%) have results posted.

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

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Who can participate

Ages eligible
18 Years to 75 Years
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

  • ≥ 6 months post stroke, brain injury or spinal cord injury, medically stable;
  • clinical diagnosis of tendon contracture

Exclusion criteria

Exclusion Criteria:

  • Is hypersensitive to XIAFLEX or collagenase;
  • Is currently adjusting tone alternating medications (e.g., baclofen), or
  • Received botulinum toxin injection to target areas \<4 months, or phenol injections \< 9 months;
  • Received surgical release of tendons;
  • Is a pregnant woman;
  • Has coagulation disorders, including those who receive concomitant anticoagulants (except for low-dose aspirin).
  • has heritable connective tissue disorders, including those within the Ehlers-Danlos syndrome (EDS) spectrum.
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Study design

Phase
Early Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
15 participants (estimated)

Study arms

  • Experimental
    Active XIAFLEX Collagenase injection

    Biological: Active XIAFLEX Collagenase injection

Interventions

  • BiologicalActive XIAFLEX Collagenase injection

    Collagenase is an enzyme that breaks down collagen, which is a key component of connective tissue, such as fascia. XIAFLEX is an FDA-Approved collagenase for treatment of Dupuytren's contracture with a palpable cord in the fingers, and Peyronie's disease in the penile tissue. In this research project, we plan to use collagenase to treat contracture in patients with neurological impairments, such as stroke, brain injury, and spinal cord injury. FDA guidelines will be followed for dosing and patient selection to minimize or reduce the risks.

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What researchers measure

Primary outcomes

  1. Change in spasticity as assessed by the Modified Ashworth Scale (MAS)

    The Modified Ashworth Scale (MAS) evaluates the increase in muscle tone associated with upper motor neuron lesions. MAS scores will be recorded for the target muscle group(s) at each assessment time point.Scores range from 0 to 4, with an additional grade of 1+ between 1 and 2. Scores are defined as: 0 = no increase in muscle tone; 1 = slight increase in muscle tone with a catch and release or minimal resistance at the end of the range of motion; 1+ = slight increase in muscle tone with a catch followed by minimal resistance through less than half of the range of motion; 2 = more marked increase in muscle tone through most of the range of motion, but the affected part is easily moved; 3 = considerable increase in muscle tone, passive movement difficult; 4 = affected part rigid in flexion or extension.Lower MAS scores indicate reduced spasticity and improved muscle tone, whereas higher scores indicate greater spasticity.

    Time frame: Baseline before the intervention, follow up visits at 2 days (24 to 72 hours), 2 weeks, 1 month and 3 months post-injections

  2. Safety as assessed by the number of adverse events

    Adverse events include 1. Serious complications of XIAFLEX injection include tendon rupture, serious ligament damage, or skin laceration that may result in the inability to fully bend the joint and may require surgery to correct the complication. 2. XIAFLEX injection is likely to result in swelling, bruising, bleeding, and/or pain of the injected site and surrounding tissue.

    Time frame: From baseline to end of study (3 months post-injections)

Secondary outcomes

  1. Change in range of motion of target joints as assessed by the Passive Range of Motion (PROM)

    Range of motion (ROM) refers to the degree of movement available at a joint, measured in degrees using a goniometer. For PROM, the examiner will move the joint to its maximal pain-free range. Measurements will be recorded in degrees, and higher values indicate greater joint mobility.

    Time frame: Baseline before the intervention, follow up visits at 2 days (24 to 72 hours), 2 weeks, 1 month and 3 months post-injections

  2. Change in range of motion of target joints as assessed by the Active Range of Motion (AROM)

    Range of motion (ROM) refers to the degree of movement available at a joint, measured in degrees using a goniometer. For AROM, participants will be instructed to move the joint as far as possible without assistance. Measurements will be recorded in degrees, and higher values indicate greater joint mobility.

    Time frame: Baseline before the intervention, follow up visits at 2 days (24 to 72 hours), 2 weeks, 1 month and 3 months post-injections

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Study locations

1 site
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 9, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07693556
Responsible party
Sheng Li (Professor, The University of Texas Health Science Center, Houston) — Principal investigator
First posted
Jul 9, 2026
Start date
Sep 1, 2026 (estimated)
Primary completion
May 31, 2031 (estimated)
Completion
Sep 30, 2031 (estimated)
Last update
Jul 9, 2026

Study contacts

Sheng Li, MD, PhD
Contact
sheng.li@uth.tmc.edu
(713) 797-7125
Shengai Li, MS
Contact
shengai.li@uth.tmc.edu
713-797-7561
Sheng Li, MD, PhD
principal investigator · The University of Texas Health Science Center, Houston

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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