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AA4500

Phase 3

Peyronie's Disease | Monoclonal antibody | Other |BrainsWay Ltd.|Last Updated: Nov 8, 2017

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDBiomarker
Total Trials2
Total Enrollment50

FDA Designations

No designations recorded

Clinical trial landscape

AA4500 · 3 trials · 3 indications

Phase 3 1Phase 2 2
NCT02267460An Open-label Study to Assess the Safety and Effectiveness of AA4500 in Combination With the ErecAid® Esteem® Manual Vacuum Therapy System in Treating Men With Peyronie's DiseasePeyronie's Disease
COMPLETED30 Analytics
PHASE3COMPLETED
An Open-label Study to Assess the Safety and Effectiveness of AA4500 in Combination With the ErecAid® Esteem® Manual Vacuum Therapy System in Treating Men With Peyronie's Disease
Peyronie's DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Percent in improvement from baseline in penile curvature
36 Weeks

measurement of erect penis at day 42 (cycle 2), day 84 (cycle 3), day 126 (cycle 4), day 168 (follow up visit 1) and day 252 (follow up visit 2)

Change From Baseline to Day 92 in Active Forward Flexion
Baseline, Day 92

Active range of motion (AROM) measurement using a goniometer to assess forward flexion in the affected shoulder

AUX-I Cmax After Injection 1
15 minutes before Injection 1 (0 hour for Injection 1); 5, 10, 20, and 30 minutes after Injection 1; 1, 2, 4, 8, and 12 hours after Injection 1; 15 minutes before Injection 2 (24 hours after Injection 1)

Maximum AUX-I (clostridial type I collagenase) enzyme concentration from pre-injection to 24 hours after Injection 1. AUX-I plasma concentrations were determined with a validated enzyme-linked immunosorbent assay (ELISA).

AUX-II Cmax After Injection 1
15 minutes before Injection 1 (0 hour for Injection 1); 5, 10, 20, and 30 minutes after Injection 1; 1, 2, 4, 8, and 12 hours after Injection 1; 15 minutes before Injection 2 (24 hours after Injection 1)

Maximum AUX-II (clostridium Type II collagenase) enzyme concentration from pre-injection to 24 hours after Injection 1. AUX-II plasma concentrations were determined with a validated enzyme-linked immunosorbent assay (ELISA).

AUX-I AUC0-tlast After Injection 1
15 minutes before Injection 1 (0 hour for Injection 1); 5, 10, 20, and 30 minutes after Injection 1; 1, 2, 4, 8, and 12 hours after Injection 1; 15 minutes before Injection 2 (24 hours after Injection 1)

Area under the curve from pre-injection to tlast within 24 hours after the Injection 1, where tlast is time to last time with a quantifiable concentration of the enzyme AUX-I. AUX-I plasma concentrations were determined with a validated enzyme-linked immunosorbent assay (ELISA).

AUX-II AUC0-tlast After Injection 1
15 minutes before Injection 1 (0 hour for Injection 1); 5, 10, 20, and 30 minutes after Injection 1; 1, 2, 4, 8, and 12 hours after Injection 1; 15 minutes before Injection 2 (24 hours after Injection 1)

Area under the curve from pre-injection to tlast within 24 hours after the Injection 1, where tlast is time to last time with a quantifiable concentration of the enzyme AUX-II. AUX-II plasma concentrations were determined with a validated enzyme-linked immunosorbent assay (ELISA).

AUX-I Tmax After Injection 1
15 minutes before Injection 1 (0 hour for Injection 1); 5, 10, 20, and 30 minutes after Injection 1; 1, 2, 4, 8, and 12 hours after Injection 1; 15 minutes before Injection 2 (24 hours after Injection 1)

Time to maximum AUX-I enzyme concentration. AUX-I plasma concentrations were determined with a validated enzyme-linked immunosorbent assay (ELISA).

AUX-II Tmax After Injection 1
15 minutes before Injection 1 (0 hour for Injection 1); 5, 10, 20, and 30 minutes after Injection 1; 1, 2, 4, 8, and 12 hours after Injection 1; 15 minutes before Injection 2 (24 hours after Injection 1)

Time to maximum AUX-II enzyme concentration. AUX-II plasma concentrations were determined with a validated enzyme-linked immunosorbent assay (ELISA).

AUX-I Cmax After Injection 2
15 minutes before Injection 2 (24 hours after Injection 1 or 0 hour for Injection 2); 5, 10, 20, and 30 minutes after Injection 2; 1, 2, 4, 8, and 12 hours after Injection 2; Day 3 (24 hours after Injection 2)

Maximum AUX-I enzyme concentration from zero to 24 hours after Injection 2.AUX-I plasma concentrations were determined with a validated enzyme-linked immunosorbent assay (ELISA).

AUX-II Cmax After Injection 2
15 minutes before Injection 2 (24 hours after Injection 1 or 0 hour for Injection 2); 5, 10, 20, and 30 minutes after Injection 2; 1, 2, 4, 8, and 12 hours after Injection 2; Day 3 (24 hours after Injection 2)

Maximum AUX-II enzyme concentration from zero to 24 hours after Injection 2. AUX-II plasma concentrations were determined with a validated enzyme-linked immunosorbent assay (ELISA).

AUX-I AUC0-tlast After Injection 2
15 minutes before Injection 2 (24 hours after Injection 1 or 0 hour for Injection 2); 5, 10, 20, and 30 minutes after Injection 2; 1, 2, 4, 8, and 12 hours after Injection 2; Day 3 (24 hours after Injection 2)

Area under the curve from zero to tlast within 24 hours after the Injection 2, where tlast is time to last time with a quantifiable concentration of the enzyme AUX-I. AUX-I plasma concentrations were determined with a validated enzyme-linked immunosorbent assay (ELISA).

AUX-II AUC0-tlast After Injection 2
15 minutes before Injection 2 (24 hours after Injection 1 or 0 hour for Injection 2); 5, 10, 20, and 30 minutes after Injection 2; 1, 2, 4, 8, and 12 hours after Injection 2; Day 3 (24 hours after Injection 2)

Area under the curve from zero to tlast within 24 hours after the Injection 2, where tlast is time to last time with a quantifiable concentration of the enzyme AUX-II. AUX-II plasma concentrations were determined with a validated enzyme-linked immunosorbent assay (ELISA).

AUX-I Tmax After Injection 2
15 minutes before Injection 2 (24 hours after Injection 1 or 0 hour for Injection 2); 5, 10, 20, and 30 minutes after Injection 2; 1, 2, 4, 8, and 12 hours after Injection 2; Day 3 (24 hours after Injection 2)

Time to maximum AUX-I enzyme concentration. AUX-I plasma concentrations were determined with a validated enzyme-linked immunosorbent assay (ELISA).

AUX-II Tmax After Injection 2
15 minutes before Injection 2 (24 hours after Injection 1 or 0 hour for Injection 2); 5, 10, 20, and 30 minutes after Injection 2; 1, 2, 4, 8, and 12 hours after Injection 2; Day 3 (24 hours after Injection 2)

Time to maximum AUX-II enzyme concentration. AUX-II plasma concentrations were determined with a validated enzyme-linked immunosorbent assay (ELISA).

Secondary Endpoints

Change in Peyronies disease bother
36 Weeks
Change in Peyronies disease physical symptoms
Week 36
Change in Peyronies disease psychological symptoms
36 Weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AA4500 with investigator modeling and vacuum therapyACTIVE_COMPARATORAA4500 with investigator modeling and home use of the ErecAid® Esteem® Manual Vacuum Therapy System.
AA4500 without investigator modeling/with vacuum therapyACTIVE_COMPARATORAA4500 without investigator modeling but with home use of the ErecAid® Esteem® Manual Vacuum Therapy System.
AA4500 0.29 mg/1 mLEXPERIMENTALUp to three injections
AA4500 0.58 mg/2 mLEXPERIMENTALUp to three injections
AA4500 0.58 mg/1 mLEXPERIMENTALUp to three injections
AA4500 0.58 mg/0.5 mLEXPERIMENTALUp to three injections
Shoulder exercisesOTHERHome shoulder exercises for 64 days
AA4500EXPERIMENTALcollagenase clostridium histolyticum (AA4500) contains purified collagenase AA4500 (clostridium histolyticum) consisting of two microbial collagenases in a defined mass ratio, Collagenase AUX-I and Collagenase AUX-II, which are isolated and purified from the fermentation of Clostridium histolyticum bacteria. 2 injections of AA4500 0.58 mg were administered 24 hours apart.

Interventions

NameTypeDescription
AA4500BIOLOGICAL -
ErecAid® Esteem® Manual Vacuum Therapy SystemDEVICE -
Investigator ModelingPROCEDURE -
AA4500 0.29 mg/1 mLBIOLOGICALtreatment of adhesive capsulitis
AA4500 0.58 mg/2 mLBIOLOGICALtreatment of adhesive capsulitis
AA4500 0.58 mg/1 mLBIOLOGICALtreatment of adhesive capsulitis
AA4500 0.58 mg/0.5 mLBIOLOGICALtreatment of adhesive capsulitis
Shoulder exercisesOTHERHome shoulder exercises, minimum of 3 times per day
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Eligibility Criteria

Age Range18 Years to N/A
SexMALE
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Be a male ≥ 18 years of age * Have symptom(s) of Peyronie's disease and have evidence of stable disease as determined by the investigator * Have penile curvature of at least 30° in the dorsal, lateral, or dorsal/lateral plane at screening. It must be possible to delineate the ...

Countries:United KingdomUnited States
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Frequently asked questions about AA4500

What is AA4500 used for?

AA4500 is an investigational drug being studied for Peyronie's Disease and Adhesive Capsulitis, also known as frozen shoulder. It is in Phase 2 clinical development for these musculoskeletal conditions. The drug is not approved and remains under investigation in clinical trials.

Who makes AA4500?

AA4500 is being developed by BrainsWay Ltd., a company traded under the ticker BWAY. The drug is in Phase 2 clinical trials for musculoskeletal indications, including Peyronie's Disease and Adhesive Capsulitis.

What phase is AA4500 in?

AA4500 is in Phase 2 clinical development. It has completed two Phase 2 trials, one in Peyronie's Disease and one in Adhesive Capsulitis. The drug is investigational and has not been approved by regulatory authorities.

What clinical trials is AA4500 in?

AA4500 has completed two Phase 2 trials: NCT01430169, a pharmacokinetic study in men with Peyronie's Disease, and NCT01483963, a study for Adhesive Capsulitis of the shoulder. Both trials were conducted in the United States and have been completed.

Is AA4500 a monoclonal antibody?

AA4500 is classified as a monoclonal antibody modality. It is being investigated for Peyronie's Disease and Adhesive Capsulitis. The drug is in Phase 2 clinical development and is not yet approved for any use.