Collagenase Injection for Spasticity Management

This study is investigating if XIAFLEX Collagenase injections can help manage spasticity (muscle stiffness) in people who have had a stroke, brain injury, or spinal cord injury. Collagenase is an enzyme that breaks down collagen, a part of connective tissue. The study will measure changes in your spasticity using a tool called the Modified Ashworth Scale (MAS) and track any side effects. You may be able to join if you are 18 to 75 years old, are at least 6 months past your injury, and have a certain level of spasticity (MAS score of 1 or higher). You cannot join if you are allergic to XIAFLEX, are changing certain medications, or have recently had other spasticity treatments or surgery. The current recruitment status is unclear, and the study plans to enroll 15 participants.

Study design
This is an interventional study with a planned enrollment of 15 participants. The phase of the study is not specified.
What's involved
You would receive XIAFLEX Collagenase injections and have follow-up visits at 2 days, 2 weeks, 1 month, and 3 months after the injections.
Compensation
Not stated in the trial record.
Follow-up
Participants will be followed for safety and spasticity changes from baseline to 3 months post-injections.

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NCT07693569

Collagenase Injection for Spasticity Management

Not Yet Recruiting
EARLY_PHASE1Ages 18–75InterventionalTreatment
The University of Texas Health Science Center, Houston
~15 participants
Updated 2026-07-09 on ClinicalTrials.gov
What's tested:XIAFLEX Collagenase injection

At a glance

Recruiting sites
0 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Change in spasticity as assessed by the Modified Ashworth Scale (MAS)
Measured over Baseline before the intervention, follow up visits at 2 days (24 to 72 hours), 2 weeks, 1 month and 3 months post-injections
+1 more outcome measured
Spasticity
1 sites across 1 states
Texas1
  • Sheng Li, MD, PhD · PRINCIPAL_INVESTIGATOR · The University of Texas Health Science Center, Houston

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Eligibility criteria

Inclusion

≥ 6 months post stroke, brain injury or spinal cord injury, medically stable;
MAS ≥ 1

Exclusion

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.
  • Change in spasticity as assessed by the Modified Ashworth Scale (MAS)Baseline before the intervention, follow up visits at 2 days (24 to 72 hours), 2 weeks, 1 month and 3 months post-injections

    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.

  • Safety as assessed by the number of adverse eventsFrom baseline to end of study (3 months post-injections)

    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.