Which treatment works best for Dupuytren's? major trial aims to find out
NCT ID NCT03192020
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study compares three treatments for Dupuytren's contracture, a hand condition that causes fingers to bend inward. The treatments are needle fasciotomy (a quick in-office procedure), collagenase injection (a drug that breaks up the tight cord), and surgery (limited fasciectomy). The trial involves 302 adults with at least 20 degrees of finger bending. The goal is to see which approach is most cost-effective and provides the best long-term results.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Collagenase Clostridium Histolyticum (CCH) injection
- What this could lead to
- If this trial succeeds, it could identify the most effective and cost-efficient treatment for Dupuytren's contracture, helping patients and doctors choose the best option.
- What could go wrong
- This is a phase 4 trial, but results are still pending. The best treatment may depend on individual patient factors, and not all patients may respond equally to each approach.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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302 people
The number who actually took part.
- Started
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Sep 2017
- Expected to finish
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May 2031
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * patients with ≥20° passive extension deficit in metacarpophalangeal (MPJ) or proximal interphalangeal joint (PIPJ), or TPED ≥30° in MPJ and PIPJ of finger/fingers II-V * age \> 18 years * palpable cord * provision of informed consent * ability to fill the Finnish versions of questionnaires. Exclusion Criteria: * recurrent contracture in the finger to be treated * neurologic condition causing the loss of function of the finger to be treated * contraindication for collagenase clostridium histolyticym (Xiapex/Xiaflex ®) * pregnant or breast feeding * total passive extension deficit \> 135° (Tubiana stage 4) in finger to be treated * rheumatoid arthritis * previous fracture in finger to be treated, which affects range of motion of MPJ or PIPJ * age \> 80 years
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Central Hospital of Central Finland
Jyväskylä, Central Finland, 40620, Finland
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Helsinki University hospital
Helsinki, Uusimaa, 00029, Finland
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Kuopio University hospital
Kuopio, Northern Savonia, 70029, Finland
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Oulu University hospital
Oulu, North Ostrobothnia, 90220, Finland
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Tampere University Hospital
Tampere, Pirkanmaa, 33521, Finland
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Turku University Hospital
Turku, Southwest Finland, 20521, Finland
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Zapping away recurrence: radiation after Dupuytren's treatment put to the test
- New injection could unclench curved fingers
- New surgery technique aims to prevent ugly scars in Dupuytren's patients
- Antioxidant pill may cut opioid use after surgery
- Can radiation after surgery stop Dupuytren's from coming back?
- Study explores how conversations shape patient choices on x-rays and MRIs