Collagenase clostridium histolyticum

Collagenase clostridium histolyticum is an enzyme produced by the bacterium Clostridium histolyticum that dismantles collagen. It is used as a powder-and-solvent injection kit for the treatment of Dupuytren's contracture, a condition where the fingers bend towards the palm and cannot be fully straightened, and Peyronie's disease, a connective tissue disorder involving the growth of fibrous plaques in the soft tissue of the penis. BioSpecifics Technologies developed the preparation, which is manufactured and marketed by Endo Pharmaceuticals as Xiaflex in the US and by Sobi as Xiapex in Europe.

Collagenase clostridium histolyticum
Clinical data
Trade namesXiaflex, Xiapex, Qwo
Other namesAA-4500, collagenase clostridium histolyticum-aaes
AHFS/Drugs.comMonograph
MedlinePlusa612029
License data
Routes of
administration
Intralesional injection
ATC code
Legal status
Legal status
  • US: WARNINGRx-only
  • In general: ℞ (Prescription only)
Identifiers
CAS Number
PubChem SID
DrugBank
ChemSpider
  • none
UNII
KEGG
CompTox Dashboard (EPA)
ECHA InfoCard100.029.608
Chemical and physical data
Molar mass114 kg/mol (AUX-I)
113 kg/mol (AUX-II)
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Biochemically, it is a mixture of two C. histolyticum collagenases, ColH and ColG. A similar ointment preparation called Santyl contains one or many collagenases from the same bacterium, but it is unclear which.

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