INDICATIONS AND USAGE
XIAFLEX is a combination of bacterial collagenases indicated for:
The treatment of adult patients with Dupuytren’s contracture with a
palpable cord
The treatment of adult men with Peyronie’s disease with a palpable plaque and
curvature deformity of at least 30 degrees at the start of therapy
DOSAGE AND ADMINISTRATION
Dupuytren’s Contracture
XIAFLEX should be administered by a healthcare provider experienced in injection
procedures of the hand and in the treatment of Dupuytren’s contracture.
Reconstitute XIAFLEX lyophilized powder with only the supplied diluent prior to use.
Inject 0.58 mg of XIAFLEX into each palpable Dupuytren’s cord with a contracture
of a metacarpophalangeal (MP) joint or a proximal interphalangeal (PIP) joint
according to the injection procedure.
Up to two joints in the same hand may be treated during a treatment visit
Approximately 24 to 72 hours following an injection, perform a finger extension
procedure if a contracture persists.
Injections and finger extension procedures may be administered up to 3 times
per cord at approximately 4-week intervals.
Inject up to two cords in the same hand at a treatment visit. If a patient has other
cords with contractures, inject those cords at another treatment visit.
Peyronie’s Disease
XIAFLEX should be administered by a healthcare provider experienced in the treatment
of male urological diseases.
Reconstitute XIAFLEX lyophilized powder with only the supplied diluent prior to use
A treatment cycle consists of two XIAFLEX injection procedures and a penile
modeling procedure.
Induce a penile erection. A single intracavernosal injection of 10 or 20 micrograms
of alprostadil may be used for this purpose.
With the penis in the erect state, identify and mark the target area in the Peyronie’s
plaque to be injected.
The penis should be in a flaccid state before injecting XIAFLEX.
Inject 0.58 mg XIAFLEX into the target plaque once on each of two days, 1 to 3 days
apart, according to the injection procedure.
Perform a penile modeling procedure 1 to 3 days after the second injection of each
treatment cycle.
For each plaque causing the curvature deformity, up to four treatment cycles may
be administered.
Each treatment cycle may be repeated at approximately six-week intervals.
If the curvature deformity is less than 15 degrees after the first, second or third
treatment cycle, or if further treatment is not clinically indicated,then subsequent
treatment cycles should not be administered.
DOSAGE FORMS AND STRENGTHS
Single-use glass vials containing 0.9 mg of collagenase clostridium histolyticum
as a sterile, lyophilized powder for reconstitution. Sterile diluent for reconstitution
is also provided in a single-use glass vial.