Collagenase
/api/v1/drug/collagenaseMechanism of action
Sourced from openFDAMechanism-of-action class: Enzyme Activators.
Indications
Sourced from openFDA- Collagenase Santyl ◊ Ointment is indicated for debriding chronic dermal ulcers 2, 3, 4, 5, 6, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18 and severely burned areas.
Contraindications
Sourced from openFDA- Collagenase Santyl ◊ Ointment is contraindicated in patients who have shown local or systemic hypersensitivity to collagenase.contraindicated
Dosage & administration
Sourced from openFDACollagenase Santyl ◊ Ointment should be applied once daily (or more frequently if the dressing becomes soiled, as from incontinence). When clinically indicated, crosshatching thick eschar with a #10 blade allows Collagenase Santyl ◊ Ointment more surface contact with necrotic debris. It is also desirable to remove, with forceps and scissors, as much loosened detritus as can be done readily. Use Collagenase Santyl ◊ Ointment in the following manner: 1 - Prior to application the wound should be cleansed of debris and digested material by gently rubbing with a gauze pad saturated with normal saline solution, or with the desired cleansing agent compatible with Collagenase Santyl ◊ Ointment (See PRECAUTIONS ), followed by a normal saline solution rinse. 2 - Whenever infection is present, it is desirable to use an appropriate topical antibiotic powder. The antibiotic should be applied to the wound prior to the application of Collagenase Santyl ◊ Ointment. Should the infection not respond, therapy with Collagenase Santyl ◊ Ointment should be discontinued until remission of the infection. 3 - Collagenase Santyl ◊ Ointment may be applied directly to the wound or to a sterile gauze pad which is then applied to the wound and properly secured. 4 - Use of Collagenase Santyl ◊ Ointment should be terminated when debridement of necrotic tissue is complete and granulation tissue is well established.
Adverse reactions
Sourced from openFDANo allergic sensitivity or toxic reactions have been noted in clinical use when used as directed. However, one case of systemic manifestations of hypersensitivity to collagenase in a patient treated for more than one year with a combination of collagenase and cortisone has been reported.
Overdosage
Sourced from openFDANo systemic or local reaction attributed to overdose has been observed in clinical investigations and clinical use. If deemed necessary the enzyme may be inactivated by washing the area with povidone iodine.
Approval history
Sourced from openFDA- Jun 4, 1965BLABLA101995Smith And Nephew
- Feb 2, 2010BLABLA125338Auxilium Pharms
FAERS reports
- 1Drug Ineffective1,47521%
- 2Contusion6769.8%
- 3Swelling5848.4%
- 4Pain5668.2%
- 5Penile Swelling4796.9%
- 6Fracture Of Penis4516.5%
- 7Penile Contusion4496.5%
- 8Injection Site Pain3224.6%
- 9Death3184.6%
- 10Penile Pain3114.5%
- 11Condition Aggravated2263.3%
- 12Inappropriate Schedule Of Product Administration2263.3%
- 13Pain In Extremity2233.2%
- 14Injection Site Swelling2133.1%
- 15Peyronie^s Disease2042.9%
Literature
Recent PubMed references pinned to Collagenase as a MeSH major topic. Citations link to pubmed.ncbi.nlm.nih.gov.
- Effect of collagenase ointment versus silver sulfadiazine ointment on the healing of deep second-degree burns: a prospective randomised study.Journal of wound care · 2026 · Tong L, Shi X, Hu X, et al.PMID 42262984DOI 10.12968/jowc.2023.0130
- The risk of developing cardiovascular diseases based on the determination of VEGF, MMP-9 and visfatin concentrations in adolescent girls with polycystic ovary syndrome.Ginekologia polska · 2026 · Skrzynska KJ, Zachurzok A, Pietrusik A, et al.PMID 42261713DOI 10.5603/gpl.104729
- EZH2 enhances PCV2 replication through inhibition of MMP1 and MMP12 transcription activity.Veterinary research · 2026 · Shan Y, Feng W, Hu Y, et al.PMID 42260657DOI 10.1186/s13567-026-01773-3
- Matrix Metalloproteinase-9-Responsive Lipid-Core Micelles for Proof-of-Concept Enzyme-Triggered Cardiomyocyte Association.AAPS PharmSciTech · 2026 · Chou WH, Ortiz-Quintero J, Bedoya S, et al.PMID 42260203DOI 10.1208/s12249-026-03471-x
- Combining Collagenase Injections with Exercise-Induced Mechanical Overload: A Mouse Model Simulating Overload Stress Injury Knee Osteoarthritis.Journal of visualized experiments : JoVE · 2026 · Zhang ZQ, Li J, Zhai TJ, et al.PMID 42258430DOI 10.3791/70609
- A mechanistic exploration of IL-1β / p38 MAPK / MMP-2 pathway in inguinal hernia: evidence from clinical specimens and in vitro model.Surgical endoscopy · 2026 · Shang T, Bo P, Du D, et al.PMID 42257932DOI 10.1007/s00464-026-12764-y
- Diagnostic Accuracy of Salivary Periodontal Biomarkers Is Reduced in Patients With Crohn's Disease.Clinical and experimental dental research · 2026 · Toivanen A, Nur, Räisänen I, et al.PMID 42226492DOI 10.1002/cre2.70387
- Longitudinal biomarker profiles during experimental gingivitis: a predictor of susceptibility.Clinical oral investigations · 2026 · Chew RJJ, Bissett SM, Jaedicke KM, et al.PMID 42213144DOI 10.1007/s00784-026-06937-1
Clinical trials
The 10 most recently updated of 140 ClinicalTrials.gov registrations naming Collagenase as an intervention. Registration is not evidence of efficacy or safety — reference crosswalk only.
- Safety and Efficacy Study of Collagenase CNT201 Injection for Treatment of Dupuytren's ContractureRecruiting · Phase 1 · Phase 2 · Interventional · 60 enrolled · CONNEXTNCT07640425updated 2026-06-12
- Safety and Efficacy of Collagenase Clostridium Histolyticum After Prior Intralesional PRP for Peyronie's DiseaseActive not recruiting · Phase 4 · Interventional · 12 enrolled · University of MiamiNCT05777031updated 2026-06-04
- To Assess the Effectiveness of Multiple Dose, Multiple Concentrations of Qwo, for the Treatment of Mild to Moderate Cellulite.Completed · Phase 4 · Interventional · 5 enrolled · DMR Research, PLLCNCT05026216updated 2026-05-28
- Multi-Omics Insights Into Androgenetic AlopeciaNot yet recruiting · Observational · 12 enrolled · The First Affiliated Hospital of Xinxiang Medical CollegeNCT07603544updated 2026-05-22
- Trial Comparing Treatment Strategies in Dupuytren's ContractureActive not recruiting · Phase 4 · Interventional · 302 enrolled · Tampere UniversityNCT03192020updated 2026-04-29
- Collagenase Biobank StudyNot yet recruiting · Observational · 107 enrolled · University of ChicagoNCT07211230updated 2026-04-09
- Autologous SVF Therapy for Type 2 DiabetesRecruiting · Interventional · 10 enrolled · Kaiser Clinic and HospitalNCT07487467updated 2026-03-23
- Pilot Study on the Efficacy and Safety of FIBRORESTIL® as an Adjuvant Intralesional Treatment in Patients With Peyronie's Disease Receiving Standard TherapyActive not recruiting · Interventional · 38 enrolled · Lyx InstituteNCT07341529updated 2026-01-14
- Concurrent Low Intensity Shockwave Therapy on Collagenase Clostridium Histolyticum for Peyronie's DiseaseRecruiting · Interventional · 60 enrolled · Mayo ClinicNCT06065436updated 2026-01-07
- A Study to Assess Collagenase Clostridium Histolyticum (CCH) in the Treatment of Plantar Fasciitis (PFA)Completed · Phase 2 · Interventional · 231 enrolled · Endo USA Inc., a Keenova Therapeutics CompanyNCT06169319updated 2025-09-30
Frequently asked questions
- How does Collagenase work?
- Mechanism-of-action class: Enzyme Activators.
- What is Collagenase used for?
- According to FDA labeling, Collagenase carries indications including: Collagenase Santyl ◊ Ointment is indicated for debriding chronic dermal ulcers 2, 3, 4, 5, 6, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18 and severely burned areas.. This is a reference summary of labeled uses, not medical advice or a treatment recommendation.
- What class of drug is Collagenase?
- Collagenase is classified as Proteolytic enzymes, Collagen-specific Enzyme, Enzyme Activators, Dermatologic Activity Alteration.
- What are the brand names for Collagenase?
- Collagenase is marketed under brand names including Santyl.
- What are the contraindications for Collagenase?
- Collagenase labeling lists contraindications including: Collagenase Santyl ◊ Ointment is contraindicated in patients who have shown local or systemic hypersensitivity to collagenase.. Always consult the full prescribing information and a clinician.
collagenase is illustrative MVP content compiled from public sources. pharmacopeia is for educational and informational use only and is not a substitute for professional medical advice.