Phase 3
N=8
Study of C1 Inhibitor (Human) for the Prevention of Angioedema Attacks and Treatment of Breakthrough Attacks in Japanese Subjects With Hereditary Angioedema (HAE)
Hereditary Angioedema (HAE)
Bottom Line
View on ClinicalTrials.gov: NCT02865720 ↗Enrolled (actual)
8
Serious AEs
25.0%
Results posted
Dec 2018
Primary outcome: Primary: Number of Participants With Treatment-emergent Adverse Events (TEAEs) — 7 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- CINRYZE 500 U (Drug); CINRYZE 1000 U (Drug)
- Age
- Pediatric, Adult, Older Adult · 2+ yrs
- Sex
- All
- Sponsor
- Shire
- Primary completion
- Jun 2017
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With Treatment-emergent Adverse Events (TEAEs) |
7 | — |
| PRIMARY Number of Participants With Clinically Significant Abnormalities in Physical Examination Reported as Adverse Events (AEs) |
— | — |
| PRIMARY Number of Participants With Potentially Clinically Important (PCI) Vital Signs Reported as Adverse Events (AEs) |
— | — |
| PRIMARY Number of Participants With Potentially Clinically Important (PCI) Clinical Laboratory Assessments Reported as Adverse Events (AEs) |
— | — |
| PRIMARY Concentration of C1 Esterase Inhibitor (C1 INH) Antigen (Protein Volume) at Week 1 |
0.0581; 0.1463; 0.1426; 0.1436; 0.1413; 0.1147 | — |
| PRIMARY Concentration of C1 Esterase Inhibitor (C1 INH) Antigen (Protein Volume) at Week 12 |
0.0775; 0.1660; 0.1468; 0.1634; 0.1573; 0.1244 | — |
| PRIMARY Concentration of Plasma Complement C4 at Week 1 |
42.8; 37.5; 32.7; 43.3; 69.0; 89.0 | — |
| PRIMARY Concentration of Plasma Complement C4 at Week 12 |
77.9; 65.0; 41.4; 67.5; 91.1; 104 | — |
| PRIMARY Concentration of Plasma Complement C1q at Week 1 |
78.50 | — |
| PRIMARY Normalized Number of Angioedema Attacks (NNA) Per Month |
3.375; 1.826 | — |
| PRIMARY Number of Participants With Angioedema Attacks in Different Anatomic Locations |
7; 3; 3; 2; 6; 6 | — |
| PRIMARY Average Severity (Intensity) of Angioedema Attacks |
1.875; 0.970 | — |
| PRIMARY Average Duration of Angioedema Attacks |
2.250; 1.941 | — |
| PRIMARY Normalized Number of Angioedema Attacks (NNA) Per Month Treated With Rescue Medication |
1.750; 0.477 | — |
| PRIMARY Number of Participants Achieving Clinical Responder Rate Relative to Historical Data |
4; 3; 2 | — |
| PRIMARY Change From Baseline in Angioedema Quality of Life (AE-QoL) in Treatment Period |
28.3; -9.0; 16.4; -2.3; 18.8; -9.4 | — |
| PRIMARY Number of Participants With Breakthrough Angioedema Attacks |
2; 1; 6; 1; 0; 1 | — |
| PRIMARY Time From Attack Onset to Initial Improvement and Complete Resolution |
13.38; 6.42; 10.75; 40.67; 9.00; 61.83 | — |
| PRIMARY Time From Onset of Attack to Time Treated by CINRYZE |
11.97 | — |
| PRIMARY Time From Treatment With CINRYZE to Initial Improvement |
1.41 | — |
Summary
The purpose of this study is to determine if an investigational treatment is safe and well tolerated when administered by intravenous (IV) infusion in Japanese subjects with HAE.
Eligibility Criteria
Inclusion Criteria
- Be of Japanese descent, defined as born in Japan and having Japanese parents and Japanese maternal and paternal grandparents.
- Be ≥2 years of age.
- Meet the following minimum body weight criteria:
- Subjects 2 to 5 years of age must weigh at least 12.5 kg; and
- Subjects 6 years of age and above must weigh at least 25 kg.
- Have a confirmed diagnosis of Type I or Type II HAE. NOTE: Diagnosis may be based on historical data including family history, clinical symptoms (characteristic attacks), or documentation of low level of C1 INH protein and/or C1 INH activity.
- Have a history of at least one angioedema attack per month (on average) during the 3 consecutive months immediately before enrollment.
- Agree to adhere to the protocol-defined schedule of assessments and procedures.
- Agree to avoid his/her known angioedema attack triggers during the study to the best of his/her ability.
- If a female of reproductive age, be postmenopausal (≥12 months following cessation of menstruation), surgically sterile, or following an acceptable method of birth control (and agree to continue its use through 1 month after the last dose of study drug):
- Non-hormonal methods (eg, abstinence, barrier control) for at least 1 complete menstrual cycle before the Screening Visit.
- Stable doses of estrogen and/or progestin containing products for at least 2 months before the Screening Visit.
- If a male of reproductive age, be surgically sterile or agree to follow an acceptable method of birth control (eg, abstinence, barrier control) from the Screening Visit through 2 months after the last dose of study drug.
- If an adult, be informed of the nature of the study and provide written informed consent before any study-specific procedures are performed.
OR If a child or minor (<20 years of age), have a parent/legal guardian who is informed of the nature of the study provide written informed consent (ie, permission) for the child to participate in the study before any study-specific procedures are performed. Assent will be obtained from children ≥14 years of age.
Exclusion Criteria
- Have a history of hypercoagulability (abnormal blood clotting).
- Have a diagnosis of acquired angioedema or be known to have C1 INH antibodies.
- Have a history of allergic reaction to C1 INH products, including CINRYZE (or any of the components of CINRYZE) or other blood products.
- Have received C1 INH therapy or any blood products within 3 days before the first dose of study drug.
- Have had signs or symptoms of an angioedema attack within 2 days before the first dose of study drug.
- Have any change (start, stop, or change in dose) in androgen therapy (eg, danazol, oxandrolone, stanozolol, testosterone), tranexamic acid, epsilon-aminocaproic acid (EACA), or other antifibrinolytics within 14 days before the first dose of study drug.
- If female, have started taking or changed the dose of any hormonal contraceptive regimen or hormone replacement therapy (eg, estrogen/progestin containing products) within 2 months before the first dose of study drug.
- Be pregnant or breastfeeding.
- Have received an investigational drug other than those required for prevention or treatment of angioedema attacks within 30 days before the first dose of study drug.
- Have, as determined by the Investigator and/or the Sponsor's Medical Monitor, any surgical or medical condition that could interfere with the administration of study drug or interpretation of study results.
Data sourced from ClinicalTrials.gov (NCT02865720). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.