Subcutaneous Treatment With Icatibant for Acute Attacks of Hereditary Angioedema (HAE)

Last updated: May 24, 2021
Sponsor: Shire
Overall Status: Completed

Phase

3

Condition

Allergy

Urticaria

Allergies & Asthma

Treatment

N/A

Clinical Study ID

NCT00500656
JE049 #2102
2004-001540-71
  • Ages > 18
  • All Genders

Study Summary

Primary Outcome Measures:

The primary endpoint was the time to onset of symptom relief of the first attack in the double blind phase. H0: λ icatibant/λ tranexamic acid =1 versus H1: λ icatibant/λ tranexamic acid ≠1 Where: λ icatibant refers to the hazard rate under icatibant and λ tranexamic acid refers to the hazard rate under tranexamic acid.

Secondary Outcome Measures:

  • Additional efficacy assessments (Time to Almost Complete Symptom Relief)

  • Safety and tolerability

  • Pharmacoeconomics

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Age above 18 years;
  • Documented diagnosis of HAE Type I or II (confirmed C1-INH deficiency);
  • Current edema in the cutaneous, abdominal and/or laryngeal areas;
  • Current edema moderate to severe according to the investigator's Symptom Score.

Exclusion

Exclusion Criteria:

  • Diagnosis of angioedema other than HAE,
  • Participation in a clinical trial of another investigational medicinal product (IMP)within the past month
  • Treatment with any pain medication since onset of the current angioedema attack
  • Treatment with replacement therapy, including C1-INH products, less than 3 days beforeonset of the current angioedema attack
  • Treatment with Tranexamic acid replacement therapy within a week before onset of thecurrent angioedema attack
  • Treatment with ACE inhibitors
  • Contraindications for Tranexamic acid
  • Evidence of coronary artery disease based on medical history or Screening examinationin particular unstable angina pectoris or severe coronary heart disease
  • Congestive heart failure (class 3 and 4)
  • Serum creatinine level of ≥ 250 μmol/L
  • Serious concomitant illness that the investigator considered to be a contraindicationfor participation in the trial
  • Pregnancy (as assessed prior to treatment) and/or breast-feeding

Study Design

Total Participants: 85
Study Start date:
March 01, 2005
Estimated Completion Date:
July 25, 2006

Study Description

This was a Phase III, randomised, double blind, double dummy, multicentre, controlled,parallel group study of a 30 mg s.c. formulation of icatibant for the treatment of patients with moderate to very severe symptoms of cutaneous and/or abdominal symptoms of HAE.

The study consisted of two parts: controlled phase and OLE phase. For the primary endpoint, Efficacy was determined by evaluating the differences in study outcomes using a Visual Analogue Scale for patients treated with icatibant and tranexamic acid.

Connect with a study center

  • Università degli Studi di Milano, Dipartimento di Medicina Interna

    Milano, 20123
    Italy

    Site Not Available

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