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Hereditary AngioedemaPhase 3NCT00912093

A Study of Icatibant in Patients With Acute Attacks of Hereditary Angioedema (FAST-3)

A Phase 3 study testing Icatibant in people with Hereditary Angioedema, run by Shire at 64 sites in 9 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study is being conducted to evaluate the efficacy and safety of icatibant compared to placebo in patients experiencing acute attacks of hereditary angioedema (HAE). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Hereditary Angioedema
What is being tested?
Icatibant
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
98 participants
Where
64 sitesin 9 countries
Study dates
16 Jul 2009to 1 Oct 2010
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Each patient must meet the following criteria to be enrolled in this study.
  • The patient is ≥18 years old at the time of informed consent.
  • The patient has a documented diagnosis of HAE type I or II. The diagnosis will be confirmed either by documented decreased C4 levels and/or immunogenic or functional C1-INH deficiency results (<50% of normal levels) consistent with HAE types I and II or by medical history.
  • The current HAE attack must be in the cutaneous, abdominal and/or laryngeal (inclusive of laryngeal and pharyngeal) areas.
  • Cutaneous or abdominal HAE attacks must be moderate to very severe as determined by investigator global assessment at pre-treatment assessments
  • The patient must report at least 1 VAS score ≥ 30mm
  • The patient commences treatment within 6 hours of the attack becoming at least mild (laryngeal) or moderate (non-laryngeal) in severity, but not more than 12 hours after the onset of the attack.
  • Women of childbearing potential must have a negative urine pregnancy test and must use appropriate methods to prevent pregnancy during their participation in the study.

Who cannot join

  • Patients who meet any of the following criteria will be excluded from the study.
  • The patient has a diagnosis of angioedema other than HAE type I or II.
  • The patient has received previous treatment with icatibant.
  • The patient has participated in a clinical trial and has received treatment with another investigational medicinal product within the past 30 days.
  • The patient has received treatment with any pain medication since the onset of the current angioedema attack.
  • The patient has received replacement therapy (fresh frozen plasma [FFP], C1-INH products) less than 5 days (120 hours) from the onset of the current angioedema attack.
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  • The patient is receiving treatment with angiotensin converting enzyme (ACE) inhibitors.
  • Evidence of coronary artery disease based on medical history or screening examination in particular unstable angina pectoris or severe coronary heart disease;
  • The patient has a serious concomitant illness or condition that, in the opinion of the Investigator, would be a contraindication for participation in the trial.
  • The patient is pregnant or breastfeeding.

Trial locations and contacts

64 sites in 9 countries.

64 sites in 9 countries

United States39 sites
  • Primary Care Associates of Alabaster

    Alabaster, Alabama, 35007

  • Allergy Partners of Western North Carolina

    Asheville, North Carolina, 28801

  • Family Allergy and Asthma Center, PC

    Atlanta, Georgia, 30342

  • Valley Clinical Research Center

    Bethlehem, Pennsylvania, 18020

  • UAB Lung Health Center

    Birmingham, Alabama, 35294

  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

  • Institute for Asthman & Allergy, P.C.

    Chevy Chase, Maryland, 20815-6901

  • Rush University Medical Center

    Chicago, Illinois, 60612

  • University of Cincinnati Division of Immunology/Allergy

    Cincinnati, Ohio, 45267

  • Asthma & Allergy Associates, PC

    Colorado Springs, Colorado, 80907

  • Optimed Research, LTD

    Columbus, Ohio, 43235

  • AARA Research Center

    Dallas, Texas, 75231

  • Duke University Medical Center

    Durham, North Carolina, 27710

  • STARx Research Center, LLC

    Edison, New Jersey, 08820

  • Research Institute of Deaconess Clinic

    Evansville, Indiana, 47713

  • University of Texas Medical Branch (UTMB)

    Galveston, Texas, 77555-0561

  • Allergy and Asthma Insititute of the Valley

    Granada Hills, California, 91344

  • Penn State Hershey Medical Center

    Hershey, Pennsylvania, 17033

  • Texas A&M Health Science Center College of Medicine

    Houston, Texas, 77030

  • University of Iowa Asthma Center/ Hospitals & Clinics

    Iowa City, Iowa, 52242

  • University of California San Diego

    La Jolla, California, 92093

  • Baker Allergy, Asthma & Dermatology Research Center LLC

    Lake Oswego, Oregon, 97035

  • Little Rock Allergy & Asthma Clinic, PA

    Little Rock, Arkansas, 72205

  • UCLA - Clinical Immunology & Allergy

    Los Angeles, California, 90095

  • Medical Associates of Brevard

    Melbourne, Florida, 32935

  • Winthrop University Hospital Clinical Trials Center

    Mineola, New York, 11501

  • Mount Sinai School of Medicine

    New York, New York, 10029

  • Children's Hospital of Pittsburgh (of UMPC)

    Pittsburgh, Pennsylvania, 15224

  • University of Reno Nevada School of Medicine

    Reno, Nevada, 89503

  • University of Utah

    Salt Lake City, Utah, 84132

  • Allergy and Asthma Research Center, P.A.

    San Antonio, Texas, 78229

  • Medical Research of AZ A Division of Allergy & Immunology Assoc

    Scottsdale, Arizona, 85251

  • LSUHSC Allergy & Immunology

    Shreveport, Louisiana, 71130

  • The Asthma Center

    St Louis, Missouri, 63141

  • Speciality Medical Clinic & Research Center

    Stanford, California, 27330

  • Standford University

    Stanford, California, 94305

  • University of South Florida Division of Allergy and Immunology

    Tampa, Florida, 33613

  • Montefiore Medical Center/Albert Einstein College of Medicine

    The Bronx, New York, 10461

  • Tulsa Allergy Clinic

    Tulsa, Oklahoma, 74133

Other trials in United States

Russia7 sites
  • State Healthcare Institution of City of Moscow

    Moscow, 115446

  • State Enterprise State Scientific Centre

    Moscow, 115478

  • State Educational Institution of Additional Profess. Edu. Moscow

    Moscow, 123182

  • Medical Academy of Postgraduate Education

    Saint Petersburg, Sankt-Peterburg, 194291

  • Autonomous Non Commercial Organization

    Saint Petersburg, Sankt-Peterburg, 198216

  • Municipal Medical & Preventive Treatment Institution

    Smolensk, 214001

  • Regional Clinical Center of Specialized Medical Treatment

    Vladivostok, 690091

Other trials in Russia

Ukraine5 sites
  • Ivano-Frankivsk national Medical University

    Ivano-Frankivsk, 76018

  • National Medical Academy for Postgraduate Education

    Kyiv, 01133

  • Institute of Otolaryngology

    Kyiv, 03680

  • Ukranian Medical Stomatological Academy Dept of Int Diseases

    Poltava, 36039

  • Vinnitsa Medical Academy Chair of Internal Disease

    Vinnitsa, 21029

Other trials in Ukraine

Australia4 sites
  • Royal Adelaide Hospital

    Adelaide

  • Dept of Medicine Immunology & Allergy Campbelltown Hospital

    Campbelltown, New South Wales, 2560

  • Canberra Hospital Department of Immunology

    Garran, Australian Capital Territory

  • Royal Melbourne Hospital Department of Immunology

    Parkville, Victoria, 3050

Other trials in Australia

Canada3 sites
  • NACTRC

    Edmonton, Alberta, T6G 2H7

  • Allergy & Asthma Research Centre

    Ottawa, Ontario, K1Y 4G2

  • Centre de recherché Appliquée en allergie de Québec

    Québec, Quebec, G1V 5M6

Other trials in Canada

Israel3 sites
  • Bnai-Zion Medical Center Division of Immunology & Allergy

    Haifa, 31048

  • Tel Aviv Medical Center

    Tel Aviv, 64239

  • The Chaim Sheba Medical Center

    Tel HaShomer, 52621

Other trials in Israel

Hungary1 site
  • 3rd Department of Internal Medicine Semmelweis University

    Budapest, 1125

Other trials in Hungary

Romania1 site
  • Spitalul Clinic Judetean Mures Sectia Medicina Interna

    Târgu Mureş, Transylvania, 540103

Other trials in Romania

South Africa1 site
  • Allergy Diagnostic and Clinical Research Unit (ADCRU)

    Cape Town, Mowbray, 7700

Other trials in South Africa

About this study

Official title: A Phase III Randomized, Double-Blind,Placebo-Controlled, Multicenter Study of Icatibant for Subcutaneous Injection in Patients With Acute Attacks of Hereditary Angioedema (HAE)

This study is being conducted to evaluate the efficacy and safety of icatibant compared to placebo in patients experiencing acute attacks of hereditary angioedema (HAE).

Read the detailed description

This Phase III study consisted of two parts: A controlled phase and an open label extension (OLE) phase.

The controlled phase describes the double blind part of the study and was intended to evaluate the efficacy and safety of icatibant compared with placebo for the first treated cutaneous and/or abdominal attack.

Patients with moderate to severe abdominal or cutaneous attacks were randomized to receive a single, blinded, subcutaneous injection of icatibant (30 mg) or placebo. After a protocol amendment, patients with mild to moderate laryngeal HAE attacks were also randomized to receive a single, blinded subcutaneous injection of icatibant (30 mg) or placebo in order to obtain blinded, controlled efficacy and safety data for this subset of subjects. Patients experiencing severe laryngeal attacks (post-amendment) or mild to severe laryngeal attacks (pre-amendment) were to receive open-label icatibant.

After treatment of the first attack in the controlled phase, patients were eligible to enter the OLE phase. In the OLE phase, patients who experienced angioedema attacks severe enough to warrant treatment were to be treated with s.c. icatibant as appropriate until the study was discontinued or the product was commercially available.

Being tested
Icatibant, Placebo
Keywords
HAE, Type I HAE, Type II HAE
Medical subject headings
Angioedemas, Hereditary

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • IcatibantDrug

    Also called Firazyr

    Single subcutaneous injection of icatibant, 30 mg

  • PlaceboDrug

    Single subcutaneous injection of matching placebo

Study groups in NCT00912093
Study groupRoleWhat they receive
PlaceboPlacebo comparatorSingle subcutaneous injection of matching placebo
Receives: Drug: Placebo
IcatibantExperimentalSingle subcutaneous injection of icatibant, 30 mg
Receives: Drug: Icatibant

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Time to Onset of Symptom Relief for an Acute Attack, as Assessed by the Patient

    Time to onset of symptom relief was calculated from study drug administration to onset of symptom relief, where onset of symptom relief was defined as the earliest of 3 consecutive measurements in which there was a 50% reduction from pretreatment in composite VAS score. Composite VAS score comprised 3 symptoms, including skin swelling, skin pain, and abdominal pain, for cutaneous and abdominal attacks and 5 symptoms, including skin swelling, skin pain, abdominal pain, difficulty swallowing, and voice change, for laryngeal attacks. Subjects who did not achieve symptom relief within the observation period were censored at the last observation time.

    Measured: Up to 120 hours post-dose

Secondary outcomes (4)
  1. Time to Onset of Primary Symptom Relief

    Time to primary symptom relief was calculated from the time of study drug administration to the onset of primary symptom relief, where onset of primary symptom relief was determined using the subject-assessed VAS score for a single primary symptom (determined by edema location) and defined as the earliest of 3 consecutive non-missing measurements in which a pre-specified reduction from the pretreatment value was met. Subjects who did not achieve primary symptom relief within the observation period were censored at the last observation time.

    Measured: Up to 120 hours post-dose

  2. Time to Almost Complete Symptom Relief

    Time to almost complete symptom relief was calculated from the time of study drug administration to almost complete symptom relief, where almost complete symptom relief was defined as the earliest of 3 consecutive non-missing measurements in which all VAS scores <10 mm. Subjects who did not achieve almost complete symptom relief within the observation period were censored at the last observation time.

    Measured: Up to 120 Hours post treatment

  3. Time to Subject-Assessed Initial Symptom Improvement

    Time to initial symptom improvement was calculated from the time of study drug administration to initial symptom improvement as determined by the subject as the time they felt symptoms were starting to improve. Subjects who did not achieve initial symptom improvement within the observation period were censored at the last observation time.

    Measured: Up to 120 hours post-dose

  4. Time to Investigator-Assessed Initial Symptom Improvement

    Time to initial symptom improvement was calculated from the time of study drug administration to initial symptom improvement as determined by the investigator as the time they felt symptoms were starting to improve. Subjects who did not achieve initial symptom improvement within the observation period were censored at the last observation time.

    Measured: Up to 120 hours post-dose

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 Jun 2009 (estimated)
  2. Study start16 Jul 2009
  3. Primary completion1 Oct 2010
  4. Study completion1 Oct 2010

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
98 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00912093
Sponsor's protocol ID
HGT-FIR-054
Other IDs
2009-015606-19, 2009
Status last verified
Jun 2021
First submitted
2 Jun 2009
Last updated
11 Jun 2021
Data monitoring committee
No

Publications

  • Lumry WR, Farkas H, Moldovan D, Toubi E, Baptista J, Craig T, Riedl M. Icatibant for Multiple Hereditary Angioedema Attacks across the Controlled and Open-Label Extension Phases of FAST-3. Int Arch Allergy Immunol. 2015;168(1):44-55. doi: 10.1159/000441060. Epub 2015 Nov 11.

    PubMed 26556097
  • Maurer M, Longhurst HJ, Fabien V, Li HH, Lumry WR. Treatment of hereditary angioedema with icatibant: efficacy in clinical trials versus effectiveness in the real-world setting. Allergy Asthma Proc. 2014 Sep-Oct;35(5):377-81. doi: 10.2500/aap.2014.35.3780. Epub 2014 Aug 6.

    PubMed 25198193
  • Bas M. Clinical efficacy of icatibant in the treatment of acute hereditary angioedema during the FAST-3 trial. Expert Rev Clin Immunol. 2012 Nov;8(8):707-17. doi: 10.1586/eci.12.67.

    PubMed 23167682
  • Lumry WR, Li HH, Levy RJ, Potter PC, Farkas H, Moldovan D, Riedl M, Li H, Craig T, Bloom BJ, Reshef A. Randomized placebo-controlled trial of the bradykinin B(2) receptor antagonist icatibant for the treatment of acute attacks of hereditary angioedema: the FAST-3 trial. Ann Allergy Asthma Immunol. 2011 Dec;107(6):529-37. doi: 10.1016/j.anai.2011.08.015. Epub 2011 Oct 5.

    PubMed 22123383

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Icatibant in people with Hereditary Angioedema, run by Shire at 64 sites in 9 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 11 Jun 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 64 sites in United States, Russia, Ukraine, Australia, Canada and 4 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 6 Aug 2014). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Time to Onset of Symptom Relief for an Acute Attack, as Assessed by the Patient (time frame: Up to 120 hours post-dose). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00912093, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Jun 2021.

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