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Hereditary Angioedema Types I and IIPhase 3NCT01912456

A Study to Evaluate the Clinical Efficacy and Safety of Subcutaneously Administered C1-esterase Inhibitor in the Prevention of Hereditary Angioedema

A Phase 3 study testing Low-volume C1-esterase inhibitor and Higher-volume C1-esterase inhibitor in people with Hereditary Angioedema Types I and II, run by CSL Behring at 39 sites in 10 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

The aim of this study is to assess the efficacy of C1-esterase inhibitor in preventing hereditary angioedema attacks when it is administered under the skin of subjects with hereditary angioedema. The safety of C1-esterase inhibitor will also be assessed. Each subject will enter a run-in period of up to 8-weeks. Read more about this study

Who is it for?
Ages 12 years and older
Conditions the study is for
Hereditary Angioedema Types I and II
What is being tested?
Low-volume C1-esterase inhibitor and Higher-volume C1-esterase inhibitor
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
90 participants
Where
39 sitesin 10 countries
Study dates
Jan 2014to Oct 2015
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 12 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Run-In Period Inclusion Criteria:
  • Males or females aged 12 years or older.
  • A clinical diagnosis of hereditary angioedema type I or II.
  • Hereditary angioedema attacks over a consecutive 2-month period that required acute treatment, medical attention, or caused significant functional impairment.
  • For subjects who have used oral therapy for prophylaxis against HAE attacks within 3 months of Screening: use of a stable regimen within 3 months of Screening, with no plans to change.
  • Eligibility Criteria for Entering Treatment Period 1:
Show all 9Show fewer
  • Laboratory confirmation of type I or type II hereditary angioedema, including C1-esterase inhibitor functional activity less than 50% AND C4 antigen level below the laboratory reference range.
  • No clinically significant abnormalities as assessed using laboratory parameters.
  • During participation in the run-in period, subjects must have experienced hereditary angioedema attacks that required acute treatment, required medical attention, or caused significant functional impairment.

Who cannot join

  • Run-In Period Exclusion Criteria:
  • History of clinical significant arterial or venous thrombosis, or current history of a clinically significant prothrombotic risk.
  • Incurable malignancies at screening.
  • Any clinical condition that will interfere with the evaluation of C1-esterase inhibitor therapy.
  • Clinically significant history of poor response to C1-esterase therapy for the management of hereditary angioedema.
  • Receiving therapy prohibited by the protocol, including medications for hereditary angioedema prophylaxis.
  • Female subjects who started taking or changed dose of any hormonal contraceptive regimen or hormone replacement therapy (i.e., estrogen/progesterone-containing products) within 3 months prior to the screening visit.

Trial locations and contacts

39 sites in 10 countries.

39 sites in 10 countries

United States19 sites
  • Study Site

    Bell Gardens, California, 90201

  • Study Site

    Birmingham, Alabama, 35209

  • Study Site

    Boston, Massachusetts, 02114

  • Study Site

    Chevy Chase, Maryland, 20815

  • Study Site

    Cincinnati, Ohio, 45267-0563

  • Study Site

    Colorado Springs, Colorado, 80907

  • Study Site

    Columbus, Ohio, 43235

  • Study Site

    Dallas, Texas, 75231

  • Study Site

    Hershey, Pennsylvania, 17033

  • Study Site

    La Jolla, California, 92093

  • Study Site

    Lake Oswego, Oregon, 97035

  • Study Site

    Orange, California, 92868

  • Study Site

    Richmond, Virginia, 23298

  • Study Site

    Scottsdale, Arizona, 85251

  • Study Site

    Spokane, Washington, 99204

  • Study Site

    Toledo, Ohio, 43617

  • Study Site

    Tulsa, Oklahoma, 74136

  • Study Site

    Virginia Beach, Virginia, 23452

  • Study Site

    Walnut Creek, California, 94598

Other trials in United States

Canada4 sites
  • Study Site

    Hamilton, Ontario, L8N 3Z5

  • Study Site

    Ottawa, Ontario, K1Y 4G2

  • Study Site

    Québec, G1V 4M6

  • Study Site

    Toronto, Ontario, M4V 1R2

Other trials in Canada

Spain4 sites
  • Study Site

    Barcelona, 08035

  • Study Site

    Madrid, 28007

  • Study Site

    Madrid, 28046

  • Study Site

    Valencia, 46026

Other trials in Spain

Czechia2 sites
  • Study Site

    Hradec Králové, 50005

  • Study Site

    Pilsen, 30460

Other trials in Czechia

Israel2 sites
  • Study Site

    Tel Aviv, 64239

  • Study Site

    Tel HaShomer, 52621

Other trials in Israel

Italy2 sites
  • Study Site

    Catania, 95123

  • Study Site

    Palermo, 90146

Other trials in Italy

Romania2 sites
  • Study Site

    Cluj-Napoca, 400139

  • Study Site

    Mures, 540103

Other trials in Romania

United Kingdom2 sites
  • Study Site

    Brighton, BN2 5BE

  • Study Site

    London, E1 2ES

Other trials in United Kingdom

Australia1 site
  • Study Site

    Campbelltown, New South Wales, 2560

Other trials in Australia

Hungary1 site
  • Study Site

    Budapest, 1125

Other trials in Hungary

About this study

Official title: A Double-blind, Randomized, Placebo-controlled, Cross-over Study to Evaluate the Clinical Efficacy and Safety of Subcutaneous Administration of Human Plasma-derived C1-esterase Inhibitor in the Prophylactic Treatment of Hereditary Angioedema

The aim of this study is to assess the efficacy of C1-esterase inhibitor in preventing hereditary angioedema attacks when it is administered under the skin of subjects with hereditary angioedema. The safety of C1-esterase inhibitor will also be assessed. Each subject will enter a run-in period of up to 8-weeks. Subjects who complete the run-in period and who are eligible will then enter the treatment phase which comprises two sequential treatment periods. In the treatment phase, subjects will be randomized to one of four arms consisting of treatment with low- or higher-volume C1-esterase inhibitor in one treatment period and treatment with low- or higher-volume placebo in the other treatment period. The study will measure the number of hereditary angioedema attacks that subjects experience while receiving each treatment.

Being tested
Low-volume C1-esterase inhibitor, Higher-volume C1-esterase inhibitor, Low-volume placebo, Higher-volume placebo
Keywords
Hereditary Angioedema
Medical subject headings
Hereditary Angioedema Types I and II, Angioedemas, Hereditary

What participants receive

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

  • Low-volume C1-esterase inhibitorBiological

  • Higher-volume C1-esterase inhibitorBiological

  • Low-volume placeboBiological

  • Higher-volume placeboBiological

Study groups in NCT01912456
Study groupRoleWhat they receive
Higher-volume placebo, then low-volume C1-esterase inhibitorExperimentalA higher-volume dose of placebo will be administered subcutaneously twice a week for up to 16 weeks, then a low-volume dose of C1-esterase inhibitor will be administered subcutaneously twice a week for up to 16 weeks.
Receives: Biological: Low-volume C1-esterase inhibitor; Biological: Higher-volume placebo
Low-volume C1-esterase inhibitor, then higher-volume placeboExperimentalA low-volume dose of C1-esterase inhibitor will be administered subcutaneously twice a week for up to 16 weeks, then a higher-volume dose of placebo will be administered subcutaneously twice a week for up to 16 weeks.
Receives: Biological: Low-volume C1-esterase inhibitor; Biological: Higher-volume placebo
Low-volume placebo, then higher-volume C1-esterase inhibitorExperimentalA low-volume dose of placebo will be administered subcutaneously twice a week for up to 16 weeks then a higher-volume dose of C1-esterase inhibitor will be administered subcutaneously twice a week for up to 16 weeks.
Receives: Biological: Higher-volume C1-esterase inhibitor; Biological: Low-volume placebo
Higher-volume C1-esterase inhibitor, then low-volume placeboExperimentalA higher-volume dose of C1-esterase inhibitor will be administered subcutaneously twice a week for up to 16 weeks, then a low-volume dose of placebo will be administered subcutaneously twice a week for up to 16 weeks.
Receives: Biological: Higher-volume C1-esterase inhibitor; Biological: Low-volume placebo

What is being measured

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

  1. The Time-normalized Number of Hereditary Angioedema Attacks

    The time normalized number of HAE attacks as reported by the investigator per subject was calculated as: The total number of HAE attacks per subject and per treatment period / length of stay of subject in treatment period (days), Where length of stay of subject in treatment period was calculated as: Date of last day of subject in treatment period - date of first day of Week 3 of subject in treatment period + 1.

    Measured: During the treatment phase, up to 28 weeks.

Secondary outcomes (6)
  1. Percentage of Subjects With a ≥ 50% Reduction in the Number of Hereditary Angioedema Attacks by CSL830 Treatment

    The percentage reduction (%) in the time normalized number of HAE attacks was calculated as: 100 x [1 - (the time normalized number of HAE attacks when treated with CSL830) / (the time normalized number of HAE attacks when treated with placebo)]. A subject is classed as a responder if the percentage reduction is >= 50%.

    Measured: During the treatment phase, up to 28 weeks.

  2. Time-Normalized Number of Uses of Rescue Medication

    The time-normalized number of uses of rescue medication during treatment with C1-esterase inhibitor or placebo

    Measured: During the treatment phase, up to 28 weeks.

  3. Percentage of Subjects With Adverse Events (AEs) Within 24 Hours of C1-esterase Inhibitor or Placebo Administration

    Measured: Within 24 hours of C1-esterase inhibitor or placebo administration.

  4. Percentage of Subjects With AEs or Other Specified Safety Events.

    The percentage of subjects experiencing the following during treatment with CSL830 and placebo: unsolicited AEs, serious AEs, suspected adverse drug reactions, increased risk scores for deep vein thrombosis and pulmonary embolism, thromboembolic events, inhibitory anti C1 INH antibodies, or clinically significant abnormalities in laboratory assessments.

    Measured: During the treatment phase, up to 32 weeks.

  5. Percentage of Subjects Experiencing Solicited AEs (Injection Site Reactions)

    The percentage of subjects experiencing solicited local AEs (discomfort [eg, pain, burning], swelling, bruising, or itching at the investigational product injection site) during treatment with CSL830 and placebo.

    Measured: During the treatment phase, up to 32 weeks.

  6. Injections Resulting in Solicited AEs (Injection Site Reactions)

    The rate/injection of injections of C1-esterase inhibitor or placebo that were followed by solicited local AEs (discomfort [eg, pain, burning], swelling, bruising, or itching at the investigational product injection site) during treatment with CSL830 and placebo. Rate/Injection = Number of events/number of injections.

    Measured: During the treatment phase, up to 32 weeks.

Timeline

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

  1. First posted31 Jul 2013 (estimated)
  2. Study startJan 2014
  3. Primary completionOct 2015
  4. Study completionOct 2015

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
Prevention
Allocation
Randomised
Intervention model
Crossover
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
90 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01912456
Sponsor's protocol ID
CSL830_3001
Other IDs
2013-000916-10
Status last verified
Jan 2021
First submitted
29 Jul 2013
Last updated
29 Jan 2021

Publications

  • Longhurst H, Cicardi M, Craig T, Bork K, Grattan C, Baker J, Li HH, Reshef A, Bonner J, Bernstein JA, Anderson J, Lumry WR, Farkas H, Katelaris CH, Sussman GL, Jacobs J, Riedl M, Manning ME, Hebert J, Keith PK, Kivity S, Neri S, Levy DS, Baeza ML, Nathan R, Schwartz LB, Caballero T, Yang W, Crisan I, Hernandez MD, Hussain I, Tarzi M, Ritchie B, Kralickova P, Guilarte M, Rehman SM, Banerji A, Gower RG, Bensen-Kennedy D, Edelman J, Feuersenger H, Lawo JP, Machnig T, Pawaskar D, Pragst I, Zuraw BL; COMPACT Investigators. Prevention of Hereditary Angioedema Attacks with a Subcutaneous C1 Inhibitor. N Engl J Med. 2017 Mar 23;376(12):1131-1140. doi: 10.1056/NEJMoa1613627.

    PubMed 28328347
  • Beard N, Frese M, Smertina E, Mere P, Katelaris C, Mills K. Interventions for the long-term prevention of hereditary angioedema attacks. Cochrane Database Syst Rev. 2022 Nov 3;11(11):CD013403. doi: 10.1002/14651858.CD013403.pub2.

    PubMed 36326435
  • Li HH, Zuraw B, Longhurst HJ, Cicardi M, Bork K, Baker J, Lumry W, Bernstein J, Manning M, Levy D, Riedl MA, Feuersenger H, Prusty S, Pragst I, Machnig T, Craig T; COMPACT Investigators. Subcutaneous C1 inhibitor for prevention of attacks of hereditary angioedema: additional outcomes and subgroup analysis of a placebo-controlled randomized study. Allergy Asthma Clin Immunol. 2019 Aug 28;15:49. doi: 10.1186/s13223-019-0362-1. eCollection 2019.

    PubMed 31485239

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Low-volume C1-esterase inhibitor and Higher-volume C1-esterase inhibitor in people with Hereditary Angioedema Types I and II, run by CSL Behring at 39 sites in 10 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 9 inclusion and 7 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 29 Jan 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 39 sites in United States, Canada, Spain, Czechia, Israel and 5 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. 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 29 Jan 2021). 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?

The Time-normalized Number of Hereditary Angioedema Attacks (time frame: During the treatment phase, up to 28 weeks.). 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 NCT01912456, which also lists 3 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 29 Jan 2021.

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