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Hereditary AngioedemaPhase 2RAPIDe-1NCT04618211

Dose-ranging Study of Oral PHA-022121 for Acute Treatment of Angioedema Attacks in Patients With Hereditary Angioedema

A Phase 2 study testing Deucrictibant in people with Hereditary Angioedema and Hereditary Angioedema Type I, run by Pharvaris Netherlands B.V. at 36 sites in 13 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 evaluates the efficacy of orally administered deucrictibant for the acute treatment of attacks in patients with hereditary angioedema (HAE). Eligible subjects are randomized to one of three single doses of deucrictibant and placebo. Read more about this study

Who is it for?
Ages 18 to 75 years
What is being tested?
Deucrictibant
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
74 participants
Where
36 sitesin 13 countries
Study dates
3 Feb 2021to 1 Mar 2023
Phase
Phase 2
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 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Signed and dated informed consent form
  • Diagnosis of HAE type I or II
  • Documented history of HAE attacks: at least three in the last 4 months, or at least two in the last 2 months prior to screening
  • Reliable access and experience to use standard of care acute attack medications

Who cannot join

  • Pregnancy or breast-feeding
  • Clinically significant abnormal electrocardiogram
  • Any other systemic disease or significant disease or disorder that would interfere with the patient's safety or ability to participate in the study
  • Use of C1-esterase inhibitor, oral kallikrein inhibitors, attenuated androgens, anti-fibrinolytics, or monoclonal HAE therapy within a defined period prior to enrollment
  • Positive serology for HIV or active infection with hepatitis B virus or hepatitis C virus
  • Abnormal hepatic function
Show all 10Show fewer
  • Abnormal renal function
  • History of alcohol or drug abuse within defined period, or current evidence of substance dependence or abuse
  • History of documented severe hypersensitivity to any medicinal product
  • Participation in any other investigational drug study within defined period

Trial locations and contacts

36 sites in 13 countries.

36 sites in 13 countries

United States8 sites
  • Study site

    Birmingham, Alabama, 35209

  • Study site

    Chevy Chase, Maryland, 20815

  • Study site

    Hershey, Pennsylvania, 17033

  • Study site

    Paradise Valley, Arizona, 85253

  • Study site

    San Diego, California, 92122

  • Study site

    Santa Monica, California, 90404

  • Study site

    St Louis, Missouri, 63141

  • Study site

    Walnut Creek, California, 94598

Other trials in United States

Canada5 sites
  • Study site

    Edmonton, Alberta

  • Study site

    Montreal, Quebec

  • Study site

    Ottawa, Ontario

  • Study site

    Québec, Quebec

  • Study site

    Toronto, Ontario

Other trials in Canada

Germany5 sites
  • Study site

    Berlin

  • Study site

    Dresden

  • Study site

    Frankfurt

  • Study site

    Mainz

  • Study site

    Ulm

Other trials in Germany

France3 sites
  • Study site

    Grenoble

  • Study site

    Montpellier

  • Study site

    Paris

Other trials in France

Israel3 sites
  • Study site

    Ashkelon

  • Study site

    Haifa

  • Study site

    Tel Aviv

Other trials in Israel

Czechia2 sites
  • Study site

    Brno

  • Study site

    Hradec Králové

Other trials in Czechia

Italy2 sites
  • Study site

    Monserrato

  • Study site

    Naples

Other trials in Italy

Spain2 sites
  • Study site

    Barcelona

  • Study site

    Madrid

Other trials in Spain

United Kingdom2 sites
  • Study site

    Brighton

  • Study site

    London

Other trials in United Kingdom

Bulgaria1 site
  • Study site

    Sofia

Other trials in Bulgaria

Hungary1 site
  • Study site

    Budapest

Other trials in Hungary

Netherlands1 site
  • Study site

    Amsterdam

Other trials in Netherlands

Poland1 site
  • Study site

    Krakow

Other trials in Poland

About this study

Official title: A Phase II, Double-blind, Placebo-controlled, Randomized, Cross-over, Dose-ranging Study of Oral PHA-022121 for Acute Treatment of Angioedema Attacks in Patients With Hereditary Angioedema Due to C1-inhibitor Deficiency Type I and II

This study evaluates the efficacy of orally administered deucrictibant for the acute treatment of attacks in patients with hereditary angioedema (HAE). Eligible subjects are randomized to one of three single doses of deucrictibant and placebo. The study will compare symptom relief (skin pain, skin swelling, abdominal pain) during HAE attacks and safety of each dose of deucrictibant with placebo.

Read the detailed description

In Part I of the study, patients in non-attack state receive the assigned active single dose of deucrictibant at the study center to assess pharmacokinetics (the way the body absorbs, distributes, and gets rid of the drug) and safety. In Part II of the study, patients self-administer blinded study drug at home to treat three HAE attacks with deucrictibant or placebo (cross-over).

Being tested
Deucrictibant, Placebo
Keywords
HAE, HAE Type I, HAE Type II, Oral Treatment, Bradykinin B2 Receptor Antagonists, PHVS416, PHA121, PHA-022121, Deucrictibant
Medical subject headings
Angioedemas, Hereditary, Hereditary Angioedema Types I and II

What participants receive

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

  • DeucrictibantDrug

    Also called PHA-022121, PHA121, PHVS416

    deucrictibant soft capsules for oral use

  • PlaceboDrug

    Matching placebo capsules for oral use

Study groups in NCT04618211
Study groupRoleWhat they receive
Low dose/placeboOtherSingle low dose of deucrictibant or placebo
Receives: Drug: Deucrictibant; Drug: Placebo
Medium dose/placeboOtherSingle medium dose of deucrictibant or placebo
Receives: Drug: Deucrictibant; Drug: Placebo
High dose/placeboOtherSingle high dose of deucrictibant or placebo
Receives: Drug: Deucrictibant; Drug: Placebo

What is being measured

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

  1. Change of the 3-symptom Composite Visual Analogue Scale (VAS-3) Score From Pre-treatment to 4 Hours Post-treatment

    The primary endpoint of the study was the change of the VAS-3 (3-symptom composite visual analogue scale) score from pre-treatment to 4 hours post-treatment. The VAS-3 was calculated as the mean of the VAS scores of the 3 major HAE symptoms: skin swelling, skin pain, and abdominal pain. The VAS scores of the 3 major HAE symptoms (skin swelling, skin pain, and abdominal pain) could range between 0 (No swelling/No pain) and 100 (Extreme swelling/Excruciating pain)

    Measured: Assessed from pre-treatment to 4 hours post-treatment

Secondary outcomes (19)
  1. Time to Onset of Symptom Relief by ≥30% Reduction in Visual Analogue Scale (VAS-3) Composite Score From the Pre-treatment Score

    VAS-3 scores range between 0 and 100.

    Measured: Assessed from pre-treatment to 48-hours post-treatment

  2. Time to Onset of Almost Complete or Complete Symptom Relief by Visual Analogue Scale (VAS-3)

    VAS scores range between 0 and 100. Almost complete symptom relief is defined as all 3 individual VAS scores of the VAS-3 having a value < 10. Complete symptom relief is defined as all 3 individual VAS scores are of the VAS-3 having a value of 0.

    Measured: Assessed from pre-treatment to 48 hours post-treatment

  3. Time to a ≥50% Reduction in VAS-3 Composite Score From the Pre-treatment Score

    Time to a ≥50% reduction in VAS-3 composite score from the pre-treatment score.

    Measured: Assessed from pre-treatment to 48 hours post-treatment

  4. Change in the Mean Symptom Complex Severity (MSCS) Score From Pre-treatment to 4 Hours Post-treatment

    MSCS scores range between 0 and 3. A higher score means a worse outcome.

    Measured: Pre-treatment and 4 hours post-treatment

  5. Treatment Outcome Score (TOS) at 4 Hours Post-treatment

    TOS range between -100 and 100. A positive score indicates improvement, a score of 0 indicates no change, and a negative score indicates worsening compared to pre-treatment.

    Measured: 4 hours post-treatment

  6. Time to Onset of Primary Symptom Relief Assessed by a 30% Reduction in the VAS for the Primary Symptom

    Time to onset of primary symptom relief assessed by a 30% reduction in the VAS for the primary symptom within 48 hours post-treatment

    Measured: Within 48 hours post-treatment

  7. Proportion of Study Drug Treated Attacks Requiring HAE Rescue Medication Within 12 Hours.

    Proportion of blinded study drug treated attacks requiring HAE rescue medication within 12 hours post-treatment.

    Measured: Assessed at 12 hours post study drug treatment

  8. Time to First HAE Rescue Medication Use for Study Drug-treated Attacks Within 48 Hours Post-treatment

    The proportion of treated attacks with first use of HAE rescue medication within 48 hours post-treatment with PHA-022121.

    Measured: Assessed at 48 hours post study drug treatment

  9. Time to Change in the VAS Score for Skin Pain Score - 30% Reduction

    Time to change in the VAS score for Skin Pain Score - 30% reduction within 48-hours post-treatment. VAS-3 scores range between 0 and 100. A larger reduction means a better outcome.

    Measured: Within 48 hours post treatment

  10. Change in Mean Symptom Complex Severity Score From Pre-treatment to 24 Hours Post-treatment

    Change in the Mean Symptom Complex Severity (MSCS) score from pre-treatment to 24 hours post-treatment. A lower MSCS score indicates a better outcome.

    Measured: 24 hours post-treatment

  11. TOS at 24 Hours Post-treatment

    Treatment outcome score at 24 hours post-treatment. A higher score indicates improvement.

    Measured: Assessed within 24 hours post treatment

  12. Treatment Satisfaction Questionnaire for Medication Scores at 48 Hours Post-treatment - Effectiveness Domain Score

    MMRM analysis of Treatment Satisfaction Questionnaire for Medication (TSQM) at 48 hours post-treatment. The 11-item TSQM (version II) evaluated participant treatment satisfaction with the medication for the following scales: effectiveness, side effects, convenience, and overall satisfaction Scale scores were transformed into scores ranging from 0 to 100 and could be used to calculate a total composite score, a higher score indicating greater satisfaction.

    Measured: 48 hours post-treatment

  13. Time to Onset of Primary Symptom Relief by 50% Reduction in VAS Score

    Time to Onset of Primary Symptom Relief by 50% Reduction in VAS Score within 48 hours post-treatment. VAS-3 scores range between 0 and 100. A larger reduction means a better outcome.

    Measured: Within 48 hours post-treatment

  14. Proportion of Study Drug Treated Attacks Requiring HAE Rescue Medication Within 24 Hours.

    Qualifying attacks treated with study drug may use approved rescue medication if no symptom relief within 4 hours has been experienced.

    Measured: Assessed at 24 hours post-study drug treatment

  15. Proportion of Study Drug Treated Attacks Requiring HAE Rescue Medication Within 48 Hours

    Qualifying attacks treated with study drug may use approved rescue medication if no symptom relief within 4 hours has been experienced.

    Measured: Assessed at 48 hours post-study drug treatment

  16. Treatment Satisfaction Questionnaire for Medication Scores at 48 Hours Post-treatment - Convenience Domain Score

    MMRM analysis of Treatment Satisfaction Questionnaire for Medication (TSQM) at 48 hours post-treatment. The 11-item TSQM (version II) evaluated participant treatment satisfaction with the medication for the following scales: effectiveness, side effects, convenience, and overall satisfaction Scale scores were transformed into scores ranging from 0 to 100 and could be used to calculate a total composite score, a higher score indicating greater satisfaction.

    Measured: 48 hours post-treatment

  17. Treatment Satisfaction Questionnaire for Medication Scores at 48 Hours Post-treatment - Satisfaction Domain Score

    MMRM analysis of Treatment Satisfaction Questionnaire for Medication (TSQM) at 48 hours post-treatment. The 11-item TSQM (version II) evaluated participant treatment satisfaction with the medication for the following scales: effectiveness, side effects, convenience, and overall satisfaction Scale scores were transformed into scores ranging from 0 to 100 and could be used to calculate a total composite score, a higher score indicating greater satisfaction.

    Measured: 48 hours post-treatment

  18. Time to Change in the VAS Score for Skin Swelling Score - 30% Reduction

    Time to change in the VAS score for Skin Swelling Score - 30% reduction within 48 hours post-treatment. VAS-3 scores range between 0 and 100. A larger reduction means a better outcome.

    Measured: Within 48 hours post-treatment

  19. Time to Change in the VAS Score for Abdominal Pain Score - 30% Reduction

    Time to change in the VAS score for Abdominal Pain Score - 30% reduction within 48 hours post-treatment. VAS-3 scores range between 0 and 100. A larger reduction means a better outcome.

    Measured: Within 48 hours post-treatment

Timeline

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

  1. First posted5 Nov 2020
  2. Study start3 Feb 2021
  3. Primary completion23 Sep 2022
  4. Study completion1 Mar 2023

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
74 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04618211
Sponsor's protocol ID
PHA022121-C201
Other IDs
2020-003445-11
Acronym
RAPIDe-1
Status last verified
Dec 2025
First submitted
26 Oct 2020
Last updated
17 Dec 2025
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Maurer M, Stobiecki M, Valerieva A, Hakl R, Staevska MT, Bouillet L, Du-Thanh A, Kessel A, Kiani-Alikhan S, Magerl M, Reshef A, Baeza ML, Fain O, Farkas H, Greve J, Guilarte M, Jacobs JS, Li HH, Lleonart R, Manning ME, Sussman GL, Anderson J, Chapdelaine H, Cohn DM, Hagin D, Kralickova P, Ritchie B, Spadaro G, Staubach P, Tarzi MD, Yang WH, Jouvin MH, Crabbe R, van Leeuwen S, Chen H, Zhu L, Knolle J, Lesage A, Lu P, Riedl MA, Aygoren-Pursun E. Oral deucrictibant for on-demand treatment of hereditary angioedema attacks (RAPIDe-1): a randomised, double-blind, placebo-controlled, phase 2 trial. Lancet Haematol. 2026 Apr;13(4):e200-e214. doi: 10.1016/S2352-3026(25)00341-2. Epub 2026 Mar 19.

    PubMed 41865747

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Deucrictibant in people with Hereditary Angioedema and Hereditary Angioedema Type I, run by Pharvaris Netherlands B.V. at 36 sites in 13 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 4 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 17 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 36 sites in United States, Canada, Germany, France, Israel and 8 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 17 Dec 2025). 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?

Change of the 3-symptom Composite Visual Analogue Scale (VAS-3) Score From Pre-treatment to 4 Hours Post-treatment (time frame: Assessed from pre-treatment to 4 hours post-treatment). 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 NCT04618211, which also lists 1 linked publication.

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 17 Dec 2025.

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