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A Study to Evaluate the Safety and Pharmacology of Subcutaneous Administration of CINRYZE With Recombinant Human Hyaluronidase

Primary Purpose

Hereditary Angioedema

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
CINRYZE with rHuPH20
Sponsored by
Shire
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Hereditary Angioedema focused on measuring HAE, C1 esterase inhibitor, C1 INH, Subcutaneous, hyaluronidase, rHuPH20

Eligibility Criteria

12 Years - undefined (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

To be eligible for this protocol, a subject must:

  1. Provide informed consent/assent, as appropriate.
  2. Have previously participated in CINRYZE Study 0624-200 and completed the subcutaneous therapy period in that study.
  3. During the 3 consecutive months prior to screening, have a history of less than 1 HAE attack per month (average) that required treatment with C1 INH therapy or other blood products.
  4. Agree to avoid his/her known HAE triggers during the study to the best of his/her ability.

Exclusion Criteria:

To be eligible for this protocol, a subject must not:

  1. Have received C1 INH therapy or any blood products for treatment or prevention of an HAE attack within 14 days prior to the first dose of study drug.
  2. Have received any ecallantide (Kalbitor), icatibant (Firazyr), or antifibrinolytics (e.g., tranexamic acid) within 14 days prior to the first dose of study drug.
  3. Have any change (start, stop, or change in dose) in androgen therapy (e.g., danazol, oxandrolone, stanozolol, testosterone) within 14 days prior to the first dose of study drug.
  4. If female, have started taking or changed the dose of any hormonal contraceptive regimen or hormone replacement therapy (i.e., estrogen/progestin containing products) within 3 months prior to the first dose of study drug.
  5. Have a history of abnormal blood clotting.
  6. Have a history of allergic reaction to products containing C1 INH or other blood products.
  7. Have a known allergy to hyaluronidase or any other ingredient in rHuPH20.
  8. Be pregnant or breastfeeding.
  9. Have received an investigational study drug within 30 days prior to the first dose of study drug.

Sites / Locations

  • ViroPharma Investigational Site
  • ViroPharma Investigational Site
  • ViroPharma Investigational Site
  • ViroPharma Investigational Site

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

SC CINRYZE with rHuPH20 Dose Level 1

SC CINRYZE with rHuPH20 Dose Level 2

Arm Description

Subcutaneous injection of 1000 Units of CINRYZE with 20,000 Units of rHuPH20 twice weekly for two weeks

Subcutaneous injection of 2000 Units of CINRYZE with 40,000 Units of rHuPH20 twice weekly for two weeks

Outcomes

Primary Outcome Measures

Incidence and Severity of Adverse Events, Number of Participants With Local Injection Site Reactions, and Number of Participants Who Discontinue Study Drug or Withdraw From the Study

Secondary Outcome Measures

Mean Change C1 Inhibitor (C1INH)
Mean Change in Baseline in Observed Plasma Concentration of C1 Inhibitor (C1INH) Antigen. Baseline-corrected concentrations were derived by subtracting the observed pre-dose concentrations on Day 1 of each treatment period from each observed concentration.
Mean Change C4 Compliment
Mean Change in Baseline in Observed Plasma Concentration of C4 Compliment. Baseline-corrected concentrations were derived by subtracting the observed pre-dose concentrations on Day 1 of each treatment period from each observed concentration.
Number of Subjects With C1 INH Antibodies

Full Information

First Posted
August 25, 2011
Last Updated
June 16, 2021
Sponsor
Shire
Collaborators
Halozyme Therapeutics
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1. Study Identification

Unique Protocol Identification Number
NCT01426763
Brief Title
A Study to Evaluate the Safety and Pharmacology of Subcutaneous Administration of CINRYZE With Recombinant Human Hyaluronidase
Official Title
An Open-label Multiple-dose Study to Evaluate the Safety, Pharmacokinetics, and Pharmacodynamics of Subcutaneous Administration of CINRYZE® (C1 Esterase Inhibitor [Human]) With Recombinant Human Hyaluronidase (rHuPH20) in Subjects With Hereditary Angioedema
Study Type
Interventional

2. Study Status

Record Verification Date
June 2021
Overall Recruitment Status
Completed
Study Start Date
September 12, 2011 (Actual)
Primary Completion Date
November 28, 2011 (Actual)
Study Completion Date
November 28, 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Shire
Collaborators
Halozyme Therapeutics

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The objectives of the study are to: Evaluate the safety and tolerability of subcutaneously administered CINRYZE with recombinant human hyaluronidase (rHuPH20) in subjects with hereditary angioedema (HAE) who previously participated in CINRYZE Study 0624-200 (NCT01095497) Characterize the pharmacokinetics and pharmacodynamics of subcutaneously administered CINRYZE with rHuPH20 Assess the immunogenicity of CINRYZE following subcutaneous (SC) administration of CINRYZE with rHuPH20

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hereditary Angioedema
Keywords
HAE, C1 esterase inhibitor, C1 INH, Subcutaneous, hyaluronidase, rHuPH20

7. Study Design

Primary Purpose
Other
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
12 (Actual)

8. Arms, Groups, and Interventions

Arm Title
SC CINRYZE with rHuPH20 Dose Level 1
Arm Type
Experimental
Arm Description
Subcutaneous injection of 1000 Units of CINRYZE with 20,000 Units of rHuPH20 twice weekly for two weeks
Arm Title
SC CINRYZE with rHuPH20 Dose Level 2
Arm Type
Experimental
Arm Description
Subcutaneous injection of 2000 Units of CINRYZE with 40,000 Units of rHuPH20 twice weekly for two weeks
Intervention Type
Biological
Intervention Name(s)
CINRYZE with rHuPH20
Other Intervention Name(s)
C1 esterase inhibitor (human), Recombinant human hyaluronidase
Primary Outcome Measure Information:
Title
Incidence and Severity of Adverse Events, Number of Participants With Local Injection Site Reactions, and Number of Participants Who Discontinue Study Drug or Withdraw From the Study
Time Frame
18 days
Secondary Outcome Measure Information:
Title
Mean Change C1 Inhibitor (C1INH)
Description
Mean Change in Baseline in Observed Plasma Concentration of C1 Inhibitor (C1INH) Antigen. Baseline-corrected concentrations were derived by subtracting the observed pre-dose concentrations on Day 1 of each treatment period from each observed concentration.
Time Frame
18 days
Title
Mean Change C4 Compliment
Description
Mean Change in Baseline in Observed Plasma Concentration of C4 Compliment. Baseline-corrected concentrations were derived by subtracting the observed pre-dose concentrations on Day 1 of each treatment period from each observed concentration.
Time Frame
18 days
Title
Number of Subjects With C1 INH Antibodies
Time Frame
Day 1 (pre-dose), Day 18 (168 h post Dose 4), and 30 (±2) days after the last dose of study drug (Dose 4)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
12 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: To be eligible for this protocol, a subject must: Provide informed consent/assent, as appropriate. Have previously participated in CINRYZE Study 0624-200 and completed the subcutaneous therapy period in that study. During the 3 consecutive months prior to screening, have a history of less than 1 HAE attack per month (average) that required treatment with C1 INH therapy or other blood products. Agree to avoid his/her known HAE triggers during the study to the best of his/her ability. Exclusion Criteria: To be eligible for this protocol, a subject must not: Have received C1 INH therapy or any blood products for treatment or prevention of an HAE attack within 14 days prior to the first dose of study drug. Have received any ecallantide (Kalbitor), icatibant (Firazyr), or antifibrinolytics (e.g., tranexamic acid) within 14 days prior to the first dose of study drug. Have any change (start, stop, or change in dose) in androgen therapy (e.g., danazol, oxandrolone, stanozolol, testosterone) within 14 days prior to the first dose of study drug. If female, have started taking or changed the dose of any hormonal contraceptive regimen or hormone replacement therapy (i.e., estrogen/progestin containing products) within 3 months prior to the first dose of study drug. Have a history of abnormal blood clotting. Have a history of allergic reaction to products containing C1 INH or other blood products. Have a known allergy to hyaluronidase or any other ingredient in rHuPH20. Be pregnant or breastfeeding. Have received an investigational study drug within 30 days prior to the first dose of study drug.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Study Director
Organizational Affiliation
Takeda
Official's Role
Study Director
Facility Information:
Facility Name
ViroPharma Investigational Site
City
Scottsdale
State/Province
Arizona
ZIP/Postal Code
85251
Country
United States
Facility Name
ViroPharma Investigational Site
City
Walnut Creek
State/Province
California
ZIP/Postal Code
94598
Country
United States
Facility Name
ViroPharma Investigational Site
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30342
Country
United States
Facility Name
ViroPharma Investigational Site
City
Dallas
State/Province
Texas
ZIP/Postal Code
75231
Country
United States

12. IPD Sharing Statement

Learn more about this trial

A Study to Evaluate the Safety and Pharmacology of Subcutaneous Administration of CINRYZE With Recombinant Human Hyaluronidase

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