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Efficacy, Safety and Tolerability of Icatibant for the Treatment of HAE (IHA)

Primary Purpose

Hereditary Angioedema

Status
Completed
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
Icatibant
Sponsored by
Massachusetts General Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hereditary Angioedema

Eligibility Criteria

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

Inclusion Criteria:

  1. Males and females at least 18 years of age at the time of informed consent
  2. Documented diagnosis of hereditary angioedema Type I or II based on ALL of the following criteria:

    • Family and/or medical history
    • Characteristic attack manifestations, recurrent attacks
    • Historical low C4, normal C1q and either low C1-INH or low C1INH function
  3. Women of childbearing potential must use consistently and correctly a highly effective, adequate method of birth control (failure rate less than 1% per year), sexual abstinence or have a vasectomised partner during the duration of the study. Hormonal contraception can be continued if verified by a physician that it doesn't affect the course of hereditary angioedema attacks.
  4. Mental and physical condition allowing patients to complete baseline assessment, to self-administer Icatibant and to follow other study procedures.
  5. Ability to provide signed written informed consent after all aspects of the study have been explained and discussed with the patient.

Exclusion Criteria:

  1. Participation in a clinical therapeutic trial of another investigational medicinal product within the past month (except a previous Icatibant study).
  2. Diagnosis of angioedema other than Type I or Type II hereditary angioedema.
  3. Evidence of symptomatic coronary artery disease based on medical history, in particular, unstable angina pectoris or severe coronary heart disease.
  4. Congestive heart failure (NYHA Class 3 and 4).
  5. Stroke within the past 6 months.
  6. Treatment with angiotensin converting enzyme inhibitor.
  7. Pregnancy and/or breast-feeding.
  8. In the opinion of the investigator: mental condition rendering the patient unable to understand the nature, scope and possible consequences of the study.
  9. In the opinion of the investigator: unlikely to comply with the protocol, for example, uncooperative attitude, inability to return for follow-up visits, or unlikely to complete the study for any reason.
  10. In the opinion of the investigator: inability to complete the patient diary, manage study medication or self-administration of an injection.

Sites / Locations

  • San Diego Veterans Affairs Medical Center
  • UCLA - David Geffen School of Medicine
  • Institute for Allergy and Asthma
  • Penn State University
  • AARA Research Center

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Icatibant

Arm Description

Open-label study

Outcomes

Primary Outcome Measures

Time to Complete or Near Complete Resolution From Onset of Symptoms
Time of onset of HAE attack, time icatibant was administered, and time to complete relief of symptoms were recorded in minutes. Time to complete relief of symptoms was defined as time from onset of symptoms to complete or near complete resolution as reported by the patient.

Secondary Outcome Measures

Percent Change in VAS Scores
Baseline, 4 hours VAS scale ranges from 0-100 with 0 being the lowest severity and 100 being the highest severity

Full Information

First Posted
October 13, 2011
Last Updated
October 17, 2016
Sponsor
Massachusetts General Hospital
Collaborators
Shire Human Genetic Therapies, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01457430
Brief Title
Efficacy, Safety and Tolerability of Icatibant for the Treatment of HAE
Acronym
IHA
Official Title
Open Label, Multicenter Study to Evaluate Efficacy, Safety and Tolerability of a Self-Administered Subcutaneous Formulation of Icatibant for the Treatment of Acute Attacks of Hereditary Angioedema (IHA)
Study Type
Interventional

2. Study Status

Record Verification Date
October 2016
Overall Recruitment Status
Completed
Study Start Date
December 2011 (undefined)
Primary Completion Date
April 2014 (Actual)
Study Completion Date
April 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Massachusetts General Hospital
Collaborators
Shire Human Genetic Therapies, Inc.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The investigators propose a study to evaluate the safety, local tolerability, convenience, and efficacy of self-administered Icatibant for the treatment of acute attacks of hereditary angioedema. The investigators believe that self administration with Icatibant for treatment of an acute attack of angioedema will not change the time to complete or near complete resolution of symptoms compared to treatment with Icatibant in a medical facility.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hereditary Angioedema

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
19 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Icatibant
Arm Type
Experimental
Arm Description
Open-label study
Intervention Type
Drug
Intervention Name(s)
Icatibant
Other Intervention Name(s)
Firazyr
Intervention Description
30 mg subcutaneous dose of Icatibant
Primary Outcome Measure Information:
Title
Time to Complete or Near Complete Resolution From Onset of Symptoms
Description
Time of onset of HAE attack, time icatibant was administered, and time to complete relief of symptoms were recorded in minutes. Time to complete relief of symptoms was defined as time from onset of symptoms to complete or near complete resolution as reported by the patient.
Time Frame
Time to complete or near complete resolution of symptoms as reported by the patient, an expected average of 8-10 hours
Secondary Outcome Measure Information:
Title
Percent Change in VAS Scores
Description
Baseline, 4 hours VAS scale ranges from 0-100 with 0 being the lowest severity and 100 being the highest severity
Time Frame
Percent Change in VAS Score from Baseline to 4 Hours

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Males and females at least 18 years of age at the time of informed consent Documented diagnosis of hereditary angioedema Type I or II based on ALL of the following criteria: Family and/or medical history Characteristic attack manifestations, recurrent attacks Historical low C4, normal C1q and either low C1-INH or low C1INH function Women of childbearing potential must use consistently and correctly a highly effective, adequate method of birth control (failure rate less than 1% per year), sexual abstinence or have a vasectomised partner during the duration of the study. Hormonal contraception can be continued if verified by a physician that it doesn't affect the course of hereditary angioedema attacks. Mental and physical condition allowing patients to complete baseline assessment, to self-administer Icatibant and to follow other study procedures. Ability to provide signed written informed consent after all aspects of the study have been explained and discussed with the patient. Exclusion Criteria: Participation in a clinical therapeutic trial of another investigational medicinal product within the past month (except a previous Icatibant study). Diagnosis of angioedema other than Type I or Type II hereditary angioedema. Evidence of symptomatic coronary artery disease based on medical history, in particular, unstable angina pectoris or severe coronary heart disease. Congestive heart failure (NYHA Class 3 and 4). Stroke within the past 6 months. Treatment with angiotensin converting enzyme inhibitor. Pregnancy and/or breast-feeding. In the opinion of the investigator: mental condition rendering the patient unable to understand the nature, scope and possible consequences of the study. In the opinion of the investigator: unlikely to comply with the protocol, for example, uncooperative attitude, inability to return for follow-up visits, or unlikely to complete the study for any reason. In the opinion of the investigator: inability to complete the patient diary, manage study medication or self-administration of an injection.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Aleena Banerji, M.D.
Organizational Affiliation
Massachusetts General Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
San Diego Veterans Affairs Medical Center
City
La Jolla
State/Province
California
Country
United States
Facility Name
UCLA - David Geffen School of Medicine
City
Los Angeles
State/Province
California
Country
United States
Facility Name
Institute for Allergy and Asthma
City
Wheaton
State/Province
Maryland
ZIP/Postal Code
20902
Country
United States
Facility Name
Penn State University
City
Hershey
State/Province
Pennsylvania
ZIP/Postal Code
17033
Country
United States
Facility Name
AARA Research Center
City
Dallas
State/Province
Texas
ZIP/Postal Code
75231
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Undecided
IPD Sharing Plan Description
The data is under review for publication but individual data will likely not be available

Learn more about this trial

Efficacy, Safety and Tolerability of Icatibant for the Treatment of HAE

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