HAE is a rare disorder characterized by functional C1 esterase inhibitor deficiency. If not treated adequately, the acute attacks of HAE can be life-threatening and may even result in fatalities, especially in case of swelling of the larynx. This clinical Phase 2/Phase 3 study was designed to provide clinically relevant data on dosing, efficacy and safety in subjects with HAE.
For each subject, only a single abdominal or facial attack was treated and evaluated. After receiving treatment, subjects were observed for a minimum of 4 hours, after which they could be discharged from the study center if they reported onset of symptom relief. Starting from 4 hours after treatment, subjects who reported insufficient or no symptom relief could receive a second dose of double-blind treatment (called "rescue medication") as follows: C1-INH 20 U/kg bw for subjects initially receiving placebo, C1-INH 10 U/kg bw for subjects initially receiving C1-INH 10 U/kg bw, and placebo for subjects initially receiving C1-INH 20 U/kg bw. The study was defined to be successful if the primary outcome measure and at least one of the secondary outcome measures were met in the comparison between the C1-INH 20 U/kg bw group and the Placebo group.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
126
Single application of C1-INH administered intravenously by slow injection or infusion at a recommended rate of 4mL/min.
Single application of physiological saline solution equivalent to the volume calculated for subjects in the C1-INH 20 U/kg bw arm.
Time to Start of Relief of Symptoms From HAE Attack
The start of symptom relief was determined by subject self-assessment. Time to start of symptom relief was set to 24 hours if the subject received rescue medication (blinded study medication, narcotic analgesics, antiemetics, open-label C1-INH, or fresh frozen plasma) at any time point after the start of study treatment but before start of relief.
Time frame: Up to 24 h after start of study treatment
Number of Subjects With Worsened Intensity of Clinical HAE Symptoms
Includes any worsening of intensity of at least 1 of the HAE symptoms present at baseline. Routinely checked symptoms included pain, nausea, vomiting, cramps, and diarrhea.
Time frame: Baseline and between 2 and 4 h after start of study treatment
Number of Vomiting Episodes
Time frame: Within 4 h after start of study treatment
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Study Site
Granada Hills, California, United States
Study Site
Weston, Florida, United States
Study Site
Atlanta, Georgia, United States
Study Site
Idaho Falls, Idaho, United States
Study Site
Chicago, Illinois, United States
Study Site
Shreveport, Louisiana, United States
Study Site
Boston, Massachusetts, United States
Study Site
Plymouth, Minnesota, United States
Study Site
Omaha, Nebraska, United States
Study Site
The Bronx, New York, United States
...and 26 more locations