This study is being conducted to evaluate the efficacy and safety of icatibant compared to placebo in patients experiencing acute attacks of hereditary angioedema (HAE).
This Phase III study consisted of two parts: A controlled phase and an open label extension (OLE) phase. The controlled phase describes the double blind part of the study and was intended to evaluate the efficacy and safety of icatibant compared with placebo for the first treated cutaneous and/or abdominal attack. Patients with moderate to severe abdominal or cutaneous attacks were randomized to receive a single, blinded, subcutaneous injection of icatibant (30 mg) or placebo. After a protocol amendment, patients with mild to moderate laryngeal HAE attacks were also randomized to receive a single, blinded subcutaneous injection of icatibant (30 mg) or placebo in order to obtain blinded, controlled efficacy and safety data for this subset of subjects. Patients experiencing severe laryngeal attacks (post-amendment) or mild to severe laryngeal attacks (pre-amendment) were to receive open-label icatibant. After treatment of the first attack in the controlled phase, patients were eligible to enter the OLE phase. In the OLE phase, patients who experienced angioedema attacks severe enough to warrant treatment were to be treated with s.c. icatibant as appropriate until the study was discontinued or the product was commercially available.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
98
Time to Onset of Symptom Relief for an Acute Attack, as Assessed by the Patient
Time to onset of symptom relief was calculated from study drug administration to onset of symptom relief, where onset of symptom relief was defined as the earliest of 3 consecutive measurements in which there was a 50% reduction from pretreatment in composite VAS score. Composite VAS score comprised 3 symptoms, including skin swelling, skin pain, and abdominal pain, for cutaneous and abdominal attacks and 5 symptoms, including skin swelling, skin pain, abdominal pain, difficulty swallowing, and voice change, for laryngeal attacks. Subjects who did not achieve symptom relief within the observation period were censored at the last observation time.
Time frame: Up to 120 hours post-dose
Time to Onset of Primary Symptom Relief
Time to primary symptom relief was calculated from the time of study drug administration to the onset of primary symptom relief, where onset of primary symptom relief was determined using the subject-assessed VAS score for a single primary symptom (determined by edema location) and defined as the earliest of 3 consecutive non-missing measurements in which a pre-specified reduction from the pretreatment value was met. Subjects who did not achieve primary symptom relief within the observation period were censored at the last observation time.
Time frame: Up to 120 hours post-dose
Time to Almost Complete Symptom Relief
Time to almost complete symptom relief was calculated from the time of study drug administration to almost complete symptom relief, where almost complete symptom relief was defined as the earliest of 3 consecutive non-missing measurements in which all VAS scores \<10 mm. Subjects who did not achieve almost complete symptom relief within the observation period were censored at the last observation time.
Time frame: Up to 120 Hours post treatment
Time to Subject-Assessed Initial Symptom Improvement
Time to initial symptom improvement was calculated from the time of study drug administration to initial symptom improvement as determined by the subject as the time they felt symptoms were starting to improve. Subjects who did not achieve initial symptom improvement within the observation period were censored at the last observation time.
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Primary Care Associates of Alabaster
Alabaster, Alabama, United States
UAB Lung Health Center
Birmingham, Alabama, United States
Medical Research of AZ A Division of Allergy & Immunology Assoc
Scottsdale, Arizona, United States
Little Rock Allergy & Asthma Clinic, PA
Little Rock, Arkansas, United States
Allergy and Asthma Insititute of the Valley
Granada Hills, California, United States
University of California San Diego
La Jolla, California, United States
UCLA - Clinical Immunology & Allergy
Los Angeles, California, United States
Speciality Medical Clinic & Research Center
Stanford, California, United States
Standford University
Stanford, California, United States
Asthma & Allergy Associates, PC
Colorado Springs, Colorado, United States
...and 54 more locations
Time frame: Up to 120 hours post-dose
Time to Investigator-Assessed Initial Symptom Improvement
Time to initial symptom improvement was calculated from the time of study drug administration to initial symptom improvement as determined by the investigator as the time they felt symptoms were starting to improve. Subjects who did not achieve initial symptom improvement within the observation period were censored at the last observation time.
Time frame: Up to 120 hours post-dose