Hereditary angioedema (HAE) is a rare condition. It causes sudden swelling under the skin and inside the body, like in the belly, throat, or genitals. This swelling happens because of a temporary leak in blood vessels but does not cause itching or hives. HAE is classified based on the amount of a protein in the blood called C1-inhibitor (C1INH): HAE with normal C1INH levels and function (HAE-nC1INH) and HAE with deficiency in C1INH levels (HAE-C1INH-Type1) or dysfunction (HAE-C1INH-Type2). This study will focus on the practical use and accuracy of measuring the C1INH function alone to diagnose HAE-C1INH-Type1 and HAE-C1INH-Type2 compared to the tests used in normal clinical practice in Algeria. The main goal of the study is to see how well a test focusing on the C1INH function alone works to diagnose HAE-C1INH as compared to the tests used in normal clinical practice (standard of care or SoC) in Algeria. Another aim is to determine a reference value (helps in determining the accuracy) of the C1INH function test. This study will also help to find out how many people who are thought to have HAE or who have family members with HAE actually get diagnosed and to gather participants' health background information, such as their age when they were diagnosed, what signs and symptoms they had, how long it took to get diagnosed, and how they were sent to the doctors or specialists who treated them. During the study all participants will undergo two different methods of HAE testing: the test focusing on the C1INH function alone and the SoC tests. Test results will be confirmed via a second test run for newly index cases or for discordant results, but participants with a test result of "no HAE" and positive cases recruited through family screening will not undergo a second confirmatory test. In case of discordant test results in the second round, participants will undergo a third confirmatory test round. Participants can visit the clinic up to three times during the study. No further follow up is planned for participants, even for those who are diagnosed with HAE.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
514
HAE biological diagnostic test that uses functional C1-INH technique by colorimetric method versus the reference test defined as the SoC (C4 and C1-INH antigenic level measurement and functional C1-INH assay).
EPH de Rouiba (Etablissement Public Hospitalier)
Algiers, Algeria
RECRUITINGSensitivity and Specificity of Technochrom Compared to Standard of Care (SoC) for HAE Diagnosis
The diagnostic accuracy of isolated functional C1-inhibitor (C1-INH) measurement using Technochrom C1-INH kits, compared to the SoC (McNemar's test) as confirmatory testing for HAE diagnosis will be reported.
Time frame: Up to 12 months
Laboratory-specific Cut-off Values for Functional C1-INH Measurement Using Technochrom
Laboratory-specific cut-off values for functional C1-INH measurement in the Algerian population using the Technochrom C1-INH kit and assess their impact on diagnostic accuracy will be reported.
Time frame: Up to 12 months
Sensitivity and Specificity of Technochrom Compared to Isolated Complement Component Test (C4 assay) for HAE Detection
Sensitivity and specificity of Technochrom compared to isolated C4 assay will be evaluated.
Time frame: Up to 12 months
Likelihood Ratios of Technochrom Compared to Isolated C4 Assay for HAE Detection
Positive and negative likelihood ratios of the Technochrom compared to isolated measurement of antigenic C4 assay will be evaluated.
Time frame: Up to 12 months
Sensitivity and Specificity of Technochrom Compared to C4 Assay and C1-INH Antigenic Testing
Sensitivity and specificity of Technochrom compared to C4 assay and C1-INH antigenic testing will be evaluated.
Time frame: Up to 12 months
Likelihood Ratios of Technochrom Compared to C4 Assay and C1-INH Antigenic Testing
Positive and negative likelihood ratios of the Technochrom compared to C4 and C1-INH antigenic testing will be evaluated.
Time frame: Up to 12 months
Diagnostic Performance of Technochrom in Detecting Functional C1-INH Deficiency and its Impact on Accuracy and Reliability in Clinical Practice
Diagnostic performance assessment of Technochrom in detecting functional C1-INH deficiency, including its potential to enhance accuracy and reliability in clinical practice will be reported.
Time frame: Up to 12 months
Number of Participants Categorized by Their Epidemiological, Clinical and Biological Characteristics
Epidemiological, clinical, and biological characteristics of participants, including age at diagnosis, clinical presentation, diagnostic delay, and referral pathways will be reported.
Time frame: Up to 12 months
Diagnostic Rate of Functional C1-INH Deficiency Using Technochrom in Highly Suspected Participants and Family Screening
Time frame: Up to 12 months
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