Human C1 Esterase Inhibitor (C1-INH) in Subjects With Acute Abdominal or Facial Hereditary Angioedema (HAE) Attacks
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Purpose
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.
| Condition | Intervention | Phase |
|---|---|---|
|
Hereditary Angioedema |
Biological: C1 Esterase Inhibitor Biological: Placebo |
Phase 2 Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Treatment |
| Official Title: | Human Pasteurized C1 Esterase Inhibitor Concentrate (CE1145) in Subjects With Congenital C1-INH Deficiency and Acute Abdominal or Facial HAE Attacks |
- Time to Start of Relief of Symptoms From HAE Attack [ Time Frame: Up to 24 h after start of study treatment ] [ Designated as safety issue: No ]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.
- Number of Subjects With Worsened Intensity of Clinical HAE Symptoms [ Time Frame: Baseline and between 2 and 4 h after start of study treatment ] [ Designated as safety issue: No ]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.
- Number of Vomiting Episodes [ Time Frame: Within 4 h after start of study treatment ] [ Designated as safety issue: No ]
| Enrollment: | 126 |
| Study Start Date: | June 2005 |
| Study Completion Date: | December 2007 |
| Primary Completion Date: | October 2007 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: C1-INH 10 U/kg bw
10 Units (U)/kg body weight (bw) dose
|
Biological: C1 Esterase Inhibitor
Single application of C1-INH administered intravenously by slow injection or infusion at a recommended rate of 4mL/min.
Other Names:
|
|
Experimental: C1-INH 20 U/kg bw
20 U/kg bw dose
|
Biological: C1 Esterase Inhibitor
Single application of C1-INH administered intravenously by slow injection or infusion at a recommended rate of 4mL/min.
Other Names:
|
| Placebo Comparator: Placebo |
Biological: Placebo
Single application of physiological saline solution equivalent to the volume calculated for subjects in the C1-INH 20 U/kg bw arm.
Other Name: Physiological saline solution
|
Detailed Description:
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.
Eligibility| Ages Eligible for Study: | 6 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Key Inclusion Criteria:
- Documented congenital C1-INH deficiency
- Acute facial or abdominal HAE attack
Key Exclusion Criteria:
- Acquired angioedema
- Treatment with any other investigational drug within the last 30 days before study entry
- Treatment with any C1-INH concentrate within the previous 7 days
Contacts and Locations
Hide Study Locations| United States, California | |
| Study Site | |
| Granada Hills, California, United States, 91344 | |
| United States, Florida | |
| Study Site | |
| Weston, Florida, United States, 33331 | |
| United States, Georgia | |
| Study Site | |
| Atlanta, Georgia, United States, 30342 | |
| United States, Idaho | |
| Study Site | |
| Idaho Falls, Idaho, United States, 83404 | |
| United States, Illinois | |
| Study Site | |
| Chicago, Illinois, United States, 60612 | |
| United States, Louisiana | |
| Study Site | |
| Shreveport, Louisiana, United States, 71130 | |
| United States, Massachusetts | |
| Study Site | |
| Boston, Massachusetts, United States, 02115 | |
| United States, Minnesota | |
| Study Site | |
| Plymouth, Minnesota, United States, 55411 | |
| United States, Nebraska | |
| Study Site | |
| Omaha, Nebraska, United States, 68131 | |
| United States, New York | |
| Study Site | |
| Bronx, New York, United States, 10461 | |
| United States, Ohio | |
| Study Site | |
| Cincinnati, Ohio, United States, 45231 | |
| United States, Oklahoma | |
| Study Site | |
| Tulsa, Oklahoma, United States, 74133 | |
| United States, Oregon | |
| Study Site | |
| Eugene, Oregon, United States, 97401 | |
| United States, Pennsylvania | |
| Study Site | |
| Hershey, Pennsylvania, United States, 17033 | |
| United States, South Dakota | |
| Study Site | |
| Rapid City, South Dakota, United States, 57702 | |
| United States, Texas | |
| Study Site | |
| Dallas, Texas, United States, 75230 | |
| United States, Washington | |
| Study Site | |
| Bellingham, Washington, United States, 98225 | |
| Argentina | |
| Study Site | |
| Buenos Aires, Argentina | |
| Australia | |
| Study Site | |
| Westmead, Australia | |
| Bulgaria | |
| Study Site | |
| Plovdiv, Bulgaria | |
| Study Site | |
| Sofia, Bulgaria | |
| Canada | |
| Study Site | |
| Edmonton, Canada | |
| Study Site | |
| Ottawa, Canada | |
| Czech Republic | |
| Study Site | |
| Brno, Czech Republic | |
| Hungary | |
| Study Site | |
| Budapest, Hungary | |
| Israel | |
| Study Site | |
| Tel Hashomer, Israel | |
| Macedonia, The Former Yugoslav Republic of | |
| Study Site | |
| Skopje, Macedonia, The Former Yugoslav Republic of | |
| Poland | |
| Study Site | |
| Grodzisk Mazowiecki, Poland | |
| Study Site | |
| Krakow, Poland | |
| Romania | |
| Study Site | |
| Tirgu-Mures, Romania | |
| Russian Federation | |
| Study Site 1 | |
| Moscow, Russian Federation | |
| Study Site 2 | |
| Moscow, Russian Federation | |
| Study Site 3 | |
| Moscow, Russian Federation | |
| Spain | |
| Study Site | |
| Madrid, Spain | |
| Sweden | |
| Study Site | |
| Goeteborg, Sweden | |
| United Kingdom | |
| Study Site | |
| London, United Kingdom | |
| Study Director: | Program Director, Clinical R&D | CSL Behring |
More Information
Additional Information:
Publications:
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Global Head Clinical Research & Development, CSL Behring |
| ClinicalTrials.gov Identifier: | NCT00168103 History of Changes |
| Other Study ID Numbers: | CE1145_3001, 2004-001186-17 |
| Study First Received: | September 12, 2005 |
| Results First Received: | April 21, 2010 |
| Last Updated: | February 10, 2011 |
| Health Authority: | United States: Food and Drug Administration Australia: Department of Health and Ageing Therapeutic Goods Administration Argentina: Ministry of Health Bulgaria: Ministry of Health Canada: Health Canada Czech Republic: State Institute for Drug Control Hungary: National Institute of Pharmacy Israel: Ministry of Health Macedonia: Ministry of Health Poland: Office for Registration of Medicinal Products, Medical Devices and Biocidal Products Romania: National Medicines Agency Russia: Ministry of Health of the Russian Federation Spain: Ministry of Health and Consumption Sweden: Medical Products Agency United Kingdom: Medicines and Healthcare Products Regulatory Agency |
Keywords provided by CSL Behring:
|
C1 Inhibitor Hereditary angioedema Acute HAE attack |
Additional relevant MeSH terms:
|
Angioedema Angioedemas, Hereditary Vascular Diseases Cardiovascular Diseases Urticaria Skin Diseases, Vascular Skin Diseases Hypersensitivity, Immediate Hypersensitivity Immune System Diseases |
Genetic Diseases, Inborn Complement C1 Inactivator Proteins Complement C1 Inhibitor Protein Complement C1 Complement C1s Complement Inactivating Agents Immunosuppressive Agents Immunologic Factors Physiological Effects of Drugs Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 21, 2013