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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00168103
Registration number
NCT00168103
Ethics application status
Date submitted
12/09/2005
Date registered
14/09/2005
Date last updated
31/03/2015
Titles & IDs
Public title
Human C1 Esterase Inhibitor (C1-INH) in Subjects With Acute Abdominal or Facial Hereditary Angioedema (HAE) Attacks
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Scientific title
Human Pasteurized C1 Esterase Inhibitor Concentrate (CE1145) in Subjects With Congenital C1-INH Deficiency and Acute Abdominal or Facial HAE Attacks
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Secondary ID [1]
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2004-001186-17
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Secondary ID [2]
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CE1145_3001
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Hereditary Angioedema
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Condition category
Condition code
Cardiovascular
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Diseases of the vasculature and circulation including the lymphatic system
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Human Genetics and Inherited Disorders
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Other human genetics and inherited disorders
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Blood
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Other blood disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - C1 Esterase Inhibitor
Treatment: Other - Placebo
Experimental: C1-INH 10 U/kg bw - 10 Units (U)/kg body weight (bw) dose
Experimental: C1-INH 20 U/kg bw - 20 U/kg bw dose
Placebo comparator: Placebo -
Treatment: Other: C1 Esterase Inhibitor
Single application of C1-INH administered intravenously by slow injection or infusion at a recommended rate of 4mL/min.
Treatment: Other: Placebo
Single application of physiological saline solution equivalent to the volume calculated for subjects in the C1-INH 20 U/kg bw arm.
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Intervention code [1]
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Treatment: Other
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Time to Start of Relief of Symptoms From HAE Attack
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Assessment method [1]
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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.
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Timepoint [1]
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Up to 24 h after start of study treatment
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Secondary outcome [1]
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Number of Subjects With Worsened Intensity of Clinical HAE Symptoms
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Assessment method [1]
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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.
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Timepoint [1]
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Baseline and between 2 and 4 h after start of study treatment
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Secondary outcome [2]
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Number of Vomiting Episodes
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Assessment method [2]
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Timepoint [2]
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Within 4 h after start of study treatment
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Eligibility
Key inclusion criteria
Key
* Documented congenital C1-INH deficiency
* Acute facial or abdominal HAE attack
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Minimum age
6
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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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
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/06/2005
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/12/2007
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Sample size
Target
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Accrual to date
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Final
126
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Study Site - Westmead
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Recruitment postcode(s) [1]
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- Westmead
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Recruitment outside Australia
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United States of America
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California
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United States of America
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Florida
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United States of America
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Georgia
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Idaho
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Illinois
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Louisiana
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Massachusetts
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Minnesota
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Nebraska
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New York
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Ohio
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Oklahoma
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Washington
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Argentina
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Buenos Aires
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Bulgaria
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Plovdiv
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Bulgaria
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Sofia
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Canada
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Edmonton
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Canada
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Ottawa
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Czech Republic
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Brno
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Hungary
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Budapest
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Israel
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Tel Hashomer
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Macedonia, The Former Yugoslav Republic of
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Skopje
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Poland
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Grodzisk Mazowiecki
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Poland
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Krakow
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Romania
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Tirgu-Mures
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Russian Federation
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Moscow
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Spain
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Madrid
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Sweden
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Goeteborg
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United Kingdom
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London
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
CSL Behring
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
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.
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Trial website
https://clinicaltrials.gov/study/NCT00168103
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Trial related presentations / publications
Bernstein JA, Ritchie B, Levy RJ, Wasserman RL, Bewtra AK, Hurewitz DS, Obtulowicz K, Reshef A, Moldovan D, Shirov T, Grivcheva-Panovska V, Kiessling PC, Keinecke HO, Craig TJ. Hereditary angioedema: Validation of the end point time to onset of relief by correlation with symptom intensity. Allergy Asthma Proc. 2011 Jan-Feb;32(1):36-42. doi: 10.2500/aap.2011.32.3404. Craig TJ, Levy RJ, Wasserman RL, Bewtra AK, Hurewitz D, Obtulowicz K, Reshef A, Ritchie B, Moldovan D, Shirov T, Grivcheva-Panovska V, Kiessling PC, Keinecke HO, Bernstein JA. Efficacy of human C1 esterase inhibitor concentrate compared with placebo in acute hereditary angioedema attacks. J Allergy Clin Immunol. 2009 Oct;124(4):801-8. doi: 10.1016/j.jaci.2009.07.017. Epub 2009 Sep 19. Craig TJ, Rojavin MA, Machnig T, Keinecke HO, Bernstein JA. Effect of time to treatment on response to C1 esterase inhibitor concentrate for hereditary angioedema attacks. Ann Allergy Asthma Immunol. 2013 Sep;111(3):211-5. doi: 10.1016/j.anai.2013.06.021. Epub 2013 Jul 16. Bernstein JA, Ritchie B, Levy RJ, Wasserman RL, Bewtra AK, Hurewitz DS, Obtulowicz K, Reshef A, Moldovan D, Shirov T, Grivcheva-Panovska V, Kiessling PC, Schindel F, Craig TJ. Population pharmacokinetics of plasma-derived C1 esterase inhibitor concentrate used to treat acute hereditary angioedema attacks. Ann Allergy Asthma Immunol. 2010 Aug;105(2):149-54. doi: 10.1016/j.anai.2010.06.005. Erratum In: Ann Allergy Asthma Immunol. 2011 Jan;106(1):78.
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Public notes
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Contacts
Principal investigator
Name
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Program Director, Clinical R&D
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Address
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CSL Behring
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Contact person for public queries
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Type
Citations or Other Details
Journal
Craig TJ, Levy RJ, Wasserman RL, Bewtra AK, Hurewi...
[
More Details
]
Results are available at
https://clinicaltrials.gov/study/NCT00168103
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