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NCT00500656: FAST2

Subcutaneous Treatment With Icatibant for Acute Attacks of Hereditary Angioedema (HAE)

Completed Phase 3 Results posted Last updated 9 June 2021
What this trial tests

Phase 3 trial testing Icatibant in Hereditary Angioedema in 85 participants. Completed in 25 July 2006.

Timeline
1 March 2005
Primary endpoint
25 July 2006
25 July 2006

Quick facts

Lead sponsorShire
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment85
Start date1 March 2005
Primary completion25 July 2006
Estimated completion25 July 2006
Sites1 location across Italy

Drugs / interventions tested

Conditions studied

Sponsor

Shire — full company profile →

Who can join

18 and older, any sex, with Hereditary Angioedema. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Time to Onset of Symptom Relief. Primary · 2 days

The primary efficacy endpoint was Time to onset of symptom relief (TOSR) following treatment with either icatibant or tranexamic acid. The median time to onset of symptom relief for the icatibant group was compared to the the median time to onset of symptom relief for the tranexamic acid group. TOSR was defined as the time between time of injection to time of first documented onset of symptom relief for the three primary symptoms: cutaneous swelling, cutaneous skin, and abdominal pain. The primary symptom was based on the type of attack. For abdominal attacks, the single primary symptom was ab

GroupValue95% CI
Randomized Controlled -Icatibant2.01.0 – 3.5
Randomized Controlled-Tranexamic Acid12.03.5 – 25.4
Time to Almost Complete Symptom Relief Secondary · 48 hours

Almost complete symptom relief was defined as a score between 0 and 10 mm on the VAS for at least three consecutive measurements for all symptoms.

GroupValue95% CI
Randomized Controlled -Icatibant10.02.8 – 23.2
Randomized Controlled-Tranexamic Acid51.012.0 – 79.5

Adverse events — posted to ClinicalTrials.gov

Time frame: An AE was assigned to the controlled phase if the start date of the event was between the first treatment of the first attack and the first treatment in the OLE phase.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Controlled Phase- Icatibant (Randomized Subjects )
Serious: 4/36 (11%)
Deaths:
Controlled Phase- Tranexamic Acid (Randomized Subjects)
Serious: 1/38 (3%)
Deaths:
Controlled Phase- Icatibant (Subjects w/ Laryngeal Attack)
Serious: 1/3 (33%)
Deaths:
Open Label Extension Phase- Icatibant (Previously Randomized)
Serious: 9/44 (20%)
Deaths:
Open Label Extension Phase (Subjects w/ Laryngeal Attack)
Serious: 1/2 (50%)
Deaths:
Open Label Extension Phase(Untreated Patients at the Baseline
Serious: 0/8 (0%)
Deaths:

Serious adverse events (18 terms)

ReactionSystemControlled Phase- Icatiban…Controlled Phase- Tranexam…Controlled Phase- Icatiban…Open Label Extension Phase…Open Label Extension Phase…Open Label Extension Phase…
Hereditary AngioedemaCongenital, familial and genetic disorders
GastroenteritisInfections and infestations
Aortic Value SclerosisCardiac disorders
Sudden Cardiac DeathGeneral disorders
CholelithiasisHepatobiliary disorders
CystitisInfections and infestations
Hypertensive CrisisVascular disorders
Coronary Artery DiseaseCardiac disorders
Head InjuryInjury, poisoning and procedural complications
Road Traffic AccidentInjury, poisoning and procedural complications
WoundInjury, poisoning and procedural complications
Pancreatic Enzymes IncreasedInvestigations
MyalgiaMusculoskeletal and connective tissue disorders
Cervix Carcinoma Stage 0Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Suicide AttemptPsychiatric disorders
Renal FailureRenal and urinary disorders
Tooth ExtractionSurgical and medical procedures
Urinary Track Infection BacterialInfections and infestations
Other adverse events (15 terms — click to expand)

ReactionSystemControlled Phase- Icatiban…Controlled Phase- Tranexam…Controlled Phase- Icatiban…Open Label Extension Phase…Open Label Extension Phase…Open Label Extension Phase…
Hereditary AngioedemaCongenital, familial and genetic disorders
Urinary Track InfectionInfections and infestations
NasopharyngitisInfections and infestations
PharyngitisInfections and infestations
Injury, poisoning and procedual complicationsInjury, poisoning and procedural complications
Musculoskeletal and connective tissue disordersMusculoskeletal and connective tissue disorders
Injection Site ReactionGeneral disorders
HeadacheNervous system disorders
Blood and Lymphatic system disordersBlood and lymphatic system disorders
Gingival InfectionInfections and infestations
Dental CariesInfections and infestations
Respiratory Track InfectionInfections and infestations
DizzinessNervous system disorders
PruritusSkin and subcutaneous tissue disorders
Dental OperationSurgical and medical procedures

Most-reported serious reactions: Hereditary Angioedema, Gastroenteritis, Aortic Value Sclerosis, Sudden Cardiac Death, Cholelithiasis, Cystitis, Hypertensive Crisis, Coronary Artery Disease.

Data from ClinicalTrials.gov NCT00500656 adverse events section.

Sponsor's own description

Primary Outcome Measures: The primary endpoint was the time to onset of symptom relief of the first attack in the double blind phase. H0: λ icatibant/λ tranexamic acid =1 versus H1: λ icatibant/λ tranexamic acid ≠1 Where: λ icatibant refers to the hazard rate under icatibant and λ tranexamic acid refers to the hazard rate under tranexamic acid. Secondary Outcome Measures: * Additional efficacy assessments (Time to Almost Complete Symptom Relief) * Safety and tolerability * Pharmacoeconomics

Publications & conference data

3 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Icatibant, a new bradykinin-receptor antagonist, in hereditary angioedema.
    Cicardi M, Banerji A, Bracho F, Malbrán A, et al · · 2010 · cited 373× · PMID 20818888 · DOI 10.1056/nejmoa0906393
  2. Repeat treatment with icatibant for multiple hereditary angioedema attacks: FAST-2 open-label study.
    Baş M, Greve J, Hoffmann TK, Reshef A, et al · · 2013 · cited 31× · PMID 24111645 · DOI 10.1111/all.12244
  3. Poster Session Group III
    · 2014

Verify or expand the search:

Other trials of Icatibant

Trials testing the same drug.

Other recruiting trials for Hereditary Angioedema

Currently open trials in the same condition.

Other Shire trials

Trials by the same sponsor.

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