Time to peak concentration (Tmax) of a single SC dose of icatibant was reported.
| Group | Value | 95% CI |
|---|---|---|
| Prepubertal | 0.42 | ± 0.13 |
| Pubertal/Postpubertal: With Acute Attack | 0.55 | ± 0.19 |
| Pubertal/Postpubertal: Without Acute Attack | 0.57 | ± 0.17 |
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A Pharmacokinetic, Tolerability and Safety Study of Icatibant in Children and Adolescents With Hereditary Angioedema
Phase 3 trial testing icatibant in Hereditary Angioedema (HAE) in 32 participants. Completed in 12 March 2018.
| Lead sponsor | Shire |
|---|---|
| Phase | Phase 3 |
| Status | Completed |
| Study type | INTERVENTIONAL |
| Allocation | na |
| Design | single group |
| Masking | none |
| Primary purpose | treatment |
| Enrollment | 32 |
| Start date | 27 January 2012 |
| Primary completion | 12 March 2018 |
| Estimated completion | 12 March 2018 |
| Sites | 26 locations across Italy, Colombia, Austria, Germany, Hungary, Israel, Canada, Australia |
Shire — full company profile →
Adults 2 to 17, any sex, with Hereditary Angioedema (HAE). Patients with the condition only — healthy volunteers not accepted.
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Time to peak concentration (Tmax) of a single SC dose of icatibant was reported.
| Group | Value | 95% CI |
|---|---|---|
| Prepubertal | 0.42 | ± 0.13 |
| Pubertal/Postpubertal: With Acute Attack | 0.55 | ± 0.19 |
| Pubertal/Postpubertal: Without Acute Attack | 0.57 | ± 0.17 |
Maximum plasma concentration (Cmax) of a single SC dose of icatibant was reported.
| Group | Value | 95% CI |
|---|---|---|
| Prepubertal | 659 | ± 158 |
| Pubertal/Postpubertal: With Acute Attack | 805 | ± 125 |
| Pubertal/Postpubertal: Without Acute Attack | 761 | ± 133 |
Total plasma clearance (CL/F) of a single SC dose of icatibant was reported.
| Group | Value | 95% CI |
|---|---|---|
| Prepubertal | 10.8 | ± 4.63 |
| Pubertal/Postpubertal: With Acute Attack | 13.1 | ± 3.42 |
| Pubertal/Postpubertal: Without Acute Attack | 19.3 | ± 4.84 |
Area under the plasma concentration-time curve from time zero to 4 hours post-dose (AUC0-4) of a single SC dose of icatibant was reported.
| Group | Value | 95% CI |
|---|---|---|
| Prepubertal | 1241 | ± 319 |
| Pubertal/Postpubertal: With Acute Attack | 1448 | ± 304 |
| Pubertal/Postpubertal: Without Acute Attack | 1335 | ± 211 |
Area under the plasma concentration-time curve from time zero to 6 hours post-dose (AUC0-t) of a single SC dose of icatibant was reported.
| Group | Value | 95% CI |
|---|---|---|
| Prepubertal | 1289 | ± 325 |
| Pubertal/Postpubertal: With Acute Attack | 1573 | ± 372 |
| Pubertal/Postpubertal: Without Acute Attack | 1398 | ± 225 |
Area under the plasma concentration-time curve from time zero to infinity (AUC0-inf) of a single SC dose of icatibant was reported.
| Group | Value | 95% CI |
|---|---|---|
| Prepubertal | 1243 | ± 244 |
| Pubertal/Postpubertal: With Acute Attack | 1710 | ± 569 |
| Pubertal/Postpubertal: Without Acute Attack | 1416 | ± 229 |
Volume of distribution (Vz/F) of a single SC dose of icatibant was reported.
| Group | Value | 95% CI |
|---|---|---|
| Prepubertal | 12.5 | ± 5.28 |
| Pubertal/Postpubertal: With Acute Attack | 23.5 | ± 13.9 |
| Pubertal/Postpubertal: Without Acute Attack | 25.4 | ± 8.87 |
Elimination half-life (t1/2) of a single SC dose of icatibant was reported.
| Group | Value | 95% CI |
|---|---|---|
| Prepubertal | 0.80 | ± 0.04 |
| Pubertal/Postpubertal: With Acute Attack | 1.34 | ± 0.96 |
| Pubertal/Postpubertal: Without Acute Attack | 0.90 | ± 0.10 |
Vital signs included pulse rate, blood pressure, respiration rate, and temperature. The number of participants who reported clinically significant changes in vital signs were reported.
| Group | Value | 95% CI |
|---|---|---|
| Prepubertal | 0 | |
| Pubertal/Postpubertal | 0 |
A standard 12-lead ECG was performed after 10 minutes at rest when the participant was seated or supine following treatment. The number of participants who reported clinically significant changes in ECGs were reported.
| Group | Value | 95% CI |
|---|---|---|
| Prepubertal | 0 | |
| Pubertal/Postpubertal | 0 |
Clinical laboratory evaluations included clinical chemistry (including liver function tests), hematology, urinalysis. The number of participants who reported clinically significant changes in clinical laboratory evaluations were reported.
| Group | Value | 95% CI |
|---|---|---|
| Prepubertal | 0 | |
| Pubertal/Postpubertal | 0 |
The number of participants who reported anti-icatibant antibodies were reported.
| Group | Value | 95% CI |
|---|---|---|
| Prepubertal | 0 | |
| Pubertal/Postpubertal | 0 |
Time frame: From start of study drug administration up to 187 days. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.
| Reaction | System | Prepubertal | Pubertal/Post-pubertal | Overall |
|---|---|---|---|---|
| Nasopharyngitis | Infections and infestations | — | — | — |
| Upper respiratory tract infection | Infections and infestations | — | — | — |
| Conjunctivitis | Eye disorders | — | — | — |
| Conjunctivitis allergic | Eye disorders | — | — | — |
| Toothache | Gastrointestinal disorders | — | — | — |
| Pyrexia | General disorders | — | — | — |
| Headache | Nervous system disorders | — | — | — |
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | — | — | — |
| Anaemia | Blood and lymphatic system disorders | — | — | — |
| Arthralgia | Musculoskeletal and connective tissue disorders | — | — | — |
| Epiphyseal fracture | Injury, poisoning and procedural complications | — | — | — |
| Thermal burn | Injury, poisoning and procedural complications | — | — | — |
| Nitrite urine present | Investigations | — | — | — |
| Dehydration | Metabolism and nutrition disorders | — | — | — |
| Bronchospasm | Respiratory, thoracic and mediastinal disorders | — | — | — |
Data from ClinicalTrials.gov NCT01386658 adverse events section.
HGT-FIR-086 is a multicenter, open-label, non-randomized, single-arm study to evaluate the Pharmacokinetics, tolerability,safety, and efficacy on reproductive hormones, of a single subcutaneous (SC) administration of icatibant in approximately 30 pediatric subjects with Hereditary Angioedema (HAE) during an initial acute attack.
5 peer-reviewed publications reference this trial (live from Europe PMC):
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