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NCT01386658

A Pharmacokinetic, Tolerability and Safety Study of Icatibant in Children and Adolescents With Hereditary Angioedema

Completed Phase 3 Results posted Last updated 8 June 2021
What this trial tests

Phase 3 trial testing icatibant in Hereditary Angioedema (HAE) in 32 participants. Completed in 12 March 2018.

Timeline
27 January 2012
Primary endpoint
12 March 2018
12 March 2018

Quick facts

Lead sponsorShire
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment32
Start date27 January 2012
Primary completion12 March 2018
Estimated completion12 March 2018
Sites26 locations across Italy, Colombia, Austria, Germany, Hungary, Israel, Canada, Australia

Drugs / interventions tested

Conditions studied

Sponsor

Shire — full company profile →

Who can join

Adults 2 to 17, any sex, with Hereditary Angioedema (HAE). 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 Peak Concentration (Tmax) of a Single Subcutaneous (SC) Dose of Icatibant Primary · Pre-dose; 0.25, 0.5, 0.75, 1, 2, 4 and 6 hours post-dose on Day 1

Time to peak concentration (Tmax) of a single SC dose of icatibant was reported.

GroupValue95% CI
Prepubertal0.42± 0.13
Pubertal/Postpubertal: With Acute Attack0.55± 0.19
Pubertal/Postpubertal: Without Acute Attack0.57± 0.17
Maximum Plasma Concentration (Cmax) of a Single Subcutaneous (SC) Dose of Icatibant Primary · Pre-dose; 0.25, 0.5, 0.75, 1, 2, 4 and 6 hours post-dose on Day 1

Maximum plasma concentration (Cmax) of a single SC dose of icatibant was reported.

GroupValue95% CI
Prepubertal659± 158
Pubertal/Postpubertal: With Acute Attack805± 125
Pubertal/Postpubertal: Without Acute Attack761± 133
Total Plasma Clearance (CL/F) of a Single Subcutaneous (SC) Dose of Icatibant Primary · Pre-dose; 0.25, 0.5, 0.75, 1, 2, 4 and 6 hours post-dose on Day 1

Total plasma clearance (CL/F) of a single SC dose of icatibant was reported.

GroupValue95% CI
Prepubertal10.8± 4.63
Pubertal/Postpubertal: With Acute Attack13.1± 3.42
Pubertal/Postpubertal: Without Acute Attack19.3± 4.84
Area Under the Plasma Concentration-time Curve From Time Zero to 4 Hours Post-dose (AUC0-4) of a Single Subcutaneous (SC) Dose of Icatibant Primary · Pre-dose; 0.25, 0.5, 0.75, 1, 2, and 4 hours post-dose on Day 1

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.

GroupValue95% CI
Prepubertal1241± 319
Pubertal/Postpubertal: With Acute Attack1448± 304
Pubertal/Postpubertal: Without Acute Attack1335± 211
Area Under the Plasma Concentration-time Curve From Time Zero to 6 Hours Post-dose (AUC0-t) of a Single Subcutaneous (SC) Dose of Icatibant Primary · Pre-dose; 0.25, 0.5, 0.75, 1, 2, 4 and 6 hours post-dose on Day 1

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.

GroupValue95% CI
Prepubertal1289± 325
Pubertal/Postpubertal: With Acute Attack1573± 372
Pubertal/Postpubertal: Without Acute Attack1398± 225
Area Under the Plasma Concentration-time Curve From Time Zero to Infinity (AUC0-inf) of a Single Subcutaneous (SC) Dose of Icatibant Primary · Pre-dose; 0.25, 0.5, 0.75, 1, 2, 4 and 6 hours post-dose on Day 1

Area under the plasma concentration-time curve from time zero to infinity (AUC0-inf) of a single SC dose of icatibant was reported.

GroupValue95% CI
Prepubertal1243± 244
Pubertal/Postpubertal: With Acute Attack1710± 569
Pubertal/Postpubertal: Without Acute Attack1416± 229
Volume of Distribution (Vz/F) of a Single Subcutaneous (SC) Dose of Icatibant Primary · Pre-dose; 0.25, 0.5, 0.75, 1, 2, 4 and 6 hours post-dose on Day 1

Volume of distribution (Vz/F) of a single SC dose of icatibant was reported.

GroupValue95% CI
Prepubertal12.5± 5.28
Pubertal/Postpubertal: With Acute Attack23.5± 13.9
Pubertal/Postpubertal: Without Acute Attack25.4± 8.87
Elimination Half-life (t1/2) of a Single Subcutaneous (SC) Dose of Icatibant Primary · Pre-dose; 0.25, 0.5, 0.75, 1, 2, 4 and 6 hours post-dose on Day 1

Elimination half-life (t1/2) of a single SC dose of icatibant was reported.

GroupValue95% CI
Prepubertal0.80± 0.04
Pubertal/Postpubertal: With Acute Attack1.34± 0.96
Pubertal/Postpubertal: Without Acute Attack0.90± 0.10
Number of Participants With Clinically Significant Changes in Vital Signs Primary · Pre-dose up to 97 days post-dose

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.

GroupValue95% CI
Prepubertal0
Pubertal/Postpubertal0
Number of Participants With Clinically Significant Changes in Electrocardiograms (ECGs) Primary · 6 - 8 hours post-dose on Day 1

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.

GroupValue95% CI
Prepubertal0
Pubertal/Postpubertal0
Number of Participants With Clinically Significant Changes in Clinical Laboratory Evaluations Primary · Pre-dose up to 97 days post-dose

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.

GroupValue95% CI
Prepubertal0
Pubertal/Postpubertal0
Number of Participants Who Reported Presence of Anti-icatibant Antibodies Primary · Pre-dose up to 97 days post-dose

The number of participants who reported anti-icatibant antibodies were reported.

GroupValue95% CI
Prepubertal0
Pubertal/Postpubertal0

Adverse events — posted to ClinicalTrials.gov

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.

Prepubertal
Serious: 0/11 (0%)
Deaths: 0/11
Pubertal/Post-pubertal
Serious: 0/21 (0%)
Deaths: 0/21
Overall
Serious: 0/32 (0%)
Deaths: 0/32
Other adverse events (15 terms — click to expand)

ReactionSystemPrepubertalPubertal/Post-pubertalOverall
NasopharyngitisInfections and infestations
Upper respiratory tract infectionInfections and infestations
ConjunctivitisEye disorders
Conjunctivitis allergicEye disorders
ToothacheGastrointestinal disorders
PyrexiaGeneral disorders
HeadacheNervous system disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
AnaemiaBlood and lymphatic system disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Epiphyseal fractureInjury, poisoning and procedural complications
Thermal burnInjury, poisoning and procedural complications
Nitrite urine presentInvestigations
DehydrationMetabolism and nutrition disorders
BronchospasmRespiratory, thoracic and mediastinal disorders

Data from ClinicalTrials.gov NCT01386658 adverse events section.

Sponsor's own description

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.

Publications & conference data

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

  1. Treatment Effect and Safety of Icatibant in Pediatric Patients with Hereditary Angioedema.
    Farkas H, Reshef A, Aberer W, Caballero T, et al · · 2017 · cited 37× · PMID 28601641 · DOI 10.1016/j.jaip.2017.04.010
  2. Emerging Therapies in Hereditary Angioedema.
    Chen M, Riedl MA. · · 2017 · cited 21× · PMID 28687111 · DOI 10.1016/j.iac.2017.03.003
  3. An evidence-based review of the potential role of icatibant in the treatment of acute attacks in hereditary angioedema type I and II.
    Floccard B, Hautin E, Bouillet L, Coppere B, et al · · 2012 · cited 10× · PMID 23055948 · DOI 10.2147/ce.s24743
  4. Pediatric hereditary angioedema: an update.
    Sabharwal G, Craig T. · · 2017 · cited 7× · PMID 28781749 · DOI 10.12688/f1000research.11320.1
  5. Continued icatibant use across recurrent attacks in adolescents with hereditary angioedema.
    Farkas H, Reshef A, Caballero T, Ortega López MC, et al · · 2021 · PMID 33851451 · DOI 10.1111/pai.13519

Verify or expand the search:

Other recruiting trials for Hereditary Angioedema (HAE)

Currently open trials in the same condition.

Other Shire trials

Trials by the same sponsor.

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing