Subcutaneous CINRYZE With Recombinant Human Hyaluronidase for Prevention of Angioedema Attacks
A Phase 2, Randomized, Double-Blind, Multicenter, Dose-Ranging, Crossover Study to Evaluate the Safety and Efficacy of Subcutaneous Administration of CINRYZE® (C1 Esterase Inhibitor [Human]) With Recombinant Human Hyaluronidase (rHuPH20) for the Prevention of Angioedema Attacks in Adolescents and Adults With Hereditary Angioedema
2 other identifiers
interventional
47
4 countries
23
Brief Summary
The primary objectives of the study are to evaluate the safety, tolerability, and efficacy of two doses of CINRYZE with recombinant human hyaluronidase (rHuPH20) administered by subcutaneous (SC) injection to prevent angioedema attacks.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2
Started Feb 2013
Shorter than P25 for phase_2
23 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 29, 2012
CompletedFirst Posted
Study publicly available on registry
December 25, 2012
CompletedStudy Start
First participant enrolled
February 4, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 13, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
September 13, 2013
CompletedResults Posted
Study results publicly available
June 12, 2015
CompletedJune 3, 2021
May 1, 2021
7 months
June 29, 2012
May 29, 2015
May 11, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Normalized Number of Angioedema Attacks During the Treatment Period
Angioedema attack was defined as the participant-reported indication of symptoms or signs such as swelling or pain at any location following a report of no swelling or pain on the previous day. Manifestations of an attack that progress from one site to another, prior to complete resolution, was considered a single attack. Attacks that began to regress and then worsened before complete resolution was also considered one attack. Participants who were dosed but did not have any attacks in the period were assigned a value of zero. The number of attacks was normalized for the number of days participants participated in a given period and expressed as the monthly frequency.
From Visit 1 (Week 1) up to Visit 16 (Week 8) during each treatment period
Secondary Outcomes (4)
Cumulative Attack-severity During the Treatment Period
From Visit 1 (Week 1) up to Visit 16 (Week 8) during each treatment period
Cumulative Daily-severity During the Treatment Period
From Visit 1 (Week 1) up to Visit 16 (Week 8) during each treatment period
Cumulative Symptomatic Days During the Treatment Period
From Visit 1 (Week 1) up to Visit 16 (Week 8) during each treatment period
Number of Angioedema Attacks Requiring Acute Treatment During the Treatment Period
From Visit 1 (Week 1) up to Visit 16 (Week 8) during each treatment period
Study Arms (2)
SC CINRYZE with rHuPH20 Dose Level 1 followed by Dose Level 2
EXPERIMENTALSC CINRYZE with rHuPH20 Dose Level 1 twice weekly (every 3 or 4 days) for 8 weeks followed by SC CINRYZE with rHuPH20 Dose Level 2 twice weekly (every 3 or 4 days) for 8 weeks.
SC CINRYZE with rHuPH20 Dose Level 2 followed by Dose Level 1
EXPERIMENTALSC CINRYZE with rHuPH20 Dose Level 2 twice weekly (every 3 or 4 days) for 8 weeks followed by SC CINRYZE with rHuPH20 Dose Level 1 twice weekly (every 3 or 4 days) for 8 weeks.
Interventions
Eligibility Criteria
You may qualify if:
- Be ≥12 years of age.
- Have a confirmed diagnosis of Hereditary Angioedema.
You may not qualify if:
- Receipt of any C1 inhibitor (C1 INH) therapy or any blood products for treatment or prevention of an angioedema attack within 7 days before the first dose of study drug.
- Be receiving prophylactic intravenous CINRYZE that exceeds 1000 units every 3 or 4 days (maximum weekly dose 2000 units).
- Have received any androgen therapy (e.g., danazol, oxandrolone, stanozolol, testosterone) within 7 days prior to the first dose of study drug.
- If female, have started taking or changed the dose of any hormonal contraceptive regimen or hormone replacement therapy (i.e., estrogen/progestin containing products) within 3 months prior to the first dose of study drug.
- History of allergic reaction to C1 INH products, including CINRYZE or other blood products.
- History of abnormal blood clotting.
- Have a known allergy to hyaluronidase or any other ingredient in the study formulation.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Shirelead
Study Sites (23)
ViroPharma Investigational Site
Birmingham, Alabama, 35209, United States
ViroPharma Investigational Site
Scottsdale, Arizona, 85251, United States
ViroPharma Investigational Site
Bentonville, Arkansas, 72712, United States
ViroPharma Investigational Site
Walnut Creek, California, 94598, United States
ViroPharma Investigational Site
Colorado Springs, Colorado, 80907, United States
ViroPharma Investigational Site
Tampa, Florida, 33613, United States
ViroPharma Investigational Site
Boston, Massachusetts, 02114, United States
ViroPharma Investigational Site
Las Vegas, Nevada, 89106, United States
ViroPharma Investigational Site
Mineola, New York, 11501, United States
ViroPharma Investigational Site
Cincinnati, Ohio, 45267, United States
ViroPharma Investigational Site
Columbus, Ohio, 43235, United States
ViroPharma Investigational Site
Lake Oswego, Oregon, 97035, United States
ViroPharma Investigational Site
Hershey, Pennsylvania, 17033, United States
ViroPharma Investigational Site
Pittsburgh, Pennsylvania, 15241, United States
ViroPharma Investigational Site
Knoxville, Tennessee, 37909, United States
ViroPharma Investigational Site
Dallas, Texas, 75231, United States
ViroPharma Investigational Site
Spokane, Washington, 99204, United States
ViroPharma Investigational Site
Berlin, Germany
ViroPharma Investigational Site
Essen, Germany
ViroPharma Investigational Site
Mainz, Germany
ViroPharma Investigational Site
München, Germany
ViroPharma Investigational Site
Barcelona, Spain
ViroPharma Investigational Site
Jönköping, Sweden
Related Publications (2)
Riedl MA, Lumry WR, Li HH, Banerji A, Bernstein JA, Ba M, Bjrkander J, Magerl M, Maurer M, Rockich K, Chen H, Schranz J. Subcutaneous administration of human C1 inhibitor with recombinant human hyaluronidase in patients with hereditary angioedema. Allergy Asthma Proc. 2016 Nov;37(6):489-500. doi: 10.2500/aap.2016.37.4006.
PMID: 27931305RESULTBeard N, Frese M, Smertina E, Mere P, Katelaris C, Mills K. Interventions for the long-term prevention of hereditary angioedema attacks. Cochrane Database Syst Rev. 2022 Nov 3;11(11):CD013403. doi: 10.1002/14651858.CD013403.pub2.
PMID: 36326435DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Limitations and Caveats
Results of efficacy endpoints (time to first angioedema attack, effects of C1 inhibitor and C4 levels on clinical outcome during treatment period) were not reported due to early termination of the study but later completed for safety data.
Results Point of Contact
- Title
- Study Director
- Organization
- Shire
Study Officials
- STUDY DIRECTOR
Study Director
Takeda
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- CROSSOVER
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 29, 2012
First Posted
December 25, 2012
Study Start
February 4, 2013
Primary Completion
September 13, 2013
Study Completion
September 13, 2013
Last Updated
June 3, 2021
Results First Posted
June 12, 2015
Record last verified: 2021-05