NCT01756157

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

90
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
47

participants targeted

Target at P25-P50 for phase_2

Timeline
Completed

Started Feb 2013

Shorter than P25 for phase_2

Geographic Reach
4 countries

23 active sites

Status
completed

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

Completed
6 months until next milestone

First Posted

Study publicly available on registry

December 25, 2012

Completed
1 month until next milestone

Study Start

First participant enrolled

February 4, 2013

Completed
7 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 13, 2013

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 13, 2013

Completed
1.7 years until next milestone

Results Posted

Study results publicly available

June 12, 2015

Completed
Last Updated

June 3, 2021

Status Verified

May 1, 2021

Enrollment Period

7 months

First QC Date

June 29, 2012

Results QC Date

May 29, 2015

Last Update Submit

May 11, 2021

Conditions

Keywords

CrossoverC1 esterase inhibitorPreventionC1 inhibitorHereditary AngioedemaSubcutaneousRecombinant human hyaluronidase

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

EXPERIMENTAL

SC 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.

Biological: CINRYZE with rHuPH20

SC CINRYZE with rHuPH20 Dose Level 2 followed by Dose Level 1

EXPERIMENTAL

SC 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.

Biological: CINRYZE with rHuPH20

Interventions

Also known as: C1 esterase inhibitor (human), Recombinant human hyaluronidase
SC CINRYZE with rHuPH20 Dose Level 1 followed by Dose Level 2SC CINRYZE with rHuPH20 Dose Level 2 followed by Dose Level 1

Eligibility Criteria

Age12 Years+
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

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

Study Sites (23)

ViroPharma Investigational Site

Birmingham, Alabama, 35209, United States

Location

ViroPharma Investigational Site

Scottsdale, Arizona, 85251, United States

Location

ViroPharma Investigational Site

Bentonville, Arkansas, 72712, United States

Location

ViroPharma Investigational Site

Walnut Creek, California, 94598, United States

Location

ViroPharma Investigational Site

Colorado Springs, Colorado, 80907, United States

Location

ViroPharma Investigational Site

Tampa, Florida, 33613, United States

Location

ViroPharma Investigational Site

Boston, Massachusetts, 02114, United States

Location

ViroPharma Investigational Site

Las Vegas, Nevada, 89106, United States

Location

ViroPharma Investigational Site

Mineola, New York, 11501, United States

Location

ViroPharma Investigational Site

Cincinnati, Ohio, 45267, United States

Location

ViroPharma Investigational Site

Columbus, Ohio, 43235, United States

Location

ViroPharma Investigational Site

Lake Oswego, Oregon, 97035, United States

Location

ViroPharma Investigational Site

Hershey, Pennsylvania, 17033, United States

Location

ViroPharma Investigational Site

Pittsburgh, Pennsylvania, 15241, United States

Location

ViroPharma Investigational Site

Knoxville, Tennessee, 37909, United States

Location

ViroPharma Investigational Site

Dallas, Texas, 75231, United States

Location

ViroPharma Investigational Site

Spokane, Washington, 99204, United States

Location

ViroPharma Investigational Site

Berlin, Germany

Location

ViroPharma Investigational Site

Essen, Germany

Location

ViroPharma Investigational Site

Mainz, Germany

Location

ViroPharma Investigational Site

München, Germany

Location

ViroPharma Investigational Site

Barcelona, Spain

Location

ViroPharma Investigational Site

Jönköping, Sweden

Location

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.

  • Beard 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.

MeSH Terms

Conditions

Angioedemas, Hereditary

Interventions

SERPING1 protein, humanComplement C1 Inhibitor Protein

Condition Hierarchy (Ancestors)

AngioedemaVascular DiseasesCardiovascular DiseasesHereditary Complement Deficiency DiseasesPrimary Immunodeficiency DiseasesGenetic Diseases, InbornCongenital, Hereditary, and Neonatal Diseases and AbnormalitiesUrticariaSkin Diseases, VascularSkin DiseasesSkin and Connective Tissue DiseasesHypersensitivity, ImmediateHypersensitivityImmune System DiseasesImmunologic Deficiency Syndromes

Intervention Hierarchy (Ancestors)

GlycoproteinsGlycoconjugatesCarbohydratesComplement C1 Inactivator ProteinsSerpinsPeptidesAmino Acids, Peptides, and ProteinsComplement Inactivator ProteinsComplement System ProteinsImmunoproteinsBlood ProteinsProteins

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

    Takeda

    STUDY DIRECTOR

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

Locations