A Study of Lanadelumab in Persons With Hereditary Angioedema (HAE) Type I or II
ENABLE
A Three-year, Non-interventional, Prospective, Multicenter Study to Evaluate the Long- Term Effectiveness of Lanadelumab in Real-world Clinical Practice (ENABLE)
2 other identifiers
observational
140
7 countries
19
Brief Summary
The main aim of this study is to compare the number of HAE attacks occuring in persons using lanadelumab with the number of HAE attacks before lanadelumab treatment was started. Data from participants who start the study after 1 March 2021, will be collected for 24 months; data from all other participants (who started the study before 1 March 2021) will be collected for 36 months. Participants will report information in a smartphone application at study start and for the next 3 months and then every 6 months until the study ends; data will also be collected by the study doctor during routine clinic visits
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Dec 2019
Longer than P75 for all trials
19 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
October 3, 2019
CompletedFirst Posted
Study publicly available on registry
October 17, 2019
CompletedStudy Start
First participant enrolled
December 11, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 9, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
September 9, 2024
CompletedSeptember 2, 2025
August 1, 2025
4.8 years
October 3, 2019
August 29, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
Incidence Rate Ratio of On-Treatment Participant-Reported Hereditary Angioedema (HAE) Attacks
HAE attack is defined as a discrete episode during which the participant progress from no angioedema to symptoms of angioedema. Incidence rate ratio of on-treatment patient-reported HAE attacks up to three years after initiation of lanadelumab compared to the history of HAE attacks of last three months prior to lanadelumab use will be reported.
Up to 36 months
Secondary Outcomes (21)
Rate of On-Treatment Participant-Reported Hereditary Angioedema (HAE) Attacks From Day 70
From Day 70 up to 36 months
Rate of Mild, Moderate, Severe Hereditary Angioedema (HAE) Attacks
Up to 36 months
Number of On-Treatment Participant-Reported Hereditary Angioedema (HAE) Attacks Based on Anatomical Location
Up to 36 months
Proportion of Hereditary Angioedema (HAE) Attacks for Which On-Demand Therapy is Used
Up to 36 months
Time to First Hereditary Angioedema (HAE) Attack for Which On-Demand Therapy is Used
Up to 36 months
- +16 more secondary outcomes
Study Arms (1)
Participants with hereditary angioedema (HAE)
Participants who initiate treatment with lanadelumab according to current product labelling will be enrolled and followed for up to 24 or 36 months (depending on their enrollment date).
Eligibility Criteria
Participants with type 1 or type 2 HAE who initiate treatment with lanadelumab according to the current product labelling.
You may qualify if:
- Voluntarily provision of written, signed, and dated (personally or via a legally authorized representative) informed consent to participate in the study.
- Initiation of treatment with lanadelumab in accordance with current product labelling. Decision to start treatment with lanadelumab must be made before and be independent from enrollment in the study.
- Availability of information for HAE attack-related variables assessed at study enrollment for the previous three months.
- Ability to use a smartphone for data collection in this study.
You may not qualify if:
- Inability to provide written, signed, and dated informed consent.
- Participation in the study not considered appropriate by the treating physician/investigator.
- Contraindication to treatment with lanadelumab according to current product labelling.
- Pregnant or breastfeeding.
- Concomitant exposure to any investigational therapy (including medications not used for HAE).
- Current or planned participation in other interventional studies.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Shirelead
- Takeda Development Center Americas, Inc.collaborator
Study Sites (19)
Medical University of Vienna
Vienna, 1090, Austria
Klinikum der Johann-Wolfgang Goethe-Universitat
Frankfurt am Main, Hesse, 60590, Germany
Charité - Universitätsmedizin Berlin
Berlin, 10117, Germany
Universitatsklinikum Dusseldorf
Düsseldorf, 40225, Germany
Universitatsklinikum Schleswig-Holstein
Lübeck, 23538, Germany
Hämophilie Zentrum Rhein Main GmbH
Mörfelden-Walldorf, 64546, Germany
Klinikum rechts der Isar der Technischen Universität München
München, 81675, Germany
Universitätsklinikum Münster
Münster, 48149, Germany
Universitätsklinikum Ulm
Ulm, 89075, Germany
Bnai Zion Medical Center
Haifa, 31048, Israel
Sheba Medical Center - PPDS
Ramat Gan, 52621, Israel
Azienda Ospedaliera Universitaria Federico II
Napoli, Campania, 80131, Italy
ASST Fatebenefratelli Sacco - Ospedale Luigi Sacco
Milan, 20157, Italy
Azienda Ospedale Università Padova
Padua, 35128, Italy
Al-Rashed Allergy Center
Kuwait City, 90806, Kuwait
Hospital Universitario de Bellvitge
L'Hospitalet de Llobregat, Barcelona, 08907, Spain
Hospital Universitario Vall d'Hebron - PPDS
Barcelona, 08035, Spain
Universitätsspital Basel
Basel, 4031, Switzerland
Luzerner Kantonsspital LUKS
Lucerne, 6000, Switzerland
Related Publications (2)
Zanichelli A, Wuillemin WA, Aygoren-Pursun E, Banerji A, Busse PJ, Betschel SD, Cancian M, Gagnon R, Goodyear MD, Kinaciyan T, Kessel A, Magerl M, Recke A, Wedner HJ, Estepan DN, Watt M, Andresen I, Juethner S, Khutoryansky N, Martinez-Saguer I. Lanadelumab's impact on hereditary angioedema control and quality of life across disease activity subgroups: Real-world evidence. Ann Allergy Asthma Immunol. 2025 Nov;135(5):560-569.e2. doi: 10.1016/j.anai.2025.07.025. Epub 2025 Sep 6.
PMID: 40769455DERIVEDTachdjian R, Banerji A, Busse PJ, Agmon-Levin N, Anderson J, Cancian M, Spadaro G, Enciu C, Estepan DN, Khutoryansky N, Jain S, Recke A. Effective long-term prophylaxis with lanadelumab in adolescents with hereditary angioedema: EMPOWER/ENABLE. Pediatr Allergy Immunol. 2025 Apr;36(4):e70072. doi: 10.1111/pai.70072.
PMID: 40171989DERIVED
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Study Director
Takeda
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 3, 2019
First Posted
October 17, 2019
Study Start
December 11, 2019
Primary Completion
September 9, 2024
Study Completion
September 9, 2024
Last Updated
September 2, 2025
Record last verified: 2025-08
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP, ICF, CSR
- Access Criteria
- IPD from eligible studies will be shared with qualified researchers according to the criteria and process described on https://vivli.org/ourmember/takeda/ For approved requests, the researchers will be provided access to anonymized data (to respect patient privacy in line with applicable laws and regulations) and with information necessary to address the research objectives under the terms of a data sharing agreement.
Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment? commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.