A Study Investigating the Effectiveness and Safety of Garadacimab for Treating Patients With Hereditary Angioedema (HAE)
GREAT
Garadacimab Real-world Treatment Outcomes of Effectiveness, Safety, and Quality-of-Life in Patients With HAE (GREAT Study)
1 other identifier
observational
200
3 countries
18
Brief Summary
This is a multinational, multicenter, prospective, observational cohort study of patients with HAE in the real-world setting. The study will include patients newly initiating garadacimab in routine clinical practice. Each participant will be followed for 48 months after index date (date of the first administration of garadacimab). Patient data will be collected from the HAE eDiary, patient medical records (MRs) and/or during a routine clinical visit and will be entered into the electronic case report form (eCRF) via an electronic data capture (EDC) system. Data pertaining to HAE attacks, prior HAE treatments, retrospective focused safety data collection, and healthcare resource utilization (HCRU) over a look-back period of 12 months prior to the enrollment will be extracted from the MR, and patients will also record retrospective HAE attack related data over a look-back period of 3 months prior to enrollment in the HAE eDiary. The primary aim of this study is to investigate the real-world effectiveness of garadacimab as measured by HAE attack rate before and after garadacimab initiation in patients with HAE over 24 months of follow-up. The study will aim to complement the data available from the clinical development program on the efficacy, safety, and health-related quality-of-life (HRQoL) in patients with HAE taking garadacimab.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Jul 2025
Longer than P75 for all trials
18 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
May 23, 2025
CompletedFirst Posted
Study publicly available on registry
June 3, 2025
CompletedStudy Start
First participant enrolled
July 21, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 31, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
August 31, 2030
March 27, 2026
March 1, 2026
3.1 years
May 23, 2025
March 25, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Incidence Rate Ratio (IRR) of HAE Attacks
Monthly HAE attack rate while on treatment with garadacimab, including all HAE attacks, HAE attacks requiring acute treatment (on demand therapy \[ODT\]), and by severity will be reported. All HAE attacks will be categorized by severity as: Mild (no impact on daily life), Moderate (some impact on daily life), and Severe (severe impact on daily life).
Up to 24 months
Secondary Outcomes (4)
Number of Participants with Adverse Events (AEs), Severity of AEs, Serious AEs (SAEs), and Treatment-related AEs
Up to 48 months
Change From Baseline in Angioedema Control Test (AECT) Total Score
Baseline to 48 months
Change From Baseline in Angioedema Quality of Life Questionnaire (AE-QoL) Total Score
Baseline to 48 months
Percentage of Participants With Reduction in Monthly HAE Attacks and who Achieved HAE Attack-free Status
Up to Month 24
Study Arms (1)
Garadacimab
This cohort will include all participants diagnosed with HAE and who will be prescribed garadacimab treatment as per routine clinical practice.
Interventions
Eligibility Criteria
Participants with the diagnosis of HAE and who will initiate garadacimab treatment per routine clinical practice will be enrolled.
You may qualify if:
- \. Participants aged greater than or equal to (\>=) 12 years at enrollment.
- \. Participants with clinical and/or laboratory confirmed diagnosis of HAE.
- \. Participants newly initiating garadacimab, as prescribed according to the decision of the treating physician per routine clinical practice and in accordance with the indication per the approved local label, independent of and prior to enrollment in the study.
- \. Willing and able to provide written informed consent and/or assent by parent or legal guardian for children less than (\<) 18 years of age (or legal age of consent in the respective countries).
- \. Ability to use an electronic device such as a smartphone or a computer for data collection in the study.
You may not qualify if:
- \. Participants with a concomitant diagnosis of another form of angioedema such as idiopathic or acquired angioedema, recurrent angioedema associated with urticaria (histaminergic angioedema).
- \. Participants participating in any ongoing interventional clinical study, including interventional studies with garadacimab. Participants in this study who later chose to enroll in any interventional clinical study (including garadacimab) will be discontinued from this study.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- CSL Behringlead
Study Sites (18)
Medical Research of Arizona
Phoenix, Arizona, 85248, United States
Asthma and Allergy Wellness Center
Saint Charles, Illinois, 60175-4827, United States
John Hopkins University
Baltimore, Maryland, 21287, United States
Washington University
St Louis, Missouri, 63141, United States
Riverside Medical Group, Belleville
Belleville, New Jersey, 07109, United States
Universitaetsklinikum Ulm
Ulm, Baden-Wurttemberg, 89081, Germany
HZRM Haemophilie-Zentrum Rhein Main
Frankfurt am Main, Hesse, 60596, Germany
Medizinische Hochschule Hannover
Hanover, Lower Saxony, 30625, Germany
Universitaetsklinikum Carl Gustav Carus TU Dresden
Leipzig, Saxony, 01307, Germany
Universitaetsklinikum Schleswig Holstein - Campus Luebeck
Hamburg, Schleswig-Holstein, 23538, Germany
Charité - Campus Charité Mitte
Berlin, 10117, Germany
Addenbrooke's Hospital
Cambridge, Cambridgeshire, CB2 0QQ, United Kingdom
Barts Health NHS Trust
London, Greater London, E1 1RD, United Kingdom
Manchester Royal Infirmary
Manchester, Greater Manchester, M13 9WL, United Kingdom
Cardiff & Vale University HB
Cardiff, South Glamorgan, CF14 4XU, United Kingdom
Frimley Park Hospital
Frimley, Surrey, GU16 7UJ, United Kingdom
Birmingham Heartlands Hospital
Birmingham, West Midlands, B 9 5SS, United Kingdom
Leeds Teaching Hospitals NHS Trust
Leeds, West Yorkshire, LS9 7TF, United Kingdom
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Global Program Director
CSL Behring
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 23, 2025
First Posted
June 3, 2025
Study Start
July 21, 2025
Primary Completion (Estimated)
August 31, 2028
Study Completion (Estimated)
August 31, 2030
Last Updated
March 27, 2026
Record last verified: 2026-03
Data Sharing
- IPD Sharing
- Will not share