A Study of Long-Term Safety and Efficacy of Lanadelumab for Prevention of Acute Attacks of Non-histaminergic Angioedema With Normal C1-Inhibitor
An Open-Label Study to Evaluate the Long-Term Safety and Efficacy of Lanadelumab for Prevention Against Acute Attacks of Non-histaminergic Angioedema With Normal C1-Inhibitor (C1-INH)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Contact
Study Contact
- Name: Takeda Development Center Americas Contact
- Phone Number: +1 866 842 5335
- Email: ClinicalTransparency@takeda.com
Study Locations
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Ontario
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Ottawa, Ontario, Canada, K1H 1E4
- Ottawa Allergy Research Corporation
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Quebec
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Québec, Quebec, Canada, G1V 4W2
- Clinique Spécialisée en Allergie de la Capitale
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Paris, France, 75012
- Hôpital Saint-Antoine
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Bayern
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Muenchen, Bayern, Germany, 81675
- Klinikum rechts der Isar der TU
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Hessen
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Frankfurt, Hessen, Germany, 60590
- Klinikum der Johann Wolfgang Goethe-Universitaet pt
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Budapest, Hungary, 1088
- Semmelweis Egyetem
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Milano, Italy, 20157
- Azienda Socio Sanitaria Territoriale Fatebenefratelli (Presidio Ospedale Sacco)
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Napoli, Italy, 80131
- Azienda Ospedaliera Universitaria "Federico II"
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Salerno, Italy, 84131
- Azienda Ospedaliera Universitaria OO. RR. S. Giovanni di Dio e Ruggi D'Aragona
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Palermo Palermo
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Palermo, Palermo Palermo, Italy, 90100
- A.O. Ospedali riuniti Villa Sofia - Cervello,
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Hiroshima-Ken
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Hiroshima-shi, Hiroshima-Ken, Japan, 734-8551
- Hiroshima University Hospital
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Hyogo-Ken
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Kobe-shi, Hyogo-Ken, Japan, 650-0017
- Kobe University Hospital
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Kanagawa-Ken
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Fujisawa-shi, Kanagawa-Ken, Japan, 251-0025
- Clover Hospital
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Amsterdam, Netherlands, 1105 AZ
- Amsterdam UMC
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Groningen, Netherlands, 9713 GZ
- Universitair Medisch Centrum Groningen
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Utrecht, Netherlands, 3508 GA
- UMC Utrecht
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Bialystok, Poland, 15-867
- NZOZ Homeo Medicus, Poradnia Alergologiczna
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Wroclaw, Poland, 53-201
- "ALL-MED" Specjalistyczna Opieka Medyczna Filia
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Barcelona, Spain, 08035
- Hospital Universitari Vall d'Hebron
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Vizcaya
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Barakaldo, Vizcaya, Spain, 48903
- Hospital Universitario Cruces
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Alabama
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Birmingham, Alabama, United States, 35209
- Clinical Research Center of Alabama
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Arizona
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Scottsdale, Arizona, United States, 85248
- Medical Research of Arizona
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California
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San Diego, California, United States, 92122
- UCSD Angioedema Center
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Walnut Creek, California, United States, 94598
- Allergy and Asthma Clinical Research Inc
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Colorado
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Colorado Springs, Colorado, United States, 80907
- Asthma and Allergy Associates, PC
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Illinois
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Chicago, Illinois, United States, 60612
- Rush University Medical Center
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Kansas
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Overland Park, Kansas, United States, 66211
- Kanarek Allergy, Asthma and Immunology
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Maryland
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Chevy Chase, Maryland, United States, 20815
- Institute for Asthma & Allergy, P.C.
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Massachusetts
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Boston, Massachusetts, United States, 02114
- Massachusetts General Hospital
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Michigan
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Ann Arbor, Michigan, United States, 48106
- University of Michigan
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Minnesota
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Rochester, Minnesota, United States, 55905
- Mayo Clinic
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Missouri
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Saint Louis, Missouri, United States, 63141
- Washington University
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Ohio
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Cincinnati, Ohio, United States, 45236
- Bernstein Clinical Research Center, LLC
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Columbus, Ohio, United States, 43235
- Optimed Research, LTD
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Washington
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Seattle, Washington, United States, 98115
- Seattle Allergy & Asthma Research Institute
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Males and females, 12 years of age and older diagnosed with non-histaminergic normal C1-INH angioedema at the time of enrollment into the antecedent Study SHP643-303 (NCT04206605).
- Participants must have completed the treatment period (through Visit 26/Day 182) of Study SHP643-303 (NCT04206605) without reporting a clinically significant TEAE that would preclude subsequent exposure to lanadelumab.
- Agree to adhere to the protocol-defined schedule of treatments, assessments, and procedures.
- Males, or non-pregnant, non-lactating females who are of child-bearing potential and who agree to be abstinent or agree to comply with the applicable contraceptive requirements of this protocol for the duration of the study; or females of non-childbearing potential, defined as surgically sterile (status post hysterectomy, bilateral oophorectomy, or bilateral tubal ligation) or post-menopausal for at least 12 months.
- The participant (or the participant's parent/legal guardian, if applicable) has provided written informed consent approved by the institutional review board/research ethics board/ethics committee (IRB/REB/EC) at any time prior to study start. If the participant is a minor (i.e. lesser then (<) 18 years of age), have a parent/legal guardian who is informed of the nature of the study provide written informed consent (i.e. permission) for the minor to participate in the study before any study-specific procedures are performed. Assent will be obtained from minor participants.
Exclusion Criteria:
- Discontinued from Study SHP643-303 (NCT04206605) after enrollment but before Visit 26 for any reason.
- Presence of important safety concerns identified in Study SHP643-303 (NCT04206605) that would preclude participation in this study.
- Dosing with an investigational product (IP, not including IP defined in antecedent Study SHP643-303 [NCT04206605]) or exposure to an investigational device within 4 weeks prior to Day 0.
- Participants has a known hypersensitivity to the investigational product or its components.
- Have any condition (surgical or medical) that, in the opinion of the investigator or sponsor, may compromise their safety or compliance, preclude the successful conduct of the study, or interfere with interpretation of the results (e.g. significant pre-existing illness or other major comorbidities that the investigator considers may confound the interpretation of study results).
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Experimental: Lanadelumab 300 mg Every 2 Weeks
Participants received 300 milligrams (mg) lanadelumab subcutaneous (SC) injection, every 2 weeks (Q2W) for up to 26 weeks with an option to switch to lanadelumab 300 mg every 4 weeks (Q4W) if attacks were well-controlled based on the investigator's discretion and consultation with the sponsor's medical monitor.
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Lanadelumab SC injection
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Number of Participants With Treatment Emergent Adverse Events (TEAEs) Including Adverse Events of Special Interest (AESI) and Serious Adverse Events (SAEs) During Treatment Period
Time Frame: From Day 0 up to Day 182
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TEAE: Any event emerging or manifesting at or after initiation of treatment with investigational product (IP) or medicinal product or any existing event that worsens in either intensity or frequency following exposure to IP or medicinal product including clinically meaningful findings in laboratory safety tests, vital signs, weight, and electrocardiogram (ECG) findings.
SAE: Any untoward clinical manifestation of signs, symptoms or outcomes (whether considered related to IP or not and at any dose: results in death, is life-threatening, requires inpatient hospitalization or prolongation of hospitalization, results in persistent or significant disability/incapacity, congenital abnormality/birth defect, an important medical event.
AESI included hypersensitivity reactions, events of disordered coagulation such as bleeding AESI, hypercoagulable AESI.
TEAEs were classified and reported as angioedema attack and non-angioedema attack adverse events in this outcome measure.
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From Day 0 up to Day 182
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Number of Participants With Treatment Emergent Adverse Events (TEAEs) Including Adverse Events of Special Interest (AESI) and Serious Adverse Events (SAEs) During Follow-up
Time Frame: From Day 183 up to Day 196
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TEAE: Any event emerging or manifesting at or after initiation of treatment with investigational product (IP) or medicinal product or any existing event that worsens in either intensity or frequency following exposure to IP or medicinal product including clinically meaningful findings in laboratory safety tests, vital signs, weight, and electrocardiogram (ECG) findings.
SAE: Any untoward clinical manifestation of signs, symptoms or outcomes (whether considered related to IP or not and at any dose: results in death, is life-threatening, requires inpatient hospitalization or prolongation of hospitalization, results in persistent or significant disability/incapacity, congenital abnormality/birth defect, an important medical event.
AESI included hypersensitivity reactions, events of disordered coagulation such as bleeding AESI, hypercoagulable AESI.
TEAEs were classified and reported as angioedema attack and non-angioedema attack adverse events in this outcome measure.
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From Day 183 up to Day 196
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Number of Investigator-Confirmed Angioedema Attacks During the Treatment Period of Day 0 Through Day 182
Time Frame: From Day 0 up to Day 182
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An angioedema attack was defined as the symptoms or signs consistent with an attack in at least 1 of the following locations: peripheral angioedema (cutaneous swelling involving an extremity, the face, neck, torso, and/or genitourinary region), abdominal angioedema (abdominal pain, with or without abdominal distention, nausea, vomiting, or diarrhea), laryngeal angioedema (stridor, dyspnea, difficulty speaking, difficulty swallowing, throat tightening, or swelling of the tongue, palate, uvula, or larynx).
Number of investigator-confirmed angioedema attacks during the treatment period of Day 0 through Day 182 was assessed.
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From Day 0 up to Day 182
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Number of Moderate or Severe Angioedema Attacks During the Treatment Period of Day 0 Through Day 182
Time Frame: From Day 0 up to Day 182
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The overall severity of angioedema attack was determined by the site using following definitions: mild (transient or mild discomfort), moderate (mild to moderate limitation in activity), severe (marked limitation in activity).
Number of moderate or severe angioedema attacks during the treatment period of Day 0 through Day 182 was assessed.
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From Day 0 up to Day 182
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Number of High-Morbidity Angioedema Attacks During the Treatment Period of Day 0 Through Day 182
Time Frame: From Day 0 up to Day 182
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A high-morbidity angioedema attack was defined as any attack that has at least one of the following characteristics: severe, results in hospitalization (except hospitalization for observation <24 hours), hemodynamically significant (systolic blood pressure (BP) <90 millimetres of mercury (mmHg), requires intravenous hydration, or associated with syncope or near-syncope) or laryngeal.
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From Day 0 up to Day 182
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Pharmacokinetic (PK) Plasma Concentrations of Lanadelumab
Time Frame: Predose on Days 0, 84, and 140 and postdose on Day 182
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The data was partitioned by dosing regimen and reported accordingly to appropriately attribute to each dosing regimen.
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Predose on Days 0, 84, and 140 and postdose on Day 182
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Plasma Kallikrein (pKal) Activity
Time Frame: Predose on Days 0, 84, and 140 and postdose on Day 182
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Plasma kallikrein activity was measured by biomarker cleaved high molecular weight kininogen (cHMWK) with factor XIIa activation level to assess the pharmacodynamics of lanadelumab.
The data was partitioned by dosing regimen and reported accordingly to appropriately attribute to each dosing regimen.
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Predose on Days 0, 84, and 140 and postdose on Day 182
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Number of Participants With Neutralizing Antidrug Antibodies (ADA) in Plasma
Time Frame: Predose on Days 0, 84, and 140 and postdose on Day 182
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Number of participants with positive ADA including evaluation of neutralizing antibodies in plasma was assessed.
As pre-specified in the statistical analysis plan (SAP), data for this outcome measure was collected and analyzed as a single group irrespective of dosing regimen.
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Predose on Days 0, 84, and 140 and postdose on Day 182
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Change From Baseline in Total Angioedema Quality of Life (AE-QoL) Questionnaire Total Score at End of Treatment Period
Time Frame: Baseline (Day 0) up to end of treatment period (Day 182)
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The AE-QoL questionnaire is self-administered validated instrument to assess health related (HR)QoL among participants with recurrent angioedema(including hereditary angioedema[HAE]).
It consists of 17 disease-specific QOL items, to produce total AE-QoL score & 4 domain scores(functioning,fatigue/mood,fear/shame,nutrition) each of 17 items had 5-point response scale ranging from 1(Never) to 5(Very Often).
It was scored according to developers' guidelines to produce 4 domain scores yielding total score.
The raw total score(mean of all item scores) was rescaled using linear transformations into final percentage scores ranging 0-100, based on maximum possible score, where higher score, greater QoL impairment.
Negative change from Baseline indicates better QoL.
Baseline: Last non-missing value prior to first exposure to study drug(based on date or date/time).
As pre-specified in SAP, data for this outcome measure was collected and analyzed as single group irrespective of dosing regimen.
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Baseline (Day 0) up to end of treatment period (Day 182)
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Number of Participants With Any Pause During Injection
Time Frame: Days 0, 14, 28, 42, 56, 70, 84, 98, 112, 126, 140, 154, and 168
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An injection report was completed by the participant (or parent/caregiver) following each dose administration of lanadelumab injection used during the treatment period and any kind of pause during injection was captured.
Categories with at least one participant with event are reported.
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Days 0, 14, 28, 42, 56, 70, 84, 98, 112, 126, 140, 154, and 168
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Number of Participants With Treatment Emergent Adverse Events (TEAEs) Including Adverse Events of Special Interest (AESI) and Serious Adverse Events (SAEs) in Participants Who Switched Dosing Regimen
Time Frame: From Day 0 up to Day 196
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TEAE: Any event emerging or manifesting at or after initiation of treatment with investigational product (IP) or medicinal product or any existing event that worsens in either intensity or frequency following exposure to IP or medicinal product including clinically meaningful findings in laboratory safety tests, vital signs, weight, and electrocardiogram (ECG) findings.
SAE: Any untoward clinical manifestation of signs, symptoms or outcomes (whether considered related to IP or not and at any dose: results in death, is life-threatening, requires inpatient hospitalization or prolongation of hospitalization, results in persistent or significant disability/incapacity, congenital abnormality/birth defect, an important medical event.
AESI included hypersensitivity reactions, events of disordered coagulation such as bleeding AESI, hypercoagulable AESI.
TEAEs were classified and reported as angioedema attack and non-angioedema attack adverse events in this outcome measure.
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From Day 0 up to Day 196
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Number of Investigator-Confirmed Angioedema Attacks During the Treatment Period of Day 0 Through Day 182 in Participants Who Switched Dosing Regimen
Time Frame: From Day 0 up to Day 182
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An angioedema attack was defined as the symptoms or signs consistent with an attack in at least 1 of the following locations: peripheral angioedema (cutaneous swelling involving an extremity, the face, neck, torso, and/or genitourinary region), abdominal angioedema (abdominal pain, with or without abdominal distention, nausea, vomiting, or diarrhea), laryngeal angioedema (stridor, dyspnea, difficulty speaking, difficulty swallowing, throat tightening, or swelling of the tongue, palate, uvula, or larynx).
Number of investigator-confirmed angioedema attacks during the treatment period of Day 0 through Day 182 was assessed.
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From Day 0 up to Day 182
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Number of Moderate or Severe Angioedema Attacks During the Treatment Period of Day 0 Through Day 182 in Participants Who Switched Dosing Regimen
Time Frame: From Day 0 up to Day 182
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The overall severity of angioedema attack was determined by the site using following definitions: mild (transient or mild discomfort), moderate (mild to moderate limitation in activity), severe (marked limitation in activity).
Number of moderate or severe angioedema attacks during the treatment period of Day 0 through Day 182 was assessed.
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From Day 0 up to Day 182
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Number of High-Morbidity Angioedema Attacks During the Treatment Period of Day 0 Through Day 182 in Participants Who Switched Dosing Regimen
Time Frame: From Day 0 up to Day 182
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A high-morbidity angioedema attack was defined as any attack that has at least one of the following characteristics: severe, results in hospitalization (except hospitalization for observation <24 hours), hemodynamically significant (systolic BP <90 mmHg, requires intravenous hydration, or associated with syncope or near-syncope) or laryngeal.
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From Day 0 up to Day 182
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Study Director, Takeda Development Center Americas
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Cardiovascular Diseases
- Vascular Diseases
- Skin Diseases
- Immunologic Deficiency Syndromes
- Immune System Diseases
- Hypersensitivity, Immediate
- Genetic Diseases, Inborn
- Skin Diseases, Vascular
- Hypersensitivity
- Urticaria
- Hereditary Complement Deficiency Diseases
- Primary Immunodeficiency Diseases
- Angioedema
- Angioedemas, Hereditary
Other Study ID Numbers
Other Study ID Numbers
- TAK-743-3001
- 2019-004823-20 (EudraCT Number)
- jRCT2051220001 (Registry Identifier: jRCT)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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