Study to Assess the Tolerability and Safety of Ecallantide in Children and Adolescents With Hereditary Angioedema

A Multicenter, Open-Label Study to Assess the Tolerability and Safety of a Single, Subcutaneous Administration of Ecallantide in Children and Adolescents With Hereditary Angioedema

The objective of this study is to evaluate the safety and tolerability of a single Subcutaneous (SC) dose of Ecallantide in children and adolescents with Hereditary Angioedema (HAE).

Study Overview

• Status: Withdrawn
• Conditions: Hereditary Angioedema Types I and II
• Intervention / Treatment: Drug: Ecallantide subcutaneous dosing

Detailed Description

This pilot study is an open-label, non-randomized, single-arm study to evaluate the tolerability and safety of a single SC administration of ecallantide in up to approximately 10 pediatric subjects with HAE during an initial acute attack. The study is planned to enroll subjects 2 through 15 years of age who present with an acute cutaneous, abdominal, or laryngeal HAE attack. No more than 3 study sites will be included until a goal of 10 patients is achieved.

After treatment for an initial attack, one additional open label treatment with ecallantide will be offered to subjects contingent upon having been treated previously and presenting with a subsequent acute cutaneous, abdominal, or laryngeal attack of HAE at least 7 days after initial treatment. Open-label treatment for a second HAE attack will continue until 10 patients have been treated for an initial attack. Safety evaluations will be performed at each subsequent ecallantide-treated attack as for the initial treated attack

• Study Type: Interventional
• Phase: Phase 2

Contacts and Locations

• Study Contact: Name: Mark A Davis-Lorton, MD; Phone Number: 516-663-2097; Email: mdavislorton@winthrop.org

Study Locations

• United States
  • New York
    • Mineola, New York, United States, 11501
      • Winthrop-University Hosptial Clinical Trials Center

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 2 years to 16 years (Child)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

1. 2 through 15 years of age, inclusive (ie, from the second birthday through the day prior to the sixteenth birthday) at the time of the subject's first attack.
2. Documented diagnosis of HAE type I or II. Diagnosis must be confirmed by a documented immunogenic (below the lower limit of normal) and/or functional (< 50% of normal levels) C1- Inhibitor deficiency. Diagnosis may be on the basis of historic data or by diagnostic testing conducted at the time of screening.
3. Informed consent (and subject assent as appropriate) signed by the subject's parent(s) or legal guardian(s).

Exclusion Criteria:

1. History of an adverse reaction (AE) to Ecallantide in the past
2. Diagnosis of angioedema other than HAE
3. Participation in another clinical study during the 30 days prior to treatment
4. Any known factor/disease that might interfere with the treatment compliance, study conduct, or result interpretation
5. Congenital or acquired cardiac anomalies that interfere significantly with cardiac function.
6. Treatment with angiotensin converting enzyme (ACE) inhibitors within 7 days prior to treatment.
7. Use of hormonal contraception within the 90 days prior to treatment for females of childbearing potential
8. The subject is pregnant or breastfeeding

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

1

Arms and Interventions

Participant Group / Arm

Intervention / Treatment

Experimental: Ecallantide; Study Medication, Dose, and Mode of Administration: Single dose of ecallantide subcutaneous dosing: Age less than 10: Weight <25 Kg: 10mg subcutaneously at one site; 25-50kg: 20mg subcutaneously, 10mg per site for 2 separate sites; >50 kg 30mg subcutaneously, 10mg per site for 3 separate sites. Dosing will not exceed 30mg.; Age greater than 10: 10mg per site for 3 separate sites. Dosing will not exceed 30mg.

Drug: Ecallantide subcutaneous dosing; For acute attacks of Hereditary Angioedema in children and adolescents, Ecallantide will be administered.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Measurement of time to symptomatic improvement from acute attacks of hereditary angioedema	Time to symptom relief. Time to minimal symptoms. An improvement assessment will also be performed at each of the following timepoints: pre -treatment, every 30 minutes for the first 2 hours and then hourly through discharge and at the 28 day clinic visit. Incidence of need for rescue medication. Incidence of worsening despite use of ecallantide.	28 days

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Number of Partcipants with Adverse Events	Study Partcipants will be monitored for adverse events, changes in laboratory values, physical exam, vital sign changes and ECG changes. Vital signs, including body temperature, heart rate and sitting blood pressure, will be assessed at screening, Pre-treatment, every 30 minutes for the first 2 hours and then hourly through discharge and at the 28 day clinic visit.	28 Days

Collaborators and Investigators

• Sponsor: NYU Langone Health
• Collaborators: Dyax Corp.
• Investigators: Principal Investigator: Mark A Davis-Lorton, MD, Winthrop University Hospital

Study record dates

Study Major Dates

• Study Start: August 1, 2013
• Primary Completion (Actual): July 1, 2017
• Study Completion (Actual): December 1, 2017

Study Registration Dates

• First Submitted: April 4, 2013
• First Submitted That Met QC Criteria: April 15, 2013
• First Posted (Estimate): April 16, 2013

Study Record Updates

• Last Update Posted (Actual): March 31, 2023
• Last Update Submitted That Met QC Criteria: March 28, 2023
• Last Verified: January 1, 2017

More Information

Terms related to this study

• Keywords: Adolescents; Children; Hereditary Angioedema; Ecallantide
• 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; Hereditary Angioedema Types I and II; Physiological Effects of Drugs; Peripheral Nervous System Agents; Analgesics; Sensory System Agents; Anti-Inflammatory Agents, Non-Steroidal; Analgesics, Non-Narcotic; Anti-Inflammatory Agents; Antirheumatic Agents; Ecallantide
• Other Study ID Numbers: DX-88/IST-5