Suun kautta otettavan PHA-022121:n annosvaihtelututkimus angioödeemakohtausten ehkäisyyn potilailla, joilla on perinnöllinen tyypin I tai tyypin II angioedeema (HAE CHAPTER-1)
Vaiheen II, kaksoissokkoutettu, lumekontrolloitu, satunnaistettu, annosvaihtelu, rinnakkaisryhmätutkimus PHA-022121:n turvallisuuden ja tehokkuuden arvioimiseksi suun kautta annettavan angioödeemakohtausten ehkäisyyn potilailla, joilla on perinnöllinen angioödeema, joka johtuu C1:n puutteesta Tyyppi I tai tyyppi II)
Tutkimuksen yleiskatsaus
Tila
Tila
Ehdot
Ehdot
- Perinnöllinen angioödeema
- Perinnöllinen angioödeema tyyppi I
- Perinnöllinen angioödeema tyyppi II
- Perinnöllinen angioedeeman tyyppi I ja II
- Perinnöllinen angioedeeman hyökkäys
- Perinnöllinen angioödeema C1-esteraasi-inhibiittorin puutteella
- Perinnöllinen angioödeema – tyyppi 1
- Perinnöllinen angioödeema – tyyppi 2
- C1-esteraasi-inhibiittorin puutos
- C1-inhibiittorin puute
Interventio / Hoito
Interventio / Hoito
Opintotyyppi
Opintotyyppi
Ilmoittautuminen (Todellinen)
Ilmoittautuminen
Vaihe
Vaihe
- Vaihe 2
Yhteystiedot ja paikat
Opiskeluyhteys
Opiskeluyhteys
- Nimi: Pharvaris Clinical Team
- Puhelinnumero: +31 (71) 203-6410
- Sähköposti: clinicaltrials@pharvaris.com
Opiskelupaikat
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Sofia, Bulgaria, 1680
- Study Site
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Dublin, Irlanti, D08NHY1
- Study Site
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Milan, Italia, 20157
- Study Site
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Palermo, Italia, 0146
- Study Site
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PD
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Padua, PD, Italia, 35128
- Study Site
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Vienna, Itävalta, A-1090
- Study Site
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Ontario
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Ottawa, Ontario, Kanada, K1H 1E4
- Study Site
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Quebec
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Montreal, Quebec, Kanada, H2W 1R7
- Study Site
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Krakow, Puola
- Study Site
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Berlin, Saksa, 10117
- Study Site
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Frankfurt, Saksa, 60323
- Study Site
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England
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Brighton, England, Yhdistynyt kuningaskunta, BN2 1ES
- Study Site
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Bristol, England, Yhdistynyt kuningaskunta, BS10 5NB
- Study Site
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Cambridge, England, Yhdistynyt kuningaskunta, CB2 0QQ
- Study Site
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London, England, Yhdistynyt kuningaskunta, E1 1FR
- Study Site
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Southampton, England, Yhdistynyt kuningaskunta, SO16 6YD
- Study Site
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Alabama
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Birmingham, Alabama, Yhdysvallat, 35209
- Study Site
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Arizona
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Paradise Valley, Arizona, Yhdysvallat, 85253
- Study Site
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Missouri
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St Louis, Missouri, Yhdysvallat, 63141
- Study Site
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Osallistumiskriteerit
Kelpoisuusvaatimukset
Kelpoisuusvaatimukset
Opintokelpoiset iät
Hyväksyy terveitä vapaaehtoisia
Kuvaus
Sisällyttämiskriteerit:
- Allekirjoitettu ja päivätty tietoinen suostumuslomake
- HAE-tyypin I tai II diagnoosi
- Dokumentoitu historia vähintään 3 HAE-kohtauksesta viimeisen kolmen peräkkäisen kuukauden aikana ennen seulontaa tai vähintään 2 HAE-kohtausta seulontajakson aikana
- Luotettava saatavuus ja kokemus tavanomaisten akuuttikohtauslääkkeiden käytöstä
Poissulkemiskriteerit:
- Raskaus tai imetys
- Kliinisesti merkittävä poikkeava EKG
- Mikä tahansa muu systeeminen sairaus tai merkittävä sairaus tai häiriö, joka häiritsisi potilaan turvallisuutta tai kykyä osallistua tutkimukseen
- C1-esteraasi-inhibiittorin, oraalisten kallikreiinin estäjien, heikennettyjen androgeenien, antifibrinolyyttien tai monoklonaalisen HAE-hoidon käyttö tietyn ajanjakson aikana ennen ilmoittautumista
- Epänormaali maksan toiminta
- Epänormaali munuaisten toiminta
- Alkoholin tai huumeiden väärinkäyttö tietyn ajanjakson aikana tai todisteet päihteiden riippuvuudesta tai väärinkäytöstä
- Osallistuminen muihin lääketutkimuksiin tietyn ajan kuluessa
Opintosuunnitelma
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
- Ensisijainen käyttötarkoitus: Ennaltaehkäisy
- Jako: Satunnaistettu
- Inventiomalli: Rinnakkaistehtävä
- Naamiointi: Nelinkertaistaa
Aseiden lukumäärä
Aseet ja interventiot
Osallistujaryhmä / ArmOsallistujaryhmä / Arm |
Interventio / HoitoInterventio / Hoito |
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Placebo Comparator: Osa 1: Placebo
BID lumelääke
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Sopivat plasebokapselit suun kautta käytettäväksi
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Kokeellinen: Osa 1: Pieni annos
BID pieni annos deukriktibanttia
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Deucrictibant pehmeägeelikapselit suun kautta käytettäväksi (PHVS416)
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Kokeellinen: Osa 1: Suuri annos
BID suuri annos deukriktibanttia
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Deucrictibant pehmeägeelikapselit suun kautta käytettäväksi (PHVS416)
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Kokeellinen: Osa 2: Avoin
BID suuri annos deukriktibanttia
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Deucrictibant pehmeägeelikapselit suun kautta käytettäväksi (PHVS416)
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Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
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Number of Investigator-confirmed Hereditary Angioedema (HAE) Attacks (Expressed as the Normalized Number of Attacks Per Month [4 Weeks] of Exposure) During the Treatment Period in Part 1
Aikaikkuna: Up to Day 84
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HAE attack was defined as signs or symptoms in ≥1 location: peripheral angioedema (cutaneous swelling involving an extremity, face, neck, torso, and/or genitourinary region), abdominal angioedema (abdominal pain with or without abdominal distension, nausea, vomiting, or diarrhea), or upper airway angioedema (lump sensation, difficulty swallowing, throat tightening, difficulty speaking, hoarseness, stridor, dyspnea, or swelling of tongue, palate, uvula, or larynx).
A new attack was counted if symptoms occurred ≥24 hours after complete resolution of a prior attack.
Attacks were recorded via daily electronic patient-reported outcome (ePRO) diaries and confirmed by the investigator.
Monthly attack rate was calculated as number of attacks during treatment divided by treatment days, multiplied by 28.
Mean rate ratio, confidence interval (CI), and p-value were estimated using a generalized linear model with Poisson distribution, with baseline attack rate included as a factor.
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Up to Day 84
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Toissijaiset tulostoimenpiteet
Toissijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
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Number of Investigator-confirmed Moderate or Severe HAE Attacks During the Treatment Period in Part 1
Aikaikkuna: Up to Day 84
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HAE attack was defined as signs or symptoms in ≥1 location: peripheral angioedema (cutaneous swelling involving an extremity, face, neck, torso, and/or genitourinary region), abdominal angioedema (abdominal pain with or without abdominal distension, nausea, vomiting, or diarrhea), or upper airway angioedema (lump sensation, difficulty swallowing, throat tightening, difficulty speaking, hoarseness, stridor, dyspnea, or swelling of tongue, palate, uvula, or larynx).
A new attack was counted if symptoms occurred ≥24 hours after complete resolution of a prior attack.
Attacks were recorded via daily ePRO diaries and confirmed by the investigator.
Monthly attack rate was calculated as number of attacks during treatment divided by treatment days×28.
Moderate HAE attack defined as which limits/interferes with the participant's ability to attend work/school or participate in family life and social/recreational activities whereas Severe HAE attack significantly limits the participant's ability.
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Up to Day 84
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Number of Investigator-confirmed HAE Attacks Requiring Acute Treatment During the Treatment Period in Part 1
Aikaikkuna: Up to Day 84
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HAE attack was defined as signs or symptoms in ≥1 location: peripheral angioedema (cutaneous swelling involving an extremity, face, neck, torso, and/or genitourinary region), abdominal angioedema (abdominal pain with or without abdominal distension, nausea, vomiting, or diarrhea), or upper airway angioedema (lump sensation, difficulty swallowing, throat tightening, difficulty speaking, hoarseness, stridor, dyspnea, or swelling of tongue, palate, uvula, or larynx).
A new attack was counted if symptoms occurred ≥24 hours after complete resolution of a prior attack.
Attacks were recorded via daily ePRO diaries and confirmed by the investigator.
Monthly attack rate was calculated as number of attacks during treatment divided by treatment days, multiplied by 28.
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Up to Day 84
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Number of Participants Achieving ≥50%, ≥70% and ≥90% Reduction in Attack Rate Relative to Baseline During the Treatment Period in Part 1
Aikaikkuna: Up to Day 84
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Baseline attack rate was defined as each participant's normalized HAE attack rate (attacks per 4 weeks) prior to randomization, based on documented history or confirmed during screening.
Monthly attack rate was calculated as number of attacks during treatment divided by treatment days, multiplied by 28.
Percent reduction from baseline was calculated for each participant by comparing the normalized treatment-period attack rate to the baseline attack rate.
Participants were classified as responders if they achieved ≥50%, ≥70%, or ≥90% reduction in attack rate relative to baseline during Part 1.
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Up to Day 84
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Number of Participants Who Were Investigator-confirmed Attack-free During the Treatment Period in Part 1
Aikaikkuna: Up to Day 84
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HAE attack was defined as signs or symptoms in ≥1 location: peripheral angioedema (cutaneous swelling involving an extremity, face, neck, torso, and/or genitourinary region), abdominal angioedema (abdominal pain with or without abdominal distension, nausea, vomiting, or diarrhea), or upper airway angioedema (lump sensation, difficulty swallowing, throat tightening, difficulty speaking, hoarseness, stridor, dyspnea, or swelling of tongue, palate, uvula, or larynx).
A new attack was counted if symptoms occurred ≥24 hours after complete resolution of a prior attack.
Attacks were recorded via daily ePRO diaries and confirmed by the investigator.
Participants reporting no confirmed attacks over the treatment period were considered attack-free.
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Up to Day 84
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Number of Days With Investigator-confirmed HAE Symptoms During the Treatment Period in Part 1
Aikaikkuna: Up to Day 84
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HAE attack was defined as signs or symptoms in ≥1 location: peripheral angioedema (cutaneous swelling involving an extremity, face, neck, torso, and/or genitourinary region), abdominal angioedema (abdominal pain with or without abdominal distension, nausea, vomiting, or diarrhea), or upper airway angioedema (lump sensation, difficulty swallowing, throat tightening, difficulty speaking, hoarseness, stridor, dyspnea, or swelling of tongue, palate, uvula, or larynx).
HAE symptom days were identified from daily participant entries in the ePRO diary and were confirmed by the investigator.
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Up to Day 84
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Proportion of Days With Investigator-confirmed HAE Symptoms During the Treatment Period in Part 1
Aikaikkuna: Up to Day 84
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HAE attack was defined as signs or symptoms in ≥1 location: peripheral angioedema (cutaneous swelling involving an extremity, face, neck, torso, and/or genitourinary region), abdominal angioedema (abdominal pain with or without abdominal distension, nausea, vomiting, or diarrhea), or upper airway angioedema (lump sensation, difficulty swallowing, throat tightening, difficulty speaking, hoarseness, stridor, dyspnea, or swelling of tongue, palate, uvula, or larynx).
HAE symptom days were identified from daily participant entries in the ePRO diary and were confirmed by the investigator.
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Up to Day 84
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Time to First Investigator-confirmed HAE Attack in the Treatment Period in Part 1
Aikaikkuna: Up to Day 84
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Time to first investigator-confirmed HAE attack was defined as days from date of first administration of study drug until the onset date of first Investigator-confirmed HAE attack.
Participants without an Investigator-confirmed HAE attack during the treatment period in Part 1 were censored at the date of the last dose of study drug +1 in Part 1 or last day of the study, whichever came sooner.
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Up to Day 84
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Number of Investigator-confirmed HAE Attacks Resulting in a Visit to the Emergency Department or an Admission to Hospital During the Treatment Period in Part 1
Aikaikkuna: Up to Day 84
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HAE attack was defined as signs or symptoms in ≥1 location: peripheral angioedema (cutaneous swelling involving an extremity, face, neck, torso, and/or genitourinary region), abdominal angioedema (abdominal pain with or without abdominal distension, nausea, vomiting, or diarrhea), or upper airway angioedema (lump sensation, difficulty swallowing, throat tightening, difficulty speaking, hoarseness, stridor, dyspnea, or swelling of tongue, palate, uvula, or larynx).
A new attack was counted if symptoms occurred ≥24 hours after complete resolution of a prior attack.
Attacks were recorded via daily ePRO diaries and confirmed by the investigator.
Monthly attack rate was calculated as number of attacks during treatment divided by treatment days, multiplied by 28.
Only Investigator-confirmed attacks resulting in emergency department visits or hospital admissions were included.
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Up to Day 84
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Number of Investigator-confirmed HAE Attacks During the Treatment Period in Part 2
Aikaikkuna: Day 84 to Day 938
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HAE attack was defined as signs or symptoms in ≥1 location: peripheral angioedema (cutaneous swelling involving an extremity, face, neck, torso, and/or genitourinary region), abdominal angioedema (abdominal pain with or without abdominal distension, nausea, vomiting, or diarrhea), or upper airway angioedema (lump sensation, difficulty swallowing, throat tightening, difficulty speaking, hoarseness, stridor, dyspnea, or swelling of tongue, palate, uvula, or larynx).
A new attack was counted if symptoms occurred ≥24 hours after complete resolution of a prior attack.
Attacks were recorded via daily ePRO diaries and confirmed by the investigator.
Monthly attack rate was calculated as number of attacks during treatment divided by treatment days, multiplied by 28.
An attack will be counted as in Part 2 if it occurs after the first IMP administration in Part 2 and within 24 hours after last IMP administration in Part 2.
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Day 84 to Day 938
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Number of Investigator-confirmed Moderate or Severe HAE Attacks During the Treatment Period in Part 2
Aikaikkuna: Day 84 to Day 938
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HAE attack was defined as signs or symptoms in ≥1 location: peripheral angioedema (cutaneous swelling involving an extremity, face, neck, torso, and/or genitourinary region), abdominal angioedema (abdominal pain with or without abdominal distension, nausea, vomiting, or diarrhea), or upper airway angioedema (lump sensation, difficulty swallowing, throat tightening, difficulty speaking, hoarseness, stridor, dyspnea, or swelling of tongue, palate, uvula, or larynx).
Attacks were recorded via daily ePRO diaries and confirmed by the investigator.
Monthly attack rate was calculated as number of attacks during treatment divided by treatment days×28.
Moderate HAE attack defined as which limits/interferes with the participant's ability to attend work/school or participate in family life and social/recreational activities whereas Severe HAE attack significantly limits the participant's ability.
LSM and SE were estimated using a generalized linear model with Poisson distribution.
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Day 84 to Day 938
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Number of Investigator-confirmed HAE Attacks Requiring Acute Treatment During the Treatment Period in Part 2
Aikaikkuna: Day 84 to Day 938
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HAE attack was defined as signs or symptoms in ≥1 location: peripheral angioedema (cutaneous swelling involving an extremity, face, neck, torso, and/or genitourinary region), abdominal angioedema (abdominal pain with or without abdominal distension, nausea, vomiting, or diarrhea), or upper airway angioedema (lump sensation, difficulty swallowing, throat tightening, difficulty speaking, hoarseness, stridor, dyspnea, or swelling of tongue, palate, uvula, or larynx).
A new attack was counted if symptoms occurred ≥24 hours after complete resolution of a prior attack.
Attacks were recorded via daily ePRO diaries and confirmed by the investigator.
Monthly attack rate was calculated as number of attacks during treatment divided by treatment days, multiplied by 28.
LSM and SE were estimated using a generalized linear model with Poisson distribution.
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Day 84 to Day 938
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Number of Days With Investigator-confirmed HAE Symptoms During the Treatment Period in Part 2
Aikaikkuna: Day 84 to Day 938
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HAE attack was defined as signs or symptoms in ≥1 location: peripheral angioedema (cutaneous swelling involving an extremity, face, neck, torso, and/or genitourinary region), abdominal angioedema (abdominal pain with or without abdominal distension, nausea, vomiting, or diarrhea), or upper airway angioedema (lump sensation, difficulty swallowing, throat tightening, difficulty speaking, hoarseness, stridor, dyspnea, or swelling of tongue, palate, uvula, or larynx).
HAE symptom days were identified from daily participant entries in the ePRO diary and were confirmed by the investigator.
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Day 84 to Day 938
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Proportion of Days With Investigator-confirmed HAE Symptoms During the Treatment Period in Part 2
Aikaikkuna: Day 84 to Day 938
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HAE attack was defined as signs or symptoms in ≥1 location: peripheral angioedema (cutaneous swelling involving an extremity, face, neck, torso, and/or genitourinary region), abdominal angioedema (abdominal pain with or without abdominal distension, nausea, vomiting, or diarrhea), or upper airway angioedema (lump sensation, difficulty swallowing, throat tightening, difficulty speaking, hoarseness, stridor, dyspnea, or swelling of tongue, palate, uvula, or larynx).
HAE symptom days were identified from daily participant entries in the ePRO diary and were confirmed by the investigator.
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Day 84 to Day 938
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Yhteistyökumppanit ja tutkijat
Sponsori
Sponsori
Tutkijat
Tutkijat
- Päätutkija: Marc Riedl, MD, UC San Diego, La Jolla, California, United States
- Päätutkija: Emel Aygören-Pürsün, MD, University Hospital Frankfurt - Goethe University, Frankfurt, Germany
Julkaisuja ja hyödyllisiä linkkejä
Opintojen ennätyspäivät
Opi tärkeimmät päivämäärät
Opiskelun aloitus (Todellinen)
Opiskelun aloitus
Ensisijainen valmistuminen (Todellinen)
Ensisijainen valmistuminen
Opintojen valmistuminen (Todellinen)
Opintojen valmistuminen
Opintoihin ilmoittautumispäivät
Ensimmäinen lähetetty
Ensimmäinen lähetetty
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Ensimmäinen Lähetetty (Todellinen)
Ensimmäinen Lähetetty
Tutkimustietojen päivitykset
Viimeisin päivitys julkaistu (Todellinen)
Viimeisin päivitys julkaistu
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Viimeksi vahvistettu
Viimeksi vahvistettu
Lisää tietoa
Tähän tutkimukseen liittyvät termit
Avainsanat
Muita asiaankuuluvia MeSH-ehtoja
- Perinnölliset komplementin puutostaudit
- Primaariset immuunipuutostaudit
- Verisuonisairaudet
- Sydän-ja verisuonitaudit
- Geneettiset sairaudet, synnynnäiset
- Immuunijärjestelmän sairaudet
- Yliherkkyys, välitön
- Yliherkkyys
- Immunologiset puutosoireyhtymät
- Ihosairaudet
- Urtikaria
- Ihotaudit, verisuonisairaudet
- Synnynnäiset, perinnölliset ja vastasyntyneiden sairaudet ja poikkeavuudet
- Iho- ja sidekudostaudit
- Angioedeema
- Angioedeema, perinnöllinen
- Perinnöllinen angioedeeman tyyppi I ja II
Muut tutkimustunnusnumerot
Muut tutkimustunnusnumerot
- PHA022121-C301
- 2021-000227-13 (EudraCT-numero)
Yksittäisten osallistujien tietojen suunnitelma (IPD)
Aiotko jakaa yksittäisten osallistujien tietoja (IPD)?
Lääke- ja laitetiedot, tutkimusasiakirjat
Tutkii yhdysvaltalaista FDA sääntelemää lääkevalmistetta
Tutkii yhdysvaltalaista FDA sääntelemää laitetuotetta
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