E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Hereditary Angioedema Types I and II |
Angioedema hereditario de tipo I y II |
|
E.1.1.1 | Medical condition in easily understood language |
HAE (type I and II) are genetic disorders that are associated with a deficiency in C1-INH. |
AEH (tipo I y II) es un trastorno genético asociado a una deficiencia de C1-INH |
|
E.1.1.2 | Therapeutic area | Diseases [C] - Congenital, Hereditary, and Neonatal Diseases and Abnormalities [C16] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 17.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10019860 |
E.1.2 | Term | Hereditary angioedema |
E.1.2 | System Organ Class | 10010331 - Congenital, familial and genetic disorders |
|
E.1.3 | Condition being studied is a rare disease | Yes |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To assess the clinical safety of subcutaneously administered C1-INH in the long-term prophylactic treatment of HAE. |
Evaluar la seguridad clínica de la administración subcutánea de C1-INH en el tratamiento profiláctico a largo plazo del AEH |
|
E.2.2 | Secondary objectives of the trial |
-To further characterize the clinical safety of subcutaneously administered C1-INH in the long-term prophylactic treatment of HAE.
-To characterize the clinical efficacy of subcutaneously administered C1-INH in the long-term prophylactic treatment of HAE. |
- Caracterizar adicionalmente la seguridad clínica de la administración subcutánea de C1-INH en el tratamiento profiláctico a largo plazo del AEH.
- Caracterizar la eficacia clínica de la administración subcutánea de C1-INH en el tratamiento profiláctico a largo plazo del AEH. |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
"-Males or females aged 6 years or older. -A confirmed diagnosis of HAE type I or II. -HAE attacks over a consecutive 2-month period that required acute treatment, medical attention, or caused significant functional impairment. -For subjects who have used oral therapy for prophylaxis against HAE attacks within 3 months of first study visit: use of a stable regimen within 3 months of the first study visit." |
- Hombres o mujeres de edad 6 años o más. - Un diagnóstico confirmado de AEH de tipo I o II. - Ataques de AEH durante cualquier período consecutivo de 2 meses que requieran tratamiento urgente o atención médica o que provocaron un deterioro funcional importante. - Pacientes que han que han recibido medicación por vía oral para la prevención de ataques de AEH durante los 3 meses anteriores a la primera visita del estudio. |
|
E.4 | Principal exclusion criteria |
"-Incurable malignancies. -Any clinical condition that will interfere with the evaluation of C1-INH therapy. -Clinically significant history of poor response to C1-esterase therapy for the management of HAE. -Suspected or confirmed diagnosis of acquired HAE or HAE with normal C1-INH. -Inability to have HAE managed pharmacologically with on-demand treatment." |
- Neoplasias malignas incurables. - Cualquier cuadro clínico que pueda interferir con la evaluación del tratamiento con C1-INH. - Antecedentes clínicamente significativos de mala respuesta a la administración de C1-INH para el tratamiento del AEH. - Sospecha o diagnóstico confirmado de AEH adquirido o AEH con C1-INH normal. - AEH que no puede tratarse de forma adecuada con tratamiento farmacológico a demanda. |
|
E.5 End points |
E.5.1 | Primary end point(s) |
The person-time incidence rates of specified safety events. |
Densidades de incidencia de acontecimientos de seguridad específicos. |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
During the treatment phase, up to 52 weeks. |
Durante la fase de tratamiento, hasta 52 semanas. |
|
E.5.2 | Secondary end point(s) |
- Percentage of subjects with SAEs or other specified safety events. - Percentage of C1-INH injections resulting in solicited AEs (injection site reactions). - Percentage of subjects with at least 1 solicited AE (injection site reaction). - Percentage of subjects who become seropositive for human immunodeficiency virus, hepatitis B virus, or hepatitis C virus. - Percentage of subjects who experience < 1 HAE attack per 4-week period. - Percentage of subjects with a ? 50% reduction in the time-normalized number of HAE attacks. |
- El porcentaje de pacientes que experimentan AAG u otros acontecimientos específicos de seguridad. - El porcentaje de inyecciones de C1-INH que dieron lugar a AA locales solicitados (reacciones en el lugar de la inyección). - El porcentaje de pacientes que experimentan como mínimo 1 AA local solicitado (reacción en el lugar de la inyección). - El porcentaje de pacientes que dieron resultado positivo en la prueba del virus de inmunodeficiencia humana, el virus de la hepatitis B o el virus de la hepatitis C. - El porcentaje de pacientes que experimentan < 1 ataque de AEH en un período de 4 semanas. - El porcentaje de pacientes con una reducción de >= 50% del número de ataques de AEH normalizado en el tiempo. |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
- During the treatment phase, up to 52 weeks. - During the treatment phase, up to 52 weeks. - During the treatment phase, up to 52 weeks. - From baseline through the treatment phase, up to 52 weeks. - During the treatment phase, up to 52 weeks. - From baseline through the treatment phase, up to 52 weeks. |
- Durante la fase de tratamiento, hasta 52 semanas. - Durante la fase de tratamiento, hasta 52 semanas. - Durante la fase de tratamiento, hasta 52 semanas. - Desde el inicio durante toda la fase de tratamiento, hasta 52 semanas. - Durante la fase de tratamiento, hasta 52 semanas. - Desde el inicio durante toda la fase de tratamiento, hasta 52 semanas. |
|
E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | Yes |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 3 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 15 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Australia |
Canada |
European Union |
Israel |
United States |
|
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 1 |
E.8.9.1 | In the Member State concerned months | 7 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 1 |
E.8.9.2 | In all countries concerned by the trial months | 7 |