Trial Outcomes & Findings for Efficacy and Safety Study of DX-88 to Treat Acute Attacks of Hereditary Angioedema (HAE) (NCT NCT00262080)

NCT ID: NCT00262080

Last Updated: 2021-06-11

Results Overview

Treatment Outcome Score (TOS) is a validated, comprehensive measure of symptom response to treatment. At 4 hours , patient assessment of response characterized by their change from baseline in symptom severity and collected by anatomic site of attack involvement, was recorded on a categorical scale (significant improvement \[100\] to significant worsening \[-100\]). The response at each anatomic site was weighted by baseline severity and then the weighted scores across all involved sites were averaged to calculate the TOS. Clinically meaningful improvement was indicated by a TOS of 30 or higher.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

91 participants

Primary outcome timeframe

4 hours post-dose (DOUBLE-BLIND PART)

Results posted on

2021-06-11

Participant Flow

Patients were screened in advance of presenting with an Hereditary Angioedema (HAE) attack but were randomized only upon attack.

Participant milestones

Participant milestones
Measure
Ecallantide / Ecallantide
Patients treated with ecallantide in the double-blind part and eligible for treatment with ecallantide in the repeat-dosing part of the study once their Follow-up Visit 1 (Day 7) in the double-blind part was completed.
Placebo / Ecallantide
Patients treated with placebo in the double-blind part and eligible for treatment with ecallantide in the repeat-dosing part of the study once their Follow-up Visit 1 (Day 7) in the double-blind part was completed.
Ecallantide (Repeat Dose Only)
Patients not treated in the double-blind part but treated with ecallantide in the repeat-dosing part.
Double Blind Treatment Period
STARTED
36
36
0
Double Blind Treatment Period
COMPLETED
35
36
0
Double Blind Treatment Period
NOT COMPLETED
1
0
0
Repeat Dose Treatment Period
STARTED
22
26
19
Repeat Dose Treatment Period
COMPLETED
18
25
14
Repeat Dose Treatment Period
NOT COMPLETED
4
1
5

Reasons for withdrawal

Reasons for withdrawal
Measure
Ecallantide / Ecallantide
Patients treated with ecallantide in the double-blind part and eligible for treatment with ecallantide in the repeat-dosing part of the study once their Follow-up Visit 1 (Day 7) in the double-blind part was completed.
Placebo / Ecallantide
Patients treated with placebo in the double-blind part and eligible for treatment with ecallantide in the repeat-dosing part of the study once their Follow-up Visit 1 (Day 7) in the double-blind part was completed.
Ecallantide (Repeat Dose Only)
Patients not treated in the double-blind part but treated with ecallantide in the repeat-dosing part.
Double Blind Treatment Period
Lost to Follow-up
1
0
0
Repeat Dose Treatment Period
Adverse Event
1
0
0
Repeat Dose Treatment Period
Withdrawal by Subject
0
1
1
Repeat Dose Treatment Period
Lost to Follow-up
2
0
2
Repeat Dose Treatment Period
Decision to discontinue the study
0
0
2
Repeat Dose Treatment Period
enrolled in EDEMA4
1
0
0

Baseline Characteristics

Efficacy and Safety Study of DX-88 to Treat Acute Attacks of Hereditary Angioedema (HAE)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ecallantide / Ecallantide
n=36 Participants
Patients treated with ecallantide in the double-blind part (ITT as treated) and eligible for treatment with ecallantide in the repeat-dosing part of the study once their Follow-up Visit 1 (Day 7) in the double-blind part was completed.
Placebo / Ecallantide
n=36 Participants
Patients treated with placebo in the double-blind part (ITT as treated) and eligible for treatment with ecallantide in the repeat-dosing part of the study once their Follow-up Visit 1 (Day 7) in the double-blind part was completed.
Ecallantide (Repeat-Dosing Part Only)
n=18 Participants
Patients not treated in the double-blind part but treated with ecallantide in the repeat-dosing part. One patient was omitted from analysis in the intent-to-treat and per-protocol populations due to the loss of the data for the 4-hour post-dose assessments during treatment episode 1.
Total
n=90 Participants
Total of all reporting groups
Age, Continuous
37.1 years
STANDARD_DEVIATION 14.3 • n=5 Participants
33.6 years
STANDARD_DEVIATION 14.6 • n=7 Participants
35.0 years
STANDARD_DEVIATION 14.6 • n=5 Participants
34.7 years
STANDARD_DEVIATION 14.7 • n=4 Participants
Sex: Female, Male
Female
23 Participants
n=5 Participants
24 Participants
n=7 Participants
11 Participants
n=5 Participants
58 Participants
n=4 Participants
Sex: Female, Male
Male
13 Participants
n=5 Participants
12 Participants
n=7 Participants
7 Participants
n=5 Participants
32 Participants
n=4 Participants

PRIMARY outcome

Timeframe: 4 hours post-dose (DOUBLE-BLIND PART)

Population: ITT as treated: two patients randomized on the same day at the same study center were administered treatment opposite to their randomized treatment assignment. Data were analyzed based on actual treatment received. Imputation was used to account for emerging symptoms and medical intervention. Best possible score = 100; worst possible score = -100.

Treatment Outcome Score (TOS) is a validated, comprehensive measure of symptom response to treatment. At 4 hours , patient assessment of response characterized by their change from baseline in symptom severity and collected by anatomic site of attack involvement, was recorded on a categorical scale (significant improvement \[100\] to significant worsening \[-100\]). The response at each anatomic site was weighted by baseline severity and then the weighted scores across all involved sites were averaged to calculate the TOS. Clinically meaningful improvement was indicated by a TOS of 30 or higher.

Outcome measures

Outcome measures
Measure
Ecallantide
n=36 Participants
Patients treated with ecallantide in the double-blind part.
Placebo
n=36 Participants
Patients treated with placebo in the double-blind part.
Treatment Outcome Score at 4 Hours Post-Dose
49.5 units on a scale
Standard Deviation 59.43 • Interval 50.0 to 100.0
18.5 units on a scale
Standard Deviation 67.78 • Interval 75.0 to 100.0

SECONDARY outcome

Timeframe: baseline, 4 hours post-dose (DOUBLE-BLIND PART)

Population: ITT as treated: two patients randomized on the same day at the same center were administered treatment opposite to their randomized treatment assignments. Data were analyzed based on their actual treatment received. Imputation was used to account for emerging symptoms and medical intervention. Best possible score = 0.0; worst possible score = 3.0.

Mean Symptom Complex Severity (MSCS) score is a validated, comprehensive point-in-time measure of symptom severity. At baseline and 4 hours, patients rated the severity on a categorical scale (0 = normal, 1 = mild, 2 = moderate, 3 = severe) for symptoms at each affected anatomical location. Ratings were averaged to obtain the MSCS score. A decrease in MSCS score reflected an improvement in symptoms; clinically meaningful improvement (minimally important difference) was indicated by a reduction in the score of 0.30 or more.

Outcome measures

Outcome measures
Measure
Ecallantide
n=36 Participants
Patients treated with ecallantide in the double-blind part.
Placebo
n=36 Participants
Patients treated with placebo in the double-blind part.
Change From Baseline in Mean Symptom Complex Severity (MSCS) Score at 4 Hours Post-dose
MSCS Score at baseline
2.17 units on a scale
Standard Deviation 0.51
2.24 units on a scale
Standard Deviation 0.55
Change From Baseline in Mean Symptom Complex Severity (MSCS) Score at 4 Hours Post-dose
MSCS Score at 4 hours post-dose
1.26 units on a scale
Standard Deviation 0.96
1.75 units on a scale
Standard Deviation 0.90
Change From Baseline in Mean Symptom Complex Severity (MSCS) Score at 4 Hours Post-dose
Change from baseline in MSCS at 4 hours post-dose
-0.91 units on a scale
Standard Deviation 1.10
-0.48 units on a scale
Standard Deviation 0.68

SECONDARY outcome

Timeframe: 4 hours post-dose (DOUBLE-BLIND PART)

Population: ITT as treated. Patients not reporting significant improvement before 4 hours were censored at 4 hours. Patients receiving additional HAE therapy within 4 hours were censored at the time of the medical intervention. The time to significant improvement is not provided in this display as the median time for placebo was not reached by 4 hours.

The overall response assessment is a patient-reported assessment of global response to therapy. Patients are asked to perform an overall response assessment at regular intervals, relative to baseline. Patients were asked "overall how are you feeling" compared to how they felt before study drug. Answer options were "a lot worse", "a little worse", "same", "a little better" or "a lot better or resolved". Significant improvement was the first time that the patient responded to the assessment as "a little better or resolved".

Outcome measures

Outcome measures
Measure
Ecallantide
n=36 Participants
Patients treated with ecallantide in the double-blind part.
Placebo
n=36 Participants
Patients treated with placebo in the double-blind part.
Time to Significant Improvement in Overall Response
Patients with Censored Data
17 participant
25 participant
Time to Significant Improvement in Overall Response
Patients with Significant Improvement
19 participant
11 participant

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline

Patient-reported severity of symptom complexes at baseline, by symptom complex and treatment group. Patients were to have at least one symptom complex that was moderate or severe. Patients could present with multiple symptom complexes, some of which could be mild. Mild=noticeable but do not impact daily living activities; Moderate=treatment or intervention is highly desirable and activities of daily living are impacted; Severe=require treatment or intervention due to inability to perform activities of daily living. The results are for number of patients with symptom complexes including mild, moderate and severe, provided the patients have at least one symptom complex that was moderate or severe

Outcome measures

Outcome measures
Measure
Ecallantide
n=36 Participants
Patients treated with ecallantide in the double-blind part.
Placebo
n=36 Participants
Patients treated with placebo in the double-blind part.
Number of Patients With Symptom Complexes of Treated Attack at Baseline(DOUBLE-BLIND PART)
Genital/Buttocks
2 participants
4 participants
Number of Patients With Symptom Complexes of Treated Attack at Baseline(DOUBLE-BLIND PART)
Internal Head/Neck Symptoms
9 participants
4 participants
Number of Patients With Symptom Complexes of Treated Attack at Baseline(DOUBLE-BLIND PART)
Stomach/GI
19 participants
22 participants
Number of Patients With Symptom Complexes of Treated Attack at Baseline(DOUBLE-BLIND PART)
External Head/Neck
5 participants
8 participants
Number of Patients With Symptom Complexes of Treated Attack at Baseline(DOUBLE-BLIND PART)
Cutaneous
21 participants
14 participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 4 hours post-dose (REPEAT-DOSING PART)

Population: Treatment episode 1 contains data only from those participants who were new patients in the repeat-dosing part. Treatment episode 2 and beyond contain data pooled from patients treated in the double-blind part (ecallantide or placebo) and the repeat-dosing part. Data imputation was used to account for emerging symptoms and medical intervention.

Treatment Outcome Score (TOS) is a validated, comprehensive measure of symptom response to treatment. At 4 hours , patient assessment of response characterized by their change from baseline in symptom severity and collected by anatomic site of attack involvement, was recorded on a categorical scale (significant improvement \[100\] to significant worsening \[-100\]). The response at each anatomic site was weighted by baseline severity and then the weighted scores across all involved sites were averaged to calculate the TOS. Clinically meaningful improvement was indicated by a TOS of 30 or higher.

Outcome measures

Outcome measures
Measure
Ecallantide
n=51 Participants
Patients treated with ecallantide in the double-blind part.
Placebo
Patients treated with placebo in the double-blind part.
Treatment Outcome Score at 4 Hours Post-Dose Over Multiple Treatment Episodes
Episode 1 (n =18)
71.3 units on a scale
Standard Deviation 28.85
Treatment Outcome Score at 4 Hours Post-Dose Over Multiple Treatment Episodes
Episode 2 (n = 51)
73.3 units on a scale
Standard Deviation 44.9
Treatment Outcome Score at 4 Hours Post-Dose Over Multiple Treatment Episodes
Episode 3 (n = 30)
81.9 units on a scale
Standard Deviation 28.52
Treatment Outcome Score at 4 Hours Post-Dose Over Multiple Treatment Episodes
Episode 4 (n = 21)
81.2 units on a scale
Standard Deviation 24.53
Treatment Outcome Score at 4 Hours Post-Dose Over Multiple Treatment Episodes
Episode 5 (n = 11)
48.5 units on a scale
Standard Deviation 68.5
Treatment Outcome Score at 4 Hours Post-Dose Over Multiple Treatment Episodes
Episode 6 (n = 9)
60.4 units on a scale
Standard Deviation 49.26

OTHER_PRE_SPECIFIED outcome

Timeframe: baseline, 4 hours post-dose (REPEAT-DOSING PART)

Population: Treatment episode 1 contains data only from those participants who were new patients in the repeat-dosing part. Treatment episode 2 and beyond contain data pooled from patients treated in the double-blind part (ecallantide or placebo) and the repeat-dosing part. Data imputation was used to account for emerging symptoms and medical intervention.

The Mean Symptom Complex Severity (MSCS) score is a validated, comprehensive point-in-time measure of symptom severity. At baseline and 4 hours, patients rated the severity on a categorical scale (0 = normal, 1 = mild, 2 = moderate, 3 = severe) for symptoms at each affected anatomical location. Ratings were averaged to obtain the MSCS score. A decrease in MSCS score reflected an improvement in symptoms; clinically meaningful improvement was indicated by a reduction in the score of 0.30 or more.

Outcome measures

Outcome measures
Measure
Ecallantide
n=51 Participants
Patients treated with ecallantide in the double-blind part.
Placebo
Patients treated with placebo in the double-blind part.
Change From Baseline in Mean Symptom Complex Severity (MSCS) Score at 4 Hours Post-dose Over Multiple Treatment Episodes
Episode 1 (n = 17)
-1.16 units on a scale
Standard Deviation 0.87
Change From Baseline in Mean Symptom Complex Severity (MSCS) Score at 4 Hours Post-dose Over Multiple Treatment Episodes
Episode 2 (n = 51)
-1.12 units on a scale
Standard Deviation 0.90
Change From Baseline in Mean Symptom Complex Severity (MSCS) Score at 4 Hours Post-dose Over Multiple Treatment Episodes
Episode 3 (n = 30)
-1.31 units on a scale
Standard Deviation 0.87
Change From Baseline in Mean Symptom Complex Severity (MSCS) Score at 4 Hours Post-dose Over Multiple Treatment Episodes
Episode 4 (n = 21)
-1.38 units on a scale
Standard Deviation 0.79
Change From Baseline in Mean Symptom Complex Severity (MSCS) Score at 4 Hours Post-dose Over Multiple Treatment Episodes
Episode 5 (n = 11)
-0.89 units on a scale
Standard Deviation 0.72
Change From Baseline in Mean Symptom Complex Severity (MSCS) Score at 4 Hours Post-dose Over Multiple Treatment Episodes
Episode 6 (n = 9)
-0.87 units on a scale
Standard Deviation 0.75

OTHER_PRE_SPECIFIED outcome

Timeframe: 4 hours post-dose (REPEAT-DOSING PART)

Population: Patients not reporting significant improvement before 4 hours were censored at 4 hours. Patients receiving additional HAE therapy within 4 hours were censored at the time of the medical intervention. The time to significant improvement is not provided in this display as the interquartile range (IQR) was not reached by 4 hours for most episodes.

The overall response assessment is a patient-reported assessment of global response to therapy. Patients are asked to perform an overall response assessment at regular intervals, relative to baseline (ie,immediately before treatment) using the following 5-category scale from significant improvement (Score = 100)to significant worsening (Score = -100)

Outcome measures

Outcome measures
Measure
Ecallantide
n=51 Participants
Patients treated with ecallantide in the double-blind part.
Placebo
Patients treated with placebo in the double-blind part.
Time to Significant Improvement in Overall Response Over Multiple Treatment Episodes
Episode 1 (n=18)
10 participants
Time to Significant Improvement in Overall Response Over Multiple Treatment Episodes
Episode 2 (n=51)
37 participants
Time to Significant Improvement in Overall Response Over Multiple Treatment Episodes
Episode 3 (n=30)
24 participants
Time to Significant Improvement in Overall Response Over Multiple Treatment Episodes
Episode 4 (n=21)
14 participants
Time to Significant Improvement in Overall Response Over Multiple Treatment Episodes
Episode 5 (n=11)
6 participants
Time to Significant Improvement in Overall Response Over Multiple Treatment Episodes
Episode 6 (n=9)
5 participants

Adverse Events

Double Blind - Ecallantide

Serious events: 3 serious events
Other events: 13 other events
Deaths: 0 deaths

Double-Blind Placebo

Serious events: 2 serious events
Other events: 7 other events
Deaths: 0 deaths

Repeat-Dosing Ecallantide

Serious events: 7 serious events
Other events: 22 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Double Blind - Ecallantide
n=36 participants at risk
Patients treated with ecallantide in the double-blind part only.
Double-Blind Placebo
n=36 participants at risk
Patients treated with placebo in the double-blind part only.
Repeat-Dosing Ecallantide
n=67 participants at risk
All patients treated with ecallantide in the repeat-dosing part, regardless of whether they were treated previously in the double-blind part or not. All adverse events reported in all repeat-dosing episodes are included. Patients reporting more than 1 AE with the same preferred term are counted only once for that preferred term.
Respiratory, thoracic and mediastinal disorders
Pharyngeal Oedema
0.00%
0/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
0.00%
0/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
1.5%
1/67 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
Skin and subcutaneous tissue disorders
Rash Generalized
0.00%
0/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
0.00%
0/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
1.5%
1/67 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
Injury, poisoning and procedural complications
Skin Laceration
0.00%
0/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
0.00%
0/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
1.5%
1/67 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
Renal and urinary disorders
Urinary Incontinence
0.00%
0/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
0.00%
0/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
1.5%
1/67 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
Gastrointestinal disorders
Vomiting
0.00%
0/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
0.00%
0/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
1.5%
1/67 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
Immune system disorders
Anaphylactic Reaction
0.00%
0/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
0.00%
0/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
1.5%
1/67 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
Psychiatric disorders
Anxiety
0.00%
0/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
0.00%
0/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
1.5%
1/67 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
Gastrointestinal disorders
Colitis
0.00%
0/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
0.00%
0/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
1.5%
1/67 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
Injury, poisoning and procedural complications
Concussion
0.00%
0/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
0.00%
0/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
1.5%
1/67 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
Skin and subcutaneous tissue disorders
Contusion
0.00%
0/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
0.00%
0/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
1.5%
1/67 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
Gastrointestinal disorders
Diarrhoea
0.00%
0/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
0.00%
0/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
1.5%
1/67 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
Infections and infestations
Diarrhoea Infectious
0.00%
0/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
0.00%
0/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
1.5%
1/67 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
Respiratory, thoracic and mediastinal disorders
Dyspnea
0.00%
0/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
0.00%
0/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
1.5%
1/67 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
Gastrointestinal disorders
Hematochezia
0.00%
0/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
0.00%
0/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
1.5%
1/67 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
Congenital, familial and genetic disorders
Hereditary Angioedema
8.3%
3/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
5.6%
2/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
3.0%
2/67 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
Respiratory, thoracic and mediastinal disorders
Hypoxia
0.00%
0/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
0.00%
0/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
1.5%
1/67 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
Blood and lymphatic system disorders
Lymphoproliferative disorders
0.00%
0/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
0.00%
0/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
1.5%
1/67 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).

Other adverse events

Other adverse events
Measure
Double Blind - Ecallantide
n=36 participants at risk
Patients treated with ecallantide in the double-blind part only.
Double-Blind Placebo
n=36 participants at risk
Patients treated with placebo in the double-blind part only.
Repeat-Dosing Ecallantide
n=67 participants at risk
All patients treated with ecallantide in the repeat-dosing part, regardless of whether they were treated previously in the double-blind part or not. All adverse events reported in all repeat-dosing episodes are included. Patients reporting more than 1 AE with the same preferred term are counted only once for that preferred term.
Gastrointestinal disorders
Diarrhoea
8.3%
3/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
0.00%
0/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
4.5%
3/67 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
Nervous system disorders
Headache
11.1%
4/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
5.6%
2/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
14.9%
10/67 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
Congenital, familial and genetic disorders
Hereditary Angioedema
0.00%
0/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
5.6%
2/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
6.0%
4/67 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
Respiratory, thoracic and mediastinal disorders
Nasal Congestion
5.6%
2/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
0.00%
0/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
0.00%
0/67 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
Infections and infestations
Nasopharyngitis
5.6%
2/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
2.8%
1/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
6.0%
4/67 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
Gastrointestinal disorders
Nausea
2.8%
1/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
0.00%
0/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
9.0%
6/67 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
Investigations
Prothrombin Time Prolonged
0.00%
0/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
5.6%
2/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
1.5%
1/67 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
General disorders
Pyrexia
8.3%
3/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
0.00%
0/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
1.5%
1/67 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
Cardiac disorders
Tachycardia
5.6%
2/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
2.8%
1/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
0.00%
0/67 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
Respiratory, thoracic and mediastinal disorders
Upper Respiratory Tract Infection
0.00%
0/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
2.8%
1/36 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).
7.5%
5/67 • Adverse events were reported from enrollment (Study Day 1) through the conclusion of the Follow-up Visit 2 (Study Days 23-37) of each episode.
Additionally, AEs suspected to be related to study procedures were collected from the time of informed consent through enrollment and from Follow-up Visit 2 through Follow-up Visit 3 (Study Days 83-97).

Additional Information

Study Director

Shire

Phone: +1 866 842 5335

Results disclosure agreements

  • Principal investigator is a sponsor employee Dyax agreements vary, but Dyax will not prohibit any investigator from publishing. Dyax reviews publications prior to public release and can request deferral by up to 60 days beyond the proposed publication date if necessary to preserve its intellectual property. Dyax can request changes to publications to remove non-study-related confidential information. Dyax can also request deferral of single-center publications until after disclosure of the clinical trial's primary publication.
  • Publication restrictions are in place

Restriction type: OTHER