Evaluation of Ecallantide for the Acute Treatment of Angiotensin Converting Enzyme Inhibitor Induced Angioedema

NCT ID: NCT01036659

Last Updated: 2012-03-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-05-31

Study Completion Date

2013-12-31

Brief Summary

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The investigators will conduct a double-blind, randomized controlled trial comparing the safety and effectiveness of ecallantide to conventional therapy. A rescue cross-over design will be used such that patients failing to improve on standard therapy will additionally be treated with ecallantide. Therefore, a historical control cohort will be enrolled for analysis of secondary endpoints. In addition, since some patients treated with conventional therapy may improve rapidly and therefore not be eligible for inclusion in the study, the investigators will enroll these patients as an observational arm to enable the conduct of sensitivity analysis.

Detailed Description

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Conditions

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Angioedema

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Ecallantide in conjunction with Conventional Therapy

Group Type ACTIVE_COMPARATOR

ecallantide - Kallikrein inhibitor that blocks the production of bradykinin

Intervention Type DRUG

subcutaneous dose of 30mg of ecallantide or placebo (three 10 mg SC injections at three different sites ((arms, legs, abdomen). Injections are not to be administered at the attack location.

Conventional therapy and placebo

Group Type PLACEBO_COMPARATOR

ecallantide - Kallikrein inhibitor that blocks the production of bradykinin

Intervention Type DRUG

subcutaneous dose of 30mg of ecallantide or placebo (three 10 mg SC injections at three different sites ((arms, legs, abdomen). Injections are not to be administered at the attack location.

Historical Evaluation

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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ecallantide - Kallikrein inhibitor that blocks the production of bradykinin

subcutaneous dose of 30mg of ecallantide or placebo (three 10 mg SC injections at three different sites ((arms, legs, abdomen). Injections are not to be administered at the attack location.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Males and females of any race or ethnicity 18 or older. The locations of the study will permit all racial and ethnic distribution in the study
2. Must currently be on an ACE inhibitor
3. Presenting with ACE induced angioedema within 12 hours after onset. This is to be documented in the source document and CRF
4. All females of childbearing age must have a negative pregnancy test prior to administration of the study drug.

Exclusion Criteria

1. Participation in another investigational study within 30 days prior to enrollment
2. Patients who improve on conventional (standard of care) therapy
3. Patients previously treated with ecallantide
4. Hypersensitivity to ecallantide
5. Pregnancy or breast feeding
6. Other definable causes of angioedema (i.e., hereditary or acquired angioedema)
7. Patients receiving C-1 inhibitor as prophylaxis
8. Treatment requiring tranexamic acid, and epsilon-aminocaproic acid
9. Receiving fresh frozen plasma within 3 days prior to enrollment
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Dyax Corp.

INDUSTRY

Sponsor Role collaborator

Bernstein, Jonathan A., M.D.

INDIV

Sponsor Role lead

Responsible Party

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UC Physicians, Department of Internal Medicine Division of Immunology

Principal Investigators

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Jonathan A. Bernstein, M.D.

Role: PRINCIPAL_INVESTIGATOR

UC Physicians, Division of Immunology

Joseph Moellman, MD

Role: PRINCIPAL_INVESTIGATOR

UC Physicians, Department of Emergency Medicine

Locations

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The Jewish Hospital

Cincinnati, Ohio, United States

Site Status RECRUITING

Univeristy Hospital

Cincinnati, Ohio, United States

Site Status RECRUITING

UC Physicians, Dpt of Internal Medicine, Division of Immunology

Cincinnati, Ohio, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Jillian Picard, RN

Role: CONTACT

513-558-0924

Sarah J. Holmes, RN

Role: CONTACT

513-558-0924

Facility Contacts

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Jillian K Picard, RN, BSN

Role: primary

513-558-0924

Sarah J Holmes, RN, BSN

Role: backup

513-558-0924

Jillian K Picard, RN, BSN

Role: primary

513-558-0924

Sarah J Holmes, RN, BSN

Role: backup

513-558-0924

Jillian Picard, RN

Role: primary

513-558-0924

Sarah J. Holmes, RN

Role: backup

513-558-0924

References

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Bernstein JA, Moellman JJ, Collins SP, Hart KW, Lindsell CJ. Effectiveness of ecallantide in treating angiotensin-converting enzyme inhibitor-induced angioedema in the emergency department. Ann Allergy Asthma Immunol. 2015 Mar;114(3):245-9. doi: 10.1016/j.anai.2014.12.007. Epub 2015 Jan 16.

Reference Type DERIVED
PMID: 25601538 (View on PubMed)

Other Identifiers

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ACE Induced Angioedema

Identifier Type: -

Identifier Source: org_study_id

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