Trial Outcomes & Findings for A Study to Evaluate the Safety and Pharmacology of Subcutaneous Administration of CINRYZE With Recombinant Human Hyaluronidase (NCT NCT01426763)

NCT ID: NCT01426763

Last Updated: 2021-07-19

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

12 participants

Primary outcome timeframe

18 days

Results posted on

2021-07-19

Participant Flow

Participant milestones

Participant milestones
Measure
Subcutaneous (SC) CINRYZE With Recombinant Human Hyaluronidase ph20 (rHuPH20) Dose Level 1
SC injection of 1000 Units of CINRYZE with \~20,000 Units of rHuPH20 twice weekly for two weeks
SC CINRYZE With rHuPH20 Dose Level 2
SC injection of 2000 Units of CINRYZE with \~40,000 Units of rHuPH20 twice weekly for two weeks
Overall Study
STARTED
6
6
Overall Study
COMPLETED
6
6
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Study to Evaluate the Safety and Pharmacology of Subcutaneous Administration of CINRYZE With Recombinant Human Hyaluronidase

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Subcutaneous (SC) CINRYZE With Recombinant Human Hyaluronidase ph20 (rHuPH20) Dose Level 1
n=6 Participants
SC injection of 1000 Units of CINRYZE with \~20,000 Units of rHuPH20 twice weekly for two weeks
SC CINRYZE With rHuPH20 Dose Level 2
n=6 Participants
SC injection of 2000 Units of CINRYZE with \~40,000 Units of rHuPH20 twice weekly for two weeks
Total
n=12 Participants
Total of all reporting groups
Age, Continuous
31.5 years
STANDARD_DEVIATION 7.79 • n=93 Participants
33.7 years
STANDARD_DEVIATION 10.27 • n=4 Participants
32.6 years
STANDARD_DEVIATION 8.76 • n=27 Participants
Sex: Female, Male
Female
3 Participants
n=93 Participants
4 Participants
n=4 Participants
7 Participants
n=27 Participants
Sex: Female, Male
Male
3 Participants
n=93 Participants
2 Participants
n=4 Participants
5 Participants
n=27 Participants

PRIMARY outcome

Timeframe: 18 days

Outcome measures

Outcome measures
Measure
Subcutaneous (SC) CINRYZE With Recombinant Human Hyaluronidase ph20 (rHuPH20) Dose Level 1
n=6 Participants
SC injection of 1000 Units of CINRYZE with \~20,000 Units of rHuPH20 twice weekly for two weeks
SC CINRYZE With rHuPH20 Dose Level 2
n=6 Participants
SC injection of 2000 Units of CINRYZE with \~40,000 Units of rHuPH20 twice weekly for two weeks
Incidence and Severity of Adverse Events, Number of Participants With Local Injection Site Reactions, and Number of Participants Who Discontinue Study Drug or Withdraw From the Study
Number of participants with adverse events
6 participants
5 participants
Incidence and Severity of Adverse Events, Number of Participants With Local Injection Site Reactions, and Number of Participants Who Discontinue Study Drug or Withdraw From the Study
Number of participants with injection site reactions
6 participants
5 participants
Incidence and Severity of Adverse Events, Number of Participants With Local Injection Site Reactions, and Number of Participants Who Discontinue Study Drug or Withdraw From the Study
Number of participants who discontinued study drug
0 participants
0 participants
Incidence and Severity of Adverse Events, Number of Participants With Local Injection Site Reactions, and Number of Participants Who Discontinue Study Drug or Withdraw From the Study
Number of participants who withdrew from the study
0 participants
0 participants

SECONDARY outcome

Timeframe: 18 days

Population: Intent to Treat

Mean Change in Baseline in Observed Plasma Concentration of C1 Inhibitor (C1INH) Antigen. Baseline-corrected concentrations were derived by subtracting the observed pre-dose concentrations on Day 1 of each treatment period from each observed concentration.

Outcome measures

Outcome measures
Measure
Subcutaneous (SC) CINRYZE With Recombinant Human Hyaluronidase ph20 (rHuPH20) Dose Level 1
n=6 Participants
SC injection of 1000 Units of CINRYZE with \~20,000 Units of rHuPH20 twice weekly for two weeks
SC CINRYZE With rHuPH20 Dose Level 2
n=6 Participants
SC injection of 2000 Units of CINRYZE with \~40,000 Units of rHuPH20 twice weekly for two weeks
Mean Change C1 Inhibitor (C1INH)
3 h post Dose 4
0.0238 g/L
Standard Deviation 0.012
0.0333 g/L
Standard Deviation 0.0163
Mean Change C1 Inhibitor (C1INH)
4 h post Dose 4
0.0257 g/L
Standard Deviation 0.0142
0.037 g/L
Standard Deviation 0.0215
Mean Change C1 Inhibitor (C1INH)
6 h post Dose 4
0.0298 g/L
Standard Deviation 0.0124
0.039 g/L
Standard Deviation 0.025
Mean Change C1 Inhibitor (C1INH)
8 h post Dose 4
0.0354 g/L
Standard Deviation 0.0118
0.0397 g/L
Standard Deviation 0.0157
Mean Change C1 Inhibitor (C1INH)
24 h post Dose 4
0.0347 g/L
Standard Deviation 0.018
0.0623 g/L
Standard Deviation 0.0207
Mean Change C1 Inhibitor (C1INH)
48 h post Dose 4
0.0273 g/L
Standard Deviation 0.0171
0.0562 g/L
Standard Deviation 0.00906
Mean Change C1 Inhibitor (C1INH)
72 h post Dose 4
0.0167 g/L
Standard Deviation 0.0185
0.046 g/L
Standard Deviation 0.0106
Mean Change C1 Inhibitor (C1INH)
120 h post Dose 4
0.0165 g/L
Standard Deviation 0.0214
0.0157 g/L
Standard Deviation 0.00797
Mean Change C1 Inhibitor (C1INH)
168 h post Dose 4
0.00933 g/L
Standard Deviation 0.0201
0.0382 g/L
Standard Deviation 0.0935
Mean Change C1 Inhibitor (C1INH)
0 Hour (h)
0.0248 g/L
Standard Deviation 0.0565
0.00483 g/L
Standard Deviation 0.00904
Mean Change C1 Inhibitor (C1INH)
1 hour (h) post Dose 1
0.0273 g/L
Standard Deviation 0.065
0.00383 g/L
Standard Deviation 0.00417
Mean Change C1 Inhibitor (C1INH)
2 h post Dose 1
0.0302 g/L
Standard Deviation 0.0637
0.008 g/L
Standard Deviation 0.0123
Mean Change C1 Inhibitor (C1INH)
3 h post Dose 1
0.0275 g/L
Standard Deviation 0.0602
0.0095 g/L
Standard Deviation 0.00729
Mean Change C1 Inhibitor (C1INH)
4 h post Dose 1
0.0382 g/L
Standard Deviation 0.0652
0.011 g/L
Standard Deviation 0.00537
Mean Change C1 Inhibitor (C1INH)
6 h post Dose 1
0.0398 g/L
Standard Deviation 0.0599
0.020 g/L
Standard Deviation 0.00678
Mean Change C1 Inhibitor (C1INH)
8 h post Dose 1
0.0455 g/L
Standard Deviation 0.0624
0.031 g/L
Standard Deviation 0.0154
Mean Change C1 Inhibitor (C1INH)
24 h post Dose 1
0.0625 g/L
Standard Deviation 0.0728
0.0612 g/L
Standard Deviation 0.0212
Mean Change C1 Inhibitor (C1INH)
48 h post Dose 1
0.0665 g/L
Standard Deviation 0.0749
0.0603 g/L
Standard Deviation 0.0213
Mean Change C1 Inhibitor (C1INH)
Pre-Dose 2
0.0243 g/L
Standard Deviation 0.0234
0.0507 g/L
Standard Deviation 0.0168
Mean Change C1 Inhibitor (C1INH)
1 h post Dose 2
0.0387 g/L
Standard Deviation 0.0749
0.00833 g/L
Standard Deviation 0.00852
Mean Change C1 Inhibitor (C1INH)
120 h post Dose 1
0.020 g/L
Standard Deviation 0.00883
0.0388 g/L
Standard Deviation 0.0132
Mean Change C1 Inhibitor (C1INH)
Pre-Dose 3
0.0288 g/L
Standard Deviation 0.0644
0.00833 g/L
Standard Deviation 0.0095
Mean Change C1 Inhibitor (C1INH)
1 h post Dose 3
0.00217 g/L
Standard Deviation 0.00271
0.004 g/L
Standard Deviation 0.00405
Mean Change C1 Inhibitor (C1INH)
Pre-Dose 4
0.006 g/L
Standard Deviation 0.0119
0.0128 g/L
Standard Deviation 0.00854
Mean Change C1 Inhibitor (C1INH)
1 h post Dose 4
0.0193 g/L
Standard Deviation 0.012
0.033 g/L
Standard Deviation 0.0196
Mean Change C1 Inhibitor (C1INH)
2 h post Dose 4
0.0233 g/L
Standard Deviation 0.0126
0.0377 g/L
Standard Deviation 0.021

SECONDARY outcome

Timeframe: 18 days

Population: Intent to Treat

Mean Change in Baseline in Observed Plasma Concentration of C4 Compliment. Baseline-corrected concentrations were derived by subtracting the observed pre-dose concentrations on Day 1 of each treatment period from each observed concentration.

Outcome measures

Outcome measures
Measure
Subcutaneous (SC) CINRYZE With Recombinant Human Hyaluronidase ph20 (rHuPH20) Dose Level 1
n=6 Participants
SC injection of 1000 Units of CINRYZE with \~20,000 Units of rHuPH20 twice weekly for two weeks
SC CINRYZE With rHuPH20 Dose Level 2
n=6 Participants
SC injection of 2000 Units of CINRYZE with \~40,000 Units of rHuPH20 twice weekly for two weeks
Mean Change C4 Compliment
1 hour (h) post Dose 1
11.0 mg/L
Standard Deviation 14.3
10.3 mg/L
Standard Deviation 21.4
Mean Change C4 Compliment
2 h post Dose 1
11.3 mg/L
Standard Deviation 13.8
11.0 mg/L
Standard Deviation 18.7
Mean Change C4 Compliment
3 h post Dose 1
10.2 mg/L
Standard Deviation 11.7
11.5 mg/L
Standard Deviation 17.6
Mean Change C4 Compliment
0 Hour (h)
9.00 mg/L
Standard Deviation 15.4
13.3 mg/L
Standard Deviation 14.4
Mean Change C4 Compliment
4 h post Dose 1
11.5 mg/L
Standard Deviation 13.6
13.2 mg/L
Standard Deviation 16.8
Mean Change C4 Compliment
6 h post Dose 1
15.7 mg/L
Standard Deviation 14.2
14.0 mg/L
Standard Deviation 18.1
Mean Change C4 Compliment
8 h post Dose 1
16.3 mg/L
Standard Deviation 16.6
22.5 mg/L
Standard Deviation 29.1
Mean Change C4 Compliment
24 h post Dose 1
25.0 mg/L
Standard Deviation 15.6
30.5 mg/L
Standard Deviation 19.5
Mean Change C4 Compliment
48 h post Dose 1
37.4 mg/L
Standard Deviation 23.1
49.8 mg/L
Standard Deviation 24.3
Mean Change C4 Compliment
Pre-Dose 2
24.3 mg/L
Standard Deviation 14.5
53.3 mg/L
Standard Deviation 23.2
Mean Change C4 Compliment
1 h post Dose 2
37.5 mg/L
Standard Deviation 21.6
53.2 mg/L
Standard Deviation 22.6
Mean Change C4 Compliment
120 h post Dose 1
35.6 mg/L
Standard Deviation 22.6
70.8 mg/L
Standard Deviation 28.4
Mean Change C4 Compliment
Pre-Dose 3
29.0 mg/L
Standard Deviation 19.1
66.3 mg/L
Standard Deviation 47.0
Mean Change C4 Compliment
1 h post Dose 3
32.5 mg/L
Standard Deviation 18.7
69.3 mg/L
Standard Deviation 50.5
Mean Change C4 Compliment
Pre-Dose 4
32.0 mg/L
Standard Deviation 18.4
62.5 mg/L
Standard Deviation 54.2
Mean Change C4 Compliment
1 h post Dose 4
30.2 mg/L
Standard Deviation 18.8
57.3 mg/L
Standard Deviation 53.7
Mean Change C4 Compliment
2 h post Dose 4
33.3 mg/L
Standard Deviation 24.5
59.7 mg/L
Standard Deviation 52.5
Mean Change C4 Compliment
3 h post Dose 4
34.3 mg/L
Standard Deviation 17.9
53.3 mg/L
Standard Deviation 46.2
Mean Change C4 Compliment
4 h post Dose 4
34.8 mg/L
Standard Deviation 22.9
63.3 mg/L
Standard Deviation 56.5
Mean Change C4 Compliment
6 h post Dose 4
36.3 mg/L
Standard Deviation 21.6
59.7 mg/L
Standard Deviation 46.4
Mean Change C4 Compliment
8 h post Dose 4
33.6 mg/L
Standard Deviation 20.3
56.5 mg/L
Standard Deviation 48.4
Mean Change C4 Compliment
24 h post Dose 4
37.8 mg/L
Standard Deviation 23.0
64.7 mg/L
Standard Deviation 52.4
Mean Change C4 Compliment
48 h post Dose 4
33.0 mg/L
Standard Deviation 22.4
65.7 mg/L
Standard Deviation 47.0
Mean Change C4 Compliment
72 h post Dose 4
23.3 mg/L
Standard Deviation 20.6
72.2 mg/L
Standard Deviation 57.5
Mean Change C4 Compliment
120 h post Dose 4
16.8 mg/L
Standard Deviation 15.5
58.7 mg/L
Standard Deviation 46.4
Mean Change C4 Compliment
168 h post Dose 4
19.0 mg/L
Standard Deviation 18.4
44.8 mg/L
Standard Deviation 46.0

SECONDARY outcome

Timeframe: Day 1 (pre-dose), Day 18 (168 h post Dose 4), and 30 (±2) days after the last dose of study drug (Dose 4)

Outcome measures

Outcome measures
Measure
Subcutaneous (SC) CINRYZE With Recombinant Human Hyaluronidase ph20 (rHuPH20) Dose Level 1
n=6 Participants
SC injection of 1000 Units of CINRYZE with \~20,000 Units of rHuPH20 twice weekly for two weeks
SC CINRYZE With rHuPH20 Dose Level 2
n=6 Participants
SC injection of 2000 Units of CINRYZE with \~40,000 Units of rHuPH20 twice weekly for two weeks
Number of Subjects With C1 INH Antibodies
Day 1 (pre-dose)
0 Participants
0 Participants
Number of Subjects With C1 INH Antibodies
Day 18 (168 h post Dose 4)
0 Participants
0 Participants
Number of Subjects With C1 INH Antibodies
30 (±2) days after the last dose of study drug (Dose 4)
0 Participants
0 Participants

Adverse Events

Subcutaneous (SC) CINRYZE With Recombinant Human Hyaluronidase ph20 (rHuPH20) Dose Level 1

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

SC CINRYZE With rHuPH20 Dose Level 2

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Subcutaneous (SC) CINRYZE With Recombinant Human Hyaluronidase ph20 (rHuPH20) Dose Level 1
n=6 participants at risk
SC injection of 1000 Units of CINRYZE with \~20,000 Units of rHuPH20 twice weekly for two weeks
SC CINRYZE With rHuPH20 Dose Level 2
n=6 participants at risk
SC injection of 2000 Units of CINRYZE with \~40,000 Units of rHuPH20 twice weekly for two weeks
General disorders
Injection site erythema
83.3%
5/6
83.3%
5/6
General disorders
Injection site hemorrhage
16.7%
1/6
0.00%
0/6
General disorders
Injection site induration
0.00%
0/6
16.7%
1/6
General disorders
Injection site edema
16.7%
1/6
0.00%
0/6
General disorders
Injection site pain
66.7%
4/6
16.7%
1/6
General disorders
Injection site pruritus
16.7%
1/6
0.00%
0/6
General disorders
Injection site swelling
33.3%
2/6
0.00%
0/6
Infections and infestations
Upper respiratory tract infection
16.7%
1/6
0.00%
0/6
Infections and infestations
Urinary tract infection
0.00%
0/6
16.7%
1/6
Musculoskeletal and connective tissue disorders
Pain in extremity
0.00%
0/6
16.7%
1/6
Nervous system disorders
Headache
0.00%
0/6
16.7%
1/6

Additional Information

Study Director

Shire

Phone: +1 866 842 5335

Results disclosure agreements

  • Principal investigator is a sponsor employee Clinical Study Agreement. Most restrictive provision - PI will not publish results until after first of: multicenter publication is published or 24 months from study end. Thereafter, PI may publish his results. PI must provide copy of proposed publication to Sponsor for pre-review. If Sponsor requests, PI must delete Sponsor confidential information before publication and/or delay publication for 60 days so Sponsor can file for patents or take other action to protect its patent rights.
  • Publication restrictions are in place

Restriction type: OTHER