Trial Outcomes & Findings for A Double-Blind, Multiple Ascending Dose Study to Assess Safety, Tolerability and Pharmacokinetics of DX-2930 in Hereditary Angioedema Participants (NCT NCT02093923)

NCT ID: NCT02093923

Last Updated: 2021-05-27

Results Overview

A SAE was any adverse experience occurring at any dose that resulted in any of the following outcomes: Death, Life-threatening experience, required inpatient hospitalization or prolongation of existing hospitalization. Resulted in persistent or significant disability or incapacity. Was a congenital anomaly or birth defect. Was considered to be an important medical event. An AE was considered treatment-emergent if the onset time was after administration of study drug through the Day 120 post-dose final follow-up visit or, in the event that onset time preceded study drug administration, the AE increased in severity during the 120-day post-dose follow-up period.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

38 participants

Primary outcome timeframe

From Day 1 up to final follow-up (Day 123)

Results posted on

2021-05-27

Participant Flow

Participants were recruited in United States, Italy, and Jordan between 14 May 2014 (first participant first visit) and 18 May 2015 (last participant last visit).

A total of 38 participants were randomized and 37 participants were treated out of them 36 participants completed the study.

Participant milestones

Participant milestones
Measure
DX-2930, Cohort 1
Participants received 30 milligram (mg) dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 2
Participants received 100 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 3
Participants received 300 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 4
Participants received 400 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
Placebo
Participants received placebo matched to 30, 100, 300 and 400 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
Overall Study
STARTED
4
4
5
12
13
Overall Study
Total Treated
4
4
5
11
13
Overall Study
Treated - 1 Dose Only:
0
0
0
1
0
Overall Study
Treated - 2 Doses:
4
4
5
10
13
Overall Study
COMPLETED
4
4
5
10
13
Overall Study
NOT COMPLETED
0
0
0
2
0

Reasons for withdrawal

Reasons for withdrawal
Measure
DX-2930, Cohort 1
Participants received 30 milligram (mg) dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 2
Participants received 100 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 3
Participants received 300 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 4
Participants received 400 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
Placebo
Participants received placebo matched to 30, 100, 300 and 400 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
Overall Study
Lost to Follow-up
0
0
0
1
0
Overall Study
Screen failure after randomization
0
0
0
1
0

Baseline Characteristics

A Double-Blind, Multiple Ascending Dose Study to Assess Safety, Tolerability and Pharmacokinetics of DX-2930 in Hereditary Angioedema Participants

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
DX-2930, Cohort 1
n=4 Participants
Participants received 30 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 2
n=4 Participants
Participants received 100 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 3
n=5 Participants
Participants received 300 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 4
n=11 Participants
Participants received 400 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
Placebo
n=13 Participants
Participants received placebo matched to 30, 100, 300 and 400 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
Total
n=37 Participants
Total of all reporting groups
Age, Customized
<18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants
Age, Customized
Between 18 and 65 years
4 Participants
n=5 Participants
4 Participants
n=7 Participants
5 Participants
n=5 Participants
10 Participants
n=4 Participants
12 Participants
n=21 Participants
35 Participants
n=10 Participants
Age, Customized
>65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
1 Participants
n=21 Participants
2 Participants
n=10 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
3 Participants
n=7 Participants
1 Participants
n=5 Participants
9 Participants
n=4 Participants
7 Participants
n=21 Participants
23 Participants
n=10 Participants
Sex: Female, Male
Male
1 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
2 Participants
n=4 Participants
6 Participants
n=21 Participants
14 Participants
n=10 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
0 Participants
n=21 Participants
1 Participants
n=10 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
4 Participants
n=5 Participants
4 Participants
n=7 Participants
5 Participants
n=5 Participants
10 Participants
n=4 Participants
13 Participants
n=21 Participants
36 Participants
n=10 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants
Race (NIH/OMB)
White
4 Participants
n=5 Participants
4 Participants
n=7 Participants
5 Participants
n=5 Participants
11 Participants
n=4 Participants
13 Participants
n=21 Participants
37 Participants
n=10 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants

PRIMARY outcome

Timeframe: From Day 1 up to final follow-up (Day 123)

Population: Safety Population included all randomized participants who received at least 1 dose of study drug.

A SAE was any adverse experience occurring at any dose that resulted in any of the following outcomes: Death, Life-threatening experience, required inpatient hospitalization or prolongation of existing hospitalization. Resulted in persistent or significant disability or incapacity. Was a congenital anomaly or birth defect. Was considered to be an important medical event. An AE was considered treatment-emergent if the onset time was after administration of study drug through the Day 120 post-dose final follow-up visit or, in the event that onset time preceded study drug administration, the AE increased in severity during the 120-day post-dose follow-up period.

Outcome measures

Outcome measures
Measure
DX-2930, Cohort 1
n=4 Participants
Participants received 30 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 2
n=4 Participants
Participants received 100 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 3
n=5 Participants
Participants received 300 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 4
n=11 Participants
Participants received 400 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
Placebo
n=13 Participants
Participants received placebo matched to 30, 100, 300 and 400 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
Number of Participants With Serious Adverse Events (SAE) and Treatment-Emergent Adverse Events (TEAE)
Serious Adverse Events
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
Number of Participants With Serious Adverse Events (SAE) and Treatment-Emergent Adverse Events (TEAE)
Treatment Emergent Adverse Events
1 Participants
3 Participants
2 Participants
8 Participants
10 Participants

SECONDARY outcome

Timeframe: Days 1, 2, 4, 8, 15, 16, 18, 22, 29, 36, 50, 64, 92, and 120

Population: Pharmacokinectic (PK) population included all randomized HAE participants in the safety population who had sufficient blood samples to obtain a plasma concentration versus time profile.

Pharmacokinetic (PK) parameter Cmax data were reported.

Outcome measures

Outcome measures
Measure
DX-2930, Cohort 1
n=4 Participants
Participants received 30 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 2
n=4 Participants
Participants received 100 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 3
n=5 Participants
Participants received 300 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 4
n=9 Participants
Participants received 400 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
Placebo
Participants received placebo matched to 30, 100, 300 and 400 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
Maximum Plasma Concentration (Cmax)
3895.0 Nanogram per milliliter (ng/mL)
Standard Deviation 2159.76
7890.0 Nanogram per milliliter (ng/mL)
Standard Deviation 2058.43
27460.0 Nanogram per milliliter (ng/mL)
Standard Deviation 14542.46
45322.2 Nanogram per milliliter (ng/mL)
Standard Deviation 8704.56

SECONDARY outcome

Timeframe: Days 1, 2, 4, 8, 15, 16, 18, 22, 29, 36, 50, 64, 92, and 120

Population: Pharmacokinectic (PK) population included all randomized HAE participants in the safety population who had sufficient blood samples to obtain a plasma concentration versus time profile.

PK parameter Tmax data were reported.

Outcome measures

Outcome measures
Measure
DX-2930, Cohort 1
n=4 Participants
Participants received 30 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 2
n=4 Participants
Participants received 100 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 3
n=5 Participants
Participants received 300 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 4
n=9 Participants
Participants received 400 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
Placebo
Participants received placebo matched to 30, 100, 300 and 400 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
Time to Maximum Plasma Concentration (Tmax)
17.930 Days
Standard Deviation 1.1400
18.020 Days
Standard Deviation 0.4596
18.172 Days
Standard Deviation 1.4526
17.700 Days
Standard Deviation 0.9804

SECONDARY outcome

Timeframe: Days 1, 2, 4, 8, 15, 16, 18, 22, 29, 36, 50, 64, 92, and 120

Population: Pharmacokinectic (PK) population included all randomized HAE participants in the safety population who had sufficient blood samples to obtain a plasma concentration versus time profile.

PK paramenter AUC data were reported.

Outcome measures

Outcome measures
Measure
DX-2930, Cohort 1
n=4 Participants
Participants received 30 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 2
n=4 Participants
Participants received 100 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 3
n=5 Participants
Participants received 300 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 4
n=9 Participants
Participants received 400 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
Placebo
Participants received placebo matched to 30, 100, 300 and 400 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
Area Under the Plasma Concentration-Time Curve (AUC)
64100.0 day*nanogram per milliliter (day*ng/mL)
Standard Deviation 34731.16
135425.0 day*nanogram per milliliter (day*ng/mL)
Standard Deviation 48616.76
451800.0 day*nanogram per milliliter (day*ng/mL)
Standard Deviation 226801.01
762777.8 day*nanogram per milliliter (day*ng/mL)
Standard Deviation 166713.66

SECONDARY outcome

Timeframe: Days 1, 2, 4, 8, 15, 16, 18, 22, 29, 36, 50, 64, 92, and 120

Population: Pharmacokinectic (PK) population included all randomized HAE participants in the safety population who had sufficient blood samples to obtain a plasma concentration versus time profile.

PK parameter CL/F data were reported.

Outcome measures

Outcome measures
Measure
DX-2930, Cohort 1
n=4 Participants
Participants received 30 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 2
n=4 Participants
Participants received 100 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 3
n=5 Participants
Participants received 300 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 4
n=9 Participants
Participants received 400 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
Placebo
Participants received placebo matched to 30, 100, 300 and 400 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
Apparent Clearance (CL/F)
0.5720 Liter per day (L/day)
Standard Deviation 0.26829
0.8110 Liter per day (L/day)
Standard Deviation 0.28258
1.0036 Liter per day (L/day)
Standard Deviation 0.90870
0.5514 Liter per day (L/day)
Standard Deviation 0.14318

SECONDARY outcome

Timeframe: Days 1, 2, 4, 8, 15, 16, 18, 22, 29, 36, 50, 64, 92, and 120

Population: Pharmacokinectic (PK) population included all randomized HAE participants in the safety population who had sufficient blood samples to obtain a plasma concentration versus time profile.

PK parameter Vd/F data were reported.

Outcome measures

Outcome measures
Measure
DX-2930, Cohort 1
n=4 Participants
Participants received 30 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 2
n=4 Participants
Participants received 100 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 3
n=5 Participants
Participants received 300 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 4
n=9 Participants
Participants received 400 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
Placebo
Participants received placebo matched to 30, 100, 300 and 400 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
Apparent Volume of Distribution (Vd/F)
11.553 Liter (L)
Standard Deviation 4.9218
16.125 Liter (L)
Standard Deviation 2.6949
17.436 Liter (L)
Standard Deviation 10.5609
11.696 Liter (L)
Standard Deviation 2.7600

SECONDARY outcome

Timeframe: Days 1, 2, 4, 8, 15, 16, 18, 22, 29, 36, 50, 64, 92, and 120

Population: Pharmacokinectic (PK) population included all randomized HAE participants in the safety population who had sufficient blood samples to obtain a plasma concentration versus time profile.

PK parameter t(1/2) data were reported.

Outcome measures

Outcome measures
Measure
DX-2930, Cohort 1
n=4 Participants
Participants received 30 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 2
n=4 Participants
Participants received 100 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 3
n=5 Participants
Participants received 300 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 4
n=9 Participants
Participants received 400 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
Placebo
Participants received placebo matched to 30, 100, 300 and 400 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
Terminal Elimination Half-Life (t1/2)
14.225 Day
Standard Deviation 0.8261
14.625 Day
Standard Deviation 3.4082
13.802 Day
Standard Deviation 3.2535
14.967 Day
Standard Deviation 2.4377

OTHER_PRE_SPECIFIED outcome

Timeframe: Day 8 to Day 50

Population: All randomized participants in the 300 mg, 400 mg, and placebo groups who received at least 1 dose of study drug and who had a historical baseline attack rate of at least 2 attacks in the 3 months prior to enrollment.

Analysis of this outcome measure was based on participants in the 300 mg, 400 mg, and placebo dose groups with a historical baseline attack rate of at least 2 attacks over the last 3 months prior to enrollment. The result is based on General Estimating Equation (GEE) analysis of repeated counts per week during the pre-specified assessment period (Days 8 to 50; predicted to correspond to a period of notable drug exposure). Baseline HAE attack rate per week was a covariate, treatment group is a fixed effect, and participant was a random effect in the GEE model with independence working correlation structure.

Outcome measures

Outcome measures
Measure
DX-2930, Cohort 1
n=4 Participants
Participants received 30 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 2
n=11 Participants
Participants received 100 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 3
n=15 Participants
Participants received 300 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 4
n=11 Participants
Participants received 400 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
Placebo
Participants received placebo matched to 30, 100, 300 and 400 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
HAE Attack Rate Per Week From Day 8 to Day 50
Mean baseline HAE attack rate (attacks/week)
0.3269 HAE attacks per week
Standard Error 0.24627
0.5455 HAE attacks per week
Standard Error 0.17356
0.4872 HAE attacks per week
Standard Error 0.21100
0.3916 HAE attacks per week
Standard Error 0.17694
HAE Attack Rate Per Week From Day 8 to Day 50
Mean HAE attack rate, unadjusted (attacks/week)
0 HAE attacks per week
Standard Error NA
No attacks were reported for this arm/group.
0.0476 HAE attacks per week
Standard Error 0.15040
0.0345 HAE attacks per week
Standard Error 0.12894
0.3636 HAE attacks per week
Standard Error 0.36376
HAE Attack Rate Per Week From Day 8 to Day 50
Estimated mean rate based on GEE (attacks/week)
0 HAE attacks per week
Standard Error NA
No attacks were reported for this arm/group.
0.0454 HAE attacks per week
Standard Error 0.03319
0.0333 HAE attacks per week
Standard Error 0.02404
0.3712 HAE attacks per week
Standard Error 0.09596

OTHER_PRE_SPECIFIED outcome

Timeframe: Day 8 to Day 92

Population: All randomized participants in the 300 mg, 400 mg, and placebo groups who received at least 1 dose of study drug and who had a historical baseline attack rate of at least 2 attacks in the 3 months prior to enrollment.

This endpoint analysis was based on participants in the 300 mg, 400 mg, and placebo dose groups with a historical baseline attack rate of at least 2 attacks over the last 3 months prior to enrollment. The result is based on General Estimating Equation (GEE) analysis of repeated counts per week during the prespecified assessment period (Day 8 to Day 92 predicted to correspond to a period of notable drug exposure). Baseline HAE attack rate per week is a covariate, treatment group is a fixed effect, and participant is a random effect in the GEE model with independence working correlation structure.

Outcome measures

Outcome measures
Measure
DX-2930, Cohort 1
n=4 Participants
Participants received 30 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 2
n=11 Participants
Participants received 100 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 3
n=15 Participants
Participants received 300 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 4
n=11 Participants
Participants received 400 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
Placebo
Participants received placebo matched to 30, 100, 300 and 400 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
HAE Attacks Per Week From Day 8 to Day 92
Mean baseline HAE attack rate (attacks/week)
0.3269 HAE Attacks per Week
Standard Deviation 0.24627
0.5455 HAE Attacks per Week
Standard Deviation 0.17356
0.4872 HAE Attacks per Week
Standard Deviation 0.21100
0.3916 HAE Attacks per Week
Standard Deviation 0.17694
HAE Attacks Per Week From Day 8 to Day 92
Mean HAE attack rate, unadjusted (attacks/week)
0 HAE Attacks per Week
Standard Deviation NA
No attacks were reported for this arm/group.
0.0732 HAE Attacks per Week
Standard Deviation 0.12665
0.0526 HAE Attacks per Week
Standard Deviation 0.11206
0.3636 HAE Attacks per Week
Standard Deviation 0.36945
HAE Attacks Per Week From Day 8 to Day 92
Estimated mean rate based on GEE (attacks/week)
0 HAE Attacks per Week
Standard Deviation NA
No attacks were reported for this arm/group.
0.0603 HAE Attacks per Week
Standard Deviation 0.02438
0.0461 HAE Attacks per Week
Standard Deviation 0.01826
0.3787 HAE Attacks per Week
Standard Deviation 0.10957

OTHER_PRE_SPECIFIED outcome

Timeframe: Day 8 to Day 64

Population: All randomized participants in the 300 mg, 400 mg, and placebo groups who received at least 1 dose of study drug and who had a historical baseline attack rate of at least 2 attacks in the 3 months prior to enrollment.

This endpoint analysis was based on participants in the 300 mg, 400 mg, and placebo dose groups with a historical baseline attack rate of at least 2 attacks over the last 3 months prior to enrollment. The result is based on General Estimating Equation (GEE) analysis of repeated counts per week during the prespecified assessment period (Day 8 to Day 64 predicted to correspond to a period of notable drug exposure). Baseline HAE attack rate per week is a covariate, treatment group is a fixed effect, and participant is a random effect in the GEE model with independence working correlation structure.

Outcome measures

Outcome measures
Measure
DX-2930, Cohort 1
n=4 Participants
Participants received 30 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 2
n=11 Participants
Participants received 100 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 3
n=15 Participants
Participants received 300 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 4
n=11 Participants
Participants received 400 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
Placebo
Participants received placebo matched to 30, 100, 300 and 400 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
HAE Attacks Per Week From Day 8 to Day 64
Mean baseline HAE attack rate
0.3269 HAE Attacks per Week
Standard Deviation 0.24627
0.5455 HAE Attacks per Week
Standard Deviation 0.17356
0.4872 HAE Attacks per Week
Standard Deviation 0.21100
0.3916 HAE Attacks per Week
Standard Deviation 0.17694
HAE Attacks Per Week From Day 8 to Day 64
Mean HAE attack rate, unadjusted
0 HAE Attacks per Week
Standard Deviation NA
No attacks were reported for this arm/group.
0.0723 HAE Attacks per Week
Standard Deviation 0.13227
0.0522 HAE Attacks per Week
Standard Deviation 0.11651
0.3636 HAE Attacks per Week
Standard Deviation 0.33752
HAE Attacks Per Week From Day 8 to Day 64
Estimated mean rate based on GEE
0 HAE Attacks per Week
Standard Deviation NA
No attacks were reported for this arm/group.
0.0661 HAE Attacks per Week
Standard Deviation 0.02759
0.0490 HAE Attacks per Week
Standard Deviation 0.02002
0.3773 HAE Attacks per Week
Standard Deviation 0.09518

OTHER_PRE_SPECIFIED outcome

Timeframe: Day 1 to Day 50

Population: All randomized participants in the 300 mg, 400 mg, and placebo groups who received at least 1 dose of study drug and who had a historical baseline attack rate of at least 2 attacks in the 3 months prior to enrollment.

This endpoint analysis was based on participants in the 300 mg, 400 mg, and placebo dose groups with a historical baseline attack rate of at least 2 attacks over the last 3 months prior to enrollment. The result is based on General Estimating Equation (GEE) analysis of repeated counts per week during the prespecified assessment period (Day 1 to Day 50 predicted to correspond to a period of notable drug exposure). Baseline HAE attack rate per week is a covariate, treatment group is a fixed effect, and participant is a random effect in the GEE model with independence working correlation structure.

Outcome measures

Outcome measures
Measure
DX-2930, Cohort 1
n=4 Participants
Participants received 30 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 2
n=11 Participants
Participants received 100 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 3
n=15 Participants
Participants received 300 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 4
n=11 Participants
Participants received 400 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
Placebo
Participants received placebo matched to 30, 100, 300 and 400 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
HAE Attack Rate Per Week From Day 1 to Day 50
Mean baseline HAE attack rate (attacks/week)
0.3269 HAE attacks per week
Standard Deviation 0.24627
0.5455 HAE attacks per week
Standard Deviation 0.17356
0.4872 HAE attacks per week
Standard Deviation 0.21100
0.3916 HAE attacks per week
Standard Deviation 0.17694
HAE Attack Rate Per Week From Day 1 to Day 50
Mean HAE attack rate, unadjusted (attacks/week)
0 HAE attacks per week
Standard Deviation NA
No attacks were reported for this arm/group
0.0541 HAE attacks per week
Standard Deviation 0.17634
0.0392 HAE attacks per week
Standard Deviation 0.15105
0.3506 HAE attacks per week
Standard Deviation 0.32803
HAE Attack Rate Per Week From Day 1 to Day 50
Estimated mean rate based on GEE (attacks/week)
0 HAE attacks per week
Standard Deviation NA
No attacks were reported for this arm/group.
0.0525 HAE attacks per week
Standard Deviation 0.03998
0.0382 HAE attacks per week
Standard Deviation 0.02898
0.3588 HAE attacks per week
Standard Deviation 0.08864

Adverse Events

DX-2930, Cohort 1

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

DX-2930, Cohort 2

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

DX-2930, Cohort 3

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

DX-2930, Cohort 4

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Placebo

Serious events: 1 serious events
Other events: 10 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
DX-2930, Cohort 1
n=4 participants at risk
Participants received 30 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 2
n=4 participants at risk
Participants received 100 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 3
n=5 participants at risk
Participants received 300 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 4
n=11 participants at risk
Participants received 400 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
Placebo
n=13 participants at risk
Participants received placebo matched to 30, 100, 300 and 400 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
Infections and infestations
Pneumonia
0.00%
0/4 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
0.00%
0/4 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
0.00%
0/5 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
0.00%
0/11 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
7.7%
1/13 • Number of events 1 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.

Other adverse events

Other adverse events
Measure
DX-2930, Cohort 1
n=4 participants at risk
Participants received 30 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 2
n=4 participants at risk
Participants received 100 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 3
n=5 participants at risk
Participants received 300 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
DX-2930, Cohort 4
n=11 participants at risk
Participants received 400 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
Placebo
n=13 participants at risk
Participants received placebo matched to 30, 100, 300 and 400 mg dose of DX-2930 subcutaneous (SC) injection once and followed by the second dose after 2 week into the upper arm.
Congenital, familial and genetic disorders
Hereditary Angioedema
0.00%
0/4 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
75.0%
3/4 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
20.0%
1/5 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
45.5%
5/11 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
69.2%
9/13 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
Gastrointestinal disorders
Abdominal Pain
0.00%
0/4 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
0.00%
0/4 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
0.00%
0/5 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
9.1%
1/11 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
7.7%
1/13 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
Gastrointestinal disorders
Diarrhoea
0.00%
0/4 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
25.0%
1/4 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
20.0%
1/5 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
0.00%
0/11 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
0.00%
0/13 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
Gastrointestinal disorders
Nausea
0.00%
0/4 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
25.0%
1/4 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
20.0%
1/5 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
9.1%
1/11 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
0.00%
0/13 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
Gastrointestinal disorders
Vomiting
0.00%
0/4 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
0.00%
0/4 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
20.0%
1/5 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
9.1%
1/11 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
0.00%
0/13 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
General disorders
Fatigue
0.00%
0/4 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
25.0%
1/4 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
20.0%
1/5 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
0.00%
0/11 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
7.7%
1/13 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
General disorders
Injection Site Erythema
0.00%
0/4 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
0.00%
0/4 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
0.00%
0/5 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
9.1%
1/11 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
15.4%
2/13 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
General disorders
Injection Site Pain
25.0%
1/4 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
50.0%
2/4 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
0.00%
0/5 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
27.3%
3/11 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
23.1%
3/13 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
General disorders
Pyrexia
0.00%
0/4 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
0.00%
0/4 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
0.00%
0/5 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
18.2%
2/11 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
0.00%
0/13 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
Infections and infestations
Infleunza
0.00%
0/4 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
0.00%
0/4 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
20.0%
1/5 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
0.00%
0/11 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
7.7%
1/13 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
Infections and infestations
Nasopharyngitis
0.00%
0/4 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
25.0%
1/4 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
0.00%
0/5 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
0.00%
0/11 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
7.7%
1/13 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
Infections and infestations
Upper Respiratory Tract Infection
0.00%
0/4 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
0.00%
0/4 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
0.00%
0/5 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
9.1%
1/11 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
7.7%
1/13 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
Injury, poisoning and procedural complications
Contusion
0.00%
0/4 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
0.00%
0/4 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
0.00%
0/5 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
18.2%
2/11 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
0.00%
0/13 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
Investigations
Blood Glucose Increased
0.00%
0/4 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
25.0%
1/4 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
0.00%
0/5 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
0.00%
0/11 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
7.7%
1/13 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
Nervous system disorders
Dizziness
0.00%
0/4 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
0.00%
0/4 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
20.0%
1/5 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
0.00%
0/11 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
7.7%
1/13 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
Nervous system disorders
Headache
0.00%
0/4 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
50.0%
2/4 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
20.0%
1/5 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
9.1%
1/11 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.
23.1%
3/13 • From Day 1 up to final follow-up (Day 123)
A participant who experienced multiple events within a preferred term was counted once within that preferred term.

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