Recent Updates
Recently added Catalysts

C1 esterase inhibitor

Phase 3

Hereditary Angioedema | Small molecule | Other |Takeda Pharmaceutical Company Limited|Last Updated: Jun 11, 2021

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
Premium
Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
Premium
Trial Design
RandomizedDouble-BlindCONTROLLEDDMCBiomarker
Total Trials5
Total Enrollment395
FDA Designations
No designations recorded
Clinical Trials (5)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00438815Open-Label C1 Esterase Inhibitor (C1INH-nf) for the Treatment of Acute Hereditary Angioedema (HAE) AttacksPHASE3 COMPLETED 113Sep 21, 2006Mar 31, 2009Jun 8, 202130 United States
NCT00462709Open-Label C1 Esterase Inhibitor (C1INH-nf) for the Prevention of Acute Hereditary Angioedema (HAE) AttacksPHASE3 COMPLETED 146Jun 27, 2006Mar 31, 2009Jun 8, 202148 United States
NCT00289211C1 Esterase Inhibitor (C1INH-nf) for the Treatment of Acute Hereditary Angioedema (HAE) AttacksPHASE3 COMPLETED 83Mar 14, 2005Apr 13, 2007Jun 11, 202137 United States
NCT01005888C1 Esterase Inhibitor (C1INH-nf) for the Prevention of Acute Hereditary Angioedema (HAE) AttacksPHASE3 COMPLETED 26Mar 14, 2005Aug 22, 2007Jun 11, 202116 United States
NCT00432510Pharmacokinetics of C1 Esterase Inhibitor in Hereditary Angioedema SubjectsPHASE1 COMPLETED 27Oct 9, 2006Feb 28, 2007Jun 3, 20216 United States
Unlock Drug Trial Details
Study Endpoints
Primary Endpoints
Number of Hereditary Angioedema (HAE) Attacks Treated With C1INH-nf
Duration of the study (2.5 years)
Percent of HAE Attacks With Substantial Relief of the Defining Symptom
Within 4 hours after initial treatment

Subjects were to assess their symptoms every 15 minutes up to 4 hours after the initial dose or until substantial relief of the defining symptom was achieved. The conservative analysis defined substantial relief as 3 consecutive assessments of improvement of the defining symptom; any attack that did not have 3 consecutive documented reports of improvement was considered a treatment failure. In the less conservative analysis, attacks also were considered to have responded if clinical improvement of the defining symptom occurred but data were incomplete due to cessation of symptom assessments.

Frequency of All HAE Attacks
Duration of the study

A hereditary angioedema (HAE) attack was defined as a discrete episode during which the subject progressed from no angioedema to symptoms of angioedema.

Time to Beginning of Substantial Relief of the Defining Symptom
Within 4 hours after initial treatment

Randomized subjects assessed their symptoms every 15 minutes up to 4 hours after the initial dose of blinded study drug or until substantial relief of the defining symptom was achieved. Substantial relief was defined as 3 consecutive assessments of improvement of the defining symptom. Beginning of substantial relief was considered the first of the 3 consecutive assessments.

Number of Hereditary Angioedema (HAE) Attacks During Each Prophylactic Therapy Period
12 weeks

An HAE attack was defined as the subject-reported indication of swelling at any location following a report of no swelling on the previous day. Analyses include observed attack counts and normalized attack counts (i.e., the number of attacks observed during each therapy period, normalized for the number of days the subject participated in that period).

PK will be analyzed by means of incremental recovery, in vivo half-life, area under the curve, clearance, and mean residence time.
1 week
C1 inhibitor (functional and antigenic) and C4 antigen serum levels will be measured at a United States Clinical Laboratory Improvement Amendments-certified laboratory and the research division of Sanquin Blood Supply Foundation.
1 week
Secondary Endpoints
Time to Beginning of Substantial Relief of the Defining Symptom
Within 4 hours after initial treatment
Time to Beginning of Substantial Relief of the Defining Symptom for Subjects Who Received Multiple Treatments
Within 4 hours after initial treatment
Antigenic C1 Inhibitor (C1INH) Serum Levels
Pre-infusion to 1 hour post-infusion
Unlock Study Endpoints
Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Open-label C1INH-nfEXPERIMENTAL1,000 Units (U) of C1INH-nf administered intravenously. If there was no response to treatment 60 minutes after the first dose, a second 1,000 U dose could be administered.
C1INH-nfEXPERIMENTAL1,000 Units (U) of C1INH-nf administered intravenously (IV). If there was no response to treatment 60 minutes after the first dose, a second 1,000 U dose could be administered.
PlaceboPLACEBO_COMPARATORMatching placebo (saline) administered IV. If there was no response to treatment 60 minutes after the first dose, a second placebo (saline) dose could be administered.
C1INH-nf First, then PlaceboEXPERIMENTAL1,000 Units (U) of C1INH-nf administered intravenously (IV) every 3 to 4 days (approximately twice weekly) for 12 weeks, followed by matching placebo (saline) administered IV every 3 to 4 days for 12 weeks.
Placebo First, then C1INH-nfEXPERIMENTALMatching placebo (saline) administered IV every 3 to 4 days (approximately twice weekly) for 12 weeks, followed by 1,000 U of C1INH-nf administered IV every 3 to 4 days for 12 weeks.
Single DoseEXPERIMENTAL1,000 Units (U) of C1INH-nf administered intravenously (IV).
First Dose Followed by Second DoseEXPERIMENTAL1,000 U of C1INH-nf administered IV, followed by a second 1,000 U dose 60 minutes later.
Interventions
NameTypeDescription
C1 esterase inhibitor [human] (C1INH-nf)BIOLOGICAL -
Placebo (saline)DRUG -
Unlock Study Design Details
Eligibility Criteria
Age Range1 Year — N/A
SexALL
Healthy VolunteersNo
Study Sites30

Inclusion Criteria: This study was open to all subjects who: * Completed participation in LEVP2005-1/A (NCT00289211) and were not participating in LEVP2005-1/B (NCT01005888), any time after the 3-day telephone follow-up * Completed participation in LEVP2005-1/B any time after the final prophylacti...

Countries:United States
Unlock Eligibility Criteria