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Icatibant

Phase 3

Hereditary Angioedema (HAE) | Small molecule | Other |Takeda Pharmaceutical Company Limited|Last Updated: Jun 8, 2021

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
UNCONTROLLEDBiomarker
Total Trials3
Total Enrollment52
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03888755A Study of Icatibant for Acute Attacks of Hereditary Angioedema in Japanese ParticipantsPHASE3 COMPLETED 8Mar 18, 2015Feb 12, 2016Jun 3, 20218 Japan
NCT01386658A Pharmacokinetic, Tolerability and Safety Study of Icatibant in Children and Adolescents With Hereditary AngioedemaPHASE3 COMPLETED 32Jan 27, 2012Mar 12, 2018Jun 8, 202126 United States, Australia +8
NCT02045264Open-label, Single-arm Study to Assess the Pharmacokinetics, Safety, and Tolerability of a Single Subcutaneous Dose of Icatibant in Healthy Japanese VolunteersPHASE1 COMPLETED 12Feb 21, 2014Feb 27, 2014Jun 3, 20211 United States
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Study Endpoints
Primary Endpoints
Time to Onset of Symptom Relief (TOSR)
Baseline up to 120 hours post-treatment

The TOSR was defined as a 50 percent (%) reduction from the pre-treatment score in the 3-symptom composite VAS score for non-laryngeal attacks and 5-symptom composite VAS score for laryngeal attacks. A VAS utilizes a scale consisting of a 100 millimeter (mm) horizontal line with extreme values at the beginning (0 mm = no symptom) and end (100 mm = worst possible symptom) of the line. The participant should draw a vertical line at the point along the scale that represents the current status of the measured symptom. Composite VAS scores were calculated as the average of VAS measurements for skin swelling, skin pain, and abdominal pain (3-symptom composite) for non-laryngeal attacks and for skin swelling, skin pain, abdominal pain, difficulty swallowing, and voice change (5-symptom composite) for laryngeal attacks.

Time to Peak Concentration (Tmax) of a Single Subcutaneous (SC) Dose of Icatibant
Pre-dose; 0.25, 0.5, 0.75, 1, 2, 4 and 6 hours post-dose on Day 1

Time to peak concentration (Tmax) of a single SC dose of icatibant was reported.

Maximum Plasma Concentration (Cmax) of a Single Subcutaneous (SC) Dose of Icatibant
Pre-dose; 0.25, 0.5, 0.75, 1, 2, 4 and 6 hours post-dose on Day 1

Maximum plasma concentration (Cmax) of a single SC dose of icatibant was reported.

Total Plasma Clearance (CL/F) of a Single Subcutaneous (SC) Dose of Icatibant
Pre-dose; 0.25, 0.5, 0.75, 1, 2, 4 and 6 hours post-dose on Day 1

Total plasma clearance (CL/F) of a single SC dose of icatibant was reported.

Area Under the Plasma Concentration-time Curve From Time Zero to 4 Hours Post-dose (AUC0-4) of a Single Subcutaneous (SC) Dose of Icatibant
Pre-dose; 0.25, 0.5, 0.75, 1, 2, and 4 hours post-dose on Day 1

Area under the plasma concentration-time curve from time zero to 4 hours post-dose (AUC0-4) of a single SC dose of icatibant was reported.

Area Under the Plasma Concentration-time Curve From Time Zero to 6 Hours Post-dose (AUC0-t) of a Single Subcutaneous (SC) Dose of Icatibant
Pre-dose; 0.25, 0.5, 0.75, 1, 2, 4 and 6 hours post-dose on Day 1

Area under the plasma concentration-time curve from time zero to 6 hours post-dose (AUC0-t) of a single SC dose of icatibant was reported.

Area Under the Plasma Concentration-time Curve From Time Zero to Infinity (AUC0-inf) of a Single Subcutaneous (SC) Dose of Icatibant
Pre-dose; 0.25, 0.5, 0.75, 1, 2, 4 and 6 hours post-dose on Day 1

Area under the plasma concentration-time curve from time zero to infinity (AUC0-inf) of a single SC dose of icatibant was reported.

Volume of Distribution (Vz/F) of a Single Subcutaneous (SC) Dose of Icatibant
Pre-dose; 0.25, 0.5, 0.75, 1, 2, 4 and 6 hours post-dose on Day 1

Volume of distribution (Vz/F) of a single SC dose of icatibant was reported.

Elimination Half-life (t1/2) of a Single Subcutaneous (SC) Dose of Icatibant
Pre-dose; 0.25, 0.5, 0.75, 1, 2, 4 and 6 hours post-dose on Day 1

Elimination half-life (t1/2) of a single SC dose of icatibant was reported.

Number of Participants With Clinically Significant Changes in Vital Signs
Pre-dose up to 97 days post-dose

Vital signs included pulse rate, blood pressure, respiration rate, and temperature. The number of participants who reported clinically significant changes in vital signs were reported.

Number of Participants With Clinically Significant Changes in Electrocardiograms (ECGs)
6 - 8 hours post-dose on Day 1

A standard 12-lead ECG was performed after 10 minutes at rest when the participant was seated or supine following treatment. The number of participants who reported clinically significant changes in ECGs were reported.

Number of Participants With Clinically Significant Changes in Clinical Laboratory Evaluations
Pre-dose up to 97 days post-dose

Clinical laboratory evaluations included clinical chemistry (including liver function tests), hematology, urinalysis. The number of participants who reported clinically significant changes in clinical laboratory evaluations were reported.

Number of Participants Who Reported Presence of Anti-icatibant Antibodies
Pre-dose up to 97 days post-dose

The number of participants who reported anti-icatibant antibodies were reported.

Number of Participants With Adverse Events (AEs)
From the start of study drug administration up to 97 days post-dose

An AE was any noxious, pathologic, or unintended change in anatomical, physiologic, or metabolic function as indicated by physical signs, symptoms, or laboratory changes occurring in a clinical study, whether or not considered investigational product related.

Number of Participants Who Reported Injection Site Reactions (ISR) for Icatibant Exposure Number 1
1 h post-dose on Day 1 up to 9 days post-dose

The number of participants with injection site reactions (erythema, swelling, burning sensation, itching/pruritus, warm sensation, cutaneous pain, or other) that occured after initial icatibant administration was reported.

Number of Participants Who Reported Injection Site Reactions (ISR) for Icatibant Exposure Number 2 and 3
1 h post-dose up to 9 days post-dose

The number of participants with injection site reactions (erythema, swelling, burning sensation, itching/pruritus, warm sensation, cutaneous pain, or other) that occurred after subsequent icatibant administration by study-site personnel (health care practitioner \[HCP\] administration) or by caregiver/self (caregiver administration) was reported. In the below table, E-2 refers to icatibant exposure 2 and E-3 refers to icatibant exposure 3.

Number of Participants With Clinically Significant Changes in Reproductive Hormones
Pre-dose up to 97 days post-dose

Reproductive hormone levels of follicle-stimulating hormone (FSH), luteinizing hormone (LH), estradiol, and progesterone in females, and FSH, LH, and testosterone in males were measured. The number of participants with clinically significant changes in reproductive hormones was reported.

Peak Plasma Concentration (Cmax) of Icatibant and Metabolites
Over 48 hours post-dose

Cmax is a term that refers to the maximum (or peak) concentration that a drug achieves in the body after the drug has been administrated.

Time to Peak Plasma Concentration (Tmax) of Icatibant and Metabolites
Over 48 hours post-dose

Tmax is the time after administration of a drug when the maximum plasma concentration in the body is reached.

Drug Concentration Half-Life (T1/2) of Icatibant and Metabolites
Over 48 hours post-dose

The time it takes for the blood plasma concentration of a substance to halve.

Area Under the Plasma Concentration-time Curve (AUC) From Time Zero to Infinity (AUCinf) of Icatibant and Metabolites
Over 48 hours post-dose

AUCinf is the area under the plasma concentration versus time curve extrapolated from time 0 to infinity, calculated using the observed value of the last non-zero concentration. AUC can be used as a measure of drug exposure. It is derived from drug concentration and time so it gives a measure how much and how long a drug stays in a body.

Total Body Clearance (CL/F) of Icatibant
Over 48 hours post-dose

The rate at which a drug is removed from the body.

Area Under the Plasma Concentration-Time Curve From Time Zero to the Time of the Last Quantifiable Concentration (AUC0-t) of Icatibant and Metabolites
Over 48 hours post-dose

AUC0-t is the area under the plasma concentration versus time curve extrapolated from time 0 to to the last quantifiable concentration. AUC can be used as a measure of drug exposure. It is derived from drug concentration and time so it gives a measure how much and how long a drug stays in a body.

Secondary Endpoints
Time to Onset of Primary Symptom Relief (TOSR-P)
Baseline up to 120 hours post-treatment
Change From Baseline in the Composite Visual Analog Scale (VAS) Score
Baseline, 2, 4 and 8 hours post-treatment
Composite Symptom Score (SS) Assessed by Investigator
8 hours post dose
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
IcatibantEXPERIMENTALParticipants with 1 acute non-laryngeal or laryngeal attack will receive a single icatibant 30 milligram (mg) subcutaneous (SC) injection in the abdominal area. A maximum of 3 SC injections (or 90 mg) of icatibant that are at least 6 hours apart can be given for treatment of an attack if, within 48 hours of the initial treatment, there is insufficient relief or worsening of symptoms.
Icatibant (30 mg)EXPERIMENTAL30mg dose of icatibant is administered as a single subcutaneous injection in the abdominal area
Interventions
NameTypeDescription
IcatibantDRUGParticipants will receive icatibant 30 mg SC injection in the abdominal area.
Icatibant (30 mg)DRUGOn Day 1, subjects will receive a single 30mg subcutaneous injection of icatibant in their abdominal area. Subjects will be discharged from the study on Day 3 after collection of study related assessments
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites8

Inclusion Criteria: 1. The participant is in Japan and is Japanese; defined as born in Japan and having Japanese parents and Japanese maternal and paternal grandparents. 2. The participant is male or female and greater than or equal to (\>=) 18 years of age at the time of informed consent. 3. The p...

Countries:JapanUnited StatesAustraliaAustriaCanadaColombiaGermanyHungaryIsraelItalySpain
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