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ecallantide

Phase 3

Hereditary Angioedema (HAE) | 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
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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
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials3
Total Enrollment334
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00456508Safety and Efficacy Study of Repeated Doses of DX-88 (Ecallantide) to Treat Attacks of Hereditary Angioedema (HAE)PHASE3 COMPLETED 147Apr 1, 2007Sep 1, 2010Jun 8, 202141 United States, Canada +1
NCT00457015Efficacy Study of DX-88 (Ecallantide) to Treat Acute Attacks of Hereditary Angioedema (HAE)PHASE3 COMPLETED 96Apr 1, 2007Jun 1, 2008Jun 8, 202145 United States, Canada +1
NCT00262080Efficacy and Safety Study of DX-88 to Treat Acute Attacks of Hereditary Angioedema (HAE)PHASE3 COMPLETED 91Dec 31, 2005Feb 28, 2007Jun 11, 20211 United States
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Study Endpoints
Primary Endpoints
Change From Baseline in Mean Symptom Complex Severity (MSCS) Score at 4 Hrs Post Dosing
4 hrs post dose after every episode

Mean Symptom Complex Severity (MSCS) score is a validated point-in-time measure of symptom severity. At baseline and 4 hrs, patients rated the severity on a categorical scale (0=normal, 1=mild, 2=moderate, 3=severe) for symptoms at each affected anatomical location. Ratings were averaged to obtain the MSCS score. A decrease in MSCS score reflected an improvement in symptoms; clinically meaningful improvement was indicated by a reduction in the score of 0.30 or more.

Change From Baseline in Mean Symptom Complex Severity (MSCS) Score at 4 Hours Post-dose
baseline, 4 hours post-dose

The Mean Symptom Complex Severity (MSCS) score is a validated, comprehensive point-in-time measure of symptom severity. At baseline and 4 hours, patients rated the severity on a categorical scale (0 = normal, 1 = mild, 2 = moderate, 3 = severe) for symptoms at each affected anatomical location. Ratings were averaged to obtain the MSCS score. A decrease in MSCS score reflected an improvement in symptoms; clinically meaningful improvement was indicated by a reduction in the score of 0.30 or more.

Treatment Outcome Score at 4 Hours Post-Dose
4 hours post-dose (DOUBLE-BLIND PART)

Treatment Outcome Score (TOS) is a validated, comprehensive measure of symptom response to treatment. At 4 hours , patient assessment of response characterized by their change from baseline in symptom severity and collected by anatomic site of attack involvement, was recorded on a categorical scale (significant improvement \[100\] to significant worsening \[-100\]). The response at each anatomic site was weighted by baseline severity and then the weighted scores across all involved sites were averaged to calculate the TOS. Clinically meaningful improvement was indicated by a TOS of 30 or higher.

Secondary Endpoints
Treatment Outcome Score (TOS) at 4 Hrs Post Dosing, Based on the Patient Assessment of Baseline Severity of Symptoms
4 hrs post dose after every episode
Time to Significant Improvement
15 min - 4 hrs post dose after every episode
Treatment Outcome Score at 4 Hours Post-Dose
4 hours post-dose
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
DX-88 (ecallantide)EXPERIMENTALDX-88 (ecallantide) Patients were treated with DX-88 (ecallantide) when they experienced an HAE attack. 30 mg dose of ecallantide given via 3 SC injections; a second 30 mg dose can be administered if needed. Patients were to be assessed until 4 hrs post-dose. Patients were asked to return for 3 follow-up visits: 7 days, 28 days and 90 days post-dose.
PlaceboPLACEBO_COMPARATORPlacebo, Phosphate Buffer Saline (PBS), pH 7.0 given as 3 subcutaneous injections.
Interventions
NameTypeDescription
ecallantideDRUGsolution for SC injection, one 30 mg dose per HAE attack
Phosphate Buffer Saline (PBS), pH 7.0DRUGgiven as three 1mL subcutaneous injections.
Phosphate Buffer Saline (PBS),DRUGgiven as three 1mL subcutaneous injections.
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Eligibility Criteria
Age Range10 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites41

Inclusion Criteria: * 10 years of age or older * Documented diagnosis of HAE (Type I or II) * Willing and able to give informed consent * Acute HAE attack at time of presentation Exclusion Criteria: * Receipt of an investigational drug or device, within 30 days prior to study treatment, other tha...

Countries:United StatesCanadaJordan
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