A Study of Icatibant in Patients With Acute Attacks of Hereditary Angioedema (FAST-3)

Last updated: June 3, 2021
Sponsor: Shire
Overall Status: Completed

Phase

3

Condition

Allergy

Hives (Urticaria)

Allergies & Asthma

Treatment

N/A

Clinical Study ID

NCT00912093
HGT-FIR-054
2009-015606-19
  • Ages > 18
  • All Genders

Study Summary

This study is being conducted to evaluate the efficacy and safety of icatibant compared to placebo in patients experiencing acute attacks of hereditary angioedema (HAE).

Eligibility Criteria

Inclusion

Inclusion Criteria: Each patient must meet the following criteria to be enrolled in this study.

  1. The patient is ≥18 years old at the time of informed consent.
  2. The patient has a documented diagnosis of HAE type I or II. The diagnosis will beconfirmed either by documented decreased C4 levels and/or immunogenic or functionalC1-INH deficiency results (<50% of normal levels) consistent with HAE types I and IIor by medical history.
  3. The current HAE attack must be in the cutaneous, abdominal and/or laryngeal (inclusiveof laryngeal and pharyngeal) areas.
  4. Cutaneous or abdominal HAE attacks must be moderate to very severe as determined byinvestigator global assessment at pre-treatment assessments
  5. The patient must report at least 1 VAS score ≥ 30mm
  6. The patient commences treatment within 6 hours of the attack becoming at least mild (laryngeal) or moderate (non-laryngeal) in severity, but not more than 12 hours afterthe onset of the attack.
  7. Women of childbearing potential must have a negative urine pregnancy test and must useappropriate methods to prevent pregnancy during their participation in the study.

Exclusion

Exclusion Criteria: Patients who meet any of the following criteria will be excluded from the study.

  1. The patient has a diagnosis of angioedema other than HAE type I or II.
  2. The patient has received previous treatment with icatibant.
  3. The patient has participated in a clinical trial and has received treatment withanother investigational medicinal product within the past 30 days.
  4. The patient has received treatment with any pain medication since the onset of thecurrent angioedema attack.
  5. The patient has received replacement therapy (fresh frozen plasma [FFP], C1-INHproducts) less than 5 days (120 hours) from the onset of the current angioedemaattack.
  6. The patient is receiving treatment with angiotensin converting enzyme (ACE)inhibitors.
  7. Evidence of coronary artery disease based on medical history or screening examinationin particular unstable angina pectoris or severe coronary heart disease;
  8. The patient has a serious concomitant illness or condition that, in the opinion of theInvestigator, would be a contraindication for participation in the trial.
  9. The patient is pregnant or breastfeeding.

Study Design

Total Participants: 98
Study Start date:
July 16, 2009
Estimated Completion Date:
October 01, 2010

Study Description

This Phase III study consisted of two parts: A controlled phase and an open label extension (OLE) phase.

The controlled phase describes the double blind part of the study and was intended to evaluate the efficacy and safety of icatibant compared with placebo for the first treated cutaneous and/or abdominal attack.

Patients with moderate to severe abdominal or cutaneous attacks were randomized to receive a single, blinded, subcutaneous injection of icatibant (30 mg) or placebo. After a protocol amendment, patients with mild to moderate laryngeal HAE attacks were also randomized to receive a single, blinded subcutaneous injection of icatibant (30 mg) or placebo in order to obtain blinded, controlled efficacy and safety data for this subset of subjects. Patients experiencing severe laryngeal attacks (post-amendment) or mild to severe laryngeal attacks (pre-amendment) were to receive open-label icatibant.

After treatment of the first attack in the controlled phase, patients were eligible to enter the OLE phase. In the OLE phase, patients who experienced angioedema attacks severe enough to warrant treatment were to be treated with s.c. icatibant as appropriate until the study was discontinued or the product was commercially available.

Connect with a study center

  • Canberra Hospital Department of Immunology

    Garran, Australian Capital Territory
    Australia

    Site Not Available

  • Canberra Hospital Department of Immunology

    Woden, Australian Capital Territory
    Australia

    Site Not Available

  • Dept of Medicine Immunology & Allergy Campbelltown Hospital

    Campbelltown, New South Wales 2560
    Australia

    Site Not Available

  • Royal Melbourne Hospital Department of Immunology

    Parkville, Victoria 3050
    Australia

    Site Not Available

  • Royal Adelaide Hospital

    Adelaide,
    Australia

    Site Not Available

  • NACTRC

    Edmonton, Alberta T6G 2H7
    Canada

    Site Not Available

  • Allergy & Asthma Research Centre

    Ottawa, Ontario K1Y 4G2
    Canada

    Site Not Available

  • Allergy & Asthma Research Centre

    Ottowa, Ontario K1Y 4G2
    Canada

    Site Not Available

  • Centre de recherché Appliquée en allergie de Québec

    Quebec City, Quebec G1V 5M6
    Canada

    Site Not Available

  • 3rd Department of Internal Medicine Semmelweis University

    Budapest, 1125
    Hungary

    Site Not Available

  • Bnai-Zion Medical Center Division of Immunology & Allergy

    Haifa, 31048
    Israel

    Site Not Available

  • Tel Aviv Medical Center

    Tel Aviv, 64239
    Israel

    Site Not Available

  • The Chaim Sheba Medical Center

    Tel Hashomer, 52621
    Israel

    Site Not Available

  • Spitalul Clinic Judetean Mures Sectia Medicina Interna

    Tirgu Mures, Tigru-Mures 540103
    Romania

    Site Not Available

  • Spitalul Clinic Judetean Mures Sectia Medicina Interna

    Targu Mures, Transylvania 540103
    Romania

    Site Not Available

  • Autonomous Non Commercial Organization

    St Petersburg, Saint Petersburg 198216
    Russian Federation

    Site Not Available

  • Medical Academy of Postgraduate Education

    St Petersburg, Saint Petersburg 194291
    Russian Federation

    Site Not Available

  • State Educational Institution of Additional Profess. Edu. Moscow

    Moscow, 123182
    Russian Federation

    Site Not Available

  • State Enterprise State Scientific Centre

    Moscow, 115478
    Russian Federation

    Site Not Available

  • State Healthcare Institution of City of Moscow

    Moscow, 115446
    Russian Federation

    Site Not Available

  • Municipal Medical & Preventive Treatment Institution

    Smolensk, 214001
    Russian Federation

    Site Not Available

  • Regional Clinical Center of Specialized Medical Treatment

    Vladivostok, 690091
    Russian Federation

    Site Not Available

  • Allergy Diagnostic and Clinical Research Unit (ADCRU)

    Cape Town, Mowbray 7700
    South Africa

    Site Not Available

  • Ivano-Frankivsk national Medical University

    Ivano-Frankivsk, 76018
    Ukraine

    Site Not Available

  • Institute of Otolaryngology

    Kyiv, 03680
    Ukraine

    Site Not Available

  • National Medical Academy for Postgraduate Education

    Kyiv, 01133
    Ukraine

    Site Not Available

  • Ukranian Medical Stomatological Academy Dept of Int Diseases

    Poltava, 36039
    Ukraine

    Site Not Available

  • Vinnitsa Medical Academy Chair of Internal Disease

    Vinnitsa, 21029
    Ukraine

    Site Not Available

  • Primary Care Associates of Alabaster

    Alabaster, Alabama 35007
    United States

    Site Not Available

  • UAB Lung Health Center

    Birmingham, Alabama 35294
    United States

    Site Not Available

  • Medical Research of AZ A Division of Allergy & Immunology Assoc

    Scottsdale, Arizona 85251
    United States

    Site Not Available

  • Little Rock Allergy & Asthma Clinic, PA

    Little Rock, Arkansas 72205
    United States

    Site Not Available

  • Allergy and Asthma Insititute of the Valley

    Granada Hills, California 91344
    United States

    Site Not Available

  • University of California San Diego

    La Jolla, California 92093
    United States

    Site Not Available

  • UCLA - Clinical Immunology & Allergy

    Los Angeles, California 90095
    United States

    Site Not Available

  • Speciality Medical Clinic & Research Center

    Stanford, California 27330
    United States

    Site Not Available

  • Standford University

    Stanford, California 94305
    United States

    Site Not Available

  • Asthma & Allergy Associates, PC

    Colorado Springs, Colorado 80907
    United States

    Site Not Available

  • Medical Associates of Brevard

    Melbourne, Florida 32935
    United States

    Site Not Available

  • University of South Florida Division of Allergy and Immunology

    Tampa, Florida 33613
    United States

    Site Not Available

  • Family Allergy and Asthma Center, PC

    Atlanta, Georgia 30342
    United States

    Site Not Available

  • Rush University Medical Center

    Chicago, Illinois 60612
    United States

    Site Not Available

  • Research Institute of Deaconess Clinic

    Evansville, Indiana 47713
    United States

    Site Not Available

  • University of Iowa Asthma Center/ Hospitals & Clinics

    Iowa City, Iowa 52242
    United States

    Site Not Available

  • LSUHSC Allergy & Immunology

    Shreveport, Louisiana 71130
    United States

    Site Not Available

  • Institute for Asthman & Allergy, P.C.

    Chevy Chase, Maryland 20815-6901
    United States

    Site Not Available

  • Massachusetts General Hospital

    Boston, Massachusetts 02114
    United States

    Site Not Available

  • The Asthma Center

    Saint Louis, Missouri 63141
    United States

    Site Not Available

  • The Asthma Center

    St. Louis, Missouri 63141
    United States

    Site Not Available

  • University of Reno Nevada School of Medicine

    Reno, Nevada 89503
    United States

    Site Not Available

  • STARx Research Center, LLC

    Edison, New Jersey 08820
    United States

    Site Not Available

  • Montefiore Medical Center/Albert Einstein College of Medicine

    Bronx, New York 10461
    United States

    Site Not Available

  • Winthrop University Hospital Clinical Trials Center

    Mineola, New York 11501
    United States

    Site Not Available

  • Mount Sinai School of Medicine

    New York, New York 10029
    United States

    Site Not Available

  • Allergy Partners of Western North Carolina

    Asheville, North Carolina 28801
    United States

    Site Not Available

  • Duke University Medical Center

    Durham, North Carolina 27710
    United States

    Site Not Available

  • University of Cincinnati Division of Immunology/Allergy

    Cincinnati, Ohio 45267
    United States

    Site Not Available

  • Optimed Research, LTD

    Columbus, Ohio 43235
    United States

    Site Not Available

  • Tulsa Allergy Clinic

    Tulsa, Oklahoma 74133
    United States

    Site Not Available

  • Baker Allergy, Asthma & Dermatology Research Center LLC

    Lake Oswego, Oregon 97035
    United States

    Site Not Available

  • Valley Clinical Research Center

    Bethlehem, Pennsylvania 18020
    United States

    Site Not Available

  • Penn State Hershey Medical Center

    Hershey, Pennsylvania 17033
    United States

    Site Not Available

  • Children's Hospital of Pittsburgh (of UMPC)

    Pittsburgh, Pennsylvania 15224
    United States

    Site Not Available

  • AARA Research Center

    Dallas, Texas 75231
    United States

    Site Not Available

  • University of Texas Medical Branch (UTMB)

    Galveston, Texas 77555-0561
    United States

    Site Not Available

  • Texas A&M Health Science Center College of Medicine

    Houston, Texas 77030
    United States

    Site Not Available

  • Allergy and Asthma Research Center, P.A.

    San Antonio, Texas 78229
    United States

    Site Not Available

  • University of Utah

    Salt Lake City, Utah 84132
    United States

    Site Not Available

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