Berotralstat Treatment in Children With Hereditary Angioedema

Last updated: October 11, 2024
Sponsor: BioCryst Pharmaceuticals
Overall Status: Active - Not Recruiting

Phase

3

Condition

Allergy

Urticaria

Allergies & Asthma

Treatment

Berotralstat

Clinical Study ID

NCT05453968
BCX7353-304
2021-005932-50
  • Ages 2-11
  • All Genders

Study Summary

The purpose of this study is to evaluate the pharmacokinetics (PK) and safety of berotralstat to determine the appropriate weight-based dose for pediatric participants 2 to < 12 years old for prophylactic treatment to prevent attacks of hereditary angioedema (HAE).

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Male and non-pregnant, non-lactating females 2 to < 12 years of age

  • Body weight ≥ 12 kg

  • Clinical diagnosis of HAE

  • In the opinion of the investigator, the participant would benefit from long termoral HAE prophylaxis

Exclusion

Exclusion Criteria:

  • Concurrent diagnosis of any other type of recurrent angioedema

  • Known family history of sudden cardiac death

  • Creatinine clearance using the modified Schwartz formula of ≤ 30 mL/min/1.73 m2

  • Aspartate aminotransferase or alanine aminotransferase value ≥ 3 × the upper limitof the age-appropriate normal reference range value

  • Clinically significant abnormal ECG including but not limited to, a corrected QTinterval calculated using Fridericia's correction > 450 msec, or ventricular and/oratrial premature contractions that are more frequent than occasional, and/or ascouplets or higher in grouping

  • Current participation in any other investigational drug study or received anotherinvestigational drug within 30 days of enrollment

Study Design

Total Participants: 29
Treatment Group(s): 1
Primary Treatment: Berotralstat
Phase: 3
Study Start date:
October 25, 2022
Estimated Completion Date:
February 28, 2027

Study Description

This is a single-arm, open-label study designed to evaluate the PK and safety of berotralstat weight-based treatment for the prevention of hereditary angioedema attacks in pediatric participants 2 to < 12 years of age. This study will consist of two treatment periods: a 12-week standard-of-care (SOC) treatment period followed by an open-label berotralstat treatment period lasting up to 144 weeks.

Participants will be enrolled into 4 dose cohorts; participant weight will be used to determine assignment to each cohort with the higher weight cohorts (Cohorts 1 and 2) enrolling first and in parallel. Safety assessments and PK modelling from all available PK data will then be used to confirm the weight bands for sequentially enrolling Cohorts 3 and 4.The effectiveness of berotralstat in this population will be summarized using descriptive statistical methods.

Connect with a study center

  • Investigative Site #1

    Vienna,
    Austria

    Site Not Available

  • Investigative Site #1

    Ottawa, Ontario
    Canada

    Site Not Available

  • Investigative Site #3

    Grenoble,
    France

    Site Not Available

  • Investigative Site #2

    Marseille,
    France

    Site Not Available

  • Investigative Site #1

    Paris,
    France

    Site Not Available

  • Investigative Site #1

    Berlin,
    Germany

    Site Not Available

  • Investigative Site #2

    Frankfurt,
    Germany

    Site Not Available

  • Investigative Site #2

    Haifa,
    Israel

    Site Not Available

  • Investigative Site #1

    Tel Aviv,
    Israel

    Site Not Available

  • Investigative Site #1

    Padova,
    Italy

    Site Not Available

  • Investigative Site #1

    Skopje,
    North Macedonia

    Site Not Available

  • Investigative Site #1

    Kraków,
    Poland

    Site Not Available

  • Investigative Site #1

    Sângeorgiu De Mureş,
    Romania

    Site Not Available

  • Investigative Site #1

    Madrid,
    Spain

    Site Not Available

  • Investigative Site #2

    Málaga,
    Spain

    Site Not Available

  • Investigative Site #1

    Bristol,
    United Kingdom

    Site Not Available

  • Investigative Site #2

    London,
    United Kingdom

    Site Not Available

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