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This is a phase 3, multicenter, randomized, double-blind, placebo-controlled trial to evaluate the efficacy and safety of oral BCX7353 in preventing acute angioedema attacks in patients with Type I and Type II HAE.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BCX7353 110 mg once daily | Experimental | BCX7353 administered as oral capsules once daily |
|
| BCX7353 150 mg once daily | Experimental | BCX7353 administered as oral capsules once daily |
|
| Placebo | Placebo Comparator | Matching placebo administered as oral capsules once daily |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BCX7353 capsules | Drug | BCX7353 oral capsules administered once daily |
|
| Measure | Description | Time Frame |
|---|---|---|
| Part 1: The Rate of Investigator-confirmed HAE Attacks During Dosing in the Entire 24-week Treatment Period (Day 1 to Day 168) | Treatment comparisons between each berotralstat dose and placebo in the rate of investigator-confirmed HAE attacks during the Part 1 dosing period were analyzed using a negative binomial model. The number of investigator-confirmed attacks was included as the dependent variable, the treatment was included as a fixed effect, the stratification variable (baseline attack rate) was included as a covariate, and the logarithm of duration on treatment was included as an offset variable. The estimated attack rate for each treatment group, the treatment differences expressed as the attack rate ratio (berotralstat over placebo rate ratio), and the associated 95% confidence intervals (CIs) were provided from the negative binomial model. | 24 weeks |
| Part 2 & 3: To Evaluate the Long-term Safety and Tolerability of Berotralstat 110 and 150 mg in Subjects With HAE | The safety data was assessed for the safety population, for subjects who entered Part 2 and Part 3, and includes TEAEs that began in Part 2 or 3, respectively, for these subjects. Safety data for Part 2 and Part 3 is combined to clearly show TEAEs occurring in subjects as the proceeded through the 2 study parts. TEAEs are defined as AEs that occurred on or after first dose of study treatment, whether in Part 1 or 2, and were assigned to the relevant treatment depending on when the TEAE began (Part 2 or Part 3 treatment). No statistical analysis was performed on this safety data. | Part 2: 24 weeks (Days 169 to 337). Part 3: 48 weeks (Days 338 to 674). |
| Measure | Description | Time Frame |
|---|---|---|
| Part 1: Change From Baseline in Angioedema Quality of Life Questionnaire at Week 24 (Total Score) | Change in Quality of Life, on a 1-100 scale, where higher scores indicate more impairment and a decrease (change with a negative value) in AE-QoL questionnaire scores indicates an improvement in the subject's QoL. The minimum clinically important difference (MCID) for the AE-QoL questionnaire is -6 (total score). The AE-QoL is only validated for adults; however, data were collected on all adult and adolescent study subjects. |
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Key Inclusion Criteria:
Key Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Bruce Zuraw, MD | UC San Diego School of Medicine, US HAE Angioedema Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Study center | Birmingham | Alabama | 35209 | United States | ||
| Study center |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36408587 | Derived | Farkas H, Balla Z. A review of berotralstat for the treatment of hereditary angioedema. Expert Rev Clin Immunol. 2023 Feb;19(2):145-153. doi: 10.1080/1744666X.2023.2150611. Epub 2022 Nov 29. | |
| 36326435 | Derived | Beard N, Frese M, Smertina E, Mere P, Katelaris C, Mills K. Interventions for the long-term prevention of hereditary angioedema attacks. Cochrane Database Syst Rev. 2022 Nov 3;11(11):CD013403. doi: 10.1002/14651858.CD013403.pub2. |
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Subjects with HAE Type 1 or Type 2 were eligible for the study following assessment of data obtained from screening procedures, including demonstration of a minimum number of qualifying HAE attacks documented during a prospective run-in period of 14 to 56 days from the date of the screening visit. Randomization was stratified by the HAE attack rate over the period between screening and randomization (≥ 2 attacks per month vs. < 2 attacks per month).
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| ID | Title | Description |
|---|---|---|
| FG000 | Treatment Group 1 (110 mg Berotralstat QD) | Parts 1 and 2: two 55 mg capsules of berotralstat QD × 48 weeks. Part 3: 150 mg berotralstat QD. |
| FG001 | Treatment Group 2 (150 mg Berotralstat QD) |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Part 1 |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Feb 10, 2020 | Oct 23, 2020 |
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Only Part 1 and Part 2 were blinded. As part 3 was open-label, no blinding was used
| Placebo oral capsule | Drug | Matching oral capsules administered once daily |
|
| Baseline and 24 weeks |
| Part 1: Proportion of Days With Angioedema Symptoms Through 24 Weeks | Assessment of proportion of days subjects had angioedema symptoms from expert-confirmed HAE attacks during Part 1. | 24 weeks |
| Part 1: Rate of Expert-confirmed Angioedema Events During Dosing in the Effective Treatment Period | The rate of expert-confirmed HAE attacks for the effective treatment period gives an analysis of the efficacy of active treatment after berotralstat had reached steady-state concentrations, given the effective half-life of 150 mg berotralstat in Study BCX7353-106 (Study 106) of 89 hours. | Day 8 through to 24 weeks (or or the last dose date/time in Part 1 + 24 hours for subjects who discontinued drug in Part 1) |
| Part 2: To Assess the Effectiveness of Berotralstat Over a 24- to 48 Week Period | Monthly Attack Rate was defined as the total number of investigator-confirmed HAE attacks experienced during the treatment period adjusted for the length of a month (defined as 28 days) and the number of days the subject was on treatment during that month. The end of Month 6 was defined as the start of Part 2 treatment. Baseline investigator-confirmed attack rate was defined as the total number of investigator-confirmed HAE attacks experienced in the period between screening and first dose of study drug adjusted for the length of a month (defined as 28 days) and the number of days during that period. | 24 weeks (Days 169 to 337) |
| To Evaluate Angioedema Quality of Life Questionnaire (Total Score) Following Berotralstat Administration for up to 144 Weeks | Angioedema-specific QoL was assessed by the AE-QoL, consisting of 4 domains (i.e., functioning, fatigue/mood, fears/shame, and nutrition) and a total score. The AE-QoL scores range from 0 points (best QoL) to 100 points (worst QoL). A decrease (change with a negative value) in AE-QoL questionnaire scores indicates an improvement in the subject's QoL. The minimum clinically important difference (MCID) for the AE-QoL questionnaire is -6 (total score). The AE-QoL was completed by the subjects at each visit starting at baseline, and questions were answered with regard to the previous 28 days. For subjects who received active treatment following placebo, visits were adjusted according to the date of the first dose of active treatment. | Up to 144 weeks |
| To Evaluate Treatment Satisfaction Questionnaire for Medication (TSQM) Following Berotralstat Administration for up to 144 Weeks | The Treatment Satisfaction Questionnaire for Medication (TSQM) was completed by subjects at baseline and at each study visit until the end of the study. TSQM scores consisted of 14 items of which 13 items were made up of 3 specific scales (Effectiveness, Side Effects, and Convenience) and 1 global satisfaction scale (Global Satisfaction). At baseline, TSQM questionnaires were completed based on subject's satisfaction with usual medications. At all other time points for collection of TSQM, subjects were asked about their level of satisfaction or dissatisfaction with the study drug. Scales scores were calculated for each scale and were transformed into scores ranging from 0 to 100, with higher scores indicating higher satisfaction. TSQM score and corresponding change from baseline values were calculated at each visit. For subjects who received active treatment following placebo, visits were adjusted according to the date of the first dose of active treatment. | Up to 144 weeks |
| Scottsdale |
| Arizona |
| 85251 |
| United States |
| Study center | Little Rock | Arkansas | 72205 | United States |
| Study Center | San Diego | California | 92122 | United States |
| Study center | Santa Monica | California | 90404 | United States |
| Study Center | Walnut Creek | California | 94598 | United States |
| Study center | Colorado Springs | Colorado | 80907 | United States |
| Study Center | Tampa | Florida | 33613 | United States |
| Study center | Chevy Chase | Maryland | 20815 | United States |
| Study Center | Boston | Massachusetts | 02114 | United States |
| Study Center | Ann Arbor | Michigan | 48106 | United States |
| Study center | Plymouth | Minnesota | 55446 | United States |
| Study Center | St Louis | Missouri | 63141 | United States |
| Study center | Belleville | New Jersey | 07109 | United States |
| Study Center | Fair Lawn | New Jersey | 07410 | United States |
| Study center | Piscataway | New Jersey | 08854 | United States |
| Study Center | New York | New York | 10029 | United States |
| Study Site | Charlotte | North Carolina | 28277 | United States |
| Study Center | Durham | North Carolina | 27705 | United States |
| Study Center | Cincinnati | Ohio | 45231 | United States |
| Study center | Columbus | Ohio | 43235 | United States |
| Study center | Clackamas | Oregon | 97015 | United States |
| Study Center | Hershey | Pennsylvania | 17033 | United States |
| Study center | Austin | Texas | 78731 | United States |
| Study center | Dallas | Texas | 75231 | United States |
| Study Center | San Antonio | Texas | 78229 | United States |
| Study Center | Spokane | Washington | 99202 | United States |
| Study Center | Vienna | 1090 | Austria |
| Study Center | Ottawa | Ontario | K1G 6C6 | Canada |
| Study Center | Toronto | Ontario | M4V 1R2 | Canada |
| Study Center | Québec | G1V 4W2 | Canada |
| Study Center | Brno | 656 91 | Czechia |
| Study Center | Pilsen | 30460 | Czechia |
| Study Center | Grenoble | 38043 | France |
| Study Center | Paris | 75012 | France |
| Study Center | Berlin | 10117 | Germany |
| Study Center | Frankfurt | D-60590 | Germany |
| Study Center | Budapest | H-1225 | Hungary |
| Study Center | Skopje | 1000 | North Macedonia |
| Study Center | Sângeorgiu de Mureș | Jud. Mureș | 547530 | Romania |
| Study Center | Barcelona | 08907 | Spain |
| Study Center | Madrid | 28046 | Spain |
| Study Center | Seville | 41013 | Spain |
| Study Center | Cambridge | CB2 0QQ | United Kingdom |
| Study Center | Frimley | GU16 7UJ | United Kingdom |
| Study Center | London | E1 2ES | United Kingdom |
| Study Center | Plymouth | PL6 8DH | United Kingdom |
| 33866032 | Derived | Wedner HJ, Aygoren-Pursun E, Bernstein J, Craig T, Gower R, Jacobs JS, Johnston DT, Lumry WR, Zuraw BL, Best JM, Iocca HA, Murray SC, Desai B, Nagy E, Sheridan WP, Kiani-Alikhan S. Randomized Trial of the Efficacy and Safety of Berotralstat (BCX7353) as an Oral Prophylactic Therapy for Hereditary Angioedema: Results of APeX-2 Through 48 Weeks (Part 2). J Allergy Clin Immunol Pract. 2021 Jun;9(6):2305-2314.e4. doi: 10.1016/j.jaip.2021.03.057. Epub 2021 Apr 15. |
| 33098856 | Derived | Zuraw B, Lumry WR, Johnston DT, Aygoren-Pursun E, Banerji A, Bernstein JA, Christiansen SC, Jacobs JS, Sitz KV, Gower RG, Gagnon R, Wedner HJ, Kinaciyan T, Hakl R, Hanzlikova J, Anderson JT, McNeil DL, Fritz SB, Yang WH, Tachdjian R, Busse PJ, Craig TJ, Li HH, Farkas H, Best JM, Clemons D, Cornpropst M, Dobo SM, Iocca HA, Kargl D, Nagy E, Murray SC, Collis P, Sheridan WP, Maurer M, Riedl MA. Oral once-daily berotralstat for the prevention of hereditary angioedema attacks: A randomized, double-blind, placebo-controlled phase 3 trial. J Allergy Clin Immunol. 2021 Jul;148(1):164-172.e9. doi: 10.1016/j.jaci.2020.10.015. Epub 2020 Oct 21. |
Parts 1 and 2: two 75 mg capsules of berotralstat QD × 48 weeks. Part 3: 150 mg berotralstat QD.
| FG002 | Treatment Group 3a | Subjects were treated with placebo in Part 1 and 110 mg berotralstat in part 2. In part 3 subjects were treated with 150 mg berotralstat QD. |
| FG003 | Treatment Group 3b | Subjects were treated with placebo in Part 1 and 150 mg berotralstat QD in part 2 and 3. |
| COMPLETED |
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| NOT COMPLETED |
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| Part 2 |
|
|
| Part 3 |
|
|
Intent to treat population
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| ID | Title | Description |
|---|---|---|
| BG000 | Part 1: Berotralstat 110 mg Once Daily | Berotralstat administered as two 55mg capsules, orally QD for 24 weeks. |
| BG001 | Part 1: Berotralstat 150 mg Once Daily | Berotralstat administered as two 75mg capsules, orally QD for 24 weeks. |
| BG002 | Part 1: Placebo | Placebo administered as two 2 matching capsules, orally QD for 24 weeks. |
| BG003 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | |||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| ||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| |||||||||||
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
| |||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
| |||||||||||
| Region of Enrollment | Number | participants |
| |||||||||||
| Baseline Investigator-confirmed attack rate | Safety Population. One subject from ITT population, randomised to the placebo group, was not dosed | Count of Participants | Participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Part 1: The Rate of Investigator-confirmed HAE Attacks During Dosing in the Entire 24-week Treatment Period (Day 1 to Day 168) | Treatment comparisons between each berotralstat dose and placebo in the rate of investigator-confirmed HAE attacks during the Part 1 dosing period were analyzed using a negative binomial model. The number of investigator-confirmed attacks was included as the dependent variable, the treatment was included as a fixed effect, the stratification variable (baseline attack rate) was included as a covariate, and the logarithm of duration on treatment was included as an offset variable. The estimated attack rate for each treatment group, the treatment differences expressed as the attack rate ratio (berotralstat over placebo rate ratio), and the associated 95% confidence intervals (CIs) were provided from the negative binomial model. | The intent to treat (ITT) population included all randomized subjects, regardless of whether study treatment was administered. This population was the primary population for the analysis of the efficacy and health outcomes data. | Posted | Number | HAE attack rate per 28 days | 24 weeks |
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| Primary | Part 2 & 3: To Evaluate the Long-term Safety and Tolerability of Berotralstat 110 and 150 mg in Subjects With HAE | The safety data was assessed for the safety population, for subjects who entered Part 2 and Part 3, and includes TEAEs that began in Part 2 or 3, respectively, for these subjects. Safety data for Part 2 and Part 3 is combined to clearly show TEAEs occurring in subjects as the proceeded through the 2 study parts. TEAEs are defined as AEs that occurred on or after first dose of study treatment, whether in Part 1 or 2, and were assigned to the relevant treatment depending on when the TEAE began (Part 2 or Part 3 treatment). No statistical analysis was performed on this safety data. | The safety population included all subjects who received at least 1 capsule of study treatment. | Posted | Count of Participants | Participants | Part 2: 24 weeks (Days 169 to 337). Part 3: 48 weeks (Days 338 to 674). |
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| Secondary | Part 1: Change From Baseline in Angioedema Quality of Life Questionnaire at Week 24 (Total Score) | Change in Quality of Life, on a 1-100 scale, where higher scores indicate more impairment and a decrease (change with a negative value) in AE-QoL questionnaire scores indicates an improvement in the subject's QoL. The minimum clinically important difference (MCID) for the AE-QoL questionnaire is -6 (total score). The AE-QoL is only validated for adults; however, data were collected on all adult and adolescent study subjects. | The intent to treat (ITT) population included all randomized subjects, regardless of whether study treatment was administered. This population was the primary population for the analysis of the efficacy and health outcomes data | Posted | Least Squares Mean | Standard Error | AE-QoL Total Score Change from baseline | Baseline and 24 weeks |
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| Secondary | Part 1: Proportion of Days With Angioedema Symptoms Through 24 Weeks | Assessment of proportion of days subjects had angioedema symptoms from expert-confirmed HAE attacks during Part 1. | The ITT population included all randomized subjects, regardless of whether study treatment was administered. This population was the primary population for the analysis of the efficacy and health outcomes data. Data were analyzed according to randomized treatment. | Posted | Least Squares Mean | Standard Error | Proportion days with angioedema symptoms | 24 weeks |
|
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| Secondary | Part 1: Rate of Expert-confirmed Angioedema Events During Dosing in the Effective Treatment Period | The rate of expert-confirmed HAE attacks for the effective treatment period gives an analysis of the efficacy of active treatment after berotralstat had reached steady-state concentrations, given the effective half-life of 150 mg berotralstat in Study BCX7353-106 (Study 106) of 89 hours. | The ITT population included all randomized subjects, regardless of whether study treatment was administered. This population was the primary population for the analysis of the efficacy and health outcomes data. Data were analyzed according to randomized treatment. | Posted | Mean | Standard Deviation | HAE attack rate per 28 days | Day 8 through to 24 weeks (or or the last dose date/time in Part 1 + 24 hours for subjects who discontinued drug in Part 1) |
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| Secondary | Part 2: To Assess the Effectiveness of Berotralstat Over a 24- to 48 Week Period | Monthly Attack Rate was defined as the total number of investigator-confirmed HAE attacks experienced during the treatment period adjusted for the length of a month (defined as 28 days) and the number of days the subject was on treatment during that month. The end of Month 6 was defined as the start of Part 2 treatment. Baseline investigator-confirmed attack rate was defined as the total number of investigator-confirmed HAE attacks experienced in the period between screening and first dose of study drug adjusted for the length of a month (defined as 28 days) and the number of days during that period. | The intent to treat (ITT) population included all randomized subjects, regardless of whether study treatment was administered. This population was the primary population for the analysis of the efficacy data. The numbers analysed reflect participants providing details of HAE attacks via the study diary each month during part 2. | Posted | Mean | Standard Deviation | HAE attack rate-change from baseline | 24 weeks (Days 169 to 337) |
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| Secondary | To Evaluate Angioedema Quality of Life Questionnaire (Total Score) Following Berotralstat Administration for up to 144 Weeks | Angioedema-specific QoL was assessed by the AE-QoL, consisting of 4 domains (i.e., functioning, fatigue/mood, fears/shame, and nutrition) and a total score. The AE-QoL scores range from 0 points (best QoL) to 100 points (worst QoL). A decrease (change with a negative value) in AE-QoL questionnaire scores indicates an improvement in the subject's QoL. The minimum clinically important difference (MCID) for the AE-QoL questionnaire is -6 (total score). The AE-QoL was completed by the subjects at each visit starting at baseline, and questions were answered with regard to the previous 28 days. For subjects who received active treatment following placebo, visits were adjusted according to the date of the first dose of active treatment. | The ITT population included all randomized subjects, regardless of study treatment administration. Subjects in the 2 berotralstat treatment arms included those previously treated with placebo in part 1; for these subjects, visits were adjusted according to the date of 1st dose of active treatment. The variation in number of subjects analysed at each study visit reflects subject withdrawal prior to study completion and the number of subjects completing the AE-QoL questionnaire. | Posted | Mean | Standard Deviation | AE-QoL score - change from baseline | Up to 144 weeks |
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| Secondary | To Evaluate Treatment Satisfaction Questionnaire for Medication (TSQM) Following Berotralstat Administration for up to 144 Weeks | The Treatment Satisfaction Questionnaire for Medication (TSQM) was completed by subjects at baseline and at each study visit until the end of the study. TSQM scores consisted of 14 items of which 13 items were made up of 3 specific scales (Effectiveness, Side Effects, and Convenience) and 1 global satisfaction scale (Global Satisfaction). At baseline, TSQM questionnaires were completed based on subject's satisfaction with usual medications. At all other time points for collection of TSQM, subjects were asked about their level of satisfaction or dissatisfaction with the study drug. Scales scores were calculated for each scale and were transformed into scores ranging from 0 to 100, with higher scores indicating higher satisfaction. TSQM score and corresponding change from baseline values were calculated at each visit. For subjects who received active treatment following placebo, visits were adjusted according to the date of the first dose of active treatment. | The ITT population included all randomized subjects, regardless of study treatment administration. Subjects in the 2 berotralstat treatment arms included those previously treated with placebo in part 1; for these subjects, visits were adjusted according to the date of 1st dose of active treatment. The variation in number of subjects analysed at each study visit reflects subject withdrawal prior to study completion and the number of subjects completing the TSQM questionnaire. | Posted | Mean | Standard Deviation | TSQM Global score - change from baseline | Up to 144 weeks |
|
Adverse Events (AEs) were assessed and recorded from the time that the Informed consent form was signed through the last follow-up visit, approximately 3 weeks following the last dose of study drug, or until the AE was resolved or the subject was in a clinically stable condition with regards to the AE.
AE data is presented for patients from the Safety Population; i.e. those who received at least one dose of study drug. AEs were assigned to the relevant treatment (i.e., 110 mg berotralstat, 150 mg berotralstat, placebo) depending on when the AE began relative study drug administration.
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Berotralstat 110mg Once Daily | Berotralstat administered as either two 55mg capsules, orally QD | 0 | 57 | 5 | 57 | 56 | 58 |
| EG001 | Berotralstat 150mg Once Daily | Berotralstat administered as either two 75mg capsules, orally QD | 0 | 58 | 5 | 58 | 53 | 57 |
| EG002 | Placebo | Placebo administered as two 2 matching capsules, orally QD | 0 | 39 | 2 | 39 | 30 | 39 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Plasma cell myeloma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 19.1 | Systematic Assessment |
| |
| Uterine leiomyoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 19.1 | Systematic Assessment |
| |
| Diverticulum intestinal haemorrhagic | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
| |
| Transient ischaemic attack | Nervous system disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Medical observation | Investigations | MedDRA 19.1 | Systematic Assessment |
| |
| Acute myocardial infarction | Cardiac disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Pleural effusion | Respiratory, thoracic and mediastinal disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Syncope | Nervous system disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Vascular stent occlusion | General disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Bipolar disorder | Psychiatric disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Gastritis alcoholic | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Obesity | Metabolism and nutrition disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Pyelonephritis | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Nausea | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Dyspepsia | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Abdominal pain | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Abdominal discomfort | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Flatulence | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Gastroesophageal reflux disease | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Nasopharyngitis | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
| |
| Gastroenteritis viral | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
| |
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Fatigue | General disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Contusion | Injury, poisoning and procedural complications | MedDRA 19.1 | Systematic Assessment |
| |
| Limb injury | Injury, poisoning and procedural complications | MedDRA 19.1 | Systematic Assessment |
| |
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Chest pain | General disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Oedema peripheral | General disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Anxiety | Psychiatric disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Irritability | Psychiatric disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Depression | Psychiatric disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Toothache | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Abdominal distension | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
| |
| Sinusitis | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
| |
| Influenza | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
| |
| Gastroenteritis | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
|
Not provided
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Study Director | BioCryst Pharmaceuticals Inc | +1 919-859-1302 | clinicaltrials@biocryst.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Jan 29, 2019 | Oct 23, 2020 | SAP_001.pdf |
Not provided
| ID | Term |
|---|---|
| D054179 | Angioedemas, Hereditary |
| ID | Term |
|---|---|
| D000799 | Angioedema |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D000081208 | Hereditary Complement Deficiency Diseases |
| D000081207 | Primary Immunodeficiency Diseases |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D014581 | Urticaria |
| D017445 | Skin Diseases, Vascular |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |
| D007153 | Immunologic Deficiency Syndromes |
Not provided
Not provided
| ID | Term |
|---|---|
| C000706836 | berotralstat |
Not provided
Not provided
Not provided
| Subject withdrew consent |
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| Lab abnormalities/AEs |
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| Other NOS |
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| Intercurrent illness/new medical condition |
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| Investigator judgement |
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| Subject withdrew consent |
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| Lab abnormalities/AEs |
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| Other NOS |
|
| Intercurrent illness/new medical condition |
|
| Sponsor discontinuation |
|
| Berotralstat provided by alternative means |
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| Austria |
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| Romania |
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| Hungary |
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| United States |
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| Czechia |
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| North Macedonia |
|
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| United Kingdom |
|
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| France |
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| Germany |
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| Spain |
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| < 2 HAE attacks/month |
|
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| negative binomial regression model |
| 44.2 |
| 2-Sided |
| 95 |
| 23.0 |
| 59.5 |
| Superiority |
Subjects were treated with 150 mg berotralstat QD in part 2
| OG003 | Part 2: 150mg Berotralstat Following Placebo | Subjects were treated with 150 mg berotralstat QD in part 2, following prior treatment with placebo in part 1. |
| OG004 | Part 3: Berotralstat | Subjects were treated with 150 mg berostralstat QD in part 3. |
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| Participants |
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| Units | Counts |
|---|---|
| Participants |
|
|
| Berotralstat 150 mg Once Daily |
Berotralstat administered as two 75mg capsules, orally QD |
| OG002 | Placebo | Placebo administered as two matching capsules, orally QD for 24 weeks in Part 1. |
|
|
Berotralstat administered as two 55mg capsules, orally QD, until transitioned to 150 mg QD dose in Part 3.
| OG001 | Berotralstat 150 mg Once Daily | Berotralstat administered as two 75mg capsules, orally QD |
| OG002 | Placebo | Placebo administered as two matching capsules, orally QD for 24 weeks in Part 1. |
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