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This is a phase 3, multi-center, 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 who live in Japan.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BCX7353 110mg once daily | Experimental | BCX7353 capsules administered orally once daily |
|
| BCX7353 150mg once daily | Experimental | BCX7353 capsules administered orally once daily |
|
| Placebo | Placebo Comparator | Matching placebo oral capsules administered orally once daily |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BCX7353 capsules | Drug | BCX7353 capsules administered orally once daily |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Part 1: The Rate of Expert-confirmed HAE Attacks During Dosing in the Entire 24-week Treatment Period (Day 1 to Day 168) | The angioedema event rate and the treatment comparisons between each berotralstat dose and placebo in the rate of expert-confirmed angioedema events during the entire dosing period was analyzed using a negative binomial regression model. The number of expert-confirmed angioedema events was included as the dependent variable, the treatment was included as a fixed effect, the stratification variable (baseline monthly angioedema event rate) and study (for the combined study analysis) were included as covariates, and the logarithm of duration on treatment was included as an offset variable. The estimated rate of angioedema events for each treatment group, the treatment differences expressed as the angioedema event rate ratio (berotralstat) over placebo rate ratio), and their associated 95% confidence intervals (CIs) were provided from the negative binomial regression model. | 24 weeks |
| Part 2: 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 includes TEAEs that occurred in Part 1 and Part 2 for these subjects with a data cut-off date of 10-April-2020. 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 1 or Part 2 treatment). TEAEs were assessed for severity (graded) using the Division of Microbiology and Infectious Disease (DMID) criteria for grading AEs. TEAEs not covered by the DMID criteria were assessed as Mild (Grade 1), Moderate (Grade 2), Severe (Grade 3) or Life-threatening (Grade 4). | Part 1: 24 weeks (Week 0 to 24 to 52), Part 2: 28 weeks (Week 24 to 52) |
| Part 3: To Evaluate the Long-term Safety and Tolerability of Berotralstat Administered QD Over a 52- to up to 104-week Administration Period in Subjects With HAE. | The safety data was assessed for the safety population for subjects who entered Part 3, and includes TEAEs that occurred in Part 3 for these subjects. | Part 3: Week 52 to up to Week 104. |
| Measure | Description | Time Frame |
|---|---|---|
| Part 1: Proportion of Days With Angioedema Symptoms Through 24 Weeks. | Assessment of number and proportion of days subjects had angioedema symptoms from expert-confirmed angioedema events during Part 1. | 24 weeks |
| Part 1: Rate of Expert-confirmed Angioedema Events During Dosing in the Effective Treatment Period |
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Key Inclusion Criteria:
Key Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Isao Ohsawa | Saiyu Soka Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Study Site | Chiba | Japan | ||||
| Study Site |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38445295 | Derived | Honda D, Hide M, Fukuda T, Koga K, Morita E, Moriwaki S, Sasaki Y, Suzuki Y, Collis P, Johnston DT, Tomita D, Desai B, Ohsawa I. Berotralstat for long-term prophylaxis of hereditary angioedema in Japan: Parts 2 and 3 of the randomized APeX-J Phase III trial. World Allergy Organ J. 2024 Mar 2;17(3):100882. doi: 10.1016/j.waojou.2024.100882. eCollection 2024 Mar. | |
| 36408587 |
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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 angioedema events documented during a prospective run-in period of 56 days from the date of the screening visit. Randomization was stratified by the angioedema event rate over the period between screening and randomization (≥ 2 angioedema events per month vs. < 2 angioedema events per month).
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| ID | Title | Description |
|---|---|---|
| FG000 | Berotralstat 110mg Once Daily | Berotralstat administered as two 55mg capsules, orally QD in parts 1, 2 & 3. |
| FG001 | Berotralstat 110mg QD, Followed by Berotralstat 150 mg 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 | Aug 7, 2020 | Oct 23, 2020 |
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| BCX7353 capsules |
| Drug |
BCX7353 capsules administered orally once daily |
|
| Placebo oral capsule | Drug | Matching placebo capsules administered orally once daily |
|
The rate of expert-confirmed angioedema events 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 |
| Part 1: Change From Baseline in Angioedema Quality of Life (AE-QoL) 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). | Baseline and 24 weeks |
| Part 2: To Assess the Effectiveness of Berotralstat Over a 24- to 52-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. For crossover subjects receiving active treatment following placebo, months were adjusted according to the date of the first dose of active 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. | 28 weeks (Week 24 to 52) |
| Part 2: To Evaluate QoL Following Berotralstat Administration Over a 24- to 52-week Period. | 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. | 28 Weeks (Week 24 to 52) |
| Part 3: To Assess the Effectiveness of Berotralstat Over a 52- to up to 104-week Administration Period | Adjusted subject-reported event rate was defined as (total number of adjusted subject-reported HAE events experienced in the period between the Week 52 visit and end of study [or the last dose date/time in Part 3 + 24 hours for subjects who discontinued drug in Part 3]) * 28/(date of last dose in Part 3 - date of Week 52 visit + 1). | 52 weeks (Week 52 to 104) |
| Part 3: To Evaluate QoL Following Berotralstat Administration Over a 52- to up to 104-week Period | 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). For subjects who received active treatment following placebo, visits were adjusted according to the date of the first dose of active treatment. | 52 Weeks (Week 52 to 104) |
| Part 3: To Evaluate Subject's Satisfaction With Berotralstat During 52- to 104-week Administration Period | 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. | 52 Weeks (Week 52 to 104) |
| Gunma |
| Japan |
| Study Site | Hokkaido | Japan |
| Study Site | Nagoya | Japan |
| Study Site | Osaka | Japan |
| Study Center | Saga | Japan |
| Study Site | Saitama | Japan |
| Study Site | Shimane | Japan |
| Study Site | Shizuoka | Japan |
| Study Site | Tokyo | Japan |
| 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. |
| 33247955 | Derived | Ohsawa I, Honda D, Suzuki Y, Fukuda T, Kohga K, Morita E, Moriwaki S, Ishikawa O, Sasaki Y, Tago M, Chittick G, Cornpropst M, Murray SC, Dobo SM, Nagy E, Van Dyke S, Reese L, Best JM, Iocca H, Collis P, Sheridan WP, Hide M. Oral berotralstat for the prophylaxis of hereditary angioedema attacks in patients in Japan: A phase 3 randomized trial. Allergy. 2021 Jun;76(6):1789-1799. doi: 10.1111/all.14670. Epub 2020 Dec 23. |
Subjects were treated with 110 mg berotralstat QD in part 1 & 2 (up to 52 weeks) & 150 mg berotralstat QD in part 3 (52-104 weeks).
| FG002 | Berotralstat 110mg QD After Placebo | Subjects were treated with placebo for 24 weeks in Part 1 and 110 mg berotralstat QD in part 2 (24-52 weeks) & part 3 (52-104 weeks). |
| FG003 | Berotralstat 110mg QD, Followed by Berotralstat 150 mg QD, After Placebo | Subjects were treated with placebo for 24 weeks in Part 1, 110 mg berotralstat QD in part 2 (24-52 weeks) & 150 mg berotralstat QD in part 3 (52-104 weeks). |
| FG004 | Berotralstat 150mg Once Daily | Berotralstat administered as two 75mg capsules, orally QD in parts 1, 2 & 3. |
| FG005 | Berotralstat 150mg QD After Placebo | Subjects were treated with placebo for 24 weeks in Part 1 and 150 mg berotralstat QD in part 2 (24-52 weeks) & part 3 (52-104 weeks). |
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| NOT COMPLETED |
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| Part 2 |
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| Part 3 |
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| ID | Title | Description |
|---|---|---|
| BG000 | Part 1: Berotralstat 110mg Once Daily | Berotralstat administered as two 55mg capsules, orally QD for 24 weeks. |
| BG001 | Part 1: Berotralstat 150mg 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 for24 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 |
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| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Baseline expert-confirmed angioedema event rate | Number | participants |
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| 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 Expert-confirmed HAE Attacks During Dosing in the Entire 24-week Treatment Period (Day 1 to Day 168) | The angioedema event rate and the treatment comparisons between each berotralstat dose and placebo in the rate of expert-confirmed angioedema events during the entire dosing period was analyzed using a negative binomial regression model. The number of expert-confirmed angioedema events was included as the dependent variable, the treatment was included as a fixed effect, the stratification variable (baseline monthly angioedema event rate) and study (for the combined study analysis) were included as covariates, and the logarithm of duration on treatment was included as an offset variable. The estimated rate of angioedema events for each treatment group, the treatment differences expressed as the angioedema event rate ratio (berotralstat) over placebo rate ratio), and their associated 95% confidence intervals (CIs) were provided from the negative binomial regression 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 | Mean | Standard Deviation | Angioedema event rate per 28 days | 24 weeks |
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| Primary | Part 2: 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 includes TEAEs that occurred in Part 1 and Part 2 for these subjects with a data cut-off date of 10-April-2020. 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 1 or Part 2 treatment). TEAEs were assessed for severity (graded) using the Division of Microbiology and Infectious Disease (DMID) criteria for grading AEs. TEAEs not covered by the DMID criteria were assessed as Mild (Grade 1), Moderate (Grade 2), Severe (Grade 3) or Life-threatening (Grade 4). | The safety population included all subjects who received at least 1 capsule of study treatment. | Posted | Count of Participants | Participants | Part 1: 24 weeks (Week 0 to 24 to 52), Part 2: 28 weeks (Week 24 to 52) |
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| Primary | Part 3: To Evaluate the Long-term Safety and Tolerability of Berotralstat Administered QD Over a 52- to up to 104-week Administration Period in Subjects With HAE. | The safety data was assessed for the safety population for subjects who entered Part 3, and includes TEAEs that occurred in Part 3 for these subjects. | Posted | Count of Participants | Participants | Part 3: Week 52 to up to Week 104. |
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| Secondary | Part 1: Proportion of Days With Angioedema Symptoms Through 24 Weeks. | Assessment of number and proportion of days subjects had angioedema symptoms from expert-confirmed angioedema events 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 angioedema events 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 | Angioedema event rate per 28 days | Day 8 through to 24 weeks |
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| Secondary | Part 1: Change From Baseline in Angioedema Quality of Life (AE-QoL) 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 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 | AE-QoL Total Score Change from baseline | Baseline and 24 weeks |
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| Secondary | Part 2: To Assess the Effectiveness of Berotralstat Over a 24- to 52-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. For crossover subjects receiving active treatment following placebo, months were adjusted according to the date of the first dose of active 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. | Posted | Mean | Standard Deviation | HAE attacks/28 days-change from baseline | 28 weeks (Week 24 to 52) |
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| Secondary | Part 2: To Evaluate QoL Following Berotralstat Administration Over a 24- to 52-week Period. | 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 data. | Posted | Mean | Standard Deviation | AE-QoL score -change from baseline | 28 Weeks (Week 24 to 52) |
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| Secondary | Part 3: To Assess the Effectiveness of Berotralstat Over a 52- to up to 104-week Administration Period | Adjusted subject-reported event rate was defined as (total number of adjusted subject-reported HAE events experienced in the period between the Week 52 visit and end of study [or the last dose date/time in Part 3 + 24 hours for subjects who discontinued drug in Part 3]) * 28/(date of last dose in Part 3 - date of Week 52 visit + 1). | 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 rate of adjusted subject-reported events for subjects treated in Part 3 is presented. | Posted | Mean | Standard Deviation | HAE attacks per 28 days | 52 weeks (Week 52 to 104) |
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| Secondary | Part 3: To Evaluate QoL Following Berotralstat Administration Over a 52- to up to 104-week Period | 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). For subjects who received active treatment following placebo, visits were adjusted according to the date of the first dose of active treatment. | 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. QoL for subjects treated in Part 3 is presented. | Posted | Mean | Standard Deviation | AE-QoL score -change from baseline | 52 Weeks (Week 52 to 104) |
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| Secondary | Part 3: To Evaluate Subject's Satisfaction With Berotralstat During 52- to 104-week Administration Period | 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 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. TSQM global scores for subjects treated in Part 3 is presented. | Posted | Mean | Standard Deviation | TSQM Global score -change from baseline | 52 Weeks (Week 52 to 104) |
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Adverse Events (AEs) were assessed and recorded from the time that the Informed consent form was signed until 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 regard to the AE. AEs were assigned to the relevant treatment depending on when the AE began; i.e., Part 1 or Part 2 and 3 treatment.
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| 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 two 55mg capsules, orally QD | 0 | 8 | 2 | 8 | 8 | 8 |
| EG001 | Berotralstat 150mg Once Daily | Berotralstat administered as two 75mg capsules, orally QD | 0 | 9 | 1 | 9 | 9 | 9 |
| EG002 | Placebo | Placebo administered as two matching capsules, orally QD | 0 | 6 | 0 | 6 | 6 | 6 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Pneumonia | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
| |
| Hereditary angioedema | Congenital, familial and genetic disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Ankle fracture | Injury, poisoning and procedural complications | MedDRA 19.1 | Systematic Assessment |
| |
| Fibula fracture | Injury, poisoning and procedural complications | MedDRA 19.1 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Nasopharyngitis | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
| |
| Otitis media | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
| |
| Tinea pedis | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
| |
| Abdominal discomfort | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Abdominal pain | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Abdominal pain upper | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Dental caries | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Flatulence | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Gastritis | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Oesophageal discomfort | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Toothache | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Urticaria | Skin and subcutaneous tissue disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Dermatitis contact | Skin and subcutaneous tissue disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Eczema | Skin and subcutaneous tissue disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Miliaria | Skin and subcutaneous tissue disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Rash | Skin and subcutaneous tissue disorders | MedDRA 19.1 | Systematic Assessment |
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| Pyrexia | General disorders | MedDRA 19.1 | Systematic Assessment |
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| Injection site reaction | General disorders | MedDRA 19.1 | Systematic Assessment |
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| Arthropod bite | Injury, poisoning and procedural complications | MedDRA 19.1 | Systematic Assessment |
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| Contusion | Injury, poisoning and procedural complications | MedDRA 19.1 | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA 19.1 | Systematic Assessment |
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| Somnolence | Nervous system disorders | MedDRA 19.1 | Systematic Assessment |
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| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA 19.1 | Systematic Assessment |
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| Platelet count decreased | Investigations | MedDRA 19.1 | Systematic Assessment |
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| Back pain | Musculoskeletal and connective tissue disorders | MedDRA 19.1 | Systematic Assessment |
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| Insomnia | Psychiatric disorders | MedDRA 19.1 | Systematic Assessment |
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| Dysmenorrhoea | Reproductive system and breast disorders | MedDRA 19.1 | Systematic Assessment |
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| Cystitis | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
| |
| Influenza | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
| |
| Bronchitis | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
| |
| Pharyngitis | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
| |
| Dermatitis allergic | Skin and subcutaneous tissue disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Erythema | Skin and subcutaneous tissue disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Thermal burn | Injury, poisoning and procedural complications | MedDRA 19.1 | Systematic Assessment |
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| Vaccination site joint swelling | General disorders | MedDRA 19.1 | Systematic Assessment |
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| Rhinitis allergic | Respiratory, thoracic and mediastinal disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Upper respiratory tract inflammation | Respiratory, thoracic and mediastinal disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Vertigo | Ear and labyrinth disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Hepatic enzyme increased | Investigations | MedDRA 19.1 | Systematic Assessment |
| |
| Anaemia | Blood and lymphatic system disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Conjunctivitis allergic | Eye disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Cholelithiasis | Hepatobiliary disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Hypertrigliceridaemia | Metabolism and nutrition disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Haemangioma of liver | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 19.1 | Systematic Assessment |
| |
| Ureterolithiasis | Renal and urinary disorders | MedDRA 19.1 | Systematic Assessment |
| |
| Flushing | Vascular disorders | 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 | Nov 4, 2019 | Oct 23, 2020 | SAP_001.pdf |
| 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
| Lab abnormality or AE |
|
| Male |
|
| Asian |
|
| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
|
| White |
|
| More than one race |
|
| Unknown or Not Reported |
|
| < 2 events/month |
|
| negative binomial regression model |
| -49.1 |
| 2-Sided |
| 95 |
| -67.5 |
| -20.4 |
| Superiority |
| Berotralstat 150mg Once Daily |
Berotralstat administered as two 75mg capsules, orally QD in parts 1 & 2. |
| OG003 | Berotralstat 150mg QD After Placebo | Subjects were treated with 150 mg berotralstat QD in part 2 (24-52 weeks), following part 1 placebo treatment. |
| OG004 | Placebo | Subjects were treated with Placebo in Part 1 |
|
|
| Title | Denominators | Categories | ||||
|---|---|---|---|---|---|---|
| TEAE |
| |||||
| Drug-related TEAE |
| |||||
| SAE |
| |||||
| Drug-related SAE |
| |||||
| Grade 3 or 4 TEAE |
| |||||
| Drug-related grade 3 or 4 TEAE |
| |||||
| TEAE leading to interruption of study drug |
| |||||
| TEAE leading to discontinuation of study drug |
| |||||
| Investigator-identified rash (event of special interest) |
| |||||
| GI abdominal related TEAE |
| |||||
| GI abdominal related TEAE leading to discontinuation of study drug |
|
| Participants |
|
|
|
| Units | Counts |
|---|---|
| Participants |
|
|
|
| Units | Counts |
|---|---|
| Participants |
|
|
|
| OG002 | Berotralstat 150mg Once Daily | Berotralstat administered as two 75mg capsules, orally QD in parts 1 & 2. |
| OG003 | Berotralstat 150mg QD After Placebo | Subjects were treated with 150 mg berotralstat QD in part 2 (24-52 weeks), following part 1 placebo treatment. |
|
|
| OG003 | Berotralstat 150mg QD After Placebo | Subjects were treated with 150 mg berotralstat QD in part 2 (24-52 weeks), following part 1 placebo treatment. |
|
|
|
|
| Units | Counts |
|---|---|
| Participants |
|
|
| Title | Measurements |
|---|---|
|
| Title | Measurements |
|---|---|
|
| Title | Measurements |
|---|---|
|
| Title | Measurements |
|---|---|
|
| Title | Measurements |
|---|---|
|
| Title | Measurements |
|---|---|
|
| Title | Measurements |
|---|---|
|
| Title | Measurements |
|---|---|
|