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A multicenter epidemiological observational study aiming to explore the cleaved high-molecular weight kininogen (cHMWK) including identification and characterization of other metabolite/biomarkers in HAE type 1/2 patients
Hereditary angioedema (HAE) is a rare autosomal dominant genetic disorder characterized by recurrent tissue angioedema episodes, mainly caused by mutations in the SERPING1 gene that encodes C1 inhibitor (C1-INH), a protease involved in limiting bradykinin production. Low levels of C1-INH (HAE type 1) or dysfunctional C1-INH (HAE type 2) lead to bradykinin accumulation, resulting in capillary leakage and tissue swelling.
High Molecular Weight Kininogen (HMWK) proteolysis, by active plasma kallikrein, results in bradykinin and cHMWK generation.
The goal of this study is to explore the cHMWK concentrations in HAE type 1/2 patients, as a biomarker for this disease.
The HAEKA study is performed in collaboration with Shire. Shire is a wholly owned subsidiary of Takeda Pharmaceutical Company Limited.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Participants with Hereditary Angioedema | Participants older than 18 years that are clinically diagnosed with Hereditary Angioedema type 1/2 and experienced ≥4 HAE attacks within last 12 month before the enrollment |
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| Measure | Description | Time Frame |
|---|---|---|
| Exploring the cleaved high-molecular weight kininogen (cHMWK) as a biomarker in HAE type 1/2 patients, as well as to study the differences between HAE type 1/2 patients without lanadelumab treatment versus patients on lanadelumab treatment. | Samples from HAE patients without lanadelumab treatment versus patients on lanadelumab treatment will be analyzed for cHMWK via Liquid Chromatography Multiple Reaction-monitoring Mass Spectrometry (LC/MRM-MS). | 30 months |
| Measure | Description | Time Frame |
|---|---|---|
| Studying cHMWK as a biomarker in HAE type 1/2 patients with edema attack, as well as to study the differences between HAE type 1/2 patients without lanadelumab treatment versus patients on lanadelumab treatment. | Samples from HAE patients without lanadelumab treatment versus patients on lanadelumab treatment collected before/during/after angioedema attacks will be analyzed for cHMWK via Liquid Chromatography Multiple Reaction-monitoring Mass Spectrometry (LC/MRM-MS). |
| Measure | Description | Time Frame |
|---|---|---|
| Studying other metabolites as potential biomakers in HAE type 1/2 patients, as well as to study the differences between HAE type 1/2 patients without lanadelumab treatment versus patients on lanadelumab treatment. | All samples will be analyzed for potential biomarker candidates via Liquid Chromatography Multiple Reaction-monitoring Mass Spectrometry (LC/MRM-MS). | 30 months |
Inclusion Criteria:
Exclusion Criteria:
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Hereditary Angioedema type 1/2 patients
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| Name | Affiliation | Role |
|---|---|---|
| Peter Bauer, MD | Centogene GmbH | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Charité - Universitätsmedizin Berlin | Berlin | 10117 | Germany | |||
| Klinik für Hals-Nasen-Ohrenheilkunde, Universitätsklinikum Düsseldorf, |
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| ID | Term |
|---|---|
| D054179 | Angioedemas, Hereditary |
| D056829 | Hereditary Angioedema Types I and II |
| ID | Term |
|---|---|
| D000799 | Angioedema |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D000081208 | Hereditary Complement Deficiency Diseases |
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Blood sample applied on the Dry Blood Spot (DBS) Filtercard (Centocard®)
| 30 months |
| Düsseldorf |
| 40225 |
| Germany |
| Klinikum der Johann-Wolfgang-Goethe-Universität | Frankfurt | 60596 | Germany |
| Medizinische Hochschule Hannover | Hanover | 30625 | Germany |
| Universitäts-Hautklinik Leipzig | Leipzig | 04103 | Germany |
| Hämophilie-Zentrum Rhein Main GmbH | Mörfelden-Walldorf | 64546 | Germany |
| Universitätsklinikum Ulm | Ulm | 89075 | Germany |
| 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 |