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This is a Phase 3 multicenter, randomized, double-blind, placebo-controlled clinical trial evaluating the safety and efficacy of subcutaneous administration of navenibart in adult and adolescent participants with type 1 or type 2 hereditary angioedema (HAE). The goal of this clinical trial is to evaluate the efficacy and safety of navenibart compared to placebo in preventing HAE attacks in participants with HAE.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Adult Navenibart Dosing Regimen 1 | Experimental | Participants will receive 600 mg of navenibart every 3 months. |
|
| Adult Navenibart Dosing Regimen 2 | Experimental | Participants will receive 600 mg of navenibart on Day 1 and 300 mg every 3 months starting at month 3. |
|
| Adult Navenibart Dosing Regimen 3 | Experimental | Participants will receive 600 mg of navenibart every 6 months. |
|
| Placebo (adult) | Placebo Comparator | Participants will receive placebo every 3 months. |
|
| Adolescent Navenibart Dosing Regimen 1 | Experimental | Participants will receive 600 mg of navenibart on Day 1 and 300 mg every 3 months starting at month 3. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| navenibart | Drug | Navenibart will be administered as a subcutaneous injection. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of time-normalized investigator-confirmed HAE attacks during the 6-month Treatment Period. | Day 1 through Day 181 |
| Measure | Description | Time Frame |
|---|---|---|
| Number of moderate or severe investigator-confirmed HAE attacks during the 6-month Treatment Period. | Day 1 through Day 181 | |
| Number of investigator-confirmed HAE attacks that require on-demand treatment during the 6-month Treatment Period. | Day 1 through Day 181 |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of treatment-emergent adverse events. | Day 1 through Day 361 |
Inclusion Criteria:
Documented diagnosis of HAE (Type 1 or 2). The following must be met:
Experienced at least 2 HAE attacks during the Run-In period, as confirmed by an investigator based on meeting the protocol-specified definition of an HAE attack.
Exclusion Criteria:
Any concomitant diagnosis of another form of chronic angioedema, such as acquired C1 inhibitor deficiency, HAE with normal C1-INH (also known as HAE type 3), idiopathic angioedema, or angioedema associated with urticaria.
Use of therapies prescribed for the prevention of HAE attacks may not be used during the trial or within the below time frames prior to the Run-In Period (adult participants may be on these medications at the time of the Screening Visit, but will need to washout prior to entering the Run-In Period).
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Site 9 | Birmingham | Alabama | 35209 | United States | ||
| Site 2 |
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Adult participants will be randomly assigned to one of 4 arms. Adolescent participants will be assigned to a single experimental group.
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|
| Placebo | Drug | Placebo will be administered as a subcutaneous injection. |
|
| Percent reduction in monthly investigator-confirmed HAE attacks in the 6-month Treatment Period versus the Run-In Period. | Baseline through Day 181 |
| Time to first investigator-confirmed HAE attack after first and second dose. | Day 1 through Day 181 |
| The number of participants responding to treatment, defined as a ≥ 50%, ≥ 70%, or ≥ 90% reduction from the Run-In Period in investigator-confirmed HAE attack rate (for adult participants: compared to placebo during the 6-month Treatment Period). | Baseline through Day 181 |
| Number of participants with no investigator-confirmed HAE attacks during the 6-month Treatment Period. | Day 1 through Day 181 |
| Change from baseline (Day 1) in the Angioedema Quality of Life questionnaire total score. | Day 1 through Day 181 |
| Scottsdale |
| Arizona |
| 85251 |
| United States |
| Site 3 | Little Rock | Arkansas | 72205 | United States |
| Site 26 | San Diego | California | 92122 | United States |
| Site 14 | San Diego | California | 92123, | United States |
| Site 4 | Santa Monica | California | 90404 | United States |
| Site 1 | Walnut Creek | California | 94598 | United States |
| Site 8 | Centennial | Colorado | 80112 | United States |
| Site 11 | Colorado Springs | Colorado | 80907 | United States |
| Site 25 | Tampa | Florida | 33613 | United States |
| Site 69 | Weston | Florida | 33331 | United States |
| Site 6 | Wheaton | Maryland | 20902 | United States |
| Site 67 | Boston | Massachusetts | 02114 | United States |
| Site 13 | Detroit | Michigan | 48202 | United States |
| Site 10 | St Louis | Missouri | 63141 | United States |
| Site 7 | Cincinnati | Ohio | 45236 | United States |
| Site 12 | Toledo | Ohio | 43617 | United States |
| Site 15 | Hummelstown | Pennsylvania | 17036 | United States |
| Site 86 | Dallas | Texas | 75231 | United States |
| Site 68 | Campbelltown | New South Wales | 2560 | Australia |
| Site 76 | Melbourne | Victoria | Australia |
| Site 74 | Murdoch | WA 6150 | Australia |
| Site 83 | Vienna | 1090 | Austria |
| Site 45 | Santo André | 09060870 | Brazil |
| Site 28 | Sofia | 1680 | Bulgaria |
| Site 5 | Ottawa | Ontario | K1H 1E4 | Canada |
| Site 23 | Edmonton | AB T6G 2B7 | Canada |
| Site 37 | Hradec Králové | 500 05 | Czechia |
| Site 39 | Prague | 150 06 | Czechia |
| Site 46 | La Tronche | 38700 | France |
| Site 54 | Lille | 59037 | France |
| Site 65 | Marseille | 13005 | France |
| Site 72 | Nice | 06202 | France |
| Site 52 | Paris | 75012 | France |
| Site 38 | Berlin | 12203 | Germany |
| Site 44 | Frankfurt | D-60590 | Germany |
| Site 70 | Hanover | 30625 | Germany |
| Site 20 | Hong Kong | Hong Kong |
| Site 64 | Budapest | 1088 | Hungary |
| Site 55 | Ashkelon | 7830604 | Israel |
| Site 49 | Haifa | 3104802 | Israel |
| Site 35 | Petah Tikva | 49100 | Israel |
| Site 34 | Petah Tikva | 4920235 | Israel |
| Site 53 | Tel Aviv | 6423906 | Israel |
| Site 42 | Milan | 20138 | Italy |
| Site 85 | Milan | 20157 | Italy |
| Site 51 | Monserrato | 09042 | Italy |
| Site 51 | Monserrato | CA 09042 | Italy |
| Site 66 | Padova | 35128 | Italy |
| Site 40 | San Donato Milanese | 20097 | Italy |
| Site 41 | Torino | 10128 | Italy |
| Site 30 | Fukuoka | Kurume-shi | 830-0011 | Japan |
| Site 56 | Tsu | Mei | 514-8507 | Japan |
| Site 61 | Kawagoe | Saitama | 350-8550 | Japan |
| Site 31 | Saitama | Soka-shi | 340-0041 | Japan |
| Site 57 | Hiroshima | 730-8518 | Japan |
| Site 50 | Hiroshima | 734-8551 | Japan |
| Site 58 | Kawasaki | 216-8511 | Japan |
| Site 80 | Nagasaki | 852-8501 | Japan |
| Site 47 | Saga | 849-8501 | Japan |
| Site 73 | Tokyo | 173-0032 | Japan |
| Site 27 | Amsterdam | Netherlands |
| Site 75 | Auckland | New Zealand |
| Site 33 | Skopje | 1000 | North Macedonia |
| Site 71 | Krakow | 31-503 | Poland |
| Site 78 | Lodz | 92-213 | Poland |
| Site 29 | Rzeszów | 35-051 | Poland |
| Site 79 | Warsaw | 04-141 | Poland |
| Site 81 | Coimbra | 3004-561 | Portugal |
| Site 82 | Lisbon | 1649-028 | Portugal |
| Site 59 | San Juan | 00918 | Puerto Rico |
| Site 21 | Cape Town | 7700 | South Africa |
| Site 62 | Seoul | Jongno | South Korea |
| Site 60 | Yangcheon | Seoul | South Korea |
| Site 77 | Seongnam-si | South Korea |
| Site 32 | Barcelona | Spain |
| Site 63 | Madrid | 28007 | Spain |
| Site 84 | Santa Cruz de Tenerife | 38010 | Spain |
| Site 48 | Seville | 41013 | Spain |
| Site 36 | Valencia | 46026 | Spain |
| Site 18 | Plymouth | Devon | PL6 8HD | United Kingdom |
| Site 24 | Hampstead | London | NW3 2QG | United Kingdom |
| Site 19 | Bristol | BS10 5N | United Kingdom |
| Site 16 | Cambridge | CB2 0QQ | United Kingdom |
| Site 22 | Frimley | GU16 7UJ | United Kingdom |
| Site 17 | London | E1 2ES | United Kingdom |
| ID | Term |
|---|---|
| D054179 | Angioedemas, Hereditary |
| D000799 | Angioedema |
| ID | Term |
|---|---|
| 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 |
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