Hereditary Angioedema With Normal C1 Inhibitor: US Survey of Prevalence and Provider Practice Patterns.
Marc A Riedl, Mark Danese, Sherry Danese...
https://pubmed.ncbi.nlm.nih.gov/36720386/Actively Recruiting
Led by Institute for Asthma and Allergy · Updated on 2025-07-02
10
Participants Needed
1
Research Sites
N/A
Total Duration
Researchers are evaluating the effectiveness of deucrictibant, an oral bradykinin B2 receptor antagonist, for both preventing and treating acute angioedema attacks in adults with bradykinin-mediated angioedema with normal C1 inhibitor BK-AE-nC1INH. The study involves a randomized, double-blind, placebo-controlled crossover design to compare deucrictibant with placebo for long-term prophylaxis and on-demand treatment during attacks. This trial includes up to 10 participants and aims to assess both symptom prevention and relief. The study has two parts. Part 1 tests deucrictibant extended-release XR tablets at a dose of 40 mg once daily versus placebo for 12 weeks each, with participants crossing over after the first 12 weeks for a total of 24 weeks. Part 2 begins after Part 1 and evaluates deucrictibant 20 mg soft capsules versus placebo for on-demand treatment of two angioedema attacks over approximately 16 weeks. Participants self-administer the study drug or placebo during qualifying attacks and record treatment and symptoms in a diary. Participants will keep detailed diaries to track angioedema symptoms, treatments, and responses throughout the study. Researchers will assess the number and quality of angioedema attacks during prophylaxis and symptom relief during acute treatment. Safety will be monitored through adverse event tracking, lab tests, vital signs, physical exams, and ECGs. The total participation duration can be up to 40 weeks, including screening, treatment, and follow-up visits.
CONDITIONS
Oral Deucrictibant for Prophylactic and Acute Treatment in Hereditary Angioedema Patients
H
Henry Li, MD
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Institute for Asthma and Allergy
Lead Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Deucrictibant XR tablet (prophylaxis) and deucrictibant capsule (on-demand) | Placebo XR tablet (prophylaxis) and placebo capsule (on-demand) |
|---|---|---|
| What it is | Oral medication (extended-release 40 mg tablet for prophylaxis, 20 mg capsule for on-demand use) designed to block bradykinin signaling in patients with bradykinin-mediated angioedema with normal C1 inhibitor. | A tablet or capsule that matches the active deucrictibant in appearance and use, but contains no active medication. |
| Role in the trial | Investigational intervention, tested for both the prevention of angioedema attacks and acute symptom relief during attacks. | Randomized comparator used as the control for both prophylactic and on-demand treatment periods in the crossover trial. |
| Primary use | Studied for two uses: scheduled prevention of angioedema attacks (prophylactic), and on-demand treatment to relieve symptoms during acute attacks. | Control for evaluating how active deucrictibant affects the prevention and acute treatment of angioedema attacks. |
| How it is given or performed | Deucrictibant is taken orally: the XR tablet is used for regular prevention, and the capsule is available for immediate use when an angioedema attack begins. | Placebo is matched in appearance and dosing schedule to the active deucrictibant, including both regular and on-demand dosing periods. |
| Evidence status | Evidence for oral deucrictibant is still being collected; results for its effectiveness in preventing or treating attacks are not yet established from this trial. | Placebo is not expected to prevent or treat angioedema attacks and serves mainly to measure the effect of the active drug for both prevention and acute treatment. |
| Important limitations | Long-term safety and effectiveness of oral deucrictibant remain unproven. The study excludes prior prophylactic therapy use, severe comorbidities, and has a small sample size, so broader risks or rare side effects may not be detected. It is not yet known if results generalize to other forms of hereditary angioedema. | Placebo cannot provide benefit and is limited to research settings. Data from placebo periods are necessary for comparison but do not offer direct treatment utility. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
You may qualify if you...
You will not qualify if you...
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Up to 24 weeks (12 weeks on each treatment)
Participants take deucrictibant or placebo tablets once daily for prophylaxis against angioedema attacks in a randomized, double-blind crossover design.
Visits at start and end of each 12-week treatment period
Duration - Up to 16 weeks
Participants self-administer deucrictibant or placebo capsules on-demand at home to treat up to 2 angioedema attacks in a randomized, double-blind crossover design.
Study visits at Week 24 and within 7±2 days after second treated attack
Duration - Approximately 28 days
Participants attend an end-of-study visit approximately 28 days after the second treated attack for safety and efficacy assessments.
1 visit (in-person)
Study Type
INTERVENTIONAL
Masking
TRIPLE
Allocation
RANDOMIZED
Model
CROSSOVER
Primary Purpose
PREVENTION
Number of Arms
4
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