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CompletedNCT00119431Updated May 4, 2009

Kinetics, Efficacy and Safety of C1-Esteraseremmer-N

A Phase 2 interventional study of C1 inhibitor concentrate in Hereditary Angioedema Type I and Angioneurotic Edema, sponsored by Prothya Biosolutions. Completed at 2 sites in Netherlands. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2009-05-04.

Sponsored by Prothya Biosolutions · Phase 2, Interventional, and Prevention

Phase
Phase 2
Study type
Interventional
Enrollment
12
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

A multicentre study to investigate pharmacokinetics, clinical efficacy and safety of nanofiltered Cetor® (called C1-esteraseremmer-N during the development phase) for the treatment of hereditary angioedema (HAE) will be performed. This study KB2003.01 consists of three parts, part A pharmacokinetics (phase II), part B treatment of attacks of angioedema (phase III) and part C prophylactic use of C1 inhibitor (phase III). Part B + C will provide data on the efficacy of C1-esteraseremmer-N.

The changes in the manufacturing process of C1-esteraseremmer-N, compared to Cetor® (the currently marketed C1-inhibitor product), nanofiltration and omission of hepatitis B immunoglobulin, most likely will not affect tolerability. The nanofiltration will provide more safety regarding viruses.

In part A, the pharmacokinetics of C1-esteraseremmer-N in patients with hereditary angioedema will be compared with the current registered product, Cetor®, in a randomised, blinded cross-over design. This study has to provide evidence that changes in the manufacturing process have not affected pharmacokinetics. In addition, this study provides data on safety of C1-esteraseremmer-N.

Read the detailed description

A multicentre study to investigate pharmacokinetics, clinical efficacy and safety of nanofiltered Cetor® (called C1-esteraseremmer-N during the development phase) for the treatment of hereditary angioedema (HAE) will be performed. This study KB2003.01 consists of three parts, part A pharmacokinetics (phase II), part B treatment of attacks of angioedema (phase III) and part C prophylactic use of C1 inhibitor (phase III). Part B + C will provide data on the efficacy of C1-esteraseremmer-N.

The changes in the manufacturing process of C1-esteraseremmer-N, compared to Cetor® (the currently marketed C1-inhibitor product), nanofiltration and omission of hepatitis B immunoglobulin, most likely will not affect tolerability. The nanofiltration will provide more safety regarding viruses.

In part A, the pharmacokinetics of C1-esteraseremmer-N in patients with hereditary angioedema will be compared with the current registered product, Cetor®, in a randomised, blinded cross-over design. This study has to provide evidence that changes in the manufacturing process have not affected pharmacokinetics. In addition, this study provides data on safety of C1-esteraseremmer-N. Twelve HAE patients without signs of an attack will receive an administration of 1,000 U, 1,500 U or 2,000 U of C1-esteraseremmer-N or Cetor® and later on the same dose of the other product. Both antigenic and functional C1 inhibitor levels will be determined. Laboratory safety parameters and adverse events will be monitored as well

02

Conditions studied

  • Hereditary Angioedema Type I
  • Angioneurotic Edema

Keywords

  • Hereditary angioedema type I (MeSH: angioneurotic edema, complement 1 inactivators)
03

In context

Angioedema

164 studies on the registry are indexed under Angioedema; 19 are open to participants now.

This study's planned enrollment of 12 is below the median of 44 across 111 interventional studies indexed under Angioedema.

Browse Angioedema studies →

Lead sponsor

Prothya Biosolutions is the lead sponsor of 15 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Established diagnosis of hereditary angioedema type I: i.e. markedly decreased C1 inhibitor activity, decreased level of C1 inhibitor antigen and a decreased level of C4.
  • Age ≥ 18 years
  • Body weight between 40 and 100 kg.
  • Signed Informed consent

Exclusion criteria

Exclusion Criteria:

  • C1 inhibitor infusion within the last 7 days
  • Signs of any attack
  • Angioedema attack within 7 days before actual infusion of study medication
  • Change in the dosage of androgens in the last 14 days before the study
  • Change in oral anticonceptive medication in the last two months before the study
  • Pregnancy or lactation.
  • B-cell malignancy
  • Participation in another pharmaceutical clinical study, which can interfere with this study, in the last 3 months prior to the study
  • History of clinically relevant antibody development to C1 inhibitor
  • Use of oral anticoagulant medication in the last 14 days
  • Use of heparin within the last two days prior to the study
  • History of allergic reaction to C1 inhibitor concentrate or other blood products
05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Double
Enrollment
12 participants (estimated)

Interventions

  • DrugC1 inhibitor concentrate
06

What researchers measure

Primary outcomes

  1. Pharmacokinetics of C1-esteraseremmer-N versus Cetor.

Secondary outcomes

  1. Laboratory and clinical safety as well as clinical tolerance of C1-esteraseremmer-N versus current Cetor.

07

Study locations

2 sites
  • Academic Medical Centre
    Amsterdam, 1100 DD, Netherlands
  • Erasmus Medical Centre
    Rotterdam, 3015 GD, Netherlands
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 4, 2009, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00119431
Lead sponsor
Prothya Biosolutions
First posted
Jul 13, 2005
Start date
Sep 2005
Completion
Mar 2006
Last update
May 4, 2009

Study contacts

M. M. Levi, Prof. Dr.
principal investigator · Academic Medical Centre Amsterdam
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in May 2009. You cannot join it, but the record below documents what was studied.

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