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CompletedNCT00462709CHANGE 3Updated Jun 8, 2021Results posted

Open-Label C1 Esterase Inhibitor (C1INH-nf) for the Prevention of Acute Hereditary Angioedema (HAE) Attacks

A Phase 3 interventional study of C1 esterase inhibitor [human] (C1INH-nf) in Hereditary Angioedema, sponsored by Shire. Completed at 48 sites in United States. Open to participants aged 1 Year and older. Per ClinicalTrials.gov, last updated 2021-06-08.

Sponsored by Shire · Phase 3, Interventional, and Prevention

From the registry’s dates

  • Registered 9 months after the study started (first participant enrolled Jun 2006, registered Apr 2007).
Phase
Phase 3
Study type
Interventional
Enrollment
146
Allocation
Not applicable
Ages
1 Year and older
Sex
All
01

Study summary

The study objective was to evaluate the safety and efficacy of prophylactic use of C1INH-nf for the prevention of acute HAE attacks.

02

Conditions studied

  • Hereditary Angioedema

Keywords

  • Hereditary angioedema
  • C1 esterase inhibitor (human)
03

In context

Angioedema

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

This study's enrollment of 146 is above the median of 44 across 111 interventional studies indexed under Angioedema.

Browse Angioedema studies →

Lead sponsor

Shire is the lead sponsor of 346 studies on the registry; 2 are open to participants now.

Of its 47 completed or terminated interventional studies of FDA-regulated products, 47 (100%) have results posted.

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

04

Who can participate

Ages eligible
1 Year and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • History of at least 1 HAE attack per month or any history of laryngeal edema

In addition, this study was open to all subjects who:

  • Completed participation in LEVP2005-1/B (NCT01005888) any time after the final prophylactic therapy in Part B
  • Were enrolled but not randomized in LEVP2005-1/A (NCT00289211) after Part A was closed
  • Were enrolled and randomized in LEVP2005-1/A after LEVP2005-1/B was closed to enrollment, any time after the 3-day telephone follow-up
  • Were excluded from LEVP2005-1 for any of the following reasons:

    • Pregnancy or lactation
    • Age less than 6 years
    • Narcotic addiction
    • Presence of anti-C1 inhibitor (C1INH) autoantibodies
  • Were not enrolled in LEVP2005-1 after enrollment in LEVP2005-1 was closed, under the following circumstances:

    • Had a diagnosis of HAE: evidence of a low C4 level plus either a low C1INH antigenic level or a low C1INH functional level, or
    • Had a known HAE-causing C1INH mutation, or
    • Had a diagnosis of HAE based on a strong family history of HAE as determined by the principal investigator

Exclusion criteria

Exclusion Criteria:

  • History of allergic reaction to C1INH or other blood products
  • Participated in any other investigational drug study within the past 30 days other than those sponsored by Lev Pharmaceuticals
  • Received blood or a blood product in the past 60 days other than C1INH-nf
05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
146 participants (actual)

Study arms

  • Experimental
    Open-label C1INH-nf

    1,000 Units (U) of C1INH-nf administered intravenously (IV) every 3 to 7 days.

    Biological: C1 esterase inhibitor [human] (C1INH-nf)

Interventions

  • BiologicalC1 esterase inhibitor [human] (C1INH-nf)
06

What researchers measure

Primary outcomes

  1. Frequency of All HAE Attacks

    A hereditary angioedema (HAE) attack was defined as a discrete episode during which the subject progressed from no angioedema to symptoms of angioedema.

    Time frame: Duration of the study

Other outcomes

  1. Antigenic C1 Inhibitor (C1INH) Serum Levels

    Change from pre-infusion to 1 hour post-infusion in antigenic C1INH serum levels.

    Time frame: Pre-infusion to 1 hour post-infusion

  2. Functional C1INH Serum Levels

    Change from pre-infusion to 1 hour post-infusion in functional C1INH serum levels. Functional C1INH serum levels are expressed as a percent of total detectable C1INH (i.e., functional C1INH/total detectable C1INH).

    Time frame: Pre-infusion to 1 hour post-infusion

  3. Complement C4 Serum Levels

    Change from pre-infusion to 1 hour post-infusion in complement C4 serum levels.

    Time frame: Pre-infusion to 1 hour post-infusion

07

Results

Posted May 3, 2010

Participant flow

Participant flow — Overall Study
MilestoneOpen-label C1INH-nf
Started146
Completed79
Not completed67
Withdrew: Transitioned to commercial c1inh-nf40
Withdrew: Lost to follow-up10
Withdrew: Withdrawal by subject8
Withdrew: Transferred to levp2006-1 (nct00438815)3
Withdrew: Death2
Withdrew: Logistical reasons2
Withdrew: Physician decision1
Withdrew: Withdrew to start treatment with cetor1

Outcome measures

PrimaryFrequency of All HAE Attacks

A hereditary angioedema (HAE) attack was defined as a discrete episode during which the subject progressed from no angioedema to symptoms of angioedema.

Time frame:
Duration of the study
Reported as:
Median · attacks per month
Frequency of All HAE Attacks
attacks per monthOpen-label C1INH-nf
At Screening (N=137)3.00 (0.08 to 28.00)
During Prophylactic Therapy with C1INH-nf (N=146)0.21 (0.00 to 4.56)
Other pre-specifiedAntigenic C1 Inhibitor (C1INH) Serum Levels

Change from pre-infusion to 1 hour post-infusion in antigenic C1INH serum levels.

Time frame:
Pre-infusion to 1 hour post-infusion
Reported as:
Mean · mg/dL
Antigenic C1 Inhibitor (C1INH) Serum Levels
mg/dLOpen-label C1INH-nf
Pre-infusion17.1 ± 19.67
Increase at 1 hour post-infusion8.6 ± 11.89
Other pre-specifiedFunctional C1INH Serum Levels

Change from pre-infusion to 1 hour post-infusion in functional C1INH serum levels. Functional C1INH serum levels are expressed as a percent of total detectable C1INH (i.e., functional C1INH/total detectable C1INH).

Time frame:
Pre-infusion to 1 hour post-infusion
Reported as:
Mean · percent
Functional C1INH Serum Levels
percentOpen-label C1INH-nf
Pre-infusion42.0 ± 25.85
Percent increase at 1 hour post-infusion30.4 ± 18.05
Other pre-specifiedComplement C4 Serum Levels

Change from pre-infusion to 1 hour post-infusion in complement C4 serum levels.

Time frame:
Pre-infusion to 1 hour post-infusion
Reported as:
Mean · mg/dL
Complement C4 Serum Levels
mg/dLOpen-label C1INH-nf
Pre-infusion10.1 ± 8.17
Change at 1 hour post-infusion-0.1 ± 3.61

Adverse events

Non-serious events are listed at a 1% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Open-label C1INH-nf—0/146 (0%)9/146 (6.2%)
Most frequent other events
Most frequent other events
EventOpen-label C1INH-nf
HeadacheNervous system disorders3/146
RashSkin and subcutaneous tissue disorders3/146
NauseaGastrointestinal disorders2/146
PhlebitisVascular disorders2/146

Baseline characteristics

Age, Continuous
Age, Continuous(years)Open-label C1INH-nf
Mean36.5 ± 16.48
Sex: Female, Male
Sex: Female, Male(Participants)Open-label C1INH-nf
Female112
Male34
08

Study locations

48 sites
  • Clinical Research Consultants, Inc
    Hoover, Alabama 35216, United States
  • Allergy and Immunology Associates
    Scottsdale, Arizona 85251, United States
  • Allergy and Asthma Clinic of Northwest Arkansas
    Bentonville, Arkansas 72712, United States
  • UCLA-David Geffen School of Medicine
    Los Angeles, California 90095, United States
  • University of California, San Diego
    San Diego, California 92093, United States
  • Allergy and Asthma Associates of Santa Clara
    San Jose, California 95117, United States
  • Allergy and Asthma Clinical Research, Inc
    Walnut Creek, California 94598, United States
  • Allergy and Asthma Center
    Fort Lauderdale, Florida 33334, United States
  • Allergy and Asthma Center of East Orlando
    Orlando, Florida 32826, United States
  • Cleveland Clinic
    Weston, Florida 33331, United States
  • Family Allergy and Asthma Center
    Atlanta, Georgia 30342, United States
  • Atlanta Allergy and Asthma Clinic
    Suwanee, Georgia 30024, United States
  • University Consultants in Allergy & Immunology
    Chicago, Illinois 60612, United States
  • Welborn Clinic
    Evansville, Indiana 47713, United States
  • Private Practice
    Liberal, Kansas 67901, United States
  • Olathe Medical Center
    Olathe, Kansas 66061, United States
  • Graves-Gilbert Clinic
    Bowling Green, Kentucky 42101, United States
  • Family Asthma and Allergy Research Center
    Louisville, Kentucky 40215, United States
  • Asthma Allergy and Sinus Center
    Waldorf, Maryland 20602, United States
  • Institute for Asthma and Allergy
    Wheaton, Maryland 20902, United States
  • Massachusetts General Hospital
    Boston, Massachusetts 02114, United States
  • Grand Traverse Allergy
    Traverse City, Michigan 49684, United States
  • MeritCare Clinical Research
    Bemidji, Minnesota 56601, United States
  • University of Mississippi Medical Center
    Jackson, Mississippi 39216, United States
  • St. Louis University School of Medicine
    Saint Louis, Missouri 63110, United States
  • Nevada Access to Research and Education Society
    Las Vegas, Nevada 89102, United States
  • UMDNJ Asthma and Allergy Research Center
    Newark, New Jersey 07103, United States
  • Montefiore Medical Center
    Bronx, New York 10461, United States
  • Private Practice
    Hastings-on-Hudson, New York 10706, United States
  • Winthrop University Hospital
    Mineola, New York 11501, United States
  • Mount Sinai School of Medicine
    New York, New York 10029, United States
  • Allergy Partners of East Carolina
    Greenville, North Carolina 27858, United States
  • Legacy Pharma Research
    Bismarck, North Dakota 58501, United States
  • MeritCare Clinical Research
    Fargo, North Dakota 58122, United States
  • Nationwide Childrens Hospital Clinical Research
    Columbus, Ohio 43205, United States
  • Allergy Clinic of Tulsa
    Tulsa, Oklahoma 74133, United States
  • Oregon Medical Group
    Eugene, Oregon 97401, United States
  • Allergy Asthma and Dermatology Research Center
    Lake Oswego, Oregon 97035, United States
  • Penn State University
    Hershey, Pennsylvania 17033, United States
  • AARA Research Center
    Dallas, Texas 75231, United States
  • University of Texas Medical Branch
    Galveston, Texas 77555-1083, United States
  • University of Texas - Pediatric Pulmonary/Allergy and Immunology
    Houston, Texas 77030, United States
  • Allergy and Asthma Research Center
    San Antonio, Texas 78229, United States
  • Tyler County Hospital
    Woodville, Texas 75979, United States
  • Virginia Adult and Pediatric Allergy and Asthma
    Richmond, Virginia 23229, United States
  • Marycliff Allergy Specialists
    Spokane, Washington 99204, United States
  • Puget Sound Allergy, Asthma and Immunology
    Tacoma, Washington 98405, United States
  • St. Joseph's Hospital/Cornerstone Healthcare
    Parkersburg, West Virginia 26102, United States
09

References and documents

Publications

  • 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. PubMed 36326435 ↗
  • Baker JW, Craig TJ, Riedl MA, Banerji A, Fitts D, Kalfus IN, Uknis ME. Nanofiltered C1 esterase inhibitor (human) for hereditary angioedema attacks in pregnant women. Allergy Asthma Proc. 2013 Mar-Apr;34(2):162-9. doi: 10.2500/aap.2013.34.3645. PubMed 23484892 ↗
  • Lumry W, Manning ME, Hurewitz DS, Davis-Lorton M, Fitts D, Kalfus IN, Uknis ME. Nanofiltered C1-esterase inhibitor for the acute management and prevention of hereditary angioedema attacks due to C1-inhibitor deficiency in children. J Pediatr. 2013 May;162(5):1017-22.e1-2. doi: 10.1016/j.jpeds.2012.11.030. Epub 2013 Jan 11. PubMed 23312695 ↗
  • Zuraw BL, Busse PJ, White M, Jacobs J, Lumry W, Baker J, Craig T, Grant JA, Hurewitz D, Bielory L, Cartwright WE, Koleilat M, Ryan W, Schaefer O, Manning M, Patel P, Bernstein JA, Friedman RA, Wilkinson R, Tanner D, Kohler G, Gunther G, Levy R, McClellan J, Redhead J, Guss D, Heyman E, Blumenstein BA, Kalfus I, Frank MM. Nanofiltered C1 inhibitor concentrate for treatment of hereditary angioedema. N Engl J Med. 2010 Aug 5;363(6):513-22. doi: 10.1056/NEJMoa0805538. PubMed 20818886 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 8, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00462709
Lead sponsor
Shire
Responsible party
Sponsor
First posted
Apr 19, 2007
Start date
Jun 27, 2006
Primary completion
Mar 31, 2009
Completion
Mar 31, 2009
Results posted
May 3, 2010
Last update
Jun 8, 2021

Study contacts

Study Director
study director · Takeda
View the source record on ClinicalTrials.gov ↗

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