CClinicalTrials.gg
Status unknownNCT01036659ACEUpdated Mar 9, 2012

Evaluation of Ecallantide for the Acute Treatment of Angiotensin Converting Enzyme Inhibitor Induced Angioedema

A Phase 2 interventional study of ecallantide - Kallikrein inhibitor that blocks the production of bradykinin in Angioedema, sponsored by Bernstein, Jonathan A., M.D.. Status unknown at 3 sites in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2012-03-09.

Sponsored by Bernstein, Jonathan A., M.D. · Phase 2, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Mar 2012), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 2
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

The investigators will conduct a double-blind, randomized controlled trial comparing the safety and effectiveness of ecallantide to conventional therapy. A rescue cross-over design will be used such that patients failing to improve on standard therapy will additionally be treated with ecallantide. Therefore, a historical control cohort will be enrolled for analysis of secondary endpoints. In addition, since some patients treated with conventional therapy may improve rapidly and therefore not be eligible for inclusion in the study, the investigators will enroll these patients as an observational arm to enable the conduct of sensitivity analysis.

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Conditions studied

  • Angioedema

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Keywords

  • acute angiotensin converting enzyme inhibitor angioedema
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In context

Angioedema

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

This study's planned enrollment of 50 is above the median of 44 across 111 interventional studies indexed under Angioedema.

Browse Angioedema studies →

Lead sponsor

Bernstein, Jonathan A., M.D. is the lead sponsor of 2 studies on the registry; none are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  1. Males and females of any race or ethnicity 18 or older. The locations of the study will permit all racial and ethnic distribution in the study
  2. Must currently be on an ACE inhibitor
  3. Presenting with ACE induced angioedema within 12 hours after onset. This is to be documented in the source document and CRF
  4. All females of childbearing age must have a negative pregnancy test prior to administration of the study drug.

Exclusion criteria

Exclusion Criteria:

  1. Participation in another investigational study within 30 days prior to enrollment
  2. Patients who improve on conventional (standard of care) therapy
  3. Patients previously treated with ecallantide
  4. Hypersensitivity to ecallantide
  5. Pregnancy or breast feeding
  6. Other definable causes of angioedema (i.e., hereditary or acquired angioedema)
  7. Patients receiving C-1 inhibitor as prophylaxis
  8. Treatment requiring tranexamic acid, and epsilon-aminocaproic acid
  9. Receiving fresh frozen plasma within 3 days prior to enrollment
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
50 participants (estimated)

Study arms

  • Active comparator
    Ecallantide in conjunction with Conventional Therapy

    Drug: ecallantide - Kallikrein inhibitor that blocks the production of bradykinin

  • Placebo comparator
    Conventional therapy and placebo

    Drug: ecallantide - Kallikrein inhibitor that blocks the production of bradykinin

  • No intervention
    Historical Evaluation

Interventions

  • Drugecallantide - Kallikrein inhibitor that blocks the production of bradykinin

    subcutaneous dose of 30mg of ecallantide or placebo (three 10 mg SC injections at three different sites ((arms, legs, abdomen). Injections are not to be administered at the attack location.

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What researchers measure

Primary outcomes

  1. Objective criteria that allow for discharge directly from the ED at or before 4 hours:(stable vital signs, no evidence of stridor, dysphagia or drooling, edema has regressed to or did not progress beyond Class I.

    Time frame: 18 months

Secondary outcomes

  1. Time to meet objective discharge criteria, Physician assessment of angioedema improvement measured using the Symptom Complex Response Assessment at 2 hours post-treatment and 4 hours post-treatment.

    Time frame: 18 months

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Study locations

3 of 3 sites recruiting
  • The Jewish Hospital
    Cincinnati, Ohio 45201, United States
    Recruiting
  • Univeristy Hospital
    Cincinnati, Ohio 45219, United States
    • Jillian K Picard, RN, BSN · Contact · Jillian.picard@uc.edu · 513-558-0924
    • Sarah J Holmes, RN, BSN · Contact · Sarah.holmes@uc.edu · 513-558-0924
    • Jonathan A Bernstein, MD · Principal investigator
    Recruiting
  • UC Physicians, Dpt of Internal Medicine, Division of Immunology
    Cincinnati, Ohio 45267, United States
    Recruiting
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References and documents

Publications

  • Bernstein JA, Moellman JJ, Collins SP, Hart KW, Lindsell CJ. Effectiveness of ecallantide in treating angiotensin-converting enzyme inhibitor-induced angioedema in the emergency department. Ann Allergy Asthma Immunol. 2015 Mar;114(3):245-9. doi: 10.1016/j.anai.2014.12.007. Epub 2015 Jan 16. PubMed 25601538 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 9, 2012, 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
NCT01036659
Lead sponsor
Bernstein, Jonathan A., M.D.
Collaborators
Dyax Corp.
First posted
Dec 21, 2009
Start date
May 2010
Primary completion
Jun 2013 (estimated)
Completion
Dec 2013 (estimated)
Last update
Mar 9, 2012

Study contacts

Jillian Picard, RN
Contact
jillian.picard@uc.edu
513-558-0924
Sarah J. Holmes, RN
Contact
sarah.holmes@uc.edu
513-558-0924
Jonathan A. Bernstein, M.D.
principal investigator · UC Physicians, Division of Immunology
Joseph Moellman, MD
principal investigator · UC Physicians, Department of Emergency Medicine

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Mar 2012. You cannot join it, but the record below documents what was studied.

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