ClinicalTrials.gg
CompletedNCT06690047Updated Nov 15, 2024

Treatment of Hereditary Angioedema Prodrome with Recombinant C1-esterase Inhibitor (Ruconest)

A Phase 4 interventional study of Ruconest in Hereditary Angioedema, sponsored by Bernstein Clinical Research Center. Completed at 2 sites in United States. Open to participants aged 14 Years and older. Per ClinicalTrials.gov, last updated 2024-11-15.

Sponsored by Bernstein Clinical Research Center · Phase 4, Interventional, and Prevention

From the registry’s dates

  • Primary completion was Apr 2022, 4 years 5 months ago, and no results have been posted to the registry.
  • Registered 6 years 2 months after the study started (first participant enrolled Aug 2018, registered Nov 2024).
Phase
Phase 4
Study type
Interventional
Enrollment
5
Allocation
Randomized
Ages
14 Years and older
Sex
All
01

Study summary

To assess the efficacy of recombinant human C1-esterase inhibitor in the management of HAE prodrome for preventing the progression from prodrome to an acute angioedema attacks. Subjects will either receive Ruconest after the first 2 prodromes or during the last 2 prodromes. 5 clinic visits will occur within 24 hours of a prodrome. Subjects will complete prodrome severity and angioedema attack diaries

Read the detailed description

After screening, subjects will be followed in the study for four consecutive prodromes. For prodromes designed to be treated with Ruconest, the drug will be administered within 12 hours of prodromal onset and prior to the onset of objective selling. Ruconset will be self-administered at home or by a healthcare professional at the recommended dose of 50 IU/kg body weight with maximum dose of 4200 IU as a slow IV injection over 5 minutes Subjects will be randomized into two arms after enrollment. Subjects in Arm A receives Ruconest after 1st and 2nd prodrome and no Ruconest after 3rd and 4th prodromes. Subjects in Arm B receive no Ruconest after 1st and 2nd prodrome and Ruconest after 3rd and 4th prodromes.

02

Conditions studied

  • Hereditary Angioedema

Keywords

  • prodrome
03

In context

Angioedemas, Hereditary

173 studies on the registry are indexed under Angioedemas, Hereditary; 25 are open to participants now.

This study's enrollment of 5 is below the median of 48 across 117 interventional studies indexed under Angioedemas, Hereditary.

Browse Angioedemas, Hereditary studies →

Lead sponsor

Bernstein Clinical Research Center is the lead sponsor of 3 studies on the registry; 1 is open to participants now.

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

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Prior diagnosis of HAE Type 1 and 2,
  • One or more HAE attacks per month,
  • History of 4 prodromes that proceed to angioedema attacks

Exclusion criteria

Exclusion Criteria:

  • History of thrombosis or arterial/venous thromboembolic attacks
  • History of atherosclerosis, morbid obesity, immobility
  • History of allergy to rabbits or products from rabbits
  • History of life-threatening immediate allergic reactions to C1 esterase inhibitor preparations
05

Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
5 participants (actual)

Study arms

  • Active comparator
    Ruconest

    open-label Ruconest

    Biological: Ruconest

  • No intervention
    No Ruconest

    No Ruconest given

Interventions

  • BiologicalRuconest

    recombinant human C1-esterase inhibitor

06

What researchers measure

Primary outcomes

  1. The primary endpoint was the difference in response rates in preventing HAE attacks between Conestat Alfa®-treated vs. untreated HAE prodrome events.

    A mixed model for repeated measures was used to determine the statistical significance of Conestat Alfa®'s clinical efficacy for treating the HAE prodrome versus the acute attack.

    Time frame: up to 12 months from start of study

07

Study locations

2 sites
  • Clinical Research Center of Alabama
    Birmingham, Alabama 35209, United States
  • Bernstein Clinical Research Center, LLC
    Cincinnati, Ohio 45236, United States
08

References and documents

Individual participant data

Plan to share: No — not needed for manuscript

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Aug 2018 to primary completion in Apr 2022, 44 months.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 12, 2024
First posted
Nov 15, 2024
StartActual
Aug 14, 2018
Primary completionActual
Apr 28, 2022
CompletionActual
Apr 28, 2022
Last update
Nov 15, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 15, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06690047
Lead sponsor
Bernstein Clinical Research Center
Responsible party
Jonathan A. Bernstein, MD (PI, Bernstein Clinical Research Center) — Principal investigator
First posted
Nov 15, 2024
Start date
Aug 14, 2018
Primary completion
Apr 28, 2022
Completion
Apr 28, 2022
Last update
Nov 15, 2024

Study contacts

Jonathan Bernstein, MD
principal investigator · Bernstein Clinical Research Center

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Nov 2024. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Conestat alfa

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