Donidalorsen Treatment in Children With Hereditary Angioedema

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age2-11
SponsorIonis Pharmaceuticals, Inc.

About this trial

The purpose of this study is to evaluate the safety, tolerability and pharmacokinetics of donidalorsen in pediatric participants with hereditary angioedema (HAE) Type I (HAE-1) or Type II (HAE-2).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Must be between the ages of 2 and less than 12 years, inclusive, at the time of informed consent and, as applicable, assent.

Must weigh at least 9 kg at the time of informed consent and, as applicable, assent.

Documented clinical history consistent with HAE (SC or mucosal, non-pruritic swelling episodes without accompanying urticaria).

Diagnostic testing results that confirm HAE-1/HAE-2: C1-inhibitor (C1-INH) functional level <50% normal level AND complement factor C4 level below the lower limit of normal (LLN); OR a known pathogenic mutation in the SERPING1 gene.

Disqualifiers

Must not have any screening laboratory abnormalities or any other clinically significant abnormalities during screening that would render a participant unsuitable for inclusion.

Must not have been treated with another investigational drug, biological agent, or device within 1 month of Screening, or 5 half-lives of investigational agent, whichever is longer.

Concurrent diagnosis of any other type of recurrent angioedema, including idiopathic angioedema or HAE with normal C1-INH (HAE-nC1-INH or Type III).

Trial design

Design model

Parallel

Treatments tested in this trial

  • Donidalorsen

    Drug

    Donidalorsen will be administered by subcutaneous (SC) injection.

Treatment groups

20 Participants
are divided into 3 treatment groups
Group A: Donidalorsen: Group 1Experimental treatment 1 intervention
Group B: Donidalorsen: Group 2Experimental treatment 1 intervention
Group C: Donidalorsen: Group 3Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Number of Participants with Treatment Emergent Adverse Events (TEAEs)

Time frame
over the period of approximately 17 months
2

Maximum Plasma Concentration (Cmax) of Donidalorsen

Time frame
over the period of approximately 17 months
3

Maximum Time to Reach Cmax (Tmax) of Donidalorsen

Time frame
over the period of approximately 17 months
4

Trough Plasma Concentration (Ctrough) of Donidalorsen

Time frame
over the period of approximately 17 months

Secondary outcomes

1

Time-Normalized Number of Investigator-Confirmed HAE Attacks (per Month)

Time frame
over the period of 12 months
2

Percentage of Investigator-Confirmed HAE Attack-free Participants

Time frame
over the period of 12 months
3

Time-Normalized Number of Moderate or Severe Investigator-Confirmed HAE Attacks (per Month)

Time frame
over the period of 12 months
4

Number of Participants with a Clinical Response Defined as a ≥ 50 Percent (%), ≥ 70% and ≥ 90% Reduction from Baseline in Investigator-Confirmed HAE Attack Rate

Time frame
over the period of 12 months

Other outcomes

Sponsors and contacts

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