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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT06343779
Registration number
NCT06343779
Ethics application status
Date submitted
18/03/2024
Date registered
3/04/2024
Date last updated
20/04/2025
Titles & IDs
Public title
Study of Oral Deucrictibant Soft Capsule for On-Demand Treatment of Angioedema Attacks in Adolescents and Adults With Hereditary Angioedema
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Scientific title
A Phase 3, Randomized, Double-blind, Placebo-controlled, Cross-over Study of Oral Deucrictibant Soft Capsule for On-Demand Treatment of Attacks in Adolescents and Adults With Hereditary Angioedema
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Secondary ID [1]
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PHA022121-C306
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Universal Trial Number (UTN)
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Trial acronym
RAPIDe-3
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Hereditary Angioedema
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Hereditary Angioedema Type I
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Hereditary Angioedema Type II
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Hereditary Angioedema Types I and II
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Hereditary Angioedema Attack
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Hereditary Angioedema With C1 Esterase Inhibitor Deficiency
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Hereditary Angioedema - Type 1
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Hereditary Angioedema - Type 2
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C1 Esterase Inhibitor [C1-INH] Deficiency
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C1 Esterase Inhibitor Deficiency
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C1 Esterase Inhibitor, Deficiency of
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C1 Inhibitor Deficiency
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Hereditary Angioedema - Type 3
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Hereditary Angioedema Type III
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Condition category
Condition code
Cardiovascular
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Diseases of the vasculature and circulation including the lymphatic system
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Human Genetics and Inherited Disorders
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0
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Other human genetics and inherited disorders
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Blood
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Other blood disorders
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Cardiovascular
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Other cardiovascular diseases
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Inflammatory and Immune System
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Other inflammatory or immune system disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Deucrictibant, Placebo
Experimental: Arm 1 - Deucrictibant administered for first HAE attack, placebo administered for second HAE attack.
Experimental: Arm 2 - Placebo administered for first HAE attack, deucrictibant administered for second HAE attack.
Treatment: Drugs: Deucrictibant, Placebo
Deucrictibant Soft Capsules for Oral Use
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Time to onset of symptom relief, defined as Patient Global Impression of Change (PGI-C) rating of at least "a little better" for 2 consecutive timepoints within 12 hours post-treatment.
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Assessment method [1]
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The PGI-C (7-point scale) is used to evaluate the change in the HAE attack symptoms as compared to pre-treatment.
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Timepoint [1]
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Pre-treatment to 12 hours post-treatment.
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Secondary outcome [1]
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Proportion of study drug-treated attacks achieving PGI-C rating of at least "a little better" at 4 hours post-treatment.
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Assessment method [1]
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The PGI-C (7-point scale) is used to evaluate the change in the HAE attack symptoms as compared to pre-treatment.
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Timepoint [1]
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Pre-treatment to 4 hours post-treatment.
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Secondary outcome [2]
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Time to substantial symptom relief, defined as achieving PGI-C rating of at least "better" for 2 consecutive timepoints within 12 hours post-treatment.
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Assessment method [2]
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The PGI-C (7-point scale) is used to evaluate the change in the HAE attack symptoms as compared to pre-treatment.
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Timepoint [2]
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Pre-treatment to 12 hours post-treatment.
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Secondary outcome [3]
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Time to substantial symptom relief by Patient Global Impression of Severity (PGI-S).
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Assessment method [3]
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Defined as achieving =1 point reduction in PGI-S (5-point scale) from pre-treatment for 2 consecutive timepoints within 12 hours post-treatment.
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Timepoint [3]
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Pre-treatment to 12 hours post-treatment.
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Secondary outcome [4]
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Time to complete symptom resolution, defined as achieving PGI-S rating of "none" within 48 hours post-treatment.
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Assessment method [4]
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The PGI-S (5-point scale) is used to evaluate the severity of HAE attack symptoms.
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Timepoint [4]
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Pre-treatment to 48 hours post-treatment.
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Secondary outcome [5]
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Time to End of Progression (EoP) in attack symptoms within 12 hours.
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Assessment method [5]
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EoP time defined as the earliest post-treatment timepoint after which all subsequent PGI-C ratings are stable or improved.
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Timepoint [5]
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Pre-treatment to 12 hours post-treatment.
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Secondary outcome [6]
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Proportion of study drug-treated attacks requiring rescue medication within 24 hours post-treatment.
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Assessment method [6]
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Rescue medication is defined as the participant's usual acute on-demand HAE treatment taken if symptoms persist or progress after study drug administration.
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Timepoint [6]
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Pre-treatment to 24 hours post-treatment.
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Secondary outcome [7]
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Proportion of attacks achieving symptom resolution.
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Assessment method [7]
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Defined as achieving PGI-S rating of "none" with one dose of study drug at 24 hours post-treatment.
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Timepoint [7]
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Pre-treatment to 24 hours post-treatment.
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Secondary outcome [8]
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Time to substantial symptom relief by Angioedema Symptom Rating Scale (AMRA).
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Assessment method [8]
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Defined as a =50% reduction in AMRA composite score from pre-treatment for 2 consecutive timepoints within 12 hours post-treatment.
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Timepoint [8]
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Pre-treatment to 12 hours post-treatment.
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Secondary outcome [9]
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Time to almost complete or complete symptom relief by AMRA.
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Assessment method [9]
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Defined as all item scores in AMRA having a value =10 for 2 consecutive timepoints within 24 hours post-treatment.
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Timepoint [9]
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Pre-treatment to 24 hours post-treatment.
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Secondary outcome [10]
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Proportion of study drug-treated attacks reaching almost complete or complete symptom relief by AMRA.
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Assessment method [10]
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Defined as all item scores in AMRA having a value =10 at 24 hours post-treatment.
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Timepoint [10]
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Pre-treatment to 24 hours post-treatment.
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Secondary outcome [11]
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Time to EoP in attack symptoms within 12 hours.
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Assessment method [11]
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Defined as the earliest post-treatment timepoint after which every individual AMRA item is stable or improved at all subsequent timepoints.
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Timepoint [11]
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Pre-treatment to 12 hours post-treatment.
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Eligibility
Key inclusion criteria
1. Provision of written informed consent/assent.
2. Male or female, aged =12 to =75 years at the time of providing written informed consent/assent.
3. Diagnosis of HAE-1/2/3.
4. History of at least 2 HAE attacks in the last 3 months before screening.
5. Experience with using standard-of-care treatment to effectively manage on-demand treatment for HAE attacks.
6. Participants on long-term prophylactic therapy with plasma-derived C1-INH (danazol, anti-fibrinolytics, berotralstat, or lanadelumab) must be on a stable dose and regimen and intend to remain on the same dose for 6 months before screening and the duration of the study. OR, Participant has stopped using plasma-derived C1-INH (danazol, anti-fibrinolytics, berotralstat) at least 2 weeks or lanadelumab at least 10 weeks before screening.
7. Capable of recording, without assistance, electronic HAE diary and ePRO data using an electronic device.
8. For adolescent participants aged =12 and <18 years of age: body weight =40 kg.
9. Female participants of childbearing potential must agree to the protocol specified pregnancy testing and contraception methods.
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Minimum age
12
Years
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Maximum age
75
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Any female who is pregnant, plans to become pregnant, or is breastfeeding.
2. Any diagnosis of angioedema other than HAE.
3. Any clinically significant comorbidity or systemic dysfunction that would interfere with the participant's safety or ability to participate in the study.
4. Use of attenuated androgens for short-term prophylaxis within 2 weeks before screening.
5. Abnormal hepatic function.
6. Abnormal renal function (eGFR <60 ml/min/1.73 m2).
7. History of alcohol or drug abuse within the previous year, or current evidence of substance dependence or abuse.
8. Has received prior on-demand HAE treatment with deucrictibant.
9. Currently participating in any other investigational drug study or receiving other investigational treatment within the last 30 days, or within 5 half-lives (whichever is longer) of the time of randomization.
10. Prior gene therapy for any indication at any time.
11. Use of concomitant medications with systemic absorption that are strong inhibitors of CYP3A4 or strong inducers of CYP3A4 within the last 30 days, or within 5 half-lives (whichever is longer) of the time of randomization.
12. Known hypersensitivity to study drug or any of the excipients of study drug.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Crossover
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
26/02/2024
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/03/2026
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Actual
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Sample size
Target
120
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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Study Site - Campbelltown
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Recruitment hospital [2]
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Study Site - Box Hill
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Recruitment postcode(s) [1]
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2560 - Campbelltown
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Recruitment postcode(s) [2]
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3128 - Box Hill
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Recruitment outside Australia
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Alabama
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Argentina
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Argentina
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Salta
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Austria
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Graz
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Austria
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Linz
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Salvador
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Santo André
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Brazil
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Japan
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Plymouth
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Pharvaris Netherlands B.V.
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
This is a Phase 3, multicenter, randomized, double-blind, placebo-controlled, 2-period, 2-treatment cross-over study to evaluate the efficacy and safety of orally administered deucrictibant compared to placebo for the on-demand treatment of HAE attacks, including non-severe laryngeal attacks, in participants =12 to =75 years of age with HAE type 1, type 2, or type 3, a proportion of whom are using long-term prophylactic medication for HAE.
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Trial website
https://clinicaltrials.gov/study/NCT06343779
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Study Director, Pharvaris
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Address
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Pharvaris Netherlands B.V.
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Email
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Contact person for public queries
Name
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Pharvaris Clinical Team
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Address
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Phone
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+31 (71) 203-6410
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Fax
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Email
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[email protected]
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT06343779
Download to PDF