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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03712228
Registration number
NCT03712228
Ethics application status
Date submitted
17/10/2018
Date registered
19/10/2018
Titles & IDs
Public title
A Study to Investigate CSL312 in Subjects With Hereditary Angioedema (HAE)
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Scientific title
A Multicenter, Randomized, Placebo-controlled, Parallel-arm Study to Investigate the Efficacy, Pharmacokinetics, and Safety of CSL312 in Subjects With Hereditary Angioedema
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Secondary ID [1]
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2018-000605-24
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Secondary ID [2]
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CSL312_2001
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Universal Trial Number (UTN)
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Trial acronym
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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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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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Other human genetics and inherited disorders
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Blood
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Other blood disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - Factor XIIa antagonist monoclonal antibody
Treatment: Drugs - Placebo
Placebo comparator: Placebo - Subjects with C1-INH HAE receiving buffer only
Active comparator: CSL312 (low) - Subjects with C1-INH HAE receiving low dose CSL312
Active comparator: CSL312 (med) - Subjects with C1-INH HAE receiving medium dose CSL312
Active comparator: CSL312 (high) - Subjects with C1-INH HAE receiving high dose CSL312
Active comparator: CSL312 (med/high) - Subjects with C1-INH HAE receiving medium/high dose CSL312
Treatment: Other: Factor XIIa antagonist monoclonal antibody
Factor XIIa antagonist monoclonal antibody for intravenous and subcutaneous use
Treatment: Drugs: Placebo
Buffer without active ingredient
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Intervention code [1]
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Treatment: Other
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Intervention code [2]
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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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The Mean Time Normalized Number of HAE Attacks Per Month in Subjects With C1-INH HAE During Treatment Period 1
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Assessment method [1]
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The time-normalized number of HAE attacks per month during Treatment Period 1 for a subject was calculated as the (number of HAE attacks / length of subject's evaluation period in days) \* 30.4375
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Timepoint [1]
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13 weeks
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Secondary outcome [1]
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The Number of Responder Subjects With C1-INH HAE During Treatment Period 1
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Assessment method [1]
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Response is defined as a = 50% relative reduction in the time-normalized number of HAE attacks (per month) during Treatment Period 1 compared to each subject's time-normalized number of HAE attacks (per month) during the Run-in Period
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Timepoint [1]
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13 weeks
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Secondary outcome [2]
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The Percentage of Responder Subjects With C1-INH HAE During Treatment Period 1
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Assessment method [2]
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Response is defined as a = 50% relative reduction in the time-normalized number of HAE attacks (per month) during Treatment Period 1 compared to each subject's time-normalized number of HAE attacks (per month) during the Run-in Period.
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Timepoint [2]
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13 weeks
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Secondary outcome [3]
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The Number of HAE Attack-free Subjects With C1-INH HAE During Treatment Period 1
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Assessment method [3]
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Timepoint [3]
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13 weeks
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Secondary outcome [4]
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The Percentage of HAE Attack-free Subjects With C1-INH HAE During Treatment Period 1
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Assessment method [4]
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Timepoint [4]
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13 weeks
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Secondary outcome [5]
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The Number of Mild, Moderate or Severe HAE Attacks in Subjects With C1-INH HAE During Treatment Period 1
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Assessment method [5]
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Timepoint [5]
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13 weeks
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Secondary outcome [6]
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The Percentage of Mild, Moderate or Severe HAE Attacks in Subjects With C1-INH HAE During Treatment Period 1
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Assessment method [6]
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Timepoint [6]
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13 weeks
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Secondary outcome [7]
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The Mean Time-normalized Number of Mild, Moderate or Severe HAE Attacks Per Month in Subjects With C1-INH HAE During Treatment Period 1
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Assessment method [7]
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The time-normalized number of HAE attacks per month during Treatment Period 1 for a subject was calculated as the (number of HAE attacks / length of subject's evaluation period in days) \* 30.4375
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Timepoint [7]
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13 weeks
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Secondary outcome [8]
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The Number of Subjects With at Least One (1) HAE Attack Treated With On-demand HAE Medication, in Subjects With C1-INH HAE During Treatment Period 1
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Assessment method [8]
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Timepoint [8]
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13 weeks
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Secondary outcome [9]
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The Percentage of Subjects With at Least One (1) HAE Attack Treated With On-demand HAE Medication, in Subjects With C1-INH HAE During Treatment Period 1
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Assessment method [9]
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Timepoint [9]
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13 weeks
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Secondary outcome [10]
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Maximum Concentration (Cmax) of CSL312 in Subjects With C1-INH HAE During Treatment Period 1
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Assessment method [10]
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Timepoint [10]
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13 weeks
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Secondary outcome [11]
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Area Under the Concentration-time Curve in 1 Dosing Interval (AUC0-tau) of CSL312 in Subjects With C1-INH HAE During Treatment Period 1
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Assessment method [11]
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Timepoint [11]
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13 weeks
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Secondary outcome [12]
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Time of Maximum Concentration (Tmax) of CSL312 in Subjects With C1-INH HAE During Treatment Period 1
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Assessment method [12]
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Timepoint [12]
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13 weeks
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Secondary outcome [13]
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Terminal Elimination Half-life (T1/2) of CSL312 in Subjects With C1-INH HAE During Treatment Period 1
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Assessment method [13]
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Timepoint [13]
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13 weeks
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Secondary outcome [14]
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Clearance (CL/F) of CSL312 in Subjects With C1-INH HAE During Treatment Period 1
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Assessment method [14]
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Timepoint [14]
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13 weeks
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Secondary outcome [15]
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Volume of Distribution During the Elimination Phase (Vz/F) of CSL312 in Subjects With C1-INH HAE During Treatment Period 1
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Assessment method [15]
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Timepoint [15]
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13 weeks
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Secondary outcome [16]
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The Number of Subjects With C1-INH HAE With Adverse Events (AEs), Serious Adverse Events (SAEs), Adverse Events of Special Interest (AESI), Injection Site Reactions (ISRs), Binding Antibodies to CSL312 During Treatment Period 1
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Assessment method [16]
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Adverse events of special interest is defined as anaphylaxis, thromboembolic events, and bleeding events.
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Timepoint [16]
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13 weeks
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Eligibility
Key inclusion criteria
* Male or female
* Aged = 18 to = 65 years
* A diagnosis of C1-INH HAE or FXII/PLG HAE;
* For subjects with C1-INH HAE: = 4 HAE attacks over a consecutive 2-month period during the 3 months before Screening, as documented in the subject's medical record.
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Minimum age
18
Years
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Maximum age
65
Years
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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
* History of clinically significant arterial or venous thrombosis, or current clinically significant prothrombotic risk
* History of an uncontrolled, abnormal bleeding event due to a coagulopathy, or a current clinically significant coagulopathy or clinically significant risks for bleeding events
* Known incurable malignancies
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Study design
Purpose of the study
Prevention
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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
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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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
29/10/2018
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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
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Actual
15/10/2021
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Sample size
Target
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Accrual to date
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Final
44
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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Campbelltown Hospital - Campbelltown
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Recruitment postcode(s) [1]
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2560 - Campbelltown
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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California
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Country [2]
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United States of America
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State/province [2]
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Colorado
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Country [3]
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United States of America
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State/province [3]
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Maryland
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Country [4]
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United States of America
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State/province [4]
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New York
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Country [5]
0
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United States of America
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State/province [5]
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Pennsylvania
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Country [6]
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United States of America
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State/province [6]
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Texas
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Country [7]
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Canada
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State/province [7]
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Alberta
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Country [8]
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Canada
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State/province [8]
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Ontario
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Country [9]
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Germany
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State/province [9]
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Berlin
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Country [10]
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Germany
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State/province [10]
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Frankfurt
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Country [11]
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Germany
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State/province [11]
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Mainz
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Country [12]
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Germany
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State/province [12]
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Mörfelden-Walldorf
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Country [13]
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Israel
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State/province [13]
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Ashkelon
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
CSL Behring
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This is a multicenter, randomized, placebo-controlled, parallel-arm, phase 2 study to investigate the clinical efficacy, pharmacokinetics, and safety of CSL312 as prophylaxis to prevent attacks in subjects with HAE.
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Trial website
https://clinicaltrials.gov/study/NCT03712228
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Trial related presentations / 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. Craig T, Magerl M, Levy DS, Reshef A, Lumry WR, Martinez-Saguer I, Jacobs JS, Yang WH, Ritchie B, Aygoren-Pursun E, Keith PK, Busse P, Feuersenger H, Pawaskar D, Jacobs I, Pragst I, Doyle MK. Prophylactic use of an anti-activated factor XII monoclonal antibody, garadacimab, for patients with C1-esterase inhibitor-deficient hereditary angioedema: a randomised, double-blind, placebo-controlled, phase 2 trial. Lancet. 2022 Mar 5;399(10328):945-955. doi: 10.1016/S0140-6736(21)02225-X. Epub 2022 Feb 24.
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Public notes
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Contacts
Principal investigator
Name
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Study Director
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Address
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CSL Behring LLC
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Study protocol
https://cdn.clinicaltrials.gov/large-docs/28/NCT03712228/Prot_000.pdf
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/28/NCT03712228/SAP_001.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03712228