Abstract
Summary: Hereditary angioedema (HAE) is characterized by potentially life-threatening recurrent episodes of oedema. The open-label extension (OLE) phase of the For Angioedema Subcutaneous Treatment (FAST)-1 trial (NCT00097695) evaluated the efficacy and safety of repeated icatibant exposure in adults with multiple HAE attacks. Following completion of the randomized, controlled phase, patients could receive open-label icatibant (30mg subcutaneously) for subsequent attacks. The primary end-point was time to onset of primary symptom relief, as assessed by visual analogue scale (VAS). Descriptive statistics were reported for cutaneous/abdominal attacks 1-10 treated in the OLE phase and individual laryngeal attacks. Post-hoc analyses were conducted in patients with ≥5 attacks across the controlled and OLE phases. Safety was evaluated throughout. During the OLE phase, 72 patients received icatibant for 340 attacks. For cutaneous/abdominal attacks 1-10, the median time to onset of primary symptom relief was 1·0-2·0h. For laryngeal attacks 1-12, patient-assessed median time to initial symptom improvement was 0·3-1·2h. Post-hoc analyses showed the time to onset of symptom relief based on composite VAS was consistent across repeated treatments with icatibant. One injection of icatibant was sufficient to treat 88·2% of attacks; rescue medication was required in 5·3% of attacks. No icatibant-related serious adverse events were reported. Icatibant provided consistent efficacy and was well tolerated for repeated treatment of HAE attacks.
Original language | English (US) |
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Pages (from-to) | 544-553 |
Number of pages | 10 |
Journal | Clinical and Experimental Immunology |
Volume | 177 |
Issue number | 2 |
DOIs | |
State | Published - Aug 2014 |
Keywords
- C1-inhibitor deficiency
- FAST-1
- Hereditary angioedema
- Icatibant
- OLE phase
ASJC Scopus subject areas
- Immunology and Allergy
- Immunology