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Hereditary AngioedemaPhase 2NCT03712228

A Study to Investigate CSL312 in Subjects With Hereditary Angioedema (HAE)

A Phase 2 study testing Factor XIIa antagonist monoclonal antibody in people with Hereditary Angioedema, run by CSL Behring at 16 sites in 5 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial 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. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Hereditary Angioedema
What is being tested?
Factor XIIa antagonist monoclonal antibody
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
44 participants
Where
16 sitesin 5 countries
Study dates
29 Oct 2018to 15 Oct 2021
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 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.

Who cannot join

  • 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

Trial locations and contacts

16 sites in 5 countries.

16 sites in 5 countries

United States7 sites
  • Immunoe Health Centers

    Centennial, Colorado, 80112

  • Institute for Asthma and Allergy

    Chevy Chase, Maryland, 20815

  • AARA Research Center

    Dallas, Texas, 75231

  • Pennsylvania State University

    Hershey, Pennsylvania, 17033

  • The Mount Sinai Hospital

    New York, New York, 10029

  • Donald S. Levy

    Orange, California, 92868

  • Allergy & Asthma Clinical Research

    Walnut Creek, California, 94598

Other trials in United States

Germany4 sites
  • Charité Universitätsmedizin Berlin

    Berlin, 10117

  • Universitätsklinikum Frankfurt Goethe-Universität

    Frankfurt, 60590

  • Hautklinik und Poliklinik der Universitätsklinik Mainz

    Mainz, 55131

  • HZRM Hämophilie Zentrum Rhein Main GmbH

    Mörfelden-Walldorf, 64546

Other trials in Germany

Canada3 sites
  • University of Alberta

    Edmonton, Alberta, T6G 2B7

  • Allergy and Clinical Immunology McMaster University

    Hamilton, Ontario, L8S 4K1

  • Ottawa Allergy Research Corp

    Ottawa, Ontario, K1G 6C6

Other trials in Canada

Australia1 site
  • Campbelltown Hospital

    Campbelltown, New South Wales, 2560

Other trials in Australia

Israel1 site
  • Barzilai University Medical Center

    Ashkelon, 7830604

Other trials in Israel

About this study

Official title: A Multicenter, Randomized, Placebo-controlled, Parallel-arm Study to Investigate the Efficacy, Pharmacokinetics, and Safety of CSL312 in Subjects With Hereditary Angioedema

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.

Being tested
Factor XIIa antagonist monoclonal antibody, Placebo
Medical subject headings
Angioedemas, Hereditary

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Factor XIIa antagonist monoclonal antibodyBiological

    Also called CSL312

    Factor XIIa antagonist monoclonal antibody for intravenous and subcutaneous use

  • PlaceboDrug

    Buffer without active ingredient

Study groups in NCT03712228
Study groupRoleWhat they receive
PlaceboPlacebo comparatorSubjects with C1-INH HAE receiving buffer only
Receives: Drug: Placebo
CSL312 (low)Active comparatorSubjects with C1-INH HAE receiving low dose CSL312
Receives: Biological: Factor XIIa antagonist monoclonal antibody
CSL312 (med)Active comparatorSubjects with C1-INH HAE receiving medium dose CSL312
Receives: Biological: Factor XIIa antagonist monoclonal antibody
CSL312 (high)Active comparatorSubjects with C1-INH HAE receiving high dose CSL312
Receives: Biological: Factor XIIa antagonist monoclonal antibody
CSL312 (med/high)Active comparatorSubjects with C1-INH HAE receiving medium/high dose CSL312
Receives: Biological: Factor XIIa antagonist monoclonal antibody

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The Mean Time Normalized Number of HAE Attacks Per Month in Subjects With C1-INH HAE During Treatment Period 1

    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

    Measured: 13 weeks

Secondary outcomes (16)
  1. The Number of Responder Subjects With C1-INH HAE During Treatment Period 1

    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

    Measured: 13 weeks

  2. The Percentage of Responder Subjects With C1-INH HAE During Treatment Period 1

    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.

    Measured: 13 weeks

  3. The Number of HAE Attack-free Subjects With C1-INH HAE During Treatment Period 1

    Measured: 13 weeks

  4. The Percentage of HAE Attack-free Subjects With C1-INH HAE During Treatment Period 1

    Measured: 13 weeks

  5. The Number of Mild, Moderate or Severe HAE Attacks in Subjects With C1-INH HAE During Treatment Period 1

    Measured: 13 weeks

  6. The Percentage of Mild, Moderate or Severe HAE Attacks in Subjects With C1-INH HAE During Treatment Period 1

    Measured: 13 weeks

  7. The Mean Time-normalized Number of Mild, Moderate or Severe HAE Attacks Per Month in Subjects With C1-INH HAE During Treatment Period 1

    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

    Measured: 13 weeks

  8. 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

    Measured: 13 weeks

  9. 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

    Measured: 13 weeks

  10. Maximum Concentration (Cmax) of CSL312 in Subjects With C1-INH HAE During Treatment Period 1

    Measured: 13 weeks

  11. Area Under the Concentration-time Curve in 1 Dosing Interval (AUC0-tau) of CSL312 in Subjects With C1-INH HAE During Treatment Period 1

    Measured: 13 weeks

  12. Time of Maximum Concentration (Tmax) of CSL312 in Subjects With C1-INH HAE During Treatment Period 1

    Measured: 13 weeks

  13. Terminal Elimination Half-life (T1/2) of CSL312 in Subjects With C1-INH HAE During Treatment Period 1

    Measured: 13 weeks

  14. Clearance (CL/F) of CSL312 in Subjects With C1-INH HAE During Treatment Period 1

    Measured: 13 weeks

  15. Volume of Distribution During the Elimination Phase (Vz/F) of CSL312 in Subjects With C1-INH HAE During Treatment Period 1

    Measured: 13 weeks

  16. 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

    Adverse events of special interest is defined as anaphylaxis, thromboembolic events, and bleeding events.

    Measured: 13 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Oct 2018
  2. Study start29 Oct 2018
  3. Primary completion15 Oct 2021
  4. Study completion15 Oct 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Model description
Subjects are assigned to 1 of 2 or more groups in parallel for the duration of the study
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
44 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03712228
Sponsor's protocol ID
CSL312_2001
Other IDs
2018-000605-24, 2018
Status last verified
Oct 2022
First submitted
17 Oct 2018
Last updated
8 Nov 2022
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Craig TJ, Guilarte M, Li HH, Anderson J, Martinez Saguer I, Jacobs JS, Tachdjian R, Farkas H, Yang WH, Ohsawa I, Hakl R, Pollen M, Pragst I, Lawo JP, Shetty H, Nenci C, Magerl M. Long-Term Integrated Safety and Efficacy of Garadacimab for Hereditary Angioedema Prophylaxis. Adv Ther. 2026 Jun 10. doi: 10.1007/s12325-026-03628-x. Online ahead of print.

    PubMed 42268494
  • Craig TJ, Levy DS, Reshef A, Lumry WR, Martinez-Saguer I, Jacobs JS, Yang WH, Ritchie B, Aygoren-Pursun E, Keith PK, Busse P, Feuersenger H, Alexandru Bica M, Jacobs I, Pragst I, Magerl M. Garadacimab for hereditary angioedema attack prevention: long-term efficacy, quality of life, and safety data from a phase 2, randomised, open-label extension study. Lancet Haematol. 2024 Jun;11(6):e436-e447. doi: 10.1016/S2352-3026(24)00081-4. Epub 2024 May 3.

    PubMed 38710185
  • 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.

    PubMed 36326435
  • 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.

    PubMed 35219377

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Factor XIIa antagonist monoclonal antibody in people with Hereditary Angioedema, run by CSL Behring at 16 sites in 5 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 8 Nov 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 16 sites in United States, Germany, Canada, Australia, Israel. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 8 Nov 2022). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The Mean Time Normalized Number of HAE Attacks Per Month in Subjects With C1-INH HAE During Treatment Period 1 (time frame: 13 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03712228, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Nov 2022.

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