Current partner codePEPTIDESDE
NCT01034969·Not applicable·OBSERVATIONAL

Firazyr® Patient Registry (Icatibant Outcome Survey - IOS)

Status

Completed

Phase

Not applicable

Enrollment

1,761

Locations

74

Results

Not posted

Publications

10

Study summary

What the protocol is testing.

The Icatibant Outcome Survey (IOS) is a prospective, observational disease registry designed to document the routine clinical outcomes over time in participants with angioedema treated with Firazyr® (icatibant) and/or Cinryze® (C1 inhibitor \[human\]) in countries where it is currently approved. The data collected will be used to evaluate the safety of Firazyr (icatibant) and Cinryze (C1 inhibitor \[human\]) in routine clinical practice and as a data source for post-marketing investigations.

Full detailed description

The Icatibant Outcome Survey (IOS) is a multicenter, prospective, observational study for participants treated with Firazyr (icatibant) and/or Cinryze (C1 inhibitor \[human\]) in countries where it is currently approved. The entry of participants in the Icatibant Outcome Survey (IOS) is at the discretion of the physician and the participant and is not a pre-requisite for prescribing Firazyr (icatibant) or Cinryze (C1 inhibitor \[human\]).

Interventions

Treatment arms and agents.

No intervention details reported.

Timeline

From registration to results.

  1. First posted

    Dec 18, 2009

  2. Study start

    Jul 10, 2009

  3. Primary completion

    May 31, 2024

  4. Study completion

    May 31, 2024

  5. Results posted

    Not reported

  6. Registry updated

    Oct 28, 2024

Outcomes

What the study measures.

Primary outcomes

Incidence of Cardiac Ischemia Events in Participants Predisposed to Cardiac Ischemia Events With Concomitant Firazyr (Icatibant) Administration

Time frame · From enrollment through study participation (Approximately 13 years)

Incidence of cardiac ischemia events in participants predisposed to cardiac ischemia events with concomitant Firazyr (Icatibant) administration will be assessed.

Incidence of Hypotension for Firazyr (Icatibant)

Time frame · From enrollment through study participation (Approximately 13 years)

Incidence of hypotension for Firazyr (Icatibant) will be assessed.

Incidence of Swelling of Mucous Membranes for Firazyr (Icatibant)

Time frame · From enrollment through study participation (Approximately 13 years)

Incidence of swelling of mucous membranes for Firazyr (Icatibant) will be assessed.

Incidence of Bronchoconstriction for Firazyr (Icatibant)

Time frame · From enrollment through study participation (Approximately 13 years)

Incidence of bronchoconstriction for Firazyr (Icatibant) will be assessed.

Incidence of Aggravation of Pain for Firazyr (Icatibant)

Time frame · From enrollment through study participation (Approximately 13 years)

Incidence of aggravation of pain for Firazyr (Icatibant) will be assessed.

Sexual Hormones Level Measurements- Tanner Staging for Firazyr (Icatibant)

Time frame · From enrollment through study participation (Approximately 13 years)

Effects on sexual maturation in pubertal adolescents will be measured using Tanner staging (pubic hair stage and genital breast stage) for Firazyr (Icatibant).

Time to Complete Resolution of the Firazyr (Icatibant)-Treated Laryngeal Attacks

Time frame · From enrollment through study participation (Approximately 13 years)

Time to complete resolution of the laryngeal attacks will be assessed. It is defined as the time between the first injection of treatment and the complete resolution of all symptoms.

Incidence of Adverse Events (AE) Related to Firazyr (Icatibant)-Treated Laryngeal Attacks

Time frame · From enrollment through study participation (Approximately 13 years)

An AE is defined as any noxious, pathologic, or unintended change in anatomical, physiologic, or metabolic function as indicated by physical signs, symptoms, or laboratory changes occurring in the registry, whether or not considered product-related. This includes an exacerbation of a pre-existing condition.

Secondary outcomes

Time to Treatment For Attack

Time frame · From enrollment through study participation (Approximately 13 years)

Time to treatment for attack will be assessed. It is defined as the time between the onset of the attack and the first injection of treatment.

Time to Complete Resolution of Attack

Time frame · From enrollment through study participation (Approximately 13 years)

Time to complete resolution of attack will be assessed. It is defined as the time between the first injection of treatment and the complete resolution of all symptoms.

Total Duration of Attack

Time frame · From enrollment through study participation (Approximately 13 years)

Total duration of attack will be assessed. It is defined as the time between the onset of the attack and the complete resolution of all symptoms

Hereditary Angioedema-Treated Attacks

Time frame · From enrollment through study participation (Approximately 13 years)

The frequency, severity, and affected sites of HAE-treated attacks will be reported.

Eligibility

Who can take part.

Minimum age
Not reported
Maximum age
Not reported
Sex
ALL
Healthy volunteers
No

Inclusion Criteria: 1. Diagnosis of at least 1 of the following: * Hereditary angioedema (HAE) type I or II * HAE with normal C1 inhibitor * ACE-I-induced angioedema * Non-histaminergic idiopathic angioedema * Acquired angioedema. 2. Signed and dated written informed consent from the participant or, for participants aged less than(\<)18 years (or as per local regulation, such as \<16 years in the United Kingdom \[UK\]), parent and/or participants legally authorized representative (LAR), and assent of the minor where applicable. 3. At sites only participating in the drug registry, participants must have taken at least 1 dose of Firazyr (Icatibant) or Cinryze (C1 inhibitor \[human\]). 4. Enrolled participants in Germany taking Firazyr (Icatibant) or Cinryze (C1 inhibitor \[human\]) will only use the respective product in accordance with the product label. Exclusion Criteria: 1. Participants enrolled in clinical trials where the product is blinded or where the product under investigation is for the treatment of HAE, ACE-I-induced angioedema, non-histaminergic idiopathic angioedema, or acquired angioedema. 2. Participants enrolled in another Shire-sponsored registry involving products for the treatment of HAE, ACE-I-induced angioedema, non-histaminergic idiopathic angioedema, or acquired angioedema. An exception applies to participants enrolled in the Shire lanadelumab ENABLE study.

Study locations

74 registered sites.

Australia · Austria · Brazil · Czechia · Denmark · France · Germany · Greece · Ireland · Israel · Italy · Spain · Sweden · United Kingdom. Showing up to 24 locations stored in the fast local snapshot.

Campbelltown Hospital

Campbelltown, New South Wales, Australia

Royal Adelaide Hospital

Adelaide, South Australia, Australia

Medizinische Universität Graz

Graz, Austria

Faculdade de Medicina Do ABC

Santo André, São Paulo, Brazil

Fakultni nemocnice u sv. Anny v Brne

Brno, Czechia

Odense Universitetshospital

Odense, Denmark

Hopital de Hautepierre

Strasbourg, Bas-Rhin, France

Hopital Cote de Nacre

Caen, Calvados, France

Hopital Purpan

Toulouse, Haute-Garonne, France

CHU Angers

Angers, France

Centre Hospitalier Universitaire de Bordeaux, Hopital Pellegrin

Bordeaux, France

CHU La Cavale Blanche

Brest, France

CHU de GRENOBLE

Grenoble, France

Centre Hospitalier Le Mans

Le Mans, France

CHRU Lille

Lille, France

Groupement Hospitalier Edouard Herriot

Lyon, France

CHU Montpellier - Hôpital St Eloi

Montpellier, France

CHU de Nancy-Hopital Brabois Adulte

Nancy, France

Hôtel Dieu - Nantes

Nantes, France

CHU de Nice Archet I

Nice, France

Centre Hospitalier Georges Renon

Niort, France

Hôtel Dieu de Paris Hospital

Paris, France

Hôpital Saint Antoine

Paris, France

Hopital Cochin

Paris, France

Publications

Results and literature.

PMID 35861129Maurer M, Aberer W, Caballero T, Bouillet L, Grumach AS, Botha J, Andresen I, Longhurst HJ; IOS Study Group. The Icatibant Outcome Survey: 10 years of experience with icatibant for patients with hereditary angioedema. Clin Exp Allergy. 2022 Sep;52(9):1048-1058. doi: 10.1111/cea.14206. Epub 2022 Aug 7.PMID 34965883Guilarte M, Sala-Cunill A, Baeza ML, Cabanas R, Hernandez MD, Ibanez E, de Larramendi CH, Lleonart R, Lobera T, Marques L, de San Pedro BS, Botha J, Andresen I, Caballero T; IOS Study Group. Hereditary angioedema due to C1 inhibitor deficiency: real-world experience from the Icatibant Outcome Survey in Spain. Allergy Asthma Clin Immunol. 2021 Dec 29;17(1):137. doi: 10.1186/s13223-021-00641-3.PMID 30127805Longhurst HJ, Dempster J, Lorenzo L, Buckland M, Grigoriadou S, Symons C, Bethune C, Fabien V, Bangs C, Garcez T. Real-world outcomes in hereditary angioedema: first experience from the Icatibant Outcome Survey in the United Kingdom. Allergy Asthma Clin Immunol. 2018 Aug 6;14:28. doi: 10.1186/s13223-018-0253-x. eCollection 2018.PMID 29599966Caballero T, Zanichelli A, Aberer W, Maurer M, Longhurst HJ, Bouillet L, Andresen I; IOS Study Group. Effectiveness of icatibant for treatment of hereditary angioedema attacks is not affected by body weight: findings from the Icatibant Outcome Survey, a cohort observational study. Clin Transl Allergy. 2018 Mar 23;8:11. doi: 10.1186/s13601-018-0195-x. eCollection 2018.PMID 28690642Aberer W, Maurer M, Bouillet L, Zanichelli A, Caballero T, Longhurst HJ, Perrin A, Andresen I; IOS Study Group. Breakthrough attacks in patients with hereditary angioedema receiving long-term prophylaxis are responsive to icatibant: findings from the Icatibant Outcome Survey. Allergy Asthma Clin Immunol. 2017 Jul 5;13:31. doi: 10.1186/s13223-017-0203-z. eCollection 2017.PMID 27742086Zanichelli A, Longhurst HJ, Maurer M, Bouillet L, Aberer W, Fabien V, Andresen I, Caballero T; IOS Study Group. Misdiagnosis trends in patients with hereditary angioedema from the real-world clinical setting. Ann Allergy Asthma Immunol. 2016 Oct;117(4):394-398. doi: 10.1016/j.anai.2016.08.014.PMID 27116379Longhurst HJ, Aberer W, Bouillet L, Caballero T, Maurer M, Fabien V, Zanichelli A; IOS Study Group. The Icatibant Outcome Survey: treatment of laryngeal angioedema attacks. Eur J Emerg Med. 2016 Jun;23(3):224-7. doi: 10.1097/MEJ.0000000000000292.PMID 26314822Longhurst HJ, Aberer W, Bouillet L, Caballero T, Fabien V, Zanichelli A, Maurer M; IOS Investigators. Analysis of characteristics associated with reinjection of icatibant: Results from the icatibant outcome survey. Allergy Asthma Proc. 2015 Sep-Oct;36(5):399-406. doi: 10.2500/aap.2015.36.3892.PMID 26112099Hernandez Fernandez de Rojas D, Ibanez E, Longhurst H, Maurer M, Fabien V, Aberer W, Bouillet L, Zanichelli A, Caballero T; IOS Study Group. Treatment of HAE Attacks in the Icatibant Outcome Survey: An Analysis of Icatibant Self-Administration versus Administration by Health Care Professionals. Int Arch Allergy Immunol. 2015;167(1):21-8. doi: 10.1159/000430864. Epub 2015 Jun 25.PMID 25198193Maurer M, Longhurst HJ, Fabien V, Li HH, Lumry WR. Treatment of hereditary angioedema with icatibant: efficacy in clinical trials versus effectiveness in the real-world setting. Allergy Asthma Proc. 2014 Sep-Oct;35(5):377-81. doi: 10.2500/aap.2014.35.3780. Epub 2014 Aug 6.

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