New pill could stop dangerous swelling attacks in hereditary angioedema
NCT ID NCT05396105
First seen Jun 27, 2026 · Last updated Jul 22, 2026 · Updated 2 times
Summary
This study tests a pill called deucrictibant for quickly treating swelling attacks in people with hereditary angioedema (HAE), including life-threatening throat swelling. About 150 adults who have had HAE attacks before will take the drug as needed and be monitored for safety and how fast symptoms improve. The goal is to see if this oral treatment can provide fast relief without the need for injections.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
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About 150 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2022
- Expected to finish
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Jun 2027
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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12 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Key Inclusion Criteria: 1. Provision of the signed informed consent form by the participant and/ or legally designated representative. If the participant is a minor (i.e., \<18 years of age or as determined by local law), consent will be obtained from the participant's parent/legally designated representative/guardian and signed assent will be obtained from the participant, per country regulations. 2. For participants from Study C201, received at least one dose of study drug (including the non-attack visit) in Study C201. For participants from Study C306, participant was randomized (and for adolescent participants ≥12 to \<18 years received a dose of study drug in a non-attack state at Visit 1) and completed Study C306, with 2 attacks treated, or after closure of that study by the Sponsor. Enrollment of adolescents (≥12 to \<18 years or age of adulthood as defined locally) from these studies is with consideration of local age requirements. 3. Female participants of childbearing potential (or who become of childbearing potential during the study) must agree to the protocol-specified pregnancy testing and to be abstinent from heterosexual intercourse or to use an acceptable contraception method as defined in the protocol and as available locally from enrollment until 30 days after the last study drug administration. 4. In the opinion of the Investigator, the participant (and parent/caregiver for adolescent participants) is willing and able to comply with the protocol. 5. Adult participants with HAE type III (HAE-nC1INH) who are deucrictibant-treatment naïve, must meet all of the following: i. Recurrent angioedema attacks with diagnostic testing results obtained during screening to confirm C1INH function ≥50% of normal and C4 level not below the lower level of the normal range performed by the central laboratory. ii. Must either have: 1. Documented genetic mutation associated with HAE-nC1INH as listed in the Hereditary Angioedema Association (HAEA) and World Allergy Organization (WAO)/European Academy of Allergy and Clinical Immunology (EAACI) Guidelines. OR 2. If no documented mutation: clinical diagnosis with family history of HAE-nC1INH and documented elevations of bradykinin levels in blood. (US, UK and Canada only). iii. Attacks not responding to treatments with high-dose antihistamine (cetirizine 40 mg/day or equivalent high-dose second-generation antihistamine medication) and no clinical attack symptoms relief if treated with corticosteroid, montelukast, or omalizumab. iv. Documented effective attack symptom relief with on-demand icatibant treatment. v. A history of at least 1 HAE attack in the last 3 months prior to Screening Key Exclusion Criteria: 1. Any female who is pregnant, plans to become pregnant, or is breast-feeding. 2. Any other systemic disease (e.g., cardiovascular, gastrointestinal, renal, respiratory, neurological) or significant disease or disorder that, in the opinion of the Investigator, would interfere with the participant's safety or ability to participate in the study. 3. Use of lanadelumab for long-term HAE prophylactic therapy within 12 weeks prior to enrollment in Part A. 4. Participants who have recently used short or long-term HAE prophylaxis or on-demand HAE treatment will not be excluded from the study provided the following washout period is observed (i.e., study screening or enrollment/rollover should be delayed allowing for washout): i. For Part A: 1. 2-week washout period before enrollment should be respected for participants who have used any C1-INH product, oral kallikrein inhibitors, attenuated androgens, or anti-fibrinolytics for long-term prophylactic HAE therapy. 2. 1-week washout period before enrollment should be respected for participants who have used plasma derived C1-INH concentrates (Berinert, Cinryze, Haegarda) for on-demand treatment or short-term prophylaxis. 3. 24-hour washout period before enrollment should be respected for participants who have used recombinant C1-INH (Ruconest) for on-demand treatment or short-term prophylaxis. ii. For Part B: a. If a participant is receiving long-term prophylactic therapy with a medication indicated for HAE:, eg, plasma-derived C1INH, danazol at less than or equal to 200 mg/day, antifibrinolytics, berotralstat, or lanadelumab, they must be on a stable dose and regimen for at least 3 months before screening and intends to remain on the same dose for the duration of the study. 5. History of alcohol or drug abuse within the previous year, or current evidence of substance dependence or abuse 6. Participation in any other investigational drug study within (except with deucrictibant) currently, within the last 30 days prior to the first deucrictibant dose or within 5 half-lives of study drug at enrollment, whichever is longer. 7. Discontinued from parent study after enrollment for any study drug-related safety reason or non-compliance including significant protocol deviation. 8. Use of concomitant medications that are strong CYP3A4 inhibitors (e.g., clarithromycin, erythromycin, itraconazole, ketoconazole, ritonavir) or strong CYP3A4 inducers (e.g., carbamazepine and phenytoin).
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
60 sites in 24 countries. The list below names each one and where it is.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Study site
Birmingham, Alabama, 35209, United States
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Study site
Little Rock, Arkansas, 72205, United States
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San Diego, California, 92122, United States
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Santa Monica, California, 90404, United States
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Walnut Creek, California, 94598, United States
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Colorado Springs, Colorado, 80907, United States
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Chevy Chase, Maryland, 20815, United States
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Boston, Massachusetts, 02115, United States
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Detroit, Michigan, 48202, United States
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St Louis, Missouri, 63141, United States
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Hershey, Pennsylvania, 17033, United States
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Dallas, Texas, 75231, United States
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Buenos Aires, B1629AHJ, Argentina
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Salta, 4400, Argentina
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Campbelltown, New South Wales, 2560, Australia
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Graz, 8036, Austria
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Vienna, 1090, Austria
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Salvador, Estado de Bahia, 41950-640, Brazil
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Ribeirão Preto, 14048-900, Brazil
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Santo André, 09060-870, Brazil
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São Paulo, 05403-000, Brazil
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Sofia, 1431, Bulgaria
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Sofia, 1680, Bulgaria
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Edmonton, Alberta, T6G 1Z1, Canada
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Montreal, Quebec, Canada
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Brno, 602 00, Czechia
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Grenoble, 38043, France
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Paris, 75571, France
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Berlin, 12203, Germany
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Frankfurt am Main, 60590, Germany
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Study site
Frankfurt am Main, 60596, Germany
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Lübeck, 23538, Germany
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Hong Kong, Hong Kong
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Budapest, 1088, Hungary
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Ashkelon, 78278, Israel
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Catania, 95124, Italy
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Milan, 20097, Italy
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Milan, 20138, Italy
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Naples, 80131, Italy
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Padova, 35128, Italy
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Palermo, 90146, Italy
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Roma, 00133, Italy
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Hiroshima, 730-8518, Japan
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Kanagawa, 216-8511, Japan
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Study site
Osaka, 569-8686, Japan
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Study site
Tokyo, 113-8431, Japan
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Study site
Tokyo, 133-8431, Japan
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Study site
Amsterdam, 1005 AZ, Netherlands
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Krakow, 31-503, Poland
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Study site
San Juan, 918, Puerto Rico
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Study site
San Juan, 927, Puerto Rico
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Study site
Cape Town, 7700, South Africa
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Study site
Daegu, 41944, South Korea
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Study site
Seoul, 03080, South Korea
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Study site
Barcelona, 08907, Spain
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Study site
Madrid, 28007, Spain
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Lund, 22185, Sweden
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Ankara, 06230, Turkey (Türkiye)
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Study site
Istanbul, 34093, Turkey (Türkiye)
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Study site
London, E1 2ES, United Kingdom
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Blood test revolution: pinpointing the cause of swelling attacks
- Could a daily pill stop hereditary angioedema attacks?
- New oral option may offer relief for hereditary angioedema attacks
- Can a new injection tame hereditary swelling attacks?
- Could a simple pill shield HAE patients from Procedure-Triggered attacks?
- Teens with rare swelling disorder get new drug tested