New drug shows promise in preventing hereditary swelling attacks
NCT ID NCT05392114
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests the long-term safety and effectiveness of donidalorsen, a drug given as a shot under the skin, to prevent attacks of hereditary angioedema (HAE). HAE causes sudden, painful swelling in various body parts. The trial involves 154 participants who previously completed an earlier study. Researchers will track side effects, how well the drug reduces attack frequency, and its impact on quality of life over an extended period.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- donidalorsen (a drug injected under the skin to prevent swelling attacks)
- What this could lead to
- If successful, this could provide a new long-term option to prevent painful swelling attacks in people with hereditary angioedema, improving daily life.
- What could go wrong
- This is an open-label extension study, so there is no placebo group for comparison. Long-term safety and effectiveness are still being confirmed, and side effects may emerge over time.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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154 people
The number who actually took part.
- Started
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Jul 2022
- Expected to finish
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Mar 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.
Inclusion Criteria 1. Participants and, as applicable, legally authorized representatives (i.e., parent(s)/legal guardian), must provide written and signed informed consent form (ICF). 2. Participants must have access to, and the ability to use, ≥ 1 acute medication(s) (e.g., plasma-derived or recombinant C1-INH concentrate or a bradykinin receptor (BK) 2-receptor antagonist) to treat angioedema attacks. Open-Label Extension Participants ONLY: 3. Satisfactory completion of ISIS 721744-CS5 (randomized placebo-controlled index study) through Week 25 or participants who are allowed to exit ISIS 721744-CS5 study per protocol with an acceptable safety and tolerability profile. New (not previously on donidalorsen) Participants ONLY: 4. Participants must be aged ≥ 12 years at the time of informed consent and, as applicable, assent. 5. Participants must have a documented diagnosis of HAE-1/HAE-2. 6. Participants must be on a stable dose (≥ 12 weeks) of prophylaxis treatment with lanadelumab or berotralstat or SC C1-esterase inhibitor prior to the Screening Period. Exclusion Criteria Open-Label Extension Participants: 1. Have any new condition or worsening of an existing condition or change or anticipated change in medication. New (not previously on donidalorsen) Participants ONLY: 2. Concurrent diagnosis of any other type of recurrent angioedema, including acquired, idiopathic angioedema or HAE with normal C1-INH (also known as HAE Type III). 3. Anticipated change in the use of concurrent androgen or tranexamic acid prophylaxis used to prevent angioedema attacks. 4. Any clinically-significant abnormalities in screening laboratory values. 5. Malignancy within 5 years of Screening, except for non-melanoma skin cancers, cervical in situ carcinoma, breast ductal carcinoma in situ, or stage 1 prostate carcinoma that has been successfully treated. 6. Hypersensitivity to the active substance (donidalorsen) or to any of the excipients. 7. Treatment with another investigational drug (non-oligonucleotide) or biological agent within 1 month of Screening or 5 half-lives of investigational agent, whichever is longer. 8. Recent history of, or current drug or alcohol abuse. 9. Participated in a prior donidalorsen study. 10. Exposure to any of the following medications: 1. Angiotensin-converting enzyme (ACE) inhibitors or any estrogen containing medications with systemic absorption. 2. Oligonucleotides (including small interfering ribonucleic acid \[siRNA\]) within 4 months of Screening if single dose received, or within 12 months of Screening if multiple doses received. This exclusion does not apply to vaccines.
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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.
Contacts and locations
Locations
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Ionis Investigative Site
Paradise Valley, Arizona, 85253, United States
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Ionis Investigative Site
La Jolla, California, 92037, United States
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Ionis Investigative Site
Santa Monica, California, 90404, United States
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Ionis Investigative Site
Walnut Creek, California, 94598, United States
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Ionis Investigative Site
Tampa, Florida, 33613, United States
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Ionis Investigative Site
Kansas City, Kansas, 66103, United States
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Ionis Investigative Site
Boston, Massachusetts, 02114, United States
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Ionis Investigative Site
Ann Arbor, Michigan, 48109, United States
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Ionis Investigative Site
Detroit, Michigan, 48202, United States
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Ionis Investigative Site
St Louis, Missouri, 63141, United States
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Ionis Investigative Site
Mooresville, North Carolina, 28117, United States
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Ionis Investigative Site
Cincinnati, Ohio, 45236, United States
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Ionis Investigative Site
Columbus, Ohio, 43235, United States
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Ionis Investigative Site
Hershey, Pennsylvania, 17033, United States
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Ionis Investigative Site
Dallas, Texas, 75231, United States
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Ionis Investigative Site
Murray, Utah, 84107, United States
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Ionis Investigative Site
Edegem, 2650, Belgium
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Ionis Investigative Site
Sofia, 1431, Bulgaria
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Ionis Investigative Site
Sofia, 1680, Bulgaria
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Ionis Investigative Site
Ottawa, Ontario, K1H 1E4, Canada
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Ionis Investigative Site
Edmonton, AB T6G 1Z1, Canada
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Ionis Investigative Site
La Tronche, 38700, France
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Ionis Investigative Site
Marseille, 13385, France
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Ionis Investigative Site
Paris, 75012, France
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Ionis Investigative Site
Berlin, 12203, Germany
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Ionis Investigative Site
Frankfurt, 60590, Germany
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Ionis Investigative Site
München, 81675, Germany
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Ionis Investigative Site
Ashkelon, 7830604, Israel
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Ionis Investigative Site
Haifa, 3104802, Israel
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Ionis Investigative Site
Tel Aviv, 6423906, Israel
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Ionis Investigative Site
Catania, 95123, Italy
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Ionis Investigative Site
Naples, 80131, Italy
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Ionis Investigative Site
Padova, 35128, Italy
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Ionis Investigative Site
Palermo, 90146, Italy
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Ionis Investigative Site
San Donato Milanese, 20097, Italy
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Ionis Investigative Site
Amsterdam, 1105, Netherlands
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Ionis Investigative Site
Groningen, 9713 AP, Netherlands
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Ionis Investigative Site
Krakow, 31-501, Poland
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Ionis Investigative Site
San Juan, PR 00927, Puerto Rico
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Ionis Investigative Site
Barcelona, 08035, Spain
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Ionis Investigative Site
Barcelona, 08907, Spain
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Ionis Investigative Site
Madrid, 28046, Spain
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Ionis Investigative Site
Seville, 41013, Spain
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Ionis Investigative Site
Valencia, 46026, Spain
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Ionis Investigative Site
Altındağ, 06230, Turkey (Türkiye)
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Ionis Investigative Site
Bornova, 35100, Turkey (Türkiye)
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Ionis Investigative Site
Istanbul, 34093, Turkey (Türkiye)
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Ionis Investigative Site
Birmingham, B9 5SS, United Kingdom
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Ionis Investigative Site
Bristol, BS10 5NB, United Kingdom
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Ionis Investigative Site
London, E1 2ES, United Kingdom
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- 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
- New daily pill aims to stop HAE attacks, but trial cut short