Icatibant

Clinical trials investigating Icatibant are studying different uses in patients with hereditary angioedema and pain. These trials look at safety, effectiveness, and how quickly symptoms improve in adults and adolescents. Some studies compare Icatibant with placebo or other treatments.

Table of Contents

Trial overview

The clinical trials in this set study Icatibant in different research settings.[1] Most trials focus on hereditary angioedema, which is a condition that causes repeated swelling attacks.[1] One trial studies Icatibant in a propofol injection pain model, which means pain caused by an injection of propofol.[3]

Hereditary angioedema studies

Two studies look at Icatibant in people with hereditary angioedema.[1] One Phase 3 study is a placebo-controlled, cross-over trial in adolescents and adults with hereditary angioedema attacks, and it measures how fast symptom relief begins.[1] Another Phase 3 study tests prevention of attacks in adults and adolescents over a 24-week treatment period, using the number of investigator-confirmed attacks as the main result.[4]

The Phase 4 study also focuses on hereditary angioedema and long-term on-demand treatment for acute attacks.[2] This study includes laryngeal attacks, which are swelling attacks in the throat area, but the source says these are without breathing difficulties.[2] Its main goal is safety during longer-term use, not only attack relief.[2]

Pain study with propofol injection pain

One Phase 2 trial studies Icatibant in a pain model called propofol injection pain.[3] This study compares Icatibant with placebo and with other study drugs given by intravenous injection or intravenous administration.[3] The main outcome is the area under the curve of pain scores on a Visual Analog Scale at or above 30 mm, which means researchers are measuring pain over time, not just at one moment.[3]

Trial phases and study design

The studies include Phase 2, Phase 3, and Phase 4 trials.[1][2][3][4]

  • Phase 2 is used in the pain study to explore whether Icatibant helps with propofol injection pain and to gather early safety and efficacy data.[3]

  • Phase 3 studies are larger and compare Icatibant-related research questions in hereditary angioedema, including treatment of attacks and prevention of attacks.[1][4]

  • Phase 4 focuses on long-term safety in hereditary angioedema, including safety checks during ongoing treatment.[2]

The study designs are all interventional, which means the researchers give a treatment and then measure the results.[1][2][3][4]

Main outcomes being measured

In the hereditary angioedema attack study, the main outcome is the time to onset of symptom relief.[1] This is defined as the time until the patient reports being at least “a little better” for two timepoints in a row within 12 hours after treatment.[1]

In the prevention study, the main outcome is the time-normalized number of investigator-confirmed angioedema attacks during 24 weeks.[4] This helps show how often attacks happen while people are in the study.[4]

In the long-term safety study, the main outcomes include adverse events, serious adverse events, treatment-related events, events that lead to stopping treatment, vital signs, clinical laboratory tests, ECG, and physical examination.[2] These measures help researchers watch for safety problems during longer follow-up.[2]

In the pain study, the main outcome is pain measured with the Visual Analog Scale over time.[3] This gives a clearer picture of whether Icatibant changes the amount of pain after propofol injection.[3]

Who can participate

The hereditary angioedema studies include adolescents and adults.[1][4] The long-term safety study also includes people with acute angioedema attacks, including laryngeal attacks without breathing difficulties.[2]

The pain study is not about hereditary angioedema; it is about a pain model in participants who can take part in a propofol injection pain study.[3] The source data do not give full eligibility rules, so the exact entry criteria are not listed here.[1][2][3][4]

What these trials mean for patients

These trials show that Icatibant is being studied in both treatment and prevention settings for hereditary angioedema, plus one pain study.[1][2][3][4] The research asks practical questions such as how fast symptoms improve, how often attacks happen, and how safe treatment is over time.[1][2][4] Together, the studies cover short-term relief, prevention, and longer-term safety in people with hereditary angioedema.[1][2][4]

Trial ID Phase Condition studied Status Enrollment
2023-507268-37-00 Phase 3 Hereditary angioedema Completed 120
NCT05396105 Phase 4 Hereditary angioedema Authorised 145
2025-521354-42-00 Phase 2 Pain Authorised 26
NCT06669754 Phase 3 Hereditary angioedema Authorised 75

Ongoing Clinical Trials on Icatibant

  • Study on the Safety of Long-Term Use of Deucrictibant for Treating Hereditary Angioedema Attacks in Patients with C1-Inhibitor Deficiency

    Recruiting

    1 1 1
    Austria Bulgaria Czechia France Germany Hungary +8
  • Evaluating the effectiveness of icatibant in reducing propofol injection pain in healthy adult volunteers

    Not yet recruiting

    1 1
    Norway
  • Study of Deucrictibant Extended-Release Tablets for Prevention of Hereditary Angioedema Attacks in Adults and Adolescents

    Not recruiting

    1 1 1
    Investigated diseases:
    Investigated drugs:
    Bulgaria France Germany Hungary Ireland Italy +4
  • Study on Deucrictibant and Icatibant for Treating Hereditary Angioedema Attacks in Adolescents and Adults

    Not recruiting

    1 1 1
    Investigated drugs:
    Austria Bulgaria Czechia France Germany Hungary +8

Glossary

  • Hereditary angioedema: A condition that causes repeated swelling attacks. In these trials, it is the main disease being studied.
  • Angioedema attack: A sudden swelling episode. The studies look at how quickly these attacks improve or how often they happen.
  • Adolescents: Teenagers. Some trials include adolescents together with adults.
  • Adults: Grown-up participants. Several trials are open to adults, sometimes along with adolescents.
  • Phase 2: An early study phase that helps researchers learn more about how well a treatment works and how safe it is.
  • Phase 3: A larger study phase that compares treatments and checks how effective they are in more people.
  • Phase 4: A later study phase done after a treatment is already being studied more widely. It often focuses on longer-term safety.
  • Placebo: A treatment that looks like the real study drug but has no active substance. It helps researchers compare results fairly.
  • Cross-over study: A study design where participants may receive more than one treatment in a planned order, so results can be compared within the same person.
  • Primary outcome: The main result the study wants to measure, such as symptom relief, number of attacks, or pain level.
  • Visual Analog Scale: A pain rating tool, usually a line or scale from no pain to severe pain. It helps measure how strong pain is.
  • ECG: A heart test that records the electrical activity of the heart.

References