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OpenTrials
Enrolling by invitation

NCT Number: NCT06679881

Long-Term, Open-label Study of Oral Deucrictibant Extended-Release Tablet for Prophylaxis Against Angioedema Attacks in Adolescents and Adults With HAE

This is a Phase 3, multicenter, long-term, open-label study to evaluate the safety and efficacy of once-daily orally administered deucrictibant extended-release tablet for prophylaxis to prevent angioedema attacks in participants aged ≥12 years with Hereditary Angioedema

Enrolling by invitation

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Key information

About this study

The study consists of a Screening Period during which eligibility is confirmed (only for participants not rolling over within 28 days from a previous deucrictibant prophylactic study), a Treatment Period in which participants will receive open-label deucrictibant extended-release tablet once daily for approximately 240 weeks, followed by an End of Study visit after maximum 4 weeks. Participants will undergo regular safety (e.g. lab draws) and efficacy assessments, will complete an electronic diary, and also complete questionnaires at predefined timepoints during the study.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Provision of the signed ICF by the participant and/or legally designated representative.
  • Male or female, aged ≥12 years at the time of providing written informed consent/assent.
  • Diagnosis of hereditary angioedema (HAE)
  • For participants that did not participate in a previous deucrictibant prophylactic study: history of at least 1 attack in the last 3 consecutive months prior to Screening
  • Reliable access and ability to use standard of care on-demand treatments to effectively manage acute HAE attacks.
  • Willing and able to adhere to all protocol requirements, including the participant being capable of and compliant with data recording into an eDiary.
  • Female participants of childbearing age must agree to the protocol specified pregnancy testing and contraception methods.

Exclusion criteria

  • Any diagnosis of angioedema other than HAE
  • Participation in a clinical study with any other investigational drug within the last 30 days or within 5 half-lives of the investigational drug at ICF signature (whichever is longer)
  • Prior gene therapy for any indication at any time
  • Participants who discontinued from previous studies with deucrictibant prophylactic and/or on-demand treatment due to safety reasons or compliance issues that, in the opinion of the Investigator, would interfere with the participant's safety or compliance to participate in the study
  • Exposure to angiotensin-converting enzyme (ACE) inhibitors or any estrogen-containing medications with systemic absorption (such as oral contraceptives or hormonal replacement therapy) within 4 weeks of Screening
  • Use of prophylactic treatment for HAE within 2 weeks of Screening for C1INH, oral kallikrein inhibitors, or anti-fibrinolytics; within 4 weeks of Screening for attenuated androgens; within 5 half-lives of Screening for monoclonal antibodies, or within 7 days of Screening for short-term prophylaxis
  • Any females who are pregnant, plan to become pregnant, or are currently breast-feeding
  • Abnormal hepatic function
  • Moderate or severe renal impairment
  • Any clinically significant comorbidity or systemic dysfunction that would interfere with the participant's safety or ability to participate in the study.
  • History of alcohol or drug abuse within the previous year, or current evidence of substance dependence or abuse
  • Use of medications that are moderate and strong inhibitors or strong inducers of CYP3A4 within the last 30 days or within 5 half-lives (whichever is longer) of the time of enrollment.
  • Known hypersensitivity to deucrictibant or any of the excipients of the study drug

Treatment and study plan

deucrictibant

Drug

Deucrictibant extended-release tablet for once daily oral use

Primary outcomes

  1. Number of participants with treatment-emergent adverse events (TEAEs), including serious adverse events (SAEs), adverse events of special interest (AESIs), and TEAEs leading to study drug discontinuation

    Time frame: Up to Week 240

  2. Change in heart rate

    Time frame: Up to Week 240

  3. Change in blood pressure

    Time frame: Up to Week 240

  4. Change in body temperature

    Time frame: Up to Week 240

  5. Number of participants with clinically significant changes in Hematology

    Time frame: Up to Week 240

    Blood samples will be collected for the analysis of hematology parameters.

  6. Number of participants with clinically significant changes in Clinical Chemistry

    Time frame: Up to Week 240

    Blood samples will be collected for the analysis of clinical chemistry parameters.

  7. Number of participants with clinically significant changes in Urinalysis

    Time frame: Up to Week 240

    Urine samples will be collected for the analysis of urinalysis parameters.

  8. Change from Baseline electrocardiograms (ECGs)

    Time frame: Up to Week 240

    Digital triplicate 12-lead ECG. Descriptive in nature, no formal statistical hypothesis testing will be performed.

Secondary outcomes

  1. Time-normalized number of Investigator-confirmed HAE attacks during the Treatment Period

    Time frame: Up to Week 240

  2. Time-normalized number of Investigator-confirmed HAE attacks treated with on-demand medication during the Treatment Period

    Time frame: Up to Week 240

  3. Time-normalized number of Investigator-confirmed moderate or severe HAE attacks during Treatment Period

    Time frame: Up to Week 240

  4. Time-normalized number of Investigator-confirmed severe HAE attacks during the Treatment Period

    Time frame: Up to Week 240

  5. Proportion of time without angioedema symptoms during the Treatment Period

    Time frame: Up to Week 240

  6. Patient reported outcome: Angioedema Quality of Life (AE-QoL) questionnaire

    Time frame: Up to Week 132

    The AE-QoL is a short 17-item questionnaire designed to retrospectively assess HRQoL, with a recall period of 4 weeks. Its results can be displayed as a total score or as 4 domain scores. The scores range from 0 to 100, after linear transformation of raw values, with higher scores indicating higher HRQoL impairment.

  7. Patient reported outcome: Patient Global Assessment of Change (PGA-Change)

    Time frame: Up to Week 132

    PGA-Change assesses on a 5-point scale how the participant's QoL has been impacted by HAE since start taking the study drug.

  8. Patient reported outcome: Angioedema Control Test 4-week version (AECT-4wk)

    Time frame: Up to Week 132

    AECT-4wk measures disease control retrospectively, it comprises 4 questions over a 4-week recall period. Scores for the responses in the AECT range from 0 to 16, with higher scores indicating better disease control (≤ 9 poorly controlled; ≥ 10 well controlled).

  9. Patient reported outcome: Work Productivity and Activity Impairment Questionnaire - Specific Health Problem (WPAI-SHP)

    Time frame: Up to Week 132

    WPAI-SHP is a questionnaire assessing how a health condition impacts a person's ability to work and do regular activities and it includes 4 domains. Scores indicate the percentage of time the patient missed work or was less productive owing to HAE-related complications.

  10. Patient reported outcome: Abbreviated Treatment Satisfaction Questionnaire for Medication (TSQM-9)

    Time frame: Up to Week 132

    TSQM-9 is a 9-item questionnaire evaluating patient treatment satisfaction and it includes 3 domains. Scoring is by domain and each domain score is computed by summing the individual TSQM items in each domain and then transforming the composite score into a value ranging from 0 to 100, with higher scores indicating higher satisfaction.

  11. Pharmacokinetics [PK]: Pre-dose plasma concentration of deucrictibant and deucrictibant metabolites (Ctrough)

    Time frame: Up to Week 96

  12. Pharmacokinetics [PK]: Urine concentration of deucrictibant and deucrictibant metabolites

    Time frame: Up to Week 48

Interested in participating?

Enrolling by invitation

Interested in participating?

Request Info

Sponsors and collaborators

Lead sponsor

Pharvaris Netherlands B.V.

Industry

Registry information

Official study title

A Long-term, Open-label Study to Evaluate the Safety and Efficacy of Orally Administered Deucrictibant Extended-Release Tablet for Prophylaxis Against Angioedema Attacks in Adolescents and Adults With Hereditary Angioedema

Acronym: CHAPTER-4

Important dates

Study start
2025
Primary completion
2028
Study completion
2028
First posted
Nov 8, 2024
Registry last updated
Sep 22, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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