Evidence map›Paper›PMID 24749847›Full record

Trial reportClinical and experimental immunology2014

Repeat treatment of acute hereditary angioedema attacks with open-label icatibant in the FAST-1 trial.

A Malbrán, M Riedl, B Ritchie, W B Smith, W Yang, A Banerji, J Hébert, G J Gleich, D Hurewitz, K W Jacobson and 7 more

Registry-linked trialOpen access · greenAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Clinical and experimental immunology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00097695 (Randomized, Double Blind, Placebo-Controlled, Multicenter Study of a Subcutaneous Formulation of Icatibant for the Treatment of Hereditary Angioedema), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00097695 phase3completednot on this map

Randomized, Double Blind, Placebo-Controlled, Multicenter Study of a Subcutaneous Formulation of Icatibant for the Treatment of Hereditary Angioedema

TypeinterventionalSponsorShireRan2004 to 2006Enrolled84ConditionsAngioedemaArmsIcatibant, Placebo
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Continued icatibant use across recurrent attacks in adolescents with hereditary angioedema.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2021
    Article
  7. Article
  8. Article
  9. Article
  10. Frontiers in pharmacology · 2020
    Article
  11. Article
  12. The Icatibant Outcome Survey: experience of hereditary angioedema management from six European countries.Journal of the European Academy of Dermatology and Venereology : JEADV · 2017
    Article
  13. Observational
  14. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 15 institutions in 4 countries.

A MalbránHospital Británico de Buenos Aires, Buenos Aires, Argentina.
M Riedl
B Ritchie
W B Smith
W Yang
A Banerji
J Hébert
G J Gleich
D Hurewitz
K W Jacobson
J A Bernstein
D A Khan
C H Kirkpatrick
D Resnick
H Li
D S Fernández Romero
W Lumry
Hospital Británico de Buenos Aires · ARAllergy and Asthma Medical Group and Research Center · USAllergy Clinic of Tulsa · USColumbia University Irving Medical Center · USHarvard University · USInstitut de Recherche et de Développement en Agroenvironnement · CAOttawa Allergy Research Corporation · CARoyal Adelaide Hospital · AUTakeda (United States) · USThe University of Texas Southwestern Medical Center · USUniversity of Alberta · CAUniversity of California, Los Angeles · USUniversity of Cincinnati · USUniversity of Colorado Hospital · USUniversity of Utah · US

Funding

ZOPOLRESTAT PHARMACOKINETICS IN DIABETICS WITH VARYING RENAL FUNCTIONM01RR000051 · NCRR · UNIVERSITY OF COLORADO DENVER · PI KOSMISKI, LISA A. · 1985 to 2008
$52.6M
Colorado Clinical and Translational Sciences InstituteUL1TR001082 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$48.0M
NCATS NIH HHS UL1 TR001082NCRR NIH HHS M01 RR000051NCRR NIH HHS MO1 RR-00051
6 · The paper itself

Abstract

Hereditary angioedema (HAE) is characterized by potentially life-threatening recurrent episodes of oedema. The open-label extension (OLE) phase of the For Angioedema Subcutaneous Treatment (FAST)-1 trial (NCT00097695) evaluated the efficacy and safety of repeated icatibant exposure in adults with multiple HAE attacks. Following completion of the randomized, controlled phase, patients could receive open-label icatibant (30 mg subcutaneously) for subsequent attacks. The primary end-point was time to onset of primary symptom relief, as assessed by visual analogue scale (VAS). Descriptive statistics were reported for cutaneous/abdominal attacks 1-10 treated in the OLE phase and individual laryngeal attacks. Post-hoc analyses were conducted in patients with ≥ 5 attacks across the controlled and OLE phases. Safety was evaluated throughout. During the OLE phase, 72 patients received icatibant for 340 attacks. For cutaneous/abdominal attacks 1-10, the median time to onset of primary symptom relief was 1·0-2·0 h. For laryngeal attacks 1-12, patient-assessed median time to initial symptom improvement was 0·3-1·2 h. Post-hoc analyses showed the time to onset of symptom relief based on composite VAS was consistent across repeated treatments with icatibant. One injection of icatibant was sufficient to treat 88·2% of attacks; rescue medication was required in 5·3% of attacks. No icatibant-related serious adverse events were reported. Icatibant provided consistent efficacy and was well tolerated for repeated treatment of HAE attacks.

Indexed as

AdultAngioedemas, HereditaryBradykininBradykinin Receptor AntagonistsFemaleHumansMaleMiddle AgedRetreatmentTreatment OutcomeYoung AdultBradykininBradykinin Receptor Antagonistsicatibantbradykinin B2 receptor antagonistC1-inhibitor deficiencyFAST-1hereditary angioedemaicatibantOLE phase

Identifiers

PMID24749847
PMCPMC4226605
OpenAlexW2148499719

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.