Evidence map›Paper›PMID 33258114›Full record

Trial reportAllergy2021

Impact of lanadelumab on health-related quality of life in patients with hereditary angioedema in the HELP study.

William R Lumry, Karsten Weller, Markus Magerl, Aleena Banerji, Hilary J Longhurst, Marc A Riedl, Hannah B Lewis, Peng Lu, Giovanna Devercelli, Gagan Jain and 2 more

Open access · greenAbstract readClinical Trial, Phase III
In one paragraph

Trial report in Allergy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 5% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

  1. Interventions for the long-term prevention of hereditary angioedema attacks.The Cochrane database of systematic reviews · 2022
    Pooled it
  2. Impact of Oral Sebetralstat on Anxiety Associated With Hereditary Angioedema Attacks.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2026
    Trial
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  6. Review
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  14. The International/Canadian hereditary angioedema guideline.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2026
    Review
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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

12 authors at 7 institutions in 4 countries.

William R LumryAllergy Asthma Research Associates Research Center, Dallas, TX, USA.
Karsten WellerDermatological Allergology, Allergie-Centrum-Charité, Department of Dermatology and Allergy, Charité - Universitätsmedizin Berlin, Berlin, Germany.ORCID 0000-0003-4437-0313
Markus MagerlDermatological Allergology, Allergie-Centrum-Charité, Department of Dermatology and Allergy, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Aleena BanerjiDivision of Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Hilary J LonghurstAddenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, and University College London Hospitals, London, UK.
Marc A RiedlDivision of Rheumatology, Allergy & Immunology, University of California San Diego, La Jolla, CA, USA.ORCID 0000-0003-3460-1544
Hannah B LewisICON plc, London, UK.
Peng LuTakeda Pharmaceutical Company Limited, Lexington, MA, USA.
Giovanna DevercelliTakeda Pharmaceutical Company Limited, Lexington, MA, USA.
Gagan JainTakeda Pharmaceutical Company Limited, Lexington, MA, USA.
Marcus MaurerDermatological Allergology, Allergie-Centrum-Charité, Department of Dermatology and Allergy, Charité - Universitätsmedizin Berlin, Berlin, Germany.ORCID 0000-0002-4121-481X
HELP Study Investigators
Charité - Universitätsmedizin Berlin · DETakeda (United States) · USAllergy Associates Research Center · USCambridge University Hospitals NHS Foundation Trust · GBHarvard University · USImperial Consultants · GBLa Jolla Institute for Immunology · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn objective of the phase 3 HELP Study was to investigate the effect of lanadelumab on health-related quality of life (HRQoL) in patients with hereditary angioedema (HAE).

methodsPatients with HAE-1/2 received either lanadelumab 150 mg every 4 weeks (q4wks; n = 28), 300 mg q4wks (n = 29), 300 mg every 2 weeks (q2wks; n = 27), or placebo (n = 41) for 26 weeks (days 0-182). The Angioedema Quality of Life Questionnaire (AE-QoL) was administered monthly, consisting of four domain (functioning, fatigue/mood, fears/shame, nutrition) and total scores. The generic EQ-5D-5L questionnaire was administered on days 0, 98, and 182. Comparisons were made between placebo and (a) all lanadelumab-treated patients and (b) individual lanadelumab groups for changes in scores (day 0-182) and proportions achieving the minimal clinically important difference (MCID, -6) in AE-QoL total score.

resultsCompared with the placebo group, the lanadelumab total group demonstrated significantly greater improvements in AE-QoL total and domain scores (mean change, -13.0 to -29.3; p < 0.05 for all); the largest improvement was in functioning. A significantly greater proportion of the lanadelumab total group achieved the MCID (70% vs 37%; p = 0.001). The lanadelumab 300 mg q2wks group had the highest proportion (81%; p = 0.001) and was 7.2 times more likely to achieve the MCID than the placebo group. Mean EQ-5D-5L scores at day 0 were high in all groups, indicating low impairment, with no significant changes at day 182.

conclusionPatients with HAE-1/2 experienced significant and clinically meaningful improvements in HRQoL measured by AE-QoL following lanadelumab treatment in the HELP Study.

Indexed as

Angioedemas, HereditaryQuality of LifeAntibodies, Monoclonal, HumanizedHumansSurveys and QuestionnairesAntibodies, Monoclonal, HumanizedlanadelumabAE-QoLhereditary angioedemalanadelumablong-term prophylaxisquality of life

Identifiers

PMID33258114
PMCPMC8247292
OpenAlexW3107108435

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.