Clinical trial • Phase III • Immunology|Rare Disease
DONIDALORSEN for Hereditary angioedema
Phase III trial of DONIDALORSEN for Hereditary angioedema. open-label, none/not specified-controlled. 12 participants.
Overview
- Trial Therapeutic Area
- Immunology|Rare Disease
- Trial Disease
- Hereditary angioedema
- Trial Stage
- Phase III
- Drug Modality
- Oligonucleotide
- Paediatric Trial
- Yes
- Orphan Drug
- Yes
Key dates
- Initial CTIS Submission Date
- 05-11-2025
- First CTIS Authorization Date
- 25-02-2026
Trial design
open-label, none/not specified-controlled Phase III trial across 8 sites in Italy, Poland, Spain.
- Open Label
- Yes
- Comparator
- None/Not specified
- Target Sample Size
- 12
- Trial Duration For Participant
- 365
Eligibility
Recruits 12 paediatric patients.
- Vulnerable Population
- Pediatric participants aged 2 to less than 12 years are included. Parental/guardian informed consent is required and assent is obtained from participants as applicable. Subject information sheets, parental/guardian ICFs and assent/young participant information documents are provided (country-specific versions available).
Inclusion criteria
- {"criterion_text":"- 3. Must be between the ages of 2 and less than 12 years, inclusive, at the time of informed consent and, as applicable, assent.\n- 4. Must weigh at least 9 kg at the time of informed consent and, as applicable, assent.\n- 6. Documented diagnosis of HAE-1/HAE-2 based upon both of the following: a. Documented clinical history consistent with HAE b. Diagnostic testing results that confirm HAE-1/HAE-2"}
Exclusion criteria
- {"criterion_text":"- 2. Must not have any screening laboratory abnormalities or any other clinically significant abnormalities during screening that would render a participant unsuitable for inclusion\n- 12.\tConcurrent diagnosis of any other type of recurrent angioedema, including idiopathic angioedema or HAE with normal C1-INH (HAE-nC1-INH or Type III).\n- 8. Must not have been treated with another investigational drug, biological agent, or device within 1 month of Screening, or 5 half-lives of investigational agent, whichever is longer."}
Endpoints
Primary endpoints
- {"endpoint_text":"- 1. Incidence and severity of treatment-emergent adverse events (TEAEs)","definition_or_measurement_approach":"Assessment of incidence and severity of treatment-emergent adverse events reported during the study (TEAEs)."}
- {"endpoint_text":"- 2. Plasma pharmacokinetics and concentrations of donidalorsen","definition_or_measurement_approach":"Measurement of plasma pharmacokinetics and concentrations of donidalorsen."}
Secondary endpoints
- {"endpoint_text":"- 1. The time-normalized number of investigator-confirmed HAE attacks (per month) over the period of 12 months.","definition_or_measurement_approach":"Time-normalized monthly rate of investigator-confirmed HAE attacks measured over 12 months."}
- {"endpoint_text":"- 3. The percentage of investigator-confirmed HAE attack-free participants over the period of 12 months.","definition_or_measurement_approach":"Proportion of participants without investigator-confirmed HAE attacks during 12 months."}
- {"endpoint_text":"- 4. The time-normalized number of moderate or severe investigatorconfirmed HAE attacks (per month) over the period of 12 months.","definition_or_measurement_approach":"Time-normalized monthly rate of moderate or severe investigator-confirmed HAE attacks measured over 12 months."}
- {"endpoint_text":"- 5. The number of participants with a clinical response defined as a ≥ 50%, ≥ 70%, or ≥ 90% reduction from Baseline in investigator-confirmed HAE attack rate over the period of 12 months.","definition_or_measurement_approach":"Number of participants achieving ≥50%, ≥70% or ≥90% reduction from Baseline in investigator-confirmed HAE attack rate over 12 months."}
- {"endpoint_text":"- 6. The number of investigator-confirmed HAE attacks requiring rescue treatment (i.e., acute therapy) over the period of 12 months.","definition_or_measurement_approach":"Count of investigator-confirmed HAE attacks requiring rescue/acute therapy over 12 months."}
- {"endpoint_text":"- 7. Change in PKK levels in plasma over the period of 12 months.","definition_or_measurement_approach":"Measurement of change in plasma prekallikrein (PKK) concentrations over 12 months (pharmacodynamic assessment)."}
- {"endpoint_text":"- 8. Changes in Pediatrics Quality of Life (PedsQL) scores for participants over the period of 12 months.","definition_or_measurement_approach":"Assessment of change in PedsQL score from baseline over 12 months."}
Recruitment
- Planned Sample Size
- 12
- Recruitment Window Months
- 39
- Consent Approach
- Parental/guardian informed consent is required. Assent is obtained from participants as applicable (age-based). Subject information sheets, parental/guardian ICFs, assent forms and young participant information documents are provided; country-specific documents exist (e.g., Italy, Poland, Spain).
Geography
- Total Number Of Sites
- 8
- Total Number Of Participants
- 8
Italy
- Earliest CTIS Part Ii Submission Date
- 02-02-2026
- Latest Decision Or Authorization Date
- 25-02-2026
- Processing Time Days
- 23
- Number Of Sites
- 4
- Number Of Participants
- 4
Sites
- Site Name
- Azienda Ospedaliera Policlinico Universitario Tor Vergata
- Department Name
- Centro di RIferimento Malattie Reumatologiche ed Immunologiche Rare
- Principal Investigator Name
- Paola Triggianese
- Principal Investigator Email
- paola.triggianese@ptvonline.it
- Contact Person Name
- Paola Triggianese
- Contact Person Email
- paola.triggianese@ptvonline.it
- Site Name
- ASST Fatebenefratelli Sacco
- Department Name
- Medicina Interna
- Principal Investigator Name
- Antonio Gidaro
- Principal Investigator Email
- gidaro.antonio@asst-fbf-sacco.it
- Contact Person Name
- Antonio Gidaro
- Contact Person Email
- gidaro.antonio@asst-fbf-sacco.it
- Site Name
- Policlinico San Donato S.p.A.
- Department Name
- UO Medicina
- Principal Investigator Name
- Andrea Zanichelli
- Principal Investigator Email
- andrea.zanichelli@unimi.it
- Contact Person Name
- Andrea Zanichelli
- Contact Person Email
- andrea.zanichelli@unimi.it
- Site Name
- Azienda Ospedaliera di Padova
- Department Name
- UOSD Allergologia
- Principal Investigator Name
- Riccardo Senter
- Principal Investigator Email
- riccardo.senter@aopd.veneto.it
- Contact Person Name
- Riccardo Senter
- Contact Person Email
- riccardo.senter@aopd.veneto.it
Poland
- Earliest CTIS Part Ii Submission Date
- 02-02-2026
- Latest Decision Or Authorization Date
- 26-02-2026
- Processing Time Days
- 24
- Number Of Sites
- 2
- Number Of Participants
- 2
Sites
- Site Name
- Samodzielny Publiczny Zaklad Opieki Zdrowotnej Szpital Uniwersytecki W Krakowie
- Department Name
- Centrum Alergologii - Poradnia Alergologiczna
- Principal Investigator Name
- Marcin Stobiecki
- Principal Investigator Email
- marcin.stobiecki@uj.edu.pl
- Contact Person Name
- Marcin Stobiecki
- Contact Person Email
- marcin.stobiecki@uj.edu.pl
- Site Name
- Medical Network Sp. z o.o.
- Department Name
- WIP Warsaw IBD Point Profesor Kierkuś
- Principal Investigator Name
- Edyta Kawałkowska
- Principal Investigator Email
- e.kawalkowska@wip.waw.pl
- Contact Person Name
- Edyta Kawałkowska
- Contact Person Email
- e.kawalkowska@wip.waw.pl
Spain
- Earliest CTIS Part Ii Submission Date
- 04-02-2026
- Latest Decision Or Authorization Date
- 05-05-2026
- Processing Time Days
- 90
- Number Of Sites
- 2
- Number Of Participants
- 2
Sites
- Site Name
- Hospital Universitario La Paz
- Department Name
- Alergology
- Principal Investigator Name
- Elsa Phillips Angles
- Principal Investigator Email
- e.phillips.angles@gmail.com
- Contact Person Name
- Elsa Phillips Angles
- Contact Person Email
- e.phillips.angles@gmail.com
- Site Name
- Hospital Universitari Vall D Hebron
- Department Name
- Alergology
- Principal Investigator Name
- Mar Guilarte Clavero
- Principal Investigator Email
- mar.guilarte@vallhebron.cat
- Contact Person Name
- Mar Guilarte Clavero
- Contact Person Email
- mar.guilarte@vallhebron.cat
Sponsor
Primary sponsor
- Full Name
- Ionis Pharmaceuticals Inc.
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- United States
Contract research organisations
- Name
- Medpace Finland Oy
- Responsibilities
- sponsorDuties codes: 1,10,12,2,4,6,8
Third parties
- {"country":"United Kingdom","full_name":"Cognizant Worldwide Limited","duties_or_roles":"sponsorDuties codes: 8","organisation_type":"Non-Pharmaceutical company"}
- {"country":"Finland","full_name":"Medpace Finland Oy","duties_or_roles":"sponsorDuties codes: 1,10,12,2,4,6,8","organisation_type":"Pharmaceutical company"}
- {"country":"Netherlands","full_name":"Xerimis B.V.","duties_or_roles":"sponsorDuties codes: 14","organisation_type":"Pharmaceutical company"}
Investigational products
- Investigational Product Name
- ISIS 721744
- Active Substance
- DONIDALORSEN
- Modality
- Oligonucleotide
- Routes Of Administration
- SUBCUTANEOUS
- Route
- SUBCUTANEOUS
- Orphan Designation
- Yes
- Investigational Product Name
- ISIS 721744
- Active Substance
- DONIDALORSEN
- Modality
- Oligonucleotide
- Routes Of Administration
- SUBCUTANEOUS
- Route
- SUBCUTANEOUS
- Orphan Designation
- Yes
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