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
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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