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A Long-term Study of STAR-0215 in Participants With Hereditary Angioedema

Phase 2
Recruiting
Conditions
Hereditary Angioedema
Interventions
Registration Number
NCT06007677
Lead Sponsor
Astria Therapeutics, Inc.
Brief Summary

The goal of this trial is to enable the collection of information about long-term safety and clinical activity of STAR-0215 in participants with hereditary angioedema (HAE). Participants will receive repeat doses of STAR-0215 for up to 5 years.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
56
Inclusion Criteria
  • Open to participants from STAR-0215-201 (NCT05695248) who have met one of the following conditions:
  • Completed STAR-0215-201 (follow up through 6 months after their last dose);
  • Eligible for STAR-0215-201 and entered the Run-In period but did not qualify for the Treatment Period because they did not meet the criterion for the minimum number of HAE attacks;
  • Eligible for STAR-0215-201 and entered the Run-In period but did not complete it for reasons other than not meeting the criterion for the minimum number of HAE attacks (eligibility requires consultation with the Medical Monitor); or
  • Discontinued STAR-0215-201 (for reasons other than safety) after having completed at least 84 days of trial follow-up since their last dose of STAR-0215 (eligibility requires consultation with the Medical Monitor).
Exclusion Criteria
  • Any concomitant diagnosis of another form of chronic angioedema, such as acquired C1 inhibitor deficiency, HAE with normal C1-esterase inhibitor protein (also known as HAE Type III), idiopathic angioedema, or angioedema associated with urticaria.

  • Any exposure to angiotensin-converting enzyme inhibitors or any estrogen-containing medications with systemic absorption (such as hormonal contraceptives or hormone replacement therapy) within 28 days prior to Screening

  • Any exposure to androgens (for example, stanozolol, danazol, oxandrolone, methyltestosterone, testosterone) within 7 days prior to Screening.

  • Use of therapies prescribed for the prevention of HAE attacks prior to Screening:

    • lanadelumab within 90 days
    • berotralstat within 21 days
    • all other prophylactic therapies, discuss with the Medical Monitor

Note: Other inclusion and exclusion criteria may apply.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Dose Regimen 1 (Arm A): STAR-0215STAR-0215Participants will receive STAR-0215 every 3 months.
Dose Regimen 2 (Arm B): STAR-0215STAR-0215Participants will receive STAR-0215 every 6 months.
Dose Regimen 1 (Arm C): STAR-0215STAR-0215STAR-0215 will be administered as a subcutaneous injection.
Dose Regimen 3 (Arm D): STAR-0215STAR-0215STAR-0215 will be administered as a subcutaneous injection.
Primary Outcome Measures
NameTimeMethod
Number of Participants Experiencing Treatment-emergent Adverse EventsDay 1 through study completion, an average of 6 years
Secondary Outcome Measures
NameTimeMethod
Change From Baseline in Monthly HAE Attack RateDay 1, up to 5 years
Severity of HAE Attacks Experienced by ParticipantsDay 1 through up to 5 years

All HAE attacks will be classified according to severity (mild, moderate, and severe).

Duration of HAE AttacksDay 1 through up to 5 years

Duration will be reported as shorter than 12 hours, 12 to 24 hours, 24 to 48 hours, and longer than 48 hours.

Number of Participants Experiencing HAE Attacks Requiring On-demand TherapyDay 1 through up to 5 years
Time to First HAE Attack After Each DoseDay 1 through up to 5 years
Plasma Levels of Cleaved High-molecular-weight KininogenEvery 3 months for first 2 years, Every 6 months for next 3 years

Blood samples will be collected on dosing days to measure the plasma levels of cleaved high-molecular-weight kininogen (a measure of plasma kallikrein activity).

Number of HAE Attack-free DaysDay 1 through up to 5 years
Number of Participants Experiencing Zero HAE AttacksDay 1 through up to 5 years
Serum Concentration of STAR-0215Every 3 months for first 2 years, Every 6 months for next 3 years

Blood samples will be collected on dosing days to measure the serum concentration of STAR-0215.

Number of Participants with Anti-drug Antibodies to STAR-0215Every 3 months for first 2 years, Every 6 months for next 3 years

Blood samples will be collected on dosing days to assess the formation of STAR-0215 anti-drug antibodies in serum.

Trial Locations

Locations (20)

Penn State Health Milton S. Hershey Medical Center

🇺🇸

Hershey, Pennsylvania, United States

Diagnostic Consultative Center Convex Ltd.

🇧🇬

Sofia, Bulgaria

Institute of Clinical Immunology/Allergology, Faculty Hospital, Hradec Kralove

🇨🇿

Hradec Králové, Czechia

Charité Universitätsmedizin Berlin

🇩🇪

Berlin, Germany

Universitätsklinikum Frankfurt

🇩🇪

Frankfurt, Germany

Alabama Allervie Clinical Research

🇺🇸

Birmingham, Alabama, United States

Medical Research of Arizona a Division of Allergy, Asthma & Immunology Associates, LTD

🇺🇸

Scottsdale, Arizona, United States

Little Rock Allergy & Asthma Clinical Research Center

🇺🇸

Little Rock, Arkansas, United States

UC San Diego US HAEA Angioedema Center

🇺🇸

San Diego, California, United States

Raffi Tachdjian MD, Inc

🇺🇸

Santa Monica, California, United States

Allergy & Asthma Clinical Research

🇺🇸

Walnut Creek, California, United States

Institute for Asthma and Allergy, PC

🇺🇸

Chevy Chase, Maryland, United States

Massachusetts General Hospital

🇺🇸

Boston, Massachusetts, United States

Washington University School of Medicine

🇺🇸

Saint Louis, Missouri, United States

Optimed Research

🇺🇸

Columbus, Ohio, United States

AARA Research Center

🇺🇸

Dallas, Texas, United States

University of Alberta

🇨🇦

Edmonton, Alberta, Canada

Ottawa Allergy Research Corporation

🇨🇦

Ottawa, Ontario, Canada

Addenbrooke's Hospital

🇬🇧

Cambridge, United Kingdom

St. James's Hospital

🇬🇧

Leeds, United Kingdom

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