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Lonvoguran ziclumeran (lonvo-z)

Hereditary angioedema

Also known as NTLA-2002
Last updated
82 sources

Clinical evidence

ITL-2002-CL-001

34 evidence topics · 12 sources

Objective
Location and study date
Study design
Eligibility criteria
Treatment
Phase 1 dose cohorts
CohortDoseParticipants
Lower dose“25 mg”“n=3”
Selected dose“50 mg”“n=4”
Higher dose“75 mg”“n=3”
Study outcomes
Rationale for using monthly HAE attack rate as the primary endpoint
Statistical analysis description
Number of participants (Planned and analyzed)
Registry actual enrollment across phases
Phase 2 randomized and treated populations
PopulationParticipants
Randomized“27”
NTLA-2002 25 mg“10”
NTLA-2002 50 mg“11”
Placebo“6”
Description of analysis sets
Results
Participant disposition
Pooled 50-mg analysis population
PopulationParticipants
Participants contributing to the pooled analysis“32”
Baseline characteristics
Phase 2 baseline characteristics
CharacteristicNTLA-2002 25 mg, n=10NTLA-2002 50 mg, n=11Placebo, n=6
Age, median years (range)“48.5 (34-62)”“44.0 (18-61)”“47.0 (31-76)”
Mean baseline monthly attack rate“3.6”“3.6”“3.7”
Efficacy results
Phase 2: mean monthly attack rate, weeks 1–16
OutcomeNTLA-2002 25 mg, n=10NTLA-2002 50 mg, n=11Placebo, n=6
Mean monthly attack rate, weeks 1–16“0.70 (95% confidence interval [CI], 0.25 to 1.98)”“0.65 (95% CI, 0.24 to 1.76)”“2.82 (95% CI, 0.80 to 9.89)”
Phase 2: difference versus placebo
OutcomeNTLA-2002 25 mgNTLA-2002 50 mgPlacebo
Difference versus placebo, weeks 1–16; 95% confidence interval“−75% (-95%, 27%)”“−77% (-95%, 15%)”
Health-related quality of life and patient-reported outcomes
Phase 2 AE-QoL total score: change from baseline to week 16
OutcomeNTLA-2002 25 mg, n=9NTLA-2002 50 mg, n=9Placebo, n=4
Mean change ± SD“-10.8 ±10.9”“-18.2 ±17.2”“-3.5 ±10.4”
Safety results
Study limitations
Summary

Phase 1 was open-label and included 10 participants across three dose cohorts. Phase 2 randomized 27 participants, including six assigned to placebo. The reported confidence intervals for the differences in monthly attack rate versus placebo crossed zero, so the point estimates alone do not demonstrate a statistically conclusive difference. The AE-QoL analysis included only participants with paired assessments and had nine, nine, and four participants in the 25-mg, 50-mg, and placebo groups, respectively. The pooled 50-mg analyses combine phase 1/2 and long-term follow-up observations. Becoming attack-free and prophylaxis-free during follow-up is not the same outcome as remaining attack-free throughout follow-up. Seven participants had less than six months of follow-up after becoming attack-free and prophylaxis-free. These pooled observations do not establish lifetime durability.