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Trial · NCT05139810

OASIS-HAE: A Study to Evaluate the Safety and Efficacy of Donidalorsen (ISIS 721744 or IONIS-PKK-LRx) in Participants With Hereditary Angioedema (HAE)

NCT05139810, Phase 3, Completed, Ionis Pharmaceuticals, Inc.; results first posted 2025-03-06

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. OASIS-HAE: A Study to Evaluate the Safety and Efficacy of Donidalorsen (ISIS 721744 or IONIS-PKK-LRx) in Participants With Hereditary Angioedema (HAE). Trials, record NCT05139810. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT05139810

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
OASIS-HAE: A Study to Evaluate the Safety and Efficacy of Donidalorsen (ISIS 721744 or IONIS-PKK-LRx) in Participants With Hereditary Angioedema (HAE)
NCT number
NCT05139810
Status
Completed
Phases
Phase 3
Enrollment
91 participants, actual
Lead sponsor
Ionis Pharmaceuticals, Inc.
Conditions
Hereditary Angioedema
Interventions
Donidalorsen, Placebo
First posted
2021-12-01
Last updated
2025-03-06
Other registries' IDs
eudract:2021-002571-19
Results first posted
2025-03-06

Source ClinicalTrials.gov

Registered outcomes8

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryTime-Normalized Investigator-Confirmed (IC) HAE Attack Rate (Per Month) From Week 1 to Week 25Week 1 to Week 25
The time-adjusted HAE attack rate was calculated as number of IC HAE attacks occurring from Week 1 to Week 25, divided by the number of days the participant contributed to the period multiplied by 28 days. An HAE attack was defined as an event with signs or symptoms consistent with an attack in at least 1 of the locations: peripheral angioedema (cutaneous swelling involving an extremity, the face, neck, torso, and/or genitourinary region), abdominal angioedema (abdominal pain, with or without abdominal distention, nausea, vomiting, or diarrhea), laryngeal angioedema (stridor, dyspnea, difficulty speaking, difficulty swallowing, throat tightening, or swelling of the tongue, palate, uvula, or larynx).
SecondaryTime-Normalized IC HAE Attack Rate (Per Month) From Week 5 to Week 25Week 5 to Week 25
The time-adjusted HAE attack rate was calculated as number of IC HAE attacks occurring from Week 5 to Week 25, divided by the number of days the participant contributed to the period multiplied by 28 days. An HAE attack was defined as an event with signs or symptoms consistent with an attack in at least 1 of the locations: peripheral angioedema (cutaneous swelling involving an extremity, the face, neck, torso, and/or genitourinary region), abdominal angioedema (abdominal pain, with or without abdominal distention, nausea, vomiting, or diarrhea), laryngeal angioedema (stridor, dyspnea, difficulty speaking, difficulty swallowing, throat tightening, or swelling of the tongue, palate, uvula, or larynx).
SecondaryPercentage of IC HAE Attack-Free Participants From Week 5 to Week 25Week 5 to Week 25
An HAE attack was defined as an event with signs or symptoms consistent with an attack in at least 1 of the locations: peripheral angioedema (cutaneous swelling involving an extremity, the face, neck, torso, and/or genitourinary region), abdominal angioedema (abdominal pain, with or without abdominal distention, nausea, vomiting, or diarrhea), laryngeal angioedema (stridor, dyspnea, difficulty speaking, difficulty swallowing, throat tightening, or swelling of the tongue, palate, uvula, or larynx). Percentages are rounded off to the nearest decimal.
SecondaryTime-Normalized Moderate or Severe IC HAE Attack Rate (Per Month) From Week 5 to Week 25Week 5 to Week 25
The time-adjusted HAE attack rate was calculated as number of investigator-confirmed moderate or severe HAE attacks occurring from Week 5 to Week 25, divided by the number of days the participant contributed to the period multiplied by 28 days. An HAE attack was defined as an event with signs or symptoms consistent with an attack in at least 1 of the locations: peripheral angioedema (cutaneous swelling involving an extremity, the face, neck, torso, and/or genitourinary region), abdominal angioedema (abdominal pain, with or without abdominal distention, nausea, vomiting, or diarrhea), laryngeal angioedema (stridor, dyspnea, difficulty speaking, difficulty swallowing, throat tightening, or swelling of the tongue, palate, uvula, or larynx).
SecondaryNumber of Participants With a Clinical Response From Week 5 to Week 25Week 5 to Week 25
Clinical response was defined as a ≥ 50%, ≥ 70%, or ≥ 90% reduction from Baseline in HAE attack rate from Week 5 to Week 25. The HAE attack rate between Week 5 and Week 25 for each participant is calculated as number of HAE attacks occurring from Week 5 to week 25 divided by the number of days the participant contributed to the period multiplied by 28 days. An HAE attack was defined as an event with signs or symptoms consistent with an attack in at least 1 of the locations: peripheral angioedema (cutaneous swelling involving an extremity, the face, neck, torso, and/or genitourinary region), abdominal angioedema (abdominal pain, with or without abdominal distention, nausea, vomiting, or diarrhea), laryngeal angioedema (stridor, dyspnea, difficulty speaking, difficulty swallowing, throat tightening, or swelling of the tongue, palate, uvula, or larynx). Baseline= Run-in period which is the period from screening to the last day prior to Study Day 1.
SecondaryIC HAE Attack Rate Requiring Acute HAE Therapy From Week 5 to Week 25Week 5 to Week 25
Time-adjusted HAE attack rate is calculated as number of IC HAE attacks requiring acute therapy occurring from Week 5 to Week 25, divided by number of days the participant contributed to period multiplied by 28 days. An HAE attack was defined as an event with signs or symptoms consistent with an attack in at least 1 of the locations: peripheral angioedema (cutaneous swelling involving an extremity, the face, neck, torso, and/or genitourinary region), abdominal angioedema (abdominal pain, with or without abdominal distention, nausea, vomiting, or diarrhea), laryngeal angioedema (stridor, dyspnea, difficulty speaking, difficulty swallowing, throat tightening, or swelling of the tongue, palate, uvula, or larynx). HAE attacks requiring acute therapy included those attacks with following concomitant medications c1 esterase inhibitors (human and recombinant), plasma kallikrein inhibitor (human), and bradykinin antagonist.
SecondaryPercentage of Participants Who Are Well Controlled on the Angioedema Control Test (AECT) at Week 25Week 25
The AECT is a validated participant-reported outcome instrument to assess disease activity in participants with recurrent angioedema. The questionnaire consists of 4 questions asking about the frequency and severity of angioedema experienced in last 4 weeks. Each question has 5 response choices with total score ranging from 0 to 16. The AECT can be used to identify participants with poorly controlled disease by working with a cutoff value of greater than or equal to 10 points. Participants who score less than 10 points (0-9) in the AECT have poorly controlled disease whereas participants with well-controlled disease score 10-16 points. Percentages are rounded off to the nearest decimal.
SecondaryChange From Baseline in Angioedema Quality of Life (AE-QoL) Questionnaire Total Score at Week 25Week 25
The AE-QoL questionnaire is a validated tool to assess symptom-specific health-related QOL impairment in participants suffering from recurrent angioedema. It is a self-administered questionnaire comprising 17 questions across 4 domains: functioning, fatigue/mood, fears/shame, and food. The responses are scored from 0 to 4 where, 0 = never, 1 = rarely, 2 = occasionally, 3 = often, 4 = very often. The AE-QoL domain scores and total score were calculated by using the following formula: (Sum score of all completed items) / (maximum sum score of all possible items) × 100. Total scores ranges from 0 to 100, with higher scores indicating greater impairment. Negative change from baseline indicates improvement. The calculated domain and total scores were not raw scores but linear transformations to a 0 to 100 scale. Baseline is defined as the score on Study Day 1.

Outcomes8

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYTime-Normalized Investigator-Confirmed (IC) HAE Attack Rate (Per Month) From Week 1 to Week 25Week 1 to Week 25
The FAS included all randomized participants who received at least 1 dose of the study drug (donidalorsen or placebo). As pre-specified in the protocol and statistical analysis plan, for purposes of analysis, data for placebo participants from Cohort A and Cohort B was pooled for comparison to donidalorsen treated participants.
HAE attacks per monthLEAST_SQUARES_MEAN
SECONDARYTime-Normalized IC HAE Attack Rate (Per Month) From Week 5 to Week 25Week 5 to Week 25
The FAS included all randomized participants who received at least 1 dose of the study drug (donidalorsen or placebo). As pre-specified in the protocol and statistical analysis plan, for purposes of analysis, data for placebo participants from Cohort A and Cohort B was pooled for comparison to donidalorsen treated participants.
HAE attacks per monthLEAST_SQUARES_MEAN
SECONDARYPercentage of IC HAE Attack-Free Participants From Week 5 to Week 25Week 5 to Week 25
The FAS included all randomized participants who received at least 1 dose of the study drug (donidalorsen or placebo). As pre-specified in the protocol and statistical analysis plan, for purposes of analysis, data for placebo participants from Cohort A and Cohort B was pooled for comparison to donidalorsen treated participants.
Percentage of participantsNUMBER
SECONDARYTime-Normalized Moderate or Severe IC HAE Attack Rate (Per Month) From Week 5 to Week 25Week 5 to Week 25
The FAS included all randomized participants who received at least 1 dose of the study drug (donidalorsen or placebo). As pre-specified in the protocol and statistical analysis plan, for purposes of analysis, data for placebo participants from Cohort A and Cohort B was pooled for comparison to donidalorsen treated participants.
HAE attacks per monthLEAST_SQUARES_MEAN
SECONDARYNumber of Participants With a Clinical Response From Week 5 to Week 25Week 5 to Week 25
The FAS included all randomized participants who received at least 1 dose of the study drug (donidalorsen or placebo). As pre-specified in the protocol and statistical analysis plan, for purposes of analysis, data for placebo participants from Cohort A and Cohort B was pooled for comparison to donidalorsen treated participants.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYIC HAE Attack Rate Requiring Acute HAE Therapy From Week 5 to Week 25Week 5 to Week 25
The FAS included all randomized participants who received at least 1 dose of the study drug (donidalorsen or placebo). As pre-specified in the protocol and statistical analysis plan, for purposes of analysis, data for placebo participants from Cohort A and Cohort B was pooled for comparison to donidalorsen treated participants.
HAE attacks per monthLEAST_SQUARES_MEAN
SECONDARYPercentage of Participants Who Are Well Controlled on the Angioedema Control Test (AECT) at Week 25Week 25
The FAS included all randomized participants who received at least 1 dose of the study drug (donidalorsen or placebo). Overall number analyzed is the number of participants with data available for analysis at the specified timepoint. As pre-specified in the protocol and statistical analysis plan, for purposes of analysis, data for placebo participants from Cohort A and Cohort B was pooled for comparison to donidalorsen treated participants.
Percentage of participantsNUMBER
SECONDARYChange From Baseline in Angioedema Quality of Life (AE-QoL) Questionnaire Total Score at Week 25Week 25
The FAS included all randomized participants who received at least 1 dose of the study drug (donidalorsen or placebo). Overall number of participants analyzed is the number of participants with data available for analysis at the specified time point. As pre-specified in the protocol and statistical analysis plan, for purposes of analysis, data for placebo participants from Cohort A and Cohort B was pooled for comparison to donidalorsen treated participants.
Score on a scaleLEAST_SQUARES_MEAN

Results by group30

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Time-Normalized Investigator-Confirmed (IC) HAE Attack Rate (Per Month) From Week 1 to Week 25Pooled Placebo2.2695% Confidence Interval 1.657 to 3.085HAE attacks per month
Time-Normalized Investigator-Confirmed (IC) HAE Attack Rate (Per Month) From Week 1 to Week 25Cohort A: Donidalorsen 80 mg0.4495% Confidence Interval 0.265 to 0.727HAE attacks per month
Time-Normalized Investigator-Confirmed (IC) HAE Attack Rate (Per Month) From Week 1 to Week 25Cohort B: Donidalorsen 80 mg1.0295% Confidence Interval 0.651 to 1.594HAE attacks per month
Time-Normalized IC HAE Attack Rate (Per Month) From Week 5 to Week 25Pooled Placebo2.2595% Confidence Interval 1.594 to 3.183HAE attacks per month
Time-Normalized IC HAE Attack Rate (Per Month) From Week 5 to Week 25Cohort A: Donidalorsen 80 mg0.3095% Confidence Interval 0.151 to 0.581HAE attacks per month
Time-Normalized IC HAE Attack Rate (Per Month) From Week 5 to Week 25Cohort B: Donidalorsen 80 mg0.9095% Confidence Interval 0.529 to 1.520HAE attacks per month
Percentage of IC HAE Attack-Free Participants From Week 5 to Week 25Pooled Placebo9.1Percentage of participants
Percentage of IC HAE Attack-Free Participants From Week 5 to Week 25Cohort A: Donidalorsen 80 mg53.3Percentage of participants
Percentage of IC HAE Attack-Free Participants From Week 5 to Week 25Cohort B: Donidalorsen 80 mg34.8Percentage of participants
Time-Normalized Moderate or Severe IC HAE Attack Rate (Per Month) From Week 5 to Week 25Pooled Placebo1.1595% Confidence Interval 0.718 to 1.831HAE attacks per month

Participant flow12

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDPooled Placebo22
Overall StudySTARTEDCohort A: Donidalorsen 80 mg46
Overall StudySTARTEDCohort B: Donidalorsen 80 mg23
Overall StudyFull Analysis Set (FAS)Pooled Placebo22
Overall StudyFull Analysis Set (FAS)Cohort A: Donidalorsen 80 mg45
Overall StudyFull Analysis Set (FAS)Cohort B: Donidalorsen 80 mg23
Overall StudyCOMPLETEDPooled Placebo0
Overall StudyCOMPLETEDCohort A: Donidalorsen 80 mg1
Overall StudyCOMPLETEDCohort B: Donidalorsen 80 mg3
Overall StudyNOT COMPLETEDPooled Placebo22

Adverse events63

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherHeadacheNervous system disordersPooled Placebo422
otherHeadacheNervous system disordersCohort A: Donidalorsen 80 mg745
otherHeadacheNervous system disordersCohort B: Donidalorsen 80 mg223
otherInjection Site ErythemaGeneral disordersPooled Placebo022
otherInjection Site ErythemaGeneral disordersCohort A: Donidalorsen 80 mg645
otherInjection Site ErythemaGeneral disordersCohort B: Donidalorsen 80 mg123
otherNasopharyngitisInfections and infestationsPooled Placebo522
otherNasopharyngitisInfections and infestationsCohort A: Donidalorsen 80 mg645
otherNasopharyngitisInfections and infestationsCohort B: Donidalorsen 80 mg323
otherInfluenzaInfections and infestationsPooled Placebo222

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPooled Placebo022
Total, all-cause mortalityCohort A: Donidalorsen 80 mg045
Total, all-cause mortalityCohort B: Donidalorsen 80 mg023
Total, other adverse eventsPooled Placebo1522
Total, other adverse eventsCohort A: Donidalorsen 80 mg2245
Total, other adverse eventsCohort B: Donidalorsen 80 mg1323
Total, serious adverse eventsPooled Placebo122
Total, serious adverse eventsCohort A: Donidalorsen 80 mg045
Total, serious adverse eventsCohort B: Donidalorsen 80 mg023

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
38819395RESULTPubMed
41208217DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

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