Table II.
Treatment transition to berotralstat
| Patient no. | Previous LTP for HAE | Description of transition | Berotralstat monotherapy after transition | AEs during transition |
|---|---|---|---|---|
| 1 | Tranexamic acid, lanadelumab | Lanadelumab stopped 15 days before berotralstat introduced. Tranexamic acid is increased (from 2 × 500 mg per week to 500 mg every other day) | No | None |
| 2 | Tranexamic acid 1 g 3 or 4 times a day | Tranexamic acid was weaned down 1 week after initiating berotralstat, reduced to 1 g per day gradually over 1 month, then stopped | No | None |
| 3 | Tranexamic acid 1 g 3 times a day | Tranexamic acid stopped immediately | Yes | None |
| 4 | Androgens, tranexamic acid | Tranexamic acid stopped immediately | Yes | None |
| 5 | Tranexamic acid, lanadelumab | Discontinuation of lanadelumab 4 months before berotralstat initiation | Yes | Nausea for first 2 weeks, then mild nausea and chronic diarrhea that did not require any symptomatic treatment |
| 6 | Tranexamic acid | Tranexamic acid withdrawn abruptly after ischemic stroke; initiation of berotralstat after resurgence of attacks 6 months later | Yes | None |