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. 2025 Sep 30;5(1):100575. doi: 10.1016/j.jacig.2025.100575

Table III.

Berotralstat effectiveness

Patient no. General impact of berotralstat (physician reported) No. of attacks per month
Average duration of attacks Average severity of attacks
Response to acute treatment (physician reported)
Before transition Month 1 Month 3 Month 6 Before transition After transition
1 Partially effective with decrease in AE frequency, but persistence of attacks reported; unclear if symptoms were due to berotralstat introduction vs tranexamic acid dose increase. 2 0.5 0.5 0.5 15 minutes Severe Severe Icatibant immediately effective (no repeat dosing needed)
2 Obvious rapid benefit. Attacks stopped almost completely without tranexamic acid. A few more hand swellings in first few weeks, but facial swellings stopped immediately. 4 4 2 1 Half a day Moderate Minor NA—no significant attacks recently
3 Attacks now very occasional, mild, and self-limiting; able to attend school and take exams. After 1 year’s therapy, had orofacial surgery and had no associated angioedema attacks. 4 3 3 1 Quarter of a day Moderate Mild No repeat dosing of icatibant required
4 Major impact—very few attacks after therapy for a few months since initiating berotralstat; any attacks are mostly self-limiting or respond to single 1.5 g dose of tranexamic acid. 8 4 2 1 Half a day Moderate Mild Response in <4 hours
5 Reduction in frequency of HAE attacks. 3.5 1 1 2.5 <1 day Severe Severe Good response to icatibant
6 NR 0.5 0 0 0 1 hour Severe Severe Icatibant very effective

NA, Not applicable; NR, not reported.

Patient 1 attack rate before therapy.

After administration of icatibant.

Just 1 attack reported at month 4.