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.