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. 2022 Nov 3;2022(11):CD013403. doi: 10.1002/14651858.CD013403.pub2

Comparison 2. Change in number of HAE attacks per week.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
2.1 Change in number of HAE attacks per week by drug 11   Mean Difference (IV, Random, 95% CI) Subtotals only
2.1.1 Avoralstat 2 158 Mean Difference (IV, Random, 95% CI) ‐0.10 [‐0.37, 0.18]
2.1.2 Berotralstat 3 217 Mean Difference (IV, Random, 95% CI) ‐0.31 [‐0.45, ‐0.17]
2.1.3 C1‐INH(SC) 1 180 Mean Difference (IV, Random, 95% CI) ‐0.83 [‐0.98, ‐0.67]
2.1.4 pdC1‐INH 1 113 Mean Difference (IV, Random, 95% CI) ‐0.53 [‐0.58, ‐0.48]
2.1.5 C1‐INH‐nf 1 44 Mean Difference (IV, Random, 95% CI) ‐0.53 [‐0.78, ‐0.28]
2.1.6 rhC1‐INH 1 96 Mean Difference (IV, Random, 95% CI) ‐0.92 [‐1.31, ‐0.53]
2.1.7 lanadelumab 2 140 Mean Difference (IV, Random, 95% CI) ‐0.38 [‐0.45, ‐0.32]
2.2 Change in number of HAE attacks per week by drug (approved doses only) 11   Mean Difference (IV, Random, 95% CI) Subtotals only
2.2.1 Avoralstat (not approved) 2 158 Mean Difference (IV, Random, 95% CI) ‐0.10 [‐0.37, 0.18]
2.2.2 Berotralstat 3 130 Mean Difference (IV, Random, 95% CI) ‐0.39 [‐0.74, ‐0.05]
2.2.3 C1‐INH(SC) 1 90 Mean Difference (IV, Random, 95% CI) ‐0.81 [‐0.98, ‐0.64]
2.2.4 C1‐INH‐nf 1 44 Mean Difference (IV, Random, 95% CI) ‐0.53 [‐0.78, ‐0.28]
2.2.5 pdC1‐INH (not approved) 1 113 Mean Difference (IV, Random, 95% CI) ‐0.53 [‐0.58, ‐0.48]
2.2.6 rhC1‐INH (not approved) 1 96 Mean Difference (IV, Random, 95% CI) ‐0.92 [‐1.31, ‐0.53]
2.2.7 Lanadelumab 2 83 Mean Difference (IV, Random, 95% CI) ‐0.41 [‐0.48, ‐0.35]
2.3 Change in number of HAE attacks per week by dose (avoralstat) 2   Mean Difference (IV, Random, 95% CI) Subtotals only
2.3.1 300 mg 3 times/day 1 54 Mean Difference (IV, Random, 95% CI) 0.09 [‐0.10, 0.28]
2.3.2 400 mg 3 times/day 1 48 Mean Difference (IV, Random, 95% CI) ‐0.45 [‐0.75, ‐0.15]
2.3.3 500 mg 3 times/day 1 56 Mean Difference (IV, Random, 95% CI) 0.00 [‐0.19, 0.19]
2.4 Change in number of HAE attacks per week by dose (berotralstat) 3   Mean Difference (IV, Random, 95% CI) Subtotals only
2.4.1 < 100 mg 1 30 Mean Difference (IV, Random, 95% CI) ‐0.10 [‐0.40, 0.20]
2.4.2 100–149 mg 3 130 Mean Difference (IV, Random, 95% CI) ‐0.35 [‐0.74, 0.05]
2.4.3 150 mg 2 93 Mean Difference (IV, Random, 95% CI) ‐0.21 [‐0.37, ‐0.05]
2.4.4 250 mg 1 38 Mean Difference (IV, Random, 95% CI) ‐0.42 [‐0.65, ‐0.19]
2.4.5 350 mg 1 41 Mean Difference (IV, Random, 95% CI) ‐0.43 [‐0.64, ‐0.22]
2.5 Change in number of HAE attacks per week by dose (C1‐INH – all forms) 4   Mean Difference (IV, Random, 95% CI) Subtotals only
2.5.1 2000 IU twice per week 1 113 Mean Difference (IV, Random, 95% CI) ‐0.53 [‐0.58, ‐0.48]
2.5.2 1000 IU twice per week 1 44 Mean Difference (IV, Random, 95% CI) ‐0.53 [‐0.78, ‐0.28]
2.5.3 60 IU/kg twice per week 1 90 Mean Difference (IV, Random, 95% CI) ‐0.81 [‐0.98, ‐0.64]
2.5.4 50 IU/kg twice per week 1 64 Mean Difference (IV, Random, 95% CI) ‐1.11 [‐1.52, ‐0.70]
2.5.5 50 IU/kg once per week 1 64 Mean Difference (IV, Random, 95% CI) ‐0.71 [‐1.16, ‐0.26]
2.5.6 40 IU/kg twice per week 1 90 Mean Difference (IV, Random, 95% CI) ‐1.01 [‐1.58, ‐0.44]
2.6 Change in number of HAE attacks per week by dose (lanadelumab) 2   Mean Difference (IV, Random, 95% CI) Subtotals only
2.6.1 150 mg every 4 weeks 1 69 Mean Difference (IV, Random, 95% CI) ‐0.37 [‐0.46, ‐0.28]
2.6.2 300 mg every 4 weeks 1 70 Mean Difference (IV, Random, 95% CI) ‐0.36 [‐0.45, ‐0.27]
2.6.3 300 mg every 2 weeks 2 83 Mean Difference (IV, Random, 95% CI) ‐0.41 [‐0.48, ‐0.35]
2.7 Change in number of HAE attacks per week (C1‐INH) – head‐to‐head trials 3   Mean Difference (IV, Random, 95% CI) Subtotals only
2.7.1 C1‐INH high dose vs low dose (all forms) 3 153 Mean Difference (IV, Random, 95% CI) ‐0.15 [‐0.27, ‐0.02]
2.8 Change in number of HAE attacks per week (children and adolescents) 2   Mean Difference (IV, Random, 95% CI) Subtotals only
2.8.1 Children (C1‐INH‐nf 1000 IU vs 500 IU) 1 24 Mean Difference (IV, Random, 95% CI) ‐0.12 [‐0.36, 0.12]
2.8.2 Adolescents (lanadelumab vs placebo) 1 9 Mean Difference (IV, Random, 95% CI) ‐0.14 [‐0.38, 0.10]