Breakthroughs in hereditary angioedema management: a systematic review of approved drugs and those under research

Hereditary angioedema (HAE) is a rare genetic disorder, characterized by recurrent and unexpected potentially life-threatening mucosal swelling. The impairment underlying HAE could be a defect in C1-inhibitor activity, or in its serum concentration. Patients affected by HAE should be treated with on...

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Main Authors: Stefania Nicola, Giovanni Rolla, Luisa Brussino
Format: Article
Language:English
Published: BioExcel Publishing Ltd 2019-10-01
Series:Drugs in Context
Subjects:
Online Access:https://www.drugsincontext.com/breakthroughs-in-hereditary-angioedema-management:-a-systematic-review-of-approved-drugs-and-those-under-research/
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author Stefania Nicola
Giovanni Rolla
Luisa Brussino
author_facet Stefania Nicola
Giovanni Rolla
Luisa Brussino
author_sort Stefania Nicola
collection DOAJ
description Hereditary angioedema (HAE) is a rare genetic disorder, characterized by recurrent and unexpected potentially life-threatening mucosal swelling. The impairment underlying HAE could be a defect in C1-inhibitor activity, or in its serum concentration. Patients affected by HAE should be treated with on-demand or prophylactic drugs. Lifelong C1-inhibitor supplementation is sometimes required. In this review, we review the currently approved drugs for HAE due to C1-inhibitor defect and to describe those under research. In particular, we focused on the mechanisms of action, routes of administration, and efficacy of these therapies. A systematic review of the literature was performed using the PubMed database for original articles and clinical trials of HAE treatments from 2005 to 2019. The approved HAE treatments can minimize the risk of death, but they are not effective in complete healing from the disease. The new gene therapies seem to provide promising opportunities for the treatment of hereditary angioedema. However, there are still many unmet needs, including efficacy, route, and timing of administration.
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spelling doaj.art-187b523f974a42fd98b89ff4af6f74142022-12-21T18:46:55ZengBioExcel Publishing LtdDrugs in Context1740-43981740-43982019-10-01811110.7573/dic.212605Breakthroughs in hereditary angioedema management: a systematic review of approved drugs and those under researchStefania NicolaGiovanni RollaLuisa BrussinoHereditary angioedema (HAE) is a rare genetic disorder, characterized by recurrent and unexpected potentially life-threatening mucosal swelling. The impairment underlying HAE could be a defect in C1-inhibitor activity, or in its serum concentration. Patients affected by HAE should be treated with on-demand or prophylactic drugs. Lifelong C1-inhibitor supplementation is sometimes required. In this review, we review the currently approved drugs for HAE due to C1-inhibitor defect and to describe those under research. In particular, we focused on the mechanisms of action, routes of administration, and efficacy of these therapies. A systematic review of the literature was performed using the PubMed database for original articles and clinical trials of HAE treatments from 2005 to 2019. The approved HAE treatments can minimize the risk of death, but they are not effective in complete healing from the disease. The new gene therapies seem to provide promising opportunities for the treatment of hereditary angioedema. However, there are still many unmet needs, including efficacy, route, and timing of administration.https://www.drugsincontext.com/breakthroughs-in-hereditary-angioedema-management:-a-systematic-review-of-approved-drugs-and-those-under-research/C1-INHC1-inhibitorgene therapyHAEhereditary angioedemalanadelumabserine proteaseSERPING1
spellingShingle Stefania Nicola
Giovanni Rolla
Luisa Brussino
Breakthroughs in hereditary angioedema management: a systematic review of approved drugs and those under research
Drugs in Context
C1-INH
C1-inhibitor
gene therapy
HAE
hereditary angioedema
lanadelumab
serine protease
SERPING1
title Breakthroughs in hereditary angioedema management: a systematic review of approved drugs and those under research
title_full Breakthroughs in hereditary angioedema management: a systematic review of approved drugs and those under research
title_fullStr Breakthroughs in hereditary angioedema management: a systematic review of approved drugs and those under research
title_full_unstemmed Breakthroughs in hereditary angioedema management: a systematic review of approved drugs and those under research
title_short Breakthroughs in hereditary angioedema management: a systematic review of approved drugs and those under research
title_sort breakthroughs in hereditary angioedema management a systematic review of approved drugs and those under research
topic C1-INH
C1-inhibitor
gene therapy
HAE
hereditary angioedema
lanadelumab
serine protease
SERPING1
url https://www.drugsincontext.com/breakthroughs-in-hereditary-angioedema-management:-a-systematic-review-of-approved-drugs-and-those-under-research/
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AT luisabrussino breakthroughsinhereditaryangioedemamanagementasystematicreviewofapproveddrugsandthoseunderresearch