Cardiovascular

Real-world quality of life in patients with hereditary angioedema receiving lanadelumab or other long-term prophylaxis.

TL;DR

In this real-world study, physicians reported a higher proportion of patients receiving lanadelumab had no chronic pain or fatigue compared with those receiving other LTP, and both physicians and patients reported higher QoL in those receiving lanadelumab.

Key Findings

A statistically significantly higher proportion of patients receiving lanadelumab had no chronic pain compared with those receiving other long-term prophylaxis.

  • 58.1% of lanadelumab patients had no chronic pain versus 38.1% of other LTP patients.
  • The difference was statistically significant (p = 0.0023).
  • Data were drawn from a cross-sectional survey conducted from January 2023 to January 2024 in the United States.
  • Physicians reported data on 86 patients treated with lanadelumab and 84 treated with other LTP.

A statistically significantly higher proportion of patients receiving lanadelumab had no chronic fatigue compared with those receiving other long-term prophylaxis.

  • 51.2% of lanadelumab patients had no chronic fatigue versus 34.9% of other LTP patients.
  • The difference was statistically significant (p = 0.0037).
  • Chronic fatigue outcomes were physician-reported at the time of the survey.

More patients receiving lanadelumab had 'very good' physician-reported quality of life and less patient-reported QoL impairment compared with those receiving other long-term prophylaxis.

  • The difference in physician-reported QoL and patient-reported QoL impairment was statistically significant (p = 0.0102).
  • Both physician-reported and patient-reported QoL outcomes favored lanadelumab over other LTP.
  • Outcomes were assessed at the time of the survey.

A higher proportion of patients receiving lanadelumab reported complete satisfaction overall with their treatment compared with those receiving other long-term prophylaxis.

  • 30.2% of lanadelumab patients reported complete overall treatment satisfaction versus 17.9% of other LTP patients.
  • The difference was statistically significant (p = 0.0144).
  • Patient-reported satisfaction was assessed via a cross-sectional survey design.

A substantially higher proportion of patients receiving lanadelumab reported complete satisfaction with the efficacy of their treatment compared with those receiving other long-term prophylaxis.

  • 44.2% of lanadelumab patients reported complete satisfaction with treatment efficacy versus 11.9% of other LTP patients.
  • The difference was statistically significant (p < 0.0001).
  • This was the largest proportional difference observed across all patient-reported satisfaction outcomes.

The study used a real-world, cross-sectional survey design with physician-reported and patient-reported outcomes for patients with HAE in the United States.

  • Data were collected from January 2023 to January 2024.
  • Physicians reported data on 86 patients treated with lanadelumab and 84 treated with other LTP.
  • Outcomes assessed included attack and disease severity, pain, fatigue, QoL, and patient-reported outcomes.
  • The authors noted limited real-world data comparing lanadelumab with other treatments as a gap motivating the study.

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Citation

Davis-Lorton M, Soteres D, Lumry W, Hall J, Connolly H, Fox D, et al.. (2026). Real-world quality of life in patients with hereditary angioedema receiving lanadelumab or other long-term prophylaxis.. Allergy and asthma proceedings. https://doi.org/10.2500/aap.2026.47.250104