Welcome to Global Perspectives #1 2026

HAEi’s CEO and Chairman of the Board, Anthony J. Castaldo, and HAEi’s President, Henrik Balle Boysen
Dear HAEi Friends,
Welcome to the first 2026 edition of Global Perspectives – HAEi’s flagship magazine that brings together the latest news, insights, and headlines from across our global network. As we start 2026 and evaluate the progress made by so many of our Member Organizations (MOs) over the years, we are reminded that success results from consistent, fierce advocacy and patient leadership.
In this issue, our Regional Patient Advocates reflect on 2025 and share priorities for the year ahead, highlighting the steady work that expands our reach, strengthens local partnerships, and improves diagnosis and access to care.
We also explore the evolving treatment landscape, including the regulatory approval of three new HAE medicines, and consider what expanded treatment choices can mean for advances in quality of life. This edition offers updates on HAEi’s global advocacy work, including efforts to equip MOs with tools, training, and evidence that support engagement with decision makers who shape care and access.
You’ll also find news and updates from our MOs along with the latest information regarding clinical trials, scientific publications, and our continued collaboration with clinicians and researchers across our Angioedema Centers of Reference and Excellence (ACARE) network.
This edition features HAE Companion v2.0, with enhanced tools to support travel and emergency preparedness, and reflections from HAEi LEAP (Learn, Experience, Advocate, Pave the way) – our program that helps young people build advocacy skills and partner with their MOs on real-world projects.
Looking ahead, we are pleased to spotlight the 2026 Global Angioedema Leadership Conference in Madrid (26–29 March 2026). This joint event with ACARE will bring key patient opinion leaders, clinicians, researchers, and industry together to share knowledge, align strategy, and accelerate awareness and worldwide access to modern HAE therapies.
Overall, this edition highlights what MOs are fighting for and accomplishing across our global network. We celebrate the proactive, organized, and disciplined work of HAEi friends who are making a difference by providing actionable, evidence-based information to health care decision makers.
Warmest regards,
Anthony J. Castaldo

Chief Executive Officer and Chairman of the Board, HAE International (HAEi)Henrik Balle Boysen

President, HAE International (HAEi)
News from HAEi’s Regional Advocacy team

Michal Rutkowski, Director, Regional Patient Advocate Program
HAEi Regional Advocacy – Strengthening HAE Advocacy!
It is hard to believe another 12 months have passed. Time is flying in pursuit of HAEi’s Mission, Vision, and Values, and the start of 2026 provides the perfect opportunity to reflect on some highlights from our Regional Advocacy Team and their positive impact on HAEi Member Organizations, patients, and their families.
In the following News from RPAs, they share select highlights from 2025 and their goals for 2026.
And, what a year 2025 was! As Director of the RPA Program, I can add a few more highlights to an already impressive list, many of which have been shared through our social media platforms, website, and this magazine:
- We now have a total of 105 HAEi Member Countries, with the addition of HAE Vietnam, HAE Trinidad & Tobago, HAE Niger, and HAE Namibia.
- The HAEi RPAs now support more regions than before, with the addition of Central Asia. You can read more about this here.
- HAEi tools and resources continue to be translated into even more languages. To share one example, the HAEi Emergency Card is now available in 47 languages.
We are proud of our achievements to date. But we know our work is not done. The HAEi Regional Advocacy Team continues to work to improve the situation for HAE friends worldwide, with the vision of achieving a world free of barriers where effective treatments are accessible everywhere.
Stay tuned!
Michal Rutkowski
Director, Regional Patient Advocate Program

News from Central America and Caribbean
From Regional Patient Advocate Javier Santana
2025 highlights

During 2025, I supported my region’s eight Member Organizations (MOs) with strategic guidance and specialized advice on government affairs, communications, and organizational development. This close collaboration enabled the MOs to identify new patients, increase national awareness of HAE, and sustain effective relationships with medical specialists and pharmaceutical industry representatives.
Among the most notable achievements of 2025, we welcomed Trinidad and Tobago to HAEi’s global MO network and identified a new HAE specialist physician in this country.
In Panama, we saw the approval of the country’s first official treatment guidelines for patients with HAE. This accomplishment was the result of years of collaborative efforts among patient groups, medical specialists, and HAEi, culminating in the Ministry of Health’s official presentation of the guidelines for implementation across all hospitals nationwide.
Another significant milestone was in the field of rare disease laws. Costa Rica took an important step forward by including HAE in its new Rare Diseases Law. In the Dominican Republic, the Senate is also awaiting approval of newly introduced rare disease legislation that will include HAE.
These advances reflect the positive and sustained impact of the regional work carried out throughout 2025.
Hopes and goals for 2026
For 2026, my goals focus on consolidating regulatory progress and expanding access to HAE treatments. Key priorities include securing final approval of the new Rare Diseases Law in the Dominican Republic and authorizing the use of HAE-specific medications. Efforts will also focus on advancing the approval of the treatment guidelines in Costa Rica and the inclusion of additional modern therapies beyond those currently available. I will continue to actively support and collaborate with the MOs in Guatemala, Trinidad and Tobago, Cuba, and El Salvador to facilitate the approval and access to HAE-specific medications. Identifying additional patients across other countries in the region remains a central objective.
Finally, I look forward to continued collaboration with the MOs in my region to increase their visibility and the resources available to patients, and to help them and healthcare professionals identify additional people with HAE.

News from Central Eastern Europe and Middle East
From Regional Patient Advocate Michal Rutkowski
2025 highlights

Celebrating the 22nd anniversary of HAE patient advocacy activities in Poland and presenting at three Regional HAE Conferences. These events clearly demonstrated the crucial role patient advocacy organizations play in education and patients’ empowerment. These efforts culminated in the approval of reimbursement for a new prophylactic treatment, Orladeyo (berotralstat), now available to Polish patients as of 1 January 2026.
Strengthening advocacy activities in Saudi Arabia through successful collaboration and the launch of a new patient-focused website hosted by HAEi, improving awareness, education, and communication with the local patient community. Additionally, HAE Saudi Arabia actively attended and contributed to the ‘Stigma and Cultural Challenges’ panel discussion at the 2025 HAEi Regional Conference EMEA.
Further impact was achieved through collaboration with HAEi Member Organizations (MOs) in Armenia, Georgia, and Latvia. This partnership enabled the translation of HAEi resources into new languages, supported active participation in the 2025 HAEi Regional Conference EMEA, and, in Armenia, led to the successful launch of a C1-INH clinical trial, providing patients with access to life-saving therapy.
Hopes and goals for 2026
I aim to take full advantage of every opportunity to creatively support the development of the MOs I work with by providing strong leadership and the knowledge necessary to advocate effectively for people living with HAE. One of my key priorities is to identify patients in Moldova and support the establishment of a local patient advocacy group. I am determined to support patients and smaller HAEi MOs from Armenia, Bahrain, Iraq, Georgia, Jordan, Latvia, and Syria more effectively, as they work to strengthen advocacy efforts and secure access to modern HAE treatments. Another important goal is to further enhance collaboration with patients and healthcare professionals in Saudi Arabia through targeted awareness initiatives, including organizing an HAE Patient Meeting to mark hae day :-).

News from East Asia
From Regional Patient Advocate Yong Hao Lim
2025 highlights

In 2025, my region saw much progress across treatment access, patient engagement, and research activity, reflecting a maturing HAE landscape.
Access to treatment continued to improve, with expanded reimbursement pathways and the introduction of established and emerging therapies, including existing treatments such as icatibant and lanadelumab, as well as newer options such as sebetralstat and garadacimab. Clinical trials also increased substantially, with studies initiated, ongoing, or completed in Singapore, Taiwan, China, Hong Kong, South Korea, and Japan, totaling 28 trials (trials conducted across multiple countries are counted more than once).
Patient and caregiver engagement grew markedly as more patients were diagnosed, and, more importantly, more patients and caregivers became active members of their respective organizations. HAE China’s membership expanded from approximately 300 to 420, a 40% increase. In Malaysia, the number of known diagnosed patients grew from around 10 to nearly 30, while in Indonesia it increased from 3 to more than 10. Mongolia has also seen the emergence of new patients currently undergoing diagnostic evaluation.
At the regional level, the 2025 HAEi Regional Conference APAC in Manila in March welcomed many first-time attendees, while participation in #active4HAE reached a new high with over 4.3 million steps recorded. Across the region, local patient meetings were also held more frequently.
Lastly, the growing focus on HAE across the region was demonstrated in research output involving regional authors or studies conducted in the region. Scientific publications increased from 28 in 2024 to 51 in 2025. Many involved new physicians and researchers, indicating broader engagement across the region.
Hopes and goals for 2026
Looking ahead to 2026, my first hope is to see stronger collaboration among MOs across the region, not only to share resources and good practices, but also to build a stronger sense of belonging to an international and regional HAE community. A second, equally important aim is to develop more systematic data on patient activity, awareness, and diagnosis to support more informed planning and guide advocacy, education, and resource allocation.

News from Mediterranean, North Africa, Benelux and British Isles
From Regional Patient Advocate Maria Ferron
2025 highlights

2025 was a remarkable year for my region, filled with significant milestones and moments of connection. One of the standout highlights of the year was the first HAEi workshop, held in Tunis, Tunisia, in April.
. This event was a great success, bringing together 70 patients and caregivers from across the country. It provided attendees with a unique opportunity to deepen their understanding of HAE while fostering a sense of community and mutual support.
Another major milestone occurred towards the end of the year, with two impactful meetings in the Netherlands and Portugal. In the Netherlands, I had the privilege of speaking to a group of Dutch youngsters about the vital role of advocacy in advancing HAE awareness and care. In Portugal, I was honored to share valuable insights about the ACARE Centers, a critical resource for those affected by HAE. These events highlighted the importance of knowledge-sharing and strengthening connections within our community.
Lastly, working closely with my MOs, I was delighted to see strong representation from youngsters in the region in the 2025 HAEi LEAP program. The program brings young people and MOs together, strengthening relationships with the next generation of advocates. Sharing one example: Fabio Lagunar from AEDAF (HAE Spain) has delivered several wonderful HAE awareness videos as part of his project, AEDAF Drawing Stories, a YouTube channel. Fabio has also put his public speaking skills learned through HAEi LEAP into practice, participating in the organization’s patient meetings and sharing his experiences to educate others.
Hopes and goals for 2026
Looking ahead to 2026, my focus remains on addressing the challenges that persist in my region, particularly around access to medicines and reimbursement. There are still many areas where patients face barriers to essential treatments. With continued awareness initiatives and unwavering determination, I am committed to pushing forward HAEi’s vision: “To unite and strengthen the global HAE community, achieve a world free of barriers where effective treatments are accessible everywhere, and provide a higher quality of life for people with HAE.”
I look forward to working together with all of you to make this vision a reality.

News from South America and Mexico
From Regional Patient Advocate Fernanda De Oliveira Martins
2025 highlights

As we look back at the defining moments of 2025, two significant regional achievements and a selection of individual country milestones stand out, marking a year of success and collaboration in the HAE community in South America and Mexico.
The Member Organization Grow & Impact Summit (MOGIS), held in São Paulo at the end of May, was a milestone for South America and Mexico. This event served as a hub for connection in a year with no other HAEi event, providing Member Organizations (MOs) with intensive training to bolster their local impact. Every participating country departed with a structured 12-month work plan. After the event, more MOs are now using and showing interest in HAEi tools such as HAEi Connect, HAEi Advocacy Academy, and the Emergency Room Poster. These tools help the MOs build capacity, raise awareness of the disease, and manage their data properly and securely.
Beyond the MOGIS, 2025 saw a significant shift toward better regional organization. We have seen increased use of HAEi FocalPoint, ensuring more streamlined communication and advocacy, as well as greater communication and collaboration between the MOs in the region.
For countries in my region, it is always a challenge to select a few highlights from the many. Here, I focus on the power of our advocacy efforts regarding medicines; in 2025, we were delighted to see the first use of berotralstat in Paraguay, and HAE Argentina was able to reverse a negative advice from an independent consultant to the government about lanadelumab, with the support of a letter signed by HAEi.
Hopes and goals for 2026
In 2026, my primary goal is to continue supporting the implementation of the MOs’ work plans developed at MOGIS, with HAEi Connect and HAEi FocalPoint becoming the standard operational tools for every Member Organization. These tools can facilitate patient communication and support more effective collaboration with physicians and pharmaceutical companies. Our end goal is to accelerate advocacy efforts to secure consistent access to modern, life-changing treatments throughout South America and Mexico.

News from South Asia, Germany, Austria, Switzerland, and Israel
From Regional Patient Advocate Fanny Schappler
2025 highlights

This year has been exceptionally productive and inspiring across the 10 countries in my region. A major highlight was the tremendous collaboration with our Member Organization (MO) volunteers. Together, we translated more than five HAEi resources into seven local languages – a crucial milestone for ensuring that community members who do not read or understand English can access clear, reliable information about HAE in their own language.
Another key achievement was hosting the first online HAE webinar in Pakistan, which brought together over 40 doctors eager to learn more about the condition. With only a few dozen diagnosed patients and an estimated 8,000 people potentially living with HAE in Pakistan, equipping physicians with the right knowledge is essential for improving diagnosis rates.
Additionally, the Asia Pacific video series, produced with the generous participation of Dr Ankur Jindal and Prof Philip Li, became a cornerstone educational tool – creating impactful content that can support clinicians across the region in recognizing HAE and diagnosing new patients.
Beyond these projects, I continued supporting the launch of HAE Heat Map in Bangladesh, strengthening clinician partnerships, and helping several countries develop their advocacy strategies. Watching patient leaders grow in confidence and influence has truly been one of the year’s most rewarding aspects.
Hopes and goals for 2026
With my recent assignment to Central Asia, one of my goals is to explore opportunities to establish an MO in Uzbekistan, where discussions with a highly committed professor give me hope of identifying a suitable patient or caregiver to lead this effort.
I am also excited to attend the first-ever HAE symposium in Sri Lanka on 30 January, co-organized by the newly established Institute of Allergology and Immunology. I hope that this visit will pave the way to identifying a future leader to start an MO in Sri Lanka as well.
Above all, my priority for 2026 is to continue expanding awareness, strengthening local leadership, and ensuring that more patients – wherever they live – are finally seen, diagnosed, and supported.

News from South Eastern Europe
From Regional Patient Advocate Natasa Angjeleska
2025 highlights

HAEi RPAs support our region’s countries and Member Organizations (MOs) in many ways, and it is always hard to select a few highlights. For 2025, I share these grouped around four key themes of my work.
Expansion and completion of key HAEi educational resources in local languages
“Understanding HAE” and “Women with HAE” were translated, approved, and published in multiple SEE languages (Albanian, Bulgarian, Croatian, Slovenian, Greek, Macedonian, Montenegrin, Turkish, Romanian) and are now actively used for education, advocacy, and awareness, with a long-term capacity-building impact.High-impact involvement at the 2025 HAEi Regional Conference EMEA
I had an active role in preparing, moderating, and co-facilitating various sessions and panels. Working with my MOs, we ensured strong SEE participation at the conference, strengthening patient and physician engagement, visibility, and regional representation. Representatives from the SEE region participated as panelists, and their activities were presented as good practices, thereby contributing directly to the quality of content, the empowerment of participants, and the reinforcement of advocacy and community cohesion across the region.Participation in national country meetings
I participated in patient and physician meetings in Croatia and Türkiye, where face-to-face engagement provided valuable opportunities to meet new patients and clinicians and share data from the 2024 HAEi State of Management survey. This highlights the impact of access to modern treatments on quality of life, giving the patient a voice in the physician-expert meeting.Regional response and coordination protecting treatment continuity
Coordinating meetings with MOs, physicians, and pharma across multiple countries and enabling joint advocacy actions, patient and physician letters, and exploration of alternative access models, protecting treatment continuity for vulnerable countries.Hopes and goals for 2026
Looking ahead to 2026, these are the hopes and priorities that will guide my work:
- Access to treatment – I want to continue supporting advocacy and awareness in countries where patients remain underserved, work together with MOs, physicians, and partners to improve access to both on-demand and preventive treatment options, so that no patient is left without care.
- Advocacy – I hope to further strengthen MOs by supporting good governance, leadership development, and advocacy skills. My aim is to help MOs become confident, credible partners in access discussions, while also supporting continuity, accountability, and long-term sustainability.
- Education – I want to continue expanding the availability and use of HAEi educational resources in the languages spoken across the SEE region. These materials serve as a foundation for awareness, early diagnosis, and advocacy, especially in countries where reliable information in the local language remains limited.

News from Sub Sahara Africa
From Regional Patient Advocate Patricia Karani
2025 highlights

I have been fostering collaborative efforts with Member Organizations (MOs) across Africa to continue improving access to diagnosis, patient support, and advocacy for individuals living with HAE. My 2025 highlights are grouped into a few central themes of the efforts.
Connecting people who suspect they have HAE, with doctors, to enable accurate diagnosis
Newly diagnosed and suspected patients in Kenya, Senegal, and Mozambique were connected to local support groups, HAE specialists, and nearby ACARE centers to facilitate accurate diagnosis and appropriate treatment plans. These efforts resulted in new confirmed diagnoses in Mozambique and the establishment of an online patient support group in Senegal. I also made good progress in clinical engagement, with a physician in Sierra Leone agreeing to manage a confirmed HAE case. Work is ongoing to support both the patient and clinician in implementing an effective treatment plan.Strengthening digital presence
Updates to MO websites and social media platforms ensure access to reliable information, educational resources, and doctor contact information. At the regional level, the HAE in Africa website was updated to include a link to the newly launched HAE Namibia website. At the same time, the HAE in Africa Facebook page highlighted key outcomes from the ASID Congress held in Nairobi in 2025.Supporting MOs to build and grow
Helping the MOs in my region upskill and build capacity continued through targeted sessions. For HAE Mozambique, we focused on practical advocacy experiences, common challenges, and effective strategies to advance HAE advocacy, strengthen local leadership, and improve patient representation.Hopes and goals for 2026
Looking ahead to 2026, I aim to strengthen HAE awareness and education across the region to improve timely diagnosis, expand access to treatment, and reinforce sustainable patient support structures.
Across all my MOs, I plan to support increased use of HAEi resources such as HAEi Advocacy Academy, HAE TrackR, and our research methodologies to strengthen our advocacy voice.
An ongoing focus is empowering MOs through leadership development and stronger collaboration with healthcare professionals. Deeper partnerships will ensure patients are not only diagnosed earlier but are supported, represented, and heard throughout their care journey.
Surfing the ‘wave’: How new and forthcoming treatments for HAE could offer benefits for more people with HAE
Sebetralstat, mRNA, Ekterly, donidalorsen, gene-editing, Dawnzera, garadacimab, anti-sense, oligonucleotides, Andembry. The HAE community heard many new words in 2025, which turned out to be quite the year for HAE treatment. Three new medications were approved, and exciting data from clinical trials pointed to further advances in 2026. But why should you be interested in more treatments, and what could these innovations mean for people with HAE, including those who currently have few treatment options? Global Perspectives takes a look behind the headlines and speaks to advocates and medical experts about what might be next.
It is important to stress that existing treatments are effective for many HAE patients. Not all new medicines are currently licensed or reimbursed in every country. Importantly, no one should stop or change treatment without discussing the matter in detail with their healthcare professional.
In some countries, people with HAE can now choose among a wide range of options for treating and preventing attacks. This progress is striking when you consider that many rare diseases still have no approved treatments. Tony Castaldo, HAEi CEO and Chairman of the Board, who has HAE and is a vocal advocate for access to all approved HAE medicines, says: “The global HAE community should be very proud of the progress made to date. Pharmaceutical companies invest in HAE because we are an organized and motivated group that enthusiastically participates in clinical trials. What’s more, we know how to approach policymakers and provide testimonial and documentary evidence showing the importance of granting access to HAE medicines.” He adds: “HAE symptoms and how they affect us are highly individual, and that is why it’s important to have a variety of treatment options.”
Healthcare professionals agree that having multiple treatment options is vitally important. Dr Marc Riedl, Clinical Director of the US HAEA Angioedema Center at the University of California, San Diego, tells Global Perspectives: “The existing modern treatments for HAE have significantly improved our ability to manage HAE, but not every medication works equally well for every individual, and side effects vary from person to person. More options increase the chances of optimizing treatment for each person.” Dr Ankur Jindal, Senior Consultant, Pediatric Clinical Immunology and Rheumatology, Manipal Hospitals (Old Airport Road), Bengaluru, India, comments: “Newer treatment options are welcome because people continue to have acute episodes.” Dr Riedl and Dr Jindal also stress that HAE is a disease that currently requires lifelong treatment. That’s why pharma companies are investigating and offering alternatives that can be taken less frequently or via other routes of administration, such as orally.
What’s new and what’s next?
The clinical experts spoken to by Global Perspectives noted that new and emerging HAE therapies build upon many years of basic science that uncovered the central drivers of swelling attacks—namely the kallikrein-kinin pathway and the peptide bradykinin.
As mentioned earlier, 2025 saw major regulatory approvals for three new HAE therapies:
- Sebetralstat (Ekterly) is the first—and, as yet, only—oral, on-demand HAE treatment. It treats attacks by blocking plasma kallikrein, thereby reducing bradykinin production.
- Garadacimab (Andembry) is a once-monthly injection under the skin that stops the activation of Factor XIIa, which is the biological trigger that essentially kicks off the kallikrein-kinin pathway that leads to HAE attacks.
- Donidalorsen (Dawnzera) reduces kallikrein levels by blocking the specific messenger RNA responsible for its production in the liver. It is called a targeted antisense oligonucleotide (ASO) therapy and is delivered through an injection under the skin. The treatment can be given at either 4- or 8-week intervals.
Looking to medicines of the future, deucrictibant blocks the hormone bradykinin from binding to receptors and is being studied for both on-demand and prophylactic use. The on-demand phase 3 trial has been completed, and an application for regulatory approval is planned for submission in the first half of 2026. A phase 3 prophylaxis trial is ongoing.
Therapies are also being developed using gene editing and small interfering RNA (siRNA) technologies. A phase 3 clinical trial is underway that uses CRISPR-Cas9 tools to ‘knock out’ the prekallikrein gene, aiming for long-lasting attack prevention after a single treatment. Clinical trials are also underway with two companies testing siRNA to reduce prekallikrein by targeting its messenger RNA—the genetic “instructions” cells use to make proteins. So far, the early phase trial data is encouraging for all of these medicines, however, nothing is certain until pivotal trial results are reported.
2026 is also shaping up to be a breakthrough year for treatment for children with HAE. In mid-December 2025, an oral pellet form of the existing medicine berotralstat (Orladeyo) was approved in the US for the prevention of HAE attacks in children aged two to less than 12 years. Additional pediatric approvals and expanded indications for other HAE therapies are likely.
Your HAE community needs you
Advances like these depend on clinical research and patient participation. People with HAE can encourage further investment in the treatments of tomorrow by continuing to participate in:
- Clinical trials for new therapies or additional indications for those currently available
- Clinical registries
- Genetic studies
- Patient experience research
We have come so far, and have further to go. It’s important never to forget that every bit of knowledge gained regarding the underlying science of HAE adds to a cumulative understanding that could revolutionize future HAE treatments. You can learn about trials currently recruiting by asking your HAE doctor, speaking with your Member Organization, or checking out our Clinical Trials section. Your healthcare team can help you determine whether you are eligible to enroll in a clinical trial.
Dr Jindal noted the stark shift in HAE care: today’s highly effective on-demand and preventive options contrast sharply with the past, when treatment often focused on keeping people alive. Despite this progress, much work remains. For Dr Jindal, treating patients in resource-constrained settings such as parts of South East Asia, Africa, and South America remains an everyday challenge, with access to first-line HAE therapies still limited or absent. As a result, he says, patients in these regions continue to experience a significantly impaired quality of life and, in some cases, avoidable mortality related to HAE.
Dr Jindal has seen improvements over the past 5–10 years: “Awareness of HAE among healthcare professionals has improved substantially, leading to higher diagnostic rates. In many resource-constrained countries, the situation has evolved from virtually no discussion of HAE and almost no diagnosed patients, to one where a growing number of individuals are correctly diagnosed and followed. Diagnostic facilities have improved, access to on-demand treatment has become available in a few countries, and there is now visible growth in physician networks, patient support groups, and engagement from the pharmaceutical industry.”
Helping close the access GAP
Guided by our vision to overcome barriers and bring effective treatments everywhere, HAEi is dedicated to helping Member Organizations secure access to modern HAE medicines. One relevant program is our HAEi Global Access Program (GAP), which enables patients to receive HAE-specific therapies in countries where these treatments are not yet commercially available and where establishing traditional distribution channels is especially difficult. GAP’s success in South Africa demonstrated the model’s viability, and we continue to engage with multiple pharmaceutical partners who may be interested in using GAP to broaden access to their medicines.
In parallel, some governments have begun to recognize HAE within broader rare-disease frameworks, including the introduction of rare-disease policies in selected countries. Dr Jindal says: “Together, these developments represent a meaningful and hopeful shift, offering a more optimistic outlook for patients with HAE in resource-constrained settings. Dr Riedl echoes this view: “Medication access is an incredibly important challenge that we must work to solve. The remarkable scientific advances and clinical development efforts in HAE mean little if medications don’t reach the people who need them. My hope is that with the increasing number of HAE therapies, there will be greater opportunities to get modern therapies to more regions and people.”
More medicines, more access?
Looking ahead, while the latest science and medicines may seem far away in countries with little or no access to HAE-specific medication, these new launches may provide an opportunity. The introduction of additional medicines could result in pricing competition, making existing HAE therapies more affordable and potentially placing them within the budgets of health care decision-makers in countries where access is currently limited due to cost. According to Dr Riedl, this will require: “Educational and advocacy efforts to ensure decision-makers in health care systems understand the critical importance and value of these effective treatments to individuals and families affected by HAE.”
HAEi, a powerful partner for HAE advocacy in resource-constrained countries
From its inception, HAEi has existed to provide tools, resources, educational programs, and hands-on assistance to empower awareness, accelerate diagnosis, and champion access to life-saving HAE therapies. This means that whenever and wherever—from Bogota and Brussels to Botswana and Bahrain—HAEi is present. The network of HAEi Regional Patient Advocates and Advocacy Leads work every day, collaborating with local advocates to gain access to, and reimbursement for, HAE medication. On regular occasions, such as recently in Nepal, this has meant HAEi is part of face-to-face meetings with health ministry officials. Additionally, HAEi Advocacy Academy supports everyone in becoming a better advocate for themselves and their community. HAEi’s regular regional and global conferences bring together advocates to learn and share knowledge in pursuit of access to life-saving and life-giving HAE therapies.
In addition, HAEi offers patient-driven research protocols that generate real-world data on the economic and social benefits of treatment. This work provides Member Organization advocates with an opportunity to present an evidence-based patient perspective to health care decision makers. Finally, our country-specific and regional guideline initiatives help lay the groundwork for winning access by supporting expert HAE physicians and patient leaders to develop evidence-based guidance in Malaysia, Pakistan, and the Asia Pacific.
Building the case for access to the treatments of tomorrow
The landscape of HAE management has changed remarkably over the past decade. There are now more treatment options than ever before, including well-tolerated therapies for long-term prophylaxis.
The vital importance of HAE advocacy in every successful effort to gain access to medication is clear, and Dr Riedl emphasizes the importance of collaboration when he says, “Given the complexity and variability in health care systems, it is essential that healthcare authorities, regulators, industry, healthcare professionals, and HAE advocates forge meaningful collaborative relationships. We must work through these challenges together as a global community, and HAEi continues to lead the way.”
2025 was an inspiring year for HAE treatment, and 2026 is shaping up to be similar. Dr Riedl captures a spirit of optimism when he says, “It’s certainly an exciting time to be working in the field of HAE, and more importantly, I hope an encouraging time for people living with HAE. About 15 years ago, we saw an initial ‘wave’ of modern therapies for HAE, which substantially changed our approach and recommendations for HAE management. In my view, we’re now in the midst of another ‘wave’ of novel treatments, with the potential to further improve HAE care. The prospect of having more options to improve access and individualize treatment plans makes me very optimistic for the future.”
Update from HAEi Global Advocacy

Fiona Wardman, Executive Vice President and Chief Advocacy Officer
Looking back on a year of progress and impact
In 2025, HAEi continued to strengthen Member Organizations (MOs) as a core part of improving outcomes for people living with HAE. I want to take this opportunity to showcase just a few of the projects and programs we started in 2025. As ever, if you’re interested in HAEi’s support to take your MO to the next level, your HAEi Regional Patient Advocate (RPA) will be only too happy to help. Contact them today to create a better tomorrow for people with HAE in your country.
Progress plotted in Brazil
A key milestone was the Member Organization Growth and Impact Summit (MOGIS), a pilot project held in São Paulo, Brazil, that brought together MOs from South America and Mexico. The Summit focused on practical topics, including HAEi tools and resources, leadership development, governance, advocacy planning, and peer learning. It also provided valuable space for open discussion around shared challenges and regional realities, with strong feedback highlighting the value of collaboration and experience-sharing. You can learn more about the MOGIS in an article in the 2025 July issue of Global Perspectives. We believe this type of project can support MOs around the world, so look out for more information on this in a future Global Perspectives.An innovative education project in Africa
The Brazzaville Project is a partnership between HAEi and Dr Coretta’s organization, English for All Community Service, aimed at improving awareness and education about angioedema, and specifically HAE, in Brazzaville, Republic of the Congo.As part of the project, HAEi is producing an educational video that will be hand-delivered to hospitals and clinics across the city. To support learning and assess impact, doctors will complete a short survey on knowledge and clinical experience following the video.
This project reflects HAEi’s commitment to targeted, locally relevant education in underserved settings. You can learn more about this project in this edition of Global Perspectives.2025 Conferences score highly for impact
Evaluation from HAEi’s 2025 Regional Conferences in APAC and EMEA showed strong outcomes across leadership, advocacy, and regional meetings. Participants reported increased confidence, improved understanding of advocacy and organizational development, and high value in networking and peer exchange.
Feedback continues to inform how future conferences are designed, ensuring they remain practical, relevant, and responsive to the needs of the global HAE community.Continuing our growth
Building on 2025 momentum, all HAEi Regional Patient Advocates and Advocacy Leads are continuing to expand the countries and regions we serve, with a focus on areas where awareness of HAE and patient advocacy structures remains limited. One of the key regions of focus is Central Asia.As of the end of November, HAEi RPA Fanny Schappler has added Central Asia to her current responsibilities. Fanny already serves as RPA for Afghanistan and has more recently been supporting patients, caregivers, and healthcare professionals in Kyrgyzstan, Tajikistan, Turkmenistan, and Uzbekistan.
Early work in the region is focused on understanding local needs, connecting with clinicians and patient communities, and identifying individuals interested in developing future advocacy efforts. Across all activities, HAEi remains focused on practical impact, inclusive engagement, and supporting patient communities at every stage of development.
It’s always challenging to select a few 2025 initiatives to highlight. HAEi develops tools and resources to support the HAE community, as well as to give our MOs every advantage in the fight for access to medication. As ever, we are always keen to hear from you. You can contact any of the HAEi Regional Advocacy team at any time, or catch us at a local, regional, or global event in 2026!
The Global Angioedema Leadership Conference comes to Madrid in March 2026
Whether it’s new information, the skills, the networking, or the resolve to keep advocating for people with HAE, there is something for every patient leader and scientific professional at the 2026 Global Angioedema Leadership Conference.
‘I want to thank you for the opportunity that you provide. This type of workshop provides me the courage to continue fighting to improve the HAE situation in my country.’
– Patient Lead Participant 2024 HAEi Global Leadership WorkshopOver two days in Madrid (26-29 March 2026), the 2026 Global Angioedema Leadership Conference builds on the success of the combined HAEi Global Leadership Workshop and ACARE Global Angioedema Forum in 2024. The 2026 Global Angioedema Leadership Conference extends this unique platform for meaningful engagement to key patient opinion leaders from all 105 HAEi member countries, as well as key physicians, scientific researchers, and industry representatives.
The 2026 conference features two dynamic programs:
For patient leaders:
Sessions will focus on: Patient identification and diagnosis, advocacy training to optimize impact, strengthening access to treatments, medicine updates – both now and in the future, and strategies for engaging with governments and health ministries.As well as expert tutorials from HAEi, delegates will also hear from their peers, with over 30 Member Organizations invited to share their experiences. Leaders from organizations across the globe will discuss practical solutions to everyday challenges, including registering and managing an organization, working with external partners, accessing medications, and increasing patient engagement. As with previous conferences, the aim is to ensure the program is relevant, interactive, and directly applicable to the work of Member Organizations, supporting leaders to strengthen advocacy, leadership, and impact within their own countries. The agenda overview is here.
98% of responding patient participants said that they would use what they learnt from the 2024 Global Leadership Workshop
For angioedema physicians, scientists, and researchers:
Expect the latest insights on angioedema, differential diagnosis, and management strategies. The latest science will be discussed through oral presentations, overview lectures, panel discussions, and poster sessions. The program will have a special focus on HAE.The scientific program is now available, here. Over seven sessions and two keynotes, attendees will hear from experts on science and opinion across a lively mix of topics, including differential diagnosis, genetic testing, family screening, and angioedema management in special populations. By popular demand, the Scientific Program also sees the return of Angioedema Jeopardy, and with it the chance to test your angioedema knowledge.
100% of responding scientific professionals rated the ACARE Global Angioedema Forum 2024 as useful or extremely useful for their practice
The 2026 Global Angioedema Leadership Conference is an exceptional opportunity for the scientific, patient, and industry communities to come together, inspire each other, and strengthen collaborative partnerships. Although a global meeting, the program has been developed to offer something for every participant.
If you want to be one of the approximately 800-900 people at this ground-breaking event, one of the largest gatherings of the HAE global community, then don’t wait. Registration is on a first-come, first-served basis. HAEi offers extremely attractive registration rates and conditions, so apply now.

HAE Companion app 2.0 — your pocket-sized travel partner!
Living with HAE means having to think one step ahead. About travel. About emergencies. About being prepared — just in case. HAE Companion v2.0 has a sleek new design and smarter features. It’s more than an app, it’s a pocket-sized travel partner and support you can carry with you.
What can you expect:
- A modern, intuitive design
- User log-in to store personal data
- Quick access to Emergency Cards in many languages
- Easy in-app wallet generation for Emergency Cards
- Improved map function with geofencing – the app can send you push messages on the move
- Global overview of HAE-knowledgeable healthcare facilities and Member Organizations
- With more to come …
Step into hae day :-) in 2026!
The HAEi team is limbering up for what we hope will be another record-breaking year for activities, awareness, and community on hae day :-) 16 May.
All the features you know are back for 2026, with the addition of a dedicated HAEi team member to support Member Organizations with any aspect of activities you might be planning.
Read on for the recap and how to get involved.
#active4HAE activity challenge in purple
We encourage everyone to participate in physical and wellbeing activities and to use purple to show support. You can wear purple clothing or accessories, use purple equipment, spot purple in your activity environment, or get creative with anything purple during your activity!Set a new Personal Activity Goal in your profile
If you have a profile, you can set a new 2026 personal target for the number of activities you want to complete during the challenge. Each time you log an activity, it counts towards your goal and helps you stay consistent. Your profile’s new totalizer feature shows your progress – and you earn a new badge once you’ve hit your target!Share your Insta story with our stickers
Use our stickers when you share your hae day :-) or #active4HAE pictures in an Instagram story. Search for HAEi when creating your story to find and add the campaign GIFs.And more …
As always, in your profile, you can earn badges by logging activities each week of the challenge, and choose to support your Member Organization team, HAEi, or Youngsters. Each activity logged will contribute to your country’s total; anyone can add photos to our gallery. You can download #active4HAE image assets from our website to use in photos you share.Are you an MO and need help with your hae day :-) plans?
Natasha Jovanovska Popovska is HAEi’s Coordinator, Program Implementation and Engagement, and hae day :-) is one of HAEi’s programs in her remit. Natasha can help MOs in planning, implementing, and promoting their hae day :-) activities to help ensure their efforts have maximum impact. Read more about Natasha’s new role and how to contact her here.When you have your activity planned, we’d love to share it more widely with our HAE Community via our hae day :-) events calendar.
Head to haeday.org to find out more!
Join the challenge and help us travel more than four times around the world and beat last year’s total!
Making the big HAEi LEAP: Hearing from the Class of 2025
17 selected students, both people with HAE and caregivers, arrived in Copenhagen for the start of the HAEi LEAP program in April 2025. Since then, the students have been busy following the tailored education modules, and taking their projects from idea to implementation.
Now, almost a year on, Global Perspectives catches up with some HAEi LEAP participants to hear about their experience and the success of their projects to date. In addition, we hear how working with HAEi and the youngsters was for the Member Organizations (MOs) involved.
Learning from HAEi LEAP
HAEi LEAP is an education program that helps young people learn new skills and develop as individuals and advocates. Young people will also have the chance to gain experience working with their MO, and to apply all they’ve learned on a project to support advocacy, their MO, and their community. HAEi provides a one-time grant to support delivery of the project once it’s underway.

Fabio, Drawing Stories from Spain to the world
Fabio’s project was to develop a YouTube channel called AEDAF Drawing Stories (AEDAF is the Spanish language acronym for the Spanish MO). The project aimed to tell the stories of patients from around the world through illustration and narration. Fabio told us that, “This format allows me to highlight the conditions, limitations, and resources available when facing similar circumstances in different countries. In addition, the project helps raise awareness among people who may not know that there is a global network of patients who form a supportive community.”
We asked him how he felt now that his project was nearing completion. He said, “I am very proud of the result. Although there is still work to be done to complete it, what we have achieved so far is remarkable. The response has been very positive. People from the Spanish community, my home country, have congratulated me and follow every video closely. At the same time, many international viewers also watch and engage with the content.”
Working with their MO can be a new experience for many HAEi LEAP Students. We asked Fabio what it was like working with his MO, “They are extremely approachable and supportive. They try to help me with everything I need. In my case, they assisted me in connecting with people from different countries so I could create the videos,” he said.
Fabio praised the HAEi LEAP 2025 courses as being very interesting, although he admitted they challenged his expectations, but in a good way – by being even better! He said: “The courses cover a wide range of topics that are extremely valuable and difficult to learn elsewhere in such a clear and concentrated way.”
And Fabio’s advice to young people considering being part of a future HAEi LEAP was clear, “Simply apply!” he said, “It may feel intimidating at first, as anything worthwhile often does, yet it is an experience they will not regret.”
‘After experiencing HAEi LEAP firsthand, I realized that everything positive I had heard about the program was absolutely true.’
– Fabio, HAEi LEAP 2025 StudentSarah Smith Foltz, who leads AEDAF (HAE Spain), reflected on HAEi LEAP and Fabio’s project, praising the unique, original idea of telling stories this way. She felt it helped draw attention to the different ways an HAE patient’s story can differ from one country to another.
Sarah was effusive in her praise for Fabio, “Our youngster, Fabio Lagunar, has been a delight to work with, as he has taken his project seriously and been very diligent and committed to completing it.” Commenting on why an MO should get involved with HAEi LEAP, she said, “Take the program seriously and consider finding one youngster from your country who wants to apply for HAEi LEAP. It’s a great experience in many ways, and involving youngsters is essential for every MO. Youth are the future for all our organizations.”

Noa, building an HAE youth community in the Netherlands
Noa’s project has a big goal: to start a community for youngsters in the Netherlands. She told us, “I really wanted to create a community, because we didn’t really have anything for youngsters in the Netherlands, and I felt it was necessary to create a space where young people could come together.”
Starting with an Instagram account, Noa reached people, and by November 2025, the group had grown enough to hold its first get-together during an HAE event in the Netherlands.
Noa credits her ability to break down a big idea into manageable chunks to the HAEi LEAP teaching: “At first, I was a bit overwhelmed, because I didn’t realize how big my project actually was. With the help of my peers, Nevena, and Debs, I was able to create a plan for how to approach everything step by step. It was nice to brainstorm together with others who were working toward similar goals.” The skills she learned would be helpful beyond just this project: “The online courses helped me with the practical side of things: how do you organize an event? What works in the world of social media? And more. These are all skills that aren’t just useful for this specific project, but also for my studies in university and for future jobs.”
Like Fabio, Noa enjoyed working with her MO. In particular, Noa said they really trusted her, giving her the freedom to shape the project. She said, “We definitely don’t want to turn into a ’55-and-up’ club, so bringing in younger people is essential. It helps secure the future of the organization.”
Marijk Beekman-Kortekaas, head of HAE Netherlands, was similarly effusive in her praise for Noa and the HAEi LEAP program. She said: “Working with Noa on this project was genuinely a joy. Thanks to the HAEi LEAP program, we were able to give Noa the opportunity to take on this project, and that made all the difference. Through her work, we were finally able to connect with young people in a meaningful and authentic way.
‘Noa, our HAEi LEAP 2025 student, created a safe, vibrant group where youngsters could ask questions, share experiences, and feel seen. For HAE Netherlands, this project wasn’t just valuable; it was a breakthrough.’
– Marijk Beekman-Kortekaas, HAE NetherlandsAsked what she would say to young people considering HAEi LEAP, Noa is unequivocal: “Just do it! If you have any questions or doubts, you can always reach out to MOs; they will be happy to answer them. We are all lovely people – we don’t bite!”

Winona builds an HAE community in South Africa
Finally, we heard from Winona from South Africa. Like Noa, her ambition was to create a safe, youth-focused platform where young people living with HAE can connect, communicate, and support one another. The HAEi LEAP courses helped her turn an idea into a structured, realistic project. She also felt that: “HAEi LEAP gave me practical tools as well as confidence in my ability to lead and implement a project.” In addition to the support of HAEi, Winona found working with her MO a positive and supportive experience.
With the community now live, Winona expresses satisfaction with what’s been achieved: “Seeing the project move from an idea to something real has been very motivating. I feel proud that I have created something that can make a difference in the lives of other young people with HAE.”
Echoing all of the HAEi LEAP graduates we spoke to, Winona feels that the program is a special and important one: “I would strongly encourage people to apply. HAEi LEAP is an incredible opportunity to grow personally, build leadership skills, and make a real impact within the HAE community.”
Janice Strydom, who leads HAE South Africa, felt that HAEi LEAP was a valuable tool for empowering young people in HAE advocacy. She said: “We strongly encourage other MOs to enrol a youngster in the HAEi LEAP programme. It is a valuable investment that strengthens both the individual and the organization. It encourages young people to find their voice, participate in advocacy, and take ownership of their role within the patient community.”
All the HAEi LEAP participants and their MOs expressed their gratitude for the opportunity to participate, feeling that it was crucial to empower the next generation of HAE leaders.
‘HAEi LEAP nurtures future leaders who can strengthen patient organizations and represent patient perspectives locally and globally.’
– Janice Strydom, HAE South Africa
HAEi LEAPing into 2026
The HAEi team is currently finalizing applications for the HAEi LEAP Class of 2026, with an announcement on the new students expected very soon. You can stay up-to-date with all things youth on the dedicated HAEi Youngsters’ Community and HAEi LEAP websites.
Every patient tells a story: Using storytelling to communicate with young people

Natasa Angjeleska, HAEi Regional Patient Advocate
“We tell ourselves stories in order to live.” American writer Joan Didion may not have had a rare disease in mind when she wrote this memorable line. Still, according to HAEi’s Natasa Angjeleska, stories are vital for children with HAE.
As part of the hae day :-) 2025 celebrations, Natasa Angjeleska launched her third book for children with HAE, all of which are available from the HAEi Youngsters’ website. As a published author, Natasa is well-qualified to talk about the importance of stories. But when her experiences as an HAEi Regional Patient Advocate, mother of a boy with HAE, and an experienced educator are combined, she is uniquely equipped to explain how to help young people come to terms with their HAE.
Speaking to Natasa, it is clear that despite her many qualifications, the inspiration to write books for children with HAE came first and foremost from her son, who lives with the condition. She remembers very severe and frequent HAE attacks that prevented him enjoying a carefree childhood. In particular, she told us, “When my son was six years old, we had to leave a birthday party suddenly because he developed an HAE attack and urgently needed medication. The trigger for the attack was not illness or injury, but joy, the excitement of being with friends and seeing his grandparents. I felt devastated as a parent.” But from this unhappy incident, Natasa saw something powerful.
‘What struck me was my son’s remarkable courage and determination. He refused to let HAE define him. This motivated me to write. I wanted to create stories in which children with HAE could recognize themselves—not only in the struggle, but in the strength, bravery, and hope that coexist with it.’
– Natasa Angjeleska, HAEiThe result was her first book, The Rare Boy and the Talkative Balloon. Now available in 12 languages, Natasa admits that seeing her story translated was incredibly emotional, as it showed the story resonated beyond her own experience. Since then, two further books have followed: Happiness and The Rare Boy on a Race.

The books blend everyday life with HAE to help give meaning and context to the experiences children face. This can mean everyday obstacles such as disruptions to routine, fear of hospitals, and anxiety around medical procedures such as injections. For Natasa, this means that books like hers create a safe, natural opportunity for children and caregivers to have open conversations about health, fear, and coping. She suggests that when children see characters who resemble them or face similar challenges, they feel seen, validated, and less alone. For children living with rare diseases, this representation can be particularly powerful, helping to counter feelings of isolation, shame, or stigma.
‘When stories place emphasis on children’s strength, resilience, and courage, they shift the narrative away from illness alone and toward empowerment and hope.’
– Natasa Angjeleska, HAEiBooks about diverse characters, such as those with rare diseases like HAE, benefit all children, as Natasa explains, “Exposure to stories about peers with different experiences encourages empathy and understanding and helps children appreciate and respect diversity.” Natasa encourages everyone in the community to use storytelling to support children and normalize differences. As Natasa says, “By doing so, we can help ensure that children do not feel isolated, ashamed, or stigmatized because of their condition, but instead feel understood, empowered, and valued.”
What to say when talking to young people about HAE
We asked Natasa for her advice on overcoming the challenges of explaining HAE to young people. She told us that talking about HAE is not a one-time conversation. It is a process that grows with the child, supporting understanding, emotional well-being, and confidence over time. As children grow, Natasa suggested, explanations should evolve—from reassurance and simplicity toward empowerment, autonomy, and shared decision-making.
Here we share some of Natasa’s recommendations for different age groups:
Infants and very young children
At this age, children experience the world in concrete and emotional terms, so explanations should focus on reassurance and safety rather than medical detail. For a child over the age of three, it is often enough to explain that sometimes their body becomes swollen on the inside, which can hurt, and that adults and doctors know how to help. At this age, children may believe they have caused what is happening to them, so it is important to repeat clearly and often that HAE is not their fault and that they are safe and cared for.School-age children
As children reach early school age, they begin to understand simple cause-and-effect relationships and may notice differences between themselves and their peers. Introducing the name of the condition can help reduce confusion and fear, as long as explanations remain concrete and straightforward. Parents can explain that HAE is something their body does sometimes, and that medicine helps stop the swelling. Children at this age benefit from knowing what to do if they start to feel unwell, such as telling a trusted adult at school, and from hearing that it is normal to feel worried or upset at times.During middle childhood, children are better able to understand how their bodies work and may want more detailed explanations. This is an appropriate time to explain that HAE is something they were born with and that certain things, such as stress or tiredness, can sometimes trigger symptoms. Involving children in recognizing early signs and participating in routines related to their care can increase their sense of control and confidence. Emotional reactions such as frustration or anger are common at this stage and should be acknowledged and taken seriously.
Teenagers and young adults
Adolescence brings a growing ability to think abstractly and a strong need for independence and identity formation. Teenagers can understand that HAE is a rare genetic condition and may have questions about the future, relationships, and autonomy. Open and honest conversations, combined with respect for their growing independence, help adolescents integrate HAE into their lives without allowing it to define who they are. Encouraging shared decision-making and discussing emotional well-being alongside medical management supports both adherence and psychological resilience.Tips on talking about HAE
In addition to tailoring information to the age of the child, Natasa shares five tips on communicating with all young people:
- Children first need emotional safety before they can process medical information
- Explanations should always be honest but age-appropriate, avoiding frightening language or unnecessary detail
- Children need reassurance that HAE is not their fault and that they are not alone in managing it
- Listening is just as important as explaining; young people should feel free to ask questions, express fear, or show frustration without feeling corrected or minimized
- Advocacy and patient organizations can support families by using clear, accessible language that addresses both the medical and emotional aspects of living with HAE, emphasizing preparedness, resilience, and hope. Involving children in peer-group support, such as HAEi Youngsters’ Community, can reassure young patients and caregivers by providing a space to share challenges and experiences.
A crucial element of HAE communication is to avoid defining someone by their illness, especially a child, according to Natasa. Although HAE may be part of a child’s life, it should never become their identity, she cautions. Good communication should highlight strengths, coping, and everyday moments of joy alongside the challenges. This means acknowledging fear, pain, or disappointment, while also showing that these experiences can be managed, which will help children build confidence and resilience.
Natasa’s parting comment is for all children with HAE, from 3 to 93:
‘Children need to see that courage does not mean the absence of fear, but the ability to continue despite it.’
– Natasa Angjeleska, HAEi
HAEi and ACARE - A strong year of partnership in 2025

From Rachel Annals
Coordinator, Global Advocacy and ACAREHAEi’s partnership with ACARE continued to grow in 2025, enabling us to support more healthcare professionals and increase awareness of HAE worldwide. It’s been a busy and rewarding year, and it has been great to see how much HAEi and ACARE have supported each other.
Strengthening communication and connections
One of the new initiatives for 2025 was a monthly HAEi e-newsletter for the ACARE network. Each edition focuses on a different topic, highlighting HAEi’s tools, services, current projects, and upcoming events that may be useful to ACARE centers. It has been a great way to keep in touch with the network and share practical resources.
Additionally, part of my role is to speak directly to ACARE center leads to encourage closer collaboration with HAEi. This has included offering to connect physicians with their local HAE patient organizations, thereby helping build stronger links between medical professionals and the communities they support. This is an important step in making sure people living with HAE receive not only good medical care, but also community support.
Growth of the ACARE network
It has been exciting to see the ACARE network continue to grow in 2025, with many new centers gaining accreditation. By the end of the year, the total number of ACARE centers reached 113. The network also expanded into new countries – Egypt, Kenya, Latvia, and New Zealand, meaning that expertise in HAE care is now available in even more parts of the world.
Supporting education and sharing the patient perspective
Throughout the year, HAEi was included in ACARE’s Level Up and Make a Difference webinars. The involvement of HAEi means that the patient’s perspective was always available. As someone who lives with HAE, I feel strongly about this. It is heartening to see it valued by ACARE too.
ACARE held two preceptorships in 2025, in Berlin and Cairo, and HAEi participated in both. We took the opportunity to speak about HAE and share more about the tools, services, and support HAEi offers. These events were a valuable chance to connect directly with healthcare professionals and strengthen our collaboration in these regions.
HAEi Advocacy Academy, our education and learning platform, helped inspire the development of ACARE’s own Excellence On Demand learning platform. The wider HAEi team worked closely with the ACARE team to help create this new, tailored learning hub for healthcare professionals, which offers CME-accredited content, focused educational topics, and evidence-based updates from leading clinicians and researchers. This collaboration reflects our shared commitment to high-quality, accessible education.
Raising awareness together
Another important area of collaboration has been social media. We shared ACARE posts on HAEi’s channels throughout the year, helping raise ACARE’s profile, reach new audiences, and build connections within the global HAE community.
Looking ahead to 2026
I’m really looking forward to continuing to work with ACARE in 2026. A key highlight will be the 2026 Global Angioedema Leadership Conference, where we are working closely with the ACARE team to plan an engaging and educational program for physicians and other healthcare professionals. You can read more about the conference here.
Beyond the conference, there is a busy program of ACARE projects and preceptorships, and HAEi will continue to connect and support ACARE and center leads. Together, we are building a stronger global community of physicians, Member Organizations, and people living with HAE. 2025 has shown how much we can achieve when we work together, and we are all looking forward to working even more closely in the year ahead.
HAE education, one professional at a time
Brazzaville, the sprawling capital of the Republic of the Congo, is home to more than two million people. With almost 250 health centers across the city, people with swelling attacks can present at any one, making it vital that as many healthcare professionals are aware of HAE symptoms and able to act to ensure patients receive the best possible care.
It might seem a simple case of sharing information via video apps and webpages. But, with sometimes patchy internet connections, a dedicated group of researchers, with the support of HAEi, is taking the message directly to healthcare professionals across Brazzaville.
‘Doctors working in hospitals and clinics are on the frontlines of diagnosing and treating patients who present with angioedema. With the support of HAEi, we share essential knowledge to help you recognize and manage swelling conditions, including hereditary angioedema.’
– Patricia Karani, HAEi Regional Patient Advocate for Sub Sahara AfricaThis pilot project is designed to address the negative impact of low awareness of HAE. The project is a collaboration between HAEi, Dr Coretta Gangoue from Brazzaville, and her foundation, English for ALL Community Service. Dr Coretta explains: “Because HAE is rare, doctors may never have seen a case before. This often leads to delays in an accurate diagnosis, HAE being misdiagnosed as allergies, and often people undergo unnecessary treatments or surgeries.”
The first step was to produce the educational materials for doctors. During the recent 2025 HAEi Regional Conference EMEA, filming for a series of short videos took place. HAEi developed these with input from Dr Coretta and Dr Priya Bowry, HAE expert and ACARE Center Deputy Head, from Kenya. This foundational education focuses on differentiating HAE from other angioedemas/ swelling conditions.
‘When you see a patient come back with repeated swelling attacks that occur without hives, when their symptoms do not respond to allergy medicines, and you determine a family history of unexplained swelling, you should suspect hereditary angioedema. Referral for further investigation is critical.’
– Dr Priya Bowry, KenyaThe video also equips medics with knowledge of available HAE treatment options, both for treating and preventing attacks, tailored to the situation in Brazzaville, where no specific HAE medications are currently available, and shares details of region-specific resources.
The project is being rolled out across Brazzaville, with every participating doctor being invited to take part in research to collect data on HAE in the city. Ultimately, it is hoped that the project will educate doctors and ultimately empower patients. As HAEi’s Patricia Karani says, “Together, we can improve recognition of HAE and help patients in Brazzaville receive the care they need.”

Have you wondered how to get your HAE under control? HAE TrackR can help you!
Developed by fellow HAE patients at HAEi, HAE TrackR is an easy-to-use electronic diary designed to record your HAE treatments, HAE attacks, and the impact HAE has on your life and the lives of your loved ones.
HAE TrackR allows you to download a comprehensive report of your treatments and attacks, which can be used as a tool for you and your physician to manage your HAE.
Features of the app:
- Records your treatments (preventative, on-demand and clinical trial medication)
- Records attacks and developments/improvements of attacks
- Has a smart reminder functionality for prophylactic treatments
- Is endorsed by ACARE for its ease of collecting and using data and comprehensive reporting
- Is safe and secure, product and company neutral with no commercial interests
News from HAEi countries around the globe

From Mariam Movsisyan, HAE Armenia
A Milestone for Hereditary Angioedema Care in Armenia: First Successful Pregnancy in a Patient with HAE Type III.
Armenia has reached an important milestone in the management of hereditary angioedema (HAE) with the successful pregnancy and delivery of a healthy baby by a woman diagnosed with HAE type III—the first such documented case in the country.
The patient, a young woman with recurrent episodes of angioedema without C1-inhibitor deficiency, was diagnosed with HAE type III prior to pregnancy. Given the known challenges associated with hormonal influences on disease activity, pregnancy was initially considered high risk. However, following pre-pregnancy counseling and close multidisciplinary supervision, a carefully individualized management plan was developed.
Throughout pregnancy, the patient was regularly monitored by allergists-immunologists and obstetricians experienced in high-risk care. Emphasis was placed on prophylaxis, early recognition of symptoms, and preparedness for acute attacks. Importantly, treatment decisions were guided by international HAE recommendations and adapted to local clinical practice.
Despite the physiological and hormonal changes of pregnancy, the patient experienced no life-threatening attacks. Delivery was completed without complications, and both mother and newborn remained healthy in the postpartum period.
This case represents a significant achievement for HAE care in Armenia, demonstrating that with timely diagnosis, expert counseling, and coordinated care, women with HAE type III can safely plan pregnancy and achieve favorable outcomes. It also highlights the growing awareness and capacity for managing rare diseases in the region.
The Armenian HAE community hopes this experience will encourage earlier diagnosis, patient education, and confidence among women with HAE who wish to build families.

From Ahtashamul Habib Ovi, HAE Bangladesh
HAE Bangladesh has taken a significant step forward in advancing awareness and understanding of Hereditary Angioedema (HAE) by completing the translation of essential patient education materials into Bengali. These materials, including the HAE emergency card, are now available on haei.org and are accessible to all patients seeking information on HAE, including its diagnosis, management, and treatment.
Through our newly launched website hosted by HAEi, we are successfully connecting an increasing number of patients across the country, and the national HAE patient community continues to grow. To further support patient access to care, the website now includes a curated list of hospitals and specialist physicians, enabling patients to connect with appropriate healthcare providers more easily.
In preparation for hae day :-) 2026, HAE Bangladesh is planning a full-day awareness event to be held at a renowned hospital in Bangladesh. This initiative aims to strengthen national awareness of HAE and formally raise the HAE flag as a symbol of advocacy and solidarity.
Currently, C1 esterase inhibitor injections are not commercially available in Bangladesh. To address this critical gap, we have established a pharmaceutical channel with neighboring India, enabling patients to order the medication and receive delivery in Bangladesh. At the same time, we are actively working toward making this treatment directly available within Bangladesh in the near future.

From Raquel de Oliveira Martins, HAE Brazil/Abranghe
In 2025, Abranghe reinforced its commitment to people living with HAE, working to support patients and families, disseminate qualified information, and strengthen partnerships.
The actions carried out throughout the year reflect the collective work of volunteers, healthcare professionals, and patients, focusing on awareness, access to diagnosis, and treatment to improve quality of life.
In a report of the year, we detail the actions that defined our year, offering a transparent view of our trajectory and the commitment we maintain with our partners, collaborators, and the future.
The report is not just a record of data, but a reflection of the continuous effort towards excellence and positive impact on the HAE family.

From Daphne Dumbrille, HAE Canada
As we move into the final months of the year, HAE Canada is pleased to share several important updates, accomplishments, and upcoming initiatives from across our community.
Saskatchewan Patient Information Update
In October, we were thrilled to bring a Patient Information Update to Saskatoon, Saskatchewan – marking the first HAEC Patient Update in Saskatchewan. Dr. Chrystyna Kalicinsky shared valuable insights on how hormones and medications can affect HAE. Michelle Cooper, HAE Canada’s President, provided an update on the latest activities and initiatives from HAE Canada, and a local HAEC member, Bob, gave an inspiring account of his personal journey living with HAE. The turnout and engagement were wonderful, and we’re grateful to everyone who joined us to learn, connect, and strengthen our community.

Attended the CORD Conference
Michelle and Daphne also participated in the Canadian Organization of Rare Disorders (CORD)’s Fall Conference titled “Co-Creating Canadian Rare”, in Ottawa in November, adding our patient voice to national conversations about rare disease policy, access, and advocacy. CORD consistently organizes interesting and informative conferences where we appreciate the opportunity to network and connect with our colleagues in the rare disease space in Canada.
Welcomed Our New Board of Directors
During our recent Annual General Meeting, our members elected the 2025–2026 Board of Directors.- Michelle Cooper (President)
- Carmen Craciun (Treasurer)
- Charbel Daniel
- Martine Paquette
- Kim Speiss (Vice President)
- Kristine Thompson
We extend our heartfelt gratitude to Kerstyn Lane, who has made the decision to step down from HAE Canada’s Board of Directors. While we will miss her at the Board, we are incredibly grateful that she will continue to contribute her expertise as Chair of our Governance Committee. We want to thank Kerstyn for everything she has contributed – and continues to contribute – to the HAE Canada community. We are so grateful for her ongoing commitment, passion, and heart.
We want to warmly welcome our new directors, Kristine Thompson, who will be joining us as the Pacific Regional Director, and Charbel Daniel, who will take on the role of Atlantic Regional Director. We are incredibly fortunate to have Kristine’s paralegal training and Charbel’s experience as CEO of a not-for-profit healthcare organization in Nova Scotia. Their perspectives, skills, and passion will be invaluable to our mission, and we are genuinely appreciative that they have chosen to bring their talents to HAE Canada – we are so grateful to have them with us.
New Medical & Scientific Advisory Committee
We are pleased to announce that HAE Canada is forming a new Medical and Scientific Advisory Committee (MSAC) in collaboration with the Canadian HAE Network (CHAEN), the organization that represents physicians who treat people with HAE in Canada. This new committee, which will be made up of volunteers from both HAEC and CHAEN’s Board members, will provide trusted medical and scientific expertise in support of our mission, programs, and initiatives. MSAC will help ensure that all medical information shared by HAE Canada is accurate, evidence-based, and reflects the highest standards of patient care. CHAEN has always generously supported HAEC in many ways, and we are thrilled to solidify our partnership with the formation of this committee.Research and Recognition: Abstracts Accepted
We are proud to share that our abstract has been accepted for presentation at the American Academy of Allergy, Asthma & Immunology (AAAAI)’s 2026 Annual Meeting in Philadelphia in February 2026. More exciting news is that for the first time, one of our abstracts has been accepted by the Canadian Drug Agency (CDA) Symposium in Ottawa in April 2026 – an important milestone that brings greater visibility of the patient’s perspective on a national level. Michelle, along with other volunteers, is looking forward to attending these conferences to present posters based on these two abstracts.Preparing for hae day :-) 2026
Planning is already underway for our 2026 hae day :-) activities. We have begun submitting lighting-up requests and developing ideas for community walks and awareness initiatives. We encourage members across Canada to start thinking about local activities, big or small; every effort helps raise awareness and support for the HAE community.To conclude, we would like to reflect on 2025 and look ahead to the upcoming year:
Three highlights from 2025:
- Having a growing organization with an increase in member engagement
- Attending our neighbors’ HAEA Summit in Baltimore, Maryland, in July
- Having a successful Light Up campaign to celebrate hae day :-) Ten cities across Canada lit up local monuments in purple, including the CN Tower and Niagara Falls in Ontario, the Peace River Bridge in Alberta, and the Shaw Building in Charlottetown, PEI.
Our hopes for advocacy and people with HAE in Canada in 2026:
- Easy and equal access to medication for all patients with HAE
- Elimination of the current large co-pay for icatibant
- Educating Emergency Department personnel about HAE to promote appropriate and timely treatment of attacks

From Mdm Zhang Nan, HAE China, and Lim Yong Hao, RPA HAEi
Hosting an Impactful Annual HAE Conference
In 2025, we hosted the 9th Annual HAE Patient Conference in China, bringing together more than 200 patients, family members, and healthcare professionals, making it the largest patient-focused HAE conference to date. Alongside the conference, a large-scale free clinic was organized at Peking Union Medical College Hospital, where over 70 patients received consultations. Close to 20 patients underwent initial screening, creating important opportunities for earlier diagnosis and timely intervention.Supporting Drug Development and Expanding Treatment Options
Over the past year, three new HAE therapies entered clinical trials in China. Through patient engagement and information-sharing, we supported more than 100 patients in making informed, voluntary decisions to participate in these trials. Their involvement has been vital in advancing research, accelerating clinical development, and contributing to the future availability of new treatment options for HAE patients in China.Growing the Patient Community and Extending Support
Our patient community continued to grow steadily in 2025. Through outreach and media engagement, membership increased by more than 90 individuals, bringing our total membership to 420. We remain committed to building a supportive and inclusive community, ensuring that every patient has access to reliable information, peer support, and a strong sense of belonging.Patient Advocacy Priorities for 2026
Looking ahead to 2026, our advocacy efforts will focus on two key priorities:- Identifying Undiagnosed Patients
We will strengthen public awareness initiatives and deepen engagement with primary healthcare institutions to improve recognition of HAE. We aim to shorten the diagnostic journey for undiagnosed patients and connect them earlier to appropriate medical care and support networks. - Improving Access to Innovative Treatments
We will continue to support patient participation in clinical trials and work with stakeholders to improve pathways for access to innovative HAE therapies. Our goal is to ensure that patients in China can benefit from timely, equitable access to a broader range of treatment options and greater autonomy in managing their condition.
- Identifying Undiagnosed Patients

From Costa Rica
Throughout 2025, patients with Hereditary Angioedema in Costa Rica have been working together to advance awareness of the disease. In our country, Law 10.550, PREVENTION AND COMPREHENSIVE HEALTH CARE FOR PEOPLE WITH RARE DISEASES, TO IMPROVE THEIR QUALITY OF LIFE AND THAT OF THEIR FAMILIES, was recently passed, and Hereditary Angioedema is included in this law. This has been a significant step forward because, like other rare diseases, we could receive more support and care in the future.
As part of our efforts, we have held events with pharmaceutical representatives to learn more about the medications available in Costa Rica and their effectiveness for patients. We have also held meetings with other important patient organizations in the country, such as ANASOVI and the World Rare Disease Day Network Organizing Committee, to validate the inclusion of Hereditary Angioedema (HAE) in Law 10.550. They provided guidance on government procedures and how the new law will function, and both organizations offered their support and advice on any future issues.
Additionally, we successfully lobbied for the issuance of ID cards so that people with HAE can present them during emergencies at hospitals and health centers throughout the country. We have also held fundraising events, raising the necessary funds to finally legally establish the Costa Rican Angioedema Association.
To better focus on our short- and long-term goals, we are holding bi-weekly meetings for the first time with patients and the Board of Directors created by the patients, as well as meetings with the representative of the Hereditary Angioedema International Patients’ Organization (HAEi) for Central America and the Caribbean. We have also established communication plans with legal representatives to consolidate the Costa Rican Patients Association, and communication with medical specialists in HAE in Costa Rica.

From Rosa María Pérez González, HAE Cuba
We, the Cuban patients with Hereditary Angioedema, send you our warmest greetings and express our respect and gratitude for the work carried out by the International Society (HAEi) on behalf of those of us living with this disease worldwide. For our community, your work represents a source of hope, support, and constant companionship.
In the current context of Cuba, marked by a sustained economic, social, and health crisis, it is necessary to share with you that access to specialized diagnostic tools and modern medications indicated for the treatment of Hereditary Angioedema remains impossible. Currently, specific therapies are unavailable in the country, and in the face of acute, life-threatening crises, the only available treatment option is fresh frozen plasma.
Nevertheless, the Cuban medical community continues its efforts to conduct clinical studies on individuals with compatible symptoms or a family history of the condition, with the aim of identifying them and providing them with medical follow-up, with a view to future opportunities for diagnosis and treatment. Both patients and healthcare professionals remain open and receptive to any possibility of international aid and cooperation that will allow us to advance the study and treatment of Hereditary Angioedema in Cuba.

From HAE Dominican Republic
The year 2025 represented a period of strategic and sustained work for the hereditary angioedema patient community in the Dominican Republic. Although many of the actions undertaken during this period did not receive immediate public attention, steady progress was made in fundamental processes aimed at generating real and lasting impacts for patients, their families, and caregivers.
Throughout the year, collaborative work was carried out to build a solid foundation that will allow, in the medium term, the inclusion of medication for the treatment of hereditary angioedema within the national healthcare system. This objective has guided institutional efforts, as well as the actions taken at the technical and medical levels.
During the last quarter of 2025, significant progress was made by reaching out to and establishing relationships with professionals from various healthcare fields, including immunology, intensive care, surgery, dentistry, and anesthesiology. These specialists have expressed interest and willingness to actively collaborate in strengthening comprehensive patient care and achieving the established objectives. This medical support network is expected to continue expanding in the coming period.
The year ends with a positive outlook and clear expectations for 2026, which is projected to be a year of consolidation, growth, and significant progress for the patient community, the allied medical team, the foundation, as well as for the families and caregivers who accompany them throughout this process. The institution remains firmly committed to finding solutions that guarantee a better quality of life and timely access to appropriate treatments for those living with hereditary angioedema in the country.

From HAE Egypt
Significant progress continued in Egypt throughout 2025 in the areas of hereditary angioedema (HAE) awareness, research, and clinical care.
In October 2025, Takeda Egypt hosted a major medical summit dedicated to improving care for people living with HAE. Held on 27 October, the meeting was described as a landmark event for the country, bringing together leading Egyptian and regional experts in the field. Discussions focused on the importance of early and accurate diagnosis, strengthening patient care pathways, and improving access to innovative therapies for this rare and often underdiagnosed condition. The summit reflected a growing national commitment to advancing HAE care in Egypt.
At the same time, a national multicenter observational study on HAE remained active during the fourth quarter of 2025. Titled A Study About the Diagnosis and Management of Hereditary Angioedema (HAE) in Egypt, the study involves centers in Al-Mansoura, Alexandria, and Cairo. Trial records were updated on 20 October 2025, confirming the ongoing nature of this important research effort, which aims to provide real-world insights into how HAE is currently diagnosed and managed across different regions of the country.
Awareness-raising efforts also continued throughout much of 2025. The Mersal Foundation, an Egyptian NGO and member of the National Alliance for Civil Development Work, led a national campaign titled “وذمة مش أزمة” (“Edema, Not a Crisis”). Launched on 6 January 2025, the campaign remained active through at least the first nine months of the year. Its messaging emphasized that effective treatments for HAE are now available in Egypt, while highlighting underdiagnosis as a persistent challenge. The campaign placed strong focus on educating physicians to consider HAE in patients with recurrent, unexplained swelling and encouraged family screening when one member is diagnosed, given the hereditary nature of the disease.
In a further milestone for HAE care in Egypt, the Food & Drug Allergy Center has been officially designated as the country’s first ACARE (Angioedema Center of Reference and Excellence). A copy of the certification has been provided, marking an important step forward in the development of specialized HAE services nationwide.


From Raquel Fuentes, HAE El Salvador
During 2025 in El Salvador, awareness of Hereditary Angioedema (HAE) has been actively promoted through several initiatives, such as the distribution of informational flyers in community health clinics, with the aim of raising awareness among both patients and healthcare personnel about this rare condition. In addition, meetings were organized to coordinate a walk with patients to commemorate HAE Day in the country, creating a space for gathering, support, and visibility that fosters education, empathy, and unity within the community around HAE. Meetings were also held with physicians to identify more patients in the country, and efforts were made to establish connections with government representatives.”

From Samantha Alvarado, HAE Guatemala
Guatemala does not yet have a fully implemented law on rare diseases, but in late 2024, several members of Congress introduced Initiative 6451, which seeks to create the Law for Comprehensive Care for Patients with Rare, Difficult-to-Diagnose, or Genetically Based Diseases. This effort is currently underway, having been referred to the Health and Social Assistance Committee for its review and corresponding report; however, its approval may take longer. As a group of patients with HAE, we have been working to schedule meetings with key individuals to help advance the initiative.
In Guatemala, as in some other Latin American countries, the main challenges are late diagnosis and the availability of specific therapies for HAE. Furthermore, approximately 44% of the population is indigenous, primarily belonging to Mayan, Garifuna, and Afro-descendant communities. Therefore, limited access to health services is often concentrated in urban areas, leaving indigenous communities with little coverage. Cultural and linguistic barriers exist: many Indigenous women and men face discrimination in hospitals and difficulties communicating in their own language. Hospitals typically use general therapies: corticosteroids and antihistamines, which are ineffective for HAE, are often used initially due to a lack of knowledge. Therefore, throughout 2025, we have been working together to continue raising awareness about Hereditary Angioedema in the country.

From Ms Sandy Chan, HAE Hong Kong
Over the past two years, we’ve achieved remarkable milestones together, and we’re excited to share some of these highlights.
Key Milestones
On 8 June 2024, we gathered at the HAE Patient and Family Day Celebration and Workshop held at the Sheraton Hong Kong Hotel.Guest speakers Dr. Philip Li (HKU) and Dr. Jane Wong (QMH) shared groundbreaking news: Hong Kong began offering full reimbursement for all on-demand HAE medications, including C1-inhibitor replacement and icatibant. This change meant patients could access these life-saving treatments immediately, without financial burden. Attendees also had the opportunity to try the dry blood test, a new diagnostic method that makes HAE diagnosis more convenient and accessible—a true game-changer for early detection.
In April 2025, we began an exciting project: creating a HAE Picture Book that tells the story of a child and her mother navigating an HAE diagnosis.
The book will be launched in January 2026 at a special event at Sheraton Hong Kong. Available in Chinese and English, both in print and online, this resource aims to help young people recognize HAE symptoms and educate those unfamiliar with the condition.
On 28 August 2025, our chairperson, Mr. Davy Wong, attended as a guest speaker at the “Moving Towards Zero HAE Attacks” lunch conference at Le Méridien.
This meaningful gathering brought together healthcare professionals and patient advocates, all working toward a shared goal: improving the lives of those living with HAE. Davy shared his personal patient journey, inspiring others and reinforcing the importance of collaboration in achieving better outcomes.
Looking Ahead: Our 2026 Goals
As we move into 2026, our focus is clear:- Expand awareness to neighboring regions and share our learnings.
- Improve access to modern treatments for all HAE patients. >Line break here Build a stronger sense of community by bringing patients together more regularly for support and connection.

From Makiko Matsuyama, HAE Japan
HAEJ (HAE Japan) has remained highly active throughout the year, implementing initiatives almost every month. One of our key priorities has been to clearly communicate the role and value of patient organizations—not only to the general public, but also to physicians—by reaffirming the importance of patient associations within the medical community.
Public awareness activities were a major focus in 2025. At hae day :-) in May, we once again conducted the nationwide Purple Light-Up campaign following last year’s success. A total of 48 landmarks and towers across Japan were illuminated in purple, including large-scale sites such as Tokyo’s Rainbow Bridge, generating significant media coverage. In February, HAEJ organized Rare Disease Day (RDD) Kobe, an event of high interest to pharmaceutical companies, and cooperated on an interview article published by a major national online media outlet. In addition, Japan hosted the World Expo this year, and on May 23 (Intractable Diseases Day), we were invited to speak about HAE at an RDD event held at the Expo. Members of the Imperial Family were also in attendance, and the event received wide media coverage, becoming a valuable opportunity for awareness.
Patient engagement continued to expand nationwide. Patient networking meetings were held across Japan, including—for the first time—one in Kagoshima. Many patients still face difficulties accessing appropriate treatment, particularly in regional areas, and we believe it is essential to reach beyond major cities. This year, the HAEJ website was also fully renewed with support from pharmaceutical partners, resulting in a modern and well-designed platform. We will continue to strengthen website operations and regularly update resources for patients and families.
Engagement with the medical community remained strong. HAEJ exhibited booths and delivered presentations at dermatology, otolaryngology, and allergy society meetings, including a session at the Dermatological Society meeting that received an exceptional standing ovation from attending physicians. We also actively participated in media seminars and public lectures organized by pharmaceutical companies. Looking ahead, we value continued collaboration through international meetings such as the APAC Conference and the upcoming Madrid conference, and we hope for more opportunities to engage with colleagues from Europe and the United States. With new treatments expected to launch in 2026, the treatment environment in Japan continues to improve, and we look forward to further expanding our activities with energy and commitment.

From Patricia Karani, HAE Kenya
Giving a Voice to Patients Living with Hereditary Angioedema in Kenya
For many people in Kenya living with Hereditary Angioedema (HAE), the journey to diagnosis and appropriate care remains long, confusing, and often isolating. Between October and December 2025, HAE Kenya intensified its advocacy efforts to ensure that patients are not only seen within the healthcare system but heard, understood, and supported.
A significant step toward patient empowerment during this period was the completion of the Understanding HAE booklet in the Swahili language. As Kenya’s national language, Swahili plays a critical role in reaching out to a larger audience of patients and families, especially in areas where Swahili is more conversant than English. By making HAE education accessible in a familiar language, HAE Kenya is helping patients better understand their condition, advocate for themselves in clinical settings, and engage more confidently in their care—particularly in rural and underserved communities.
Recognizing that awareness must be matched with access, HAE Kenya also updated its website to serve as a practical resource for patients seeking care. The platform now includes up-to-date information and a growing list of healthcare professionals trained in HAE diagnosis and management across the country. For patients living far from the ACARE Centre based in Nairobi, this has been a critical development, offering reassurance that knowledgeable medical support can be found closer to home and reducing the burden of long-distance travel for already vulnerable families.
Advocacy efforts extended directly into healthcare facilities through a collaborative awareness initiative with Dr. Priya Bowry of the ACARE Centre at the Coast General Teaching and Referral Hospital in Mombasa. The session brought together doctors, nurses, medical students, and pathologists, creating a vital space for dialogue between clinicians and the patient community. Central to this engagement was the sharing of a patient journey to diagnosis—an experience that illuminated the real consequences of delayed recognition, misdiagnosis, and limited treatment options. By centering the patient voice, the discussion challenged healthcare providers to consider not only the clinical presentation of HAE but its profound impact on quality of life, mental well-being, and family dynamics.
Healthcare professionals were encouraged to maintain a high index of suspicion for HAE and to view early diagnosis as a form of patient advocacy in itself. The visibility of HAE Emergency Department posters displayed within the hospital further reinforced this message, serving as a constant reminder that rare diseases, though often overlooked, require readiness and informed response.
Beyond awareness, HAE Kenya continued to support newly identified patients and their families by facilitating appropriate referrals through the ACARE Centre. For many, this marked a turning point—ending years of uncertainty and opening a pathway to effective treatment and informed care. The gratitude expressed by families underscored a simple but powerful truth: access to the right care can transform lives.
These efforts reflect HAE Kenya’s broader advocacy mission—to build a healthcare environment where rare disease patients are not marginalized, where language and geography do not determine outcomes, and where patient voices help shape systems of care. While challenges remain, the progress made during this period affirms that sustained advocacy, partnership, and patient leadership are essential to improving the lives of those living with Hereditary Angioedema in Kenya.

From HAE Lebanon
On December 5, 2025, Nour El Chami, HAE Lebanon Patient Lead, attended and presented at the 16th Annual Meeting of the Lebanese Society of Allergy and Immunology. In her heartfelt presentation, Nour shared her family’s journey with Hereditary Angioedema, beginning with the challenges that surrounded her niece Joud’s early symptoms and the long path to finally securing a clear and accurate diagnosis. She highlighted the serious consequences of HAE misdiagnosis, emphasizing how delays and misunderstandings can endanger patients and deeply affect their quality of life.
Nour also shed light on the critical lack of HAE treatments currently available in Lebanon, calling attention to the urgent need for improved medical resources and patient support. Inspired by her family’s experience, Nour announced her ongoing efforts to formally register Lebanon’s HAE patient association, which will support the existing patient group in increasing awareness, improving diagnosis, and continuing to advocate for better access to lifesaving therapies.

From HAE Panama
2025 has been a year of very positive results for patients in Panama. After several years of meetings with the Panamanian Ministry of Health and the Office of Rare Diseases, the official treatment guidelines for patients with HAE were finally approved and distributed to all hospitals and health centers in the country. This has opened new doors, and we hope to continue making progress in the treatment of HAE in Panama.
As patients and members of the Association, we have always worked together toward the same goals. The most important has always been access to the appropriate medication for HAE. We have already obtained approval for some medications and continue working to secure approval for others that are more advanced. In addition, more patients have been diagnosed.
As a group, we will continue working to ensure that patients learn to manage the disease and that more is known about HAE.

From Michal Rutkowski, HAE Poland
A Year of Intensive Work Concluded with Success.
A full year of determined efforts has come to a successful close.
From late October to early December, extensive advocacy activities were undertaken in connection with the reimbursement procedure for an additional preventive therapy – the plasma kallikrein inhibitor berotralstat.
Throughout the process, the Swelling Beautifully Association closely monitored the ongoing administrative proceedings and prepared an official patient position statement addressed to the Minister of Health. This statement directly opposed the negative recommendation issued by the President of the Agency for Health Technology Assessment and Tariff System (AOTMiT) regarding the reimbursement of this medicine.
Furthermore, acting on behalf of patients, Swelling Beautifully presented its position to other decision-makers indirectly or directly involved in issues related to rare diseases and access to orphan drugs, including:
- The Parliamentary Group for Rare Diseases,
- The Sejm (the lower house of parliament) Health Committee,
- The Senate (the upper house of parliament) Health Committee,
- The Patient Ombudsman.
On 15 December 2025, the Minister of Health announced the updated list of reimbursed medicines, which entered into force on 1 January 2026. Berotralstat was included among the reimbursed medicinal products. This reimbursement decision expands access to preventive therapies for hereditary angioedema (HAE) in Poland to two available medications, providing both patients and clinicians with the opportunity to choose an individualized treatment strategy.
On 14 November, Michał Rutkowski, President of the Board of Swelling Beautifully, participated in an advisory board organized by Takeda, during which he presented the needs of pediatric patients with HAE in the areas of diagnosis and treatment.
On 14-15 November, Michał also took part in a national meeting of HAE experts, where he was invited to co-prepare and deliver, together with Dr. Marcin Stobiecki, a presentation entitled “Physician and Patient”. The presentation focused on the process of Shared Decision Making.

From HAE Portugal
On December 13th, ADAH held its annual meeting. With the main objective of decentralizing the Association’s activities, the meeting was held for the first time in the north of Portugal and had as its theme “Hereditary Angioedema in the Northern Region”.
This meeting provided members and other participants with a unique opportunity for reflection and debate on the current panorama of the pathology in the Northern Region, in terms of diagnosis and available treatments, and the consolidation of personal ties between all those involved.
One of the scientific topics addressed was HAE with normal C1, the one with the greatest difficulty in diagnosis, as well as the most difficulty in responding to available therapies.
In addition to the scientific panel, which included 4 doctors, we had the association panel with ADAH, the participation of Maria Ferron, our RPA from HAEi, and the testimony of two patients who shared their stories with those present.
Participation in this meeting was very high, and with extremely positive feedback, which is very gratifying for us and encourages us to maintain these meetings.

From HAE Puerto Rico
The Puerto Rico community proudly participated in the 2025 US HAEA Summit in Baltimore, where members connected with fellow HAEA advocates and gained valuable insights into the latest HAE news from knowledgeable healthcare professionals.
In November 2025, more than 70 members of the Puerto Rico community came together in San Juan, PR, for the 2025 Community Connections Lunch. The event provided a meaningful opportunity to share personal stories, exchange contact information, welcome new members, and strengthen community bonds.
Additionally, several members of the Puerto Rico community were invited to attend the 2026 Global Angioedema Leadership Conference, which will take place in Madrid, Spain, in March 2026—highlighting the community’s growing leadership and engagement on a global level.

From Lim Yong Hao, HAE Singapore
In the past year, several developments have taken place for HAE patients and caregivers in Singapore, reflecting steady progress in treatment access, research engagement, and community participation.
One important milestone has been the availability of generic icatibant through a special access route. While access remains limited, this has provided patients with an additional on-demand treatment option that is more affordable and convenient than the existing option. Singapore has also seen increased participation in clinical trials for both on-demand and prophylactic modern treatments. These efforts are important for expanding treatment options and strengthening Singapore’s role in clinical research, potentially facilitating future access to new treatments.
HAE Singapore has also strengthened its engagement in health technology assessment and patient and public involvement in research. We have touched base with the Agency for Care Effectiveness and other agencies through various events, seminars, and conferences to better understand decision-making related to access, value assessment, and the use of health services data. These engagements have clarified how patient groups can work constructively with physicians, researchers, and government agencies, while remaining informed about HAE-related research in Singapore.
Community engagement has remained a priority. HAE Singapore participated in Rare Disease Day, including presenting at the Carry Hope Forum, and took part in haeday 2025, where patients, caregivers, and supporters logged over 60 activities and close to 300,000 steps. This represented the highest level of participation to date.
Looking ahead to 2026, HAE Singapore hopes to formally register as an organisation to better support advocacy and awareness initiatives and patient and caregiver support. We also aim to continue engaging physicians and pharmaceutical companies to explore opportunities to bring more treatment options into Singapore.

From Alicia Campos, HAE Spain (Google Translated from Spanish)
A year of change and new goals for our association
This year has marked a turning point for our association. For the first time, we have moved our annual meeting to Vall d’Hebron Hospital in Barcelona. This change inaugurates a new model of rotating meetings among the main CSURs (Centers, Services, and Reference Units) for angioedema in Spain, with the aim of strengthening collaboration with healthcare professionals and facilitating the participation of patients and families from all regions.Our goal for 2026 is to reach a greater number of patients, ensure broader and more equitable access to modern treatments, and contribute to improving the quality of life of all those affected. We will continue working to ensure that the real needs of the community are heard, recognized, and addressed, promoting policies and strategies that generate a positive and lasting impact.
We are thrilled to announce that we are already preparing our annual meeting, which next year will be held for the first time at the Virgen del Rocío Hospital in Seville on February 21, 2026, continuing the rotating venue model we began this year.
In addition, we are organizing another edition of the Camino de Santiago pilgrimage, scheduled for March 19-24. This unique experience combines camaraderie, visibility, and personal growth, and has become one of the most highly valued activities among our members.

From Ernst Greber, HAE Switzerland:
24th Annual General Meeting and Program of the Swiss HAE Association
On November 7, 2025, the Swiss HAE Association held its 24th Annual General Meeting. The meeting was efficient and constructive; all agenda items were unanimously approved.During the meeting, Jennifer Hess was thanked for her service and presented with a gift. At the same time, Ania Müller was welcomed as a new member of the board.
Annual Program 2026
- February 28, 2026: Rare Disease Day – Awareness & Public Relations
- March 26-29, 2026: HAEi Global Angioedema Leadership Conference in Madrid for Board Members only
- May 16, 2026: HAE Day – Raising Awareness
- June 13, 2026, 25th Anniversary of the Swiss HAE Association: Anniversary HAE Patient Meeting with a Day Trip: “Golden Tour – Around Mount Pilatus.”
- End of August 2026: Lama Trekking with Paula Hunkeler in Matzendorf
- End of October 2026: 9th Newsletter: “News from the Swiss HAE Association”
- November 7, 2026: HAE Patient Meeting with the 25th HAE General Assembly
SHAECS Investigator Meeting & HAE Board – December 2025
On December 3, 2025, the SHAECS Investigator Meeting took place in Bern. Around 25 participants from Switzerland attended, including representatives of HAE experts from the 10 Swiss HAE hospitals/centers, 3 board members of the Swiss HAE Association, and representatives from several pharmaceutical companies. The event was moderated by Prof. Walter Wuillemin.A key focus of the meeting was the Swiss HAE Cohort Study (SHAECS). PD Dr. med. Urs Steiner (University Hospital Bern) presented the current status of the nationwide cohort study, which aims to register all individuals with hereditary angioedema in Switzerland in a national registry. Currently, 119 individuals are enrolled.
Further presentations addressed the HAE care landscape in Switzerland, currently available HAE therapies, and medications in development.
The Swiss HAE Association, represented by its president Helene Saam, presented the work of the patient organization and addressed the concerns and challenges faced by people with HAE in Switzerland.
The meeting fostered national exchange between medical professionals, researchers, industry, and patient representatives, and contributed to further strengthening HAE care and research in Switzerland.

From Marijk Beekman-Kortekaas, President, HAE the Netherlands
Reflecting on 2025 and Looking Ahead: HAE the Netherlands
As we close the year 2025, I feel proud to look back on what we have achieved together as HAE the Netherlands. This year has been filled with milestones that strengthened our community and given us new energy to move forward.Patient Information Day and Members Day
One of the highlights of the year was our Patient Information Day. This event has become a cornerstone of our work, offering patients and families the chance to learn about the latest medical developments, treatments, and research. But beyond the science, it is also a day where people can share their personal stories, ask questions, and feel the support of others who truly understand what it means to live with HAE.Earlier in the year, we hosted our Members’ Day, which was equally special. This gathering is always a moment of celebration, where we reflect on what we have accomplished as an association and discuss the challenges that lie ahead. It is a day filled with energy, laughter, and solidarity. For many of our members, these events are not just informative; they are a lifeline, a reminder that they are part of a larger family.

The Success of Noa and the Youngsters’ Community
Another milestone in 2025 was the success of Noa, who completed the LEAP program. Her project, creating a youngsters’ community for HAE patients, is now well underway. This initiative is incredibly important. Young people living with HAE often face unique challenges: navigating school, friendships, relationships, and future plans while managing a rare disease. Having a dedicated community where they can connect, share experiences, and support each other is vital.Noa’s work shows us the power of youth leadership. She is building something that will last, something that ensures the next generation of HAE patients has a voice and a platform. Watching her progress has been inspiring, and it gives me confidence that the future of our association will be shaped by young people who are passionate, creative, and determined.
Our Role in the National Alliance for Rare Diseases
On a national level, HAE the Netherlands continues to play a leading role. We hold the most important seat on the board of the Dutch National Alliance for Rare Diseases, which gives us a strong position to advocate for patients not only with HAE but across the spectrum of rare diseases.Through this alliance, we are actively involved in drafting the new National Plan for Rare Diseases, which will be launched in 2026. This plan is a crucial step forward. It will set the agenda for how rare diseases are recognized, treated, and supported in the Netherlands. Being part of this process means that the voices of patients are heard at the highest level. It ensures that our experiences, our struggles, and our strengths are reflected in national policy.
The Power of the Global HAE Community
What makes these achievements even more meaningful is that they are part of something bigger: the global HAE community. Across countries and continents, we are united by shared experiences and a common mission. We learn from each other, we inspire each other, and we support each other.The progress we make in the Netherlands is connected to the progress being made elsewhere. When one country develops new initiatives, others can follow. When one patient shares their story, it resonates across borders. Together, we are stronger than the challenges we face. Together, we can achieve more than any of us could alone.
This sense of global solidarity is what gives me hope. It shows that HAE is not just a rare disease; it is a worldwide movement of patients, families, doctors, and advocates working side by side. And it proves that when we join forces, we can change lives and shape the future.

Looking Ahead to 2026
As we look forward to 2026, our hopes are clear. We want to continue building on the successes of 2025. That means once again organizing both a Patient Information Day and a Members’ Day, ensuring that our community has opportunities to come together, learn, and celebrate.But we also want to take an exciting new step: for the very first time, we plan to host a special event dedicated to young people living with HAE. This event will be designed specifically for them, giving them a platform to share their experiences, ask questions, and build connections. We believe this will be an important milestone in our work, one that strengthens the youth community and ensures that younger members feel seen and supported.
Conclusion
2025 has shown us what we can achieve when we work together. It has been a year of connection, empowerment, and progress. As we move into 2026, we are determined to build on these successes, to strengthen our community, and to ensure that every voice, young and old, is part of the future of HAE the Netherlands.Together with the global HAE community, we will continue to make HAE visible, to advocate for better care and support, and to create a world where everyone living with HAE feels heard, valued, and empowered.

From Jess Myers, Communications and Advocacy Manager, US HAEA
Key US HAEA Highlights in 2025

1,400 US HAEA Friends Share a Memorable 2025 HAEA National Summit in Baltimore, Maryland
The 2025 HAEA National Summit, held in Baltimore, Maryland, was an incredible success! From July 10–13, more than 1,400 HAEA community members, including people with HAE, their caregivers, medical professionals, researchers, and industry sponsors, came together for an unforgettable weekend of education, empowerment, and connection.
We look forward to continuing this momentum and building on the connections made in Baltimore as we work toward a future where everyone with HAE has access to the medicine and support services they deserve.
US HAEA Publishes First-Ever Study Showing the Number of People Diagnosed with HAE in the United States
Recently published in a top-rated peer-reviewed medical journal, this landmark HAEA-initiated study featured collaboration with leading HAE experts and specialists in data mining and demographic analysis.We now estimate that nearly 10,000 people in the U.S. have received a diagnosis of HAE. As noted earlier, this number includes all forms of the condition—not just those caused by C1-INH deficiency—and provides the clearest picture yet of the HAE population in the U.S.
US Congress Acknowledges the Need for Research on HAE with Normal C1 Inhibitor
In a Senate appropriations committee report released in June, legislators stated, “The Committee applauds the previous work across National Institutes of Health (NIH) to identify genetic mutations that cause HAE and to advance treatment options and care for affected individuals, moving a once deadly rare disease to a largely manageable chronic illness. However, the Committee notes that challenges persist in diagnosis, treatment, and care for HAE patients with Normal C1 Inhibitor and encourages the NIH to work with other Institutes and Centers, and the stakeholder community, to advance research in this key area.”The tireless efforts of the HAEA community have resulted in elected officials finally understanding the unmet needs of those with HAE with Normal C1 Inhibitor. We are excited to see this progress in an official congressional record, and we look forward to working with legislators to improve diagnosis, treatment, and access.
Looking Towards A Positive Future for US HAEA Members in 2026
In 2026, the US HAEA hopes that people living with HAE experience greater confidence, independence, and peace of mind in their daily lives. We envision a future where timely diagnosis is the norm, treatment options are accessible, and no one faces HAE alone. Through continued advocacy, education, and research, we strive for a world in which people with HAE can fully pursue their goals, knowing their condition is understood, well-managed, and supported at every stage of life.
Create a True Partnership with your Physician to Better Manage Your HAE
HAEA Friends have access to an exciting (and free!) resource to prepare for their next HAE appointment: The HAEA Shared Decision Making Tool (HAEA SDM).By answering a series of questions, HAEA SDM summarizes:
- Recent experiences with HAE,
- Current treatments, and
- Preferences and what matters most when considering an HAE treatment.
This information is compiled into a downloadable one-page summary overview that serves as a basis for a more collaborative treatment-oriented discussion with your HAE physician.
HAEA SDM will help our community and their doctors create a treatment plan that truly aligns with individual needs.
The HAEA SDM Tool is available here: https://www.haea.org/pages/p/sdm_tool
HAEA Community Blog
The HAEA Community Blog is a platform that allows people with HAE to share their unique stories on a wide variety of topics, ranging from emotional health, navigating insurance challenges, and the journey to diagnosis and treatment.Featured Blog Articles
“Traveling with Hereditary Angioedema (HAE) may require extra planning, but it doesn’t have to hold you back. Whether it’s a road trip, international adventure, or quick weekend getaway, being prepared can give you the confidence to enjoy your journey safely.”6 Tips to Prepare for Traveling with HAE at https://www.haea.org/pages/bp/Blog35_Travel

“If I could tell you to wake up tomorrow and do one thing, it’s to use your voice. No matter how small your follower count is, no matter how unimportant you think your story is, every single voice and story matters.”
Read Gen Z Advocacy in 2025 at https://www.haea.org/pages/bp/blog36_Zach

Research Updates
The HAEA’s research activities focus on generating data and publishing studies that advance the understanding of HAE’s impact on the lives of our community. Our 2026 research program is outlined below:- HAEA Quality of Life Instrument Short Form: In 2024, we published a medical journal article introducing a new HAE Quality of Life Instrument (HAE-C1INH-QoL). This HAE-specific tool addresses the limitations of currently available options and better captures our community’s experience with HAE. We recently completed our work to develop and validate a short-form version. We have prepared a manuscript that will be submitted to a medical journal in early 2026.
- Study Validating Our HAE-CIINH-QOL Instrument for Patients Diagnosed with HAE Normal C1-Inhibitor: Our HAE-C1INH-QoL instruments (long and short form) are only validated in people with HAE due to C1 inhibitor deficiency. It is important that members of our community diagnosed with HAE with normal C1INH also have tools to measure their quality of life. We have completed a study that validates the HAE-C1INH-QoL instruments for the HAE normal C1INH population using two datasets that included 160 participants. We are preparing a manuscript, which will be submitted to a medical journal in mid-2026.
- Pediatric Study on HAE: We are in the process of completing data-gathering using an innovative, validated approach where children express the burden of HAE through artwork they create. This research is being designed to produce high-quality data that highlights unmet needs and issues that are important to the pediatric population. We expect this project to result in a peer-reviewed medical journal publication that we will submit later in the second quarter of 2026.
- The Economic and Socio-economic Burden of HAE Caregivers: The HAE burden of illness and its wide-ranging economic and socio-economic impact on individual patients are well known and detailed in an HAEA study published in 2021. What is less well understood, however, is how the quality of life and well-being of caregivers are affected by looking after people with HAE. Moreover, to our knowledge, there is little, if any, data that quantifies caregiver burden. We designed and conducted a comprehensive survey that characterizes the caregiver experience. We are in the process of analyzing the data and preparing a medical journal manuscript that will be submitted in the summer of 2026.
Clinical Trials Update
According to clinicaltrials.gov under the U.S. National Institutes of Health, the EU Clinical Trials Register, and the International Clinical Trials Registry Platform under the World Health Organization (WHO), the following trials are currently or soon to be recruiting (as of 5 January 2026).
Read more about these and other clinical trials at:
Study Investigating the Effectiveness and Safety of Garadacimab for Treating Patients With Hereditary Angioedema (HAE)
United States, Germany
Recruiting
https://clinicaltrials.gov/study/NCT07001280STOP-HAE: A Phase 3 study of ADX-324 in HAE (STOP-HAE)
United States
Recruiting
https://clinicaltrials.gov/study/NCT06960213A Study Observing US Patients With HAE Type I or II Who Take Icatibant to Treat Attacks
United States
Recruiting
https://clinicaltrials.gov/study/NCT07009262A Study Of Navenibart in Participants with Hereditary Angioedema
United States, Bulgaria, Canada, Czechia, Germany, Hong Kong, Israel, Italy, Japan, Netherlands, North Macedonia, Poland, South Africa, Spain, United Kingdom
Recruiting
https://www.clinicaltrials.gov/study/NCT06842823HAE Burden and Crisis Management
France
Recruiting
https://www.clinicaltrials.gov/study/NCT06806618Safety Study in Subjects ≥ 12 Years of Age with Hereditary Angioedema Switching to Garadacimab
United States, Canada
Recruiting
https://www.clinicaltrials.gov/study/NCT06806657A Phase 2 In Adult Subjects with Hereditary Angioedema
United States, China, Germany, Italy, Poland, Spain
Recruiting
https://www.clinicaltrials.gov/study/NCT06846398Suicide Ideation in Hereditary Angioedema
Locations: None provided
Not yet recruiting
https://www.clinicaltrials.gov/study/NCT06811467A Survey of Lanadelumab in Participants With Hereditary Angioedema
Japan
Recruiting
https://clinicaltrials.gov/study/NCT05397431Extension Study of Oral PHA-022121 for Acute Treatment of Angioedema Attacks in Patients With Hereditary Angioedema
Bulgaria, Canada, Czechia, France, Germany, Hungary, Israel, Poland, Spain, United States
Enrolling by invitation
https://clinicaltrials.gov/study/NCT05396105Study of IV Human Plasma-derived C1 Esterase Inhibitor Concentrate in Patients With Congenital C-1-INH Deficiency for Treatment and Pre-procedure Preventing of Acute Hereditary Angioedema Attacks
United States, Albania, Argentina, Armenia, Bulgaria, Mexico, Montenegro, Peru, Romania, Serbia, Türkiye, Ukraine
Recruiting
https://www.clinicaltrials.gov/study/NCT06361537Safety, Tolerability, PK, PD of ADX-324 in Healthy Volunteers and Hereditary Angioedema Patients
Australia
Recruiting
https://clinicaltrials.gov/study/NCT05691361Open-Label Safety, PK, and Efficacy Trial of Sebetralstat (KVD900) in Pediatric Patients (Ages 2-11) with HAE Type I or II (KONFIDENT-KID)
United States, Canada, France, Germany, Israel, Italy, Japan
Recruiting
https://clinicaltrials.gov/study/NCT06467084Institutional Registry of Rare Diseases
Argentina
Recruiting
https://www.clinicaltrials.gov/study/NCT06573723Study of Oral Deucrictibant Extended-Release Tablet for Prophylaxis Against Angioedema Attacks in Adolescents and Adults With HAE (CHAPTER-3)
United States, Argentina, Brazil, Bulgaria, Canada, France, Germany, Hong Kong, Hungary, Ireland, Italy, Japan, New Zealand, Poland, Puerto Rico, Romania, Singapore, Slovakia, South Africa, South Korea, Spain, Switzerland, Türkiye, United Kingdom
Recruiting
https://www.clinicaltrials.gov/study/NCT06669754Long-Term, Open-label Study of Oral Deucrictibant Extended-Release Tablet for Prophylaxis Against Angioedema Attacks in Adolescents and Adults with HAE (CHAPTER-4)
United States, Australia, Austria, Bulgaria, Canada, Germany, Hong Kong, Ireland, Italy, Poland, South Africa, South Korea, Spain, United Kingdom
Recruiting
https://www.clinicaltrials.gov/study/NCT06679881Angioedema Biomarker Research Study
No locations provided
Not yet recruiting
https://www.clinicaltrials.gov/study/NCT06210698Identification and Characterization of Genetic Variants in Hereditary Angioedema (GENOMAEH_01)
Spain
Not yet recruiting
https://www.clinicaltrials.gov/study/NCT05833620Oral Deucrictibant for Prophylactic and Acute Treatment in Hereditary Angioedema Patients (BK-AE-nC1INH)
United States
Recruiting
https://clinicaltrials.gov/study/NCT07046806A Study About the Diagnosis and Management of Hereditary Angioedema (HAE) in Egypt (EXPLORHAE)
Egypt
Not yet recruiting
https://clinicaltrials.gov/study/NCT07218393A Study of Lanadelumab in Children With Hereditary Angioedema (HAE) in Multiple Countries
TBC
Not yet recruiting
https://clinicaltrials.gov/study/NCT07251933A Long-Term Study of Navenibart in Participants With Hereditary Angioedema
United States
Enrolling by invitation only
https://clinicaltrials.gov/study/NCT07204938Open-label Berotralstat Access to HAE Patients Previously Enrolled in Berotralstat Studies (APeX-A)
Canada, Czechia, France, Germany, North Macedonia, Poland, Slovakia, South Africa, South Korea, Spain, United Kingdom
Enrolling by invitation only
https://clinicaltrials.gov/study/NCT04933721A Study of Lanadelumab in Teenagers and Adults With Hereditary Angioedema (HAE) in the Kingdom of Saudi Arabia
Saudi Arabia
Not yet recruiting
https://clinicaltrials.gov/study/NCT07263685Donidalorsen Treatment in Children With Hereditary Angioedema
Locations: None provided
Not yet recruiting
https://clinicaltrials.gov/study/NCT07298447A Study to Learn About the C1-Inhibitor Function as Diagnosis for Hereditary Angioedema (AHAE)
Locations: None provided
Not yet recruiting
https://clinicaltrials.gov/study/NCT07293364Long-Term Follow-Up (LTFU) of Subjects Treated With NTLA 2002
Australia, France, Germany, Netherlands, New Zealand, United Kingdom
Enrolling by invitation only
https://clinicaltrials.gov/study/NCT06262399Study of Oral Deucrictibant XR Tablet for Prophylaxis and Deucrictibant IR Capsule for On-Demand Treatment of Angioedema Attacks in Adults With Acquired Angioedema Due to C1 Inhibitor Deficiency (CREAATE)
United States
Enrolling
https://clinicaltrials.gov/study/NCT07266805
HAE-Related Scientific Publications
In addition to a wide range of case reports, reviews, and small series, here are summaries of recently published HAE-related scientific papers. Data search undertaken 5 January 2026. The source used is the National Library of Medicine (NLM).
Sebetralstat: First approval
Blair HA
Writing in the journal Drugs, the author reviews the chemical and clinical aspects of sebetralstat and its regulatory pathway, as it was recently approved for use in the United States.
(Drugs, November 2025)
Editorial: Bradykinin and histamine mediated angioedema
Patil AD, et al
The authors introduce a collection of 11 research and review articles, which look at both histamine-mediated and bradykinin-mediated angioedema.
(Frontiers in Allergy, November 2025)
Long-term safety and effectiveness of sebetralstat: Interim analysis of KONFIDENT-S open-label extension
Farkas H, et al
This clinical trial looked at the long-term use of sebetralstat in people with HAE 12 years old and over. The authors found that side effects occurred in 9.5% of participants, but none were serious. The authors conclude that the oral formulation of sebetralstat enabled compliance with treatment guidelines and that safety and effectiveness were consistent with earlier trial results.
(Journal of Clinical Immunology: In Practice, November 2025)
Therapeutic advances in hereditary angioedema: A focus on present and future options
Uminski K, et al
The authors review the progression of therapeutic options for the management of HAE, and aim to summarize current advances and what the future could look like in terms of personalized and patient-centred care.
(Advances in Therapy, 11 October 2025)
Status quo and future developments in the diagnosis and treatment of hereditary angioedema
Recke A
The author aims to provide an overview of the clinical presentation, diagnosis, and treatment of HAE.
(Journal der Deutschen Dermatologische Gesselschaft, December 2025)
Garadacimab in hereditary angioedema due to normal C1INH with F12/PLG mutations
Cohn DM, et al
The authors conducted a clinical trial to determine whether long-term prophylaxis with garadacimab would help patients with HAE with normal C1 caused by mutations in Factor 12 (FXII) or plasminogen (PLG). They conclude that the safety profile is favorable and that there was evidence of efficacy in two of the three patients with HAE-FXII. A reduction in attack rates was observed in one of the three patients with HAE-PLG.
(Journal of Allergy and Clinical Immunology, December 2025)
Lanadelumab’s impact on hereditary angioedema control and quality of life across disease activity subgroups: Real-world evidence
Zanichelli A, et al
This study aimed to assess the effectiveness of lanadelumab in patients with HAE by examining the frequency of attacks prior to treatment. The authors used real-world data from 152 patients with low, moderate, high, and very high disease activity. The authors concluded that, regardless of baseline disease activity, attack rates among patients treated with lanadelumab were low, and all patient groups experienced improvements in quality of life and disease control.
(Annals of Allergy, Asthma and Immunology, November 2025)
Leveraging lanadelumab: A phase 4 evaluation of hereditary angioedema by attack rate subgroup
Tarbox JA
This editorial accompanies the above paper by Zanichelli. In it, the author examines data from the new study and discusses the challenges related to the cost of targeted therapies. The author calls for greater partnership between physicians, patients, governments, and the pharmaceutical industry to bridge access gaps.
(Annals of Allergy, Asthma and Immunology, November 2025)
Insights from the first 820 patients from the Brazilian multicenter registry of hereditary angioedema: The key role of genetic testing and targeted therapies
Ferriani MPL, et al
The authors aimed to identify knowledge and management gaps relating to HAE in Brazil. To do this, a multicenter HAE registry was established. 820 patients were enrolled. The authors were able to conclude that Brazilian patients with HAE share common aspects with global patients, including predominance in women, and that HAE due to C1 inhibitor deficiency is the most common subtype. However, genetic testing also identified that 19.4% of patients in the registry had HAE due to Factor 12 mutation. The authors also indicate that access to first-line therapies for long-term prevention of HAE attacks remains limited.
(Journal of Clinical Immunology: In Practice, November 2025)
Delays and barriers related to the treatment of hereditary angioedema attacks in Italy
Cancian M, et al
In a letter to the editor, the authors provide details of their research into barriers to early on-demand (OD) treatment of HAE attacks. The authors found that the most common patient-reported reasons for delaying OD therapy are not unique to Italian patients, and that one in four survey respondents cited administration-related barriers leading to treatment delays.
The authors note that to improve patient outcomes, barriers to OD therapy should be proactively addressed. One way would be to better educate patients on the importance of recognizing early attack symptoms and shifting perception of ‘early treatment’.
(Allergy, November 2025)
French protocol for the diagnosis and management of hereditary angioedema
Boccon-Gibod I, et al
The authors present a French protocol for the diagnosis and management of bradykinin-mediated HAE.
(La Revue de Médecine Interne, December 2025)
C1 inhibitor: From complement system to bradykinin angioedema
Defendi F, et al
The authors reviewed current research into diagnostic and prognostic markers for bradykinin-mediated angioedema. They also address the link between C1 inhibitor deficiency and chronic comorbidities.
(Current Opinion in Immunology, December 2025)
CRISPR-Cas9 gene editing for hereditary angioedema: Current treatments and emerging therapies
Jalal L, et al
In this review, the authors summarize what is currently known about HAE treatment and the existing clinical evidence supporting the safety and efficacy of NTLA-2002 (also known as lonvoguran ziclumeran or lonvo-z), a potential therapy for HAE.
(Annals of Medicine and Surgery (London), November 2025)
Oral berotralstat for hereditary angioedema prophylaxis in patients aged 2 to <12 years: APeX-P interim results
Bernatoniene J, et al
This clinical study evaluated oral berotralstat for the long-term prevention of HAE in pediatric patients. The authors concluded that oral berotralstat was well tolerated and resulted in early and sustained reductions in HAE attack rates.
(Annals of Allergy, Asthma and Immunology, December 2025)
Berotralstat, the first oral prophylaxis for hereditary angioedema in children aged 2 to 12 years: The kids are alright!
Levy DS
This editorial, linked to the above research by Bernatoniene and colleagues, reviews the current treatment landscape for HAE in children. The author suggests that on-demand and prophylactic options are limited compared to those available to adults. The burden of on-demand therapy is suggested to be significant, with half of adolescents reporting being anxious about the use of on-demand therapy for their HAE attacks. There is also a mean time to treatment of seven hours, with a delay to treatment resulting in prolonged duration of HAE attacks.
(Annals of Allergy, Asthma and Immunology, December 2025)
Treatment of hereditary angioedema with plasma-derived C1 inhibitor: A review
Martinez-Saguer I, et al
In this review, the authors provide an in-depth overview of the efficacy and safety of plasma-derived C1 inhibitor replacement therapy as a first-line treatment for on-demand and short and long-term prophylaxis in patients with various types of HAE.
(Clinical and Translational Allergy, December 2025)
Long-term prophylactic treatment with deucrictibant for angioedema due to acquired C1-inhibitor deficiency
De Lange M, et al
The authors present the findings of a small clinical trial evaluating the long-term safety and efficacy of deucrictibant as prophylaxis in patients with acquired C1 inhibitor deficiency (AAE-C1INH). They conclude that deucrictibant extended-release tablets effectively prevented angioedema attacks in patients with AAE-C1INH, with no safety concerns.
(Journal of Allergy and Clinical Immunology, December 2025)
Cardiac and vascular autonomic control in patients with hereditary angioedema
De Maria B, et al
In HAE, due to C1 inhibitor deficiency, the body’s ability to regulate vascular permeability is key. The authors compared the cardiovascular responses of people with HAE and healthy matched controls across different body positions (e.g., lying down or lifted to a near-standing position). The authors measured heart rate and blood pressure throughout the tests. They conclude that older HAE-C1INH patients display altered vascular regulation, with an exaggerated response when upright. There appeared to be no difference in outcomes between patients on long-term prophylaxis or not.
(Frontiers in Physiology, December 2025)
Exposure-response analysis of donidalorsen for the treatment of hereditary angioedema
Singh P, et al
Using a series of simulations, the authors aimed to predict the efficacy of potential dosing regimens of donidalorsen to prevent HAE attacks. The authors conclude that their simulations support the efficacy of dosing every month, and every two months. They believe that switching to dosing every two months could be a viable approach for patients who are attack-free on a monthly dosing regimen.
(Clinical and Translational Science, November 2025)
Plasma kallikrein inhibitors for multiple disorders: Current advances and perspectives
Liu H, et al
The authors review the biological functions of plasma kallikrein and the most recent clinical advances in agents targeting this protease, including in HAE.
(Journal of Medicinal Chemistry, October 2025)
Perinatal management and clinical outcomes of hereditary angioedema in Japan: A case series and comprehensive literature review
Iino K, et al
The authors look at a small number of cases of women with type 1 HAE giving birth, in order to better understand how to manage HAE in perinatal women. The authors conclude that their findings indicate that perinatal care should be personalized for individual patients, and that short-term prophylaxis with plasma-derived C1 inhibitor should be the cornerstone of enhancing maternal safety and providing psychological reassurance.
(Journal of Dermatology, December 2025)
On-demand treatment of hereditary angioedema attacks: Patient-reported utilization, barriers, and outcome
Yi-Hsuan Tu, et al
The authors respond to a recent paper by Christiansen and colleagues that examines treatment behaviors among people with HAE. The authors offer suggestions for building on their work.
(Annals of Allergy, Asthma and Immunology, December 2025)
Common features of rare disease patients in the emergency department: A systematised literature review
Pflock S, et al
The authors investigated the common symptoms shared by a range of rare diseases, including HAE, to better understand how emergency department doctors can address undiagnosed rare diseases. The authors conclude that there is limited knowledge of rare diseases in the emergency department. There are common features among rare disease patients that could be used to identify those at increased risk and facilitate early detection and treatment.
(Orphanet Journal of Rare Diseases, November 2025)
Sebetralstat: A paradigm shift in hereditary angioedema management
Qadri M, et al.
The authors, writing in a letter to the editors, draw attention to the recent approval of sebetralstat by the US FDA. They indicate their belief that this could fundamentally alter the way patients with HAE are cared for. They believe that sebetralstat offers a desirable alternative for patients who presently rely on injectable medications, especially where these might not be easily accessible during an attack.
(Annals of Medicine and Surgery (London), October 2025)
A Phase 1 randomized study: Garadacimab pharmacokinetics, safety, and tolerability after administration via autoinjector/pre-filled pen versus pre-filled syringe in healthy participants
Glassman F, et al
The authors conducted a trial, using healthy volunteers, that compared the safety and how quickly the body absorbed garadacimab when a new auto-injector / pre-filled pen (AI/PFP), or an existing pre-filled syringe was used. The authors conclude that the AI/PFP had a consistent safety and tolerability profile, similar to that of the existing pre-filled syringe, providing at-home convenience for patients and physicians.
(The Journal of Clinical Pharmacology, January 2026)
HAEi reports on news from the industry
3 December 2025
Pivotal data on potential HAE treatment, deucrictibant, announced by pharmaceutical company
Topline data from a critical Phase-3 study investigating a potential new medicine for HAE, deucrictibant, has been announced by the pharmaceutical company, Pharvaris. The company reports that it remains on track to submit a New Drug Application (NDA) with the US FDA in the first half of 2026 for the on-demand treatment of acute attacks of HAE. The following is a summary of some key findings of the study:
- Primary endpoint met; median time to onset of symptom relief achieved in 28 hours, significantly faster versus placebo (p<0.0001)
- All secondary efficacy endpoints met (p<0.0001), including End of Progression (median 47 minutes) and complete symptom resolution (median 11.95 hours)
- Well-tolerated safety profile of deucrictibant confirmed
- Efficacy and safety outcomes consistent across all HAE subtypes represented (HAE type 1, HAE type 2, and HAE with normal C1 inhibitor) and varying attack severities and locations
Marc A Riedl, MD, MS, Professor of Medicine, Clinical Director of the US Hereditary Angioedema Association (HAEA) Angioedema Center at the University of California San Diego (UCSD), and principal investigator in the RAPIDe-3 study, commented: “Bradykinin B2 receptor antagonism is a proven and effective mechanism for treatment of bradykinin-mediated angioedema. Injectable and oral on-demand therapies for HAE are available, however unmet medical needs remain. Effective, well-tolerated, and convenient acute treatment is an essential part of all HAE management plans due to unpredictable angioedema symptoms. The comprehensive and compelling outcomes of RAPIDe-3, specifically the fast treatment response and early complete symptom resolution, demonstrate the potential benefits of deucrictibant as an important on-demand treatment for people living with HAE.”
Berndt Modig, Chief Executive Officer of Pharvaris, added: “Since its founding, Pharvaris has spent the last decade pioneering science for patient choice. Deucrictibant combines the proven and effective mechanism of bradykinin B2 receptor antagonism in HAE with the convenience of oral administration. We are thrilled that RAPIDe-3 confirmed the profile of deucrictibant IR capsule established in Phase 2. If the CHAPTER-3 pivotal Phase 3 study confirms deucrictibant extended-release tablet as a long-term prophylactic of HAE attacks, deucrictibant could be the first and only oral therapy to offer control in both the on-demand and prophylactic treatment of bradykinin-mediated angioedema attacks.”
(Source: Pharvaris)
12 December 2025
First oral treatment to prevent HAE attacks in children older than two approved by US FDA
The US FDA (Food and Drug Administration) has approved the use of an oral pellet formulation of the HAE treatment berotralstat (also referred to by its brand name, Orladeyo) to prevent HAE attacks in children aged two and above (2 to <12).
Berotralstat is the first and only targeted oral prophylactic therapy for HAE patients over the age of two. The new pellet formulation is sprinkle-like in appearance and size, and can be poured directly into the mouth with water or milk, or sprinkled over a spoonful of soft, non-acidic food.
Anthony J Castaldo, CEO and Chairman of the US Hereditary Angioedema Association (HAEA), said: “Today’s pediatric approval of Orladeyo offers a welcome oral preventive choice for children living with HAE, and provides families and clinicians with an important option for shared decision-making that matches treatment with patient needs.”
Charlie Gayer, President & Chief Commercial Officer of BioCryst, said: “We are excited to make Orladeyo oral pellets available to children living with HAE. The use of prophylactic therapy has been limited among younger children compared to adults, in part because of the lack of appropriate, less burdensome treatment options. Orladeyo oral pellets have the potential to change how a new generation of children with HAE and their caregivers manage this condition, giving them more freedom to live a normal life.”
Jon Stonehouse, Chief Executive Officer of BioCryst, said: “We couldn’t be more excited to bring this treatment option to these kids and their caregivers,” said. “Orladeyo has been prescribed to more than 3,500 patients in the US to date, and we’re honored to now bring an oral pellet formulation to children and their caregivers, answering the community’s heartfelt call for a long-term prophylactic treatment option that meets the unique needs of children. Thank you to the patients and caregivers, investigators, advocates, and employees who helped make this significant HAE treatment milestone possible.”
BioCryst has filed applications for the use of berotralstat oral pellets in patients with HAE aged 2 to <12 years with the European Medicines Agency and the Japan Pharmaceutical and Medical Devices Agency. Additional regulatory filings are planned in other global territories, including Canada.
(Source: BioCryst)
22 December 2025
Approval of sebetralstat by Japanese regulatory authority
A new medicine for HAE, called Ekterly (sebetralstat), has been granted marketing and manufacturing approval from the Ministry of Health, Labor and Welfare (MHLW) in Japan, for the treatment of acute attacks of hereditary angioedema (HAE) in adults and adolescents aged 12 years and older.
Sebetralstat is the first and only oral on-demand treatment for HAE approved in Japan, and will be commercialized in Japan by KalVista’s partner, Kaken Pharmaceutical. Kaken will launch sebetralstat shortly after it is listed on the Japanese National Health Insurance System (NHI).
Ben Palleiko, CEO of KalVista, said: “The approval of Ekterly in Japan marks another major milestone in our global pursuit to bring the first and only oral on-demand treatment to people living with HAE. We recognize the significant efforts of our Japanese team in achieving this outcome. We also appreciate the diligent commercial preparations by Kaken and look forward to their continued leadership in making this therapy available to patients in Japan. This approval underscores both the urgent need for new, effective therapies and the potential of Ekterly to meaningfully improve the lives of individuals and families affected by HAE across the world.”
Since 3 July 2025, sebetralstat has received seven regulatory approvals across major global markets, including in the United States, United Kingdom, European Union, Switzerland, Australia, Singapore, and now Japan. Each approval authorizes its use for treating HAE attacks in individuals aged 12 and older.
(Source: KalVista)
12 January 2026
Goals and priorities for potential HAE treatment, deucrictibant, announced by pharmaceutical company
The pharmaceutical company driving the development of a potential new medicine for HAE, deucrictibant, has announced their priorities for 2026. The following is a summary of these:
- Topline data from CHAPTER-3, a pivotal study of deucrictibant for prophylactic treatment of HAE attacks, anticipated in 3Q2026
- Preparation of NDA dossier of deucrictibant for on-demand treatment of HAE attacks ongoing; timeline remains on-track for filing in 1H2026
- Recruitment ongoing in CREAATE, a pivotal study of deucrictibant for the prophylactic and on-demand treatment of acquired angioedema (AAE-C1INH) attacks
Berndt Modig, Chief Executive Officer of Pharvaris said: “The readout of Pharvaris’ first pivotal Phase 3 study, RAPIDe-3, in December was the culmination of a decade of scientific rigor, operational and financial diligence, executional excellence, and, most importantly, community engagement and commitment. The data reported in December build upon Pharvaris’ legacy in HAE drug development, and we believe demonstrate deucrictibant’s potentially differentiated profile and potential to become a new standard of care for on-demand HAE treatment of attacks.”
(Source: Pharvaris)
HAEi Around the World
Currently, there are HAE Member Organizations in 105 countries. You will find a great deal of vital information on the HAE representations around the globe at haei.org, and the world map will provide you with contact information for the Member Organizations, ACARE centers, hospitals, and physicians.
The information on haei.org is updated as soon as HAEi receives fresh data from the national Member Organizations.
Global Perspectives · Issue 1/2026 · February 2026
Magazine Staff: Henrik Balle Boysen, President; Deborah Corcoran, Director, Research; Stuart Mayell, Editor in Chief, Global Perspectives; Rikke Sørensen, Manager, Communication, Design, and Graphics
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Who we are
HAE International is a global non-profit network of member organizations dedicated to raising awareness of hereditary angioedema and improving the lives of people with HAE.
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