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Hereditary AngioedemaPhase 3NCT05259917

A Phase III, Crossover Trial Evaluating the Efficacy and Safety of KVD900 (Sebetralstat) for On-Demand Treatment of Angioedema Attacks in Adolescent and Adult Patients With Hereditary Angioedema (HAE)

A Phase 3 study testing KVD900 600 mg and KVD900 300 mg in people with Hereditary Angioedema, run by KalVista Pharmaceuticals, Ltd. at 66 sites in 21 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This study is a randomized, double-blind, placebo-controlled, phase III, three-way crossover clinical trial evaluating the efficacy and safety of KVD900, in the treatment of hereditary angioedema attacks in adolescent and adult Patients Read more about this study

Who is it for?
Ages 12 years and older
Conditions the study is for
Hereditary Angioedema
What is being tested?
KVD900 600 mg and KVD900 300 mg
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
136 participants
Where
66 sitesin 21 countries
Study dates
22 Feb 2022to 31 Dec 2023
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 12 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Male or female patients 12 years of age and older.
  • Confirmed diagnosis of HAE type I or II at any time in the medical history.
  • Patient has access to and ability to use conventional on-demand treatment for HAE attacks.
  • If a patient is receiving long-term prophylactic treatment with one of the protocol-allowed therapies, they must be on a stable dose and regimen for at least 3 months prior to the Screening Visit (except for danazol, which requires a stable dose and regimen for 6 months prior to the Screening Visit). Patient must be willing to remain on a stable dose and regimen for the duration of the trial.
  • Patient's last dose of attenuated androgens other than danazol was at least 28 days prior to randomization.
  • Patient:
Show all 13Show fewer
  • has had at least 2 documented HAE attacks within 3 months prior to screening or randomization; or
  • is a completer of the KVD824-201 trial within 3 months prior to randomization and meets all other entry criteria to enroll in KVD900-301
  • Patients must meet the contraception requirements.
  • Patients must be able to swallow trial tablets whole.
  • Patients, as assessed by the Investigator, must be able to appropriately receive and store IMP, and be able to read, understand, and complete the electronic diary (eDiary).
  • Investigator believes that the patient is willing and able to adhere to all protocol requirements.
  • Patient provides signed informed consent or assent (when applicable). A parent or legally authorized representative (LAR) must also provide signed informed consent when required.

Who cannot join

  • Any concomitant diagnosis of another form of chronic angioedema, such as acquired C1-inhibitor deficiency, HAE with normal C1-INH (previously known as HAE type III), idiopathic angioedema, or angioedema associated with urticaria.
  • A clinically significant history of poor response to bradykinin receptor 2 (BR2) blocker, C1-INH therapy or plasma kallikrein inhibitor therapy for the management of HAE, in the opinion of the Investigator.
  • Use of angiotensin-converting enzyme (ACE) inhibitors after the Screening Visit or within 7 days prior to randomization.
  • Any estrogen containing medications with systemic absorption (such as oral contraceptives including ethinylestradiol or hormonal replacement therapy) within 7 days prior to the Screening Visit.
  • Patients who require sustained use of strong cytochrome P450 3A4 (CYP3A4) inhibitors or inducers.
  • Inadequate organ function, including but not limited to:
Show all 18Show fewer
  • Alanine aminotransferase (ALT) >2x upper limit of normal (ULN)
  • Aspartate aminotransferase (AST) >2x ULN
  • Bilirubin direct >1.25x ULN
  • International normalized ratio (INR) >1.2
  • Clinically significant hepatic impairment defined as a Child-Pugh B or C
  • Any clinically significant comorbidity or systemic dysfunction, which in the opinion of the Investigator, would jeopardize the safety of the patient by participating in the trial.
  • History of substance abuse or dependence that would interfere with the completion of the trial, as determined by the Investigator.
  • Known hypersensitivity to KVD900 or placebo or to any of the excipients.
  • Prior participation in trial KVD900-201.
  • Participation in any gene therapy treatment or trial for HAE.
  • Participation in any interventional investigational clinical trial (with the exception of KVD824-201), including an investigational COVID-19 vaccine trial, within 4 weeks of the last dosing of investigational drug prior to screening.
  • Any pregnant or breastfeeding patient.

Trial locations and contacts

66 sites in 21 countries.

66 sites in 21 countries

United States22 sites
  • KalVista Investigative Site

    Birmingham, Alabama, 35209

  • KalVista Investigative Site

    Centennial, Colorado, 80112

  • KalVista Investigative Site

    Charlotte, North Carolina, 28277

  • KalVista Investigative Site

    Chevy Chase, Maryland, 20815

  • KalVista Investigative Site

    Chicago, Illinois, 60612

  • KalVista Investigative Site

    Colorado Springs, Colorado, 80907

  • KalVista Investigative Site

    Dallas, Texas, 75231

  • KalVista Investigative Site

    Hershey, Pennsylvania, 17033

  • KalVista Investigative Site

    Layton, Utah, 84041

  • KalVista Investigative Site

    Little Rock, Arkansas, 72205

  • KalVista Investigative Site

    Louisville, Kentucky, 40215

  • KalVista Investigative Site

    New York, New York, 10029

  • KalVista Investigative Site

    Overland Park, Kansas, 66211

  • KalVista Investigative Site

    Plymouth, Minnesota, 55446

  • KalVista Investigative Site

    San Diego, California, 92122

  • KalVista Investigative Site

    San Diego, California, 92123

  • KalVista Investigative Site

    Santa Monica, California, 90404

  • KalVista Investigative Site

    Scottsdale, Arizona, 85251

  • KalVista Investigative Site

    Spokane, Washington, 99202

  • KalVista Investigative Site

    St Louis, Missouri, 61414

  • KalVista Investigative Site

    Tampa, Florida, 33613

  • KalVista Investigative Site

    Toledo, Ohio, 43617

Other trials in United States

Japan6 sites
  • KalVista Investgative Site

    Chiba, 260-8677

  • KalVista Investigative Site

    Gunma, 371-8511

  • KalVista Investigative Site

    Hiroshima, 730-8518

  • KalVista Investigative Site

    Saitama, 340-0041

  • KalVista Investgative Site

    Takatsuki-shi, Osaka, 569-8686

  • KalVista Investigative Site

    Yokohama, 236-0004

Other trials in Japan

United Kingdom5 sites
  • KalVista Investigative Site

    Birmingham, B9 5SS

  • KalVista Investigative Site

    Cardiff, CF14 4XW

  • KalVista Investigative Site

    Frimley, GU16 7UJ

  • KalVista Investigative Site

    Leeds, LS9 7TF

  • KalVista Investigative Site

    London, E1 1FR

Other trials in United Kingdom

France4 sites
  • KalVista Investigative Site

    Grenoble, 38043

  • KalVista Investigative Site

    Lille, 59000

  • KalVista Investigative Site

    Lille, 59037

  • KalVista Investigative Site

    Paris, 75571

Other trials in France

Germany4 sites
  • KalVista Investigative Site

    Berlin, 12203

  • KalVista Investigative Site

    Frankfurt am Main, Hesse, 60590

  • KalVista Investigative Site

    Mainz, 55131

  • KalVista Investigative Site

    Mörfelden-Walldorf, 64546

Other trials in Germany

Israel4 sites
  • KalVista Investigative Site

    Haifa, 31048

  • KalVista Investigative Site

    Petach Tikvah, 49202

  • KalVista Investigative Site

    Ramat Gan, 52621

  • KalVista Investigative Site

    Tel Aviv, 64239

Other trials in Israel

Poland3 sites
  • KalVista Investigative Site

    Bialystok, 15-276

  • KalVista Investigative Site

    Krakow, 31-503

  • KalVista Investigative Site

    Lodz, 92-213

Other trials in Poland

Spain3 sites
  • KalVista Investigative Site

    Barcelona, 08035

  • KalVista Investigative Site

    Barcelona, 08907

  • KalVista Investigative Site

    Madrid, 28046

Other trials in Spain

Greece2 sites
  • Kalvista Investigative Site

    Athens, 11521

  • KalVista Investigative Site

    Athens, 11527

Other trials in Greece

Italy2 sites
  • KalVista Investigative Site

    Padova, 35128

  • KalVista Investigative Site

    San Donato Milanese, 20097

Other trials in Italy

Australia1 site
  • KalVista Investigative Site

    Campbelltown, New South Wales, 2560

Other trials in Australia

Bulgaria1 site
  • KalVista Investigative Site

    Sofia, 1431

Other trials in Bulgaria

Canada1 site
  • KalVista Investigative Site

    Toronto, Ontario, M3B 3S6

Other trials in Canada

Hungary1 site
  • KalVista Investigative Site

    Budapest, 1088

Other trials in Hungary

Netherlands1 site
  • KalVista Investigative Site

    Amsterdam, 1105 AZ

Other trials in Netherlands

New Zealand1 site
  • KalVista Investigative Site

    Auckland, 1023

Other trials in New Zealand

North Macedonia1 site
  • KalVista Investigative Site

    Skopje, 1000

Other trials in North Macedonia

Portugal1 site
  • KalVista Investigative Site

    Porto, 4200-319

Other trials in Portugal

Puerto Rico1 site
  • KalVista Investigative Site

    San Juan, 00918

Other trials in Puerto Rico

Romania1 site
  • KalVista Investigative Site

    Sângeorgiu de Mureş, Mureș County, 547530

Other trials in Romania

Slovakia1 site
  • KalVista Investigative Site

    Martin, 03659

Other trials in Slovakia

About this study

Official title: A Randomized, Double-Blind, Placebo-Controlled, Phase 3, Three-way Crossover Trial to Evaluate the Efficacy and Safety of Two Dose Levels of KVD900, an Oral Plasma Kallikrein Inhibitor, for On-Demand Treatment of Angioedema Attacks in Adolescent and Adult Patients With Hereditary Angioedema Type I or II

This study is a randomized, double-blind, placebo-controlled, phase III, three-way crossover clinical trial evaluating the efficacy and safety of KVD900, in the treatment of hereditary angioedema attacks in adolescent and adult Patients

Being tested
Placebo, KVD900 600 mg, KVD900 300 mg
Keywords
KONFIDENT, Sebetralstat
Medical subject headings
Angioedemas, Hereditary

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PlaceboDrug

    Placebo to KVD900 Tablet

  • KVD900 600 mgDrug

    KVD900 Tablet 600 mg (2 x 300 mg)

  • KVD900 300 mgDrug

    KVD900 Tablet 300 mg (1 x 300 mg)

Study groups in NCT05259917
Study groupRoleWhat they receive
PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo
KVD900 600 mgExperimentalNot described
Receives: Drug: KVD900 600 mg
KVD900 300 mgExperimentalNot described
Receives: Drug: KVD900 300 mg

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Time to Beginning of Symptom Relief Patient Global Impression of Change (PGI-C)

    The analysis of time to the beginning of symptom relief defined as at least "a little better" (2 time points in a row) on the PGI-C within 12 hours of the first IMP administration using the Gehan score transformation test for Full Analysis Set (FAS).

    Attacks were treated as right-censored at 12 hours if they did not achieve beginning of symptom relief defined by PGI-C as at least "a little better" (2 time points in a row) or received conventional attack treatment prior to time-to-event within 12 hours of the first IMP administration.

    When an endpoint result was non-evaluable (NE) within 12 hours, if the event did occur, the event must have occurred >12 hours following study drug.

    Measured: Within 12 hours of the first investigational medicinal product (IMP) administration.

Secondary outcomes (2)
  1. Time to First Incidence of Decrease From Baseline Patient Global Impression of Severity (PGI-S) (2 Time Points in a Row)

    First incidence of decrease in attack severity at two time points in a row (with possible missing values in between) within 12 hours of the first IMP administration.

    Attacks were treated as right-censored at 12 hours if they did not have a decrease in PGI-S score from baseline for 2 time points in a row or received conventional attack treatment prior to time-to-event within 12 hours of the first IMP administration.

    When an endpoint result was non-evaluable (NE) within 12 hours, if the event did occur, the event must have occurred >12 hours following study drug.

    Measured: Within 12 hours of the first IMP administration.

  2. Time to Complete HAE Attack Resolution (PGI-S)

    Time to complete HAE attack resolution defined as "none".

    Attacks were treated as right-censored at 24 hours if they did reach complete HAE attack resolution or received conventional attack treatment prior to time-to-event within 24 hours of IMP administration.

    When an endpoint result was non-evaluable (NE) within 24 hours, if the event did occur, the event must have occurred >24 hours following study drug.

    Measured: Within 24 hours of the first IMP administration.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted2 Mar 2022
  2. Study start22 Feb 2022
  3. Primary completion31 Dec 2023
  4. Study completion31 Dec 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
136 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05259917
Sponsor's protocol ID
KVD900-301
Status last verified
Apr 2025
First submitted
4 Feb 2022
Last updated
2 May 2025
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No: Data will not be shared until all global regulatory filings are complete

Publications

  • Riedl MA, Farkas H, Aygoren-Pursun E, Psarros F, Soteres DF, Staevska M, Cancian M, Hagin D, Honda D, Melamed I, Savic S, Stobiecki M, Busse PJ, Dias de Castro E, Agmon-Levin N, Gower R, Kessel A, Kurowski M, Lleonart R, Grivcheva Panovska V, Wedner HJ, Audhya PK, Hao J, Iverson M, Smith MD, Yea CM, Lumry WR, Zanichelli A, Bernstein JA, Maurer M, Cohn DM; KONFIDENT Investigators. Oral Sebetralstat for On-Demand Treatment of Hereditary Angioedema Attacks. N Engl J Med. 2024 Jul 4;391(1):32-43. doi: 10.1056/NEJMoa2314192. Epub 2024 May 31.

    PubMed 38819658
  • Aygoren-Pursun E, Cohn DM, Agmon-Levin N, Banerji A, Bernstein JA, Busse P, Cancian M, de Castro ED, Farkas H, Grivcheva-Panovska V, Hagin D, Hakl R, Honda D, Kessel A, Kinaciyan T, Ifaad, Kurowski M, Li HH, Lleonart R, Longhurst HJ, Lumry WR, Magerl M, Martinez-Saguer I, Melamed I, Psarros F, Savic S, Soteres DF, Staevska M, Stobiecki M, Wedner HJ, Zanichelli A, Hao J, Patil K, Iverson M, Owiredu-Yeboa S, Smith MD, Yea CM, Audhya PK, Riedl MA, Kiani-Alikhan S, Maurer M. Sebetralstat for on-demand treatment of hereditary angioedema: A pooled analysis of placebo-controlled clinical trials. World Allergy Organ J. 2026 Jun 9;19(7):101401. doi: 10.1016/j.waojou.2026.101401. eCollection 2026 Jul.

    PubMed 42318595
  • Farkas H, Anderson J, Bouillet L, Caballero T, Cancian M, Craig T, Fukunaga A, Grivcheva-Panovska V, Guilarte M, Honda D, Kanarek H, Kiani-Alikhan S, Kinaciyan T, Leguevaques D, Longhurst HJ, Magerl M, Manning ME, Martinez-Saguer I, Melamed I, O'Connor ME, Peter J, Savic S, Soteres DF, Staevska M, Staubach P, Stobiecki M, Tachdjian R, Valerieva A, Yong PFK, Hao J, Iverson M, Smith MD, Yea CM, Audhya PK, Aygoren-Pursun E, Bernstein JA, Cohn DM, Lumry WR, Riedl MA, Zanichelli A, Maurer M. Long-Term Safety and Effectiveness of Sebetralstat: Interim Analysis of KONFIDENT-S Open-label Extension. J Allergy Clin Immunol Pract. 2025 Nov;13(11):3094-3103.e5. doi: 10.1016/j.jaip.2025.08.020. Epub 2025 Aug 29.

    PubMed 40886933
  • Aygoren-Pursun E, Zanichelli A, Cohn DM, Cancian M, Hakl R, Kinaciyan T, Magerl M, Martinez-Saguer I, Stobiecki M, Farkas H, Kiani-Alikhan S, Grivcheva-Panovska V, Bernstein JA, Li HH, Longhurst HJ, Audhya PK, Smith MD, Yea CM, Maetzel A, Lee DK, Feener EP, Gower R, Lumry WR, Banerji A, Riedl MA, Maurer M. An investigational oral plasma kallikrein inhibitor for on-demand treatment of hereditary angioedema: a two-part, randomised, double-blind, placebo-controlled, crossover phase 2 trial. Lancet. 2023 Feb 11;401(10375):458-469. doi: 10.1016/S0140-6736(22)02406-0.

    PubMed 36774155

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing KVD900 600 mg and KVD900 300 mg in people with Hereditary Angioedema, run by KalVista Pharmaceuticals, Ltd. at 66 sites in 21 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 13 inclusion and 18 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 2 May 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 66 sites in United States, Japan, United Kingdom, France, Germany and 16 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 19 Jul 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Time to Beginning of Symptom Relief Patient Global Impression of Change (PGI-C) (time frame: Within 12 hours of the first investigational medicinal product (IMP) administration.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05259917, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 May 2025.

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