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PericarditisPhase 2/3PASTORALENCT07010159

Phase 2/3 Study of Participants With Recurrent Pericarditis Evaluating the Efficacy and Safety of KPL-387

A Phase 2/3 study testing KPL-387 in people with Pericarditis and Pericarditis Acute, run by Kiniksa Pharmaceuticals International, plc at 66 sites in 10 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

This study is being done to demonstrate whether KPL-387 is an effective and safe treatment for recurrent pericarditis. Read more about this study

Who is it for?
Ages 18 to 80 years
What is being tested?
KPL-387
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
325 participants
Where
66 sitesin 10 countries
Study dates
25 Jul 2025to 31 Dec 2029
Phase
Phase 2/3
Are there results?
Not yet: the study is under way

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 18 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Phase 2 and 3: Has a diagnosis of recurrent pericarditis
  • Phase 2 and 3: Has signs and symptoms of recurrent pericarditis despite treatment with standard therapies
  • Phase 2 and 3: Weighs at least 40 kg
  • Phase 2: Taking NSAIDS and/or colchicine (in any combination)
  • Phase 3: Taking NSAIDs and/or colchicine and/or glucocorticoids (in any combination)

Who cannot join

  • Phase 2 and 3: Has a diagnosis of pericarditis that is secondary to specific prohibited etiologies.
  • Phase 2 and 3: Has received an investigational drug during the 4 weeks before screening or is planning to receive an investigational drug at any time during the study.
  • Phase 2 and 3: Has a history of active or untreated, latent tuberculosis (TB) prior to screening.
  • Phase 2 and 3: Has a history of immunodeficiency.
  • Phase 2 and 3: Has a history of immunosuppression, including positive human immunodeficiency virus (HIV) test results.
  • Phase 2 and 3: Has chest x-ray at Screening or within 12 weeks before first study drug administration, with evidence of malignancy, abnormality consistent with prior or active TB infection or active infection.
Show all 11Show fewer
  • Phase 2 and 3: Has a history of malignancy of any organ system within the past 5 years before Screening (other than a successfully treated non metastatic cutaneous squamous cell carcinoma or basal cell carcinoma and/or localized carcinoma in situ of the cervix).
  • Phase 2 and 3: Has a known or suspected current active infection or a history of chronic or recurrent infectious disease (> 3 episodes in prior 12 months), including but not limited to, genitourinary infection, chest infection, sinusitis, or skin/soft tissue infection.
  • Phase 2 and 3: Has had a serious infection, has been admitted to the hospital for an infection, or has been treated for a documented infection requiring antibiotics for a documented infection within 2 weeks prior to first study drug administration.
  • Phase 2 and 3: Has had an organ transplant (except corneal transplant performed more than 3 months prior to first study drug administration).
  • Phase 2 and 3: In the Investigator's opinion, has any other medical condition that could adversely affect the subject's participation or interfere with study evaluations.

Trial locations and contacts

66 sites in 10 countries. Contact the study team or a site near you to ask about taking part.

Clinical Project Manager contact

781-431-9100

clinicaltrials@kiniksa.com

66 sites in 10 countries

United States32 sites, 30 recruiting
  • Investigational Site 005

    Austin, Texas, 78705

    Recruiting
  • Investigational Site 043

    Baltimore, Maryland, 21287

    Recruiting
  • Investigational Site 054

    Boston, Massachusetts, 02411

    Recruiting
  • Investigational Site 042

    Burlington, Vermont, 05401

    Recruiting
  • Investigational Site 006

    Charlottesville, Virginia, 22903

    Recruiting
  • Investigational Site 004

    Chicago, Illinois, 60611

    Recruiting
  • Investigational Site 009

    Cincinnati, Ohio, 45219

    Recruiting
  • Investigational Site 003

    Cleveland, Ohio, 44195

    Recruiting
  • Investigational Site 001

    Columbus, Georgia, 31904

    Withdrawn
  • Investigational Site 018

    Gilbert, Arizona, 85297

    Recruiting
  • Investigational Site 066

    Houston, Texas, 77004

    Recruiting
  • Investigational Site 013

    Houston, Texas, 77030

    Recruiting
  • Investigational Site 014

    Indianapolis, Indiana, 46184

    Recruiting
  • Investigational Site 050

    Kansas City, Missouri, 64111

    Recruiting
  • Investigational Site 046

    Kansas City, Missouri, 66160

    Recruiting
  • Investigational Site 064

    La Jolla, California, 92037

    Recruiting
  • Investigational Site 030

    Los Angeles, California, 90048

    Recruiting
  • Investigational Site 055

    Minneapolis, Minnesota, 55407

    Recruiting
  • Investigational Site 015

    New York, New York, 10016

    Recruiting
  • Investigational Site 022

    New York, New York, 10032

    Recruiting
  • Investigational Site 023

    Norfolk, Virginia, 23507

    Recruiting
  • Investigational Site 002

    Overland Park, Kansas, 66221

    Withdrawn
  • Investigational Site 053

    Phoenix, Arizona, 85054

    Recruiting
  • Investigational Site 045

    Richmond, Virginia, 23284

    Recruiting
  • Investigational Site 012

    Rochester, Minnesota, 55905

    Recruiting
  • Investigational Site 008

    San Francisco, California, 94158

    Recruiting
  • Investigational Site 044

    Santa Monica, California, 90404

    Recruiting
  • Investigational Site 065

    Seattle, Washington, 98122

    Recruiting
  • Investigational Site 062

    St Louis, Missouri, 63130

    Recruiting
  • Investigational Site 058

    Ventura, California, 93003

    Recruiting
  • Investigational Site 061

    Washington D.C., District of Columbia, 20010

    Recruiting
  • Investigational Site 016

    Westminster, Colorado, 80023

    Recruiting

Other trials in United States

Italy10 sites, 10 recruiting
  • Investigational Site 060

    Florence, 50134

    Recruiting
  • Investigational Site 029

    Genoa, 16132

    Recruiting
  • Investigational Site 040

    Genoa, 16147

    Recruiting
  • Investigational Site 056

    Milan, 20132

    Recruiting
  • Investigational Site 063

    Milan, 20162

    Recruiting
  • Investigational Site 007

    Milan, 20157

    Recruiting
  • Investigational Site 050

    Padua, 35143

    Recruiting
  • Investigational Site 059

    Turin, 10126

    Recruiting
  • Investigational Site 033

    Udine, 33100

    Recruiting
  • Investigational Site 041

    Varese, 21100

    Recruiting

Other trials in Italy

France6 sites, 6 recruiting
  • Investigational Site 028

    Montpellier, 34090

    Recruiting
  • Investigational Site 021

    Paris, 75013

    Recruiting
  • Investigational Site 036

    Pessac, 33600

    Recruiting
  • Investigational Site 019

    Poitiers, 86000

    Recruiting
  • Investigational Site 037

    Toulouse, 31400

    Recruiting
  • Investigational Site 038

    Toulouse, 31400

    Recruiting

Other trials in France

Spain5 sites, 5 recruiting
  • Investigational Site 048

    Barcelona, 08017

    Recruiting
  • Investigational Site 010

    Barcelona, 8035

    Recruiting
  • Investigational Site 024

    Madrid, 28850

    Recruiting
  • Investigational Site 011

    Murcia, 30120

    Recruiting
  • Investigational Site 057

    Valencia, 46015

    Recruiting

Other trials in Spain

United Kingdom4 sites, 4 recruiting
  • Investigational Site 020

    London, EC1A 7BE

    Recruiting
  • Investigational Site 047

    London, NW3 2QG

    Recruiting
  • Investigational Site 035

    London, SE1 7EH

    Recruiting
  • Investigational Site 017

    Southampton, SO17 1BJ

    Recruiting

Other trials in United Kingdom

Greece3 sites, 3 recruiting
  • Investigational Site 034

    Athens, 115 28

    Recruiting
  • Investigational Site 039

    Nea Ionia, 142 33

    Recruiting
  • Investigational Site 032

    Voula, 166 73

    Recruiting

Other trials in Greece

Poland2 sites, 2 recruiting
  • Investigational Site 051

    Warsaw, 02-097

    Recruiting
  • Investigational Site 031

    Warsaw, 02-507

    Recruiting

Other trials in Poland

Serbia2 sites, 2 recruiting
  • Investigational Site 025

    Belgrade, 11000

    Recruiting
  • Investigational Site 026

    Belgrade, 11040

    Recruiting

Other trials in Serbia

Canada1 site, 1 recruiting
  • Investigational Site 027

    Ottawa, Ontario, K1N 6N5

    Recruiting

Other trials in Canada

Germany1 site, 1 recruiting
  • Investigational Site 052

    Dresden, 01069

    Recruiting

Other trials in Germany

About this study

Official title: A Phase 2/3 Efficacy and Safety Study of KPL-387 Treatment in Participants With Recurrent Pericarditis

This study is being done to demonstrate whether KPL-387 is an effective and safe treatment for recurrent pericarditis.

Read the detailed description

This clinical trial is comprised of 3 separate study parts: Phase 2, Phase 3, and Long-Term Extension. The primary objective of Phase 2 is to evaluate how well different dose levels of KPL-387 control the pain and inflammation of pericarditis in a group of participants experiencing an acute episode of recurrent pericarditis. This part of the study will confirm the KPL-387 dose level to be further tested in Phase 3 and the Long-Term Extension. The primary objective of Phase 3 is to confirm the efficacy of KPL-387 for the treatment of recurrent pericarditis and reduction in risk of recurrence in an additional group of participants experiencing an acute episode of recurrent pericarditis. Participants who complete Phase 2 or Phase 3 may be eligible to participate in the Long-Term Extension. The primary objective of the Long-Term Extension is to assess the long-term efficacy of KPL-387 while maintaining long-term disease control. All of the study parts also have other objectives to learn about the safety, tolerability, concentration of KPL-387 in blood, and effects of KPL-387 on blood test markers of immune activity in recurrent pericarditis.

Being tested
KPL-387, Placebo
Keywords
Recurrence, Recurrent, Recurrent Pericarditis, KPL-387
Medical subject headings
Pericarditis, Recurrence

What participants receive

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

  • KPL-387Drug

    administered by subcutaneous injection

  • PlaceboDrug

    administered by subcutaneous injection

Study groups in NCT07010159
Study groupRoleWhat they receive
Phase 2 KPL-387 100mg SC q2wkExperimentalIn Phase 2 Treatment Period KPL-387 will be administered by subcutaneous (SC) injection every 2 weeks (q2wk) through Week 22.
Receives: Drug: KPL-387
Phase 2 KPL-387 100mg SC q4wkExperimentalIn Phase 2 Treatment Period, KPL-387 or placebo (alternating every 2 weeks) will be administered by SC injection q2wk through Week 22 to provide active drug administration every 4 weeks (q4wk) while maintaining treatment concealment.
Receives: Drug: KPL-387; Drug: Placebo
Phase 2 KPL-387 300mg SC q2wkExperimentalIn Phase 2 Treatment Period KPL-387 will be administered by SC injection q2wk through Week 22.
Receives: Drug: KPL-387
Phase 2 KPL-387 300mg SC q4wkExperimentalIn Phase 2 Treatment Period, KPL-387 or placebo (alternating every 2 weeks) will be administered by SC injection q2wk through Week 22 to provide active drug administration q4wk while maintaining treatment concealment.
Receives: Drug: KPL-387; Drug: Placebo
Phase 3 KPL-387 SCExperimentalRun-In (RI) Period: participants receive single-blind KPL-387 Randomized Withdrawal (RW) Period: eligible participants are randomized (1:1 KPL-387 or placebo) to receive double-blinded KPL-387.
Receives: Drug: KPL-387
Phase 3 Placebo SCPlacebo comparatorRW Period: eligible participants are randomized (1:1 KPL-387 or placebo) to receive double-blinded placebo.
Receives: Drug: Placebo
Long-Term ExtensionExperimentalParticipants from Phase 2 and Phase 3 who continue into the Long-Term Extension will receive KPL-387.
Receives: Drug: KPL-387

What is being measured

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

  1. Phase 2: Time to Treatment Response by Week 24

    Measured: From Baseline up to Week 24

  2. Phase 3: Time to Pericarditis Recurrence

    Measured: From Baseline in the RW Period

  3. Long-Term Extension: Annualized rate of Pericarditis Recurrence

    Measured: Up to 24 Months

Secondary outcomes (29)
  1. Phase 2: Time to CRP Normalization (CRP ≤ 0.5 mg/dL) by Week 24

    Measured: From Baseline up to Week 24

  2. Phase 2: Time to Pain Response by Week 24

    Measured: From Baseline up to Week 24

  3. Phase 2: Percentage of Days With No or Minimal Pain (Numerical Rating Scale (NRS) ≤ 2) While on KPL-387 Treatment Over Time by Week 24

    Measured: From Baseline up to Week 24

  4. Phase 2: Proportion of Participants With Normalization of CRP (CRP ≤ 0.5 mg/dL) Over Time by Week 24

    Measured: From Baseline up to Week 24

  5. Phase 2: Time to resolution of pericarditis manifestations (i.e. echocardiogram [ECHO] abnormalities, electrocardiogram [ECG] abnormalities, and pericardial rub), when present at Baseline, by Week 16.

    Measured: From Baseline up to Week 16

  6. Phase 2: Change from Baseline in SF-36v2® Physical Component Summary score through Week 24.

    Measured: From Baseline up to Week 24

  7. Phase 2: Change from Baseline in SF-36v2® Mental Component Summary score through Week 24.

    Measured: From Baseline to Week 24

  8. Phase 2: Proportion of participants with Protocol-Defined Pericarditis Recurrence by Week 24.

    Measured: From Baseline to Week 24

  9. Phase 2: Change from Baseline in CRP through Week 24.

    Measured: From Baseline up to Week 24

  10. Phase 2: Change from Baseline in pericarditis pain NRS score through Week 24.

    Measured: From Baseline up to Week 24

  11. Phase 3: Change from RI Baseline in SF-36v2® Mental Component Summary score through the end of the RI Period

    Measured: From Baseline up to the end of the RI Period

  12. Phase 3: Time to Treatment Response by the end of the RI Period

    Measured: From Baseline up to end of the RI Period

  13. Phase 3: Time to KPL-387 monotherapy by the end of the RI Period

    Measured: From Baseline up to end of the RI Period

  14. Phase 3: Time to Pain Response by end of the RI Period

    Measured: From Baseline up to end of the RI Period

  15. Phase 3: Time to CRP normalization by the end of the RI Period

    Measured: From Baseline up to end of the RI Period

  16. Phase 3: Change from RI Baseline in SF-36v2® Physical Component Summary score through the end of the RI Period.

    Measured: From Baseline up to end of the RI Period

  17. Phase 3: Time to resolution of pericarditis manifestations (i.e., ECHO abnormalities, ECG abnormalities, and pericardial rub), when present at RI Baseline, by the end of the RI period.

    Measured: From Baseline up to end of the RI Period

  18. Phase 3: Change from RI Baseline in pericarditis pain NRS score through the end of the RI Period.

    Measured: From Baseline up to end of the RI Period

  19. Phase 3: Change from RI Baseline in CRP through the end of the RI Period.

    Measured: From Baseline up to end of the RI Period

  20. Phase 3: Proportion of participants who maintained Clinical Response at RW Week 16.

    Measured: From Baseline up to RW Week 16

  21. Phase 3: Percentage of days with no or minimal pericarditis pain through RW Week 16.

    Measured: From Baseline up to RW Week 16

  22. Phase 3: Change from RW Baseline in SF-36v2® Physical Component Summary score at RW Week 16.

    Measured: From Baseline up to RW Week 16

  23. Phase 3: Change from RW Baseline in pain NRS score during the RW Period.

    Measured: From Baseline through the end of the RW Period

  24. Phase 3: Change from RW Baseline in CRP during the RW Period

    Measured: From Baseline through the end of the RW Period

  25. Long-Term Extension: Proportion of participants who maintained Clinical Response through the end of the LTE Period.

    Measured: Up to 24 months

  26. Long-Term Extension: Percentage of days with no or minimal pericarditis pain through the end of the LTE Period.

    Measured: Up to 24 months

  27. Long-Term Extension: Change from LTE Baseline in SF-36v2® Physical Component Summary score through the end of the LTE Period.

    Measured: Up to 24 months

  28. Long-Term Extension: Change from LTE Baseline in SF-36v2® Mental Component Summary score through the end of the LTE Period.

    Measured: Up to 24 months

  29. Long-Term Extension: Change from LTE baseline in pain NRS score through the end of the LTE Period.

    Measured: Up to 24 months

Timeline

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

  1. First posted8 Jun 2025
  2. Study start25 Jul 2025
  3. Primary completion31 Dec 2027 (estimated)
  4. Study completion31 Dec 2029 (estimated)

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 2/3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
325 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07010159
Sponsor's protocol ID
KPL-387-C211
Other IDs
2025-521933-10, 2025
Acronym
PASTORALE
Status last verified
Jul 2026
First submitted
29 May 2025
Last updated
19 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2/3 study testing KPL-387 in people with Pericarditis and Pericarditis Acute, run by Kiniksa Pharmaceuticals International, plc at 66 sites in 10 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 5 inclusion and 11 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: looking for participants now, as of the sponsor's last update on 19 Oct 2026. 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, Italy, France, Spain, United Kingdom and 5 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 combined phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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?

This study is still under way. Results are not available in the source record yet.

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

Contact Clinical Project Manager (781-431-9100, clinicaltrials@kiniksa.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Phase 2: Time to Treatment Response by Week 24 (time frame: From Baseline up to Week 24). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 19 Oct 2026; AzTrials last refreshed its copy on 26 Oct 2026.

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