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)

Last updated: April 25, 2025
Sponsor: KalVista Pharmaceuticals, Ltd.
Overall Status: Completed

Phase

3

Condition

Hives (Urticaria)

Allergies & Asthma

Urticaria

Treatment

Placebo

KVD900 300 mg

KVD900 600 mg

Clinical Study ID

NCT05259917
KVD900-301
  • Ages > 12
  • All Genders

Study 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

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • 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 HAEattacks.

  • If a patient is receiving long-term prophylactic treatment with one of theprotocol-allowed therapies, they must be on a stable dose and regimen for at least 3months prior to the Screening Visit (except for danazol, which requires a stabledose and regimen for 6 months prior to the Screening Visit). Patient must be willingto 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 daysprior to randomization.

  • Patient:

  1. has had at least 2 documented HAE attacks within 3 months prior to screening orrandomization; or

  2. is a completer of the KVD824-201 trial within 3 months prior to randomizationand 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 andstore 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 protocolrequirements.

  • Patient provides signed informed consent or assent (when applicable). A parent orlegally authorized representative (LAR) must also provide signed informed consentwhen required.

Exclusion

Exclusion Criteria:

  • Any concomitant diagnosis of another form of chronic angioedema, such as acquiredC1-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 ofHAE, in the opinion of the Investigator.

  • Use of angiotensin-converting enzyme (ACE) inhibitors after the Screening Visit orwithin 7 days prior to randomization.

  • Any estrogen containing medications with systemic absorption (such as oralcontraceptives including ethinylestradiol or hormonal replacement therapy) within 7days prior to the Screening Visit.

  • Patients who require sustained use of strong cytochrome P450 3A4 (CYP3A4) inhibitorsor inducers.

  • Inadequate organ function, including but not limited to:

  1. Alanine aminotransferase (ALT) >2x upper limit of normal (ULN)

  2. Aspartate aminotransferase (AST) >2x ULN

  3. Bilirubin direct >1.25x ULN

  4. International normalized ratio (INR) >1.2

  5. Clinically significant hepatic impairment defined as a Child-Pugh B or C

  • Any clinically significant comorbidity or systemic dysfunction, which in the opinionof the Investigator, would jeopardize the safety of the patient by participating inthe trial.

  • History of substance abuse or dependence that would interfere with the completion ofthe 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 theexception 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.

Study Design

Total Participants: 136
Treatment Group(s): 3
Primary Treatment: Placebo
Phase: 3
Study Start date:
February 22, 2022
Estimated Completion Date:
December 31, 2023

Connect with a study center

  • KalVista Investigative Site

    Campbelltown, New South Wales 2560
    Australia

    Site Not Available

  • KalVista Investigative Site

    Sofia, 1431
    Bulgaria

    Site Not Available

  • KalVista Investigative Site

    Toronto, Ontario M3B 3S6
    Canada

    Site Not Available

  • KalVista Investigative Site

    Grenoble Cedex 9, 38043
    France

    Site Not Available

  • KalVista Investigative Site

    Lille, 59037
    France

    Site Not Available

  • KalVista Investigative Site

    Paris, 75571
    France

    Site Not Available

  • KalVista Investigative Site

    Frankfurt, Hessen 60590
    Germany

    Site Not Available

  • KalVista Investigative Site

    Berlin, 12203
    Germany

    Site Not Available

  • KalVista Investigative Site

    Mainz, 55131
    Germany

    Site Not Available

  • KalVista Investigative Site

    Mörfelden-Walldorf, 64546
    Germany

    Site Not Available

  • KalVista Investigative Site

    Athens, 11527
    Greece

    Site Not Available

  • Kalvista Investigative Site

    Athens, 11521
    Greece

    Site Not Available

  • KalVista Investigative Site

    Budapest, 1088
    Hungary

    Site Not Available

  • KalVista Investigative Site

    Haifa, 31048
    Israel

    Site Not Available

  • KalVista Investigative Site

    Petach Tikvah, 49202
    Israel

    Site Not Available

  • KalVista Investigative Site

    Ramat Gan, 52621
    Israel

    Site Not Available

  • KalVista Investigative Site

    Tel Aviv, 64239
    Israel

    Site Not Available

  • KalVista Investigative Site

    Padova, 35128
    Italy

    Site Not Available

  • KalVista Investigative Site

    San Donato Milanese, 20097
    Italy

    Site Not Available

  • KalVista Investgative Site

    Takatsuki-shi, Osaka 569-8686
    Japan

    Site Not Available

  • KalVista Investgative Site

    Chiba-shi, 260-8677
    Japan

    Site Not Available

  • KalVista Investigative Site

    Gunma, 371-8511
    Japan

    Site Not Available

  • KalVista Investigative Site

    Hiroshima City, 730-8518
    Japan

    Site Not Available

  • KalVista Investigative Site

    Saitama, 340-0041
    Japan

    Site Not Available

  • KalVista Investigative Site

    Yokohama, 236-0004
    Japan

    Site Not Available

  • KalVista Investigative Site

    Amsterdam, 1105 AZ
    Netherlands

    Site Not Available

  • KalVista Investigative Site

    Auckland, 1023
    New Zealand

    Site Not Available

  • KalVista Investigative Site

    Skopje, 1000
    North Macedonia

    Site Not Available

  • KalVista Investigative Site

    Białystok, 15-276
    Poland

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  • KalVista Investigative Site

    Kraków, 31-503
    Poland

    Site Not Available

  • KalVista Investigative Site

    Łódź, 92-213
    Poland

    Site Not Available

  • KalVista Investigative Site

    Porto, 4200-319
    Portugal

    Site Not Available

  • KalVista Investigative Site

    San Juan, 00918
    Puerto Rico

    Site Not Available

  • KalVista Investigative Site

    Sângeorgiu De Mureş, Mureş 547530
    Romania

    Site Not Available

  • KalVista Investigative Site

    Martin, 03659
    Slovakia

    Site Not Available

  • KalVista Investigative Site

    Barcelona, 08035
    Spain

    Site Not Available

  • KalVista Investigative Site

    Madrid, 28046
    Spain

    Site Not Available

  • KalVista Investigative Site

    Birmingham, B9 5SS
    United Kingdom

    Site Not Available

  • KalVista Investigative Site

    Cardiff, CF14 4XW
    United Kingdom

    Site Not Available

  • KalVista Investigative Site

    Frimley, GU16 7UJ
    United Kingdom

    Site Not Available

  • KalVista Investigative Site

    Leeds, LS9 7TF
    United Kingdom

    Site Not Available

  • KalVista Investigative Site

    London, E1 1FR
    United Kingdom

    Site Not Available

  • KalVista Investigative Site

    Birmingham, Alabama 35209
    United States

    Site Not Available

  • KalVista Investigative Site

    Scottsdale, Arizona 85251
    United States

    Site Not Available

  • KalVista Investigative Site

    Little Rock, Arkansas 72205
    United States

    Site Not Available

  • KalVista Investigative Site

    San Diego, California 92123
    United States

    Site Not Available

  • KalVista Investigative Site

    Santa Monica, California 90404
    United States

    Site Not Available

  • KalVista Investigative Site

    Centennial, Colorado 80112
    United States

    Site Not Available

  • KalVista Investigative Site

    Colorado Springs, Colorado 80907
    United States

    Site Not Available

  • KalVista Investigative Site

    Tampa, Florida 33613
    United States

    Site Not Available

  • KalVista Investigative Site

    Chicago, Illinois 60612
    United States

    Site Not Available

  • KalVista Investigative Site

    Overland Park, Kansas 66211
    United States

    Site Not Available

  • KalVista Investigative Site

    Louisville, Kentucky 40215
    United States

    Site Not Available

  • KalVista Investigative Site

    Chevy Chase, Maryland 20815
    United States

    Site Not Available

  • KalVista Investigative Site

    Plymouth, Minnesota 55446
    United States

    Site Not Available

  • KalVista Investigative Site

    Saint Louis, Missouri 61414
    United States

    Site Not Available

  • KalVista Investigative Site

    New York, New York 10029
    United States

    Site Not Available

  • KalVista Investigative Site

    Charlotte, North Carolina 28277
    United States

    Site Not Available

  • KalVista Investigative Site

    Toledo, Ohio 43617
    United States

    Site Not Available

  • KalVista Investigative Site

    Hershey, Pennsylvania 17033
    United States

    Site Not Available

  • KalVista Investigative Site

    Dallas, Texas 75231
    United States

    Site Not Available

  • KalVista Investigative Site

    Layton, Utah 84041
    United States

    Site Not Available

  • KalVista Investigative Site

    Spokane, Washington 99202
    United States

    Site Not Available

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