Donidalorsen Treatment in Children With Hereditary Angioedema

Last updated: April 27, 2026
Sponsor: Ionis Pharmaceuticals, Inc.
Overall Status: Active - Recruiting

Phase

3

Condition

N/A

Treatment

Donidalorsen

Clinical Study ID

NCT07298447
ISIS 721744-CS8
U1111-1326-8613
2025-523499-22-00
  • Ages 2-11
  • All Genders

Study Summary

The purpose of this study is to evaluate the safety, tolerability and pharmacokinetics of donidalorsen in pediatric participants with hereditary angioedema (HAE) Type I (HAE-1) or Type II (HAE-2).

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  1. Must be between the ages of 2 and less than 12 years, inclusive, at the time ofinformed consent and, as applicable, assent.

  2. Must weigh at least 9 kg at the time of informed consent and, as applicable, assent.

  3. Documented diagnosis of HAE-1/HAE-2 based upon both of the following:

  4. Documented clinical history consistent with HAE (SC or mucosal, non-pruriticswelling episodes without accompanying urticaria).

  5. Diagnostic testing results that confirm HAE-1/HAE-2: C1-inhibitor (C1-INH)functional level <50% normal level AND complement factor C4 level below thelower limit of normal (LLN); OR a known pathogenic mutation in the SERPING1gene.

Exclusion

Key Exclusion Criteria:

  1. Must not have any screening laboratory abnormalities or any other clinicallysignificant abnormalities during screening that would render a participantunsuitable for inclusion.

  2. Must not have been treated with another investigational drug, biological agent, ordevice within 1 month of Screening, or 5 half-lives of investigational agent,whichever is longer.

  3. Concurrent diagnosis of any other type of recurrent angioedema, including idiopathicangioedema or HAE with normal C1-INH (HAE-nC1-INH or Type III).

Note: Other protocol-specified inclusion/exclusion criteria may apply.

Study Design

Total Participants: 20
Treatment Group(s): 1
Primary Treatment: Donidalorsen
Phase: 3
Study Start date:
July 01, 2026
Estimated Completion Date:
June 30, 2029

Study Description

This is an open-label study to evaluate the safety, efficacy, and pharmacokinetics (PK) and pharmacodynamics (PD) of donidalorsen in pediatric participants age 2 to less than 12 years old with HAE Type I (HAE-1) or Type II (HAE-2). The study consists of 3 parts: 1) a 3-month Screening Period, 2) a one-year Treatment Period, and 3) a 3-month Post-Treatment Period.

Connect with a study center

  • Ionis Investigative Site

    Milan, 20157
    Italy

    Active - Recruiting

  • Ionis Investigative Site

    Warsaw, 04-501
    Poland

    Active - Recruiting

  • Ionis Investigative Site

    Barcelona, 08035
    Spain

    Active - Recruiting

  • Ionis Investigative Site

    Santa Monica, California 90404
    United States

    Active - Recruiting

  • Ionis Investigative Site

    St Louis, Missouri 63141
    United States

    Active - Recruiting

  • Ionis Investigative Site

    Cincinnati, Ohio 45236
    United States

    Active - Recruiting

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