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A Single Dose Safety, Tolerability, Pharmacokinetic and Food Effect Study of KVD900 in Healthy Volunteers

Primary Purpose

Hereditary Angioedema

Status
Completed
Phase
Phase 1
Locations
United Kingdom
Study Type
Interventional
Intervention
KVD900
Placebo to KVD900
Sponsored by
KalVista Pharmaceuticals, Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hereditary Angioedema

Eligibility Criteria

18 Years - 55 Years (Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy male subjects between 18 and 55 years of age.
  • Healthy subjects as determined by past medical history and as judged by the Chief Investigator or designee.
  • Male subject willing to use a highly effective method of contraception.
  • Subject with a body mass index (BMI) of 18-32 kg/m2.
  • Subject with no clinically significant history of previous allergy or sensitivity to KVD900 or any of the excipients contained within the investigational medicinal product (IMP).
  • Subject with no clinically significant abnormal serum biochemistry, haematology, clotting profiles, and urine examination values within 28 days before the first dose of IMP.
  • Subject with a negative urinary drugs of abuse screen, determined within 28 days before the first dose of IMP
  • Subject with negative human immunodeficiency virus (HIV) and hepatitis B surface antigen (Hep B) and hepatitis C virus antibody (Hep C) results.
  • Subject with no clinically significant abnormalities in 12-lead electrocardiogram
  • Subjects must not donate sperm from first dose until at least 3 months after last dose of IMP.
  • Subjects without any special food restrictions that would hinder ability to consume the high fat breakfast provided during study Part C; such as lactose intolerance , vegan, low-fat, low sodium, etc.
  • Subjects with no known allergy or sensitivity to lactose and/or any additional excipients contained in IMP.
  • Subject must be available to complete the study (including all follow up visits).
  • Subject must satisfy the Chief Investigator or designee about their fitness to participate in the study.
  • Subject must provide written informed consent to participate in the study.

Exclusion Criteria:

  • A clinically significant history of gastrointestinal disorder likely to influence IMP absorption.
  • Use of prescription or non-prescription drugs, including vitamins, herbal and dietary supplements .
  • Evidence of renal, hepatic, central nervous system, respiratory, cardiovascular (no history of syncope or vasovagal events), or metabolic dysfunction.
  • Subjects with a history of clotting abnormalities.
  • A clinically significant history of drug or alcohol abuse in the last 5 years.
  • Users of nicotine products i.e., current smokers or ex-smokers who have smoked within the 6 months prior to dosing with the study medication or users of cigarette replacements.
  • Inability to communicate well with Investigators.
  • Participation in a New Chemical Entity clinical study within the previous 3 months or a marketed drug clinical study within the 30 days before the first dose of IMP.
  • Donation of 450 mL or more blood within the 3 months before the first dose of IMP.

Sites / Locations

  • KalVista Investigative Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm 9

Arm 10

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Single Ascending Dose - 5 mg

Single Ascending Dose - 10 mg

Single Ascending Dose - 20 mg

Single Ascending Dose - 40 mg

Single Ascending Dose - 80 mg

Single Ascending Dose - 160 mg

Single Ascending Dose - 300 mg

Single Ascending Dose - 600 mg

Formulation Screen

Food Effect

Arm Description

Outcomes

Primary Outcome Measures

Number of Subjects with Adverse Events
Number of Subjects with Serious Adverse Events
Number of participants with clinically significant changes in laboratory assessments
Number of participants with clinically significant changes in vital signs
Number of participants with clinically significant changes in electrocardiogram (ECG) measurements

Secondary Outcome Measures

Pharmacokinetics - Cmax
Derived from time-concentration plasma levels of KVD900
Pharmacokinetics - AUC0-t
Derived from time-concentration plasma levels of KVD900
Pharmacokinetics - AUC0-24
Derived from time-concentration plasma levels of KVD900
Pharmacokinetics - AUC0-inf
Derived from time-concentration plasma levels of KVD900
Pharmacokinetics - food effect (Part C only)
90% confidence intervals of the ratios for AUC0-t and Cmax with and without food lie in the range 80-125
Pharmacokinetics - formulation bridge - relative bioavailability (Part B only)
90% confidence intervals of the ratios for AUC0-t and Cmax between the two dosages lie in the range 80-125

Full Information

First Posted
March 9, 2020
Last Updated
April 14, 2020
Sponsor
KalVista Pharmaceuticals, Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT04349800
Brief Title
A Single Dose Safety, Tolerability, Pharmacokinetic and Food Effect Study of KVD900 in Healthy Volunteers
Official Title
A Randomized, Double-blind, Placebo-controlled, Single Ascending Dose Study of the Safety, Tolerability, and Pharmacokinetics of KVD900 Followed by Crossover Sub-studies of KVD900 Formulations, and Food Effect in Healthy Male Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
April 2020
Overall Recruitment Status
Completed
Study Start Date
January 4, 2018 (Actual)
Primary Completion Date
September 10, 2018 (Actual)
Study Completion Date
September 10, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
KalVista Pharmaceuticals, Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
A safety, tolerability, pharmacokinetic and food effect study of KVD900 in healthy volunteers.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hereditary Angioedema

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare Provider
Allocation
Randomized
Enrollment
84 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Single Ascending Dose - 5 mg
Arm Type
Experimental
Arm Title
Single Ascending Dose - 10 mg
Arm Type
Experimental
Arm Title
Single Ascending Dose - 20 mg
Arm Type
Experimental
Arm Title
Single Ascending Dose - 40 mg
Arm Type
Experimental
Arm Title
Single Ascending Dose - 80 mg
Arm Type
Experimental
Arm Title
Single Ascending Dose - 160 mg
Arm Type
Experimental
Arm Title
Single Ascending Dose - 300 mg
Arm Type
Experimental
Arm Title
Single Ascending Dose - 600 mg
Arm Type
Experimental
Arm Title
Formulation Screen
Arm Type
Experimental
Arm Title
Food Effect
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
KVD900
Intervention Description
Active
Intervention Type
Drug
Intervention Name(s)
Placebo to KVD900
Intervention Description
Placebo
Primary Outcome Measure Information:
Title
Number of Subjects with Adverse Events
Time Frame
Change from pre-dose to last visit, 5-7 days post dose.
Title
Number of Subjects with Serious Adverse Events
Time Frame
Change from pre-dose to last visit, 5-7 days post dose.
Title
Number of participants with clinically significant changes in laboratory assessments
Time Frame
Throughout study until last visit, 5-7 days post dose.
Title
Number of participants with clinically significant changes in vital signs
Time Frame
Throughout study until last visit, 5-7 days post dose.
Title
Number of participants with clinically significant changes in electrocardiogram (ECG) measurements
Time Frame
Throughout study until last visit, 5-7 days post dose.
Secondary Outcome Measure Information:
Title
Pharmacokinetics - Cmax
Description
Derived from time-concentration plasma levels of KVD900
Time Frame
Up to 48 hours post dose
Title
Pharmacokinetics - AUC0-t
Description
Derived from time-concentration plasma levels of KVD900
Time Frame
Up to 48 hours post dose
Title
Pharmacokinetics - AUC0-24
Description
Derived from time-concentration plasma levels of KVD900
Time Frame
Up to 24 hours post dose
Title
Pharmacokinetics - AUC0-inf
Description
Derived from time-concentration plasma levels of KVD900
Time Frame
Up to 48 hours post dose
Title
Pharmacokinetics - food effect (Part C only)
Description
90% confidence intervals of the ratios for AUC0-t and Cmax with and without food lie in the range 80-125
Time Frame
Up to 24 hours post dose
Title
Pharmacokinetics - formulation bridge - relative bioavailability (Part B only)
Description
90% confidence intervals of the ratios for AUC0-t and Cmax between the two dosages lie in the range 80-125
Time Frame
Up to 24 hours post dose

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy male subjects between 18 and 55 years of age. Healthy subjects as determined by past medical history and as judged by the Chief Investigator or designee. Male subject willing to use a highly effective method of contraception. Subject with a body mass index (BMI) of 18-32 kg/m2. Subject with no clinically significant history of previous allergy or sensitivity to KVD900 or any of the excipients contained within the investigational medicinal product (IMP). Subject with no clinically significant abnormal serum biochemistry, haematology, clotting profiles, and urine examination values within 28 days before the first dose of IMP. Subject with a negative urinary drugs of abuse screen, determined within 28 days before the first dose of IMP Subject with negative human immunodeficiency virus (HIV) and hepatitis B surface antigen (Hep B) and hepatitis C virus antibody (Hep C) results. Subject with no clinically significant abnormalities in 12-lead electrocardiogram Subjects must not donate sperm from first dose until at least 3 months after last dose of IMP. Subjects without any special food restrictions that would hinder ability to consume the high fat breakfast provided during study Part C; such as lactose intolerance , vegan, low-fat, low sodium, etc. Subjects with no known allergy or sensitivity to lactose and/or any additional excipients contained in IMP. Subject must be available to complete the study (including all follow up visits). Subject must satisfy the Chief Investigator or designee about their fitness to participate in the study. Subject must provide written informed consent to participate in the study. Exclusion Criteria: A clinically significant history of gastrointestinal disorder likely to influence IMP absorption. Use of prescription or non-prescription drugs, including vitamins, herbal and dietary supplements . Evidence of renal, hepatic, central nervous system, respiratory, cardiovascular (no history of syncope or vasovagal events), or metabolic dysfunction. Subjects with a history of clotting abnormalities. A clinically significant history of drug or alcohol abuse in the last 5 years. Users of nicotine products i.e., current smokers or ex-smokers who have smoked within the 6 months prior to dosing with the study medication or users of cigarette replacements. Inability to communicate well with Investigators. Participation in a New Chemical Entity clinical study within the previous 3 months or a marketed drug clinical study within the 30 days before the first dose of IMP. Donation of 450 mL or more blood within the 3 months before the first dose of IMP.
Facility Information:
Facility Name
KalVista Investigative Site
City
Wales
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
35086692
Citation
Maetzel A, Smith MD, Duckworth EJ, Hampton SL, De Donatis GM, Murugesan N, Rushbrooke LJ, Li L, Francombe D, Feener EP, Yea CM. KVD900, an oral on-demand treatment for hereditary angioedema: Phase 1 study results. J Allergy Clin Immunol. 2022 Jun;149(6):2034-2042. doi: 10.1016/j.jaci.2021.10.038. Epub 2022 Jan 24.
Results Reference
derived

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A Single Dose Safety, Tolerability, Pharmacokinetic and Food Effect Study of KVD900 in Healthy Volunteers

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