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An Open-label Extension Trial to Evaluate the Long-term Safety of KVD900 for On-Demand Treatment of Angioedema Attacks in Adolescent and Adult Patients With Hereditary Angioedema (HAE)

Primary Purpose

Hereditary Angioedema

Status
Recruiting
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
KVD900 600 mg
Sponsored by
KalVista Pharmaceuticals, Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hereditary Angioedema focused on measuring KONFIDENT-S

Eligibility Criteria

12 Years - undefined (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Patients may roll over from KVD900-301.

Inclusion Criteria:

  1. Confirmed diagnosis of HAE type I or II at any time in the medical history
  2. Patient has had at least 2 documented HAE attacks within 3 months prior to the Enrollment Visit.
  3. If a patient is receiving long-term prophylactic treatment with one of the protocol-allowed therapies, they must have been on a stable dose and regimen for at least 6 months prior to the Enrollment Visit.
  4. Male or female patients 12 years of age and older.
  5. Patients must meet the contraception requirements.
  6. Patients must be able to swallow trial tablets whole.
  7. Patients, as assessed by the Investigator, must be able to appropriately receive and store IMP, and be able to read, understand, and complete the eDiary.
  8. Investigator believes that the patient is willing and able to adhere to all protocol requirements.
  9. Patient provides signed informed consent or assent (when applicable). A parent or legally authorized representative (LAR) must also provide signed informed consent when required.

Exclusion Criteria:

  1. Discontinued from the KVD900-301 trial for reasons of noncompliance, withdrawal of consent, or safety.
  2. Presence of any safety concerns that would preclude participation in the open-label trial as determined by the investigator.
  3. 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.
  4. 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.
  5. Use of attenuated androgens (e.g., stanozolol, danazol, oxandrolone, methyltestosterone, testosterone), or anti-fibrinolytics (e.g., tranexamic acid) within 28 days prior to the Enrollment Visit.
  6. Use of Angiotensin-converting enzyme (ACE) inhibitors within 7 days prior to the Enrollment Visit.
  7. Any estrogen-containing medications with systemic absorption (such as oral contraceptives including ethinylestradiol or hormonal replacement therapy) within 7 days prior to the Enrollment Visit.
  8. Inadequate organ function, including but not limited to:

    1. Alanine aminotransferase (ALT) >2x Upper Limit 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
  9. 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.
  10. History of substance abuse or dependence that would interfere with the completion of the trial, as determined by the Investigator.
  11. Known hypersensitivity to KVD900 or to any of the excipients.
  12. Participation in any gene therapy treatment or trial for HAE.
  13. Participation in any interventional investigational clinical trial, including an investigational COVID-19 vaccine trial, within 4 weeks of the last dosing of investigational drug prior to the Enrollment Visit.
  14. Any pregnant or breastfeeding patient.

Sites / Locations

  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
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  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
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  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative Site
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative Site
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investgative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investgative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • Kalvista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting
  • KalVista Investigative SiteRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

KVD900 600 mg

Arm Description

Outcomes

Primary Outcome Measures

The proportion of patients with at least one Adverse Event (AE) in adolescent and adult patients with HAE type I or II who have taken at least one dose of Investigational medicinal product (IMP).

Secondary Outcome Measures

Patient Global Impression of Change (PGI-C).
time to beginning of symptom relief defined as at least '' a little better'' (2 time points in a row)
Patient Global Impression of Severity (PGI-S): time to first incidence of 2 time points in a row decrease from baseline
PGI-S: time to HAE attack resolution
PGI-S: time to HAE attack resolution, defines as ''none''

Full Information

First Posted
August 11, 2022
Last Updated
September 29, 2023
Sponsor
KalVista Pharmaceuticals, Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05505916
Brief Title
An Open-label Extension Trial to Evaluate the Long-term Safety of KVD900 for On-Demand Treatment of Angioedema Attacks in Adolescent and Adult Patients With Hereditary Angioedema (HAE)
Official Title
An Open-label Extension Trial to Evaluate the Long-term Safety 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
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Recruiting
Study Start Date
October 24, 2022 (Actual)
Primary Completion Date
January 30, 2026 (Anticipated)
Study Completion Date
January 30, 2026 (Anticipated)

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

5. Study Description

Brief Summary
This is an open-label, multicenter extension trial to evaluate the long-term safety of KVD900 in patients who are 12 years or older with HAE type I or II.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hereditary Angioedema
Keywords
KONFIDENT-S

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
150 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
KVD900 600 mg
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
KVD900 600 mg
Intervention Description
KVD900 Tablet 600 mg (2 x 300 mg)
Primary Outcome Measure Information:
Title
The proportion of patients with at least one Adverse Event (AE) in adolescent and adult patients with HAE type I or II who have taken at least one dose of Investigational medicinal product (IMP).
Time Frame
AEs will be recorded from the first dose of IMP in the KVD900-302 trial up to and including the end of study (EOS) visit, a maximum of 2 years for each patient.
Secondary Outcome Measure Information:
Title
Patient Global Impression of Change (PGI-C).
Description
time to beginning of symptom relief defined as at least '' a little better'' (2 time points in a row)
Time Frame
within 12 hours of initial dose of IMP administration.
Title
Patient Global Impression of Severity (PGI-S): time to first incidence of 2 time points in a row decrease from baseline
Time Frame
within 12 hours of initial dose of IMP administration.
Title
PGI-S: time to HAE attack resolution
Description
PGI-S: time to HAE attack resolution, defines as ''none''
Time Frame
within 24 hours of initial dose of IMP administration.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
12 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Patients may roll over from KVD900-301. Inclusion Criteria: Confirmed diagnosis of HAE type I or II at any time in the medical history Patient has had at least 2 documented HAE attacks within 3 months prior to the Enrollment Visit. If a patient is receiving long-term prophylactic treatment with one of the protocol-allowed therapies, they must have been on a stable dose and regimen for at least 3 months prior to the Enrollment Visit (except for danazol, which requires a stable dose and regimen for at least 6 months prior to the Enrollment Visit). Male or female patients 12 years of age and older. 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 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. Exclusion Criteria: Discontinued from the KVD900-301 trial for reasons of noncompliance, withdrawal of consent, or safety. Presence of any safety concerns that would preclude participation in the open-label trial as determined by the investigator. 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 attenuated androgens other than danazol (e.g., stanozolol, oxandrolone, methyltestosterone, testosterone), or anti-fibrinolytics (e.g., tranexamicacid) within 28 days prior to the Enrollment Visit. Use of Angiotensin-converting enzyme (ACE) inhibitors within 7 days prior to the Enrollment Visit. Any estrogen-containing medications with systemic absorption (such as oral contraceptives including ethinylestradiol or hormonal replacement therapy) within 7 days prior to the Enrollment Visit. Inadequate organ function, including but not limited to: Alanine aminotransferase (ALT) >2x Upper Limit 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 to any of the excipients. Participation in any gene therapy treatment or trial for HAE. Participation in any interventional investigational clinical trial, including an investigational COVID-19 vaccine trial, within 4 weeks of the last dosing of investigational drug prior to the Enrollment Visit. Any pregnant or breastfeeding patient.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
KalVista Pharmaceuticals
Phone
1 (857) 999-0075
Email
clinicalstudies@kalvista.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Study Director
Organizational Affiliation
KalVista Pharmaceuticals, Ltd.
Official's Role
Study Director
Facility Information:
Facility Name
KalVista Investigative Site
City
Scottsdale
State/Province
Arizona
ZIP/Postal Code
85251
Country
United States
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Little Rock
State/Province
Arkansas
ZIP/Postal Code
72205
Country
United States
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
San Diego
State/Province
California
ZIP/Postal Code
92122
Country
United States
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
San Diego
State/Province
California
ZIP/Postal Code
92123
Country
United States
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Santa Monica
State/Province
California
ZIP/Postal Code
90404
Country
United States
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Centennial
State/Province
Colorado
ZIP/Postal Code
80112
Country
United States
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Colorado Springs
State/Province
Colorado
ZIP/Postal Code
80907
Country
United States
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Evansville
State/Province
Indiana
ZIP/Postal Code
47715
Country
United States
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Overland Park
State/Province
Kansas
ZIP/Postal Code
66211
Country
United States
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40215
Country
United States
Individual Site Status
Active, not recruiting
Facility Name
KalVista Investigative Site
City
Chevy Chase
State/Province
Maryland
ZIP/Postal Code
20815
Country
United States
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Plymouth
State/Province
Minnesota
ZIP/Postal Code
55446
Country
United States
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63141
Country
United States
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28277
Country
United States
Individual Site Status
Active, not recruiting
Facility Name
KalVista Investigative Site
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45236
Country
United States
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Toledo
State/Province
Ohio
ZIP/Postal Code
43617
Country
United States
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Hershey
State/Province
Pennsylvania
ZIP/Postal Code
17033
Country
United States
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Dallas
State/Province
Texas
ZIP/Postal Code
75231
Country
United States
Individual Site Status
Recruiting
Facility Name
KalVista Investgative Site
City
Layton
State/Province
Utah
ZIP/Postal Code
84041
Country
United States
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Spokane
State/Province
Washington
ZIP/Postal Code
99204
Country
United States
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Campbelltown
ZIP/Postal Code
2560
Country
Australia
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Wein
ZIP/Postal Code
1090
Country
Austria
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Sofia
ZIP/Postal Code
1431
Country
Bulgaria
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Grenoble Cedex 9
ZIP/Postal Code
38043
Country
France
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Lille Cedex
ZIP/Postal Code
59037
Country
France
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Lille
ZIP/Postal Code
59037
Country
France
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Paris
ZIP/Postal Code
75012
Country
France
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Berlin
ZIP/Postal Code
12203
Country
Germany
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Frankfurt
ZIP/Postal Code
60590
Country
Germany
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Mainz
ZIP/Postal Code
55131
Country
Germany
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Morfelden-Walldorf
ZIP/Postal Code
64546
Country
Germany
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Athens
ZIP/Postal Code
11521
Country
Greece
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Athens
ZIP/Postal Code
11527
Country
Greece
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Budapest
ZIP/Postal Code
1088
Country
Hungary
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Haifa
ZIP/Postal Code
31048
Country
Israel
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Petach Tikvah
ZIP/Postal Code
4920235
Country
Israel
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Ramat Gan
ZIP/Postal Code
52621
Country
Israel
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Tel Aviv
ZIP/Postal Code
64239
Country
Israel
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Padova
ZIP/Postal Code
35128
Country
Italy
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
San Donato Milanese
ZIP/Postal Code
20097
Country
Italy
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Chiba-shi
ZIP/Postal Code
260-8677
Country
Japan
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Hiroshima-shi
ZIP/Postal Code
730-8518
Country
Japan
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Kawagoe-shi
ZIP/Postal Code
350-8550
Country
Japan
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Maebashi-city
ZIP/Postal Code
371-8511
Country
Japan
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Soka-shi
ZIP/Postal Code
340-0041
Country
Japan
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Takatsuki-shi
ZIP/Postal Code
569-8686
Country
Japan
Individual Site Status
Recruiting
Facility Name
KalVista Investgative Site
City
Tokyo
ZIP/Postal Code
142-8666
Country
Japan
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Yokohama-shi
ZIP/Postal Code
236-0004
Country
Japan
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Amsterdam
ZIP/Postal Code
1105 AZ
Country
Netherlands
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Auckland
ZIP/Postal Code
1023
Country
New Zealand
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Skopje
ZIP/Postal Code
1000
Country
North Macedonia
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Kraków
ZIP/Postal Code
31-503
Country
Poland
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Łódź
ZIP/Postal Code
92-213
Country
Poland
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Porto
ZIP/Postal Code
4200-319
Country
Portugal
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Martin
ZIP/Postal Code
036 59
Country
Slovakia
Individual Site Status
Recruiting
Facility Name
Kalvista Investigative Site
City
Cape Town
ZIP/Postal Code
7700
Country
South Africa
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Barcelona
ZIP/Postal Code
08035
Country
Spain
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Barcelona
ZIP/Postal Code
08907
Country
Spain
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Madrid
ZIP/Postal Code
28046
Country
Spain
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
Leeds
ZIP/Postal Code
LS9 7TF
Country
United Kingdom
Individual Site Status
Recruiting
Facility Name
KalVista Investigative Site
City
London
ZIP/Postal Code
E1 2ES
Country
United Kingdom
Individual Site Status
Recruiting

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
Data will not be shared until all global regulatory filings are complete.

Learn more about this trial

An Open-label Extension Trial to Evaluate the Long-term Safety of KVD900 for On-Demand Treatment of Angioedema Attacks in Adolescent and Adult Patients With Hereditary Angioedema (HAE)

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