Clinical Hold Lifted on Hereditary Angioedema Trial
FDA has lifted a clinical hold against KalVista Pharmaceuticals and its Phase 2 clinical trial of KVD824 for oral prophylactic treatment of hereditary angioedema (HAE). The company says the hold was removed after FDA reviewed its responses to an FDA request for further information and analysis related to certain preclinical studies. “Refinements were also made to the KVD824 Phase 2 KOMPLETE protocol,” it says.
The KOMPLETE Phase 2 clinical trial is intended to enroll 48 HAE patients randomized into four equal arms after they report experiencing a minimum of three attacks in an eight-week run-in period, according to KalVista. The primary endpoint is the rate of investigator confirmed HAE attacks during the treatment period. Secondary endpoints include the proportion of participants without investigator confirmed HAE attacks and the rate of investigator confirmed HAE attacks that require conventional treatment.
KalVista previously reported data from KVD824 first-in-human and formulation studies that were conducted in the UK. “To date, a total of 121 subjects have received KVD824 as single doses up to 1,280 mg and up to 14 days of twice-daily dosing of 600 mg and 900 mg,” the company says. “Data from the Phase 1 studies indicate that KVD824 maintains the plasma concentrations that we believe are required to deliver efficacy consistent with approved injectable therapies. In both studies adverse event rates were similar in placebo and active arms, no subjects withdrew, and no serious adverse events were reported.”