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Trial · NCT05259917

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)

NCT05259917, Phase 3, Completed, KalVista Pharmaceuticals, Ltd.; results first posted 2024-07-19

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. 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). Trials, record NCT05259917. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT05259917

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
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)
NCT number
NCT05259917
Status
Completed
Phases
Phase 3
Enrollment
136 participants, actual
Lead sponsor
KalVista Pharmaceuticals, Ltd.
Conditions
Hereditary Angioedema
Interventions
Placebo, KVD900 600 mg, KVD900 300 mg
First posted
2022-03-02
Last updated
2025-05-02
Results first posted
2024-07-19

Source ClinicalTrials.gov

Registered outcomes3

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryTime to Beginning of Symptom Relief Patient Global Impression of Change (PGI-C)Within 12 hours of the first investigational medicinal product (IMP) administration.
The analysis of time to the beginning of symptom relief defined as at least "a little better" (2 time points in a row) on the PGI-C within 12 hours of the first IMP administration using the Gehan score transformation test for Full Analysis Set (FAS). Attacks were treated as right-censored at 12 hours if they did not achieve beginning of symptom relief defined by PGI-C as at least "a little better" (2 time points in a row) or received conventional attack treatment prior to time-to-event within 12 hours of the first IMP administration. When an endpoint result was non-evaluable (NE) within 12 hours, if the event did occur, the event must have occurred \>12 hours following study drug.
SecondaryTime to First Incidence of Decrease From Baseline Patient Global Impression of Severity (PGI-S) (2 Time Points in a Row)Within 12 hours of the first IMP administration.
First incidence of decrease in attack severity at two time points in a row (with possible missing values in between) within 12 hours of the first IMP administration. Attacks were treated as right-censored at 12 hours if they did not have a decrease in PGI-S score from baseline for 2 time points in a row or received conventional attack treatment prior to time-to-event within 12 hours of the first IMP administration. When an endpoint result was non-evaluable (NE) within 12 hours, if the event did occur, the event must have occurred \>12 hours following study drug.
SecondaryTime to Complete HAE Attack Resolution (PGI-S)Within 24 hours of the first IMP administration.
Time to complete HAE attack resolution defined as "none". Attacks were treated as right-censored at 24 hours if they did reach complete HAE attack resolution or received conventional attack treatment prior to time-to-event within 24 hours of IMP administration. When an endpoint result was non-evaluable (NE) within 24 hours, if the event did occur, the event must have occurred \>24 hours following study drug.

Outcomes3

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYTime to Beginning of Symptom Relief Patient Global Impression of Change (PGI-C)Within 12 hours of the first investigational medicinal product (IMP) administration.
The full analysis set (FAS) included all randomized patients who received trial medication from at least one period for the respective qualifying HAE attack and are presented according to the randomized treatment. The FAS was the population for efficacy analyses.
Time (h)MEDIAN
SECONDARYTime to First Incidence of Decrease From Baseline Patient Global Impression of Severity (PGI-S) (2 Time Points in a Row)Within 12 hours of the first IMP administration.
The full analysis set (FAS) included all randomized patients who received trial medication from at least one period for the respective qualifying HAE attack and are presented according to the randomized treatment. The FAS was the population for efficacy analyses.
Time (h)MEDIAN
SECONDARYTime to Complete HAE Attack Resolution (PGI-S)Within 24 hours of the first IMP administration.
The full analysis set (FAS) included all randomized patients who received trial medication from at least one period for the respective qualifying HAE attack and are presented according to the randomized treatment. The FAS was the population for efficacy analyses.
Time (h)MEDIAN

Results by group9

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Time to Beginning of Symptom Relief Patient Global Impression of Change (PGI-C)KVD900 300 mg1.6195% Confidence Interval 1.28 to 2.27Time (h)
Time to Beginning of Symptom Relief Patient Global Impression of Change (PGI-C)KVD900 600 mg1.7995% Confidence Interval 1.33 to 2.27Time (h)
Time to Beginning of Symptom Relief Patient Global Impression of Change (PGI-C)Placebo6.7295% Confidence Interval 2.33 to NATime (h)
Time to First Incidence of Decrease From Baseline Patient Global Impression of Severity (PGI-S) (2 Time Points in a Row)KVD900 300 mg9.2795% Confidence Interval 4.08 to NATime (h)
Time to First Incidence of Decrease From Baseline Patient Global Impression of Severity (PGI-S) (2 Time Points in a Row)KVD900 600 mg7.7595% Confidence Interval 3.27 to NATime (h)
Time to First Incidence of Decrease From Baseline Patient Global Impression of Severity (PGI-S) (2 Time Points in a Row)PlaceboNA95% Confidence Interval NA to NATime (h)
Time to Complete HAE Attack Resolution (PGI-S)KVD900 300 mgNA95% Confidence Interval 16.60 to NATime (h)
Time to Complete HAE Attack Resolution (PGI-S)KVD900 600 mg24.0095% Confidence Interval 10.60 to NATime (h)
Time to Complete HAE Attack Resolution (PGI-S)PlaceboNA95% Confidence Interval NA to NATime (h)

Participant flow18

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDSequence A18
Overall StudySTARTEDSequence B18
Overall StudySTARTEDSequence C15
Overall StudySTARTEDSequence D17
Overall StudySTARTEDSequence E20
Overall StudySTARTEDSequence F22
Overall StudyCOMPLETEDSequence A10
Overall StudyCOMPLETEDSequence B14
Overall StudyCOMPLETEDSequence C8
Overall StudyCOMPLETEDSequence D12

Adverse events60

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherEYE HAEMORRHAGEEye disordersKVD900 300 mg0860
otherEYE HAEMORRHAGEEye disordersKVD900 600 mg0930
otherEYE HAEMORRHAGEEye disordersPlacebo1831
otherVOMITINGGastrointestinal disordersKVD900 300 mg1861
otherVOMITINGGastrointestinal disordersKVD900 600 mg1931
otherVOMITINGGastrointestinal disordersPlacebo1831
otherNAUSEAGastrointestinal disordersKVD900 300 mg0860
otherNAUSEAGastrointestinal disordersKVD900 600 mg1931
otherNAUSEAGastrointestinal disordersPlacebo1831
otherABDOMINAL PAINGastrointestinal disordersKVD900 300 mg0860

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityKVD900 300 mg086
Total, all-cause mortalityKVD900 600 mg093
Total, all-cause mortalityPlacebo083
Total, other adverse eventsKVD900 300 mg586
Total, other adverse eventsKVD900 600 mg693
Total, other adverse eventsPlacebo1383
Total, serious adverse eventsKVD900 300 mg186
Total, serious adverse eventsKVD900 600 mg293
Total, serious adverse eventsPlacebo083

Papers4

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
36774155DERIVEDPubMed
38819658BACKGROUNDPubMed
40886933DERIVEDPubMed
42318595DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT05259917

GET https://conductscience.org/api/trials/v1/NCT05259917/events?page=2