Clinical trial Recruiting at 18 sites Phase 3 Interventional Ages 2 to 11

Donidalorsen for children with hereditary angioedema

Official title: An Open-Label Study of Donidalorsen in Pediatric Patients Age 2 to Less Than 12 Years Old With Hereditary Angioedema

Run by Ionis Pharmaceuticals, Inc. · NCT07298447 · Data updated 2026-11-12

This trial tests if donidalorsen is safe and how it is processed in the body for children aged 2 to under 12 with hereditary angioedema types I or II.

Quick facts

PhasePhase 3
Study typeInterventional
Ages2 Years to 11 Years
SexAll
Enrollment20 (estimated)
SponsorIonis Pharmaceuticals, Inc.
Industry-sponsored
Locations18 sites (Santa Monica, California and 17 other locations)
StatusRecruiting
StartedApril 21, 2026
Main results expectedJune 2029
Study endsJune 2029
Registry record updatedNovember 2, 2026
Trial IDNCT07298447 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Children aged 2 to under 12 years who weigh at least 9 kg and have confirmed HAE type I or II by low C1‑INH function and low C4 (or a pathogenic SERPING1 mutation) are ideal candidates.

Probably not a fit

Children outside the age or weight limits, those without confirmed HAE-1/2, those with clinically significant screening laboratory abnormalities, or those recently treated with other investigational agents may not benefit or be eligible.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This open-label Phase 3 trial gives donidalorsen to pediatric participants aged 2 to less than 12 years with HAE type I or II and follows them for safety, efficacy, pharmacokinetics, and pharmacodynamics. The protocol includes a 3-month screening period, a one-year treatment period, and a 3-month post-treatment follow-up. Eligibility requires confirmed HAE by low C1‑INH functional level and low C4 (or a known SERPING1 mutation) and a minimum weight of 9 kg. Dosing and monitoring visits occur at Ionis investigational sites in Santa Monica, CA; St. Louis, MO; and Cincinnati, OH.

Why it matters

Potential benefit: If successful, donidalorsen could provide a safe preventive option that lowers attack frequency and treatment burden for young children with HAE.

How similar studies have gone: Other approved HAE therapies and kallikrein-pathway approaches have shown benefit in older patients, but donidalorsen's use in young children is relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Key Inclusion Criteria:

1. Must be between the ages of 2 and less than 12 years, inclusive, at the time of informed 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:

   1. Documented clinical history consistent with HAE (SC or mucosal, non-pruritic swelling episodes without accompanying urticaria).
   2. Diagnostic testing results that confirm HAE-1/HAE-2: C1-inhibitor (C1-INH) functional level \<50% normal level AND complement factor C4 level below the lower limit of normal (LLN); OR a known pathogenic mutation in the SERPING1 gene.

Key Exclusion Criteria:

1. Must not have any screening laboratory abnormalities or any other clinically significant abnormalities during screening that would render a participant unsuitable for inclusion.
2. Must not have been treated with another investigational drug, biological agent, or device 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 idiopathic angioedema or HAE with normal C1-INH (HAE-nC1-INH or Type III).

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

Where it's running

  • Ionis Investigative Site
    Santa Monica, California, United States
    Recruiting
  • Ionis Investigative Site
    Miami, Florida, United States
    Recruiting
  • Ionis Investigative Site
    Baton Rouge, Louisiana, United States
    Recruiting
  • Ionis Investigative Site
    St Louis, Missouri, United States
    Recruiting
  • Ionis Investigative Site
    Cincinnati, Ohio, United States
    Recruiting
  • Ionis Investigative Site
    Cleveland, Ohio, United States
    Recruiting
Show 12 more locations
  • Ionis Investigative Site
    Hershey, Pennsylvania, United States
    Recruiting
  • Ionis Investigative Site
    West Allis, Wisconsin, United States
    Recruiting
  • Ionis Investigative Site
    South Brisbane, Queensland, Australia
    Recruiting
  • Ionis Investigative Site
    Clayton, Victoria, Australia
    Recruiting
  • Ionis Investigative Site
    Murdoch, Australia
    Recruiting
  • Ionis Investigative Site
    Milan, Italy
    Recruiting
  • Ionis Investigative Site
    Padova, Italy
    Recruiting
  • Ionis Investigative Site
    Roma, Italy
    Recruiting
  • Ionis Investigative Site
    San Donato Milanese, Italy
    Recruiting
  • Ionis Investigative Site
    Krakow, Poland
    Recruiting
  • Ionis Investigative Site
    Warsaw, Poland
    Recruiting
  • Ionis Investigative Site
    Barcelona, Spain
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.