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
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 2 Years to 11 Years |
| Sex | All |
| Enrollment | 20 (estimated) |
| Sponsor | Ionis Pharmaceuticals, Inc. Industry-sponsored |
| Locations | 18 sites (Santa Monica, California and 17 other locations) |
| Status | Recruiting |
| Started | April 21, 2026 |
| Main results expected | June 2029 |
| Study ends | June 2029 |
| Registry record updated | November 2, 2026 |
| Trial ID | NCT07298447 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
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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
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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
- Study coordinator: Ionis Pharmaceuticals, Inc.
- Email: IonisDonidalorsenPediatric@clinicaltrialmedia.com
- Phone: (844) 201-3192
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Takhzyro use in teenagers and adults with hereditary angioedema in South Korea
This study looks at how safe and useful Takhzyro is when used in real-world care for teenagers and adults with hereditary angioedema in South Korea.
-
Long-term treatment with ADX-324 for people with hereditary angioedema
This extension will try additional doses of ADX-324 (onvuzosiran) to see if continuing the drug is safe and helps people with Type I or II hereditary angioedema who finished the earlier Phase 3 trial.
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C1-Inhibitor Function Test to Diagnose HAE in Algeria
A test that measures C1-inhibitor function is being tried to see if it can accurately diagnose hereditary angioedema in patients in Algeria.
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Oral deucrictibant to prevent and treat hereditary angioedema attacks
This trial tests whether daily oral deucrictibant XR can prevent angioedema attacks and whether deucrictibant capsules can quickly relieve acute attacks in adults with bradykinin-mediated hereditary angioedema.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.