KPL-387 for recurrent pericarditis
Official title: A Phase 2/3 Efficacy and Safety Study of KPL-387 Treatment in Participants With Recurrent Pericarditis
Run by Kiniksa Pharmaceuticals International, plc · NCT07010159 · Data updated 2026-11-12
This trial tests whether KPL-387 can control pain and inflammation and lower the chance of future attacks in people having an acute episode of recurrent pericarditis despite standard treatment.
Quick facts
| Phase | Phase2; Phase3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 80 Years |
| Sex | All |
| Enrollment | 325 (estimated) |
| Sponsor | Kiniksa Pharmaceuticals International, plc Industry-sponsored |
| Locations | 67 sites (Gilbert, Arizona and 66 other locations) |
| Status | Recruiting |
| Started | July 25, 2025 |
| Main results expected | December 31, 2027 |
| Study ends | December 31, 2029 |
| Registry record updated | October 28, 2026 |
| Trial ID | NCT07010159 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
People who weigh at least 40 kg with documented recurrent pericarditis who are currently experiencing an acute flare despite treatment with NSAIDs and/or colchicine (and possibly glucocorticoids in Phase 3) and who can attend visits at a participating U.S. site would be typical candidates.
✕Probably not a fit
Patients whose pericarditis is due to specific excluded causes, those with active or untreated latent tuberculosis, immunodeficiency or immunosuppression, recent or planned use of other investigational drugs, or who cannot attend required site visits are unlikely to benefit from or be eligible for this protocol.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This phase 2/3 interventional trial enrolls participants with recurrent pericarditis who are experiencing an acute flare and assigns them to KPL-387 or placebo to determine the best dose and confirm effectiveness. Phase 2 compares different dosing regimens to identify the regimen taken forward, Phase 3 confirms efficacy for symptom control and reduction in recurrence risk, and an optional long-term extension follows participants to monitor durability of disease control. Safety, tolerability, blood drug concentrations, and blood markers of immune activity are measured throughout. Background therapy such as NSAIDs and colchicine (and glucocorticoids in Phase 3) is permitted per the protocol.
Why it matters
Potential benefit: If successful, KPL-387 could reduce pain and inflammation during flares and decrease how often recurrent pericarditis returns, potentially reducing reliance on long-term steroids or repeated treatments.
How similar studies have gone: Other biologic anti-inflammatory therapies have shown benefit in reducing symptoms and recurrences in prior recurrent pericarditis trials, so this approach has clinical precedent.
Who can join: the full rules
Show full inclusion / exclusion criteria
Key Inclusion Criteria: * Phase 2 and 3: Has a diagnosis of recurrent pericarditis * Phase 2 and 3: Has signs and symptoms of recurrent pericarditis despite treatment with standard therapies * Phase 2 and 3: Weighs at least 40 kg * Phase 2: Taking NSAIDS and/or colchicine (in any combination) * Phase 3: Taking NSAIDs and/or colchicine and/or glucocorticoids (in any combination) Key Exclusion Criteria: * Phase 2 and 3: Has a diagnosis of pericarditis that is secondary to specific prohibited etiologies. * Phase 2 and 3: Has received an investigational drug during the 4 weeks before screening or is planning to receive an investigational drug at any time during the study. * Phase 2 and 3: Has a history of active or untreated, latent tuberculosis (TB) prior to screening. * Phase 2 and 3: Has a history of immunodeficiency. * Phase 2 and 3: Has a history of immunosuppression, including positive human immunodeficiency virus (HIV) test results. * Phase 2 and 3: Has chest x-ray at Screening or within 12 weeks before first study drug administration, with evidence of malignancy, abnormality consistent with prior or active TB infection or active infection. * Phase 2 and 3: Has a history of malignancy of any organ system within the past 5 years before Screening (other than a successfully treated non metastatic cutaneous squamous cell carcinoma or basal cell carcinoma and/or localized carcinoma in situ of the cervix). * Phase 2 and 3: Has a known or suspected current active infection or a history of chronic or recurrent infectious disease (\> 3 episodes in prior 12 months), including but not limited to, genitourinary infection, chest infection, sinusitis, or skin/soft tissue infection. * Phase 2 and 3: Has had a serious infection, has been admitted to the hospital for an infection, or has been treated for a documented infection requiring antibiotics for a documented infection within 2 weeks prior to first study drug administration. * Phase 2 and 3: Has had an organ transplant (except corneal transplant performed more than 3 months prior to first study drug administration). * Phase 2 and 3: In the Investigator's opinion, has any other medical condition that could adversely affect the subject's participation or interfere with study evaluations.
Where it's running
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Investigational Site 018
Gilbert, Arizona, United States Recruiting -
Investigational Site 053
Phoenix, Arizona, United States Recruiting -
Investigational Site 064
La Jolla, California, United States Recruiting -
Investigational Site 030
Los Angeles, California, United States Recruiting -
Investigational Site 008
San Francisco, California, United States Recruiting -
Investigational Site 044
Santa Monica, California, United States Recruiting
Show 44 more locations
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Investigational Site 058
Ventura, California, United States Recruiting -
Investigational Site 016
Westminster, Colorado, United States Recruiting -
Investigational Site 061
Washington D.C., District of Columbia, United States Recruiting -
Investigational Site 067
Kissimmee, Florida, United States Recruiting -
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Chicago, Illinois, United States Recruiting -
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Indianapolis, Indiana, United States Recruiting -
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Baltimore, Maryland, United States Recruiting -
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Boston, Massachusetts, United States Recruiting -
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Minneapolis, Minnesota, United States Recruiting -
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Rochester, Minnesota, United States Recruiting -
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Kansas City, Missouri, United States Recruiting -
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Kansas City, Missouri, United States Recruiting -
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St Louis, Missouri, United States Recruiting -
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New York, New York, United States Recruiting -
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New York, New York, United States Recruiting -
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Cincinnati, Ohio, United States Recruiting -
Investigational Site 003
Cleveland, Ohio, United States Recruiting -
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Austin, Texas, United States Recruiting -
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Houston, Texas, United States Recruiting -
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Houston, Texas, United States Recruiting -
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Burlington, Vermont, United States Recruiting -
Investigational Site 006
Charlottesville, Virginia, United States Recruiting -
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Norfolk, Virginia, United States Recruiting -
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Richmond, Virginia, United States Recruiting -
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Seattle, Washington, United States Recruiting -
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Ottawa, Ontario, Canada Recruiting -
Investigational Site 028
Montpellier, France Recruiting -
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Paris, France Recruiting -
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Pessac, France Recruiting -
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Poitiers, France Recruiting -
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Toulouse, France Recruiting -
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Toulouse, France Recruiting -
Investigational Site 052
Dresden, Germany Recruiting -
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Athens, Greece Recruiting -
Investigational Site 039
Nea Ionia, Greece Recruiting -
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Voula, Greece Recruiting -
Investigational Site 060
Florence, Italy Recruiting -
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Genoa, Italy Recruiting -
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Genoa, Italy Recruiting -
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Milan, Italy Recruiting -
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Milan, Italy Recruiting -
Investigational Site 007
Milan, Italy Recruiting -
Investigational Site 050
Padua, Italy Recruiting -
Investigational Site 059
Turin, Italy Recruiting
+17 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Clinical Project Manager
- Email: clinicaltrials@kiniksa.com
- Phone: 781-431-9100
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Transitioning people with recurrent pericarditis to KPL-387 monotherapy dosing and administration
This trial will try switching people with well-controlled recurrent pericarditis from their current therapies to KPL-387 alone for up to 16 weeks to see if symptoms and inflammation stay controlled and the drug is tolerable.
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National surveillance of myocarditis and pericarditis after mRNA COVID-19 vaccination
This study is trying to see how mRNA COVID-19 vaccines might affect heart health by following patients who develop heart inflammation after getting vaccinated.
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Heart@Home: Safe, at-home care for people with acute heart problems compared with hospital care
This trial tests whether hospital-level care at home can safely and effectively treat adults with acute heart conditions who would normally be in the hospital.
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Camptodactyly–Arthropathy–Coxa Vara–Pericarditis (CACP) syndrome patient registry and genetic review
This registry collects clinical and genetic information to better understand CACP syndrome in children with confirmed PRG4 mutations.
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Pericardial inflammation imaging to predict recurrent pericarditis
Doctors are testing imaging tools to see if FDG PET/CT and MRI can predict which patients with recurrent pericarditis will flare again.
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Imaging in Inflammatory Heart Diseases linked to autoimmune disorders
This study tests how well multimodality imaging (CMR, echocardiography, and PET) detects inflammation in people with suspected inflammatory heart or autoimmune rheumatic diseases.
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.