Sebetralstat before procedures for hereditary angioedema
Official title: A Phase 4, Open-Label Trial to Evaluate the Safety and Effectiveness of Sebetralstat When Used as Preprocedural Short-term Prophylaxis in Patients With Hereditary Angioedema
Run by KalVista Pharmaceuticals, Ltd. · NCT07654829 · Data updated 2026-11-12
This trial tests whether a single 600 mg dose of sebetralstat can safely and effectively prevent angioedema attacks around planned procedures in people aged 12 and older with hereditary angioedema.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 12 Years and up |
| Sex | All |
| Enrollment | 100 (estimated) |
| Sponsor | KalVista Pharmaceuticals, Ltd. Industry-sponsored |
| Locations | 1 site (Colorado Springs, Colorado) |
| Status | Recruiting |
| Started | August 17, 2026 |
| Main results expected | November 29, 2027 |
| Study ends | December 6, 2027 |
| Registry record updated | September 17, 2026 |
| Trial ID | NCT07654829 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are individuals aged 12 or older with confirmed HAE Type I or II who have a scheduled qualifying procedure within 8 weeks and can take oral medication and store/handle the study drug.
✕Probably not a fit
Patients without a qualifying procedure within the study window or those unable to take oral tablets may not benefit from this approach.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a Phase 4, open-label study evaluating the safety and effectiveness of sebetralstat (KVD900) used as short-term prophylaxis before planned procedures in patients with hereditary angioedema. Eligible participants are 12 years and older with Type I or II HAE who have a qualifying procedure within 8 weeks and have access to on-demand HAE treatment. Participants will receive KVD900 600 mg and will be followed to assess safety and the ability to prevent peri-procedural attacks. The study is conducted at KalVista Investigative Site in Colorado Springs, with enrollment managed by KalVista Pharmaceuticals, Ltd. The trial does not indicate a control arm and is designed to collect real-world safety and effectiveness data in this specific use case.
Why it matters
Potential benefit: If successful, sebetralstat could reduce peri-procedural angioedema events and improve safety around planned procedures for people with HAE.
How similar studies have gone: Phase 4 data for sebetralstat in short-term prophylaxis around procedures is being explored; prior related repurposing in prophylaxis has shown potential benefits in similar contexts, but this exact peri-procedural use is novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Male or female patients ≥12 years of age at time of Screening 2. Confirmed diagnosis of HAE Type I or II based on patient report 3. Patient has a qualifying procedure that is scheduled or planned to be scheduled to occur within 8 weeks of Screening 4. Patient has access to a commercial available on-demand treatment for HAE 5. Female patients of childbearing potential, including post-menarchal adolescents, must meet contraception requirements per Section 11.3. (Note: male patients do not require contraception) 6. Patients must be able to swallow trial tablets whole 7. Patients, as assessed by the Investigator, must be able to appropriately receive and store IMP, and be able to read, understand, and complete the questionnaire 8. Investigator believes that the patient is willing and able to adhere to all protocol requirements through the duration of the trial 9. Patient provides informed consent or assent (when applicable). A parent or legally authorized representative (LAR) must also provide signed informed consent when required Exclusion Criteria: 1. A clinically significant history of poor response to bradykinin receptor 2 blocker, C1-INH therapy, or plasma kallikrein inhibitor therapy for the management of HAE, in the opinion of the Investigator 2. Use of angiotensin-converting enzyme (ACE) inhibitors within 7 days prior to the Screening Visit 3. Any estrogen-containing medications with systemic absorption (such as oral contraceptives including ethinylestradiol or hormonal replacement therapy) within 7 days prior to the Screening Visit 4. Patients who are taking strong cytochrome P450 (CYP)3A4 inhibitors or inducers or moderate CYP3A4 inducers within 2 weeks of the procedure 5. Any clinically significant comorbidity or systemic dysfunction, which in the opinion of the Investigator, would jeopardize the safety of the patient by participating in the trial 6. History of substance abuse or dependence that would interfere with the completion of the trial, as determined by the Investigator 7. Known hypersensitivity to sebetralstat or to any of the excipients 8. Participation in any gene therapy treatment or trial for HAE 9. Any pregnant or breastfeeding patient
Where it's running
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KalVista Investigative Site
Colorado Springs, Colorado, United States Recruiting
Study contacts
- Study coordinator: KalVista Pharmaceuticals
- Email: clinicalstudies@kalvista.com
- Phone: 1 (857) 999-0075
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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STOP-HAE: ADX-324 for hereditary angioedema
This trial tests whether ADX-324 can reduce HAE attacks in adults with Type 1 or Type 2 hereditary angioedema.
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Registry for Rare Diseases
This study is creating a detailed registry to collect information on rare diseases like amyloidosis and sarcoidosis to help improve how they are diagnosed and treated.
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.