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This is a 3 part phase 1, randomized, double-blind, placebo-controlled, study of the safety, tolerability, and pharmacokinetics of KVD824 following administration of single and multiple ascending oral doses; followed by a crossover food effect sub-study in healthy male volunteers.
Part A was a single-centre randomized, double blinded, placebo control to investigate the safety and tolerability of single ascending doses of KVD824 administered to healthy male volunteers.
Part B was a single centre, randomized, double blinded, placebo control to investigate the safety and tolerability of multiple ascending doses of KVD824 administered to healthy male volunteers.
Part C was a single-centre, open labelled to investigate the food effect.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part A - KVD824 - 10 mg | Experimental | 6 participants were administered10 mg of KVD824 in capsule form (1 x 10 mg capsule) on one occasion on Day 1. 2 participants received matching placebo. |
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| Part A - KVD824 - 20 mg | Experimental | 6 participants were administered 20mg of KVD824 in capsule form ( 2 x 10 mg capsules) on one occasion on Day 1. 2 participants received matching placebo. |
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| Part A - KVD824 - 40 mg | Experimental | 6 participants were administered 40mg of KVD824 in capsule form (1 x 40 mg capsule) on one occasion on Day 1. 2 participants received matching placebo. |
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| Part A - KVD824 - 80 mg | Experimental | 6 participants were administered 80mg of KVD824 in capsule form (2 x 40 mg capsules) on one occasion on Day 1. 2 participants received matching placebo. |
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| Part A - KVD824 - 160mg | Experimental | 6 participants were administered 160mg of KVD824 in capsule form (1 x 160 mg capsule) on one occasion on Day 1. 2 participants received matching placebo. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| KVD824 | Drug | Active |
|
| Measure | Description | Time Frame |
|---|---|---|
| Safety - Treatment Emergent Adverse Events | Number of Subjects with Treatment Emergent Adverse Events | Part A Days 0-10; Part B Days 0-12 |
| Safety - Vital signs | Number of participants with clinically significant changes in vital signs | Part A: Days (-1)-10;Part B: Days (-1)-12 |
| Safety - Laboratory Parameters | Number of participants with clinically significant changes in laboratory assessments | Part A: Days (-1)-10;Part B: Days (-1)-12 |
| Safety - ECG change in QTcF | Number of subjects who had any increase in QTcF parameters. | Part A: Days (-1)-10; Part B: Days (-1)-12 |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetic - Maximum Concentration (Cmax) | Evaluation of Cmax in all cohorts of Part A, B and C. | Part A: Predose and up to 18 samples over a 48 hour period post dose; Part B: Pre-dose and up to 11 samples over a 24 hour period post morning dose, day 1 and 5; Part C: Predose and up to 16 samples over a 24 hour period post dose per treatment period. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Study Director | KalVista Pharmaceuticals | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| KalVista Investigative Site | Merthyr Tydfil | United Kingdom |
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| ID | Term |
|---|---|
| D054179 | Angioedemas, Hereditary |
| ID | Term |
|---|---|
| D000799 | Angioedema |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D000081208 | Hereditary Complement Deficiency Diseases |
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| Part A - KVD824 - 320 mg | Experimental | 6 participants were administered 320mg of KVD824 in capsule form (1 x 320 mg capsule) on one occasion on Day 1. 2 participants received matching placebo. |
|
| Part A - KVD824 - 640 mg | Experimental | 6 participants were administered 640 mg of KVD824 in capsule form (2 x 320 mg capsule) on one occasion on Day 1. 2 participants received matching placebo. |
|
| Part A - KVD824 - 1280 mg | Experimental | 6 participants were administered 1280 mg of KVD824 in capsule form (4 x 320 mg capsule) on one occasion on Day 1. 2 participants received matching placebo. |
|
| Part B - KVD824 - 80 mg Multi-Dose | Experimental | 6 participants were administered 80 mg of KVD824 in capsule form (2 x 40 mg capsules) in multiple doses over a period of 5 days (twice a day on Days 1-4 and once in morning of Day 5; the first dose on each day was administered fasted). 2 participants received matching placebo. |
|
| Part B - KVD824 - 160 mg Multi-Dose | Experimental | 6 participants were administered 160mg of KVD824 in capsule form (1 x 160 mg capsule) in multiple doses over a period of 5 days (twice a day on Days 1-4 and once in morning of Day 5; the first dose on each day was administered fasted). 2 participants received matching placebo. |
|
| Part B - KVD824 - 320 mg Multi-Dose | Experimental | 6 participants were administered 320mg of KVD824 in capsule form (1 x 320 mg capsule) in multiple doses over a period of 5 days (twice a day on Days 1-4 and once in morning of Day 5; the first dose on each day was administered fasted). 2 participants received matching placebo. |
|
| Part B - KVD824 - 640 mg Multi-Dose | Experimental | 6 participants were administered 640mg of KVD824 in capsule form (2 x 320 mg capsules) in multiple doses over a period of 5 days (twice a day on Days 1-4 and once in morning of Day 5; the first dose on each day was administered fasted). 2 participants received matching placebo. |
|
| Part C - KVD824 - 320 mg Fasted | Experimental | 12 participants were administered 320 mg of KVD824 in capsule form (1 x 320 mg capsule) on one occasion on Day 1 in a fasted state. |
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| Part C - KVD824 - 320 mg High fat breakfast | Experimental | 12 participants were administered 320 mg of KVD824 in capsule form (1 x 320 mg capsule) on one occasion on Day 1 following consumption of a high fat breakfast. |
|
| Placebo to KVD824 | Drug | Placebo |
|
| Pharmacokinetic - Time to maximum concentration (Tmax) | Evaluation of Tmax for Part A, Part B and Part C | Part A: Predose and up to 18 samples over a 48 hour period post dose; Part B: Pre-dose and up to 11 samples over a 24 hour period post morning dose, day 1 and 5; Part C: Predose and up to 16 samples over a 24 hour period post dose per treatment period. |
| Pharmacokinetic - Terminal Elimination Rate Constant (Kel) | Evaluation of Kel in Part A, Part B and Part C | Part A: Predose and up to 18 samples over a 48 hour period post dose; Part B: Pre-dose and up to 11 samples over a 24 hour period post morning dose, day 1 and 5; Part C: Predose and up to 16 samples over a 24 hour period post dose per treatment period. |
| Pharmacokinetic - Terminal elimination half-life (t1/2) | Evaluation of t1/2 in Part A, Part B and Part C | Part A: Predose and up to 18 samples over a 48 hour period post dose; Part B: Pre-dose and up to 11 samples over a 24 hour period post morning dose, day 1 and 5; Part C: Predose and up to 16 samples over a 24 hour period post dose per treatment period. |
| Pharmacokinetic - Area under the concentration-time curve from time 0 to 24 hour post dose (AUC0-24) | Evaluation of AUC (0-24) in Part A, Part B and Part C | Part A: Predose and up to 18 samples over a 48 hour period post dose; Part B: Pre-dose and up to 11 samples over a 24 hour period post morning dose, day 1 and 5; Part C: Predose and up to 16 samples over a 24 hour period post dose per treatment period. |
| Pharmacokinetic - Area under the concentration-time curve from time 0 to last measurable time-point (AUC0-t) | Evaluation of AUC (0-t) in Part A and Part C | Part A: Predose and up to 18 samples over a 48 hour period post dose; Part B: Pre-dose and up to 11 samples over a 24 hour period post morning dose, day 1 and 5; Part C: Predose and up to 16 samples over a 24 hour period post dose per treatment period. |
| Pharmacokinetic - Area under the concentration-time curve from time 0 to infinity (AUC0-inf) | Evaluation of AUC (0-inf) in Part A, Part B and Part C | Part A: Predose and up to 18 samples over a 48 hour period post dose; Part B: Pre-dose and up to 11 samples over a 24 hour period post morning dose, day 1 and 5; Part C: Predose and up to 16 samples over a 24 hour period post dose per treatment period. |
| Pharmacokinetic - Residual Area under the curve (AUC%extrap) | Evaluation of AUC%extrap in Part A, Part B and Part C | Part A: Predose and up to 18 samples over a 48 hour period post dose; Part B: Pre-dose and up to 11 samples over a 24 hour period post morning dose, day 1 and 5; Part C: Predose and up to 16 samples over a 24 hour period post dose per treatment period. |
| Pharmacokinetic - Apparent total body clearance (CL/F) | Evaluation of CL/F in Part A, Part B and Part C | Part A: Predose and up to 18 samples over a 48 hour period post dose; Part B: Pre-dose and up to 11 samples over a 24 hour period post morning dose, day 1 and 5; Part C: Predose and up to 16 samples over a 24 hour period post dose per treatment period. |
| Pharmacokinetic - Apparent Volume of Distribution (Vz/F) | Evaluation of Vz/F in Part A, Part B and Part C | Part A: Predose and up to 18 samples over a 48 hour period post dose; Part B: Pre-dose and up to 11 samples over a 24 hour period post morning dose, day 1 and 5; Part C: Predose and up to 16 samples over a 24 hour period post dose per treatment period. |
| Pharmacokinetic - Area under the curve from time of first dose to 12 h post-dose (AUC0-12) | Evaluation of AUC0-12 in Part B | Pre-dose and up to 11 samples over a 24 hour period post morning dose, day 1 and 5 |
| Pharmacokinetic - Area under the curve from time of second dose to 12 h post-dose (AUC12-24) | Evaluation of AUC12-24 in Part B | Pre-dose and up to 11 samples over a 24 hour period post morning dose, day 1 and 5 |
| Pharmacokinetic - Apparent total body clearance at steady state (CLss/F) | Evaluation of Clss/F in Part B | Pre-dose and up to 11 samples over a 24 hour period post morning dose, day 1 and 5 |
| Pharmacokinetic - Maximum Concentration (Cmax) - Bioavailability Ratio Fed/Fasted | Evaluation of Cmax Bioavailability Ratio Fed/Fasted in Part C | Predose and up to 16 samples over a 24 hour period post dose per treatment period. |
| Pharmacokinetic - Area under the curve from the time of dosing to the time of the last measurable concentration (AUC 0-t) - Bioavailability Fed/Fasted Ratio | Evaluation of AUC0-t Bioavailability Ratio Fed/Fasted in Part C | Predose and up to 16 samples over a 24 hour period post dose per treatment period. |
| Pharmacokinetic - Area under the concentration-time curve from time 0 to infinity(AUC0-inf) - Bioavailability Fed/Fasted Ratio | Evaluation of AUC0-inf Bioavailability Ratio Fed/Fasted in Part C | Predose and up to 16 samples over a 24 hour period post dose per treatment period. |
| D000081207 | Primary Immunodeficiency Diseases |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D014581 | Urticaria |
| D017445 | Skin Diseases, Vascular |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |
| D007153 | Immunologic Deficiency Syndromes |