Evidence map›Paper›PMID 35278245›Full record

ArticleClinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology2022

Pharmacological suppression of the kallikrein kinin system with KVD900: An orally available plasma kallikrein inhibitor for the on-demand treatment of hereditary angioedema.

Edward J Duckworth, Nivetha Murugesan, Lily Li, Louise J Rushbrooke, Daniel K Lee, Gian Marco De Donatis, Andreas Maetzel, Christopher M Yea, Sally L Hampton, Edward P Feener

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 20 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 2 countries.

Edward J DuckworthKalVista Pharmaceuticals, Cambridge, Massachusetts, USA.
Nivetha MurugesanKalVista Pharmaceuticals, Cambridge, Massachusetts, USA.
Lily LiKalVista Pharmaceuticals, Cambridge, Massachusetts, USA.
Louise J RushbrookeKalVista Pharmaceuticals, Cambridge, Massachusetts, USA.
Daniel K LeeKalVista Pharmaceuticals, Cambridge, Massachusetts, USA.
Gian Marco De DonatisKalVista Pharmaceuticals, Cambridge, Massachusetts, USA.
Andreas MaetzelKalVista Pharmaceuticals, Cambridge, Massachusetts, USA.
Christopher M YeaKalVista Pharmaceuticals, Cambridge, Massachusetts, USA.
Sally L HamptonKalVista Pharmaceuticals, Cambridge, Massachusetts, USA.ORCID 0000-0002-4305-5461
Edward P FeenerKalVista Pharmaceuticals, Cambridge, Massachusetts, USA.ORCID 0000-0003-1175-8469
KalVista Pharmaceuticals (United States) · USUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHereditary angioedema (HAE) is a rare genetic disease that leads to recurrent episodes of swelling and pain caused by uncontrolled plasma kallikrein (PKa) activity. Current guidelines recommend ready availability of on-demand HAE treatments that can be administered early upon attack onset. This report describes the pharmacological and pharmacodynamic properties of the novel oral small-molecule PKa inhibitor KVD900 as a potential on-demand treatment for HAE.

methodsPharmacological properties of KVD900 on PKa and closely related serine proteases were characterized using kinetic fluorogenic substrate activity assays. Effects of KVD900 on PKa activity and kallikrein kinin system activation in whole plasma were measured in the presence of dextran sulphate (DXS)-stimulation using a fluorogenic substrate and capillary immunoassays to quantify high molecular weight kininogen (HK), plasma prekallikrein and Factor XII cleavage. Pharmacodynamic effects of orally administered KVD900 were characterized in plasma samples from six healthy controls in a first in human phase 1 clinical trial and from 12 participants with HAE in a phase 2 clinical trial.

resultsKVD900 is a selective, competitive and reversible inhibitor of human PKa enzyme with a K

conclusionKVD900 is a fast-acting oral PKa inhibitor that rapidly inhibits PKa activity, kallikrein kinin system activation and HK cleavage in plasma. On-demand administration of KVD900 may provide an opportunity to halt the generation of bradykinin and reverse HAE attacks.

Indexed as

Angioedemas, HereditaryBradykininComplement C1 Inhibitor ProteinFactor XIIFluorescent DyesHumansKallikrein-Kinin SystemPlasma KallikreinPrekallikreinBradykininComplement C1 Inhibitor ProteinFactor XIIFluorescent DyesPlasma KallikreinPrekallikreinhereditary angioedemakallikrein kinin systemplasma kallikrein inhibitor

Identifiers

PMID35278245
PMCPMC9544254
OpenAlexW4220905241

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.