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KPL-914

Phase 2

Recurrent Pericarditis | Small molecule | Cardiovascular |Kiniksa Pharmaceuticals International, plc|Last Updated: May 27, 2021

Success Probability

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Market & Valuation

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Trial Design

CONTROLLED
Total Trials1
Total Enrollment26

FDA Designations

No designations recorded

Clinical trial landscape

KPL-914 · 1 trial · 1 indication

Phase 2 1
NCT03980522A Pilot Study of KPL-914 in Recurrent PericarditisRecurrent Pericarditis
COMPLETED26 Analytics
PHASE2COMPLETED
A Pilot Study of KPL-914 in Recurrent Pericarditis
Recurrent PericarditisUnlock trial analytics

Study Endpoints

Primary Endpoints

Parts 1, 2 and 4: Pretreatment C-Reactive Protein (CRP) Levels
Screening Visit 1 (Day -3 to Day 0), Screening Visit 2 (Day -3 to Day 0), Day 0, Baseline (defined as the last non-missing assessment prior to the first study drug administration)
Parts 1, 2 and 4: On-Treatment Change From Baseline Over Time in CRP Levels
Baseline, Treatment Period (TP) Weeks 2, 3, 4, 5, 6, TP Interval Evaluation (between Weeks 3-4), End of TP (up to Week 6), Extension Period (EP): Months 1, 2, 3, 4, EP Interval Evaluation (between Weeks 15-20), Final Visit (up to Week 25)
Parts 1, 2 and 4: Pretreatment Pain NRS Scores
Prescreening, Screening Visit 1 (Day -3 to Day 0), Screening Visit 2 (Day -3 to Day 0), Day 0, Baseline (defined as the last non-missing assessment prior to the first study drug administration)

The average level of pericarditis pain over previous 24 hours was assessed by participants at each visit using 11-point pain NRS (where "0" indicates "no pain" and "10" indicates pain "as bad as it could be").

Parts 1, 2 and 4: On-Treatment Change From Baseline Over Time in Pain NRS Scores
Baseline, Treatment Period (TP) Day 3, Weeks 2, 3, TP Interval Evaluation (between Weeks 3-4), 4, 5, 6, End of TP (up to Week 6), Extension Period (EP): Months 1, 2, 3, 4, EP Interval Evaluation (between Weeks 15-20), Final Visit (up to Week 25)

The average level of pericarditis pain over previous 24 hours was assessed by participants at each visit using 11-point pain NRS (where "0" indicates "no pain" and "10" indicates pain "as bad as it could be").

Parts 3 and 5: Change From Baseline Over Time in CRP Levels
Baseline, TP Weeks 2, 3, Interval Evaluation Visit (Weeks 3-4), 4, 5, 6, End of TP Visit (Week 6), EP Months 1, 2, 3, 4, EP Interval Evaluation Visit (Week 15-Week 20), Final Visit (up to EP Month 4)

Baseline is defined as the last non-missing assessment prior to the first study drug administration.

Parts 3 and 5: Change From Baseline Over Time in Pain NRS Scores
Baseline, TP Day 3, TP Weeks 2, 3, Interval Evaluation Visit (Weeks 3-4), 4, 5, 6, End of TP Visit (Week 6), EP Months 1, 2, 3, 4, EP Interval Evaluation Visit (Week 15-Week 20), Final Visit (up to EP Month 4)

The average level of pericarditis pain over previous 24 hours was assessed by participants at each visit using 11-point pain NRS (where "0" indicates "no pain" and "10" indicates pain "as bad as it could be"). Baseline is defined as the last non-missing assessment prior to the first study drug administration.

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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
KPL-914: Part 1 ParticipantsEXPERIMENTALPart 1 enrolls symptomatic participants with recurrent idiopathic pericarditis (RIP) with an elevated marker of systemic inflammation (C-reactive protein \[CRP\] \> 1mg/dL).
KPL-914: Part 2 ParticipantsEXPERIMENTALPart 2 enrolls symptomatic participants with RIP with CRP ≤1 mg/dL which, in the opinion of the Investigator, can be attributed to concomitant medications (e.g., corticosteroids) and with pericardial inflammation present on cardiac magnetic resonance imaging (MRI) confirmed by the imaging core lab.
KPL-914: Part 3 ParticipantsEXPERIMENTALPart 3 enrolls participants with corticosteroid-dependent RIP not experiencing symptoms which would meet the diagnostic criteria for a flare of pericarditis.
KPL-914: Part 4 ParticipantsEXPERIMENTALPart 4 enrolls symptomatic participants with recurrent post pericardiotomy syndrome (PPS) with an elevated marker of systemic inflammation (CRP \> 1mg/dL).
KPL-914: Part 5 ParticipantsEXPERIMENTALPart 5 enrolls participants with corticosteroid-dependent recurrent PPS not experiencing symptoms which would meet the diagnostic criteria for a flare of pericarditis.

Interventions

NameTypeDescription
KPL-914DRUGKPL-914 (rilonacept) will be provided in its commercially available formulation as a lyophilized powder to be reconstituted for SC administration. Adult participants (≥ 18 years of age) KPL-914 will be administered as an initial loading dose of 320 mg SC, delivered as 2 subcutaneous injections of 160 mg SC each on Day 0, then 160 mg SC dosed once weekly for 5 subsequent weeks. Pediatric participants (6 to \<18 years of age) KPL-914 will be administered with an initial loading dose of 4.4 mg/kg, up to a maximum of 320 mg, delivered as 2 subcutaneous injections of 2.2 mg/kg each with a maximum single-injection volume of 2 mL. Participants considered to be 'treatment responders' will be offered participation in an optional 18-week extension period (EP) in which KPL-914 can be continued for a total duration of KPL-914 treatment of up to 24 weeks.
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Eligibility Criteria

Age Range6 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites14

Inclusion Criteria for All Participants: * Has given consent (or assent, if applicable) and signed an Informed Consent Form (ICF) (or informed assent form, if applicable). * Male or female, of any ethnic origin. * 6 to 75 years of age, inclusive. * If used, has received non-steroidal anti-inflammat...

Countries:United States
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Frequently asked questions about KPL-914

What is KPL-914 used for?

KPL-914 is an investigational small molecule being studied for the treatment of recurrent pericarditis, a condition characterized by inflammation of the pericardium. It is currently in Phase 2 clinical development and has not been approved by regulatory authorities.

Who makes KPL-914?

KPL-914 is being developed by Kiniksa Pharmaceuticals International, plc, a biopharmaceutical company listed on the stock exchange under the ticker symbol KNSA. The company is conducting clinical trials to evaluate the drug's safety and efficacy in patients with recurrent pericarditis.

What phase is KPL-914 in?

KPL-914 is in Phase 2 clinical development. A pilot study of the drug in recurrent pericarditis has been completed, but the drug remains investigational and is not yet approved for commercial use.

What clinical trials is KPL-914 in?

KPL-914 has been studied in a Phase 2 clinical trial with the identifier NCT03980522, titled 'A Pilot Study of KPL-914 in Recurrent Pericarditis.' This trial, which enrolled 26 participants in the United States, has been completed.

Is KPL-914 FDA approved?

KPL-914 is not FDA approved. It is an investigational drug currently in Phase 2 clinical development for recurrent pericarditis. The completed pilot study represents early-stage research, and the drug has not yet received regulatory approval.