Overview
Sponsor-declared trial summary
Hereditary Angioedema
To assess the long-term safety and tolerability of navenibart in participants with hereditary angioedema (HAE)
Key facts
- Sponsor
- Astria Therapeutics Inc.
- Participant type
- Pediatric, Patients
- Age range
- 0-17 years, 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Congenital, Hereditary, and Neonatal Diseases and Abnormalities [C16]
- Trial duration
- 27 Mar 2026 → ongoing
- Decision date (initial)
- 2026-02-09
- Transition trial
- No
- Low-intervention
- No
- Rare-disease indication
- Yes
- Vulnerable population
- Yes
External identifiers
- EU CT number
- 2025-521142-22-00
- WHO UTN
- U1111-1324-6718
- ClinicalTrials.gov
- NCT07204938
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Efficacy, Pharmacokinetic, Dose response, Pharmacogenomic, Pharmacodynamic, Pharmacogenetic, Safety
To assess the long-term safety and tolerability of navenibart in participants with hereditary angioedema (HAE)
Secondary objectives 2
- 1) To assess the long-term clinical efficacy of navenibart as a preventive treatment for HAE in participants with HAE
- 2) To assess the quality of life associated with the use of navenibart in participants with HAE
Conditions and MedDRA coding
Hereditary Angioedema
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 28.0 | LLT | 10080956 | Hereditary angioedema type I | 10010331 |
| 27.1 | LLT | 10075280 | Hereditary angioedema attack | 10010331 |
| 27.1 | PT | 10019860 | Hereditary angioedema | 100000004850 |
| 28.0 | LLT | 10080960 | Hereditary angioedema type II | 10010331 |
Regulatory references
- Scientific advice from competent authorities
- European Medicines Agency, Food And Drug Administration
- Plan to share IPD
- No
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 1
- Participants from STAR-0215-301 who met one of the following conditions: a. Completed STAR-0215-301 through the Day 181 visit b. Withdrew from STAR-0215-301 but met the following criteria: i. Received 2 doses of IP ii. completed ≥ 2 months of trial follow-up after the second dose of IP iii. Met other eligibility criteria as assessed by Investigator
Exclusion criteria 4
- Any concomitant diagnosis of another form of chronic angioedema, such as acquired C1 inhibitor deficiency, HAE with normal C1-INH (also known as HAE type 3) , idiopathic angioedema, or angioedema associated with urticaria.
- Participation in an investigational clinical trial other than STAR-0215-301 in the 30 days or any exposure to an investigational drug (other than navenibart in STAR-0215-301) within 5 half-lives before informed consent/assent
- Any exposure to angiotensin-converting enzyme (ACE) inhibitors or any estrogen containing medications with systemic absorption (such as hormonal contraceptives or hormone replacement therapy) within 30 days before Screening.
- Known sensitivity to the ingredients in the formulation of IP
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- Incidence of treatment-emergent adverse events
Secondary endpoints 8
- Number of time-normalized investigator-confirmed HAE attacks
- Number of moderate or severe investigator-confirmed HAE attacks
- Number of investigator-confirmed HAE attacks that require on-demand treatment
- Percent reduction in monthly investigator-confirmed HAE attacks
- Time to first investigator-confirmed HAE attack after first dose
- The number of participants responding to treatment, defined as a ≥ 50%, ≥ 70%, or ≥ 90% reduction in investigator-confirmed HAE attack rate
- Number of participants with no investigator-confirmed HAE attacks
- Angioedema Quality of Life (AE-QoL) questionnaire total score
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 1
PRD10170159 · Product
- Active substance
- Navenibart
- Substance synonyms
- QLS-215, Humanised IgG1 kappa (YTE) monoclonal antibody against plasma kallikrein, STAR-0215
- Pharmaceutical form
- STERILE SOLUTION
- Route of administration
- SUBCUTANEOUS USE
- Max daily dose
- 600 mg milligram(s)
- Max total dose
- 9600 mg milligram(s)
- Max treatment duration
- 48 Month(s)
- Authorisation status
- Not Authorised
- MA holder
- ASTRIA THERAPEUTICS, INC
- Paediatric formulation
- No
- Orphan designation
- Yes
- Orphan designation number
- EMA/OD/0000178549
Placebo 1
N/A · Product
- Other product name
- N/A
- Pharmaceutical form
- N/A
- ATC code
- N/A — N/A
- Marketing authorisation
- N/A
- MA holder
- N/A
- MA country
- Iceland
- Paediatric formulation
- No
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Astria Therapeutics Inc.
- Sponsor organisation
- Astria Therapeutics Inc.
- Address
- 22 Boston Wharf Road, Floor 10 Floor 10
- City
- Boston
- Postcode
- 02210
- Country
- United States
Scientific contact point
- Organisation
- Astria Therapeutics Inc.
- Contact name
- Astria Therapeutics Inc
Public contact point
- Organisation
- Astria Therapeutics Inc.
- Contact name
- Astria Therapeutics Inc
Third parties 5
| Organisation | City, country | Duties |
|---|---|---|
| Certara USA Inc. ORG-100042611
|
Radnor, United States | Code 12 |
| Labcorp Central Laboratory Services SARL ORG-100011524
|
Meyrin, Switzerland | Laboratory analysis |
| Labcorp Central Laboratory Services LP ORG-100032236
|
Indianapolis, United States | Laboratory analysis |
| Fortrea Inc. ORG-100012602
|
Durham, United States | On site monitoring, Code 13, Other, Code 2, Code 5, Code 8 |
| Medidata Solutions Inc. ORG-100016256
|
New York, United States | Other, Interactive response technologies (IRT), E-data capture |
Locations
11 EU/EEA countries · 33 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Austria | Authorised, recruitment pending | 2 | 2 |
| Bulgaria | Authorised, recruiting | 3 | 1 |
| Czechia | Authorised, recruitment pending | 3 | 2 |
| France | Authorised, recruitment pending | 7 | 5 |
| Germany | Authorised, recruitment pending | 7 | 3 |
| Hungary | Authorised, recruitment pending | 2 | 1 |
| Italy | Authorised, recruitment pending | 8 | 6 |
| Netherlands | Ongoing, recruiting | 2 | 1 |
| Poland | Ongoing, recruiting | 7 | 5 |
| Portugal | Authorised, recruitment pending | 5 | 2 |
| Spain | Authorised, recruiting | 7 | 5 |
| Rest of world
Brazil, Korea, Republic of, United Kingdom, North Macedonia, Israel, United States, Australia, South Africa, Canada, New Zealand, Hong Kong, Japan
|
— | 93 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment end | Early termination |
|---|---|---|---|---|---|
| Bulgaria | 2026-05-07 | ||||
| Netherlands | 2026-03-27 | 2026-04-24 | |||
| Poland | 2026-03-27 | 2026-04-11 | |||
| Spain | 2026-04-21 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 135 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_Protocol_EN_2025-521142-22_Redacted | 4.0 |
| Protocol (for publication) | D4_Patient Facing Documents Questionnaires_Unredacted statements | 2 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements | 1.0 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | 2.0 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements | 2.0 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements_Letter from site_No adolescents_Farkas_Semmelweis | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment material_Greenphire | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment material_Greenphire notice | 1.2 |
| Recruitment arrangements (for publication) | K2_Recruitment Material_Consent Flyer | 2.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Consent Flyer | 2.0 |
| Recruitment arrangements (for publication) | K2_Recruitment Material_Consent Flyer | 2.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Consent Flyer | 2.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Consent Flyer | 2.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Consent Flyer | 2.0 |
| Recruitment arrangements (for publication) | K2_Recruitment Material_Consent Flyer | 2.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Consent_Flyer | 2.1 |
| Recruitment arrangements (for publication) | K2_Recruitment Material_Consent_Flyer | 2.0 |
| Recruitment arrangements (for publication) | K2_Recruitment Material_Greenphire notice | 1.2 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Greenphire notice | 1.2 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Privacy Data Notice Greenphire | 1.2 |
| Recruitment arrangements (for publication) | K2_Recruitment materials_Greenphire Notice | 1.2 |
| Recruitment arrangements (for publication) | K2_Recruitmnet material_Consent Flyer | 2.0 |
| Recruitment arrangements (for publication) | K3_Recruitment Material_CZ in EN_Greenphire Notice | 1.2 |
| Recruitment arrangements (for publication) | K3_Recruitment Material_Greenphire Notice | 1.2 |
| Recruitment arrangements (for publication) | K3_Recruitment Materials_Greenphire Notice | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Assent_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main_Redacted | 4.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Parent_Redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pregnant Participant | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pregnant Partner and Child Follow-up | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Adolescent Assent 12 to 15_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Adolescent Assent 16-17_redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Adolescent Assent_redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Adult Appendix 1 | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Adult Main ICF_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Adult Main_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Adult_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Adult_Redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Adult_Redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Adult_redacted | 4.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Assent_12-13 y_redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Assent_14-17_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Assent_redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Assent_Redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Assent_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Assent_Redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Assent_Redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Assent_Redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Child Data Collection | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Confidentiality Notice | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Core_Adult_Redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Core_Assent_Redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Core_Optional Genetic | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Core_Parent_Redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Core_Pregnant Partner | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_CZ in EN_Adult_Redacted | 4.0 |
| Subject information and informed consent form (for publication) | L1_SIS and iCF_CZ in EN_Confidentiality Notice | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_CZ in EN_Confidentiality Notice_CoT | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_CZ in EN_Optional Future Research | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_CZ in EN_Optional Future Research_CoT | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_CZ in EN_Optional Genetic Research | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_CZ in EN_Optional Genetic Research_CoT | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_CZ in EN_Pregnant Partner | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_CZ in EN_Pregnant Partner_CoT | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main Adult_redacted | 4.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main Adult_Redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main Adult_Redacted | 4.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main Adult_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main Adult_Redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Majority of Age | 4.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Optional Future Research | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Optional Genetic | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Optional Genetic | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Optional Genetic | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Optional Genetic | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Optional Genetic | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Optional Genetic ICF | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Optional Genetic PIS | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Optional Genetic Research | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Optional Genetic Research | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Optional Genetic Research | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Optional Genetic Research | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Optional Genetic Research | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Parent Appendix 1 | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Parent Main_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Parent_redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Parent_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Parent_Redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Parent_Redacted | 4.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Parent_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Parent_Redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Parent_Redacted | 4.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Parent_Redacted | 4.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnancy and Child Follow Up | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnancy and child Follow-up | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnancy and Child-Follow-up | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnancy Follow-Up | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnant Partner | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnant Partner | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnant Partner | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnant Partner | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnant Partner | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnant Partner | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnant Partner | 1.0 |
| Subject information and informed consent form (for publication) | L2__Other subject information material_OrbitExpanse_Participants_Guide_Adolescents | 1 |
| Subject information and informed consent form (for publication) | L2_Contactdetails for ICFs | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_MidStudy_ThankYouCard | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_OrbitExpanse_Participants_Guide_Adults | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_Participant Card | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_patient appointment card | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_SchoolExcuseNote | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_ThankYouCard | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_AT_2025-521142-22_redacted | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_BG_2025-521142-22_redacted | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_CZ_2025-521142-22_redacted | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_DE_2025-521142-22_redacted | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_EN_2025-521142-22_redacted | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_ES_2025-521142-22_redacted | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_FR_2025-521142-22_redacted | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_HU_2025-521142-22_redacted | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_IT_2025-521142-22_redacted | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_NL_2025-521142-22_redacted | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_PL_2025-521142-22_redacted | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_PT_2025-521142-22_redacted | 1.0 |
| Synopsis of the protocol (for publication) | D1_Tradtitional Synopsis_AT_2025-521142-22_redacted | 4.0 |
| Synopsis of the protocol (for publication) | D1_Tradtitional Synopsis_HU_2025-521142-22_redacted | 4.0 |
Application history
5 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2025-10-03 | Germany | Acceptable 2026-02-09
|
2026-02-09 |
| 2 | NON SUBSTANTIAL MODIFICATION | NSM-1 | 2026-03-13 | Germany | Acceptable 2026-02-09
|
2026-03-13 |
| 3 | NON SUBSTANTIAL MODIFICATION | NSM-2 | 2026-04-01 | Acceptable 2026-02-09
|
2026-04-01 | |
| 4 | NON SUBSTANTIAL MODIFICATION | NSM-3 | 2026-04-03 | Acceptable 2026-02-09
|
2026-04-03 | |
| 5 | SUBSTANTIAL MODIFICATION | SM-1 | 2026-04-13 | Acceptable | 2026-05-28 |