145 Participants Needed

Navenibart for Angioedema

(ALPHA-ORBIT Trial)

Recruiting at 46 trial locations
CV
Overseen ByClaire VanEenwyk, MD
Age: Any Age
Sex: Any
Trial Phase: Phase 3
Sponsor: Astria Therapeutics, Inc.
Pivotal Trial (Near Approval)This treatment is in the last trial phase before FDA approval
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new treatment called navenibart for individuals with hereditary angioedema (HAE), a condition causing sudden swelling attacks. The goal is to determine if navenibart can safely and effectively prevent these attacks better than a placebo. Participants may receive varying doses of navenibart or a placebo for comparison. Ideal candidates have type 1 or type 2 HAE and have experienced at least two recent swelling attacks. This trial could provide a new option for managing HAE and reducing the impact of these attacks on daily life. As a Phase 3 trial, it represents the final step before FDA approval, offering participants a chance to contribute to a potentially groundbreaking treatment for HAE.

Do I have to stop taking my current medications for the trial?

Yes, if you are taking certain medications to prevent HAE attacks, you will need to stop them before joining the trial. There are specific time frames for stopping each medication, ranging from 3 to 90 days before the trial's Run-In period.

Is there any evidence suggesting that navenibart is likely to be safe for humans?

A previous study found that navenibart was well tolerated by participants. Researchers tested doses up to 1200 mg in humans, and the treatment showed a favorable safety profile, meaning most people did not experience severe side effects. It also proved effective over time, aiding in extended symptom control. Research indicates that it reduces the frequency of HAE attacks, a promising sign for those considering this treatment. Overall, the safety data suggests that navenibart is generally safe for use in humans.12345

Why do researchers think this study treatment might be promising?

Researchers are excited about Navenibart for angioedema because it offers a potentially novel approach compared to existing treatments like antihistamines, corticosteroids, and C1 inhibitors. Unlike these standard therapies, Navenibart may work with a different mechanism, potentially targeting pathways that are not addressed by current options. With several dosing regimens being tested, including both every three months and every six months, Navenibart could provide more flexible and less frequent treatment schedules. This could mean fewer disruptions for patients and better management of symptoms, which is a big step forward in treating angioedema.

What evidence suggests that navenibart might be an effective treatment for hereditary angioedema?

Studies have shown that navenibart can significantly reduce the frequency and severity of hereditary angioedema (HAE) attacks. Research indicates that individuals taking navenibart experience fewer attacks and require less emergency medication. Additionally, patients reported improved quality of life with navenibart. The treatment blocks plasma kallikrein, a substance in the blood involved in HAE attacks, providing long-lasting protection. Overall, evidence supports navenibart as a promising option for preventing HAE attacks. Participants in this trial will receive one of several dosing regimens of navenibart or a placebo to further evaluate its effectiveness.34567

Are You a Good Fit for This Trial?

Adults and adolescents with a documented history of hereditary angioedema (HAE) types 1 or 2, who have had at least two HAE attacks during the run-in period. Participants must meet specific lab criteria for HAE.

Inclusion Criteria

I have a documented history of hereditary angioedema.
My lab results show I have Hereditary Angioedema Type 1 or 2.
I have had at least 2 HAE attacks recently.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive subcutaneous administration of navenibart or placebo to evaluate efficacy and safety in preventing HAE attacks

12 months
Every 3 months

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Navenibart
Trial Overview The trial is testing navenibart, administered subcutaneously, against a placebo to see if it can prevent attacks in people with hereditary angioedema. It's a phase 3 study where participants are randomly assigned to either the drug or placebo group without knowing which one they receive.
How Is the Trial Designed?
5Treatment groups
Experimental Treatment
Placebo Group
Group I: Adult Navenibart Dosing Regimen 3Experimental Treatment1 Intervention
Group II: Adult Navenibart Dosing Regimen 2Experimental Treatment1 Intervention
Group III: Adult Navenibart Dosing Regimen 1Experimental Treatment1 Intervention
Group IV: Adolescent Navenibart Dosing Regimen 1Experimental Treatment1 Intervention
Group V: Placebo (adult)Placebo Group1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Astria Therapeutics, Inc.

Lead Sponsor

Trials
5
Recruited
310+

Citations

Astria Therapeutics Announces Final Positive Results from ...These results reinforce the potential of navenibart's profile to provide effective, long-acting prevention from HAE attacks and highlight ...
Treatment with Navenibart (STAR-0215) Reduces Attack ...This interim analysis suggests that navenibart reduces the burden of HAE, assessed by reduction in HAE attack frequency, severity and use of rescue medication.
FINAL RESULTS FROM ALPHA-STAR, A PHASE 1B/2 ...Navenibart treatment resulted in improvement in mean total score on the Angioedema Quality of Life Questionnaire (Cohort 1, -25.37, Cohort 2, -31.79, Cohort 3, ...
NCT06842823 | A Study of Navenibart in Participants With ...The goal of this clinical trial is to evaluate the efficacy and safety of navenibart compared to placebo in preventing HAE attacks in participants with HAE.
Safety and pharmacokinetics of long-acting plasma ...In this first-in-human study, up to 1200 mg of navenibart was well tolerated and demonstrated an extended half-life with durable plasma kallikrein inhibition.
Navenibart (STAR-0215)Positive results from the target enrollment group of 16 patients in the Phase 1b/2 ALPHA-STAR trial of navenibart demonstrate a favorable safety and ...
Astria Therapeutics Announces Positive Initial Results from ...Navenibart demonstrated overall attack-freedom of 50% over six months, which is the longest period of follow-up for all 16 patients to date.
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