Phase 2/3 Study of KPL-387 in Recurrent Pericarditis

NCT ID: NCT07010159

Last Updated: 2025-12-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE2/PHASE3

Total Enrollment

165 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-07-25

Study Completion Date

2029-12-31

Brief Summary

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This study is being done to demonstrate whether KPL-387 is an effective and safe treatment for recurrent pericarditis.

Detailed Description

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This clinical trial is comprised of 3 separate study parts: Phase 2, Phase 3, and Long-Term Extension. The primary objective of Phase 2 is to evaluate how well different dose regimens of KPL-387 control the pain and inflammation of pericarditis in a group of participants experiencing an acute episode of recurrent pericarditis. This part of the study will confirm the KPL-387 dose regimen to be further tested in Phase 3 and the Long-Term Extension. The primary objective of Phase 3 is to confirm the efficacy of KPL-387 for the treatment of recurrent pericarditis and reduction in risk of recurrence in an additional group of participants experiencing an acute episode of recurrent pericarditis. Participants who complete Phase 2 or Phase 3 may be eligible to participate in the Long-Term Extension. The primary objective of the Long-Term Extension is to assess the long-term efficacy of KPL-387 while maintaining long-term disease control. All of the study parts also have other objectives to learn about the safety, tolerability, concentration of KPL-387 in blood, and effects of KPL-387 on blood test markers of immune activity in recurrent pericarditis.

Conditions

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Pericarditis Pericarditis Acute Recurrent Pericarditis

Keywords

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Recurrence Recurrent Recurrent Pericarditis KPL-387

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Phase 2 KPL-387 100mg SC q2wk

In Phase 2 Treatment Period KPL-387 will be administered by subcutaneous (SC) injection every 2 weeks (q2wk) through Week 22.

Group Type EXPERIMENTAL

KPL-387

Intervention Type DRUG

administered by subcutaneous injection

Phase 2 KPL-387 100mg SC q4wk

In Phase 2 Treatment Period, KPL-387 or placebo (alternating every 2 weeks) will be administered by SC injection q2wk through Week 22 to provide active drug administration every 4 weeks (q4wk) while maintaining treatment concealment.

Group Type EXPERIMENTAL

KPL-387

Intervention Type DRUG

administered by subcutaneous injection

Placebo

Intervention Type DRUG

administered by subcutaneous injection

Phase 2 KPL-387 300mg SC q2wk

In Phase 2 Treatment Period KPL-387 will be administered by SC injection q2wk through Week 22.

Group Type EXPERIMENTAL

KPL-387

Intervention Type DRUG

administered by subcutaneous injection

Phase 2 KPL-387 300mg SC q4wk

In Phase 2 Treatment Period, KPL-387 or placebo (alternating every 2 weeks) will be administered by SC injection q2wk through Week 22 to provide active drug administration q4wk while maintaining treatment concealment.

Group Type EXPERIMENTAL

KPL-387

Intervention Type DRUG

administered by subcutaneous injection

Placebo

Intervention Type DRUG

administered by subcutaneous injection

Phase 3 KPL-387 SC

Run-In (RI) Period: participants receive single-blind KPL-387

Randomized Withdrawal (RW) Period: eligible participants are randomized (1:1 KPL-387 or placebo) to receive double-blinded KPL-387.

Group Type EXPERIMENTAL

KPL-387

Intervention Type DRUG

administered by subcutaneous injection

Phase 3 Placebo SC

RW Period: eligible participants are randomized (1:1 KPL-387 or placebo) to receive double-blinded placebo.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

administered by subcutaneous injection

Long-Term Extension

Participants from Phase 2 and Phase 3 who continue into the Long-Term Extension will receive KPL-387.

Group Type EXPERIMENTAL

KPL-387

Intervention Type DRUG

administered by subcutaneous injection

Interventions

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KPL-387

administered by subcutaneous injection

Intervention Type DRUG

Placebo

administered by subcutaneous injection

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Phase 2 and 3: Has a diagnosis of recurrent pericarditis
* Phase 2 and 3: Has signs and symptoms of recurrent pericarditis despite treatment with standard therapies
* Phase 2 and 3: Weighs at least 40 kg
* Phase 2: Taking NSAIDS and/or colchicine (in any combination)
* Phase 3: Taking NSAIDs and/or colchicine and/or glucocorticoids (in any combination)

Exclusion Criteria

* Phase 2 and 3: Has a diagnosis of pericarditis that is secondary to specific prohibited etiologies.
* Phase 2 and 3: Has received an investigational drug during the 4 weeks before screening or is planning to receive an investigational drug at any time during the study.
* Phase 2 and 3: Has a history of active or untreated, latent tuberculosis (TB) prior to screening.
* Phase 2 and 3: Has a history of immunodeficiency.
* Phase 2 and 3: Has a history of immunosuppression, including positive human immunodeficiency virus (HIV) test results.
* Phase 2 and 3: Has chest x-ray at Screening or within 12 weeks before first study drug administration, with evidence of malignancy, abnormality consistent with prior or active TB infection or active infection.
* Phase 2 and 3: Has a history of malignancy of any organ system within the past 5 years before Screening (other than a successfully treated non metastatic cutaneous squamous cell carcinoma or basal cell carcinoma and/or localized carcinoma in situ of the cervix).
* Phase 2 and 3: Has a known or suspected current active infection or a history of chronic or recurrent infectious disease (\> 3 episodes in prior 12 months), including but not limited to, genitourinary infection, chest infection, sinusitis, or skin/soft tissue infection.
* Phase 2 and 3: Has had a serious infection, has been admitted to the hospital for an infection, or has been treated for a documented infection requiring antibiotics for a documented infection within 2 weeks prior to first study drug administration.
* Phase 2 and 3: Has had an organ transplant (except corneal transplant performed more than 3 months prior to first study drug administration).
* Phase 2 and 3: In the Investigator's opinion, has any other medical condition that could adversely affect the subject's participation or interfere with study evaluations.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kiniksa Pharmaceuticals, GmbH

INDUSTRY

Sponsor Role collaborator

Kiniksa Pharmaceuticals International, plc

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Investigational Site 018

Gilbert, Arizona, United States

Site Status RECRUITING

Investigational Site 008

San Francisco, California, United States

Site Status RECRUITING

Investigational Site 016

Westminster, Colorado, United States

Site Status RECRUITING

Investigational Site 001

Columbus, Georgia, United States

Site Status RECRUITING

Investigational Site 004

Chicago, Illinois, United States

Site Status RECRUITING

Investigational Site 014

Indianapolis, Indiana, United States

Site Status RECRUITING

Investigational Site 002

Overland Park, Kansas, United States

Site Status RECRUITING

Investigational Site 012

Rochester, Minnesota, United States

Site Status RECRUITING

Investigational Site 015

New York, New York, United States

Site Status RECRUITING

Investigational Site 009

Cincinnati, Ohio, United States

Site Status RECRUITING

Investigational Site 003

Cleveland, Ohio, United States

Site Status RECRUITING

Investigational Site 005

Austin, Texas, United States

Site Status RECRUITING

Investigational Site 013

Houston, Texas, United States

Site Status RECRUITING

Investigational Site 006

Richmond, Virginia, United States

Site Status RECRUITING

Investigational Site 021

Paris, , France

Site Status RECRUITING

Investigational Site 019

Poitiers, , France

Site Status RECRUITING

Investigational Site 007

Milan, , Italy

Site Status RECRUITING

Investigational Site 010

Barcelona, , Spain

Site Status RECRUITING

Investigational Site 011

Murcia, , Spain

Site Status RECRUITING

Investigational Site 020

London, , United Kingdom

Site Status RECRUITING

Investigational Site 017

Southampton, , United Kingdom

Site Status RECRUITING

Countries

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United States France Italy Spain United Kingdom

Central Contacts

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Clinical Project Manager

Role: CONTACT

Phone: 781-431-9100

Email: [email protected]

Other Identifiers

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2025-521933-10

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

KPL-387-C211

Identifier Type: -

Identifier Source: org_study_id