STAR-0215 for Hereditary Angioedema

No longer recruiting at 21 trial locations
CM
Overseen ByChristopher Morabito, MD
Age: 18+
Sex: Any
Trial Phase: Phase 1 & 2
Sponsor: Astria Therapeutics, Inc.
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new drug, STAR-0215 (also known as Navenibart), for individuals with hereditary angioedema (HAE), a condition that causes sudden swelling in areas like the skin and throat. The trial will examine how different doses of STAR-0215 affect HAE symptoms, with one group receiving a single dose and two other groups receiving two doses. Suitable candidates must have a confirmed HAE diagnosis and have experienced at least two recent swelling attacks. As a Phase 1 trial, participants will be among the first to receive this new treatment, aiding researchers in understanding its effects in people.

Will I have to stop taking my current medications?

You may need to stop taking certain medications before joining the trial. Specifically, you must stop using some HAE prevention therapies, certain blood pressure medications, estrogen-containing medications, and androgens for a specified period before the trial starts.

Is there any evidence suggesting that STAR-0215 is likely to be safe for humans?

Research has shown that STAR-0215, also known as Navenibart, has been safe in earlier studies. In one study with 16 participants, the treatment was well-tolerated, and no major negative side effects were reported. Another study found that STAR-0215 reduced the number and severity of hereditary angioedema (HAE) attacks, demonstrating its potential benefits. While this information suggests STAR-0215 is safe, this trial aims to confirm these findings further.12345

Why do researchers think this study treatment might be promising for hereditary angioedema?

Unlike the standard treatments for Hereditary Angioedema, which often involve regular injections or infusions to manage attacks, STAR-0215 is designed to provide longer-lasting protection with fewer doses. Researchers are excited about STAR-0215 because it targets the kallikrein-kinin system, potentially offering a novel approach to prevent swelling attacks by inhibiting plasma kallikrein. This could mean fewer treatments and more convenience for patients, with Cohort 1 receiving a single dose and Cohorts 2 and 3 exploring the effects of multiple doses given months or just a month apart.

What evidence suggests that STAR-0215 might be an effective treatment for hereditary angioedema?

Research shows that STAR-0215, also known as Navenibart, can reduce the frequency and severity of hereditary angioedema (HAE) attacks. In an earlier study, STAR-0215 lowered the need for emergency medication, resulting in fewer and less intense HAE attacks. Initial results revealed that 50% of participants experienced no attacks over six months. This trial will test STAR-0215 in different dosing regimens: a single dose in one cohort and multiple doses in two other cohorts. These findings suggest that STAR-0215 could effectively treat HAE.12346

Are You a Good Fit for This Trial?

This trial is for people with hereditary angioedema (HAE) types I or II who have had at least two HAE attacks during the run-in period. Participants must not have used certain medications like ACE inhibitors, estrogen, androgens, or preventive HAE therapies within specified time frames before screening.

Inclusion Criteria

I have been diagnosed with HAE and have a history of swelling episodes without hives.
You had at least 2 HAE attacks confirmed by a doctor during the initial period of the study.

Exclusion Criteria

I haven't taken ACE inhibitors or estrogen medications in the last 28 days.
I haven't taken HAE prevention drugs like lanadelumab, berotralstat, or others recently.
I have not taken any androgen medications in the last 7 days.
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Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive STAR-0215 in different dosing regimens: Cohort 1 receives 1 dose, Cohort 2 receives 2 doses 3 months apart, and Cohort 3 receives 2 doses 1 month apart

6-8 months

Follow-up

Participants are monitored for safety, tolerability, and clinical activity after treatment

24-36 weeks

Open-label extension (optional)

Participants may opt into continuation of treatment long-term in the STAR-0215-202, ALPHA-SOLAR study

What Are the Treatments Tested in This Trial?

Interventions

  • STAR-0215
Trial Overview The study tests STAR-0215 in individuals with hereditary angioedema. It involves one group receiving a single dose of STAR-0215 and two other groups getting two doses to evaluate the drug's effects on HAE patients.
How Is the Trial Designed?
3Treatment groups
Experimental Treatment
Group I: Cohort 3 - Multiple DoseExperimental Treatment1 Intervention
Group II: Cohort 2 - Multiple DoseExperimental Treatment1 Intervention
Group III: Cohort 1 - Single DoseExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Astria Therapeutics, Inc.

Lead Sponsor

Trials
5
Recruited
310+

Citations

Navenibart (STAR-0215)Navenibart is in clinical development for the treatment of hereditary angioedema. Based on positive results from the ALPHA-STAR Phase 1b/2 trial in people ...
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.
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 ...A study of STAR-0215 in participants with hereditary angioedema. Accessed August 10, 2024. Available at: https://clinicaltrials.gov/study/NCT05695248 · Google ...
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.
STAR-0215 is a Novel, Long-Acting Monoclonal Antibody ...A novel, long-acting monoclonal antibody inhibitor of plasma kallikrein for the potential treatment of hereditary angioedema.
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