At KalVista, we believe it’s important to continue to build awareness and understanding of hereditary angioedema (HAE).
We’re not just developing drugs for HAE; we also care about the patient journey. Recently, we partnered with the HAE community to conduct a survey of 107 patients to better understand the HAE attack journey for people living with HAE and their current on-demand treatment experience. The survey results are available at Mind The HAE Attack (website) and in our congress presentations shown on our publications page.
HAE is a rare disease resulting in deficiency (type I) or dysfunction (type II) in the C1-inhibitor protein. Lack of C1-inhibitor leads to uncontrolled activation of the kallikrein-kinin system (KKS) and an enzyme known as plasma kallikrein. This in turn causes people living with HAE to experience unpredictable, painful, and potentially life-threatening attacks of tissue swelling in various locations of the body.
HAE attacks are unique to every person, but occur as swelling in different parts of the body, including hands, feet, genitals, stomach, and face. In serious cases, swelling in the airway can make it difficult to breathe and require emergency intervention.
Attacks are sometimes triggered by emotional stress or physical trauma, but swelling often occurs without a known trigger. Even if people living with HAE are taking prophylactic (preventative) treatment, they may still experience attacks. Those living with HAE face significant levels of anxiety which impacts their quality of life.
When a person living with HAE recognizes they are having an attack, it is important to treat as soon as possible with on-demand treatment (also called rescue or acute treatment). HAE attacks can typically be treated by therapies that intervene in the pathway that leads to the sudden swelling attacks, blocking the activity of kallikrein-kinin system (KKS) cascade, or replacing the missing C1-inhibitor protein.
For more than a decade, the majority of approved treatments for HAE have been administered by injection or infusion, and are thereby associated with substantial treatment burden. KalVista is developing an oral on-demand medication, sebetralstat, which may offer people living with HAE a medication that can be taken as a discreet oral dose to readily treat HAE attacks, including at the earliest signs before the attack fully develops.