ClinicalTrials.gg
RecruitingNCT07266805CREAATEUpdated Sep 21, 2026

Study of Oral Deucrictibant XR Tablet for Prophylaxis and Deucrictibant Soft Capsule for On-Demand Treatment of Angioedema Attacks in Adults With Acquired Angioedema Due to C1 Inhibitor Deficiency

A Phase 3 interventional study of Deucrictibant and Placebo in Acquired Angioedema Due to C1-Inhibitor Deficiency (AAE-C1-INH), sponsored by Pharvaris Netherlands B.V.. Recruiting at 32 sites in 16 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-21.

Sponsored by Pharvaris Netherlands B.V. · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Oct 2025; still recruiting 1 year later.
Phase
Phase 3
Study type
Interventional
Enrollment
48
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a Phase 3, multicenter, 3-part study, with 2 randomized, double-blind, placebo-controlled parts and an open-label extension part, to evaluate the efficacy and safety of orally administered deucrictibant XR tablet for prophylaxis, and deucrictibant soft capsule for on-demand treatment of angioedema attacks in adult participants aged ≥ 18 years with AAE-C1INH.

Read the detailed description

The study consists of a Screening Period, during which eligibility is confirmed, a Part 1 Prophylaxis Double-blind Treatment Phase, a Part 2 On-demand, Double-blind Treatment Phase, and a Part 3 On-demand Open-label Extension Phase. Approximately 24 participants will be randomized in Part 1 into 2 parallel arms for a treatment period of 12 weeks. During the prophylaxis treatment period participants will receive blinded study drug (deucrictibant 40 mg XR or placebo randomized in a 1:1 ratio). Upon completion of Part 1, participants will roll-over into Part 2. In addition to rollover participants completing Part 1, new deucrictibant treatment-naïve participants will be enrolled directly into Part 2 and this may occur while Part 1 is ongoing. During the on-demand period participants will receive blinded study drug (deucrictibant 20 mg soft capsule or matching placebo randomized in a 1:1 ratio, 2-period, 2-treatment crossover design) for 2 qualifying AAE-C1INH attacks. Participants completing Part 2 may roll over into Part 3 where all AAE-C1INH attacks will be treated with open-label deucrictibant 20 mg soft capsule.

02

Conditions studied

  • Acquired Angioedema Due to C1-Inhibitor Deficiency (AAE-C1-INH)

Keywords

  • Acquired Angioedema-C1-INH
  • AAE-C1-INH
  • Oral Treatment
  • deucrictibant
  • Prophylaxis
  • On-demand
  • C1-Inhibitor Deficiency
  • PHA121
  • Pharvaris
  • Bradykinin B2 Receptor Antagonists
  • Angioedema
  • Acquired
  • Acquired angioedema
03

In context

Angioedemas, Hereditary

171 studies on the registry are indexed under Angioedemas, Hereditary; 24 are open to participants now.

This study's planned enrollment of 48 is close to the median of 48 across 116 interventional studies indexed under Angioedemas, Hereditary.

Browse Angioedemas, Hereditary studies →

Lead sponsor

Pharvaris Netherlands B.V. is the lead sponsor of 8 studies on the registry; 4 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Provision of written
  • Male or female (sex at birth) aged ≥18 years
  • Diagnosis of AAE-C1INH
  • History of AAE-C1INH attacks prior to the Screening Visit.
  • If underlying disease associated with AAE is present, the underlying disease must be stable throughout the duration of part 1.
  • Reliable access and ability to use available therapy to effectively manage AAE- C1INH attacks.
  • Female participants of must agree to the protocol-specified pregnancy testing and to be abstinent from heterosexual intercourse or to use an acceptable method.

Females of non-childbearing potential (surgically sterile, or with ≥ 12 months amenorrhea and postmenopausal FSH confirmation) are not required to use contraception during the study.

  • Capable of recording, without assistance, eDiary and ePRO data using an electronic device, as evidenced by the eDiary and ePRO training.

Exclusion criteria

Exclusion Criteria:

  • Participation in a clinical study with any other drug within the last 30 days or within 5 half-lives of the investigational drug at the Screening Visit (whichever is longer).
  • Receiving long-term prophylaxis (LTP) treatment for AAE-C1INH and satisfied with this treatment. Participants who are not satisfied (eg, tolerability issues, lack of efficacy) and have previously stopped LTP treatment for AAE-C1INH, for reasons other than participation in this study, can sign the ICF and begin the Screening Period only if their last dose of the treatment was received prior to the timepoint before the Screening Visit
  • Any females who are pregnant, plan to become pregnant, or are currently breast-feeding
  • Abnormal hepatic function
  • Moderate or severe renal impairment
  • Any comorbidity or systemic dysfunction that would interfere with the participant's safety or ability to participate in the study.
  • History of epilepsy and/or other significant neurological diseases
  • Any clinically significant and uncontrolled gastrointestinal dysfunction that may impact study drug absorption
  • Evidence of current alcohol or drug abuse
  • Use of medications that are moderate and strong inhibitors of cytochrome P450 (CYP) 3A4, or strong inducers of within the last 30 days or within 5 half-lives (whichever is longer) at the time of the Screening Visit
  • Known to deucrictibant or any of the of the study drug
  • Use of angiotensin-converting enzyme (ACE) inhibitors or any estrogen-containing medications with systemic absorption within 5 half-lives before the Screening Visit
Terms in these criteria, in plain language(9)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
48 participants (estimated)

Study arms

  • Experimental
    Part 1 - Arm 1 - Active

    Drug: Deucrictibant

  • Placebo comparator
    Part 1 - Arm 2 - Placebo

    Drug: Placebo

  • Experimental
    Part 2 - Arm 1

    Drug: Deucrictibant · Drug: Placebo

  • Experimental
    Part 2 - Arm 2

    Drug: Deucrictibant · Drug: Placebo

  • Experimental
    Part 3 - Open-label

    Drug: Deucrictibant

Interventions

  • Part 1: Deucrictibant 40 mg extended-release tablet for once daily oral use

  • DrugPlacebo

    Part 1: Placebo Comparator tablet for once daily oral use

  • Part 2: Deucrictibant 20 mg soft capsule oral use

  • DrugPlacebo

    Part 2: Placebo Comparator soft capsule oral use

  • Part 3: Deucrictibant 20 mg soft capsule oral use

06

What researchers measure

Primary outcomes

  1. Part 1: Time-normalized number of Investigator-confirmed AAE-C1INH attacks during Treatment Phase

    Time frame: 12 weeks

  2. Part 2: Time to symptom relief, Patient Global Impression of Change (PGI-C) rating of at least "better"

    Time frame: 12 hours post-treatment

  3. Part 3: Incidence of treatment-emergent adverse events (TEAEs), treatment-emergent adverse events of special interest (AESIs), and serious adverse events (SAEs)

    Time frame: Through study termination, an average of 36 weeks

  4. Part 3: Number of participants with clinically significant changes from baseline in Hematology parameters

    Time frame: Through study termination, an average of 36 weeks

  5. Part 3: Number of participants with clinically significant changes from baseline in Urinalysis parameters

    Time frame: Through study termination, an average of 36 weeks

  6. Part 3: Number of participants with clinically significant changes from baseline in Biochemistry parameters

    Time frame: Through study termination, an average of 36 weeks

  7. Part 3: Number of participants with clinically significant changes from baseline in vital signs

    Time frame: Through study termination, an average of 36 weeks

  8. Part 3: Number of participants with clinically significant changes from baseline in physical examinations

    Time frame: Through study termination, an average of 36 weeks

  9. Part 3: Number of participants with clinically significant changes in electrocardiogram (ECG)

    Time frame: Through study termination, an average of 36 weeks

Secondary outcomes

  1. Part 1: Proportion of participants who are AAE-C1INH attack-free during Treatment Phase

    Time frame: 12 weeks

  2. Part 1: Time-normalized number of Investigator-confirmed AAE-C1INH attacks treated with on-demand medication during Treatment Phase

    Time frame: 12 weeks

  3. Part 1: Time-normalized number of Investigator-confirmed moderate or severe AAE-C1INH attacks during Treatment Phase

    Time frame: 12 weeks

  4. Part 1: Time-normalized number of Investigator-confirmed severe AAE-C1INH attacks during Treatment Phase

    Time frame: 12 weeks

  5. Part 1: Proportion of participants achieving ≥50%, ≥70% and ≥90% reduction in AAE-C1NH attack rate relative to baseline during Treatment Phase

    Time frame: 12 weeks

  6. Part 1: Incidence of TEAEs, treatment-emergent AESIs, and SAEs

    Time frame: 12 weeks

  7. Part 1: Number of participants with clinically significant changes from baseline in Hematology parameters

    Time frame: 12 weeks

  8. Part 1: Number of participants with clinically significant changes from baseline in Urinalysis parameters

    Time frame: 12 weeks

  9. Part 1: Number of participants with clinically significant changes from baseline in Biochemistry parameters

    Time frame: 12 weeks

  10. Part 1: Number of participants with clinically significant changes from baseline in Vital signs

    Time frame: 12 weeks

  11. Part 1: Number of participants with clinically significant changes from baseline in physical examination

    Time frame: 12 weeks

  12. Part 1: Number of participants with clinically significant changes from baseline in ECG parameters

    Time frame: 12 weeks

  13. Part 1: Pre-dose plasma concentrations of Deucrictibant

    Deucrictibant plasma concentrations will be analyzed using liquid chromatography-mass spectrometry/mass spectrometry methods

    Time frame: At Weeks 6 and 12

  14. Part 1: Pre-dose plasma concentrations of deucrictibant metabolites

    Deucrictibant metabolites plasma concentrations will be analyzed using liquid chromatography-mass spectrometry/mass spectrometry methods

    Time frame: At Weeks 6 and 12

  15. Part 1: Pharmacokinetics [PK]: Urine concentrations of Deucrictibant and deucrictibant metabolites

    Time frame: At Week 12

  16. Part 1: Change from baseline in Angioedema Quality of Life (AE-QoL) questionnaire total score, functioning domain score, and fears/shame domain score

    The AE-QoL is a short 17-item questionnaire designed to retrospectively assess HRQoL, with a recall period of 4 weeks. Its results can be displayed as a total score or as 4 domain scores. The scores range from 0 to 100, after linear transformation of raw values, with higher scores indicating higher HRQoL impairment.

    Time frame: Baseline (Day 1) and at Weeks 4, 8 and 12

  17. Part 1: Change from baseline in Angioedema Control Test 4-week version (AECT-4wk)

    AECT-4wk measures disease control retrospectively, it comprises 4 questions over a 4-week recall period. Scores for the responses in the AECT range from 0 to 16, with higher scores indicating better disease control (≤ 9 poorly controlled; ≥ 10 well controlled)

    Time frame: Baseline (Day 1) and at Week 12

  18. Part 1: Patient Global Assessment-Status (PGA-S) at baseline

    PGA-Status assesses on a 5-point scale how the participant's QoL has been impacted by AAE-C1INH since start taking the study drug

    Time frame: At Baseline (Day 1)

  19. Part 1: Patient Global Assessment of Change (PGA-Change) at Week 12

    PGA-Change assesses on a 5-point scale how the participant's QoL has been impacted by AAE-C1INH since start taking the study drug

    Time frame: At Week 12

  20. Part 1: Change from baseline in EuroQol 5 Dimension 5 level (EQ 5D 5L)

    EQ 5D 5L is a brief, multiattribute, generic, health status measure composed of 5 questions with Likert response options (descriptive system) and a visual analog scale (EQ-VAS). The latter asks patients to rate their own health from 0 to 100 (the worst and best imaginable health, respectively)

    Time frame: Baseline (Day 1) and at Week 12

  21. Part 2: Time to complete symptom resolution, Patient Global Impression of Severity (PGI-S) rating of "no symptoms

    Time frame: sustained within 24 hours post-treatment

  22. Part 2: Time to symptom relief defined as PGI-S rating of at least 1 point reduction

    Time frame: 12 hours post-treatment

  23. Part 2: Proportion of study drug-treated attacks achieving complete symptom resolution defined as achieving PGI- S rating of "no symptoms"

    Time frame: At 24 hours post-treatment

  24. Part 2: Time to onset of symptom relief, defined as PGI-C rating of at least "a little better"

    Time frame: Within 12 hours post-treatment

  25. Part 2: Time to End of Progression (EoP) in attack symptoms

    EOP is defined as the earliest post-treatment timepoint after which all subsequent PGI-C ratings are stable or improved

    Time frame: Within 12 hours post-treatment

  26. Part 2: Incidence of TEAEs, treatment-emergent AESIs, and SAEs

    Time frame: Up to 24 weeks

  27. Part 2: Number of participants with clinically significant changes from baseline in Hematology parameters

    Time frame: 24 weeks

  28. Part 2: Number of participants with clinically significant changes from baseline in Urinalysis parameters

    Time frame: 24 weeks

  29. Part 2: Number of participants with clinically significant changes from baseline in Biochemistry parameters

    Time frame: 24 weeks

  30. Part 2: Number of participants with clinically significant changes from baseline in Vital signs

    Time frame: 24 weeks

  31. Part 2: Number of participants with clinically significant changes from baseline in physical examination

    Time frame: 24 weeks

  32. Part 2: Number of participants with clinically significant changes from baseline in ECG parameters

    Time frame: 24 weeks

  33. Part 2: Pharmacokinetics [PK]: Deucrictibant and deucrictibant metabolites plasma concentration-time profiles

    Time frame: Day 1

  34. Part 3: Time to symptom relief, as PGI-C rating of at least "better"

    Time frame: 12 hours post-treatment

  35. Part 3: Time to symptom relief, as PGI-S rating of at least 1 point reduction

    Time frame: 12 hours post-treatment

  36. Part 3: Proportion of study drug-treated attacks achieving complete symptom resolution, defined as achieving PGI-S rating of "no symptoms"

    Time frame: 24 hours post-treatment

07

Study locations

32 of 32 sites recruiting
  • Study Site
    San Diego, California 92093, United States
    Recruiting
  • Study Site
    Walnut Creek, California 94598,, United States
    Recruiting
  • Study Site
    St Louis, Missouri 63130, United States
    Recruiting
  • Study Site
    Hershey, Pennsylvania 17033, United States
    Recruiting
  • Study Site
    Clayton, Australia
    Recruiting
  • Study Site
    Vienna, Austria
    Recruiting
  • Study Site
    Sofia, Bulgaria
    Recruiting
  • Study Site
    Edmonton, Canada
    Recruiting
  • Study Site
    Grenoble, France
    Recruiting
  • Study Site
    Lille, France
    Recruiting
  • Study Site
    Paris, France
    Recruiting
  • Study Site
    Berlin, Germany
    Recruiting
  • Study Site
    Frankfurt am Main, Germany
    Recruiting
  • Study Site
    Munich, Germany
    Recruiting
  • Study Site
    Budapest, Hungary
    Recruiting
  • Study Site 1
    Milan, Italy
    Recruiting
  • Study Site 2
    Milan, Italy
    Recruiting
  • Study Site 3
    Milan, Italy
    Recruiting
  • Study Site
    Padova, Italy
    Recruiting
  • Study Site
    Roma, Italy
    Recruiting
  • Study Site
    Amsterdam, Netherlands
    Recruiting
  • Study Site
    Auckland, New Zealand
    Recruiting
  • Study Site
    Krakow, Poland
    Recruiting
  • Study Site
    Madrid, Spain
    Recruiting
  • Study Site
    Basel, Switzerland
    Recruiting
  • Study Site
    Ankara, Turkey (Türkiye)
    Recruiting
  • Study Site
    Bristol, United Kingdom
    Recruiting
  • Study Site
    Cambridge, United Kingdom
    Recruiting
  • Study Site
    Leicester, United Kingdom
    Recruiting
  • Study Site
    London, United Kingdom
    Recruiting
  • Study Site
    Newcastle upon Tyne, United Kingdom
    Recruiting
  • Study Site
    Plymouth, United Kingdom
    Recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Oct 2025 (actual). Primary completion is estimated for Jun 2027, 20 months after the start.

Of 46 industry-sponsored phase 3 interventional studies under Angioedemas, Hereditary, half reached primary completion within 22 months of starting (the median), counting those still running; a quarter within 16 and three quarters within 33. This study's planned 20 months is close to that.

Counting every sponsor, half of 46 studies reached it within 22 months; a quarter within 16 and three quarters within 33.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 20, 2025
First posted
Dec 5, 2025
StartActual
Oct 16, 2025
Primary completionEst.
Jun 2027
CompletionEst.
Jun 2027
Last update
Sep 21, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 21, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07266805
Lead sponsor
Pharvaris Netherlands B.V.
Responsible party
Sponsor
First posted
Dec 5, 2025
Start date
Oct 16, 2025
Primary completion
Jun 2027 (estimated)
Completion
Jun 2027 (estimated)
Last update
Sep 21, 2026

Study contacts

Pharvaris Clinical Team
Contact
clinicaltrials@pharvaris.com
0031-712-036-410
Study Director, Pharvaris
study director · Pharvaris Netherlands B.V.

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Deucrictibant

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