ClinicalTrials.gg
RecruitingNCT07298447Updated Nov 2, 2026

Donidalorsen Treatment in Children With Hereditary Angioedema

A Phase 3 interventional study of Donidalorsen in Hereditary Angioedema (HAE), sponsored by Ionis Pharmaceuticals, Inc.. Recruiting at 18 sites in 5 countries. Open to participants aged 2 Years to 11 Years. Per ClinicalTrials.gov, last updated 2026-11-02.

Sponsored by Ionis Pharmaceuticals, Inc. · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Apr 2026; still recruiting 6 months later.
Updated Nov 2, 20262 sites addedGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
20
Allocation
Non-randomized
Ages
2 Years to 11 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate the safety, tolerability and pharmacokinetics of donidalorsen in pediatric participants with hereditary angioedema (HAE) Type I (HAE-1) or Type II (HAE-2).

Read the detailed description

This is an open-label study to evaluate the safety, efficacy, and pharmacokinetics (PK) and pharmacodynamics (PD) of donidalorsen in pediatric participants age 2 to less than 12 years old with HAE Type I (HAE-1) or Type II (HAE-2). The study consists of 3 parts: 1) a 3-month Screening Period, 2) a one-year Treatment Period, and 3) a 3-month Post-Treatment Period.

02

Conditions studied

  • Hereditary Angioedema (HAE)
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 20 is below the median of 48 across 116 interventional studies indexed under Angioedemas, Hereditary.

Browse Angioedemas, Hereditary studies →

Lead sponsor

Ionis Pharmaceuticals, Inc. is the lead sponsor of 118 studies on the registry; 10 are open to participants now.

Of its 49 completed or terminated interventional studies of FDA-regulated products, 22 (45%) have results posted.

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

04

Who can participate

Ages eligible
2 Years to 11 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  1. Must be between the ages of 2 and less than 12 years, inclusive, at the time of and, as applicable, assent.
  2. Must weigh at least 9 kg at the time of informed consent and, as applicable, assent.
  3. Documented diagnosis of HAE-1/HAE-2 based upon both of the following:

    1. Documented clinical history consistent with HAE (SC or mucosal, non-pruritic swelling episodes without accompanying urticaria).
    2. Diagnostic testing results that confirm HAE-1/HAE-2: C1-inhibitor (C1-INH) functional level \<50% normal level AND complement factor C4 level below the lower limit of normal (LLN); OR a known pathogenic mutation in the SERPING1 gene.

Key Exclusion Criteria:

  1. Must not have any screening laboratory abnormalities or any other abnormalities during screening that would render a participant unsuitable for inclusion.
  2. Must not have been treated with another drug, biological agent, or device within 1 month of Screening, or 5 half-lives of investigational agent, whichever is longer.
  3. Concurrent diagnosis of any other type of recurrent angioedema, including idiopathic angioedema or HAE with normal C1-INH (HAE-nC1-INH or Type III).

Note: Other protocol-specified inclusion/exclusion criteria may apply.

Terms in these criteria, in plain language(3)

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.

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.

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.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
20 participants (estimated)

Study arms

  • Experimental
    Donidalorsen: Group 1

    Participant weighing 9 kilograms (kg) to less than (\<)26 kg, will be administered donidalorsen over the period of one year.

    Drug: Donidalorsen

  • Experimental
    Donidalorsen: Group 2

    Participant weighing greater than or equal to (≥)26 kg to \<41 kg, will be administered donidalorsen over the period of one year.

    Drug: Donidalorsen

  • Experimental
    Donidalorsen: Group 3

    Participant weighing ≥41kg, will receive donidalorsen over the period of one year.

    Drug: Donidalorsen

Interventions

  • Donidalorsen will be administered by subcutaneous (SC) injection.

    Also known as: ISIS 721744, IONIS-PKK-LRx

06

What researchers measure

Primary outcomes

  1. Number of Participants with Treatment Emergent Adverse Events (TEAEs)

    Time frame: over the period of approximately 17 months

  2. Maximum Plasma Concentration (Cmax) of Donidalorsen

    Time frame: over the period of approximately 17 months

  3. Maximum Time to Reach Cmax (Tmax) of Donidalorsen

    Time frame: over the period of approximately 17 months

  4. Trough Plasma Concentration (Ctrough) of Donidalorsen

    Time frame: over the period of approximately 17 months

Secondary outcomes

  1. Time-Normalized Number of Investigator-Confirmed HAE Attacks (per Month)

    Time frame: over the period of 12 months

  2. Percentage of Investigator-Confirmed HAE Attack-free Participants

    Time frame: over the period of 12 months

  3. Time-Normalized Number of Moderate or Severe Investigator-Confirmed HAE Attacks (per Month)

    Time frame: over the period of 12 months

  4. Number of Participants with a Clinical Response Defined as a ≥ 50 Percent (%), ≥ 70% and ≥ 90% Reduction from Baseline in Investigator-Confirmed HAE Attack Rate

    Time frame: over the period of 12 months

  5. Time-Normalized Number of Investigator-Confirmed HAE Attacks Requiring Rescue Treatment

    Time frame: over the period of 12 months

  6. Change From Baseline in Prekallikrein (PKK) Levels in Plasma

    Time frame: over the period of 12 months

  7. Percent Change From Baseline in PKK Levels in Plasma

    Time frame: over the period of 12 months

  8. Changes in Pediatrics Quality of Life (PedsQL) Scores for Participants

    Time frame: over the period of 12 months

07

Study locations

18 of 18 sites recruiting
  • Ionis Investigative Site
    Santa Monica, California 90404, United States
    Recruiting
  • Ionis Investigative Site
    Miami, Florida 33136, United States
    Recruiting
  • Ionis Investigative Site
    Baton Rouge, Louisiana 70809, United States
    Recruiting
  • Ionis Investigative Site
    St Louis, Missouri 63141, United States
    Recruiting
  • Ionis Investigative Site
    Cincinnati, Ohio 45236, United States
    Recruiting
  • Ionis Investigative Site
    Cleveland, Ohio 44195, United States
    Recruiting
  • Ionis Investigative Site
    Hershey, Pennsylvania 17033, United States
    Recruiting
  • Ionis Investigative Site
    West Allis, Wisconsin 53214, United States
    Recruiting
  • Ionis Investigative Site
    South Brisbane, Queensland 4101, Australia
    Recruiting
  • Ionis Investigative Site
    Clayton, Victoria 3168, Australia
    Recruiting
  • Ionis Investigative Site
    Murdoch, 6150, Australia
    Recruiting
  • Ionis Investigative Site
    Milan, 20157, Italy
    Recruiting
  • Ionis Investigative Site
    Padova, 35128, Italy
    Recruiting
  • Ionis Investigative Site
    Roma, 00133, Italy
    Recruiting
  • Ionis Investigative Site
    San Donato Milanese, 20097, Italy
    Recruiting
  • Ionis Investigative Site
    Krakow, 31-501, Poland
    Recruiting
  • Ionis Investigative Site
    Warsaw, 04-501, Poland
    Recruiting
  • Ionis Investigative Site
    Barcelona, 08035, Spain
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Ionis may share anonymized individual participant data, aggregated clinical data, and other types of data that support the results in this study. Data requests from qualified researchers will be considered once all three of the following criteria are met: (1) 12 months from marketing approval of the study drug in both the United States and European Union; (2) 18 months from conclusion of the study; and (3) 6 months from publication of study article. Access would be via a secure environment and is contingent upon approval of a research proposal and entry into an appropriate data use agreement. Requests to access data can be submitted via the website https://vivli.org/ourmember/ionis/.

Data sharing details ↗ · vivli.org

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Sites
2 sites added
Show 2 added (1 Australia, 1 Poland)
  • Ionis Investigative Site · Murdoch, Australia
  • Ionis Investigative Site · Krakow, Poland
Nov 2, 2026
Show all 1 update
  1. Nov 2, 2026
    2 sites added
    Show 2 added (1 Australia, 1 Poland)
    • Ionis Investigative Site · Murdoch, Australia
    • Ionis Investigative Site · Krakow, Poland
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07298447
Responsible party
Sponsor
First posted
Dec 23, 2025
Start date
Apr 21, 2026
Primary completion
Jun 2029 (estimated)
Completion
Jun 2029 (estimated)
Last update
Nov 2, 2026

Study contacts

Ionis Pharmaceuticals, Inc.
Contact
IonisDonidalorsenPediatric@clinicaltrialmedia.com
(844) 201-3192

Oversight

Data monitoring committee
No
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: Donidalorsen

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