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CLINICAL STUDY · NCT07010159

Phase 2/3 Study of Participants With Recurrent Pericarditis Evaluating the Efficacy and Safety of KPL-387

RecruitingPhase 2 / Phase 3Interventional

Sponsored by Kiniksa Pharmaceuticals International, plc

Condition
Pericarditis, Pericarditis Acute, Recurrent Pericarditis
Study locations
66 reported sites
Study updated
19 Oct 2026
Source
ClinicalTrials.gov

Overall study status is shown above. Individual hospitals may have a different recruitment status.

THE STUDY

About this study

This study is being done to demonstrate whether KPL-387 is an effective and safe treatment for recurrent pericarditis.
Full official title
A Phase 2/3 Efficacy and Safety Study of KPL-387 Treatment in Participants With Recurrent Pericarditis
Detailed description
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 levels 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 level 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.

PARTICIPATION

Who may participate

Minimum age
18 Years
Maximum age
80 Years
Sex eligibility
All sexes
Healthy volunteers
Not accepted

Only the study team can confirm eligibility. The registry criteria below are not a medical recommendation.

Full inclusion and exclusion criteria
Key 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)

Key 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.

NEAR YOU

Study locations worldwide

66 sites

Check the individual site’s status and contact the listed study team for current availability.

WHAT IS BEING STUDIED

Treatments and study groups

Interventions

KPL-387Drug
administered by subcutaneous injection

Study groups: Long-Term Extension, Phase 2 KPL-387 100mg SC q2wk, Phase 2 KPL-387 100mg SC q4wk, Phase 2 KPL-387 300mg SC q2wk, Phase 2 KPL-387 300mg SC q4wk, Phase 3 KPL-387 SC

PlaceboDrug
administered by subcutaneous injection

Study groups: Phase 2 KPL-387 100mg SC q4wk, Phase 2 KPL-387 300mg SC q4wk, Phase 3 Placebo SC

Study groups

Phase 2 KPL-387 100mg SC q2wkExperimental
In Phase 2 Treatment Period KPL-387 will be administered by subcutaneous (SC) injection every 2 weeks (q2wk) through Week 22.

Interventions: Drug: KPL-387

Phase 2 KPL-387 100mg SC q4wkExperimental
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.

Interventions: Drug: KPL-387, Drug: Placebo

Phase 2 KPL-387 300mg SC q2wkExperimental
In Phase 2 Treatment Period KPL-387 will be administered by SC injection q2wk through Week 22.

Interventions: Drug: KPL-387

Phase 2 KPL-387 300mg SC q4wkExperimental
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.

Interventions: Drug: KPL-387, Drug: Placebo

Phase 3 KPL-387 SCExperimental
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.

Interventions: Drug: KPL-387

Phase 3 Placebo SCPlacebo comparator
RW Period: eligible participants are randomized (1:1 KPL-387 or placebo) to receive double-blinded placebo.

Interventions: Drug: Placebo

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

Interventions: Drug: KPL-387

RESEARCH DETAILS

Study design

Study type
Interventional
Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Study model
Parallel
Masking
Triple
Enrolment
325 participants · Estimated
Who is masked
Participant, Care provider, Investigator

TIMELINE & MEASURES

Dates and outcomes

Study started
25 Jul 2025 · Actual
Primary completion
31 Dec 2027 · Estimated
Study completion
31 Dec 2029 · Estimated
First registered
8 Jun 2025 · Actual
Last registry update
19 Oct 2026 · Actual
Status last verified
Jul 2026
Primary outcomes (3)

Phase 2: Time to Treatment Response by Week 24

Not reported.

Time frame: From Baseline up to Week 24

Phase 3: Time to Pericarditis Recurrence

Not reported.

Time frame: From Baseline in the RW Period

Long-Term Extension: Annualized rate of Pericarditis Recurrence

Not reported.

Time frame: Up to 24 Months

Secondary outcomes (29)

Phase 2: Time to CRP Normalization (CRP ≤ 0.5 mg/dL) by Week 24

Not reported.

Time frame: From Baseline up to Week 24

Phase 2: Time to Pain Response by Week 24

Not reported.

Time frame: From Baseline up to Week 24

Phase 2: Percentage of Days With No or Minimal Pain (Numerical Rating Scale (NRS) ≤ 2) While on KPL-387 Treatment Over Time by Week 24

Not reported.

Time frame: From Baseline up to Week 24

Phase 2: Proportion of Participants With Normalization of CRP (CRP ≤ 0.5 mg/dL) Over Time by Week 24

Not reported.

Time frame: From Baseline up to Week 24

Phase 2: Time to resolution of pericarditis manifestations (i.e. echocardiogram [ECHO] abnormalities, electrocardiogram [ECG] abnormalities, and pericardial rub), when present at Baseline, by Week 16.

Not reported.

Time frame: From Baseline up to Week 16

Phase 2: Change from Baseline in SF-36v2® Physical Component Summary score through Week 24.

Not reported.

Time frame: From Baseline up to Week 24

Phase 2: Change from Baseline in SF-36v2® Mental Component Summary score through Week 24.

Not reported.

Time frame: From Baseline to Week 24

Phase 2: Proportion of participants with Protocol-Defined Pericarditis Recurrence by Week 24.

Not reported.

Time frame: From Baseline to Week 24

Phase 2: Change from Baseline in CRP through Week 24.

Not reported.

Time frame: From Baseline up to Week 24

Phase 2: Change from Baseline in pericarditis pain NRS score through Week 24.

Not reported.

Time frame: From Baseline up to Week 24

Phase 3: Change from RI Baseline in SF-36v2® Mental Component Summary score through the end of the RI Period

Not reported.

Time frame: From Baseline up to the end of the RI Period

Phase 3: Time to Treatment Response by the end of the RI Period

Not reported.

Time frame: From Baseline up to end of the RI Period

Phase 3: Time to KPL-387 monotherapy by the end of the RI Period

Not reported.

Time frame: From Baseline up to end of the RI Period

Phase 3: Time to Pain Response by end of the RI Period

Not reported.

Time frame: From Baseline up to end of the RI Period

Phase 3: Time to CRP normalization by the end of the RI Period

Not reported.

Time frame: From Baseline up to end of the RI Period

Phase 3: Change from RI Baseline in SF-36v2® Physical Component Summary score through the end of the RI Period.

Not reported.

Time frame: From Baseline up to end of the RI Period

Phase 3: Time to resolution of pericarditis manifestations (i.e., ECHO abnormalities, ECG abnormalities, and pericardial rub), when present at RI Baseline, by the end of the RI period.

Not reported.

Time frame: From Baseline up to end of the RI Period

Phase 3: Change from RI Baseline in pericarditis pain NRS score through the end of the RI Period.

Not reported.

Time frame: From Baseline up to end of the RI Period

Phase 3: Change from RI Baseline in CRP through the end of the RI Period.

Not reported.

Time frame: From Baseline up to end of the RI Period

Phase 3: Proportion of participants who maintained Clinical Response at RW Week 16.

Not reported.

Time frame: From Baseline up to RW Week 16

Phase 3: Percentage of days with no or minimal pericarditis pain through RW Week 16.

Not reported.

Time frame: From Baseline up to RW Week 16

Phase 3: Change from RW Baseline in SF-36v2® Physical Component Summary score at RW Week 16.

Not reported.

Time frame: From Baseline up to RW Week 16

Phase 3: Change from RW Baseline in pain NRS score during the RW Period.

Not reported.

Time frame: From Baseline through the end of the RW Period

Phase 3: Change from RW Baseline in CRP during the RW Period

Not reported.

Time frame: From Baseline through the end of the RW Period

Long-Term Extension: Proportion of participants who maintained Clinical Response through the end of the LTE Period.

Not reported.

Time frame: Up to 24 months

Long-Term Extension: Percentage of days with no or minimal pericarditis pain through the end of the LTE Period.

Not reported.

Time frame: Up to 24 months

Long-Term Extension: Change from LTE Baseline in SF-36v2® Physical Component Summary score through the end of the LTE Period.

Not reported.

Time frame: Up to 24 months

Long-Term Extension: Change from LTE Baseline in SF-36v2® Mental Component Summary score through the end of the LTE Period.

Not reported.

Time frame: Up to 24 months

Long-Term Extension: Change from LTE baseline in pain NRS score through the end of the LTE Period.

Not reported.

Time frame: Up to 24 months

STUDY TEAM

Sponsor and contacts

Lead sponsor
Kiniksa Pharmaceuticals International, plc
Sponsor type
Industry
Collaborators
Kiniksa Pharmaceuticals, GmbH
Organisation study ID
KPL-387-C211

Central study contacts

Clinical Project ManagerContactPhone: 781-431-9100Email: clinicaltrials@kiniksa.com

Contacts are provided by the registry for study enquiries. Do not use these details for marketing or promotions.

FURTHER READING

Results, documents and references

No results are posted in this registry record

This does not mean the study has no findings. Results may not yet have been submitted or published here.

No study documents are listed in this record.

Source: ClinicalTrials.gov · Data fetched 21 Oct 2026, 17:22 GMT+0530

Registry data timestamp: 2026-10-20T09:00:04

Registry content is reformatted for readability; original study text is not rewritten. Missing information is labelled “Not reported”. Records are supplied by study sponsors or investigators and can change.

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