Sebetralstat (Ekterly) for Treatment of Hereditary Angioedema Attacks

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Abstract

Sebetralstat (Ekterly – Kalvista), an oral plasma kallikrein inhibitor, has been approved by the FDA for treatment of acute hereditary angioedema (HAE) attacks in patients ≥12 years old. It is the first oral drug to be approved in the US for this indication. The intravenous C1 esterase inhibitors (C1INHs) Berinert and Ruconest, the subcutaneous plasma kallikrein inhibitor ecallantide (Kalbitor), and the subcutaneous bradykinin B2 receptor antagonist icatibant (Firazyr) have been available for years for on-demand treatment of HAE attacks; all of these drugs except ecallantide can be self-administered, but treatment delays are common.

Fields of Study & Subjects

Coagulation Bradykinin Polyphosphates and Angioedema Complement system in diseases Hemophilia Treatment and Research

Publication details

Journal / source
˜The œmedical letter on drugs and therapeutics/˜The œmedical letter
Volume
68
Issue
1748
Pages
29–30
Publication date
6 February 2026
Language
EN