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To accelerate the first oral therapy for hereditary angioedema (HAE), KalVista Pharmaceuticals partnered with Certara to strengthen its NDA submission and expand into pediatric populations.

Using advanced population PK, PK/PD, and exposure–response modeling, Certara optimized study designs, supported dosing strategies, and prepared regulatory packages for FDA and EMA review.

The result: a streamlined NDA submission accepted by the FDA, model-based pediatric dosing guidance, and increased regulatory confidence in a breakthrough treatment for this rare swelling disease.

The challenge

KalVista, a biotech company developing a first-in-class oral therapy for hereditary angioedema (HAE)—a rare genetic disease characterized by sudden and potentially life-threatening swelling attacks—faced a critical challenge in preparing their New Drug Application (NDA) submission under tight timelines. As a small biotech, KalVista lacked in-house expertise in population pharmacokinetics (PopPK), pharmacokinetics/pharmacodynamics (PKPD), and exposure-response (ER) modeling. Additionally, they sought support for pediatric label expansion to extend their initial adult indication to adolescent and pediatric populations.

Certara support

KalVista partnered with Certara in Q1 2022, officially signing a work order in April. Certara provided integrated modeling and regulatory support, including:​

PopPK, PKPD, and Exploratory ER Modeling​
Certara developed robust PopPK, PKPD, and exploratory ER models using KalVista’s Phase 1 and Phase 2 data. These models validated prior analyses and informed future study designs, including HAE dose modeling to support pediatric dosing strategies.​

Regulatory Writing & Submission Support​
Certara prepared submission-ready reports and regulatory packages for both FDA and EMA review for the novel hereditary angioedema treatment.​

Pediatric Label Expansion Strategy​
Certara assisted in designing pediatric studies, optimizing sample collection windows, and simulating maximum allowable dosages within a 24-hour period to support regulatory approval for younger age groups.

The impact

Streamlined NDA Submission
Certara’s modeling and consulting expertise enabled KalVista to submit a high-quality NDA, which was accepted by the FDA in September 2023—marking a key milestone toward FDA approval of a novel HAE treatment.

Pediatric Label Expansion
Modeling and simulations supported dosing protocols for patients aged 2–11 and 12–17 years, facilitating regulatory review and potential label expansion.

Optimized Clinical Trials
PopPK modeling refined trial design, improving data collection efficiency and reducing patient burden.

Regulatory Confidence
High-quality exposure-response modeling and submission materials ensured a smooth FDA review process, strengthening KalVista’s position in the HAE treatment landscape.

Ongoing Collaboration
Certara continues to support model validation as new patient data becomes available.

FAQs

How can modeling and simulation accelerate regulatory submissions?

Modeling and simulation allow teams to evaluate virtual populations and predict drug behavior under different scenarios. This approach reduces the need for additional clinical trials, improves study design, and provides regulators with robust, data-driven evidence to support approval decisions.

What are the benefits of partnering with an experienced pharmacometrics and regulatory team like Certara?

Working with a multidisciplinary team ensures scientific rigor, regulatory alignment, and operational efficiency. Certara’s experts integrate modeling, clinical, and regulatory insights to deliver fit-for-purpose analyses and submission-ready documentation that withstand regulatory scrutiny.

What was KalVista’s primary challenge in preparing their NDA submission?

KalVista faced compressed timelines and limited internal pharmacometrics expertise in population pharmacokinetics (PopPK), pharmacokinetics/pharmacodynamics (PKPD), and exposure–response (ER) modeling. They also sought guidance to extend their initial adult indication to pediatric populations.

What type of treatment was KalVista developing?

KalVista was developing a first-in-class oral therapy for hereditary angioedema (HAE)—a rare, potentially life-threatening genetic disorder characterized by unpredictable swelling attacks.

How did Certara support KalVista’s NDA submission?

Certara provided integrated modeling and regulatory support, including:

  • PopPK, PKPD, and ER modeling to characterize drug exposure and optimize dosing strategies.
  • Preparation of submission-ready documentation for FDA and EMA review.
  • Pediatric study design and simulation to enable label expansion.

What specific modeling work did Certara perform?

Certara developed and validated PopPK and PKPD models using Phase 1 and Phase 2 data, conducted HAE dose modeling, and performed exposure–response simulations to refine dosing for both adult and pediatric patients.

What was the overall impact of Certara’s involvement?

  • Streamlined NDA submission and faster regulatory acceptance
  • Optimized clinical trial design and data collection
  • Increased confidence in regulatory review outcomes
  • Continued collaboration for ongoing model refinement