TheraRadar

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Data updated: Mar 10, 2026

KALBITOR

ECALLANTIDE Kallikrein Inhibitors
Approved 2009-12-01

KALBITOR (ecallantide) is a plasma kallikrein inhibitor indicated for the treatment of acute attacks of hereditary angioedema (HAE). The medication is approved for use in adult and pediatric patients 12 years of age and older. It serves as a therapeutic intervention to manage the localized swelling, inflammation, and pain that characterize acute episodic attacks of this genetic condition.

Source: FDA Label • DYAX CORP. • Plasma Kallikrein Inhibitor

How KALBITOR Works

In patients with hereditary angioedema, unregulated plasma kallikrein activity results in the excessive generation of bradykinin, a vasodilator responsible for localized swelling and pain. KALBITOR functions as a selective and reversible inhibitor that binds to plasma kallikrein and blocks its binding site. This action prevents the protease from converting high molecular weight (HMW) kininogen into bradykinin. By directly inhibiting this process, the drug reduces bradykinin levels to treat symptoms during acute episodic attacks.

Source: FDA Label
2
Indications
--
Phase 3 Trials
2
Priority Reviews
16
Years on Market

Details

Status
Prescription
First Approved
2009-12-01
Routes
INJECTION
Dosage Forms
INJECTABLE

Companies

Active Ingredient: ECALLANTIDE

KALBITOR Approval History

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What KALBITOR Treats

1 indications

KALBITOR is approved for 1 conditions since its original approval in 2009. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Hereditary Angioedema
Source: FDA Label

KALBITOR Boxed Warning

ANAPHYLAXIS Anaphylaxis has been reported after administration of KALBITOR. Because of the risk of anaphylaxis, KALBITOR should only be administered by a healthcare professional with appropriate medical support to manage anaphylaxis and hereditary angioedema. Healthcare professionals should be aware of the similarity of symptoms between hypersensitivity reactions and hereditary angioedema and patients should be monitored closely. Do not administer KALBITOR to patients with known clinical hyperse...

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

KALBITOR FDA Label Details

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Indications & Usage

FDA Label (PDF)

KALBITOR ® (ecallantide) is indicated for treatment of acute attacks of hereditary angioedema (HAE) in patients 12 years of age and older. KALBITOR is a plasma kallikrein inhibitor indicated for treatment of acute attacks of hereditary angioedema (HAE) in patients 12 years of age and older.

⚠️ BOXED WARNING

WARNING: ANAPHYLAXIS Anaphylaxis has been reported after administration of KALBITOR. Because of the risk of anaphylaxis, KALBITOR should only be administered by a healthcare professional with appropriate medical support to manage anaphylaxis and hereditary angioedema. Healthcare professionals should...

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.