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KalVista Pharmaceuticals is developing an oral Factor XIIa inhibitor program, which consists of a portfolio of structurally diverse small molecules designed to potently and selectively inhibit both the Factor XII (FXII) zymogen and its activated form (FXIIa). By targeting FXIIa, these candidates aim to suppress the initiation and amplification of the kallikrein-kinin system (KKS) activation. This mechanism is being explored for the prophylaxis of Hereditary Angioedema (HAE) and the prevention of thrombosis with a potentially lower bleeding risk than traditional anticoagulants. Furthermore, the program targets chronic inflammatory and fibrotic vascular diseases where FXIIa and the KKS are implicated, such as diabetic macular edema (DME), idiopathic pulmonary fibrosis (IPF), and neuroinflammation. The program is currently in the preclinical stage of development.
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