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Molecule

Ecallantide

Plasma Kallikrein Inhibitor
Available on requestBiologicOrphanCold chainHaematology
Presentations
1
Brands
1
Manufacturers
1
Available from stock
0

Ecallantide is a plasma kallikrein inhibitor indicated for treatment of acute attacks of hereditary angioedema (HAE) in patients 12 years of age and older. It is available as injection for subcutaneous use. MedsAcross supplies Ecallantide for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Plasma Kallikrein Inhibitor, Kallikrein Inhibitors
ATC classification
B06AC03 Ecallantide · Other blood-related medicines, subgroup B06A, subgroup B06AC
US FDA first approval
1 December 2009
EU status
Not recorded
Orphan designation
Yes
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Subcutaneous
Dosage forms
Injection
Biologic
Yes
Identifiers
UNII 5Q6TZN2HNMRxCUI 658708CAS 460738-38-9DrugBank DB05311Q1280166

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

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.

Source: US FDA prescribing information

How it works

Hereditary angioedema (HAE) is a rare genetic disorder caused by mutations to C1-esterase-inhibitor (C1-INH) located on Chromosome 11q and inherited as an autosomal dominant trait. HAE is characterized by low levels of C1-INH activity and low levels of C4. C1-INH functions to regulate the activation of the complement and intrinsic coagulation (contact system pathway) and is a major endogenous inhibitor of plasma kallikrein. The kallikrein-kinin system is a complex proteolytic cascade involved in the initiation of both inflammatory and coagulation pathways. One critical aspect of this pathway is the conversion of High Molecular Weight (HMW) kininogen to bradykinin by the protease plasma kallikrein. In HAE, normal regulation of plasma kallikrein activity and the classical complement cascade is therefore not present.

Source: US FDA prescribing information

Dosing overview

30 mg (3 mL), administered subcutaneously in three 10 mg (1 mL) injections. If an attack persists, an additional dose of 30 mg may be administered within a 24 hour period. KALBITOR should only be administered by a healthcare professional with appropriate medical support to manage anaphylaxis and hereditary angioedema.

Source: US FDA prescribing information

Warnings and precautions

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. Hypersensitivity Reactions Including Anaphylaxis: Anaphylaxis has occurred in 4% of treated patients. Administer KALBITOR in a setting equipped to manage anaphylaxis and hereditary angioedema. Given the similarity in hypersensitivity symptoms and acute HAE symptoms, monitor patients closely for hypersensitivity reactions.

Source: US FDA prescribing information

Side effects

Hypersensitivity reactions, including anaphylaxis, have occurred in patients treated with KALBITOR. The most common adverse reactions occurring in ≥3% of KALBITOR-treated patients and greater than placebo are headache, nausea, diarrhea, pyrexia, injection site reactions, and nasopharyngitis.

Source: US FDA prescribing information

Storage

KALBITOR should be kept refrigerated (2°C to 8°C/36°F to 46°F). Vials removed from refrigeration should be stored below 86°F/30°C and used within 14 days or returned to refrigeration until use.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

1 presentations of Ecallantide, sorted by availability.

MedicineManufacturerRegisterAvailability
Kalbitor 10 mg/1 mL injectionSubcutaneous Cold chainTakeda PharmaceuticalsUS FDAAvailable on request

Brands by market

1 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 1 December 2009Drugs@FDA
EU (EMA)Not recorded—
India (CDSCO)Not yet confirmed against CDSCO approval lists—
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Questions and answers

Is Ecallantide available for export from India?

Yes, on request. MedsAcross lists 1 presentations of Ecallantide and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Ecallantide have?

The catalogue lists 1 brand names for Ecallantide, including Kalbitor.

Is Ecallantide approved by the US FDA?

Yes. The US FDA first approved Ecallantide on 1 December 2009, according to Drugs@FDA.

Does Ecallantide need cold chain shipping?

At least one listed presentation of Ecallantide must be kept cold, so it is shipped in temperature-controlled packaging. Check the storage line on each presentation.

Which ATC class is Ecallantide in?

Ecallantide is classified under ATC code B06AC03 (Ecallantide).

References

  1. Kalbitor prescribing information (Takeda Pharmaceuticals). U.S. National Library of Medicine, DailyMed. Retrieved 1 July 2025

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