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Wednesday, July 29th, 2026

Chiesi Group Completes Acquisition of KalVista Pharmaceuticals, Expanding Global Access to EKTERLY® for Hereditary Angioedema 1





Chiesi Group Completes Acquisition of KalVista Pharmaceuticals: Investor Report

Chiesi Group Completes Acquisition of KalVista Pharmaceuticals: Key Insights for Investors

Executive Summary

Chiesi Group, an international research-focused biopharmaceutical company and certified B Corp, has successfully completed its acquisition of KalVista Pharmaceuticals, Inc. This marks a significant expansion in Chiesi’s rare diseases portfolio, particularly with the ownership of EKTERLY® (sebetralstat), the first and only oral, on-demand treatment for hereditary angioedema (HAE) attacks approved for adults and adolescents aged 12 and older in multiple global markets.

Transaction Details

  • Acquisition Price: Chiesi purchased all outstanding shares of KalVista common stock at \$27.00 per share in cash, representing a substantial premium for investors holding KalVista stock.
  • Tender Offer Outcome: Approximately 77.8% of KalVista’s outstanding shares were validly tendered and accepted for payment at the expiration of the tender offer.
  • Merger Completion: Chiesi merged a wholly owned subsidiary into KalVista, resulting in KalVista becoming a wholly owned subsidiary of Chiesi and KalVista’s stock ceasing to trade on the Nasdaq Global Market.

Strategic Impact

This acquisition positions Chiesi to expand patient access and accelerate impact in rare diseases by integrating KalVista’s innovative therapies into its Rare Diseases business unit. EKTERLY® (sebetralstat) is already approved in the US, UK, EU, Japan, and other regions, with ongoing studies targeting children aged 2 to 11 and pending regulatory applications in key markets.

EKTERLY® (sebetralstat) Overview

  • EKTERLY is a novel plasma kallikrein inhibitor approved for acute attacks of hereditary angioedema (HAE) in patients aged 12 and older.
  • Ongoing studies are exploring its use in pediatric populations (ages 2-11), which could broaden its market and revenue potential if approved.
  • Additional regulatory applications under review may further expand geographic and demographic reach.

Important Shareholder Considerations

  • Share Value Impact: The \$27.00 per share cash offer represents a significant liquidity event and premium for KalVista shareholders. Following the merger, KalVista shares are no longer publicly traded, and shareholders received cash for their holdings.
  • Market Exclusivity: EKTERLY is the only oral, on-demand treatment for HAE, providing Chiesi with a competitive advantage and potential pricing power in this niche market.
  • Regulatory Risk: Ongoing and future regulatory reviews could affect market expansion and future revenues. Investors should be aware of potential delays or issues in approvals, particularly for pediatric indications and new markets.
  • Integration Risk: The successful integration of KalVista into Chiesi is critical. Risks include possible disruptions to business operations, employee relations, partner relationships, and realization of expected synergies.
  • Competition and Pricing: The impact of competitive products, pricing strategies, and market adoption trends will affect long-term revenue and profitability.
  • Safety and Efficacy: EKTERLY’s safety profile is good, with headache as the most common adverse reaction, but interactions with CYP3A4 inhibitors/inducers may affect use. No established data for children under 12, pregnant women, or breastfeeding populations.
  • Future Outlook: Chiesi has articulated a goal of expanding equal access to therapies for rare diseases, potentially increasing market penetration and social impact.

Advisors Involved

  • Chiesi: Lazard (exclusive financial advisor), Ropes & Gray LLP (legal advisor)
  • KalVista: Centerview Partners LLC (financial advisor), Kirkland & Ellis LLP and Fenwick & West LLP (legal advisors)

Company Profiles

Chiesi Group

Chiesi is a global biopharmaceutical group with a focus on respiratory health, rare diseases, and specialty care. It operates as a Benefit Corporation and certified B Corp, with a legally binding commitment to social and environmental responsibility. Chiesi aims for Net-Zero greenhouse gas emissions by 2035, has 31 affiliates worldwide, and employs over 7,900 people.

KalVista Pharmaceuticals

KalVista is dedicated to delivering life-changing oral therapies for rare diseases with significant unmet needs. Its core asset, sebetralstat (EKTERLY), is the first oral on-demand treatment for hereditary angioedema (HAE).

Risks and Forward-Looking Statements

The report contains forward-looking statements regarding future business operations, commercialization, regulatory approvals, and market adoption. Actual results could differ due to integration challenges, regulatory risks, competitive pressures, and economic conditions. Investors should not place undue reliance on these statements; the companies do not undertake an obligation to update them as new information becomes available.

Contact Information

Chiesi Group Contacts:
Anna Bonisoli Alquati, Head of Global External Communications: [email protected]
Chiara Travagin, Head of Global Communications, Rare: [email protected]
Michela Lijoi, Global External Communications Sr. Manager: [email protected]


Disclaimer: This article is intended for informational purposes only and does not constitute financial advice or a recommendation to buy, sell, or hold any securities. Investors should conduct their own due diligence and consult with professional advisors before making investment decisions. The information is based on public disclosures and may be subject to change.




View KalVista Pharmaceuticals, Inc. Historical chart here



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