AGREEMENT

EXHIBIT A

AGREEMENT

Pursuant to Rule 13d-1(k)(1) under the Securities Exchange Act of 1934, the undersigned hereby agree that only one statement containing the information required by Schedule 13D need to be filed with respect to the ownership by each of the undersigned of shares of Common Stock of Kalvista Pharmaceuticals, Inc.

Date: December 30, 2022				XXXXXXX LIFE SCIENCES PUBLIC FUND, L.P.
				By: FHMLSP, L.P., its General Partner
				By: FHMLSP, L.L.C., its General Partner
				By:		/s/ Xxxxx X. Xxxxxx
						Xxxxx X. Xxxxxx, Chief Financial Officer
Date: December 30, 2022				FHMLSP, L.P.
				By: FHMLSP, L.L.C., its General Partner
				By:		/s/ Xxxxx X. Xxxxxx
						Xxxxx X. Xxxxxx, Chief Financial Officer
Date: December 30, 2022				FHMLSP, L.L.C.
				By:		/s/ Xxxxx X. Xxxxxx
						Xxxxx X. Xxxxxx, Chief Financial Officer
Date: December 30, 2022				XXXXXXX LIFE SCIENCES X, L.P.
				By: FHMLS X, L.P., its General Partner
				By: FHMLS X, L.L.C., its General Partner
				By:		/s/ Xxxxx X. Xxxxxx
						Xxxxx X. Xxxxxx, Chief Financial Officer
Date: December 30, 2022				FHMLS X, L.P.
				By: FHMLS X, L.L.C., its General Partner
				By:		/s/ Xxxxx X. Xxxxxx
						Xxxxx X. Xxxxxx, Chief Financial Officer
Date: December 30, 2022				FHMLS X, L.L.C.
				By:		/s/ Xxxxx X. Xxxxxx
						Xxxxx X. Xxxxxx, Chief Financial Officer

Date: December 30, 2022				XXXXXXX LIFE SCIENCES PUBLIC OVERAGE FUND, L.P.
				By: FHMLSP Overage, L.P., its General Partner
				By: FHMLSP Overage, L.L.C., its General Partner
				By:		/s/ Xxxxx X. Xxxxxx
						Xxxxx X. Xxxxxx, Chief Financial Officer
Date: December 30, 2022				FHMLSP OVERAGE, L.P.
				By FHMLSP Overage, L.L.C., its General Partner
				By:		/s/ Xxxxx X. Xxxxxx
						Xxxxx X. Xxxxxx, Chief Financial Officer
Date: December 30, 2022				FHMLSP OVERAGE, L.L.C.
				By:		/s/ Xxxxx X. Xxxxxx
						Xxxxx X. Xxxxxx, Chief Financial Officer
Date: December 30, 2022				XXXXXXX LIFE SCIENCES XI, L.P.
				By FHMLS XI, L.P., its general partner
				By FHMLS XI, L.L.C., its general partner
				By:		/s/ Xxxxx X. Xxxxxx
						Xxxxx X. Xxxxxx, Chief Financial Officer
Date: December 30, 2022				FHMLS XI, L.P.
				By FHMLS XI, L.L.C., its general partner
				By:		/s/ Xxxxx X. Xxxxxx
						Xxxxx X. Xxxxxx, Chief Financial Officer
Date: December 30, 2022				FHMLS XI, L.L.C.
				By:		/s/ Xxxxx X. Xxxxxx
						Xxxxx X. Xxxxxx, Chief Financial Officer
Date: December 30, 2022				By:		*
						Xxxxx X. Xxxxxx

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Date: December 30, 2022				By:		*
						Xxxxxxx X. Xxxxx
Date: December 30, 2022				By:		**
						Xxxxxx Xxx
Date: December 30, 2022				By:		**
						Xxxxx Xxxxx
Date: December 30, 2022				By:		***
						Xxxxxx Xxxxx
Date: December 30, 2022				By:		/s/ Xxxxx X. Xxxxxx
						Xxxxx X. Xxxxxx, as Attorney-in-Fact

* This Agreement was executed by Xxxxx X. Xxxxxx on behalf of the individuals listed above pursuant to a Power of Attorney, a copy of which was filed with the SEC on February 24, 2017.

** This Agreement was executed by Xxxxx X. Xxxxxx on behalf of the individuals listed above pursuant to a Power of Attorney, a copy of which was filed with the SEC on August 16, 2021.

*** This Schedule 13D was executed by Xxxxx X. Xxxxxx on behalf of the individual listed above pursuant to a Power of Attorney, a copy of which was filed with the SEC on April 18, 2022.

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