A Study of the Efficacy and Safety of Omalizumab Through 48 Weeks in Participants With Chronic Idiopathic Urticaria

NCT ID: NCT02392624

Last Updated: 2018-03-29

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

206 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-05-18

Study Completion Date

2017-03-09

Brief Summary

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This multicenter, randomized, double-blind, placebo-controlled study will evaluate the efficacy and safety of subcutaneous (SC) omalizumab (Xolair) as an add-on therapy through 48 weeks for treatment of H1 antihistamine refractory chronic idiopathic urticaria (CIU). After completing an initial 24-week open-label treatment period with omalizumab 300 milligrams (mg) every 4 weeks (Q4W), participants responding to omalizumab will be randomized at a 3:2 ratio (omalizumab:placebo) to either continue omalizumab or be transitioned to placebo for a further 24 weeks.

Detailed Description

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Conditions

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Urticaria

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Omalizumab

Participants will receive open-label omalizumab treatment at 300 mg SC Q4W for 24 weeks. After 24 weeks open-label treatment, eligible participants will be randomized to receive omalizumab treatment at 300 mg SC Q4W for next 24 weeks (up to Week 48). Participants randomized to omalizumab may, at the discretion of the investigator, be transitioned from blinded study drug to open-label omalizumab at 300 mg SC Q4W if they experience clinically significant worsening in their CIU (as judged by the investigator). Participants who are transitioned to open-label omalizumab will continue to receive open-label omalizumab as study drug until Week 48.

Group Type EXPERIMENTAL

Omalizumab

Intervention Type DRUG

Omalizumab 300 mg administered SC Q4W.

Placebo

Participants will receive open-label omalizumab treatment at 300 mg SC Q4W for 24 weeks. After 24 weeks open-label treatment, eligible participants will be randomized to receive placebo SC Q4W for next 24 weeks (up to Week 48). Participants randomized to placebo may, at the discretion of the investigator, be transitioned from blinded study drug to open-label omalizumab at 300 mg SC Q4W if they experience clinically significant worsening in their CIU (as judged by the investigator). Participants who are transitioned to open-label omalizumab will continue to receive open-label omalizumab as study drug until Week 48.

Group Type PLACEBO_COMPARATOR

Omalizumab

Intervention Type DRUG

Omalizumab 300 mg administered SC Q4W.

Placebo

Intervention Type DRUG

Placebo matched to omalizumab administered SC Q4W.

Interventions

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Omalizumab

Omalizumab 300 mg administered SC Q4W.

Intervention Type DRUG

Placebo

Placebo matched to omalizumab administered SC Q4W.

Intervention Type DRUG

Other Intervention Names

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Xolair; RO5489789

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of CIU refractory to H1 antihistamines at baseline
* Presence of itch and hives for at least 8 consecutive weeks at any time prior to enrollment despite current use of H1 antihistamine treatment (up to four times the approved dose) during this time period
* UAS7 score (range 0-42) ≥ 16 and itch component of UAS7 (range 0-21) ≥ 8 during 7 days prior to baseline
* Participants must have been on a non-sedating H1 antihistamine treatment (up to four times the approved dose) for CIU for at least 3 consecutive days immediately prior to screening visit with continued current use on the day of the initial screening visit
* CIU diagnosis for ≥ 6 months
* Willing and able to complete a daily symptom eDiary for the duration of the study

Exclusion Criteria

* Treatment with an investigational agent within 30 days of the initial screening visit
* Body weight less than 20 kilograms
* Clearly defined underlying etiology for chronic urticarias other than CIU
* Evidence of a parasitic infection
* Atopic dermatitis, bullous pemphigoid, dermatitis herpetiformis, senile pruritus or other skin disease associated with itch
* Previous treatment with omalizumab within 1 year prior to the initial screening visit
* Participants may not have taken during treatment period or have been taking within 30 days before the initial screening visit any of the following medications or treatments:

regular (daily/every other day during 5 or more consecutive days) systemic corticosteroids, hydroxychloroquine, methotrexate, mycophenolate, cyclosporine, cyclophosphamide, intravenous immunoglobulin G or plasmapheresis

* Regular (daily/every other day) oral doxepin use within 14 days prior to the initial screening visit
* Pregnant or lactating women, or women intending to become pregnant during the study
Minimum Eligible Age

12 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Genentech, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trials

Role: STUDY_DIRECTOR

Hoffmann-La Roche

Locations

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Allergy and Asthma Relief Experts

Granada Hills, California, United States

Site Status

Allergy & Asthma Care Center of Southern California

Long Beach, California, United States

Site Status

Dermatology Research Associate

Los Angeles, California, United States

Site Status

Southern California Research Center

Mission Viejo, California, United States

Site Status

Choc Psf, Amc

Orange, California, United States

Site Status

Allergy & Asthma Consultants

Redwood City, California, United States

Site Status

Allergy and Asthma Clinical Research, Inc.

Walnut Creek, California, United States

Site Status

IMMUNOe Research Centers

Centennial, Colorado, United States

Site Status

Colorado Allergy & Asthma Centers, Pc

Denver, Colorado, United States

Site Status

Florida Center for Allergy and Asthma Research

Aventura, Florida, United States

Site Status

Florida Ctr-Allergy & Asthma

Miami, Florida, United States

Site Status

Sarasota Clinical Research

Sarasota, Florida, United States

Site Status

University of South Florida

Tampa, Florida, United States

Site Status

Clinical Research Center of Southern Illinois LLC

Shiloh, Illinois, United States

Site Status

Deaconess Clinic

Evansville, Indiana, United States

Site Status

Dawes Fretzin Clinical Res LLC

Indianapolis, Indiana, United States

Site Status

Abraham Research PLLC

Fort Mitchell, Kentucky, United States

Site Status

Dermatology Specialists Research, LLC

Louisville, Kentucky, United States

Site Status

Allergy & Asthma Specialists, PSC

Owensboro, Kentucky, United States

Site Status

Asthma, Allergy & Sinus Center

Baltimore, Maryland, United States

Site Status

Institute for Asthma & Allergy

Chevy Chase, Maryland, United States

Site Status

Respiratory Medicine Research; Institue of Michigan P.L.C.

Ypsilanti, Michigan, United States

Site Status

James Q. Del Rosso, DO, LLC

Las Vegas, Nevada, United States

Site Status

Ocean Allergy & Resp Res Ctr

Brick, New Jersey, United States

Site Status

Winthrop University Hospital

Mineola, New York, United States

Site Status

Aair Research Center

Rochester, New York, United States

Site Status

University of Rochester Medical Center; University Dermatology Associates

Rochester, New York, United States

Site Status

Montefiore Medical Group;Department of Medicine

The Bronx, New York, United States

Site Status

Allergy Partners of Western NC

Asheville, North Carolina, United States

Site Status

Allergy & Respiratory Center

Canton, Ohio, United States

Site Status

Bernstein Clinical Research Center Llc

Cincinnati, Ohio, United States

Site Status

Toledo Inst of Clin Research

Toledo, Ohio, United States

Site Status

Vital Prospects Clin Res Pc

Tulsa, Oklahoma, United States

Site Status

Asthma, Nasal Disease, and Allergy Research Center of New England

East Providence, Rhode Island, United States

Site Status

National Allergy and Asthma Research

Charleston, South Carolina, United States

Site Status

Live Oak Allergy & Asthma Clinic

Live Oak, Texas, United States

Site Status

Allergy & Asthma Research Center

San Antonio, Texas, United States

Site Status

Timber Lane Allergy-Asth Res

South Burlington, Vermont, United States

Site Status

O & O Alpan, LLC

Fairfax, Virginia, United States

Site Status

Premier Clinical Research

Spokane, Washington, United States

Site Status

Countries

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United States

References

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Casale TB, Murphy TR, Holden M, Rajput Y, Yoo B, Bernstein JA. Impact of omalizumab on patient-reported outcomes in chronic idiopathic urticaria: Results from a randomized study (XTEND-CIU). J Allergy Clin Immunol Pract. 2019 Sep-Oct;7(7):2487-2490.e1. doi: 10.1016/j.jaip.2019.04.020. Epub 2019 Apr 26. No abstract available.

Reference Type DERIVED
PMID: 31034999 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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ML29510

Identifier Type: -

Identifier Source: org_study_id

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