Trial to Assess the Efficacy and Safety of LEO 152020 in Adult Patients With Cholinergic Urticaria

NCT ID: NCT04853992

Last Updated: 2024-04-22

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-05-10

Study Completion Date

2022-07-11

Brief Summary

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Phase 2a trial to assess the efficacy and safety of LEO 152020 in adult patients with cholinergic urticaria

Detailed Description

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This is a phase 2a, randomised, double-blind, placebo-controlled, cross-over trial conducted in Germany at 3-6 sites. Subjects will be randomised to one of two treatment sequences (A and B). Each treatment period will last 7 days with a wash-out period of 7 days between treatments. Half of the subjects will start with treatment A followed by treatment B while the other half will start with treatment B followed by treatment A. A safety follow-up visit will be performed 3 days after last dose of the tested medication.

The main assessment is an urticaria activity score. After a Pulse-controlled ergometry (PCE) provocation test subjects will be rated on their number of wheals and their itch severity, resulting in a sum score ranging from 0 to 6 points.

Conditions

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Cholinergic Urticaria

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Each treatment period will last 7 days with a wash-out period of 7 days between treatments
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators
Placebo-controlled

Study Groups

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Active - Placebo

Patients will receive active treatment for 7 days, followed by a washout period of 7 days and then placebo for 7 days

Group Type EXPERIMENTAL

LEO 152020

Intervention Type DRUG

LEO 152020 is a small drug molecule which can block the histamine 4 receptor (H4R). LEO 152020 is a tablet for oral administration.

LEO 152020 placebo

Intervention Type DRUG

LEO 152020 placebo is a tablet for oral administration. LEO 152020 placebo contains the same excipients in the same concentration as the LEO 152020 tablet, except the medical ingredient, LEO 152020.

Placebo - Active

Patients will receive placebo for 7 days, followed by a washout period of 7 days and then active treatment for 7 days

Group Type EXPERIMENTAL

LEO 152020

Intervention Type DRUG

LEO 152020 is a small drug molecule which can block the histamine 4 receptor (H4R). LEO 152020 is a tablet for oral administration.

LEO 152020 placebo

Intervention Type DRUG

LEO 152020 placebo is a tablet for oral administration. LEO 152020 placebo contains the same excipients in the same concentration as the LEO 152020 tablet, except the medical ingredient, LEO 152020.

Interventions

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LEO 152020

LEO 152020 is a small drug molecule which can block the histamine 4 receptor (H4R). LEO 152020 is a tablet for oral administration.

Intervention Type DRUG

LEO 152020 placebo

LEO 152020 placebo is a tablet for oral administration. LEO 152020 placebo contains the same excipients in the same concentration as the LEO 152020 tablet, except the medical ingredient, LEO 152020.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Subject with a history of Cholinergic urticaria diagnosis for ≥ 6 months
* Subject has active and uncontrolled Cholinergic urticaria disease at the time of screening and randomisation, as defined by the following:

1. Urticaria control test \< 12 at screening
2. Urticaria Activity Score post-provocation ≥ 3
* Recent history (within 6 months of screening) with documented inadequate response to standard dose as to marketing authorization of H1 antihistamines.

Exclusion Criteria

* Other clearly dominating forms\* of urticaria as aetiology for wheal and flare type reactions

\*These diseases are allowed as comorbidities, if cholinergic urticaria is the dominating form of chronic urticaria,
* Systemic immunosuppressive medications within 4 weeks prior to screening,
* Systemic drugs (e.g. oral drug) with antihistamine properties including H1 antihistamines and some antidepressants (e.g. tricyclic antidepressants) and H2 antihistamines 1 week prior to randomisation and throughout the trial. However, topical antihistamines in the form of nasal spray and eyedrops are allowed in the standard prescribed dose.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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LEO Pharma

INDUSTRY

Sponsor Role collaborator

JW Pharmaceutical

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Expert

Role: STUDY_DIRECTOR

LEO Pharma

Locations

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LEO Investigational Site

Aachen, , Germany

Site Status

LEO Investigational Site

Berlin, , Germany

Site Status

LEO Investigational Site

Dresden, , Germany

Site Status

LEO Investigational Site

Freiburg im Breisgau, , Germany

Site Status

LEO Investigational Site

Kiel, , Germany

Site Status

LEO Investigational Site

München, , Germany

Site Status

Countries

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Germany

References

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Grekowitz E, Metz M, Altrichter S, Bauer A, Brockow K, Heine G, Lionnet L, Saday KK, Hultsch T, Soerensen OE, Maurer M. Targeting histamine receptor 4 in cholinergic urticaria with izuforant (LEO 152020): results from a phase IIa randomized double-blind placebo-controlled multicentre crossover trial. Br J Dermatol. 2024 May 17;190(6):825-835. doi: 10.1093/bjd/ljae038.

Reference Type DERIVED
PMID: 38308655 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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2020-004961-38

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

EXP-2177

Identifier Type: -

Identifier Source: org_study_id

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