Study to Compare Efficacy and Safety of TEV-45779 With XOLAIR (Omalizumab) in Adults With Chronic Idiopathic Urticaria

NCT ID: NCT04976192

Last Updated: 2025-10-07

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

608 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-08-30

Study Completion Date

2024-04-05

Brief Summary

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The purpose of the study is to compare the efficacy, pharmacokinetics, pharmacodynamics, safety, tolerability, and immunogenicity of TEV-45779 compared to XOLAIR in patients with Urticaria (CIU)/Chronic Spontaneous Urticaria (CSU) who remain symptomatic on H1 antihistamine treatment.

Detailed Description

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This is a multicenter, randomized, double-blind study to demonstrate similar efficacy and safety of TEV-45779 compared to XOLAIR administered sc at doses of 300 mg or 150 mg every 4 weeks for 24 weeks (6 treatments) in patients with Chronic Idiopathic Urticaria (CIU)/Chronic Spontaneous Urticaria (CSU) who remain symptomatic despite antihistamine (H1) treatment. This study will consist of a screening period (up to 2 weeks), a 24-week treatment period consisting of a 12-week double-blind main treatment period and a 12-week double-blind transition period, which is followed by a 16-week follow-up period. The total duration of the study is up to 42 weeks.

At baseline, patients will be randomized in a 2:2:1:1 ratio to receive the first 3 treatments of TEV-45779 300 mg, XOLAIR 300 mg, TEV-45779 150 mg or XOLAIR 150 mg (main treatment period). At Week 12, prior to receiving their fourth dose of study medication, patients in the XOLAIR 300 mg and the XOLAIR 150 mg treatment groups will be randomized 1:1 to receive 3 additional doses of XOLAIR (at the same dose level as prior to randomization, or switch to 3 doses of TEV-45779 (transition period) at the same dose level as prior to randomization. All patients in the TEV-45779 groups will continue to receive TEV-45779 at the same dose levels.

Conditions

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Chronic Urticaria

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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TEV-45779-300 mg Main Treatment period

TEV-45779 (Omalizumab) injection 150 mg/mL pre-filled syringe administered twice (total dosage 300 mg) at week 0, 4, 8

Group Type EXPERIMENTAL

TEV-45779

Intervention Type COMBINATION_PRODUCT

TEV-45779 (Omalizumab) solution for injection 150 mg/mL prefilled syringe

Xolair-300 mg Main Treatment Period

XOLAIR (omalizumab) injection 150 mg/mL pre-filled syringe administered twice (total dosage 300 mg) at week 0, 4, 8

Group Type ACTIVE_COMPARATOR

XOLAIR® Injection

Intervention Type COMBINATION_PRODUCT

XOLAIR (omalizumab) injection is supplied as a single dose PFS. Each PFS of XOLAIR contains 150 mg of omalizumab in 1 mL of solution.

TEV-45779-150 mg Main Treatment period

TEV-45779 (Omalizumab) injection 150 mg/mL pre-filled syringe administered with one placebo injection at week 0, 4, 8

Group Type EXPERIMENTAL

TEV-45779

Intervention Type COMBINATION_PRODUCT

TEV-45779 (Omalizumab) solution for injection 150 mg/mL prefilled syringe

Xolair-150 mg Main Treatment Period

XOLAIR (omalizumab) injection 150 mg/mL pre-filled syringe administered with one placebo injection at week 0, 4, 8

Group Type ACTIVE_COMPARATOR

XOLAIR® Injection

Intervention Type COMBINATION_PRODUCT

XOLAIR (omalizumab) injection is supplied as a single dose PFS. Each PFS of XOLAIR contains 150 mg of omalizumab in 1 mL of solution.

TEV-45779-300 mg Main / TEV45779-300 mg Transition Period

TEV-45779 (Omalizumab) injection 150 mg/mL pre-filled syringe administered twice (total dosage 300 mg) at week 12,16,20 in patients that were randomized to TEV-45779-300 mg in the Main Treatment period.

Group Type EXPERIMENTAL

TEV-45779

Intervention Type COMBINATION_PRODUCT

TEV-45779 (Omalizumab) solution for injection 150 mg/mL prefilled syringe

Xolair-300 mg Main / TEV45779-300 mg Transition Period

TEV-45779 (Omalizumab) injection 150 mg/mL pre-filled syringe administered twice (total dosage 300 mg) at week 12,16,20 in patients that were randomized to Xolair-300 mg in the main treatment period.

Group Type EXPERIMENTAL

TEV-45779

Intervention Type COMBINATION_PRODUCT

TEV-45779 (Omalizumab) solution for injection 150 mg/mL prefilled syringe

XOLAIR® Injection

Intervention Type COMBINATION_PRODUCT

XOLAIR (omalizumab) injection is supplied as a single dose PFS. Each PFS of XOLAIR contains 150 mg of omalizumab in 1 mL of solution.

Xolair-300 mg Main / Xolair-300 mg Transition Period

XOLAIR (omalizumab) injection 150 mg/mL pre-filled syringe administered twice (total dosage 300 mg) at week 12,16,20 in patients that were randomized to Xolair-300 mg in the main treatment period.

Group Type ACTIVE_COMPARATOR

XOLAIR® Injection

Intervention Type COMBINATION_PRODUCT

XOLAIR (omalizumab) injection is supplied as a single dose PFS. Each PFS of XOLAIR contains 150 mg of omalizumab in 1 mL of solution.

TEV-45779-150 mg Main / TEV-45779-150 mg Transition Period

TEV-45779 (Omalizumab) injection 150 mg/mL pre-filled syringe administered with one placebo injection at week 12,16,20 in patients that were randomized to TEV-45779-150 mg in the main treatment period.

Group Type EXPERIMENTAL

TEV-45779

Intervention Type COMBINATION_PRODUCT

TEV-45779 (Omalizumab) solution for injection 150 mg/mL prefilled syringe

Xolair-150 mg Main / TEV-45779-150 mg Transition Period

TEV-45779 (Omalizumab) injection 150 mg/mL pre-filled syringe administered with one placebo injection at week 12,16,20 in patients that were randomized to XOLAIR-150 mg in the main treatment period.

Group Type EXPERIMENTAL

TEV-45779

Intervention Type COMBINATION_PRODUCT

TEV-45779 (Omalizumab) solution for injection 150 mg/mL prefilled syringe

XOLAIR® Injection

Intervention Type COMBINATION_PRODUCT

XOLAIR (omalizumab) injection is supplied as a single dose PFS. Each PFS of XOLAIR contains 150 mg of omalizumab in 1 mL of solution.

Xolair-150 mg Main / Xolair-150 mg Transition Period

XOLAIR (omalizumab) injection 150 mg/mL pre-filled syringe administered with one placebo injection at week 12,16,20 in patients that were randomized to XOLAIR -150 mg in the main treatment period.

Group Type ACTIVE_COMPARATOR

XOLAIR® Injection

Intervention Type COMBINATION_PRODUCT

XOLAIR (omalizumab) injection is supplied as a single dose PFS. Each PFS of XOLAIR contains 150 mg of omalizumab in 1 mL of solution.

Interventions

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TEV-45779

TEV-45779 (Omalizumab) solution for injection 150 mg/mL prefilled syringe

Intervention Type COMBINATION_PRODUCT

XOLAIR® Injection

XOLAIR (omalizumab) injection is supplied as a single dose PFS. Each PFS of XOLAIR contains 150 mg of omalizumab in 1 mL of solution.

Intervention Type COMBINATION_PRODUCT

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of CIU refractory to H1 antihistamines for ≥3 months

Exclusion Criteria

* Chronic urticaria with clearly defined underlying etiology
* Other skin disease associated with itch
* Evidence of parasitic infection on stool evaluation for ova and parasites
* History of anaphylactic shock
* Hypersensitivity to omalizumab or any component of the formulation
* Required background therapy with other than protocol-defined antihistamines
* Any medical condition that could jeopardize or would compromise the patient's safety or ability to participate in this study
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Teva Pharmaceuticals Development, Inc.

UNKNOWN

Sponsor Role collaborator

Teva Pharmaceuticals USA

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Teva Medical Expert, MD

Role: STUDY_DIRECTOR

Teva Pharmaceuticals Development, Inc.

Locations

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10008

Bakersfield, California, United States

Site Status

Site 10001

Clearwater, Florida, United States

Site Status

10012

Coral Gables, Florida, United States

Site Status

10006

Kissimmee, Florida, United States

Site Status

10014

Maitland, Florida, United States

Site Status

10005

Miami, Florida, United States

Site Status

10009

Tampa, Florida, United States

Site Status

10007

Troy, Michigan, United States

Site Status

10004

Salt Lake City, Utah, United States

Site Status

Countries

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United States

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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2021-001796-17

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

TV45779-IMB-30086

Identifier Type: -

Identifier Source: org_study_id

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