Study of Efficacy and Safety of Ligelizumab in Adolescents and Adults With Chronic Inducible Urticaria Who Remain Symptomatic Despite Treatment With H1- Antihistamines

NCT ID: NCT05024058

Last Updated: 2024-06-18

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

39 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-11-16

Study Completion Date

2022-08-09

Brief Summary

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This was a placebo controlled, phase 3 study designed to evaluate the efficacy and safety of ligelizumab in participants with chronic inducible urticaria who are inadequately controlled with H1-antihistamines

Detailed Description

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There are currently no approved therapies for patients with CINDU who remain symptomatic despite treatment with H1-antihistamines. The purpose of this study was to establish efficacy and safety of ligelizumab (QGE031) over placebo in participants with chronic inducible urticaria (CINDU) who remain symptomatic despite treatment with H1 antihistamine.

Conditions

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Chronic Inducible Urticaria

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Ligelizumab low dose, symptomatic dermographism group

Ligelizumab low dose subcutaneous injection every 4 weeks in participants with symptomatic dermographism

Group Type EXPERIMENTAL

Ligelizumab

Intervention Type DRUG

Ligelizumab treated groups and arms

Ligelizumab high dose, symptomatic dermographism

Ligelizumab high dose subcutaneous injection every 4 weeks in participants with symptomatic dermographism

Group Type EXPERIMENTAL

Ligelizumab

Intervention Type DRUG

Ligelizumab treated groups and arms

Placebo SC q4W, symptomatic dermographism

Placebo subcutaneous injection every 4 weeks in participants with symptomatic dermographism

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Placebo treated groups and arms

Ligelizumab low dose, cold urticaria

Ligelizumab low dose subcutaneous injection every 4 weeks in participants with cold urticaria

Group Type EXPERIMENTAL

Ligelizumab

Intervention Type DRUG

Ligelizumab treated groups and arms

Ligelizumab high dose, cold urticaria

Ligelizumab high dose subcutaneous injections every 4 weeks in participants with cold urticaria

Group Type EXPERIMENTAL

Ligelizumab

Intervention Type DRUG

Ligelizumab treated groups and arms

Placebo SC q4w, cold urticaria

Placebo subcutaneous injection every 4 weeks in participants with cold urticaria

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Placebo treated groups and arms

Ligelizumab high dose, cholinergic urticaria

Ligelizumab high dose subcutaneous injections every 4 weeks in participants with cholinergic urticaria

Group Type EXPERIMENTAL

Ligelizumab

Intervention Type DRUG

Ligelizumab treated groups and arms

Placebo SC q4w, cholinergic urticaria

Placebo subcutaneous injections every 4 weeks in participants with cholinergic urticaria

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Placebo treated groups and arms

Interventions

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Ligelizumab

Ligelizumab treated groups and arms

Intervention Type DRUG

Placebo

Placebo treated groups and arms

Intervention Type OTHER

Other Intervention Names

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QGE031

Eligibility Criteria

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Inclusion Criteria

* Confirmed CINDU diagnosis (as per guidelines) for symptomatic dermographism, cold urticaria or cholinergic urticaria for ≥ 4 months.

* Diagnosis of CINDU (symptomatic dermographism, cold urticaria or cholinergic urticaria) inadequately controlled with H1-AH at local label approved doses at the time of randomization, as defined by all of the following:
* Positive response (i.e development of symptoms) to triggers despite treatment with H1-AH
* Positive response (i.e. development of symptoms) to provocation test on day of randomization
* Participants must be able to physically perform the protocol defined provocation test specific to the participant's CINDU.
* Cholinergic urticaria participants must show sweating in performing the pulse-controlled ergometry test on day of randomization. Participants with anhidrosis must not be included.
* Willing and able to complete a daily symptom eDiary as per protocol requirement and adhere to the study visit schedules

Exclusion Criteria

* History of hypersensitivity to any of the study drugs or its components or to drugs of similar chemical classes or to the provocation test or items used in provocation tests

* Participants who have concomitant CSU at screening
* Participants who have a familial form of the target CINDU that is being considered for the participant's inclusion in this study
* Participants having a more defined other form of inducible urticaria than the target CINDU that is being considered for the participant's inclusion in this study
* Diseases, other than chronic inducible urticaria, with urticarial or angioedema symptoms such as urticarial vasculitis, erythema multiforme, cutaneous mastocytosis (urticaria pigmentosa) and hereditary or acquired angioedema (eg, due to C1 inhibitor deficiency).
* Any other skin disease associated with chronic itching that might influence, in the investigator's opinion, the study evaluations and results (eg, atopic dermatitis, bullous pemphigoid, dermatitis herpetiformis, senile pruritus, etc.) or skin diseases associated with only wheals and no itch e.g asymptomatic dermographism
* Prior exposure to ligelizumab, omalizumab and or other anti-IgE therapies
Minimum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novartis Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Novartis Investigative Site

Evansville, Indiana, United States

Site Status

Novartis Investigative Site

North Charleston, South Carolina, United States

Site Status

Novartis Investigative Site

El Paso, Texas, United States

Site Status

Novartis Investigative Site

Murray, Utah, United States

Site Status

Novartis Investigative Site

East Melbourne, Victoria, Australia

Site Status

Novartis Investigative Site

Parkville, Victoria, Australia

Site Status

Novartis Investigative Site

Athens, , Greece

Site Status

Novartis Investigative Site

Debrecen, Hajdú-Bihar, Hungary

Site Status

Novartis Investigative Site

Pécs, , Hungary

Site Status

Novartis Investigative Site

Szeged, , Hungary

Site Status

Novartis Investigative Site

Izhevsk, , Russia

Site Status

Novartis Investigative Site

Rostov-on-Don, , Russia

Site Status

Novartis Investigative Site

Saint Petersburg, , Russia

Site Status

Novartis Investigative Site

Saint Petersburg, , Russia

Site Status

Novartis Investigative Site

Saint Petersburg, , Russia

Site Status

Novartis Investigative Site

Stavropol, , Russia

Site Status

Novartis Investigative Site

Kežmarok, , Slovakia

Site Status

Novartis Investigative Site

Svidník, , Slovakia

Site Status

Novartis Investigative Site

Córdoba, Andalusia, Spain

Site Status

Novartis Investigative Site

Barcelona, Catalonia, Spain

Site Status

Novartis Investigative Site

Valencia, Valencia, Spain

Site Status

Novartis Investigative Site

Taipei, , Taiwan

Site Status

Novartis Investigative Site

Ankara, , Turkey (Türkiye)

Site Status

Novartis Investigative Site

Istanbul, , Turkey (Türkiye)

Site Status

Countries

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United States Australia Greece Hungary Russia Slovakia Spain Taiwan Turkey (Türkiye)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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Other Identifiers

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2020-003018-11

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CQGE031E12301

Identifier Type: -

Identifier Source: org_study_id

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