A Multicenter, Open-label Phase 3 Study: Ambulatory Blood Pressure Monitoring in Adult Patients With Chronic Spontaneous Urticaria Inadequately Controlled by H1-antihistamines Treated With Remibrutinib up to 12 Weeks.

NCT ID: NCT05795153

Last Updated: 2025-10-16

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

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

144 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-04-05

Study Completion Date

2024-04-25

Brief Summary

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The purpose of this study was to assess the effect of remibrutinib 25 mg twice a day (b.i.d.) open-label on Systolic Blood Pressure (SBP) measured as a change in 24-hour weighted average SBP from baseline to Week 4 assessed by Ambulator Blood Pressure Monitoring (ABPM); and to assess overall safety and efficacy over 12 weeks in adult participants with Chronic Spontaneous Urticaria (CSU) inadequately controlled with second generation H1 antihistamines (H1-AH) treatment. ABPM was chosen for the blood pressure assessment in this trial as recommended by the FDA for drugs intended for chronic use (Assessment of Pressor Effects of Drugs Guidance for Industry (FDA 2022)).

Detailed Description

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This study consisted of a screening period of up to 4 weeks, a 12-week open-label treatment period and a treatment-free follow-up period of 4 weeks, with a total study duration of up to 20 weeks.

At the end of the treatment phase, participants had the option to continue in an extension study (CLOU064A2303B (NCT05513001)) if approved in the country and at the site.

Conditions

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Chronic Spontaneous Urticaria

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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LOU064 (remibrutinib)

All participants were assigned to remibrutinib 25 mg b.i.d. for 12 weeks.

Group Type EXPERIMENTAL

LOU064

Intervention Type DRUG

One film-coated tablet (25 mg) was to be taken in the morning and evening, respectively, with a 12-hour interval at approximately the same time everyday.

Interventions

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LOU064

One film-coated tablet (25 mg) was to be taken in the morning and evening, respectively, with a 12-hour interval at approximately the same time everyday.

Intervention Type DRUG

Other Intervention Names

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remibrutinib

Eligibility Criteria

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Inclusion Criteria

* Signed informed consent obtained prior to participation in the study
* Male and female adult participants \>= 18 years of age
* CSU duration for \>= 6 months prior to screening (defined as the onset of CSU determined by the Investigator based on all available supporting documentation).
* Diagnosis of CSU inadequately controlled by second generation H1-AH at the time of baseline (Day 1)
* Documentation of hives within three months before baseline (either at screening and/or at baseline (Day 1); or documented in the participants' medical history).
* Willing and able to complete an Urticaria Patient Daily Diary (UPDD) for the duration of the study and adhere to the protocol
* Participants had no more than 2 missing UPDD entries (either morning or evening) in the 7 days prior to baseline (Day 1).

Exclusion Criteria

* Participants unable to tolerate 24-hour ambulatory blood pressure measurement using automatic ABPM device
* Ongoing or past history of hypertension and/or SBP \>= 140 or =\< 90 OR DBP \>= 90 or =\< 60 mmHg at screening
* Participants working night shifts
* Participants taking/requiring medications prohibited by the protocol (including those known to interfere with blood pressure assessments in the study)
* Evidence of clinically significant cardiovascular, neurological, psychiatric, pulmonary, renal, hepatic, endocrine, metabolic, hematological disorders, gastrointestinal disease or immunodeficiency that, in the Investigator's opinion, would compromise the safety of the participant, interfere with the interpretation of the study results or otherwise preclude participation or protocol adherence of the participant.
Minimum Eligible Age

18 Years

Maximum Eligible Age

99 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

Principal Investigators

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Novartis Pharmaceuticals

Role: STUDY_DIRECTOR

Novartis Pharmaceuticals

Locations

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Acuro Research Inc

Little Rock, Arkansas, United States

Site Status

Florida Ctr Allergy Asthma Research

Aventura, Florida, United States

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Finlay Medical Research

Greenacres City, Florida, United States

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Treasure Valley Medical Research

Boise, Idaho, United States

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Endeavor Health

Glenview, Illinois, United States

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Allergy and Asthma Specialist P S C

Owensboro, Kentucky, United States

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Allergy Asthma and Clinical Research

Oklahoma City, Oklahoma, United States

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Allergy and Clinical Immunology Associates

Pittsburgh, Pennsylvania, United States

Site Status

Western Sky Medical Research

El Paso, Texas, United States

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Allergy Asthma and amp Sinus Ctr S C

Greenfield, Wisconsin, United States

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Novartis Investigative Site

Nueve de Julio, Buenos Aires, Argentina

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Novartis Investigative Site

Sourigues, Buenos Aires, Argentina

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Novartis Investigative Site

Santa Fe, Rosario, Argentina

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Novartis Investigative Site

Rosario, Santa Fe Province, Argentina

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Calgary, Alberta, Canada

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Montreal, Quebec, Canada

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Angers, , France

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Antony, , France

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Brest, , France

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Montpellier, , France

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Paris, , France

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Reims, , France

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Saint-Mandé, , France

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Toulouse, , France

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Bramsche, Lower Saxony, Germany

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Göttingen, Lower Saxony, Germany

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Halle, Saxony-Anhalt, Germany

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Erlangen, , Germany

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Hanover, , Germany

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Marburg, , Germany

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Singapore, , Singapore

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Komárno, , Slovakia

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Levice, , Slovakia

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Nové Zámky, , Slovakia

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Daegu, Dalseo Gu, South Korea

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Suwon, Gyeonggi-do, South Korea

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Seoul, , South Korea

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Alicante, Valencia, Spain

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Valencia, Valencia, Spain

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Madrid, , Spain

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Madrid, , Spain

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Novartis Investigative Site

Izmir, , Turkey (Türkiye)

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Novartis Investigative Site

Kayseri, , Turkey (Türkiye)

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Novartis Investigative Site

Samsun, , Turkey (Türkiye)

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Countries

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United States Argentina Canada France Germany Singapore Slovakia South Korea Spain 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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https://www.novctrd.com/ctrdweb/patientsummary/patientsummaries?patientSummaryId=2573

A Plain Language Trial Summary is available on www.novctrd.com

Other Identifiers

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2022-002838-13

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CLOU064A2305

Identifier Type: -

Identifier Source: org_study_id

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