A Study to Investigate Efficacy, Safety and Tolerability of Barzolvolimab Versus Placebo in Adults With Cold Induced Urticaria and Symptomatic Dermographism Inadequately Controlled by H1-antihistamines (EMBARQ - ColdU and SD)

NCT ID: NCT07266402

Last Updated: 2026-02-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

240 participants

Study Classification

INTERVENTIONAL

Study Start Date

2026-01-15

Study Completion Date

2028-10-31

Brief Summary

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The purpose of this Phase 3, randomized, double-blind, placebo-controlled study is to assess the activity and safety of barzolvolimab compared to placebo in participants with cold induced urticaria or symptomatic dermographism who remain symptomatic despite the use of H1-antihistamines.

Detailed Description

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The purpose of this Phase 3, randomized, double-blind, placebo-controlled study is to assess the activity and safety of barzolvolimab compared to placebo in participants with cold induced urticaria (ColdU) or symptomatic dermographism (SD) who remain symptomatic despite the use of H1-antihistamines.

There is a Screening Period of up to 4 weeks, followed by a 24-week treatment period where patients will receive barzolvolimab or placebo. Patients receiving barzolvolimab will receive 450mg at the start of the treatment period and then 150mg. Then there is 16-week follow-up period where all patients are observed.

Conditions

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Chronic Inducible Urticaria Cold Urticaria Cold-Induced Urticaria Symptomatic Dermographism

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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barzolvolimab 450mg loading dose followed by 150mg in patients with Cold Induced Urticaria

barzolvolimab 450mg injection subcutaneously at randomization , then 150mg injection subcutaneously every 4 weeks for 24 weeks

Group Type EXPERIMENTAL

Barzolvolimab

Intervention Type DRUG

Subcutaneous Administration

Placebo comparator in patients with Cold Induced Urticaria

Placebo injection subcutaneously every 4 weeks for 24 weeks

Group Type PLACEBO_COMPARATOR

Matching Placebo

Intervention Type DRUG

Subcutaneous Administration

barzolvolimab 450mg loading dose followed by 150mg in patients with Symptomatic Dermographism

barzolvolimab 450mg injection subcutaneously at randomization, then 150mg injection subcutaneously every 4 weeks for 24 weeks

Group Type EXPERIMENTAL

Barzolvolimab

Intervention Type DRUG

Subcutaneous Administration

Placebo comparator in patients with Symptomatic Dermographism

Placebo injection subcutaneously every 4 weeks for 24 weeks

Group Type PLACEBO_COMPARATOR

Matching Placebo

Intervention Type DRUG

Subcutaneous Administration

Interventions

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Barzolvolimab

Subcutaneous Administration

Intervention Type DRUG

Matching Placebo

Subcutaneous Administration

Intervention Type DRUG

Other Intervention Names

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CDX-0159

Eligibility Criteria

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Inclusion Criteria

1. Males and females, \>/= 18 years of age.
2. Diagnosis of cold induced urticaria or symptomatic dermographism \>/= 3 months.
3. Diagnosis of cold induced urticaria or symptomatic dermographism despite the use of a stable regimen of second generation non-sedating H1-antihistamine as defined by:

1. The presence of hives for \>/= 6 weeks at any time prior to Visit 1 despite the use of H1-antihistamines.
2. Must be on a stable regimen of second generation non-sedating H1-antihistamine for \>/= 4 weeks prior to study treatment.
3. Cold induced urticaria: A Critical Threshold Temperature (CTT) of ≥ 10 °C and \< 37 °C using the TempTest® and a numerical rating scale score of ≥ 3 for itch after the provocation test.
4. Symptomatic dermographism: A Critical Friction Threshold (CFT) of ≥ 3 using the FricTest® and a numerical rating scale score of ≥ 3 for itch after the provocation test.
4. Cold induced urticaria: Positive ice-cube test resulting in hives at the provocation site during Screening
5. Normal blood counts and liver function tests.
6. Both males and females of child-bearing potential must agree to use highly effective contraceptives during the study and for 150 days after treatment.
7. Willing and able to complete a daily symptom electronic diary and comply with study visits.
8. Participants with and without prior biologic experience are eligible.

Exclusion Criteria

1. Women who are pregnant or nursing.
2. Clearly defined cause for chronic urticaria.
3. Active, pruritic skin condition in addition to cold induced urticaria or symptomatic dermographism.
4. Medical condition that would cause additional risk or interfere with study procedures.
5. Known HIV, hepatitis B or hepatitis C infection.
6. Vaccination of a live vaccine within 2 months prior to study treatment (subjects must agree to avoid vaccination during the study). Inactivated vaccines are allowed such as seasonal influenza injection or COVID-19 vaccine.
7. History of anaphylaxis, unless due to cold exposure over a large part of the body (such as swimming in cold water).
8. Prior treatment with barzolvolimab

There are additional criteria that your study doctor will review with you to confirm you are eligible for the study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Celldex Therapeutics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Cahaba Dermatology & Skin Health Center, LLC

Birmingham, Alabama, United States

Site Status RECRUITING

One of a Kind Clinical Research Center, LLC

Scottsdale, Arizona, United States

Site Status NOT_YET_RECRUITING

Kern Research, Inc.

Bakersfield, California, United States

Site Status RECRUITING

One of a Kind Clinical Research Center

Napa, California, United States

Site Status NOT_YET_RECRUITING

Allergy & Asthma Consultants

Redwood City, California, United States

Site Status RECRUITING

Amicis Research Center

Sherman Oaks, California, United States

Site Status NOT_YET_RECRUITING

FOMAT - Allergy, Asthma & Immunology Medical Group

Ventura, California, United States

Site Status RECRUITING

Direct Helpers Research Center

Hialeah, Florida, United States

Site Status NOT_YET_RECRUITING

Well Pharma Medical Research, Corp.

Miami, Florida, United States

Site Status RECRUITING

Deluxe Health Center, LLC

Miami Lakes, Florida, United States

Site Status RECRUITING

GCP, Global Clinical Professionals

St. Petersburg, Florida, United States

Site Status RECRUITING

Advanced Clinical Research Institute

Tampa, Florida, United States

Site Status RECRUITING

Centricity Research Columbus Dermatology

Columbus, Georgia, United States

Site Status NOT_YET_RECRUITING

Treasure Valley Medical Research

Boise, Idaho, United States

Site Status NOT_YET_RECRUITING

Endeavor Health Clinical Trials Center

Skokie, Illinois, United States

Site Status NOT_YET_RECRUITING

Equity Medical, LLC

Bowling Green, Kentucky, United States

Site Status RECRUITING

Advanced ENT and Allergy, PLLC

Louisville, Kentucky, United States

Site Status NOT_YET_RECRUITING

Johns Hopkins University

Baltimore, Maryland, United States

Site Status NOT_YET_RECRUITING

Revival Research Institute, LLC

Troy, Michigan, United States

Site Status RECRUITING

Equity Medical, LLC

New York, New York, United States

Site Status RECRUITING

Markowitz Medical PLLC dba OptiSkin Medical

New York, New York, United States

Site Status NOT_YET_RECRUITING

University of Cincinnati

Cincinnati, Ohio, United States

Site Status NOT_YET_RECRUITING

Allergy, Asthma & Clinical Research Center

Oklahoma City, Oklahoma, United States

Site Status RECRUITING

Advanced Dermatology and Cosmetic Surgery - Spartanburg

Spartanburg, South Carolina, United States

Site Status RECRUITING

RFSA Dermatology

San Antonio, Texas, United States

Site Status NOT_YET_RECRUITING

Allergy Associates of Utah

Sandy City, Utah, United States

Site Status RECRUITING

Universitätsklinikum Augsburg - III. Med. Klinik

Augsburg, , Germany

Site Status NOT_YET_RECRUITING

Institut für Allergieforschung (IFA) Charité - Universitätsmedizin Berlin

Berlin, , Germany

Site Status NOT_YET_RECRUITING

Elbekliniken Buxtehude

Buxtehude, , Germany

Site Status NOT_YET_RECRUITING

Rosenpark Research

Darmstadt, , Germany

Site Status NOT_YET_RECRUITING

University Hospital Dresden

Dresden, , Germany

Site Status NOT_YET_RECRUITING

University Hospital Düsseldorf

Düsseldorf, , Germany

Site Status NOT_YET_RECRUITING

Universitatsklinkum Erlangen-Ulmenweg 18

Erlangen, , Germany

Site Status NOT_YET_RECRUITING

Universitätsklinikum Göttingen

Göttingen, , Germany

Site Status NOT_YET_RECRUITING

Universitätsklinikum Heidelberg

Heidelberg, , Germany

Site Status NOT_YET_RECRUITING

MVZ DermaKiel GmbH

Kiel, , Germany

Site Status NOT_YET_RECRUITING

Universitätsklinikum Schleswig-Holstein - Campus Lübeck

Lübeck, , Germany

Site Status NOT_YET_RECRUITING

LMU Klinikum der Universität

München, , Germany

Site Status NOT_YET_RECRUITING

Universitätsklinikum Münster, Klinik u. Poliklinik f. Dermatologie

Münster, , Germany

Site Status NOT_YET_RECRUITING

Universitäts-Hautklinik Tübingen

Tübingen, , Germany

Site Status NOT_YET_RECRUITING

CD8 Klinika

Kaunas, , Lithuania

Site Status NOT_YET_RECRUITING

UAB Ausros Medicinos Centras

Kaunas, , Lithuania

Site Status NOT_YET_RECRUITING

Republic Klaipeda Hospital

Klaipėda, , Lithuania

Site Status NOT_YET_RECRUITING

Center of Allergy Diagnosis and Treatment

Vilnius, , Lithuania

Site Status NOT_YET_RECRUITING

Santaros KTC (klinikiniu tyrimu centras)

Vilnius, , Lithuania

Site Status NOT_YET_RECRUITING

Centrum Medyczne ALL-MED Badania Kliniczne

Krakow, , Poland

Site Status NOT_YET_RECRUITING

Centrum Nowoczesnych Terapii Dobry Lekarz Sp. z o.o.

Krakow, , Poland

Site Status NOT_YET_RECRUITING

"Oddzial Kliniczny Chorob Wewnetrznych, Astmy i Alergii z Odcinkiem dla Dzieci, Uniwersytecki Szpital Kliniczny nr 1 w Lodzi"

Lodz, , Poland

Site Status NOT_YET_RECRUITING

Santa Familia PTG Lodz

Lodz, , Poland

Site Status NOT_YET_RECRUITING

Luxderm Specjalistyczny Gabinet Dermatologiczny Prof. dr hab. N. med. Dorota Krasowska

Lublin, , Poland

Site Status NOT_YET_RECRUITING

Uniwersytecki Szpital Kliniczny w Opolu

Opole, , Poland

Site Status NOT_YET_RECRUITING

Medicome Sp. z o.o.

Oświęcim, , Poland

Site Status NOT_YET_RECRUITING

EMC Instytut Medyczny S.A.PL CERTUS Szpital i Ambulatorium

Poznan, , Poland

Site Status NOT_YET_RECRUITING

Uniwersytecki Szpital Kliniczny im. Fryderyka Chopina w Rzeszowie

Rzeszów, , Poland

Site Status NOT_YET_RECRUITING

Alergo-med Ośrodek Badań Klinicznych Spólka z ograniczoną odpowiedzialnością

Tarnów, , Poland

Site Status NOT_YET_RECRUITING

MICS Centrum Medyczne Toruń

Torun, , Poland

Site Status NOT_YET_RECRUITING

Klinika Ambroziak Dermatologia

Warsaw, , Poland

Site Status NOT_YET_RECRUITING

Cityclinic Przychodnia Lekarsko-Psychologiczna Matusiak Sp. Partnerska

Wroclaw, , Poland

Site Status NOT_YET_RECRUITING

Worthwhile Clinical Trials

Benoni, , South Africa

Site Status NOT_YET_RECRUITING

Allergy and Immunology Unit, University of Cape Town Lung Institute (UCTLI)

Cape Town, , South Africa

Site Status NOT_YET_RECRUITING

Dr. PJ Sebastian

Durban, , South Africa

Site Status NOT_YET_RECRUITING

Infinity Dermatology Inc

Durban, , South Africa

Site Status NOT_YET_RECRUITING

Synapta Clinical Research Centre

Durban, , South Africa

Site Status NOT_YET_RECRUITING

Newtown Clinical Research Centre

Johannesburg, , South Africa

Site Status NOT_YET_RECRUITING

Sandton Medical Research Centre

Johannesburg, , South Africa

Site Status NOT_YET_RECRUITING

Global Clinical Trials (Pty) Ltd

Pretoria, , South Africa

Site Status NOT_YET_RECRUITING

Allergy and Asthma Centre

Westville, , South Africa

Site Status NOT_YET_RECRUITING

Hospital del Mar

Barcelona, , Spain

Site Status NOT_YET_RECRUITING

Clinica Universidad Navarra - Pamplona

Pamplona, , Spain

Site Status NOT_YET_RECRUITING

Addenbrooke's Hospital

Cambridge, , United Kingdom

Site Status NOT_YET_RECRUITING

Queen Elizabeth University Hospital

Glasgow, , United Kingdom

Site Status NOT_YET_RECRUITING

Salford Care Organisation NCA NHS Trust

Manchester, , United Kingdom

Site Status NOT_YET_RECRUITING

Countries

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United States Germany Lithuania Poland South Africa Spain United Kingdom

Central Contacts

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Celldex Therapeutics

Role: CONTACT

844-723-9363

Facility Contacts

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Jennifer Perry

Role: primary

Wandy Noriega

Role: primary

Thai Orantes

Role: primary

Yudesiy Izquierdo

Role: primary

Leidy Caballero

Role: primary

Darryl Rosebud

Role: primary

Ria Abraham

Role: primary

Bilal Siddiqui

Role: primary

Holly Anderson

Role: primary

Other Identifiers

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CDX0159-16

Identifier Type: -

Identifier Source: org_study_id

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