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Chronic Idiopathic UrticariaPhase 3NCT01264939

A Safety Study of Xolair (Omalizumab) in Patients With Chronic Idiopathic Urticaria (CIU) Who Remain Symptomatic Despite Treatment With H1 Antihistamines, H2 Blockers, and/or Leukotriene Receptor Antagonists

A Phase 3 study testing Omalizumab, H1 antihistamine, H2 antihistamine, leukotriene receptor antagonist and Diphenhydramine in people with Chronic Idiopathic Urticaria, run by Genentech, Inc. at 73 sites in 8 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The study is a global Phase III, multicenter, randomized, double-blind, placebo controlled, parallel-group study to evaluate the safety and efficacy of omalizumab administered subcutaneously as an add-on therapy for the treatment of adolescent and adult patients aged 12-75 who have been diagnosed with chronic… Read more about this study

Who is it for?
Ages 12 to 75 years
Conditions the study is for
Chronic Idiopathic Urticaria
What is being tested?
Omalizumab, H1 antihistamine, H2 antihistamine, leukotriene receptor antagonist and Diphenhydramine
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
336 participants
Where
73 sitesin 8 countries
Study dates
Feb 2011to Nov 2012
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 12 to 75 years
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Diagnosis of chronic idiopathic urticaria (CIU) refractory to H1 antihistamines, H2 blockers, and/or leukotriene receptor antagonists (LTRA) at the time of randomization.
  • The presence of itch and hives for > 6 consecutive weeks at any time prior to enrollment despite current use of H1 antihistamine (up to 4 times the approved dosage), H2 blocker, and/or LTRA treatment during this time.
  • Urticaria activity score over 7 days (UAS7) score (range 0-42) ≥ 16 and itch component of UAS7 (range 0-21) ≥ 8 during 7 days prior to randomization (Week 0).
  • In-clinic UAS ≥ 4 on at least one of the screening visit days (Day -14, Day -7, or Day 1).
  • For women of childbearing potential, agreement to use an acceptable form of contraception and to continue its use for the duration of the study.

Who cannot join

  • Treatment with an investigational agent within 30 days prior to screening.
  • Weight less than 20 kg (44 lbs).
  • Clearly defined underlying etiology for chronic urticarias other than CIU.
  • Evidence of parasitic infection.
  • Atopic dermatitis, bullous pemphigoid, dermatitis herpetiformis, senile pruritus, or other skin disease associated with itch.
  • Previous treatment with omalizumab within a year prior to screening.
Show all 14Show fewer
  • Routine doses of the following medications within 30 days prior to screening: Systemic or cutaneous (topical) corticosteroids (prescription or over the counter), hydroxychloroquine, methotrexate, cyclosporine, or cyclophosphamide.
  • Intravenous (IV) immunoglobulin G (IVIG), or plasmapheresis within 30 days prior to screening.
  • Regular (daily/every other day) doxepin (oral) use within 6 weeks prior to screening.
  • Patients with current malignancy, history of malignancy, or currently under work-up for suspected malignancy except non-melanoma skin cancer that has been treated or excised and is considered resolved.
  • Hypersensitivity to omalizumab or any component of the formulation.
  • History of anaphylactic shock.
  • Presence of clinically significant cardiovascular, neurological, psychiatric, metabolic, or other pathological conditions that could interfere with the interpretation of the study results and or compromise the safety of the patients.
  • Evidence of current drug or alcohol abuse.

Trial locations and contacts

73 sites in 8 countries.

73 sites in 8 countries

United States40 sites
  • Study site

    Altoona, Pennsylvania, 16601

  • Study site

    Ann Arbor, Michigan, 48106

  • Study site

    Blue Bell, Pennsylvania, 19422

  • Study site

    Bozeman, Montana, 59718

  • Study site

    Brick, New Jersey, 8724

  • Study site

    Brookline, Massachusetts, 02445

  • Study site

    Brookline, Massachusetts, 2167

  • Study site

    Charleston, South Carolina, 29407

  • Study site

    Crescent Springs, Kentucky, 41017

  • Study site

    Dallas, Texas, 75230

  • Study site

    Draper, Utah, 84020

  • Study site

    Evansville, Indiana, 47713

  • Study site

    Hershey, Pennsylvania, 17033

  • Study site

    High Point, North Carolina, 27262

  • Study site

    Iowa City, Iowa, 52242

  • Study site

    Katy, Texas, 77450

  • Study site

    Knoxville, Tennessee, 37909

  • Study site

    Lake Oswego, Oregon, 97035

  • Study site

    Miami, Florida, 33173

  • Study site

    Mineola, New York, 11501

  • Study site

    Minneapolis, Minnesota, 55402

  • Study site

    Mission Viejo, California, 92691

  • Study site

    Missoula, Montana, 59808

  • Study site

    Napa, California, 94558

  • Study site

    North Palm Beach, Florida, 33408

  • Study site

    Orange, California, 92868

  • Study site

    Owensboro, Kentucky, 42301

  • Study site

    Richmond, Virginia, 23298

  • Study site

    Rochester, Minnesota, 55901

  • Study site

    Rochester, New York, 14618

  • Study site

    Sacramento, California, 95819

  • Study site

    San Antonio, Texas, 78233

  • Study site

    San Antonio, Texas, 78251

  • Study site

    San Diego, California, 92120

  • Study site

    Savannah, Georgia, 31406

  • Study site

    Scottsdale, Arizona, 85251

  • Study site

    South Burlington, Vermont, 05403

  • Study site

    Sylvania, Ohio, 43560

  • Study site

    Tampa, Florida, 33613

  • Study site

    Wheaton, Maryland, 20902

Other trials in United States

Germany9 sites
  • Study site

    Berlin, 10117

  • Study site

    Cologne, 50937

  • Study site

    Erlangen, 91054

  • Study site

    Freiburg im Breisgau, 79104

  • Study site

    Hamburg, 20354

  • Study site

    Lübeck, 23538

  • Study site

    Mainz, 55131

  • Study site

    Marburg, 35033

  • Study site

    Tübingen, 72076

Other trials in Germany

United Kingdom7 sites
  • Study site

    Cambridge, CB2 2QQ

  • Study site

    Leicester, LE3 9QP

  • Study site

    London, E11 1NR

  • Study site

    London, EC1M 6BQ

  • Study site

    Norwich, NR4 7UY

  • Study site

    Oxford, OX3 7LJ

  • Study site

    Sheffield, S5 7AU

Other trials in United Kingdom

Australia4 sites
  • Study site

    Brisbane, Queensland, 4102

  • Study site

    Canberra, Australian Capital Territory, 2605

  • Study site

    Carlton, Victoria, 3053

  • Study site

    Melbourne, Victoria, 3004

Other trials in Australia

New Zealand4 sites
  • Study site

    Auckland, 1023

  • Study site

    Beckenham, 8024

  • Study site

    Tauranga, 3110

  • Study site

    Wellington, 6002

Other trials in New Zealand

Poland4 sites
  • Study site

    Krakow, 31-023

  • Study site

    Lodz, 90-153

  • Study site

    Lodz, 92-213

  • Study site

    Warsaw, 01-817

Other trials in Poland

Switzerland3 sites
  • Study site

    Aarau, 5001

  • Study site

    Bern, 3000

  • Study site

    Sankt Gallen, 9007

Other trials in Switzerland

Singapore2 sites
  • Study site

    Singapore, 119074

  • Study site

    Singapore, 529889

Other trials in Singapore

About this study

Official title: A Phase III, Multicenter, Randomized, Double-blind, Placebo-controlled Safety Study of Xolair (Omalizumab) in Patients With Chronic Idiopathic Urticaria (CIU) Who Remain Symptomatic Despite Treatment With H1 Antihistamines, H2 Blockers, and/or Leukotriene Receptor Antagonists

The study is a global Phase III, multicenter, randomized, double-blind, placebo controlled, parallel-group study to evaluate the safety and efficacy of omalizumab administered subcutaneously as an add-on therapy for the treatment of adolescent and adult patients aged 12-75 who have been diagnosed with chronic idiopathic urticaria (CIU) who remain symptomatic despite standard-dosed H1 antihistamine treatment (including doses up to 4 times above the approved dose level), H2 blockers, and/or leukotriene receptor antagonists (LTRA).

Being tested
Omalizumab, Placebo, H1 antihistamine, H2 antihistamine, leukotriene receptor antagonist, Diphenhydramine
Medical subject headings
Chronic Urticaria

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • OmalizumabDrug

    Also called Xolair

    Omalizumab was supplied as a lyophilized, sterile powder in a single-use vial.

  • PlaceboDrug

    Placebo was supplied as a lyophilized, sterile powder in a single-use vial without study drug.

  • H1 antihistamine, H2 antihistamine, leukotriene receptor antagonistDrug

    Participants were required to maintain stable doses of their pre-randomization combination therapy with an H1 antihistamine and either an H2 blocker or leukotriene receptor antagonist, or all 3 drugs in combination, throughout the 24-week treatment period and 16-week follow-up period of the 40-week study.

  • DiphenhydramineDrug

    Participants were provided with diphenhydramine 25 mg for itch relief on an as-needed basis, up to a maximum of 3 doses within 24 hours for the duration of the 40-week study.

Study groups in NCT01264939
Study groupRoleWhat they receive
PlaceboPlacebo comparatorParticipants received placebo subcutaneously every 4 weeks during the 24 week treatment period.
Receives: Drug: Placebo; Drug: H1 antihistamine, H2 antihistamine, leukotriene receptor antagonist; Drug: Diphenhydramine
Omalizumab 300 mgExperimentalParticipants received omalizumab 300 mg subcutaneously every 4 weeks during the 24 week treatment period.
Receives: Drug: Omalizumab; Drug: H1 antihistamine, H2 antihistamine, leukotriene receptor antagonist; Drug: Diphenhydramine

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants With Adverse Events

    The percentage of participants with serious adverse events and other adverse events is summarized by MedDRA preferred terms and organ classes in the Reported Adverse Events section below.

    Measured: Baseline to the end of study (up to 40 weeks)

Secondary outcomes (10)
  1. Change From Baseline to Week 12 in the Weekly Itch Severity Score

    The weekly itch severity score is the sum of the daily itch severity scores over 7 days and ranges from 0 to 21. The daily itch severity score is the average of the morning and evening scores on a scale of 0 (none) to 3 (severe). The Baseline weekly itch severity score is the sum of the daily itch severity scores over the 7 days prior to the first treatment. A higher itch severity score indicates more severe itching. A negative change score indicates improvement.

    Measured: Baseline to Week 12

  2. Change From Baseline to Week 12 in the Urticaria Activity Score Over 7 Days (UAS7)

    The UAS7 is the sum of the daily urticarial activity scores over 7 days and ranges from 0 to 42. The daily urticarial activity score is the average of the morning and evening urticarial activity scores and ranges from 0 to 6. The urticarial activity score is the sum of ratings on a scale of 0 to 3 (0=none to 3=intense/severe) for (1) the number of wheals (hives) and (2) itch intensity over the previous 12 hours, ranges from 0 to 6, and is measured twice daily (morning and evening). The Baseline score is the sum of the daily urticarial activity scores over the 7 days prior to the first treatment. A higher urticarial activity score indicates more urticaria activity. A negative change score indicates improvement.

    Measured: Baseline to Week 12

  3. Change From Baseline to Week 12 in the Weekly Number of Hives Score

    The weekly hives score is the sum of the daily hives scores over 7 days and ranges from 0 to 21. The number of hives is measured twice daily (morning and evening) on a scale of 0 (none) to 3 (> 12 hives per 12 hours). The daily hives score is the average of the morning and evening scores. The Baseline score is the sum of the daily hives scores over the 7 days prior to the first treatment. A higher score indicates more hives. A negative change score indicates improvement.

    Measured: Baseline to Week 12

  4. Time to Minimally Important Difference (MID) Response in the Weekly Itch Severity Score by Week 12

    The time to the MID response is the number of weeks from the start of treatment (Baseline) until the time point at which the first MID response occurs. The MID response is defined as a reduction ≥ 5 points from Baseline in the weekly itch severity score. The weekly itch severity score is the sum of the daily itch severity scores over 7 days and ranges from 0 to 21. The daily itch severity score is the average of the morning and evening scores on a scale of 0 (none) to 3 (severe). The Baseline weekly itch severity score is the sum of the daily itch severity scores over the 7 days prior to the first treatment. A higher itch severity score indicates more severe itching.

    Measured: Baseline to Week 12

  5. Percentage of Participants With a UAS7 Score ≤ 6 at Week 12

    The UAS7 is the sum of the daily urticarial activity scores over 7 days and ranges from 0 to 42. The daily urticarial activity score is the average of the morning and evening urticarial activity scores and ranges from 0 to 6. The urticarial activity score is the sum of ratings on a scale of 0 to 3 (0=none to 3=intense/severe) for (1) the number of wheals (hives) and (2) itch intensity over the previous 12 hours, ranges from 0 to 6, and is measured twice daily (morning and evening). The Baseline score is the sum of the daily urticarial activity scores over the 7 days prior to the first treatment. A higher urticarial activity score indicates more urticaria activity.

    Measured: Week 12

  6. Percentage of Weekly Itch Severity Score MID Responders at Week 12

    The percentage of participants with an itch severity score at 12 Weeks at least 5 points lower than at Baseline. The weekly itch severity score is the sum of the daily itch severity scores over 7 days and ranges from 0 to 21. The daily itch severity score is the average of the morning and evening scores on a scale of 0 (none) to 3 (severe). The Baseline weekly itch severity score is the sum of the daily itch severity scores over the 7 days prior to the first treatment. A higher itch severity score indicates more severe itching.

    Measured: Baseline to Week 12

  7. Change From Baseline to Week 12 in the Weekly Size of the Largest Hive Score

    The weekly size of the largest hive score is the sum of the daily size of the largest hive scores over 7 days and ranges from 0 to 21. The daily size of the largest hive score is assessed twice daily (morning and evening) on a scale of 0 (none) to 3 (> 2.5 cm). The daily size of the largest hive score is the average of the morning and evening scores. The Baseline weekly size of the largest hive score is calculated over the 7 days prior to the first treatment. A higher score indicates larger hives. A negative change score indicates a reduction in hive size.

    Measured: Baseline to Week 12

  8. Change From Baseline in the Overall Dermatology Life Quality Index (DLQI) Score at Week 12

    The DLQI is a 10-item dermatology-specific health-related quality of life measure. Patients rated their dermatology symptoms as well as the impact of their skin condition on various aspects of their lives on a scale of 0 (Not at all) to 3 (Very much). The overall DLQI is the sum of the responses to the 10 items and ranges from 0 to 30. A lower score indicates a better quality of life. A negative change score indicates improvement.

    Measured: Baseline to Week 12

  9. Percentage of Angioedema-free Days From Week 4 to Week 12

    The percentage of angioedema-free days from Weeks 4 to 12 was defined as the number of days for which a patient responded "No" to the angioedema question in the daily diary divided by the total number of days with a non-missing diary entry, starting at the Week 4 visit and ending the day prior to the Week 12 visit.

    Measured: Week 4 to Week 12

  10. Percentage of Complete Responders (UAS7 = 0) at Week 12

    A complete responder was defined as a participant with a UAS7 score = 0 at Week 12. The UAS7 is the sum of the daily urticarial activity scores over 7 days and ranges from 0 to 42. The daily urticarial activity score is the average of the morning and evening urticarial activity scores and ranges from 0 to 6. The urticarial activity score is the sum of ratings on a scale of 0 to 3 (0=none to 3=intense/severe) for (1) the number of wheals (hives) and (2) itch intensity over the previous 12 hours, ranges from 0 to 6, and is measured twice daily (morning and evening). The Baseline score is the sum of the daily urticarial activity scores over the 7 days prior to the first treatment. A higher urticarial activity score indicates more urticaria activity.

    Measured: Week 12

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Dec 2010 (estimated)
  2. Study startFeb 2011
  3. Primary completionNov 2012
  4. Study completionNov 2012

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
336 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01264939
Sponsor's protocol ID
Q4883g
Other IDs
GA00889
Status last verified
Sep 2013
First submitted
20 Dec 2010
Last updated
26 Nov 2013

Publications

  • Ferrer M, Gimenez-Arnau A, Saldana D, Janssens N, Balp MM, Khalil S, Risson V. Predicting Chronic Spontaneous Urticaria Symptom Return After Omalizumab Treatment Discontinuation: Exploratory Analysis. J Allergy Clin Immunol Pract. 2018 Jul-Aug;6(4):1191-1197.e5. doi: 10.1016/j.jaip.2018.04.003. Epub 2018 Apr 12.

    PubMed 29655772
  • Goldstein S, Gabriel S, Kianifard F, Ortiz B, Skoner DP. Clinical features of adolescents with chronic idiopathic or spontaneous urticaria: Review of omalizumab clinical trials. Ann Allergy Asthma Immunol. 2017 Apr;118(4):500-504. doi: 10.1016/j.anai.2017.02.003.

    PubMed 28390587
  • Saini SS, Omachi TA, Trzaskoma B, Hulter HN, Rosen K, Sterba PM, Courneya JP, Lackey A, Chen H. Effect of Omalizumab on Blood Basophil Counts in Patients with Chronic Idiopathic/Spontaneous Urticaria. J Invest Dermatol. 2017 Apr;137(4):958-961. doi: 10.1016/j.jid.2016.11.025. Epub 2016 Dec 6. No abstract available.

    PubMed 27939380
  • Gimenez-Arnau AM, Spector S, Antonova E, Trzaskoma B, Rosen K, Omachi TA, Stull D, Balp MM, Murphy T. Improvement of sleep in patients with chronic idiopathic/spontaneous urticaria treated with omalizumab: results of three randomized, double-blind, placebo-controlled studies. Clin Transl Allergy. 2016 Aug 18;6:32. doi: 10.1186/s13601-016-0120-0. eCollection 2016.

    PubMed 27540466
  • Zazzali JL, Kaplan A, Maurer M, Raimundo K, Trzaskoma B, Solari PG, Antonova E, Mendelson M, Rosen KE. Angioedema in the omalizumab chronic idiopathic/spontaneous urticaria pivotal studies. Ann Allergy Asthma Immunol. 2016 Oct;117(4):370-377.e1. doi: 10.1016/j.anai.2016.06.024. Epub 2016 Jul 14.

    PubMed 27424128
  • Casale TB, Bernstein JA, Maurer M, Saini SS, Trzaskoma B, Chen H, Grattan CE, Gimenez-Arnau A, Kaplan AP, Rosen K. Similar Efficacy with Omalizumab in Chronic Idiopathic/Spontaneous Urticaria Despite Different Background Therapy. J Allergy Clin Immunol Pract. 2015 Sep-Oct;3(5):743-50.e1. doi: 10.1016/j.jaip.2015.04.015. Epub 2015 Jun 6.

    PubMed 26054553

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Omalizumab, H1 antihistamine, H2 antihistamine, leukotriene receptor antagonist and Diphenhydramine in people with Chronic Idiopathic Urticaria, run by Genentech, Inc. at 73 sites in 8 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 26 Nov 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 73 sites in United States, Germany, United Kingdom, Australia, New Zealand and 3 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 26 Nov 2013). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Participants With Adverse Events (time frame: Baseline to the end of study (up to 40 weeks)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01264939, which also lists 6 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Nov 2013.

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