UrticariaPhase 2NCT03137069
A Study of GDC-0853 in Participants With Refractory Chronic Spontaneous Urticaria (CSU).
A Phase 2 study testing GDC-0853 in people with Urticaria, run by Genentech, Inc. at 27 sites in 3 countries.
Trial summary
The purpose of this study is to evaluate the efficacy, safety and pharmacokinetics of GDC-0853 compared with placebo in participants with Refractory Chronic Spontaneous Urticaria (CSU) already treated with anti-histamines. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Urticaria
- What is being tested?
- GDC-0853
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 134 participants
- Where
- 27 sitesin 3 countries
- Study dates
- 26 May 2017to 25 Oct 2019
- Phase
- Phase 2
- 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 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Aged 18-75 years, inclusive
- Diagnosis of chronic spontaneous urticaria (CSU) refractory to H1 antihistamines at the time of randomization
- Willing and able to complete an Urticaria Participant Daily eDiary for the duration of the study
- No evidence of active or latent or inadequately treated infection with tuberculosis (TB)
- Partcipants with a history of Bacille Calmette-Guérin (BCG) vaccination should be screened using the QuantiFERON-TB-Gold (QFT) test
- Only for participants currently receiving proton-pump inhibitors (PPIs) or H2 receptor antagonists (H2RAs): Treatment must be at a stable dose during the 2-week screening period prior to randomization and with a plan to remain at a stable dose for the duration of the study
- For women of childbearing potential: Agreement to remain abstinent (refrain from heterosexual intercourse) or use contraceptive methods that result in a failure rate of <1% per year during the treatment period and for at least 4 weeks after the last dose of study drug. Women must refrain from donating eggs during this same period.
Who cannot join
- Treatment with omalizumab or other monoclonal antibody therapies used to treat CSU within 4 months prior to screening or primary nonresponse to omalizumab
- Use of a non-biologic investigational drug or participation in an investigational study with a non-biologic drug within 30 days prior to study drug administration on Day 1 (or within 5 half-lives of the investigational product, whichever is greater)
- Use of a biologic investigational therapy or participation in an investigational study involving biologic therapy within 90 days or 5 half-lives, whichever is greater, prior to study drug administration on Day 1
- Previous treatment with GDC-0853 or other Bruton's tyrosine kinase (BTK) inhibitors
- Participants whose urticaria is solely due to physical urticaria
- Other diseases with symptoms of urticaria or angioedema, including urticarial vasculitis, urticaria pigmentosa, erythema multiforme, mastocytosis, hereditary or acquired angioedema, lymphoma, or leukemia
Show all 18Show fewer
- Atopic dermatitis, bullous pemphigoid, dermatitis herpetiformis, or other skin disease associated with itch such as psoriasis
- 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
- Prior utilization of intravenous (IV) steroids for treatment of laryngeal angioedema
- Intravenous immunoglobulin G (IV IG) or plasmapheresis within 30 days prior to screening
- History of anaphylactic shock without clearly identifiable avoidable antigen
- Hypersensitivity to GDC-0853 or any component of the formulation
- Major surgery within 8 weeks prior to screening or surgery planned prior to end of study (12 weeks after randomization)
- Require any prohibited concomitant medications
- History of live attenuated vaccine within 6 weeks prior to randomization or requirement to receive these vaccinations at any time during study drug treatment
- Evidence of clinically significant cardiac, neurologic, psychiatric, pulmonary, renal, hepatic, endocrine, metabolic, or gastrointestinal (GI) disease that, in the investigator's opinion, would compromise the safety of the participant, interfere with the interpretation of the study results or otherwise preclude participant participation
- Current treatment with astemizole, terfenadine, and/or ebastine
- Uncontrolled disease states, such as asthma, psoriasis, or inflammatory bowel disease, where flares are commonly treated with oral or parenteral corticosteroids
Trial locations and contacts
27 sites in 3 countries.
27 sites in 3 countries
United States13 sites
Kern Allergy Med Clinic, Inc.
Bakersfield, California, 93301
Clinical Research Center of Alabama, LLC
Birmingham, Alabama, 35209
Timber Lane Allergy and Asthma Research, LLC
Burlington, Vermont, 05403
Center for Clinical Studies
Cypress, Texas, 77433
Asthma, Nasal Disease, and Allergy Research Center of New England
East Providence, Rhode Island, 02914
New Horizon Research Center
Miami, Florida, 33165
Southern California Research Center
Mission Viejo, California, 92691
Renstar Medical Research
Ocala, Florida, 34470
Allergy & Asthma Consultants
Redwood City, California, 94063
Integrated Research Group Inc
Riverside, California, 92506
Allergy & Asthma Immunology Associates
Scottsdale, Arizona, 85251
Vital Prospects Clinical Research Institute PC - CRN
Tulsa, Oklahoma, 74136
Integrated Research of Inland
Upland, California, 91786
Canada8 sites
Private Practice - Dr. Isabelle Delorme
Drummondville, Quebec, J2B 5L4
Private Practice - Dr. Jason Ohayon
Hamilton, Ontario, L8S 1G5
Lynde Institute for Dermatology
Markham, Ontario, L3P 1X2
Cheema Research
Mississauga, Ontario, L5A 3V4
Yang Medicine
Ottawa, Ontario, K1G 6C6
Centre de Recherche Applique En Allergie de Quebec
Québec, Quebec, G1V 4M6
Gordon Sussman Clinical Research
Toronto, Ontario, M4V 1R2
University of British Columbia
Vancouver, British Columbia, V6T 1Z4
Germany6 sites
Licca Clinical Research Institute
Augsburg, 86179
Charite Mitte; Klinik fur Dermatologie
Berlin, 10117
Universitätsklinikum Carl Gustav Carus, Klinik und Poliklinik für Augenheilkunde
Dresden, 01307
Hautarztpraxis Mahlow
Mahlow, 15831
Universitätsmedizin Johannes Gutenberg Universität
Mainz, 55131
Klinik für Haut- und Geschlechtskrankheiten, Universitätsklinikum Münster
Münster, 48419
About this study
Official title: A Phase II, Multicenter, Randomized, Double-Blind, Placebo-Controlled Pilot and Dose-Ranging Study of GDC-0853 in Patients With Refractory Chronic Spontaneous Urticaria (CSU).
The purpose of this study is to evaluate the efficacy, safety and pharmacokinetics of GDC-0853 compared with placebo in participants with Refractory Chronic Spontaneous Urticaria (CSU) already treated with anti-histamines. Participants have the option to enter the Open-Label Extension (OLE) study after completing the 8-week treatment period.
- Conditions
- Urticaria
- Being tested
- GDC-0853, Placebo
- Medical subject headings
- Urticaria
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
GDC-0853Drug
GDC-0853 will be administered orally at dosages of 50, 150 and 200mg to participants, as per the dosing schedules described above.
PlaceboDrug
Matching Placebo will be administered orally, as per the dosing schedules described above.
| Study group | Role | What they receive |
|---|---|---|
| Cohort 1: Placebo | Placebo comparator | Participants received matching placebo twice daily from Day 1 to 56. Receives: Drug: Placebo |
| Cohort 1: GDC-0853 200mg BID | Experimental | Participants received GDC-0853 200mg twice daily from Day 1 to 56. Receives: Drug: GDC-0853 |
| Cohort 2: Placebo | Placebo comparator | Participants received matching placebo up to twice daily from Day 1 to 56. Receives: Drug: Placebo |
| Cohort 2: GDC-0853 50mg QD | Experimental | Participants received GDC-0853 50mg once daily from Day 1 to 56. Receives: Drug: GDC-0853 |
| Cohort 2: GDC-0853 150mg QD | Experimental | Participants received GDC-0853 150mg once daily from Day 1 to 56. Receives: Drug: GDC-0853 |
| Cohort 2: GDC-0853 200mg BID | Experimental | Participants received GDC-0853 200mg twice daily from Day 1 to 56. Receives: Drug: GDC-0853 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in the Urticaria Activity Score Over 7 Days (UAS7) at Day 57
The Urticaria Activity Score (UAS) is a composite, diary-recorded score with numeric severity intensity ratings (0=none to 3=intense/severe) for the number of wheals (hives) and the intensity of the pruritus (itch) over the past 12 hours (twice daily). The daily UAS is calculated as the average of the morning and evening scores. The UAS7 is the weekly sum of the daily UAS, which is the composite score of the intensity of pruritus and the number of wheals. The maximum UAS7 value is 42. A higher score indicates worse disease. A negative change score (Day 57 score minus Baseline score) indicates improvement.
Measured: Baseline and Day 57
Secondary outcomes (4)
Percentage of Participants Who Are Well-Controlled (UAS7 ≤ 6)
The Urticaria Activity Score (UAS) is a composite, diary-recorded score with numeric severity intensity ratings (0=none to 3=intense/severe) for the number of wheals (hives) and the intensity of the pruritus (itch) over the past 12 hours (twice daily). The daily UAS is calculated as the average of the morning and evening scores. The UAS7 is the weekly sum of the daily UAS, which is the composite score of the intensity of pruritus and the number of wheals. The maximum UAS7 value is 42. A higher score indicates worse disease. Participants with UAS7 score ≤6 are considered well controlled.
Measured: Day 57
Change From Baseline in the UAS7 at Day 29
The Urticaria Activity Score (UAS) is a composite, diary-recorded score with numeric severity intensity ratings (0=none to 3=intense/severe) for the number of wheals (hives) and the intensity of the pruritus (itch) over the past 12 hours (twice daily). The daily UAS is calculated as the average of the morning and evening scores. The UAS7 is the weekly sum of the daily UAS, which is the composite score of the intensity of pruritus and the number of wheals. The maximum UAS7 value is 42. A higher score indicates worse disease. A negative change score (Day 29 score minus Baseline score) indicates improvement.
Measured: Baseline and Day 29
Percentage of Participants With Adverse Events (AEs)
An Adverse Event (AE) is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An Adverse Event can therefore be any unfavorable and unintended sign (including abnormal laboratory values or abnormal clinical test results), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as Adverse Events.
Measured: Baseline up until 4 weeks after the last dose of study drug (up to 2 years, 5 months).
Plasma Concentrations of Fenebrutinib (GDC-0853) at Specified Timepoints
Plasma Concentration Data for fenebrutinib (GDC-0853) will be tabulated and summarised by visits. Descriptive summary statistics for Arithmetic Mean and Standard Deviation will be presented. Please note that the Placebo Cohorts were not evaluated for this Outcome Measure.
Measured: Days 1, 8 and 57.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 May 2017
- Study start26 May 2017
- Primary completion27 Sep 2019
- Study completion25 Oct 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for UrticariaStudies of the same condition, open and under way.
- More trials run by Genentech, Inc.The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 134 participants (actual)
Sponsor and investigators
- Lead sponsor
- Genentech, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trials, Study director, Hoffmann-La Roche
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03137069
- Sponsor's protocol ID
- GS39684
- Other IDs
- 2016-004624-35, 2016
- Status last verified
- Sep 2020
- First submitted
- 28 Apr 2017
- Last updated
- 29 Sep 2020
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Qualified researchers may request access to individual patient level data through the clinical study data request platform (www.vivli.org). Further details on Roche's criteria for eligible studies are available here (https://vivli.org/ourmember/roche/). For further details on Roche's Global Policy on the Sharing of Clinical Information and how to request access to related clinical study documents, see here (https://www.roche.com/research\_and\_development/who\_we\_are\_how\_we\_work/clinical\_trials/our\_commitment\_to\_data\_sharing.htm).
Study at a glance
From the registry record, last updated by the sponsor on 29 Sep 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase II, Multicenter, Randomized, Double-Blind, Placebo-Controlled Pilot and Dose-Ranging Study of GDC-0853 in Patients With Refractory Chronic Spontaneous Urticaria (CSU).
- ClinicalTrials.gov ID
- NCT03137069
- Acronym / sponsor ID
- GS39684
- Conditions
- Urticaria
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 134 participants (actual)
- Lead sponsor
- Genentech, Inc.Industry (pharma, biotech, devices)
- Study start
- 26 May 2017 (actual)
- Primary completion
- 27 Sep 2019 (actual)
- Study completion
- 25 Oct 2019 (actual)
- First posted
- 2 May 2017 (actual)
- Results
- Posted 29 Sep 2020
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the efficacy, safety and pharmacokinetics of GDC-0853 compared with placebo in participants with Refractory Chronic Spontaneous Urticaria (CSU) already treated with anti-histamines. Participants have the option to enter the Open-Label Extension (OLE) study after completing the 8-week treatment period.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 6
| Arm | Type | Receives |
|---|---|---|
| Cohort 1: Placebo | Placebo comparator | Drug: PlaceboParticipants received matching placebo twice daily from Day 1 to 56. |
| Cohort 1: GDC-0853 200mg BID | Experimental | Drug: GDC-0853Participants received GDC-0853 200mg twice daily from Day 1 to 56. |
| Cohort 2: Placebo | Placebo comparator | Drug: PlaceboParticipants received matching placebo up to twice daily from Day 1 to 56. |
| Cohort 2: GDC-0853 50mg QD | Experimental | Drug: GDC-0853Participants received GDC-0853 50mg once daily from Day 1 to 56. |
| Cohort 2: GDC-0853 150mg QD | Experimental | Drug: GDC-0853Participants received GDC-0853 150mg once daily from Day 1 to 56. |
| Cohort 2: GDC-0853 200mg BID | Experimental | Drug: GDC-0853Participants received GDC-0853 200mg twice daily from Day 1 to 56. |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Aged 18-75 years, inclusive
- Diagnosis of chronic spontaneous urticaria (CSU) refractory to H1 antihistamines at the time of randomization
- Willing and able to complete an Urticaria Participant Daily eDiary for the duration of the study
- No evidence of active or latent or inadequately treated infection with tuberculosis (TB)
- Partcipants with a history of Bacille Calmette-Guérin (BCG) vaccination should be screened using the QuantiFERON-TB-Gold (QFT) test
Key exclusion criteria (18 listed)
- Treatment with omalizumab or other monoclonal antibody therapies used to treat CSU within 4 months prior to screening or primary nonresponse to omalizumab
- Use of a non-biologic investigational drug or participation in an investigational study with a non-biologic drug within 30 days prior to study drug administration on Day 1 (or within 5 half-lives of the investigational product, whichever is greater)
- Use of a biologic investigational therapy or participation in an investigational study involving biologic therapy within 90 days or 5 half-lives, whichever is greater, prior to study drug administration on Day 1
- Previous treatment with GDC-0853 or other Bruton's tyrosine kinase (BTK) inhibitors
- Participants whose urticaria is solely due to physical urticaria
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| GDC-0853GDC-0853 will be administered orally at dosages of 50, 150 and 200mg to participants, as per the dosing schedules described above. | Drug | Cohort 1: GDC-0853 200mg BID, Cohort 2: GDC-0853 150mg QD, Cohort 2: GDC-0853 200mg BID, Cohort 2: GDC-0853 50mg QD |
| PlaceboMatching Placebo will be administered orally, as per the dosing schedules described above. | Drug | Cohort 1: Placebo, Cohort 2: Placebo |
Primary outcome
Change From Baseline in the Urticaria Activity Score Over 7 Days (UAS7) at Day 57
Time frame: Baseline and Day 57
The Urticaria Activity Score (UAS) is a composite, diary-recorded score with numeric severity intensity ratings (0=none to 3=intense/severe) for the number of wheals (hives) and the intensity of the pruritus (itch) over the past 12 hours (twice daily). The daily UAS is calculated as the average of the morning and evening scores. The UAS7 is the weekly sum of the daily UAS, which is the composite score of the intensity of pruritus and the number of wheals. The maximum UAS7 value is 42. A higher score indicates worse disease. A negative change score (Day 57 score minus Baseline score) indicates improvement.
4 secondary outcomes
Percentage of Participants Who Are Well-Controlled (UAS7 ≤ 6)
Time frame: Day 57
Change From Baseline in the UAS7 at Day 29
Time frame: Baseline and Day 29
Percentage of Participants With Adverse Events (AEs)
Time frame: Baseline up until 4 weeks after the last dose of study drug (up to 2 years, 5 months).
Plasma Concentrations of Fenebrutinib (GDC-0853) at Specified Timepoints
Time frame: Days 1, 8 and 57.
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Sep 2020.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: Yes. Qualified researchers may request access to individual patient level data through the clinical study data request platform (www.vivli.org). Further details on Roche's criteria for eligible studies are available here (https://vivli.org/ourmember/roche/). For further details on Roche's Global Policy on the Sharing of Clinical Information and how to request access to related clinical study documents, see here (https://www.roche.com/research_and_development/who_we_are_how_we_work/clinical_trials/our_commitment_to_data_sharing.htm).
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Trials study director
Hoffmann-La Roche
27 sites in 3 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing GDC-0853 in people with Urticaria, run by Genentech, Inc. at 27 sites in 3 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 7 inclusion and 18 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 29 Sep 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 27 sites in United States, Canada, Germany. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
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 29 Sep 2020). 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?
Change From Baseline in the Urticaria Activity Score Over 7 Days (UAS7) at Day 57 (time frame: Baseline and Day 57). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 29 Sep 2020.