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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.

Completed

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

Official record
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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

Other trials in United States

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

Other trials in Canada

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

Other trials in Germany

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 groups in NCT03137069
Study groupRoleWhat they receive
Cohort 1: PlaceboPlacebo comparatorParticipants received matching placebo twice daily from Day 1 to 56.
Receives: Drug: Placebo
Cohort 1: GDC-0853 200mg BIDExperimentalParticipants received GDC-0853 200mg twice daily from Day 1 to 56.
Receives: Drug: GDC-0853
Cohort 2: PlaceboPlacebo comparatorParticipants received matching placebo up to twice daily from Day 1 to 56.
Receives: Drug: Placebo
Cohort 2: GDC-0853 50mg QDExperimentalParticipants received GDC-0853 50mg once daily from Day 1 to 56.
Receives: Drug: GDC-0853
Cohort 2: GDC-0853 150mg QDExperimentalParticipants received GDC-0853 150mg once daily from Day 1 to 56.
Receives: Drug: GDC-0853
Cohort 2: GDC-0853 200mg BIDExperimentalParticipants 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.

  1. 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)
  1. 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

  2. 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

  3. 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).

  4. 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.

  1. First posted2 May 2017
  2. Study start26 May 2017
  3. Primary completion27 Sep 2019
  4. Study completion25 Oct 2019

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 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)
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
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).

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.

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Clinical Trial NCT03137069 | AzTrials