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Chronic Spontaneous UrticariaPhase 2NCT03926611

This Was a Dose-finding Study to Evaluate Efficacy and Safety of LOU064 in Patients With CSU Inadequately Controlled by H1-antihistamines

A Phase 2 study testing LOU064 Arm 1, LOU064 Arm 2 and LOU064 Arm 3 in people with Chronic Spontaneous Urticaria, run by Novartis Pharmaceuticals at 82 sites in 17 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

This was a multicenter, randomized, double-blind and placebo-controlled phase 2b dose-finding study to assess the efficacy and safety of LOU064 in adults chronic spontaneous urticaria (CSU) patients inadequately controlled by H1-antihistamines Read more about this study

Who is it for?
Ages 18 to 99 years
Conditions the study is for
Chronic Spontaneous Urticaria
What is being tested?
LOU064 Arm 1, LOU064 Arm 2 and LOU064 Arm 3
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
311 participants
Where
82 sitesin 17 countries
Study dates
6 Jun 2019to 15 Apr 2021
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 99 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male and female subjects aged ≥18 years of age
  • CSU diagnosis for ≥ 6 months prior to screening
  • Presence of itch and hives for ≥6 consecutive weeks prior to screening in spite of use of non-sedating H1-antihistamines according to local Treatment guidelines during this time period
  • UAS7 score (range 0-42) ≥16 and HSS7 score (range 0-21) ≥ 8 during 7 days prior to randomization (Day 1)
  • Willing and able to complete an Urticaria Participant Daily eDiary (UPDD) for the duration of the study

Who cannot join

  • Hypersensitivity to any of the study treatments
  • Clearly defined predominant or sole trigger of their chronic urticaria (chronic inducible urticaria)
  • Other diseases with symptoms of urticaria or angioedema
  • Other skin disease associated with chronic itching that might influence in the investigators opinion the study evaluations and results,
  • Known or suspected history of an ongoing, chronic or recurrent infectious disease including but not limited to opportunistic infections (eg tuberculosis, atypical mycobacterioses, listeriosis or aspergillosis), HIV, Hepatitis B/C.
  • Pregnant or nursing (lactating) women
  • Women of child-bearing potential not using highly effective methods of contraception

Trial locations and contacts

82 sites in 17 countries.

82 sites in 17 countries

United States11 sites
  • Novartis Investigative Site

    Grove City, Ohio, 43123

  • Novartis Investigative Site

    Litchfield Park, Arizona, 85340

  • Novartis Investigative Site

    Little Rock, Arkansas, 72205

  • Novartis Investigative Site

    Mission Viejo, California, 92691

  • Novartis Investigative Site

    Owensboro, Kentucky, 42301

  • Novartis Investigative Site

    Pembroke Pines, Florida, 33028

  • Novartis Investigative Site

    San Diego, California, 92123

  • Novartis Investigative Site

    St Louis, Missouri, 63141

  • Novartis Investigative Site

    Walnut Creek, California, 94598

  • Novartis Investigative Site

    Westminster, California, 92683

  • Novartis Investigative Site

    Ypsilanti, Michigan, 48197

Other trials in United States

Japan10 sites
  • Novartis Investigative Site

    Funabashi, Chiba

  • Novartis Investigative Site

    Hiroshima, Hiroshima, 734-8551

  • Novartis Investigative Site

    Ichinomiya, Aichi-ken, 491-0041

  • Novartis Investigative Site

    Itabashi-ku, Tokyo, 173-8610

  • Novartis Investigative Site

    Koto, Tokyo, 136-0074

  • Novartis Investigative Site

    Obihiro, Hokkaido, 080 0013

  • Novartis Investigative Site

    Takaoka, Toyama, 933-0871

  • Novartis Investigative Site

    Yokohama, Kanagawa, 220-6208

  • Novartis Investigative Site

    Yokohama, Kanagawa, 221-0825

  • Novartis Investigative Site

    Yokohama, Kanagawa, 240-0013

Other trials in Japan

Canada6 sites
  • Novartis Investigative Site

    Edmonton, Alberta, T5K 1X3

  • Novartis Investigative Site

    London, Ontario, N6H 5L5

  • Novartis Investigative Site

    Niagara Falls, Ontario, L2H 1H5

  • Novartis Investigative Site

    Ottawa, Ontario, K1G 6C6

  • Novartis Investigative Site

    Québec, G1V 4W2

  • Novartis Investigative Site

    Verdun, Quebec, H4G 3E7

Other trials in Canada

Hungary6 sites
  • Novartis Investigative Site

    Budapest, 1085

  • Novartis Investigative Site

    Debrecen, Hajdú-Bihar, 4026

  • Novartis Investigative Site

    Debrecen, 4032

  • Novartis Investigative Site

    Orosháza, 5900

  • Novartis Investigative Site

    Pécs, 7623

  • Novartis Investigative Site

    Szolnok, 5000

Other trials in Hungary

Poland6 sites
  • Novartis Investigative Site

    Gdansk, 80 803

  • Novartis Investigative Site

    Lodz, 90-265

  • Novartis Investigative Site

    Lodz, 90-436

  • Novartis Investigative Site

    Rzeszów, 35 055

  • Novartis Investigative Site

    Warsaw, 02 777

  • Novartis Investigative Site

    Wroclaw, 50-566

Other trials in Poland

Spain6 sites
  • Novartis Investigative Site

    Alicante, Valencia, 03010

  • Novartis Investigative Site

    Barcelona, Catalonia, 08003

  • Novartis Investigative Site

    Barcelona, Catalonia, 08035

  • Novartis Investigative Site

    Barcelona, Catalonia, 08036

  • Novartis Investigative Site

    Madrid, 28006

  • Novartis Investigative Site

    Madrid, 28046

Other trials in Spain

France5 sites
  • Novartis Investigative Site

    Lille, 59037

  • Novartis Investigative Site

    Nantes, 44093

  • Novartis Investigative Site

    Nice, 06202

  • Novartis Investigative Site

    Pierre-Bénite, 69495

  • Novartis Investigative Site

    Rouen, 76031

Other trials in France

Germany5 sites
  • Novartis Investigative Site

    Berlin, 13353

  • Novartis Investigative Site

    Dresden, 01307

  • Novartis Investigative Site

    Gera, 07548

  • Novartis Investigative Site

    Hanover, 30625

  • Novartis Investigative Site

    München, 80377

Other trials in Germany

Argentina4 sites
  • Novartis Investigative Site

    CABA, Buenos Aires, C1414AIF

  • Novartis Investigative Site

    CABA, 1035

  • Novartis Investigative Site

    La Plata, Buenos Aires, B1902COS

  • Novartis Investigative Site

    Mendoza, Mendoza Province, M5500AWD

Other trials in Argentina

Russia4 sites
  • Novartis Investigative Site

    Moscow, 123182

  • Novartis Investigative Site

    Saint Petersburg, 194325

  • Novartis Investigative Site

    Saint Petersburg, 195112

  • Novartis Investigative Site

    Stavropol, 355000

Other trials in Russia

United Kingdom4 sites
  • Novartis Investigative Site

    Leeds, LS9 7TF

  • Novartis Investigative Site

    London, SE1 9RT

  • Novartis Investigative Site

    Oxford, OX3 7LJ

  • Novartis Investigative Site

    Plymouth, PL6 8DH

Other trials in United Kingdom

Czechia3 sites
  • Novartis Investigative Site

    Prague, Czech Republic, 180 00

  • Novartis Investigative Site

    Prague, Prague 1, 11000

  • Novartis Investigative Site

    Tábor, 390 01

Other trials in Czechia

Slovakia3 sites
  • Novartis Investigative Site

    Košice, Slovak Republic, 040 15

  • Novartis Investigative Site

    Nové Zámky, 940 34

  • Novartis Investigative Site

    Svidník, 08901

Other trials in Slovakia

Turkey (Türkiye)3 sites
  • Novartis Investigative Site

    Denizli, 20070

  • Novartis Investigative Site

    Istanbul, TUR, 34098

  • Novartis Investigative Site

    Talas / Kayseri, 38039

Other trials in Turkey (Türkiye)

Belgium2 sites
  • Novartis Investigative Site

    Edegem, Antwerpen, 2650

  • Novartis Investigative Site

    Liège, 4000

Other trials in Belgium

Denmark2 sites
  • Novartis Investigative Site

    Arhus C, DK 8000

  • Novartis Investigative Site

    Copenhagen NV, 2400

Other trials in Denmark

Netherlands2 sites
  • Novartis Investigative Site

    Amsterdam, 1105 AZ

  • Novartis Investigative Site

    Utrecht, 3584CX

Other trials in Netherlands

About this study

Official title: A Multicenter, Randomized, Double-blind, Placebo- Controlled Phase 2b Dose-finding Study to Investigate the Efficacy, Safety and Tolerability of LOU064 in Adult Chronic Spontaneous Urticaria (CSU) Patients Inadequately Controlled by H1-antihistamines

This was a multicenter, randomized, double-blind and placebo-controlled phase 2b dose-finding study to assess the efficacy and safety of LOU064 in adults chronic spontaneous urticaria (CSU) patients inadequately controlled by H1-antihistamines

Read the detailed description

This was a global Phase 2b multicenter, randomized, double-blind, parallel-group, placebo-controlled study investigating the efficacy, safety and tolerability of six dosing groups of oral LOU064 in subjects with inadequately controlled CSU despite treatment with (second generation) H1-antihistamine. The study comprised of the 7 treatment arms: LOU064 10 mg q.d., LOU064 35 mg q.d., LOU064 100 mg q.d., LOU064 10 mg b.i.d, LOU064 25 mg b.i.d., LOU064 100 mg b.i.d. and placebo.

Being tested
LOU064 Arm 1, LOU064 Arm 2, LOU064 Arm 3, LOU064 Arm 4, LOU064 Arm 5
Keywords
BTK inhibitor, Urticaria Activity Score, Angioedema Activity Score, CSU
Medical subject headings
Chronic Urticaria

What participants receive

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

  • LOU064 Arm 1Drug

    10 mg LOU064 orally in the morning (once daily) and matching placebo in the evening from Day 1 to 85

  • LOU064 Arm 2Drug

    35 mg of LOU064 orally in the morning (once daily) and matching placebo in the evening from Day 1 to 85

  • LOU064 Arm 3Drug

    100 mg of LOU064 orally in the morning (once daily) and matching placebo in the evening from Day 1 to 85

  • LOU064 Arm 4Drug

    10mg bid of LOU064 orally, twice daily from Day 1 to 85

  • LOU064 Arm 5Drug

    25 mg bid of LOU064 orally, twice daily from Day 1 to 85

  • LOU064 Arm 6Drug

    100 mg bid of LOU064 orally, twice daily from Day 1 to 85

  • Placebo armDrug

    Matching placebo, orally, twice daily from Day 1 to 85

Study groups in NCT03926611
Study groupRoleWhat they receive
LOU064 Arm 1Experimental10 mg LOU064 qd capsule once daily
Receives: Drug: LOU064 Arm 1
LOU064 Arm 2Experimental35 mg capsule qd LOU064 once daily
Receives: Drug: LOU064 Arm 2
LOU064 Arm 3Experimental100 mg capsule qd LOU064 once daily
Receives: Drug: LOU064 Arm 3
LOU064 Arm 4Experimental10 mg capsule LOU064 bid
Receives: Drug: LOU064 Arm 4
LOU064 Arm 5Experimental25 mg capsule LOU064 bid
Receives: Drug: LOU064 Arm 5
LOU064 Arm 6Experimental100 mg capsule LOU064 bid
Receives: Drug: LOU064 Arm 6
Placebo ArmPlacebo comparatorParticipants took matching placebo twice daily
Receives: Drug: Placebo arm

What is being measured

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

  1. Change From Baseline in Weekly Urticaria Activity Score (UAS7) at Week 4

    UAS7 score change (LS mean Change) from baseline at Week 4 estimated with a mixed-effect repeated measurement analysis of UAS7 score change from baseline (FAS)

    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 (week 4 score minus Baseline score) indicates improvement.

    Measured: Baseline, Week 4

Secondary outcomes (8)
  1. Change From Baseline in Weekly Urticaria Activity Score (UAS7) at Week 12

    UAS7 score change (LS mean Change) from baseline at Week 12 estimated with a mixed-effect repeated measurement analysis of UAS7 score change from baseline (FAS)

    Measured: Week 12

  2. Percentage of Participants With Either Complete Absence of Hives and Itch (UAS7=0) or Well-controlled Disease (UAS7<=6)

    UAS7=0 and UAS7<=6 response rate over time by treatment group (non-responder imputation) 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 more severe disease. A negative change score (week 4 score minus Baseline score) indicates improvement.

    Measured: Week 12

  3. Cumulative Number of Weeks With an AAS7=0 Response

    The Weekly angioedema activity score (AAS) is a validated tool to assess occurrence of episodes of angioedema. If the subject reports the occurrence of angioedema ("opening question") with "no", AAS score for this day is 0. If "yes" is the answer to the opening question, the subject will continue to answer questions about the duration, severity and impact on daily functioning and appearance of the angioedema. The AAS7 is a weekly AAS score (AAS7). Minimum and maximum possible AAS7 scores are 0-105. Higher score means more severe disease.

    Measured: Baseline to Week 12

  4. Percentage of Participants With DLQI Score of 0 or 1

    Percentage of subjects with DLQI 0/1 response by treatment group and visit (non-responder imputation)

    The Dermatology Life Quality Index (DLQI) is a 10-item dermatology-specific quality of life (QoL) measure. Subjects rate their dermatology symptoms as well as the impact of their skin condition on various aspects of their lives thinking about the previous 7 days. An overall score is calculated and ranges from 0 to 30 (higher score meaning worse disease-related QoL). A DLQI score of 0 or 1 means that there is no impact of a skin disease on the patient's life.

    Measured: Week 4 and Week 12

  5. Mean Change From Baseline in DLQI Score

    Summary of DLQI score and change from baseline

    The Dermatology Life Quality Index (DLQI) is a 10-item dermatology-specific quality of life (QoL) measure. Subjects rate their dermatology symptoms as well as the impact of their skin condition on various aspects of their lives thinking about the previous 7 days. An overall score is calculated and ranges from 0 to 30 (higher score meaning worse disease-related QoL).

    Measured: Baseline, Week 4 and Week 12

  6. Area Under the Blood Concentration-time Curve (AUC) of LOU064

    Assessment of the area under the blood concentration-time curve (AUC) up to four hours following oral administration at Week 4 and Week 12 .

    Measured: Week 4 and Week 12

  7. Observed Maximum Blood Concentration (Cmax) of LOU064

    Assessment of the observed maximum blood concentration (Cmax) of LOU064 following drug administration at Week 4 and Week 12 .

    Measured: Week 4 and Week 12

  8. Time to Reach the Maximum Concentration (Tmax) of LOU064

    Assessment of the time to reach the maximum concentration (Tmax) of LOU064 following drug administration at Weeks 4 and 12

    Measured: Week 4 and 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 posted24 Apr 2019
  2. Study start6 Jun 2019
  3. Primary completion14 Jan 2021
  4. Study completion15 Apr 2021

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
Model description
This was a global Phase 2b multicenter, randomized, double-blind, parallel-group, placebocontrolled study investigating the efficacy, safety and tolerability of 6 dosing groups of oral LOU064 in subjects with inadequately controlled CSU despite treatment with (second generation) H1-antihistamine. Study duration was 18 weeks (2 weeks of screening period; 12 weeks of treatment period and a 4 weeks follow-up period). Study had 7 arms: 10 mg LOU064 q.d.; 35 mg LOU064 q.d.; 100 mg LOU064 q.d.; 10 mg LOU064 b.i.d.; 25 mg LOU064 b.i.d.; 100 mg LOU064 b.i.d.; and Placebo Throughout study, subjects were treated with a 2nd generation H1-antihistamine at a locally approved licensed posology ("background medication"). Subjects could take an additional second generation H1-antihistamine that was eliminated primarily via renal excretion (e.g. cetirizine, levocetirizine or bilastine) as rescue medication. Eligible subjects could roll over to extension at Wk 12 or Wk 16
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
311 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03926611
Sponsor's protocol ID
CLOU064A2201
Other IDs
2018-000993-31, 2018
Status last verified
Apr 2022
First submitted
12 Apr 2019
Last updated
29 Apr 2022
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Undecided: Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing LOU064 Arm 1, LOU064 Arm 2 and LOU064 Arm 3 in people with Chronic Spontaneous Urticaria, run by Novartis Pharmaceuticals at 82 sites in 17 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 7 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 Apr 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 82 sites in United States, Japan, Canada, Hungary, Poland and 12 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 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 16 Feb 2022). 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 Weekly Urticaria Activity Score (UAS7) at Week 4 (time frame: Baseline, Week 4). 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 Apr 2022.

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