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Chronic Spontaneous UrticariaPhase 2NCT04109313

An Open-label Extension Study to Evaluate the Long-term Safety and Tolerability of LOU064 in Subjects With CSU

A Phase 2 study testing LOU064 in people with Chronic Spontaneous Urticaria, run by Novartis Pharmaceuticals at 69 sites in 15 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 main objective to assess the long-term safety and tolerability of LOU064 in patients with chronic spontaneous urticaria (CSU) who have participated in study CLOU064A2201 (NCT03926611) 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
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
229 participants
Where
69 sitesin 15 countries
Study dates
24 Oct 2019to 9 Sep 2022
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

  • Participants must provide written informed consent prior to any assessments.
  • Participants must be willing and able to complete a daily symptom eDiary throughout the study and adhere to the study visit schedules.
  • Participants transitioning from the CLOU064A2201 trial must have completed either the Week 12 visit (end of treatment period) or the Week 16 visit (end of follow-up period). They will be assigned to either the treatment period or the observational period based on their UAS7 score (average score from the 7 days prior to the respective visit) as follows:
  • Participants transitioning at Week 12 of CLOU064A2201 with a UAS7 score of ≥16 will be allocated to the treatment period.
  • Participants transitioning at Week 16 of CLOU064A2201 with a UAS7 score of ≥16 will be allocated to the treatment period.
  • Participants transitioning at Week 16 of CLOU064A2201 with a UAS7 score of <16 will be allocated to the observational period.

Who cannot join

  • Participants with a clearly defined predominant or sole trigger for their chronic urticaria, such as chronic inducible urticaria (including symptomatic dermographism, cold-induced, heat-induced, solar-induced, pressure-induced, delayed pressure-induced, aquagenic-induced, cholinergic-induced, or contact-induced urticaria).
  • Participants with other diseases presenting with urticaria or angioedema symptoms, including but not limited to urticaria vasculitis, urticarial pigmentosa, erythema multiforme, mastocytosis, hereditary urticaria, or acquired/drug-induced urticaria.
  • Participants with any other skin disease associated with chronic itching that, in the opinion of the investigator, could affect the study evaluations and results, such as atopic dermatitis, bullous pemphigoid, dermatitis herpetiformis, senile pruritus, or psoriasis.
  • Participants with a history or current diagnosis of ECG abnormalities that indicate a significant safety risk for their participation in the study, including:
  • Concomitant clinically significant cardiac arrhythmias (e.g., sustained ventricular tachycardia) and clinically significant second or third-degree AV block without a pacemaker.
  • History of familiar long QT syndrome or a known family history of Torsades de Pointes.
Show all 11Show fewer
  • Resting heart rate (as determined by physical exam or 12-lead ECG) below 50 bpm.
  • Resting QTcF interval ≥450 msec (in males) or ≥460 msec (in females) at day 1 of the treatment period or inability to determine the QTcF interval.
  • Use of agents known to prolong the QT interval, unless they can be permanently discontinued for the duration of the study.
  • Participants with a significant risk of bleeding or coagulation disorders.
  • Participants with a known or suspected history of an ongoing, chronic, or recurrent infectious disease, including but not limited to opportunistic infections (e.g., tuberculosis, atypical mycobacterioses, listeriosis, or aspergillosis), HIV, or Hepatitis B/C.

Trial locations and contacts

69 sites in 15 countries.

69 sites in 15 countries

United States10 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

    Ypsilanti, Michigan, 48197

Other trials in United States

Japan9 sites
  • Novartis Investigative Site

    Funabashi, Chiba, 273-0031

  • 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

    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, Quebec, G1V 4W2

  • Novartis Investigative Site

    Verdun, Quebec, H4G 3E7

Other trials in Canada

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

Hungary5 sites
  • Novartis Investigative Site

    Budapest, 1085

  • Novartis Investigative Site

    Debrecen, 4032

  • Novartis Investigative Site

    Orosháza, Bekes County, 5900

  • Novartis Investigative Site

    Pécs, 7632

  • Novartis Investigative Site

    Szolnok, 5000

Other trials in Hungary

Poland5 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

Other trials in Poland

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, 194354

  • 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

France3 sites
  • Novartis Investigative Site

    Lille, 59037

  • Novartis Investigative Site

    Nantes, 44093

  • Novartis Investigative Site

    Nice, 06202

Other trials in France

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

About this study

Official title: An Open-label, Multicenter, Extension Study to Evaluate the Long-term Safety and Tolerability of LOU064 in Eligible Subjects With CSU Who Have Participated in CLOU064A2201

The main objective to assess the long-term safety and tolerability of LOU064 in patients with chronic spontaneous urticaria (CSU) who have participated in study CLOU064A2201 (NCT03926611)

Read the detailed description

This was an open-label, single-arm, multicenter, long-term safety and tolerability extension study for CSU patients rolling over from study CLOU064A2201 (NCT03926611).

Subjects rolling over from CLOU064A2201 with a weekly Urticaria Activity Score (UAS7)<16 after the follow-up period at Week 16 were further followed up without receiving LOU064 for up to 12 weeks (observational period). If there was a relapse (UAS7≥16 at least once), the 12-week observational period was terminated, and subjects entered the treatment period. Subjects who never relapsed within 12 weeks completed the study after the observational period without treatment.

Subjects who rolled over from CLOU064A2201 with a UAS7≥16 at Week 12 or Week 16, as well as those subjects who relapsed during the 12-week observational period, were treated with 100 mg LOU064 twice a day (b.i.d.) open-label for 52 weeks. No background medication with a second-generation H1-antihistamine was permitted up to Week 4 of the treatment period. Subjects who completed the treatment period or who discontinued treatment early were followed-up for a minimum duration of 4 weeks. Subjects who had a UAS7≤6 at Week 52 of the treatment period had their follow-up period extended until relapse (UAS7≥16) for up to a total of 16 weeks.

Being tested
LOU064
Keywords
Chronic spontaneous urticaria, BTK Inhibitor, Long term safety, Urticaria activity score
Medical subject headings
Chronic Urticaria

What participants receive

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

  • LOU064Drug

    Participants with a UAS7≥16 at Week 12 or Week 16 in the CLOU064A2201, as well as participants who experienced a relapse during the 12-week observational period, were administered LOU064 50mg capsules b.i.d. (i.e. two capsules of LOU064 50mg in the morning and two capsules of LOU064 50mg in the evening) from Day 1 up to Week 52 of the Treatment period.

Study groups in NCT04109313
Study groupRoleWhat they receive
All participantsExperimentalParticipants with UAS7<16 at Week 16 of CLOU064A2201 were followed up to 12 weeks without receiving treatment (observational period). If participants relapsed (UAS7≥16 at least once), they were transitioned to the treatment period. Otherwise, they were discontinued from the study. Participants with a UAS7≥16 at Week 12 or Week 16 in the CLOU064A2201, as well as participants who experienced a relapse during the 12-week observational period, were administered 100 mg of LOU064 b.i.d. open-label for up to 52 weeks.
Receives: Drug: LOU064

What is being measured

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

  1. Number of Participants With Treatment-emergent Adverse Events (AEs)

    An AE refers to any undesirable medical occurrence, such as an unintended sign (including abnormal laboratory findings), symptom, or disease, experienced by a participant. Serious AEs (SAEs) is defined as any AE that results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, results in a congenital anomaly/birth defect, or any other medically significant condition.

    Treatment-emergent AEs were defined as AEs that either begin on the same day or after the first dose of study medication during the treatment period in the extension study or worsen on the same day or after the first dose of study medication in the extension study and within the minimum of either 28 days post last dose or the end of the study visit. The number of participants with treatment-emergent AEs was summarized.

    Measured: From first dose of treatment up to 28 days after last dose, assessed up to 56 weeks

Secondary outcomes (5)
  1. Change From Baseline in Weekly Urticaria Activity Score (UAS7) at Week 4 of the Treatment Period

    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. UAS7 scores ranged from 0 to 42. A higher UAS7 indicated greater urticaria disease activity. A minimum of 4 out of 7 daily scores were needed to calculate the UAS7 values. Otherwise, the weekly score was missing for that week.

    The change from baseline in UAS7 at Week 4 of the treatment period was calculated. A negative change score from baseline indicates improvement. The UAS7 at baseline was considered as the UAS7 derived over the last 7 days before day 1 of the treatment period.

    Measured: Baseline, Week 4 of treatment period

  2. Percentage of Participants With Well-controlled Disease (UAS7≤6) at Week 4 of the Treatment Period

    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. UAS7 scores ranged from 0 to 42. A higher UAS7 indicated greater urticaria disease activity.

    A minimum of 4 out of 7 daily scores were needed to calculate the UAS7 values. Otherwise, the weekly score was missing for that week. Missing values were imputed by non-responder imputation method regardless of the reason for missingness.

    The percentage of subjects with UAS7≤ 6 at Week 4 of the treatment period was calculated. The 90% confidence interval was derived based on the score method with continuity correction.

    Measured: Week 4 of the treatment period

  3. Percentage of Participants With Complete Response (UAS7=0) at Week 4 of the Treatment Period

    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. UAS7 scores ranged from 0 to 42. A higher UAS7 indicated greater urticaria disease activity.

    A minimum of 4 out of 7 daily scores were needed to calculate the UAS7 values. Otherwise, the weekly score was missing for that week. Missing values were imputed by non-responder imputation method regardless of the reason for missingness.

    The percentage of subjects with UAS7= 0 at Week 4 of the treatment period was calculated. The 90% confidence interval was derived based on the score method with continuity correction.

    Measured: Week 4 of the treatment period

  4. Percentage of Participants With Well-controlled Disease (UAS7≤ 6) Overtime

    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. UAS7 scores ranged from 0 to 42. A higher UAS7 indicated greater urticaria disease activity.

    A minimum of 4 out of 7 daily scores were needed to calculate the UAS7 values. Otherwise, the weekly score was missing for that week.

    The percentage of subjects with UAS7≤ 6 during the treatment period was calculated. The 90% confidence interval was derived based on the score method with continuity correction. The UAS7 at baseline was considered as the UAS7 derived over the last 7 days before day 1 of the treatment period.

    Measured: From baseline until Week 52 of the treatment period

  5. Change From Baseline in UAS7 Overtime

    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. UAS7 scores ranged from 0 to 42. A higher UAS7 indicated greater urticaria disease activity.

    A minimum of 4 out of 7 daily scores were needed to calculate the UAS7 values. Otherwise, the weekly score was missing for that week.

    The change from baseline in UAS7 during the treatment period was calculated. A negative change score from baseline indicates improvement. The UAS7 at baseline was considered as the UAS7 derived over the last 7 days before day 1 of the treatment period.

    Measured: From baseline until Week 52 of the treatment period

Timeline

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

  1. First posted30 Sep 2019
  2. Study start24 Oct 2019
  3. Primary completion9 Sep 2022
  4. Study completion9 Sep 2022

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
229 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04109313
Sponsor's protocol ID
CLOU064A2201E1
Other IDs
2019-001074-29, 2019
Status last verified
Jun 2024
First submitted
27 Sep 2019
Last updated
20 Jun 2024
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Novartis is committed to sharing access to patient-level data and supporting clinical documents from eligible studies with qualified external researchers. Requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to protect 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

Publications

  • Jain V, Gimenez-Arnau A, Hayama K, Reich A, Carr W, Tillinghast J, Dahale S, Lheritier K, Walsh P, Zharkov A, Hugot S, Haemmerle S. Remibrutinib demonstrates favorable safety profile and sustained efficacy in chronic spontaneous urticaria over 52 weeks. J Allergy Clin Immunol. 2024 Feb;153(2):479-486.e4. doi: 10.1016/j.jaci.2023.10.007. Epub 2023 Oct 20.

    PubMed 37866460

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing LOU064 in people with Chronic Spontaneous Urticaria, run by Novartis Pharmaceuticals at 69 sites in 15 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 6 inclusion and 11 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 20 Jun 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 69 sites in United States, Japan, Canada, Spain, Hungary and 10 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. 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 2023). 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?

Number of Participants With Treatment-emergent Adverse Events (AEs) (time frame: From first dose of treatment up to 28 days after last dose, assessed up to 56 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 NCT04109313, which also lists 1 linked publication.

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 20 Jun 2024.

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