Chronic Spontaneous UrticariaPhase 3NCT05513001
An Extension Study of Long-term Efficacy, Safety and Tolerability of Remibrutinib in Chronic Spontaneous Urticaria Patients Who Completed Preceding Studies With Remibrutinib
A Phase 3 study testing LOU064 (blinded) and LOU064 (open label) in people with Chronic Spontaneous Urticaria, run by Novartis Pharmaceuticals at 208 sites in 30 countries.
Trial summary
The purpose of this extension study is to collect long-term efficacy, safety and tolerability data on remibrutinib in a selected group of participants with Chronic Spontaneous Urticaria (CSU) who previously completed the treatment phase of remibrutinib preceding Phase 3 core studies. Read more about this study
- Who is it for?
- Ages 18 to 100 years
- Conditions the study is for
- Chronic Spontaneous Urticaria
- What is being tested?
- LOU064 (blinded) and LOU064 (open label)
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 696 participants
- Where
- 208 sitesin 30 countries
- Study dates
- 9 Dec 2022to 2 Aug 2027
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
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 100 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Written informed consent must be obtained before any assessment is performed.
- Male and female, adult participants ≥18 years of age.
- Participants who successfully completed the preceding core studies CLOU064A2301, CLOU064A2302, CLOU064A1301, CLOU064A2304 or CLOU064A2305 according to the respective protocols.
- Willing and able to adhere to the study protocol and visit schedule.
Who cannot join
- Significant bleeding risk or coagulation disorders.
- History of gastrointestinal bleeding.
- Requirement for anti-platelet medication.
- Requirement for anticoagulant medication.
- History or current hepatic disease.
- Evidence of clinically significant cardiovascular, neurological, psychiatric, pulmonary, renal, hepatic, endocrine, metabolic, hematological disorders, gastrointestinal disease or immunodeficiency that, in the investigator's opinion, would compromise the safety of the participant, interfere with the interpretation of the study results or otherwise preclude participation or protocol adherence of the participant.
Trial locations and contacts
208 sites in 30 countries.
208 sites in 30 countries
United States43 sites
Oakview Dermatology
Athens, Ohio, 45701
Orion Clinical Research
Austin, Texas, 78759
Florida Ctr Allergy Asthma Research
Aventura, Florida, 33180
Kern Research
Bakersfield, California, 93301
John Hopkins University
Baltimore, Maryland, 21204
Bellingham Asthma Allergy and Immunology
Bellingham, Washington, 98225
Allervie Clinical Research
Birmingham, Alabama, 35209
Cahaba Derm and skin hlth ctr 27
Birmingham, Alabama, 35244
Treasure Valley Medical Research
Boise, Idaho, 83706
Institute for Asthma and Allergy PC
Chevy Chase, Maryland, 20815
Asthma and Allergy Associates P C
Colorado Springs, Colorado, 80907
CR Services Acquisition US
Columbus, Ohio, 43213
Optimed Research LLC
Columbus, Ohio, 43235
Colorado Allergy and Asthma Ctr PC
Denver, Colorado, 80230
Western Sky Medical Research
El Paso, Texas, 79924
Deaconess Clin Allerg Res Inst
Evansville, Indiana, 47715
UCONN Health Dermatology
Farmington, Connecticut, 06030-2840
Endeavor Health
Glenview, Illinois, 60077
Finlay Medical Research
Greenacres City, Florida, 33467
Allergy Asthma and amp Sinus Ctr S C
Greenfield, Wisconsin, 53228
Antelope Valley Clinical Trials
Lancaster, California, 93534
Somnos Clinical Research
Lincoln, Nebraska, 68510
Research Solutions of Arizona
Litchfield Park, Arizona, 85340
Acuro Research Inc
Little Rock, Arkansas, 72205
Allergy Asthma Assoc Monmouth
Little Silver, New Jersey, 07739
Miami Dade Medical Research
Miami, Florida, 33176
National Allergy and Asthma Research LLS
North Charleston, South Carolina, 29420
Arkansas Research Trials
North Little Rock, Arkansas, 72117
Allergy Asthma and Clinical Research
Oklahoma City, Oklahoma, 73120
Allergy and Asthma Specialist P S C
Owensboro, Kentucky, 42301
Allergy and Clinical Immunology Associates
Pittsburgh, Pennsylvania, 15241
The Indiana Clinical Trials Center
Plainfield, Indiana, 46168
Allergy and Asthma Consultants
Redwood City, California, 94063
Asthma and Allergy Center of Chicago S C
River Forest, Illinois, 60305
RFSA Dermatology
San Antonio, Texas, 78213
Allergy Associates of Utah
Sandy City, Utah, 84093
Sarasota Clinical Research
Sarasota, Florida, 34233
Aeroallergy Research Laboratories
Savannah, Georgia, 31406
Seattle Allergy and Asthma Rsch
Seattle, Washington, 98115
The Clinical Research Center
St Louis, Missouri, 63141
Allergy and Asthma Diagnostic Treatment Center
Tallahassee, Florida, 32308
Toledo Institute of Clinical Research
Toledo, Ohio, 43617
Vital Prospects Clinical Research Institute
Tulsa, Oklahoma, 74136
Japan18 sites
Novartis Investigative Site
Hiroshima, 7348551
Novartis Investigative Site
Izumiōtsu, Osaka, 5950025
Novartis Investigative Site
Izumo, Shimane, 693 8501
Novartis Investigative Site
Kamimashi-gun, Kumamoto, 861-3106
Novartis Investigative Site
Koto, Tokyo, 136-0074
Novartis Investigative Site
Minato, Tokyo, 108-0014
Novartis Investigative Site
Nagoya, Aichi-ken, 4548509
Novartis Investigative Site
Neyagawa, Osaka, 5720838
Novartis Investigative Site
Obihiro, Hokkaido, 080 0013
Novartis Investigative Site
Osaka, 554 0014
Novartis Investigative Site
Osaka, 558-0003
Novartis Investigative Site
Ōta-ku, Tokyo, 143-0023
Novartis Investigative Site
Sakai, Osaka, 5938324
Novartis Investigative Site
tabashi City, Tokyo, 1738610
Novartis Investigative Site
Takatsuki, Osaka, 5690824
Novartis Investigative Site
Takatsuki, Osaka, 5698686
Novartis Investigative Site
Urayasu, Chiba, 279-0011
Novartis Investigative Site
Yokohama, Kanagawa, 220-6208
Germany16 sites
Novartis Investigative Site
Bad Bentheim, 48455
Novartis Investigative Site
Berlin, 13187
Novartis Investigative Site
Berlin, 13353
Novartis Investigative Site
Bramsche, Lower Saxony, 49565
Novartis Investigative Site
Dresden, Saxony, 01307
Novartis Investigative Site
Göttingen, Lower Saxony, 37075
Novartis Investigative Site
Halle, Saxony-Anhalt, 06108
Novartis Investigative Site
Halle, Saxony-Anhalt, 06120
Novartis Investigative Site
Hanover, 30625
Novartis Investigative Site
Leipzig, Saxony, 04103
Novartis Investigative Site
Lübeck, 23538
Novartis Investigative Site
Mainz, 55131
Novartis Investigative Site
Marburg, Hesse, 35043
Novartis Investigative Site
Merzig, Saarland, 66663
Novartis Investigative Site
München, 80377
Novartis Investigative Site
Munich, Bavaria, 81377
China14 sites
Novartis Investigative Site
Beijing, 100050
Novartis Investigative Site
Beijing, 100191
Novartis Investigative Site
Changchun, Jilin, 130021
Novartis Investigative Site
Chengdu, Sichuan, 610041
Novartis Investigative Site
Guangzhou, Guangdong, 510091
Novartis Investigative Site
Guangzhou, Guangdong, 510515
Novartis Investigative Site
Guangzhou, Guangdong, 510630
Novartis Investigative Site
Hangzhou, Zhejiang, 310003
Novartis Investigative Site
Hangzhou, Zhejiang, 310016
Novartis Investigative Site
Shanghai, 200040
Novartis Investigative Site
Shanghai, 200443
Novartis Investigative Site
Tianjin, 300052
Novartis Investigative Site
Wuhan, Hubei, 430022
Novartis Investigative Site
Wuxi, Jiangsu, 214002
France12 sites
Novartis Investigative Site
Angers, 49933
Novartis Investigative Site
Antony, 92160
Novartis Investigative Site
Bordeaux, 33075
Novartis Investigative Site
Brest, 29609
Novartis Investigative Site
Montpellier, 34295
Novartis Investigative Site
Nice, 06000
Novartis Investigative Site
Paris, 75970
Novartis Investigative Site
Pierre-Bénite, 69495
Novartis Investigative Site
Reims, 51100
Novartis Investigative Site
Rouen, 76031
Novartis Investigative Site
Saint-Mandé, 94160
Novartis Investigative Site
Toulouse, 31400
Argentina10 sites
Novartis Investigative Site
Bahía Blanca, B8000JRB
Novartis Investigative Site
Berazategui, Buenos Aires, B1837AVT
Novartis Investigative Site
Buenos Aires, Nueve De Julio, B6500BWQ
Novartis Investigative Site
CABA, Buenos Aires, C1414AIF
Novartis Investigative Site
CABA, C1181ACH
Novartis Investigative Site
Capital Federal, C1023AAB
Novartis Investigative Site
La Plata, Buenos Aires, B1902COS
Novartis Investigative Site
Rosario, Santa Fe Province, 2000
Novartis Investigative Site
Rosario, Santa Fe Province, S2000JKR
Novartis Investigative Site
Santa Fe, S3000FIL
Turkey (Türkiye)10 sites
Novartis Investigative Site
Aydin, Efeler, 09100
Novartis Investigative Site
Istanbul, Uskudar, 34662
Novartis Investigative Site
Izmir, Buca, 35390
Novartis Investigative Site
Izmir, Karabaglar, 35170
Novartis Investigative Site
Izmir, Karsiyaka, 35620
Novartis Investigative Site
Izmir, 35100
Novartis Investigative Site
Kayseri, Melikgazi, 38039
Novartis Investigative Site
Kayseri, 38070
Novartis Investigative Site
Sakarya, Adapazari, 54290
Novartis Investigative Site
Samsun, Atakum, 55200
Canada9 sites
Novartis Investigative Site
Calgary, Alberta, T2M 1A6
Novartis Investigative Site
Edmonton, Alberta, T6G 1C3
Novartis Investigative Site
Fredericton, New Brunswick, E3B 1G9
Novartis Investigative Site
Kingston, Ontario, K7L 2V7
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
Toronto, Ontario, M3B 3S6
Novartis Investigative Site
Verdun, Quebec, H4G 3E7
South Korea9 sites
Novartis Investigative Site
Daegu, Dalseo Gu, 42602
Novartis Investigative Site
Gwangju, 61469
Novartis Investigative Site
Hwaseong-si, Gyeonggi-do, 18450
Novartis Investigative Site
Incheon, Korea, 405 760
Novartis Investigative Site
Seoul, Korea, 03080
Novartis Investigative Site
Seoul, Korea, 07061
Novartis Investigative Site
Seoul, 03722
Novartis Investigative Site
Seoul, 07441
Novartis Investigative Site
Suwon, Gyeonggi-do, 16499
Spain9 sites
Novartis Investigative Site
Alicante, 03010
Novartis Investigative Site
Barcelona, Catalonia, 08003
Novartis Investigative Site
Barcelona, 08035
Novartis Investigative Site
Las Palmas GC, 35010
Novartis Investigative Site
Madrid, 28006
Novartis Investigative Site
Madrid, 28041
Novartis Investigative Site
Madrid, 280796
Novartis Investigative Site
Valencia, 46015
Novartis Investigative Site
Valencia, 46026
Slovakia6 sites
Novartis Investigative Site
Kežmarok, 060 01
Novartis Investigative Site
Komárno, 945 01
Novartis Investigative Site
Košice, 041 90
Novartis Investigative Site
Levice, 934 01
Novartis Investigative Site
Nové Zámky, 940 34
Novartis Investigative Site
Svidník, 089 01
Malaysia5 sites
Novartis Investigative Site
George Town, Pulau Pinang, 10450
Novartis Investigative Site
Ipoh, Perak, 30450
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Kuala Lumpur, Kuala Lumpur, 50586
Novartis Investigative Site
Muar town, Johor, 84000
Novartis Investigative Site
Wilayah Persekutuan, 62502
Poland5 sites
Novartis Investigative Site
Bialystok, 15 276
Novartis Investigative Site
Lodz, 90-265
Novartis Investigative Site
Poznan, 60-693
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Poznan, 60-823
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Warsaw, 02-507
Russia5 sites
Novartis Investigative Site
Izhevsk, 426061
Novartis Investigative Site
Ryazan, 390039
Novartis Investigative Site
Ryazan, 390046
Novartis Investigative Site
Saint Petersburg, 199226
Novartis Investigative Site
Stavropol, 355000
Colombia4 sites
Novartis Investigative Site
Barranquilla, Atlántico, 080002
Novartis Investigative Site
Barranquilla, Atlántico, 080020
Novartis Investigative Site
Bogota, Cundinamarca, 110221
Novartis Investigative Site
Medellín, Antioquia, 050010
Czechia4 sites
Novartis Investigative Site
Brno, 602 00
Novartis Investigative Site
Olomouc, 779 00
Novartis Investigative Site
Plzen Bory, 301 00
Novartis Investigative Site
Prague, 150 06
Taiwan4 sites
Novartis Investigative Site
Taichung, 407219
Novartis Investigative Site
Taipei, 10002
Novartis Investigative Site
Taipei, 11217
Novartis Investigative Site
Taoyuan, 33305
Thailand4 sites
Novartis Investigative Site
Bangkok, 10400
Novartis Investigative Site
Bangkok, 10700
Novartis Investigative Site
Chiang Mai, 50200
Novartis Investigative Site
Khon Kaen, THA, 40002
Bulgaria3 sites
Novartis Investigative Site
Pleven, 5800
Novartis Investigative Site
Sofia, 1407
Novartis Investigative Site
Sofia, 1431
Switzerland3 sites
Novartis Investigative Site
Bern, 3010
Novartis Investigative Site
Zurich, 8006
Novartis Investigative Site
Zurich, 8091
Australia2 sites
Novartis Investigative Site
East Melbourne, Victoria, 3002
Novartis Investigative Site
Parkville, Victoria, 3050
Denmark2 sites
Novartis Investigative Site
Hellerup, 2900
Novartis Investigative Site
Kobenhavn N V, 2400
Hungary2 sites
Novartis Investigative Site
Debrecen, Hajdu Bihar Megye, 4032
Novartis Investigative Site
Debrecen, Hajdú-Bihar, 4031
Italy2 sites
Novartis Investigative Site
Ancona, AN, 60126
Novartis Investigative Site
Milan, MI, 20162
South Africa2 sites
Novartis Investigative Site
Cape Town, Western Province, 7700
Novartis Investigative Site
Pretoria, 0181
About this study
Official title: A Multicenter, Double-blind, Placebo-controlled, Randomized Withdrawal and Open-label Extension Study Followed by Long-term Open-label Treatment Cycles to Assess the Efficacy, Safety and Tolerability of Remibrutinib (LOU064) in Adult Chronic Spontaneous Urticaria Patients Who Completed the Preceding Remibrutinib Phase 3 Studies
The purpose of this extension study is to collect long-term efficacy, safety and tolerability data on remibrutinib in a selected group of participants with Chronic Spontaneous Urticaria (CSU) who previously completed the treatment phase of remibrutinib preceding Phase 3 core studies.
This study will also fulfill the Novartis commitment to provide post-trial access to participants who have completed the preceding Phase 3 studies, where applicable.
Read the detailed description
This is a Phase 3b multicenter, double-blind, placebo-controlled, randomized withdrawal, and open-label extension study to evaluate the efficacy and safety of remibrutinib 25 mg twice daily (b.i.d.) in adult CSU participants who have completed one of the preceding Phase 3 core studies. The study comprises 2 Epochs:
Epoch 1 is the initial study period and includes participants from preceding Phase 3 studies. It consists of a 24-week randomized withdrawal period where participants receive either remibrutinib 25 mg b.i.d. or placebo if their UAS7 score is less than 16. For those with a UAS7 score of 16 or higher, there is a 24-week open-label treatment period with remibrutinib 25 mg b.i.d. Participants are randomized 1:1 to the double-blind placebo-controlled withdrawal phase. All participants will continue their background H1-AH treatment. If participants relapse (UAS7 ≥ 16) in the blinded group, they enter the (Re-)treatment period of Epoch 1 and receive 24 weeks of open-label treatment with remibrutinib 25 mg b.i.d. After this period, they move to Epoch 2.
Epoch 2 is the second subsequent study period and consists of 24-week cycles that may include treatment-free observation and/or open-label (Re-)treatment periods with remibrutinib 25 mg b.i.d., with or without background H1-AH, at the investigator's discretion. Participants from future Phase 3 remibrutinib studies may also join Epoch 2 if approved. If participants relapse (UAS7 ≥ 16) during an observation period, they enter the next (Re-)treatment period for 24 weeks of treatment with remibrutinib 25 mg b.i.d. Participants completing an observation period with a UAS7 ≤ 6 will complete the study with an end-of-study (EOS) visit. Those with a UAS7 > 6 but < 16 can enter the next (Re-)treatment period if continuous treatment is deemed necessary. Participants with a UAS7 < 16 in the previous treatment period will receive remibrutinib monotherapy (without background H1-AH). If treatment continuation is not necessary, they complete the EOS visit and leave the study. Participants with a UAS7 ≥ 16 during the observation period will enter the corresponding (Re-)treatment period to continue treatment.
Throughout Epoch 2, the use of background H1-AH is at the investigator's discretion, except for participants with a UAS7 < 16 in the previous treatment period, who will be treated with remibrutinib monotherapy.
- Conditions
- Chronic Spontaneous Urticaria
- Being tested
- LOU064 (blinded), Placebo, LOU064 (open label)
- Keywords
- CSU, Brutons Tyrosine Kinase (BTK) inhibitor, Chronic Spontaneous Urticaria, Urticaria activity score, Hives severity score, Itch severity score, Extension, Randomized withdrawal, Retreatment upon relapse, Remibrutinib
- 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 (blinded)Drug
Also called remibrutinib
LOU064 (blinded) active treatment
PlaceboDrug
Placebo
LOU064 (open label)Drug
Also called remibrutinib
LOU064 (open-label) active treatment
| Study group | Role | What they receive |
|---|---|---|
| Arm 1: LOU064 (blinded) | Experimental | LOU064 (blinded) taken orally for 24 weeks, followed by cycles of either LOU064 (open-label) taken orally for a maximum of 5 cycles of 24 weeks each OR treatment-free observation cycles. Randomized in a 1:1 ratio (arm 1:arm 2) Receives: Drug: LOU064 (blinded); Drug: LOU064 (open label) |
| Arm 2: LOU064 Placebo (blinded) | Placebo comparator | LOU064 placebo (blinded) taken orally for 24 weeks, followed by cycles of either LOU064 (open-label) taken orally for a maximum of 5 cycles of 24 weeks each OR treatment-free observation cycles. Randomized in a 1:1 ratio (arm 1:arm 2) Receives: Drug: Placebo; Drug: LOU064 (open label) |
| Arm 3: LOU064 (Open Label) | Experimental | LOU064 (open-label) taken orally for 24 weeks per treatment cycle (Arm 3) Receives: Drug: LOU064 (open label) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Time to first composite event (i.e., relapse (UAS7≥16)
The efficacy of remibrutinib in CSU participants with a UAS7<16 at Week 52 in the prior core study with respect to time to first of the three events: relapse or study treatment discontinuation due to lack of efficacy or intake of strongly confounding prohibited medication up to Week 24 compared to placebo. (Epoch 1)
Time to first composite event (i.e., relapse (UAS7≥16), study treatment discontinuation due to lack of efficacy or intake of strongly confounding prohibited medication) during the randomized withdrawal period (Epoch 1)
Urticaria Activity Score (UAS7) describes the number of hives with 0 being No Hives and 3 is most severe. The final score is calculated by adding together daily scores which can range from 0-6 for 7 days. The resulting maximum score is then 42.
Measured: 24 weeks
Secondary outcomes (1)
Number of participants with treatment-emergent (serious and non-serious) adverse events
Occurrence of treatment-emergent (serious and non-serious) adverse events
Measured: 160 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Aug 2022
- Study start9 Dec 2022
- Primary completion26 Aug 2024
- Study completion2 Aug 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Chronic Spontaneous UrticariaStudies of the same condition, open and under way.
- More trials run by Novartis PharmaceuticalsThe 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 696 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novartis Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Novartis Pharmaceuticals, Study director, Novartis Pharmaceuticals
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05513001
- Sponsor's protocol ID
- CLOU064A2303B
- Other IDs
- 2022-001034-11
- Status last verified
- Mar 2026
- First submitted
- 22 Aug 2022
- Last updated
- 11 Mar 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: 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
Study at a glance
From the registry record, last updated by the sponsor on 11 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Double-blind, Placebo-controlled, Randomized Withdrawal and Open-label Extension Study Followed by Long-term Open-label Treatment Cycles to Assess the Efficacy, Safety and Tolerability of Remibrutinib (LOU064) in Adult Chronic Spontaneous Urticaria Patients Who Completed the Preceding Remibrutinib Phase 3 Studies
- ClinicalTrials.gov ID
- NCT05513001
- Acronym / sponsor ID
- CLOU064A2303B
- Conditions
- Chronic Spontaneous Urticaria
- Keywords
- CSU, Brutons Tyrosine Kinase (BTK) inhibitor, Chronic Spontaneous Urticaria, Urticaria activity score, Hives severity score, Itch severity score, Extension, Randomized withdrawal
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 696 participants (actual)
- Lead sponsor
- Novartis PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- 9 Dec 2022 (actual)
- Primary completion
- 26 Aug 2024 (actual)
- Study completion
- 2 Aug 2027 (estimated)
- First posted
- 23 Aug 2022 (actual)
- Results
- Not posted in the source record
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 extension study is to collect long-term efficacy, safety and tolerability data on remibrutinib in a selected group of participants with Chronic Spontaneous Urticaria (CSU) who previously completed the treatment phase of remibrutinib preceding Phase 3 core studies.
This study will also fulfill the Novartis commitment to provide post-trial access to participants who have completed the preceding Phase 3 studies, where applicable.
Detailed description
This is a Phase 3b multicenter, double-blind, placebo-controlled, randomized withdrawal, and open-label extension study to evaluate the efficacy and safety of remibrutinib 25 mg twice daily (b.i.d.) in adult CSU participants who have completed one of the preceding Phase 3 core studies. The study comprises 2 Epochs:
Epoch 1 is the initial study period and includes participants from preceding Phase 3 studies. It consists of a 24-week randomized withdrawal period where participants receive either remibrutinib 25 mg b.i.d. or placebo if their UAS7 score is less than 16. For those with a UAS7 score of 16 or higher, there is a 24-week open-label treatment period with remibrutinib 25 mg b.i.d. Participants are randomized 1:1 to the double-blind placebo-controlled withdrawal phase. All participants will continue their background H1-AH treatment. If participants relapse (UAS7 ≥ 16) in the blinded group, they enter the (Re-)treatment period of Epoch 1 and receive 24 weeks of open-label treatment with remibrutinib 25 mg b.i.d. After this period, they move to Epoch 2.
Epoch 2 is the second subsequent study period and consists of 24-week cycles that may include treatment-free observation and/or open-label (Re-)treatment periods with remibrutinib 25 mg b.i.d., with or without background H1-AH, at the investigator's discretion. Participants from future Phase 3 remibrutinib studies may also join Epoch 2 if approved. If participants relapse (UAS7 ≥ 16) during an observation period, they enter the next (Re-)treatment period for 24 weeks of treatment with remibrutinib 25 mg b.i.d. Participants completing an observation period with a UAS7 ≤ 6 will complete the study with an end-of-study (EOS) visit. Those with a UAS7 > 6 but < 16 can enter the next (Re-)treatment period if continuous treatment is deemed necessary. Participants with a UAS7 < 16 in the previous treatment period will receive remibrutinib monotherapy (without background H1-AH). If treatment continuation is not necessary, they complete the EOS visit and leave the study. Participants with a UAS7 ≥ 16 during the observation period will enter the corresponding (Re-)treatment period to continue treatment.
Throughout Epoch 2, the use of background H1-AH is at the investigator's discretion, except for participants with a UAS7 < 16 in the previous treatment period, who will be treated with remibrutinib monotherapy.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Arm 1: LOU064 (blinded) | Experimental | Drug: LOU064 (blinded), Drug: LOU064 (open label)LOU064 (blinded) taken orally for 24 weeks, followed by cycles of either LOU064 (open-label) taken orally for a maximum of 5 cycles of 24 weeks each OR treatment-free observation cycles. Randomized in a 1:1 ratio (arm 1:arm 2) |
| Arm 2: LOU064 Placebo (blinded) | Placebo comparator | Drug: Placebo, Drug: LOU064 (open label)LOU064 placebo (blinded) taken orally for 24 weeks, followed by cycles of either LOU064 (open-label) taken orally for a maximum of 5 cycles of 24 weeks each OR treatment-free observation cycles. Randomized in a 1:1 ratio (arm 1:arm 2) |
| Arm 3: LOU064 (Open Label) | Experimental | Drug: LOU064 (open label)LOU064 (open-label) taken orally for 24 weeks per treatment cycle (Arm 3) |
Who may qualify
- Ages
- 18 to 100 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Written informed consent must be obtained before any assessment is performed.
- Male and female, adult participants ≥18 years of age.
- Participants who successfully completed the preceding core studies CLOU064A2301, CLOU064A2302, CLOU064A1301, CLOU064A2304 or CLOU064A2305 according to the respective protocols.
- Willing and able to adhere to the study protocol and visit schedule.
Key exclusion criteria (6 listed)
- Significant bleeding risk or coagulation disorders.
- History of gastrointestinal bleeding.
- Requirement for anti-platelet medication.
- Requirement for anticoagulant medication.
- History or current hepatic disease.
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 |
|---|---|---|
| LOU064 (blinded)Also: remibrutinibLOU064 (blinded) active treatment | Drug | Arm 1: LOU064 (blinded) |
| PlaceboPlacebo | Drug | Arm 2: LOU064 Placebo (blinded) |
| LOU064 (open label)Also: remibrutinibLOU064 (open-label) active treatment | Drug | Arm 1: LOU064 (blinded), Arm 2: LOU064 Placebo (blinded), Arm 3: LOU064 (Open Label) |
Primary outcome
Time to first composite event (i.e., relapse (UAS7≥16)
Time frame: 24 weeks
The efficacy of remibrutinib in CSU participants with a UAS7<16 at Week 52 in the prior core study with respect to time to first of the three events: relapse or study treatment discontinuation due to lack of efficacy or intake of strongly confounding prohibited medication up to Week 24 compared to placebo. (Epoch 1) Time to first composite event (i.e., relapse (UAS7≥16), study treatment discontinuation due to lack of efficacy or intake of strongly confounding prohibited medication) during the randomized withdrawal period (Epoch 1) Urticaria Activity Score (UAS7) describes the number of hives with 0 being No Hives and 3 is most severe. The final score is calculated by adding together daily scores which can range from 0-6 for 7 days. The resulting maximum score is then 42.
1 secondary outcome
Number of participants with treatment-emergent (serious and non-serious) adverse events
Time frame: 160 weeks
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Mar 2026.
- Individual participant dataSharing planned: Yes. 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
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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.
Novartis Pharmaceuticals study director
Novartis Pharmaceuticals
208 sites in 30 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing LOU064 (blinded) and LOU064 (open label) in people with Chronic Spontaneous Urticaria, run by Novartis Pharmaceuticals at 208 sites in 30 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 4 inclusion and 6 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: under way, not looking for participants, as of the sponsor's last update on 11 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 208 sites in United States, Japan, Germany, China, France and 25 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?
This study is still under way. Results are not available in the source record yet.
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?
Time to first composite event (i.e., relapse (UAS7≥16) (time frame: 24 weeks). 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 11 Mar 2026.