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Chronic Spontaneous UrticariaPhase 3NCT05677451

24 Weeks Double-blind Randomized Placebo-controlled Trial to Evaluate Efficacy, PK, Safety of LOU064 in Adolescents (12 - <18) With CSU and Inadequate Response to H1-antihistamine Followed by Optional 3 Years Open-label Extension and an Optional 3 Years Safety Long-term Treatment-free Follow-up

A Phase 3 study testing LOU064 (blinded) in people with Chronic Spontaneous Urticaria, run by Novartis Pharmaceuticals at 49 sites in 17 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

The purpose of this trial is: 1. to assess the efficacy, pharmacokinetics, and safety of remibrutinib vs. placebo in adolescents from 12 to < 18 years of age suffering from chronic spontaneous urticaria inadequately controlled by H1-antihistamines 2. Read more about this study

Who is it for?
Ages 12 to 17 years
Conditions the study is for
Chronic Spontaneous Urticaria
What is being tested?
LOU064 (blinded)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
100 participants
Where
49 sitesin 17 countries
Study dates
11 Jul 2023to 30 Mar 2032
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 12 to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Male and female adolescent participants aged >= 12 to < 18 years of age at the time of signing the informed consent
  • CSU duration for >= 6 months prior to screening (defined as the onset of CSU determined by the investigator based on all available supporting documentation)
  • Diagnosis of CSU inadequately controlled by second-generation H1-AH at the time of randomization defined as:
  • The presence of itch and hives for ≥ 6 consecutive weeks prior to screening despite the use of second-generation H1-AH during this time period according to local treatment guidelines
  • UAS7 score (range 0 - 42) >= 16, ISS7 score (range 0 - 21) >= 6 and HSS7 score (range 0 - 21) >= 6 during the 7 days prior to randomization (Day 1)
  • Documentation of hives within three months before randomization (either at screening and/or at randomization; or documented in the participants' medical history)

Who cannot join

  • Previous use of remibrutinib or other BTK inhibitors
  • Significant bleeding risk or coagulation disorders
  • History of gastrointestinal bleeding
  • Requirement for anti-platelet medication, except for acetylsalicylic acid up to 100 mg/d or clopidogrel up to 75 mg/d. The use of dual anti-platelet therapy (e.g., acetylsalicylic acid + clopidogrel) is prohibited
  • 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
Show all 11Show fewer
  • History of hypersensitivity to any of the study drugs or its excipients or to drugs of similar chemical classes
  • Participants having a clearly defined predominant or sole trigger of their chronic urticaria (chronic inducible urticaria) including urticaria factitia (symptomatic dermographism), cold-, heat-, solar-, pressure-, delayed pressure-, aquagenic-, cholinergic-, or contact-urticaria
  • Other diseases with symptoms of urticaria or angioedema, including but not limited to urticaria vasculitis, urticaria pigmentosa, erythema multiforme, mastocytosis, hereditary angioedema, or drug-induced urticaria
  • Any other skin disease associated with chronic itching that might influence in the investigator's opinion the study evaluations and results, e.g., atopic dermatitis, bullous pemphigoid, dermatitis herpetiformis, senile pruritus or psoriasis
  • Other protocol-defined inclusion/exclusion criteria may apply.

Trial locations and contacts

49 sites in 17 countries.

49 sites in 17 countries

United States11 sites
  • Kern Research

    Bakersfield, California, 93301

  • Treasure Valley Medical Research

    Boise, Idaho, 83706

  • Endeavor Health

    Glenview, Illinois, 60077

  • Pediatric Dermatology of Miami at the Pediatric CoE

    Miami, Florida, 33156

  • 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

  • RFSA Dermatology

    San Antonio, Texas, 78213

  • Allergy and Asthma Medical Group and Research Center

    San Diego, California, 92123

  • Allergy Associates of Utah

    Sandy City, Utah, 84093

  • Toledo Institute of Clinical Research

    Toledo, Ohio, 43617

Other trials in United States

Japan5 sites
  • Novartis Investigative Site

    Itabashi-ku, Tokyo, 1738610

  • Novartis Investigative Site

    Izumo, Shimane, 6938501

  • Novartis Investigative Site

    Kamimashi-gun, Kumamoto, 8613106

  • Novartis Investigative Site

    Kitakyushu, Fukuoka, 8078556

  • Novartis Investigative Site

    Sakai, Osaka, 5938324

Other trials in Japan

Argentina4 sites
  • Novartis Investigative Site

    CABA, Buenos Aires, C1414AIF

  • Novartis Investigative Site

    CABA, C1181ACH

  • Novartis Investigative Site

    Rosario, Santa Fe Province, S2000DEJ

  • Novartis Investigative Site

    San Miguel de Tucumán, T4000AXL

Other trials in Argentina

China4 sites
  • Novartis Investigative Site

    Beijing, 100050

  • Novartis Investigative Site

    Beijing, 100069

  • Novartis Investigative Site

    Chengdu, Sichuan, 610041

  • Novartis Investigative Site

    Guangzhou, Guangdong, 510091

Other trials in China

Germany3 sites
  • Novartis Investigative Site

    Berlin, 13353

  • Novartis Investigative Site

    Frankfurt am Main, Hesse, 60590

  • Novartis Investigative Site

    Tübingen, 72076

Other trials in Germany

Italy3 sites
  • Novartis Investigative Site

    Florence, FI, 50139

  • Novartis Investigative Site

    Pavia, PV, 27100

  • Novartis Investigative Site

    Siena, SI, 53100

Other trials in Italy

Thailand3 sites
  • Novartis Investigative Site

    Bangkok, 10330

  • Novartis Investigative Site

    Bangkok, 10700

  • Novartis Investigative Site

    Songkhla, Hat Yai, 90110

Other trials in Thailand

Turkey (Türkiye)3 sites
  • Novartis Investigative Site

    Adana, 01330

  • Novartis Investigative Site

    Ankara, Sihhiye Altindag, 06230

  • Novartis Investigative Site

    Istanbul, Fatih, 34093

Other trials in Turkey (Türkiye)

United Kingdom3 sites
  • Novartis Investigative Site

    Manchester, M13 9WL

  • Novartis Investigative Site

    Peterborough, Cambridgeshire, PE3 9GZ

  • Novartis Investigative Site

    Southampton, SO16 6YD

Other trials in United Kingdom

South Africa2 sites
  • Novartis Investigative Site

    Cape Town, 7925

  • Novartis Investigative Site

    Pretoria, Gauteng, 0181

Other trials in South Africa

Spain2 sites
  • Novartis Investigative Site

    Esplugues, Barcelona, 08950

  • Novartis Investigative Site

    Valencia, 46014

Other trials in Spain

Canada1 site
  • Novartis Investigative Site

    Montreal, Quebec, H4A 3J1

Other trials in Canada

Chile1 site
  • Novartis Investigative Site

    Santiago, Santiago Metropolitan, 8420383

Other trials in Chile

Hong Kong1 site
  • Novartis Investigative Site

    Hong Kong, Hong Kong, 999077

Other trials in Hong Kong

Malaysia1 site
  • Novartis Investigative Site

    Kuching, Sarawak, 93586

Other trials in Malaysia

Netherlands1 site
  • Novartis Investigative Site

    Utrecht, 3584 CX

Other trials in Netherlands

Poland1 site
  • Novartis Investigative Site

    Lodz, 90-436

Other trials in Poland

About this study

Official title: A Double-blind, Randomized, Placebo-controlled Trial to Evaluate the Efficacy, Pharmacokinetics and Safety of Remibrutinib (LOU064) for 24 Weeks in Adolescents From 12 to Less Than 18 Years of Age With Chronic Spontaneous Urticaria Inadequately Controlled by H1-antihistamines Followed by an Optional Open-label Extension for up to Another 3 Years and an Optional Safety Long-term Treatment-free Follow-up Period for up to an Additional 3 Years

The purpose of this trial is:

  1. to assess the efficacy, pharmacokinetics, and safety of remibrutinib vs. placebo in adolescents from 12 to < 18 years of age suffering from chronic spontaneous urticaria inadequately controlled by H1-antihistamines
  2. to collect long-term efficacy, safety and tolerability data on remibrutinib in adolescents after having completed 24 weeks of treatment
  3. to collect safety data in this population for up to three years after the last dose of study treatment
Read the detailed description

This trial consists of 3 different periods:

  1. the "core period", which is randomized and double-blind, during which 2/3 participants will receive remibrutinib and 1/3 will receive placebo for 24 weeks. Total duration: approximately 32 weeks (10 site visits).
  2. an optional "open-label extension (OLE) period" proposed to all participants who completed 24 weeks of treatment of the "core period" and all scheduled assessments planned at week 24 visit . Depending on their CSU symptoms (as assessed by the doctor), participants will either receive remibrutinib for 24 weeks, or enter an observational treatment-free period for 1 year. If the CSU symptoms return during the observational period, the participants can switch to the treatment period at any time (decided by the doctor). At the end of the 24-week treatment period, if CSU is controlled, participants will enter the 1-year observational period, otherwise, they can continue with another cycle of 24-week remibrutinib treatment. The number of remibrutinib treatment or observational cycles will be limited to 6 times each. Total duration: from 1 year to approximately 3 years, and number of visits: from 3 to 15 (depending on the CSU symptoms).
  3. an optional "long-term treatment-free follow-up period" proposed to all participants who completed at least 4 months treatment in the "OLE period". No treatment will be given. Duration: 3 years with 1 site visit and up to 4 phone call follow-up visits.

The primary clinical question of interest is what is the effect of remibrutinib treatment versus placebo on the change from baseline in UAS7, ISS7 and HSS7 scores after 12 weeks of treatment

Being tested
LOU064 (blinded), placebo
Keywords
BTK inhibitor, Chronic spontaneous urticaria, Urticaria activity score, Hives severity score, Itch severity 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.

  • LOU064 (blinded)Drug

    Also called remibrutinib

    LOU064 (blinded) active treatment

  • placeboDrug

    matching active drug

Study groups in NCT05677451
Study groupRoleWhat they receive
Arm 1: LOU064 (blinded)ExperimentalLOU064 (blinded) taken orally b.i.d. for 24 weeks, followed by LOU064 (open-label) taken orally b.i.d. for up to 6 cycles of 24 weeks.
Receives: Drug: LOU064 (blinded)
Arm 2: LOU064 placebo (blinded)Placebo comparatorLOU064 placebo (blinded) taken orally b.i.d. for 24 weeks (randomized in a 2:1 ratio arm 1: arm 2)
Receives: Drug: placebo

What is being measured

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

  1. Change from baseline in UAS7

    The Urticaria Activity Score (UAS) is sum of the Hive Severity Score (HSS) and the Itch Severity Score (ISS). UAS7 is sum of the HSS7 and the ISS7 scores. Possible range of weekly UAS7 score is 0 to 42. Complete UAS7 response is UAS7 = 0.

    Negative change from baseline indicates improvement.

    Measured: Baseline, week 12

  2. Change fron baseline in ISS7

    Itch Severity Score (ISS) scale is 0 to 3. Score (ISS7) is derived by adding up average daily scores of 7 days preceding visit. Possible range of weekly score is therefore 0 to 21. Itch Severity Score scale: 0 - None 1 - Mild (minimal awareness, easily tolerated) 2 - Moderate (definite awareness, bothersome but tolerable) 3 - Severe (difficult to tolerate).

    Negative change from baseline indicates improvement.

    Measured: Baseline, Week 12

  3. Change from baseline in HSS7

    Hives Severity Score (HSS) scale is 0 to 3. A weekly score (HSS7) is derived by adding up the average daily scores of the 7 days preceding the visit. Possible range of the weekly score is therefore 0 to 21. Hives Severity Score scale: 0 - None 1 - Mild (1-6 hives/12 hours) 2 - Moderate (7-12 hives/12 hours) 3 - Severe (>12 hives/12 hours).

    Negative change from baseline indicates improvement.

    Measured: Baseline, Week 12

Secondary outcomes (11)
  1. Cmax of remibrutinib

    The maximum (peak) observed blood drug concentration after single dose administration

    Measured: At Week 12, before study drug intake, then after 30 min, 1 h, 2h, 3h and 4 h after study drug intake

  2. Tmax of remibrutinib

    The time to reach maximum (peak) blood drug concentration after single dose administration

    Measured: At Week 12, before study drug intake, then after 30 min, 1 h, 2h, 3h and 4 h after study drug intake

  3. AUClast of remibrutinib

    The Area Under the Curve (AUC) from pre-dose to the last measurable concentration sampling time

    Measured: At Week 12, before study drug intake, then after 30 min, 1 h, 2h, 3h and 4 h after study drug intake

  4. Absolute change from baseline in ISS7

    Itch Severity Score (ISS) scale is 0 to 3. Score (ISS7) is derived by adding up average daily scores of 7 days preceding visit. Possible range of weekly score is therefore 0 to 21. Itch Severity Score scale: 0 - None 1 - Mild (minimal awareness, easily tolerated) 2 - Moderate (definite awareness, bothersome but tolerable) 3 - Severe (difficult to tolerate).

    Negative change from baseline indicates improvement.

    Measured: Baseline - Week 12

  5. Absolute change from baseline in HSS7

    Hives Severity Score (HSS) scale is 0 to 3. A weekly score (HSS7) is derived by adding up the average daily scores of the 7 days preceding the visit. Possible range of the weekly score is therefore 0 to 21. Hives Severity Score scale: 0 - None 1 - Mild (1-6 hives/12 hours) 2 - Moderate (7-12 hives/12 hours) 3 - Severe (>12 hives/12 hours).

    Negative change from baseline indicates improvement.

    Measured: Baseline - Week 12

  6. Achievement of UAS7 ≤ 6 (yes/no)

    Disease activity control is defined as UAS7 ≤ 6. The Urticaria Activity Score (UAS) is sum of the Hive Severity Score (HSS) and the Itch Severity Score (ISS). UAS7 is sum of the HSS7 and the ISS7 scores. Possible range of weekly UAS7 score is 0 to 42.

    Measured: Week 12 and over time

  7. Achievement of UAS7 = 0 (yes/no)

    Complete absence of hives and itch is defined as UAS7 = 0. The Urticaria Activity Score (UAS) is sum of the Hive Severity Score (HSS) and the Itch Severity Score (ISS). UAS7 is sum of the HSS7 and the ISS7 scores. Possible range of weekly UAS7 score is 0 to 42.

    Measured: Week 12 and over time

  8. Absolute change from baseline in CDLQI score

    The Children Dermatology life Quality Index (CDLQI) score range is 0 to 30, with 0 (meaning no impact of skin disease on quality of life) to 30 (meaning maximum impact on quality of life).

    Measured: Week 12

  9. Number of weeks without angioedema, assessed by the cumulative number of weeks with an AAS7 = 0 response

    Angioedema Activity Score (AAS7) is a measure of the frequency and intensity of angioedema episodes. The total possible range of scores over 7 days is 0-105 where higher scores indicate increased angioedema activity.

    Measured: baseline - Week 12

  10. Occurrence of treatment-emergent adverse events (AE) and serious adverse events (SAE) during the core period

    To demonstrate the safety and tolerability of remibrutinib by assessing occurrence of treatment emergent adverse events and serious adverse events during the core period of the study.

    Measured: 28 weeks

  11. Occurrence of treatment emergent AEs, and SAEs during the Open Label Extension (OLE) period

    To demonstrate the safety and tolerability of remibrutinib by assessing occurrence of treatment emergent adverse events and serious adverse events during the OLE period of the study.

    Measured: 3 years

Timeline

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

  1. First posted10 Jan 2023
  2. Study start11 Jul 2023
  3. Primary completion3 Nov 2026 (estimated)
  4. Study completion30 Mar 2032 (estimated)

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
100 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05677451
Sponsor's protocol ID
CLOU064F12301
Other IDs
2022-502159-78-00
Status last verified
Oct 2026
First submitted
16 Dec 2022
Last updated
15 Oct 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

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing LOU064 (blinded) in people with Chronic Spontaneous Urticaria, run by Novartis Pharmaceuticals at 49 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 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: under way, not looking for participants, as of the sponsor's last update on 15 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 49 sites in United States, Japan, Argentina, China, Germany 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 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?

Change from baseline in UAS7 (time frame: Baseline, week 12). The study lists 3 primary outcomes in all. 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 15 Oct 2026.

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