Chronic Spontaneous UrticariaPhase 3EMBARQ-CSU2NCT06455202
A Phase 3 Study of Barzolvolimab in Participants With Chronic Spontaneous Urticaria (CSU)
A Phase 3 study testing barzolvolimab in people with Chronic Spontaneous Urticaria, run by Celldex Therapeutics at 245 sites in 22 countries.
Trial summary
The purpose of this study is to establish the efficacy, safety and tolerability of barzolvolimab in adult participants with Chronic Spontaneous Urticaria (CSU) inadequately controlled by non-sedating second generation H1-antihistamines in comparison to placebo. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Chronic Spontaneous Urticaria
- What is being tested?
- barzolvolimab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 976 participants
- Where
- 245 sitesin 22 countries
- Study dates
- 19 Jul 2024to Apr 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Males and females, >/= 18 years of age.
- Chronic spontaneous urticaria (CSU) >/= 6 months prior to Screening (Visit 1).
- CSU despite the use of a stable regimen of second generation non-sedating H1-antihistamine as defined by:
- The presence of hives for >/= 6 weeks at any time prior to Visit 1 despite the use of non-sedating H1-antihistamines.
- Must be on a stable regimen of second generation non-sedating H1-antihistamine for >/= 4 weeks prior to study treatment.
- UAS7 of >/= 16 and ISS7 of >/= 8 during the 7 days prior to study treatment.
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- Normal blood counts and liver function tests.
- Both males and females of child-bearing potential must agree to use highly effective contraceptives during the study and for 150 days after treatment.
- Willing and able to complete a daily symptom electronic diary and comply with study visits.
- Participants with and without prior biologic experience are eligible.
Who cannot join
- Women who are pregnant or nursing.
- Chronic urticaria whose predominant manifestation is due to CIndU.
- Other diseases associated with urticaria.
- Active pruritic skin condition in addition to CSU.
- Medical condition that would cause additional risk or interfere with study procedures.
- Known HIV, hepatitis B or hepatitis C infection.
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- Vaccination of a live vaccine within 30 days prior to Screening (Visit 1) (subjects must agree to avoid live vaccinations during the study). Inactivated vaccines are allowed such as seasonal influenza injection or authorized COVID-19 vaccine.
- History of anaphylaxis
- Prior treatment with barzolvolimab
- There are additional criteria that your study doctor will review with you to confirm you are eligible for the study.
Trial locations and contacts
245 sites in 22 countries.
245 sites in 22 countries
United States63 sites
Kern Research, Inc.
Bakersfield, California, 93301
Velocity Clinical Research - The Dermatology Clinic - Baton Rouge - PPDS
Baton Rouge, Louisiana, 70808
Hudson-Essex Allergy
Belleville, New Jersey, 07109
Optima Research
Boardman, Ohio, 44512
Treasure Valley Medical Research
Boise, Idaho, 83706
Brigham and Women's Hospital
Boston, Massachusetts, 02115
Equity Medical
Bowling Green, Kentucky, 42104
Derm Institute of Western Michigan
Caledonia, Michigan, 49316
Clarity Dermatology, PLLC
Castle Rock, Colorado, 80109
Rush University Medical Center
Chicago, Illinois, 60612
Clarkston Skin Research - Clarkston
Clarkston, Michigan, 48346
Asthma and Allergy Associates
Colorado Springs, Colorado, 80907
Lane Dermatology Research - Centricity - PPDS
Columbus, Georgia, 31904
Optimed Research Ltd - ClinEdge - PPDS
Columbus, Ohio, 43235
Driven Research LLC
Coral Gables, Florida, 33134
Allervie Clinical Research - Cullman
Cullman, Alabama, 35058
Palm Beach Dermatology Group
Delray Beach, Florida, 33484
Dolphin Medical Research
Doral, Florida, 33172
Western Sky Medical Research
El Paso, Texas, 79932
Penn State Health Milton Hershey Med Cen
Hershey, Pennsylvania, 17033
Clinical Partners LLC
Johnston, Rhode Island, 02919
University of Kansas Medical Center
Kansas City, Kansas, 66160-8500
Allergy & Asthma Associates
Lexington, Kentucky, 40509
Research Solutions of Arizona PC
Litchfield Park, Arizona, 85340
UCLA Clinical Trials Contracts & Strategic Relations
Los Angeles, California, 90024
California Allergy and Asthma Medical Group
Los Angeles, California, 90025
LA Universal Research Center, Inc.
Los Angeles, California, 90057
Skin Care Physicians of Georgia
Macon, Georgia, 31217
South FL Clinical Research LLC
Miami, Florida, 33165
Dade Florida Clinical Research Center
Miami, Florida, 33173
Deluxe Health Center
Miami Lakes, Florida, 33014
Allergy and Asthma Associates of Southern Cal
Mission Viejo, California, 92691
Allergy Associates of Utah - Sandy
Murray, Utah, 84107
Equity Medical LLC
New York, New York, 10023
OptiSkin Medical
New York, New York, 10128
Sneeze Wheeze and Itch Associates LLC
Normal, Illinois, 61761
Skin Specialists PC
Omaha, Nebraska, 68144
Revival Clinical Research
Orlando, Florida, 32807
Impact Medical / Circuit Clinical
Paramus, New Jersey, 07652
Huntington Asthma & Allergy Center
Pasadena, California, 91107
Austin Institute for Clinical Research, Inc.
Pflugerville, Texas, 78660
The Indiana Clinical Trials Center, PC
Plainfield, Indiana, 46168
Impact Medical / Circuit Clinical
Riverdale, New Jersey, 07457
Rainey & Finklea San Antonio Dermatology
San Antonio, Texas, 78213
Apex Clinical Research
San Diego, California, 92120
WR-MCCR
San Diego, California, 92120
University Clinical Trials
San Diego, California, 92123
International Clinical Research - FL LLC
Sanford, Florida, 32771
Clinical Science Institute
Santa Monica, California, 90404
Raffi Tachdjian MD, Inc
Santa Monica, California, 90404
Medical Research of Arizona a division of Allergy, Asthma, & Immunology, Assoc. Ltd.
Scottsdale, Arizona, 85258
Center for Dermatology & Plastic Surgery
Scottsdale, Arizona, 85260
South Bend Clinic
South Bend, Indiana, 46617
Midwest Clinical Research, LLC
St Louis, Missouri, 63141
Washington University School of Medicine
St Louis, Missouri, 63141
D&H Tamarac Research Center, LLC
Tamarac, Florida, 33321
Advanced Clinical Research Institute (ACRI) - Florida
Tampa, Florida, 33607
Deluxe Health Center
Tampa, Florida, 33607
MOORE Clinical Research, Inc. d/b/a TrueBlue Clinical Research
Tampa, Florida, 33609
University of South Florida
Tampa, Florida, 33613
Olympian Clinical Research
Tampa, Florida, 33615
Continental Clinical Research Solutions, LLC - ClinEdge - PPDS
Towson, Maryland, 21204
Kalo Clinical Research
West Valley City, Utah, 84120
Poland26 sites
Klinika Dermatologii i Dermatologii Onkologicznej
Częstochowa, 42-202
Centrum Medyczne Pratia Częstochowa
Częstochowa, 42-217
Centrum Kliniczno-Badawcze J.Brzezicki,B.Górnikiewicz-Brzezicka, Lekarze Spółka Partnerska
Elblag, 82-300
Synexus Polska Sp. z o.o.
Gdansk, 80-382
Mazowieckie Centrum Badań Klinicznych SC IWONA CZAJKOWSKA ANNA PODRAZKA-SZCZEAPANIAK
Grodzisk Mazowiecki, 05-825
Provita Sp zoo
Katowice, 40-611
Centrum Medyczne "All-Med" Badania Kliniczne
Krakow, 30-033
Centrum Medyczne Plejady
Krakow, 30-363
Malopolskie Centrum Alergologii
Krakow, 31-624
Uniwersytet Medyczny w Łodzi - Centrum Wsparcia Badań Klinicznych
Lodz, 92-213
Velocity Nova Sp. z o.o.
Lublin, 20-362
Pro Life Medica ETG Lublin
Lublin, 20-412
DERMEDIC Iwona Zdybska
Lublin, 20-607
LUXDERM Specjalistyczny Gabinet Dermatologiczny Prof. dr hab. n. med. Dorota Krasowska
Lublin, 20-753
Twoja Przychodnia Nowosolskie Centrum Medyczne
Nowa Sól, 67-100
Uniwersytecki Szpital Kliniczny w Opolu
Opole, 45-401
Medicome Sp. Z O.O.
Oświęcim, 32-600
Centrum Alergologii Teresa Hofman Sp. z.o.o.
Poznan, 60-214
EMC Instytut Medyczny SA, PL Certus Szpital i Ambulatorium
Poznan, 60-309
Specjalistyczny Niepubliczny Zaklad Opieki Zdrowotnej Alergologia Plus Osrodek Diagnostyki I Terapii Uczulen
Poznan, 60-693
Uniwersytecki Szpital Kliniczny im. Fryderka Chopina w Rzeszowie Klinika Dermatologii i Dermatologii Onkologicznej
Rzeszów, 35-055
EMED Centrum Usług Medycznych Ewa Śmiałek
Rzeszów, 35-205
ALERGO-MED SPECJALISTYCZNA PRZYCHODNIA LEKARSKA Spolka. z o. o.
Tarnów, 33-100
Medicover Integrated Clinical Services Sp. z o.o. Centrum Medyczne Warszawa
Warsaw, 00-874
Synexus Polska Sp. z o.o.
Warsaw, 02-672
ETG Warszawa
Warsaw, 02-677
India15 sites
Panchshil Hospital - Ahmedabad
Ahmedabad, 380005
B. J. Medical College and Civil Hospital
Ahmedabad, 380016
KLES Dr Prabhakar Kore Hospital & Medical Research Centre
Belagavi, 590010
All India Institute of Medical Sciences
Bhubaneswar, 751019
Excelcare Hospital
Jaipur, Rajasthan, 302012
Apex Hospitals Pvt Ltd
Jaipur, 302017
G.S.V.M. Medical College - Kanpur
Kanpur, Uttar Pradesh, 208002
K R Hospital
Mysore, 570001
Shree Hospital & Critical Care Centre
Nagpur, Maharashtra, 440009
Assured Care Plus Hospital
Nashik, Maharashtra, 422101
Oyster & Pearl Hospitals
Pune, Maharashtra, 411005
Deenanath Mangeshkar Hospital and Research Centre
Pune, 411004
Nirmal Hospital PVT LTD
Surat, Gujarat, 395002
Medical College Baroda & SSG Hospital
Vadodara, Gujarat, 390001
Sumandeep Vidyapeeth University - Dhiraj Hospital
Vadodara, 391760
Canada13 sites
Laser Rejuvenation Clinics Edmonton D.T. Inc.
Edmonton, Alberta, T5J 3S9
Vida Clinical Research
Edmonton, Alberta, T6H 4J8
Rejuvenation Dermatology Edmonton South
Edmonton, Alberta, T6W 0J5
LEADER research
Hamilton, Ontario, L8L 3C3
Kingston Health Science Center
Kingston, K7L 2V7
DermEffects
London, Ontario, N6H 5L5
North Bay Dermatology Centre
North Bay, Ontario, P1B 3Z7
Ottawa Allergy Research Corporation
Ottawa, Ontario, K1H1E4
Centre de Recherche Saint-Louis (Québec)
Québec, G1W4R4
York Dermatology Clinic & Research Centre
Richmond Hill, Ontario, L4B 1L1
Saskatoon Dermatology Centre
Saskatoon, Saskatchewan, S7T0G3
North York Research Inc.
Toronto, Ontario, M2N 3A6
Joel Liem Medicine Professional Corporation
Windsor, Ontario, N8X 2G1
Germany13 sites
Universitätsklinikum der RWTH Aachen Hautklinik
Aachen, 52074
Fachklinik Bad Bentheim
Bad Bentheim, 48455
Emovis GmbH
Berlin, 10629
Universitätsklinikum Bonn
Bonn, 53127
Universitätsklinikum Carl Gustav Carus an der TU Dresden
Dresden, 01307
Universitätsklinikum Düsseldorf
Düsseldorf, 40225
Universitätsklinikum Essen
Essen, 45147
Eurofins bioskin Research Center Dermalology
Hamburg, 20095
UKSH Lübeck, Institut für Entzündungsmedizin
Lübeck, 23538
Universitätsklinikum Mannheim
Mannheim, 68167
Universitätsklinikum Münster
Münster, 48149
Hautarztpraxis Dariusch Mortazawi
Remscheid, 42897
Universitäts-Hautklinik, Studienzentrum Immundermatologie
Tübingen, 72076
United Kingdom13 sites
Southmead Hospital
Bristol, BS10 5NB
Cambridge University Hospitals, Addenbrooke's Hospital
Cambridge, CB2 0QQ
Western General Hospital
Edinburgh, EH4 2XU
Queen Elizabeth University Hospital
Glasgow, G51 4TF
Velocity Clinical Research High Wycombe
High Wycombe, HP11 2QW
St James's University Hospital
Leeds, LS9 7TF
The Royal London Hospital
London, E1 1FR
Velocity Clinical Research, North London - PPDS
North Finchley, N12 8BU
Virtual Clinical Trials Centre, The Stables
Oxford, OX44 9PU
University Hospitals Plymouth NHS Trust
Plymouth, PL6 5FP
Royal Berkshire Hospital
Reading, RG1 5AN
Velocity Clinical Research - Romford
Romford, RM1 3PJ
Pinderfields Hospital
Wakefield, WF1 4DG
Bulgaria12 sites
Medical Centre Asklepii OOD
Dupnitsa, 2600
Medical Center - Pulmo 2018
Haskovo, 6300
Medical Center Medconsult Pleven
Lovech, 5500
Multiprofile Hospital for Active Treatment - Pazardzhik AD
Pazardzhik, 4400
University Multiprofile Hospital for Active Treatment Sveti Georgi EAD
Plovdiv, 4002
Medical Center Prolet
Rousse, 7000
Medical Center Unimed EOOD
Sevlievo, 5400
Diagnostic-consultative center Ascendent EOOD
Sofia, 1202
Diagnostic and Consultative Center Aleksandrovska EOOD
Sofia, 1431
University Multiprofile Hospital for Active Treatment Aleksandrovska EAD
Sofia, 1431
University Multiprofile Hospital for Active Treatment "Tsaritsa Yoanna - ISUL"
Sofia, 1527
Diagnostic-Consultative Centre Convex EOOD
Sofia, 1680
Mexico12 sites
Unidad de Investigación Cima S.a
Chihuahua City, 31200
Meidadvance Clinical
Chihuahua City, 31203
Cryptex
Cuauhtémoc, 06100
Centro de Investigación Medico Biologica
Guadalajara, 44130
CIMET
Guadalajara, 44340
Panamerican Guadalajara
Guadalajara, 44670
Centro de Desarrollo Biomédico
Mérida, 97000
Mérida Investigación Clínica
Mérida, 97125
Eukarya Pharmasite
Monterrey, 64718
CECYPE
Morelia, 58249
Unidad de Medicina Especializada
San Juan del Río, 76800
FAICIC
Veracruz, 91900
Australia11 sites
Box Hill Hospital
Box Hill, Victoria, 3128
Princess Alexandra Hospital
Brisbane, Queensland, 4102
Novatrials
Charlestown, New South Wales, 2290
Cornerstone Dermatology
Coorparoo, Queensland, 4151
Skin and Cancer Foundation - The Skin Hospital
Darlinghurst, New South Wales, 2010
Dr Rodney Sinclair Pty Ltd
East Melbourne, Victoria, 3002
St George Dermatology and Skin Cancer Center
Kogarah, New South Wales, 2217
The Alfred Hospital
Melbourne, Victoria, 3004
The Royal Melbourne Hospital
Parkville, Victoria, 3050
Westmead Hospital
Westmead, New South Wales, 2145
Veracity Clinical Research Pty Ltd
Woolloongabba, Queensland, 4102
Spain11 sites
Hospital del Mar
Barcelona, 08003
Hospital Universitari Puerta del Mar
Cadiz, 11009
Hospital Universitario de La Princesa
Madrid, 28006
Hospital 12 De Octubre
Madrid, 28041
Clinica Universidad Navarra- Pamplona
Pamplona, 31008
Hospital Quironsalud Madrid
Pozuelo de Alarcón, 28223
Hospital universitario Virgen Macarena
Seville, 41009
FutureMeds Sevilla
Seville, 41012
Hospital Universitario de Torrejón
Torrejón de Ardoz, 28850
Hospital Universitari i Politecnic La Fe de Valencia
Valencia, 46026
Hospital de Manises
Valencia, 46940
Chile8 sites
Clinica MEDS La Dehesa
Lo Barnechea, 7691236
Hospital Base San Jose de Osorno
Osorno, 5290000
Enroll SpA - Dr. Manuel Barros Borgono
Providencia, 7500000
Clinica Davila - Recoleta
Recoleta, 8420000
Centro Internacional de Estudios Clinicos (CIEC)
Recoleta, 8420383
BIOCINETIC Ltda
Santiago, 8350595
Medical Skin Center
Viña del Mar, 2520000
Dermacross Clinica Dermatologica
Vitacura, 7630000
New Zealand8 sites
Optimal Clinical Trials - Central
Auckland, 1010
Pcrn Chch
Christchurch, 8013
Momentum Clinical Research Dunedin
Dunedin, 9016
Lakeland Clinical Trials - Waikato
Hamilton, 3200
velocity Nova Sp. z o.o.
Nelson, 7011
Pacific Clinical Research Network Rotorua
Rotorua, 3010
Momentum Clinical Research Tauranga
Tauranga, 3110
Lakeland Clinical Trials Wellington
Upper Hutt, 5018
Italy7 sites
IRCCS Ospedale Policlinico San Martino
Genova, 16132
Asst Fbf Sacco
Milan, 20157
Azienda Ospedale Università di Padova
Padova, 38068
Humanitas Research Hospital
Rozzano, 20089
AOU San Giovanni di Dio e Ruggi d'Aragona
Salerno, 84131
IRCCS Policlinico San Donato
San Donato Milanese, 20097
Ospedale San Lazzaro PO Molinette
Torino, 10126
Colombia6 sites
Centro Integral de Reumatologia Del Caribe
Barranquilla, 8001
Hospital Alma Mater de Antioquia
Medellín, 50010
Centro de Inmunología y Genética - CIGE S.A.S
Medellín, 50012
Hospital General de Medellín Luz Castro de Gutiérrez
Medellín, 50015
Fundación Centro de Investigation Clínica CIC
Medellín, 50021
Fundación Hospital Universidad del Norte
Soledad, 83001
Georgia4 sites
LTD" Healthy Future"
Tbilisi, 0119
LTD "Center of Allergy and Immunology"
Tbilisi, 0159
David Abuladze Georgian Italian Clinic
Tbilisi, 0179
LTD "Multiprofile Clinic Consilium Medulla"
Tbilisi, 0186
Lithuania4 sites
CD8 Klinika
Kaunas, LT-44192
UAB Ausros Medicinos Centras
Kaunas, LT-49387
UAB "Alerginių susirgimų diagnostikos ir gydymo centras"
Vilnius, LT-08109
Santaros KTC (klinikiniu tyrimu centras)
Vilnius, LT-08406
Slovakia4 sites
MAXDERM s.r.o.
Bardejov, 08501
Derma therapy spol. s.r.o.
Bratislava, 85101
ALERSA, sro
Košice, 04022
Fakultna nemocnica Trnava
Trnava, 91702
Thailand4 sites
Siriraj Hospital
Bangkok Noi, 10700
Maharaj Nakorn Chiang Mai Hospital
Chiang Mai, 50200
Thammasat University Hospital
Khlong Luang, 12120
Khon Kaen University
Khon Kaen, 40002
Hungary3 sites
Debreceni Egyetem Klinikai Kozpont Nagyerdei Campus
Debrecen, 4032
Szent-Gyorgyi Albert Klinikai Kozpont
Szeged, 6725
Allergo-Derm Bakos Kft.
Szolnok, 5000
Netherlands3 sites
AmdsterdamUMC locatie AMC
Amsterdam, 1105 AZ
Bravis Hospital
Roosendaal, 4708 AE
University Medical Center Utrecht
Utrecht, 3584 CX
Tunisia3 sites
Hôpital Hédi Chaker
Sfax, 3029
La Rabta Hospital
Tunis, 1007
Habib Thameur Hospital
Tunis, 1008
Croatia2 sites
Special Hospital Medico
Rijeka, 51000
Solmed Clinic
Zagreb, 10000
About this study
Official title: A Phase 3 Randomized, Double-Blind, Placebo-Controlled Study to Assess the Efficacy and Safety of Barzolvolimab in Patients With Chronic Spontaneous Urticaria Who Remain Symptomatic Despite H1 Antihistamine Treatment (EMBARQ-CSU2)
The purpose of this study is to establish the efficacy, safety and tolerability of barzolvolimab in adult participants with Chronic Spontaneous Urticaria (CSU) inadequately controlled by non-sedating second generation H1-antihistamines in comparison to placebo.
Read the detailed description
This is a global, multicenter, randomized, double-blind, parallel group, placebo-controlled phase 3 study investigating the efficacy, safety and tolerability of barzolvolimab in adult participants with Chronic Spontaneous Urticaria (CSU) who are symptomatic despite treatment with non-sedating second generation H1-antihistamines at 1-4 times the locally approved dose.
There is a screening period of up to 4 weeks, followed by a 24-week placebo-controlled treatment period, a 28-week active treatment period where all participants receive barzolvolimab followed by a 16-week treatment free period.
Approximately 915 adult participants (610 in the active arms and 305 in the placebo arm) will be randomly assigned to the treatment arms.
- Conditions
- Chronic Spontaneous Urticaria
- Being tested
- barzolvolimab, Matching placebo
- Keywords
- CDX-0159, barzolvolimab, chronic spontaneous urticaria, CSU, urticaria activity score, itch severity score, hives 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.
barzolvolimabBiological
Subcutaneous Administration
Matching placeboBiological
Matching placebo Subcutaneous Administration
| Study group | Role | What they receive |
|---|---|---|
| barzolvolimab 150 mg | Experimental | barzolvolimab given once as a 300 mg subcutaneous injection followed by 150 mg administered every 4 weeks for 52 weeks Receives: Biological: barzolvolimab |
| barzolvolimab 300 mg | Experimental | barzolvolimab given once as a 450 mg subcutaneous injection followed by 300 mg administered every 8 weeks for 52 weeks Receives: Biological: barzolvolimab |
| Placebo then barzolvolimab 150 mg | Experimental | Placebo injection subcutaneous every 4 weeks for 24 weeks and then barzolvolimab 300 mg followed by 150 mg administered every 4 weeks for 28 weeks. Receives: Biological: barzolvolimab; Biological: Matching placebo |
| Placebo then barzolvolimab 300 mg | Experimental | Placebo injection subcutaneous every 4 weeks for 24 weeks and then barzolvolimab 450 mg followed by 300 mg administered every 8 weeks for 28 weeks. Receives: Biological: barzolvolimab; Biological: Matching placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Mean change from baseline to Week 12 of UAS7 (Urticaria Activity Score)
Evaluate efficacy of barzolvolimab on urticaria activity as measured by urticaria activity score (UAS).
The UAS7 is a simple scoring system to evaluate urticaria signs and symptoms. It is based on scoring wheals (hive severity score) and itch (itch severity score) separately on a scale of 0 (no signs/symptoms) to 3 (intense signs/symptoms) over 7 days. The final score is calculated by adding together the daily scores, which can range from 0 to 6, for 7 days. This results in a maximum total score of 42, and a minimum possible score of 0.
Measured: From Day 1 (first dose) to Day 85 (Week 12)
Secondary outcomes (8)
Mean change from baseline to Week 12 of ISS7 (Itch Severity Score)
The ISS7 and HSS7 combined together make up the UAS7 scoring system to evaluate urticaria signs and symptoms. The ISS7 is the itch severity score for 7 days, the scores range from 0 to 21.
Measured: From Day 1 (first dose) to Day 85 (Week 12)
Mean change from baseline to Week 12 of HSS7 (Hives Severity Score)
The ISS7 and HSS7 combined together make up the UAS7 scoring system to evaluate urticaria signs and symptoms. The HSS7 score is the wheal/hives severity score for 7 days, the scores range from 0 to 21.
Measured: From Day 1 (first dose) to Day 85 (Week 12)
Percentage of patients with UAS7=0 at Week 12
Proportion of participants who achieve complete absence of hives and itch (UAS7 = 0) at Week 12.
Measured: From Day 1 (first dose) to Day 85 (Week 12)
Percentage of participants with UAS7 ≤ 6 at Week 12
Proportion of participants who achieve control of their urticaria signs and symptoms (UAS7≤6) at Week 12.
Measured: From Day 1 (first dose) to Day 85 (Week 12)
Percentage of participants with AAS7 > 0 at baseline with AAS7 = 0 at Week 12
Proportion of participants with AAS7 > 0 at Day 1 who achieved complete control (AAS7 = 0) at Week 12
Angioedema Activity Score over 7 days [AAS7] describes the effect of angioedema on five categories with 0 being none and 3 being most severe. The final score is calculated by adding together daily scores which can range from 0-15 for 7 days. The resulting maximum score is then 105.
Measured: From Day 1 (first dose) to Day 85 (Week 12)
Mean change from baseline in UAS7 in participants refractory to omalizumab treatment at Week 12
Evaluate efficacy of barzolvolimab on urticaria activity as measured by urticaria activity score (UAS) in participants who did not respond to or did not tolerate omalizumab.
The UAS7 is a simple scoring system to evaluate urticaria signs and symptoms. It is based on scoring wheals (hive severity score) and itch (itch severity score) separately on a scale of 0 (no signs/symptoms) to 3 (intense signs/symptoms) over 7 days. The final score is calculated by adding together the daily scores, which can range from 0 to 6, for 7 days. This results in a maximum total score of 42, and a minimum possible score of 0.
Measured: From Day 1 (first dose) to Day 85 (Week 12)
Proportion of participants with UAS7 = 0 in participants refractory to omalizumab treatment at Week 12
Proportion of participants who achieve complete absence of hives and itch (UAS7 = 0) at Week 12 in participants who did not respond to or did not tolerate omalizumab.
Measured: From Day 1 (first dose) to Day 85 (Week 12)
Incidence of Treatment-Emergent Adverse Events
Occurrence of treatment emergent adverse events and serious adverse events during the study.
Measured: From Day 1 (first dose) to Day 477 (Week 68)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Jun 2024
- Study start19 Jul 2024
- Primary completionOct 2026 (estimated)
- Study completionApr 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.
- 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
- 976 participants (actual)
Sponsor and investigators
- Lead sponsor
- Celldex Therapeutics
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06455202
- Sponsor's protocol ID
- CDX0159-13
- Other IDs
- 2024-513210-36-00
- Acronym
- EMBARQ-CSU2
- Status last verified
- Mar 2026
- First submitted
- 7 Jun 2024
- Last updated
- 25 Mar 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 25 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3 Randomized, Double-Blind, Placebo-Controlled Study to Assess the Efficacy and Safety of Barzolvolimab in Patients With Chronic Spontaneous Urticaria Who Remain Symptomatic Despite H1 Antihistamine Treatment (EMBARQ-CSU2)
- ClinicalTrials.gov ID
- NCT06455202
- Acronym / sponsor ID
- EMBARQ-CSU2 / CDX0159-13
- Conditions
- Chronic Spontaneous Urticaria
- Keywords
- CDX-0159, barzolvolimab, chronic spontaneous urticaria, CSU, urticaria activity score, itch severity score, hives severity score
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 976 participants (actual)
- Lead sponsor
- Celldex TherapeuticsIndustry (pharma, biotech, devices)
- Study start
- 19 Jul 2024 (actual)
- Primary completion
- Oct 2026 (estimated)
- Study completion
- Apr 2027 (estimated)
- First posted
- 12 Jun 2024 (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 study is to establish the efficacy, safety and tolerability of barzolvolimab in adult participants with Chronic Spontaneous Urticaria (CSU) inadequately controlled by non-sedating second generation H1-antihistamines in comparison to placebo.
Detailed description
This is a global, multicenter, randomized, double-blind, parallel group, placebo-controlled phase 3 study investigating the efficacy, safety and tolerability of barzolvolimab in adult participants with Chronic Spontaneous Urticaria (CSU) who are symptomatic despite treatment with non-sedating second generation H1-antihistamines at 1-4 times the locally approved dose.
There is a screening period of up to 4 weeks, followed by a 24-week placebo-controlled treatment period, a 28-week active treatment period where all participants receive barzolvolimab followed by a 16-week treatment free period.
Approximately 915 adult participants (610 in the active arms and 305 in the placebo arm) will be randomly assigned to the treatment arms.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| barzolvolimab 150 mg | Experimental | Biological: barzolvolimabbarzolvolimab given once as a 300 mg subcutaneous injection followed by 150 mg administered every 4 weeks for 52 weeks |
| barzolvolimab 300 mg | Experimental | Biological: barzolvolimabbarzolvolimab given once as a 450 mg subcutaneous injection followed by 300 mg administered every 8 weeks for 52 weeks |
| Placebo then barzolvolimab 150 mg | Experimental | Biological: barzolvolimab, Biological: Matching placeboPlacebo injection subcutaneous every 4 weeks for 24 weeks and then barzolvolimab 300 mg followed by 150 mg administered every 4 weeks for 28 weeks. |
| Placebo then barzolvolimab 300 mg | Experimental | Biological: barzolvolimab, Biological: Matching placeboPlacebo injection subcutaneous every 4 weeks for 24 weeks and then barzolvolimab 450 mg followed by 300 mg administered every 8 weeks for 28 weeks. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Males and females, >/= 18 years of age.
- Chronic spontaneous urticaria (CSU) >/= 6 months prior to Screening (Visit 1).
- CSU despite the use of a stable regimen of second generation non-sedating H1-antihistamine as defined by:
- Normal blood counts and liver function tests.
- Both males and females of child-bearing potential must agree to use highly effective contraceptives during the study and for 150 days after treatment.
Key exclusion criteria (10 listed)
- Women who are pregnant or nursing.
- Chronic urticaria whose predominant manifestation is due to CIndU.
- Other diseases associated with urticaria.
- Active pruritic skin condition in addition to CSU.
- Medical condition that would cause additional risk or interfere with study procedures.
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 |
|---|---|---|
| barzolvolimabSubcutaneous Administration | Biological | Placebo then barzolvolimab 150 mg, Placebo then barzolvolimab 300 mg, barzolvolimab 150 mg, barzolvolimab 300 mg |
| Matching placeboMatching placebo Subcutaneous Administration | Biological | Placebo then barzolvolimab 150 mg, Placebo then barzolvolimab 300 mg |
Primary outcome
Mean change from baseline to Week 12 of UAS7 (Urticaria Activity Score)
Time frame: From Day 1 (first dose) to Day 85 (Week 12)
Evaluate efficacy of barzolvolimab on urticaria activity as measured by urticaria activity score (UAS). The UAS7 is a simple scoring system to evaluate urticaria signs and symptoms. It is based on scoring wheals (hive severity score) and itch (itch severity score) separately on a scale of 0 (no signs/symptoms) to 3 (intense signs/symptoms) over 7 days. The final score is calculated by adding together the daily scores, which can range from 0 to 6, for 7 days. This results in a maximum total score of 42, and a minimum possible score of 0.
8 secondary outcomes
Mean change from baseline to Week 12 of ISS7 (Itch Severity Score)
Time frame: From Day 1 (first dose) to Day 85 (Week 12)
Mean change from baseline to Week 12 of HSS7 (Hives Severity Score)
Time frame: From Day 1 (first dose) to Day 85 (Week 12)
Percentage of patients with UAS7=0 at Week 12
Time frame: From Day 1 (first dose) to Day 85 (Week 12)
Percentage of participants with UAS7 ≤ 6 at Week 12
Time frame: From Day 1 (first dose) to Day 85 (Week 12)
Percentage of participants with AAS7 > 0 at baseline with AAS7 = 0 at Week 12
Time frame: From Day 1 (first dose) to Day 85 (Week 12)
Mean change from baseline in UAS7 in participants refractory to omalizumab treatment at Week 12
Time frame: From Day 1 (first dose) to Day 85 (Week 12)
Proportion of participants with UAS7 = 0 in participants refractory to omalizumab treatment at Week 12
Time frame: From Day 1 (first dose) to Day 85 (Week 12)
Incidence of Treatment-Emergent Adverse Events
Time frame: From Day 1 (first dose) to Day 477 (Week 68)
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 25 Mar 2026.
- Individual participant dataSharing planned: Undecided
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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.
The record lists no contact. Use the official record to reach the sponsor.
245 sites in 22 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing barzolvolimab in people with Chronic Spontaneous Urticaria, run by Celldex Therapeutics at 245 sites in 22 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 10 inclusion and 10 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 25 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 245 sites in United States, Poland, India, Canada, Germany and 17 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 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?
Mean change from baseline to Week 12 of UAS7 (Urticaria Activity Score) (time frame: From Day 1 (first dose) to Day 85 (Week 12)). 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 25 Mar 2026.