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Chronic Spontaneous UriticariaPhase 2/3ESIT-CSUNCT06924762

Interleukin-2 for Refractory Chronic Spontaneous Urticaria

A Phase 2/3 study testing Human interleukin-2 (I) intramuscular injection in people with Chronic Spontaneous Uriticaria, run by Second Xiangya Hospital of Central South University at 1 site in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The goal of this clinical trial is to learn if human interleukin-2 (IL-2) works to treat moderate to severe chronic spontaneous urticaria in adults who remain symptomatic despite oral antihistamine treatment (refractory CSU). It will also learn about the safety of IL-2. Read more about this study

Who is it for?
Ages 18 to 74 years
Conditions the study is for
Chronic Spontaneous Uriticaria
What is being tested?
Human interleukin-2 (I) intramuscular injection
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
124 participants
Where
1 siteChina
Study dates
19 Mar 2025to 31 May 2026
Phase
Phase 2/3
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 74 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Gender: Not limited; Age: at least 18 years old and less than 75 years old;
  • Diagnosed with chronic spontaneous urticaria (CSU) (including patients overlapped with chronic inducible urticaria) according to the 2021 EAACI/GA²LEN/EDF/AAAAI guidelines;
  • Disease course of CSU for at least 12 weeks;
  • The patient has been treated with second-generation antihistamines (one or more types, up to 4 tablets per day) every day for 2 weeks or more but still experiences significant symptoms of wheals and/or itching, with a UAS7 score ≥16 or a UCT score <12;
  • UAS7 ≥16 on the date prior to randomization (according to complete daily symptom log data recorded in the past 7 days before randomization);
  • Willing and able to complete daily symptom logs throughout the entire study period;
  • The patient voluntarily consents to participate in this research project and has signed the informed consent.

Who cannot join

  • Pregnant or breastfeeding women, or women planning to conceive within 6 months;
  • Has used corticosteroids, immunosuppressants, leukotriene receptor antagonists, H2 receptor antagonists, intravenous immunoglobulin (IVIG) therapy, and/or undergone plasma exchange in the past 4 weeks;
  • Has received omalizumab or other biologic treatments in the past 12 weeks;
  • Has previously undergone interleukin-2 treatment;
  • Has a history of anaphylactic shock;
  • Plans or anticipates the use of any prohibited drugs or treatments during the screening and/or treatment periods;
Show all 12Show fewer
  • Currently has active or recurrent severe infections, such as active tuberculosis;
  • Has a congenital or acquired immunodeficiency disorder;
  • Has a history of drug or alcohol abuse, mental disorders, or poor compliance, making them unable to adhere to treatment;
  • Currently enrolled in another clinical trial;
  • Is an employee of the clinical research facility or directly involved in the study, or is an immediate family member of such an individual;
  • Any other reason that makes participation in this trial inappropriate.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

China1 site, 1 recruiting
  • the Second Xiangya Hospital of Central South University

    Changsha, Hunan, 410000

    Prof. Zhuo Li, M.D., 86+85292097, xy2gcphyb@163.com

    Recruiting

Other trials in China

About this study

Official title: Efficacy and Safety of Interleukin-2 Treatment in Moderate to Severe Chronic Spontaneous Urticaria With Poor Control by Antihistamines: a Multicenter, Randomized, Double-blind, Placebo-controlled Clinical Trial

The goal of this clinical trial is to learn if human interleukin-2 (IL-2) works to treat moderate to severe chronic spontaneous urticaria in adults who remain symptomatic despite oral antihistamine treatment (refractory CSU). It will also learn about the safety of IL-2. The main questions it aims to answer are:

Does IL-2 alleviate the symptoms of urticaria in patients? What medical problems do participants have when given IL-2? Researchers will compare IL-2 to a placebo (a look-alike and smell-like substance that contains no IL-2) to see if IL-2 works to treat refractory, moderate to severe CSU.

Read more

Participants will:

Receive IL-2 or a placebo intramuscular injections for 3 rounds at Week 0, 4 and 8, in which each round includes one injection daily for seven consecutive days.

Visit the clinic for checkups and tests at Week 2, 4, 8, 12 and 24. Keep a diary of their symptoms and the number of tablets of oral antihistamines.

Read the detailed description

Background:

Urticaria is a common disorder characterized by localized edema due to dilation and increased permeability of small blood vessels in the skin and mucous membranes. The primary clinical manifestations include wheals and pruritus.

Chronic spontaneous urticaria (CSU) is defined as recurrent, transient (<24 hours), pruritic wheals on the skin and mucosa lasting for more than 6 weeks, with or without angioedema, excluding chronic inducible urticaria. Among patients with chronic urticaria, about 2/3 have CSU. Although the pathogenesis of CSU remains unclear, increasing evidence suggests an autoimmune feature of this disorder. Oral antihistamines are the primary treatment for CSU, yet some patients continue to experience symptoms despite treatment with standard or double doses. Recent studies have shown that human IL-2 (Interleukin-2) can be effective in a proportion of CSU patients refractory to antihistamine treatment, without significant side effects. Therefore, in this clinical trial we aim to evaluate the therapeutic effect and safety of this new therapeutic method.

Study Design:

This is a randomized, placebo-controlled, multi-center clinical trial to evaluate the safety and efficacy of IL-2 treatment in CSU patients who remain symptomatic despite oral antihistamine treatment.

Methods:

CSU patients who meet the inclusion criteria will receive IL-2 or placebo intramuscular injections in combination with their current antihistamine regimen (either a single antihistamine or a combination of two to three antihistamines at a dose of at least the standard dosage). Endpoints include clinical response, quality of life, and safety profiles.

Being tested
Placebo intramuscular injection, Human interleukin-2 (I) intramuscular injection
Keywords
Interleukin-2, Chronic spontaneous uriticaria, urticaria control test, poor response to second-generation antihistamines

What participants receive

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

  • Placebo intramuscular injectionDrug

    On the basis of background treatment, intramuscular injection of placebo was added.

  • Human interleukin-2 (I) intramuscular injectionDrug

    On the basis of background treatment, intramuscular injection of human interleukin-2 (I) will be added.

Study groups in NCT06924762
Study groupRoleWhat they receive
Interleukin-2 treatment groupExperimentalThe enrolled subjects will receive three cycles of interleukin-2 treatment in the first 12 weeks upon initiation of the intervention, while continuing with the same oral regimen of second-generation antihistamines as they have been receiving before initiation of the trial. In each cycle of interleukin-2 treatment, the enrolled subjects will receive an intramuscular injection of interleukin-2 at a dosage of 1 million international units, dissolved in 1.0 mL of sterile water for injection, once daily for 7 consecutive days. The three cycles of interleukin-2 treatment will be administered on Day 0~6, Day 28~34 and Day 56~62, respectively.
Receives: Drug: Human interleukin-2 (I) intramuscular injection
Placebo groupPlacebo comparatorThe enrolled subjects will receive three cycles of placebo injections in the first 12 weeks upon initiation of the intervention, while continuing with the same oral regimen of second-generation antihistamines as they have been receiving before initiation of the trial. In each cycle of placebo injections, the enrolled subjects will receive an intramuscular injection of placebo at a same specification as in the IL-2 treatment group, dissolved in 1.0 mL of sterile water for injection, once daily for 7 consecutive days. The three cycles of placebo injections will be administered on Day 0~6, Day 28~34 and Day 56~62, respectively.
Receives: Drug: Placebo intramuscular injection

What is being measured

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

  1. Change from Baseline in the Urticaria Activity Score of 7 Days(UAS7)at 12 Weeks

    This rating requires patients to record the number of wheals and the severity of itching once a day. The sum of each day's UAS score in the past seven consecutive days is UAS7.

    Measured: Baseline and 12 weeks.

Secondary outcomes (11)
  1. Proportion of patients who achieve the treatment target at 2, 4, 8, 12 and 24 weeks, respectively

    According to the Expert Consensus on Treat⁃To⁃Target in Chronic Spontaneous Urticaria (2023), published in Chinese Journal of Dermatology, we count the proportion of CSU patients who achieve treatment targets at 2, 4, 8, 12 and 24 weeks post IL-2 or placebo intervention. As stated in Table 1 in the Expert Consensus mentioned above, a CSU patient achieves the treatment target when he meets the following criteria: (1) at 2 weeks post-intervention: UAS7 ≤6, or UAS7 decreased by ≥11 from baseline, or chronic urticaria quality of life questionnaire (CU-Q2oL) score increased by ≥8 from baseline; (2) at 4 weeks or 8 weeks: urticaria control test (UCT) score ≥12, or UAS7 ≤6, or UAS7 decreased by ≥11 from baseline, or CU-Q2oL increased by ≥8 from baseline; (3) at 12 weeks: UCT ≥12, or UAS7 ≤6, or CU-Q2oL increased by ≥19 from baseline; (4) at 24 weeks: UCT =16, or UAS7 =0, or CU-Q2oL increased by ≥19 from baseline.

    Measured: 2, 4, 8, 12 and 24 weeks post-intervention

  2. The change from baseline in UAS7 at 2 weeks and 24 weeks, respectively

    This rating requires patients to record the number of wheals and the severity of itching once a day. The sum of the wheal score (range 0-3 points; 0 points refer to no wheals in the day, 1 point refers to ≤ 20 wheals, 2 points refer to 20-50 wheals, and 3 points refer to ≥ 50 wheals in the day) and itching score (range 0-3 points; 0 points=none, 1 point=mild itching, 2 points=moderate itching, 3 points=severe itching) is the UAS score for the day. The sum of scores for seven consecutive days is UAS7.

    Measured: Baseline, 2 weeks, and 24 weeks

  3. Change from baseline in HSS7 score at 2, 12 and 24 weeks, respectively

    This rating requires patients to record the number of wheals once daily. The sum of each day's wheal score (range 0-3 points; 0 points refer to no wheals in the day, 1 point refers to ≤ 20 wheals, 2 points refer to 20-50 wheals, and 3 points refer to ≥ 50 wheals in the day) in the past seven consecutive days is HSS7.

    Measured: Baseline, 2 weeks, 12 weeks and 24 weeks

  4. Change from baseline in ISS7 score at 2, 12 and 24 weeks, respectively

    This rating requires patients to record the severity of itching once a day. The sum of the itching scores (range 0-3 points; 0 points=none, 1 point=mild itching, 2 points=moderate itching, 3 points=severe itching) in the past seven consecutive days is ISS7.

    Measured: Baseline, 2, 12 and 24 weeks

  5. Change from baseline in Dermatology Life Quality Index (DLQI) from baseline at 2, 12 and 24 weeks, respectively

    DLQI has a total of 10 questions, covering symptoms and feelings, daily activities, leisure and entertainment, work and study, interpersonal relationships, and treatment. The score range for each item is 0-3 points. Those who answer no or irrelevant questions will receive 0 points, while those who answer a lot will receive 3 points. The sum of the scores for each question is the total score (ranging from 0 to 30).

    Measured: Baseline, 2, 12 and 24 weeks

  6. Proportion of CSU patients with no disease activity (UAS7=0) and those with low disease activity (UAS7 ≤6) at 2, 12 and 24 weeks, respectively

    At each time point (2, 12 and 24 weeks post-intervention), the proportion of CSU patients with UAS7 =0 and the proportion of CSU patients with UAS7 ≤6 are counted, respectively.

    Measured: Baseline, 2, 12 and 24 weeks

  7. Proportion of well-controlled CSU patients (UCT ≥12) and completely controlled CSU patients (UCT=16) at 2, 12 and 24 weeks, respectively

    At each time point (2, 12 and 24 weeks post-intervention), the proportion of CSU patients with UCT ≥12 and the proportion of CSU patients with UCT =16 are counted, respectively.

    Measured: Baseline, 2, 12 and 24 weeks

  8. Total number of second-generation antihistamines taken per week at 2, 12 and 24 weeks, respectively

    Record the number of second-generation antihistamines tablets/capsules taken by the patient on a daily basis, and add up the number of pills taken each day in the past seven consecutive days to obtain the total number of second-generation antihistamines taken in the previous week.

    Measured: Baseline, 2, 12 and 24 weeks

  9. Proportion of CSU patients receiving systemic corticosteroid treatment and the total duration of systemic corticosteroid treatment during the study

    Record the initiation date and cease date of systemic corticosteroid treatment for each subject since their enrollment in interleukin-2/placebo intervention and calculate the duration (dates). The number of subjects who received systemic corticosteroid treatment during the study was calculated, and the total duration (dates) of systemic corticosteroid treatment was summed up in each group.

    Measured: 24 weeks post-intervention or the date of patient withdrawal from the group

  10. Incidence of Adverse Events

    Any adverse event is recorded for each subject during the study. Incidence of adverse events, either in total or in separate types of adverse events, is calculated for each treatment group.

    Measured: 12 and 24 weeks

  11. Incidence of Severe Adverse Events

    The ratio of the number of cases with severe adverse events to the total number of cases in each treatment group is calculated.

    Measured: 2, 12 and 24 weeks post-intervention

Timeline

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

  1. First posted11 Apr 2025
  2. Study start19 Mar 2025
  3. Primary completion31 Dec 2025 (estimated)
  4. Study completion31 May 2026 (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 2/3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
A multicenter, randomized, double-blind, placebo-controlled, parallel group clinical trial
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
124 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06924762
Sponsor's protocol ID
LYG20240044
Other IDs
MR-43-25-003708
Acronym
ESIT-CSU
Status last verified
Nov 2024
First submitted
24 Nov 2024
Last updated
11 Apr 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided: We would agree to share all IPD collected throughout the trial, but we have not made a decision on this, because we are not sure how to share or by which website we can share this information.

Questions about this trial

What is this clinical trial studying?

A Phase 2/3 study testing Human interleukin-2 (I) intramuscular injection in people with Chronic Spontaneous Uriticaria, run by Second Xiangya Hospital of Central South University at 1 site in China.

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 7 inclusion and 12 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: looking for participants now, as of the sponsor's last update on 11 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. 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 combined 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.

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?

Contact Hai Long, M.D. Ph.D. (86+18229743206 ext. 86+73185292097, Dr.hailong@csu.edu.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change from Baseline in the Urticaria Activity Score of 7 Days(UAS7)at 12 Weeks (time frame: Baseline and 12 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 Apr 2025.

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