Chronic Spontaneous UrticariaPhase 2NCT07219615
A Study to Learn About Ritlecitinib for the Potential Treatment of Chronic Spontaneous Urticaria in Adults.
A Phase 2 study testing Ritlecitinib 50 mg and Ritlecitinib 100 mg in people with Chronic Spontaneous Urticaria, run by Pfizer at 77 sites in 10 countries.
Trial summary
The purpose of the study is to learn about the safety and effects of the study medicine (called ritlecitinib) for the treatment of chronic spontaneous urticaria (CSU) that is not effectively treated by antihistamines which are used to stop the body's "allergy alarm system" from overreacting. 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?
- Ritlecitinib 50 mg and Ritlecitinib 100 mg
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 200 participants
- Where
- 77 sitesin 10 countries
- Study dates
- 30 Oct 2025to 23 Apr 2027
- Phase
- Phase 2
- 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
- Age:
- 18 years of age or older (or the minimum legal adult age as defined per local regulations, whichever is greater) at screening.
- Disease Characteristics:
- Participants must meet the following Chronic Spontaneous Urticaria (CSU) criteria:
- Chronic spontaneous urticaria diagnosis for ≥3 months at the time of screening (with the onset date assessed by the Investigator based on all available records) b. Diagnosis of CSU inadequately controlled by second generation antihistamine (sgAH) at the time of randomization, defined as: (i) The presence of itch and hives for ≥6 consecutive weeks prior to screening despite the use of sgAH during this time period.
- Participants must have been on a sgAH at locally approved dose or higher for treatment of CSU for at least 7 consecutive days before screening assessment of UAS7 and ISS7 is initiated.
- Urticaria Activity Score 7 (UAS7) ≥16 (range 0-42) and an Itch Severity Score 7 (ISS7) ≥8 (range: 0-21) during the 7 days prior to randomization Day 1 c. Participants must complete at least 5 Urticaria Activity Score (UAS) eDiary entries during the 7 days immediately preceding randomization (Day 1) to confirm eligibility. If this requirement is not met due to documented, limited circumstances such as technical issues or short-term illness, the screening period may be extended only for the number of days necessary to allow completion of 5 UAS entries within any 7-day window. This extension period must not exceed 7 days.
- Anti-Immunoglobulin E-naïve (IgE-naïve) and Anti-Immunoglobulin E-experienced (Anti-IgE-experienced) participants. Anti-IgE-experienced participants are defined as meeting any of the following criteria confirmed by the Site Investigator: (i) Did not adequately respond to the approved dosage of an anti-IgE therapy (eg, omalizumab 300 mg Q4W or an alternate approved anti-IgE therapy) for at least 3 months, as assessed by the Investigator (ii) Could not tolerate an anti-IgE therapy (iii) Stopped an anti-IgE therapy for any reason, eg, loss of access e. Anti-IgE-experienced participants must have stopped anti-IgE therapy for at least 16 weeks, or 5 half-lives, whichever is longer, prior to randomization Day 1
Who cannot join
- Medical Conditions:
- Medical conditions pertaining to CSU and other diseases/conditions affecting the skin
- Urticaria is solely due to inducible urticaria.
- Active dermatologic diseases (or conditions) other than chronic urticaria, with urticaria wheals or angioedema symptoms, including but not limited to urticarial vasculitis, erythema multiforme, cutaneous mastocytosis (urticaria pigmentosa) and hereditary or acquired angioedema (eg, due to Complement 1 (C1) inhibitor deficiency).
- Any other active skin disease associated with chronic itching that might influence, in the investigator's opinion, the study evaluations and results (eg, atopic dermatitis, bullous pemphigold, dermatitis herpetiformis, senile pruritus, etc.).
- History of severe allergic or anaphylactoid reaction to any kinase inhibitor or a known allergy/hypersensitivity to any component (including excipients) of the study intervention.
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- General Infection History:
- Having a history of systemic infection requiring hospitalization or parenteral therapy (antimicrobial, antiviral, antiparasitic, antiprotozoal, or antifungal), or as otherwise judged clinically significant by the investigator, within 3 months prior to Day 1.
- Have active acute or chronic infection requiring treatment with oral antibiotics, antivirals, antiparasitics, antiprotozoals, or antifungals within 4 weeks prior to Day 1.
- Evidence or history of untreated, currently treated or inadequately treated active or latent infection with Mycobacterium tuberculosis.
- Specific Viral Infection History
- History (single episode) of disseminated herpes zoster or disseminated herpes simplex, or a recurrent (more than one episode of) localized, dermatomal herpes zoster.
- Infected with hepatitis B or hepatitis C viruses: all participants will undergo screening for hepatitis B and C for eligibility.
- Have a known immunodeficiency disorder (including positive serology for HIV at screening) or a first-degree relative with a hereditary immunodeficiency (unless known negative carrier status).
- Other Medical Conditions
- Current or recent history of clinically significant severe, progressive, or uncontrolled renal (including but not limited to active renal disease or recent kidney stones), hepatic, hematological, gastrointestinal, metabolic, endocrine (eg, untreated hyperthyroidism or hypothyroidism), pulmonary, cardiovascular, psychiatric, immunologic/rheumatologic or neurologic disease; or have any other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or investigational product administration, or interfere with the interpretation of study results; or in the opinion of the investigator or Pfizer (or designee), the participant is inappropriate for entry into this study, or unwilling/unable to comply with study procedures and lifestyle requirements.
- Have hearing loss with progression over the previous 5 years, sudden hearing loss, or middle or inner ear disease such as otitis media, cholesteatoma, Meniere's disease, labyrinthitis, or other auditory condition that is considered acute, fluctuating, or progressive.
- Abnormal findings on the screening chest imaging (eg, chest x-ray) including, but not limited to, presence of active TB or other infections, cardiomyopathy, or malignancy. Chest imaging may be performed up to 12 weeks prior to Screening.
- Have any malignancies or have a history of malignancies with the exception of adequately treated or excised nonmetastatic basal cell or squamous cell cancer of the skin or cervical carcinoma in situ.
- Have a history of any lymphoproliferative disorder such as Epstein-Barr Virus (EBV)-related lymphoproliferative disorder, history of lymphoma, history of leukemia, or signs and symptoms suggestive of current lymphatic or lymphoid disease.
- Significant trauma or major surgery within 1 month of the first dose of study drug or considered in imminent need for surgery. Participants with elective surgery scheduled to occur during the study can only be enrolled with approval of the sponsor.
- Any medical or psychiatric condition including any active suicidal ideation in the past year or suicidal behavior in the past 5 years or laboratory abnormality that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study. Any psychiatric condition including recent or active suicidal ideation or behavior that protocol-defined criteria.
- Prior/Concomitant Therapy:
- Current or prior use of any prohibited medication(s), vaccine(s), or treatment(s) within the protocol defined timelines.
- Prior/Concurrent Clinical Study Experience:
- Previous administration of an investigational product (drug or vaccine) within 8 weeks or 5 half-lives preceding the first dose of study intervention used in this study (whichever is longer). Participation in studies of other investigational products (drug or vaccine) at any time during participation in this study.
- Diagnostic Assessments:
- Any exclusionary abnormalities in laboratory values at Screening, as assessed by the study-specific laboratory and, if deemed necessary, confirmed by a single repeat.
- Screening standard 12-lead electrocardiogram (ECG) that demonstrates clinically relevant abnormalities that may affect participant safety or interpretation of study results.
- Other Exclusion Criteria:
- Investigator site staff directly involved in the conduct of the study and their family members, site staff otherwise supervised by the investigator, and sponsor and sponsor delegate employees directly involved in the conduct of the study and their family members.
Trial locations and contacts
77 sites in 10 countries. Contact the study team or a site near you to ask about taking part.
77 sites in 10 countries
United States19 sites, 19 recruiting
- Recruiting
University of Michigan
Ann Arbor, Michigan, 48109
- Recruiting
Orion Clinical Research
Austin, Texas, 78759
- Recruiting
Kern Research, Inc.
Bakersfield, California, 93301
- Recruiting
Asthma and Allergy Associates, PC
Colorado Springs, Colorado, 80907
- Recruiting
Columbia Dermatology & Aesthetics
Columbia, South Carolina, 29212
- Recruiting
First OC Dermatology Research Inc
Fountain Valley, California, 92708
- Recruiting
Antelope Valley Clinical Trials
Lancaster, California, 93534
- Recruiting
Acuro Research, Inc.
Little Rock, Arkansas, 72205
- Recruiting
Ark Clinical Research
Long Beach, California, 90815
- Recruiting
Allergy, Asthma, & Clinical Research Center
Oklahoma City, Oklahoma, 73120
- Recruiting
Skin & Beauty Center - Pasadena
Pasadena, California, 91105
- Recruiting
Saguaro Dermatology - Phoenix
Phoenix, Arizona, 85008
- Recruiting
Asthma and Allergy Center of Chicago
River Forest, Illinois, 60305
- Recruiting
RFSA Dermatology - San Antonio - West Avenue
San Antonio, Texas, 78213
- Recruiting
Complete Dermatology
Sugar Land, Texas, 77479
- Recruiting
Equity Medical, LLC
The Bronx, New York, 10455
- Recruiting
Revival Research Institute, LLC
Troy, Michigan, 48084
- Recruiting
Vital Prospects Clinical Research Institute, PC
Tulsa, Oklahoma, 74136
- Recruiting
Chesapeake Clinical Research
White Marsh, Maryland, 21162
Canada8 sites, 8 recruiting
- Recruiting
Laser Rejuvenation Clinics Edmonton D.T. Inc
Edmonton, Alberta, T5J 3S9
- Recruiting
Allergy Centre Research
Mississauga, Ontario, L4W 5G6
- Recruiting
Research Institute of the McGill University Health Centre
Montreal, Quebec, H4A 3J1
- Recruiting
Allergy Research Canada Inc.
Niagara Falls, Ontario, L2H 1H5
- Recruiting
DAR Clinical Research
Ottawa, Ontario, K1V 1C1
- Recruiting
Dar Clinical Research
Ottawa, Ontario, K2T 0N7
- Recruiting
Centre de Recherche Saint-Louis inc.
Québec, G1W 4R4
- Recruiting
CaRe Clinic
Red Deer, Alberta, T4P 1K4
Poland8 sites, 8 recruiting
- Recruiting
M2M Med Badania Sp. z o.o.
Chorzów, 41-500
- Recruiting
Penta Hospitals Badania Kliniczne sp. z o.o.
Gdansk, 80-546
- Recruiting
LUXDERM Specjalistyczny Gabinet Dermatologiczny prof. dr hab. n. med. Dorota Krasowska
Lublin, 20-573
- Recruiting
ALERGO-MED OŚRODEK BADAŃ KLINICZNYCH Sp. z o.o.
Tarnów, 33-100
- Recruiting
ETG Warszawa
Warsaw, Masovian Voivodeship, 02-677
- Recruiting
Klinika Osipowicz & Turkowski Sp. z o.o.
Warsaw, 00-716
- Recruiting
Trialmed CRS - Warszawa
Warsaw, 02-482
- Recruiting
Melita Medical
Wroclaw, 53-611
Germany7 sites, 7 recruiting
- Recruiting
Charite Universitätsmedizin Berlin Campus Benjamin Franklin
Berlin, 12203
- Recruiting
Universitaetsklinikum Carl Gustav Carus an der Technischen Universitaet Dresden
Dresden, 01307
- Recruiting
Universitätsklinikum Leipzig
Leipzig, 04103
- Recruiting
Universitätsklinikum Marburg
Marburg, 35043
- Recruiting
Universitätsklinikum Münster
Münster, North Rhine-Westphalia, 48149
- Recruiting
Hautarztpraxis Dres. Leitz & Kollegen
Stuttgart, Baden-Wurttemberg, 70178
- Recruiting
Helios Universitätsklinikum Wuppertal
Wuppertal, 42283
Spain7 sites, 7 recruiting
- Recruiting
Hospital Universitario Fundacion ALcorcon
Alcorcón, Madrid, 28922
- Recruiting
Parc de Salut Mar - Hospital del Mar
Barcelona, Barcelona [barcelona], 08003
- Recruiting
Hospital Universitario Reina Sofia
Córdoba, Andalusia, 14004
- Recruiting
Clínica Gaias - Santiago
Santiago de Compostela, A Coruña [LA Coruña], 15702
- Recruiting
Hospital Arnau de Vilanova
Valencia, València, 46015
- Recruiting
Hospital Universitari i Politecnic La Fe
Valencia, 46026
- Recruiting
Hospital Universitario Miguel Servet
Zaragoza, 50009
Bulgaria6 sites, 6 recruiting
- Recruiting
Medical Center Pulmo - 2018 EOOD
Haskovo, 6300
- Recruiting
Diagnostic Consultative Center 1 - Pernik
Pernik, 2300
- Recruiting
Diagnostic Consultative Center Aleksandrovska
Sofia, Sofia (stolitsa), 1431
- Recruiting
Diagnostic Consultative Center "Ascendent"
Sofia, 1202
- Recruiting
Medical Center Hera EOOD
Sofia, 1510
- Recruiting
Medical Center Pulmovision
Sofia, 1756
China6 sites, 6 recruiting
- Recruiting
Beijing Friendship Hospital, Capital Medical University
Beijing, Beijing Municipality, 100050
- Recruiting
The Third Affiliated Hospital Of Sun Yat-Sen University
Guangzhou, Guangdong, 510630
- Recruiting
The First People's Hospital of Hangzhou
Hangzhou, Zhejiang, 310000
- Recruiting
Huashan Hospital, Fudan University
Shanghai, Shanghai Municipality, 200040
- Recruiting
The First Hospital of Hebei Medical University
Shijiazhuang, Hebei, 050031
- Recruiting
Tianjin Medical University General Hospital
Tianjin, Tianjin Municipality, 300052
Japan6 sites, 6 recruiting
- Recruiting
University of Miyazaki Hospital
Miyazaki, 889-1692
- Recruiting
Dermatology and Ophthalmology Kume Clinic
Sakai, Osaka, 593-8324
- Recruiting
Tachikawa Dermatology Clinic
Tachikawa, Tokyo, 190-0023
- Recruiting
Hattori Dermatology Clinic
Takasaki, Gunma, 370-0071
- Recruiting
Queen's square Medical Facilities Queen's square Dermatology and Allergology
Yokohama, Kanagawa, 220-6208
- Recruiting
Nomura Dermatology Clinic
Yokohama, Kanagawa, 221-0825
South Korea5 sites, 5 recruiting
- Recruiting
Korea University Ansan Hospital
Ansan-si, Kyǒnggi-do, 15355
- Recruiting
Pusan National University Hospital
Busan, Pusan-kwangyǒkshi, 49241
- Recruiting
Severance Hospital, Yonsei University Health System
Seoul, Seoul-teukbyeolsi [seoul], 03722
- Recruiting
Asan Medical Center
Seoul, Seoul-teukbyeolsi [seoul], 05505
- Recruiting
Chung-Ang University Hospital
Seoul, Seoul-teukbyeolsi [seoul], 06973
Taiwan5 sites, 5 recruiting
- Recruiting
Taipei Medical University - Shuang Ho Hospital, Ministry of Health and Welfare
New Taipei City, 23561 (R.O.C)
- Recruiting
China Medical University Hospital
Taichung, 40447
- Recruiting
National Taiwan University Hospital
Taipei, 100225
- Recruiting
Mackay Memorial Hospital
Taipei, 10449
- Recruiting
Chang Gung Medical Foundation Linkou Chang Gung Memorial Hospital
Taoyuan, 333423
About this study
Official title: A PHASE 2B RANDOMIZED, DOUBLE-BLIND, 12-WEEK PLACEBO-CONTROLLED STUDY WITH A 12-WEEK DOUBLE-BLIND EXTENSION PERIOD TO EVALUATE THE EFFICACY, SAFETY AND TOLERABILITY OF RITLECITINIB (PF-06651600) IN ADULT PARTICIPANTS WITH CHRONIC SPONTANEOUS URTICARIA
The purpose of the study is to learn about the safety and effects of the study medicine (called ritlecitinib) for the treatment of chronic spontaneous urticaria (CSU) that is not effectively treated by antihistamines which are used to stop the body's "allergy alarm system" from overreacting. Chronic spontaneous urticaria is a disease that causes itchy hives and swellings in the deep layers of skin and fatty tissue just underneath the skin that come and go without a clear reason.
This study will look at both the 50 milligrams (mg) once daily (QD) oral dose and 100 milligrams (mg) once daily (QD) oral dose and compare them to placebo (pill with no active medicine).
Read more
This study is seeking participants who:
- Are 18 years of age or older
- Have a diagnosis of chronic spontaneous urticaria for 3 months or more that has not been controlled well with antihistamine treatment.
- Do not have any other skin conditions associated with chronic itching or itching caused mainly by known triggers.
- Are willing to stop all other treatments that they may be taking for chronic spontaneous urticaria other than a second-generation antihistamine (sgAH).
About 150 participants will take part in this study. Participants will be chosen by chance, like drawing names out of a hat, to receive either the 50 mg dose or 100 mg dose or placebo, taken by mouth once daily for 12 weeks( Period A). Thereafter the participants on 50 mg and 100 mg will continue on their doses while the participants receiving placebo will be switched to 100mg for an additional 12 weeks (Period B). The 2 doses of ritlecitinib in this study will be compared to each other and to the placebo. This will help to see if the 50 mg and/or 100 mg dose of ritlecitinib is safe and effective.
Participants will be in this study for about 8 months. During the study, participants will need to visit the study site up to 9 times. Participants will undergo various tests and procedures such as:
- Physical examinations,
- Hearing tests,
- Blood tests,
- X-ray,
- ECG (electrocardiogram),
- Participants will also be asked to complete questionnaires every day about their chronic spontaneous urticaria in an electronic diary.
- Conditions
- Chronic Spontaneous Urticaria
- Being tested
- Ritlecitinib 50 mg, Ritlecitinib 100 mg, Placebo - 50 mg, Placebo - 100 mg
- Keywords
- Hives, CSU, Urticaria, Chronic Hives, Itch
- Medical subject headings
- Chronic Urticaria, Urticaria, Pruritus
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Ritlecitinib 50 mgDrug
Also called PF-06651600, Litfulo
50 mg Capsule
Ritlecitinib 100 mgDrug
Also called PF-06651600, Litfulo
100 mg Capsule
Placebo - 50 mgDrug
Matching Capsule
Placebo - 100 mgDrug
Matching Capsule
| Study group | Role | What they receive |
|---|---|---|
| Arm 1 | Experimental | Randomized to Ritlecitinib 50 mg for 24 weeks Periods A and B). In addition to the active Ritlecitinib 50 mg capsule, a placebo matching the Ritlecitinib 100 mg capsule will be given to maintain blind Receives: Drug: Ritlecitinib 50 mg; Drug: Placebo - 100 mg |
| Arm 2 | Experimental | Randomized to Ritlecitinib 100 mg for 24 weeks (Periods A and B). In addition to the active Ritlecitinib 100 mg capsule, a placebo matching the Ritlecitinib 50 mg capsule will be given to maintain blind Receives: Drug: Ritlecitinib 100 mg; Drug: Placebo - 50 mg |
| Arm 3 | Placebo comparator | Randomized to placebos matching the Ritlecitinib 50 mg and Ritlecitinib 100 mg capsules will be given to maintain blind from Day 1 to Week 12 (Period A). From Week 12 to Week 24 (Period B), will be switched to Ritlecitinib 100 mg. In addition to the active Ritlecitinib 100 mg capsule, a placebo matching the Ritlecitinib 50 mg capsule will be given to maintain blind. Receives: Drug: Ritlecitinib 100 mg; Drug: Placebo - 50 mg; Drug: Placebo - 100 mg |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change from baseline in Urticaria Activity Score 7 (UAS7) at Week 12
Measured: Week 12
Incidence of Treatment Emergent Adverse Events, Serious Adverse Events, and Adverse Events leading to discontinuation
Measured: Week 12
Secondary outcomes (10)
Change from baseline in UAS7 at all timepoints except Week 12
Measured: Week 1 through Week 11
Change from baseline in Itch Severity Score 7 (ISS7) at Week 12
Measured: Week 12
Change from baseline in Hives Severity Score 7 (HSS7) at Week 12
Measured: Week 12
Achieving complete response defined as UAS7=0 at Week 12
Measured: Week 12
Achieving UAS7 ≤6 at Week 12
Measured: Week 12
Achieving complete response defined as ISS7=0 at Week 12
Measured: Week 12
Achieving complete response defined as HSS7=0 at Week 12
Measured: Week 12
Time to achieving UAS7 ≤6
Measured: Week 12
Time to achieving improvement from baseline ≥10 in UAS7
Measured: Week 12
Incidence of TEAEs, SAEs, and AEs leading to discontinuation
Measured: After Week 12 through Week 24
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Oct 2025
- Study start30 Oct 2025
- Primary completion25 Dec 2026 (estimated)
- Study completion23 Apr 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 PfizerThe 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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 200 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Pfizer
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Pfizer CT.gov Call Center, Study director, Pfizer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07219615
- Sponsor's protocol ID
- B7981118
- Other IDs
- 2025-522642-44-00, 2025
- Status last verified
- Oct 2026
- First submitted
- 20 Oct 2025
- Last updated
- 26 Oct 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.
Study at a glance
From the registry record, last updated by the sponsor on 26 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A PHASE 2B RANDOMIZED, DOUBLE-BLIND, 12-WEEK PLACEBO-CONTROLLED STUDY WITH A 12-WEEK DOUBLE-BLIND EXTENSION PERIOD TO EVALUATE THE EFFICACY, SAFETY AND TOLERABILITY OF RITLECITINIB (PF-06651600) IN ADULT PARTICIPANTS WITH CHRONIC SPONTANEOUS URTICARIA
- ClinicalTrials.gov ID
- NCT07219615
- Acronym / sponsor ID
- B7981118
- Conditions
- Chronic Spontaneous Urticaria
- Keywords
- Hives, CSU, Urticaria, Chronic Hives, Itch
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 200 participants (estimated)
- Lead sponsor
- PfizerIndustry (pharma, biotech, devices)
- Study start
- 30 Oct 2025 (actual)
- Primary completion
- 25 Dec 2026 (estimated)
- Study completion
- 23 Apr 2027 (estimated)
- First posted
- 22 Oct 2025 (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 the study is to learn about the safety and effects of the study medicine (called ritlecitinib) for the treatment of chronic spontaneous urticaria (CSU) that is not effectively treated by antihistamines which are used to stop the body's "allergy alarm system" from overreacting. Chronic spontaneous urticaria is a disease that causes itchy hives and swellings in the deep layers of skin and fatty tissue just underneath the skin that come and go without a clear reason.
This study will look at both the 50 milligrams (mg) once daily (QD) oral dose and 100 milligrams (mg) once daily (QD) oral dose and compare them to placebo (pill with no active medicine).
This study is seeking participants who:
- Are 18 years of age or older
- Have a diagnosis of chronic spontaneous urticaria for 3 months or more that has not been controlled well with antihistamine treatment.
- Do not have any other skin conditions associated with chronic itching or itching caused mainly by known triggers.
- Are willing to stop all other treatments that they may be taking for chronic spontaneous urticaria other than a second-generation antihistamine (sgAH).
About 150 participants will take part in this study. Participants will be chosen by chance, like drawing names out of a hat, to receive either the 50 mg dose or 100 mg dose or placebo, taken by mouth once daily for 12 weeks( Period A). Thereafter the participants on 50 mg and 100 mg will continue on their doses while the participants receiving placebo will be switched to 100mg for an additional 12 weeks (Period B). The 2 doses of ritlecitinib in this study will be compared to each other and to the placebo. This will help to see if the 50 mg and/or 100 mg dose of ritlecitinib is safe and effective.
Participants will be in this study for about 8 months. During the study, participants will need to visit the study site up to 9 times. Participants will undergo various tests and procedures such as:
- Physical examinations,
- Hearing tests,
- Blood tests,
- X-ray,
- ECG (electrocardiogram),
- Participants will also be asked to complete questionnaires every day about their chronic spontaneous urticaria in an electronic diary.
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 | Experimental | Drug: Ritlecitinib 50 mg, Drug: Placebo - 100 mgRandomized to Ritlecitinib 50 mg for 24 weeks Periods A and B). In addition to the active Ritlecitinib 50 mg capsule, a placebo matching the Ritlecitinib 100 mg capsule will be given to maintain blind |
| Arm 2 | Experimental | Drug: Ritlecitinib 100 mg, Drug: Placebo - 50 mgRandomized to Ritlecitinib 100 mg for 24 weeks (Periods A and B). In addition to the active Ritlecitinib 100 mg capsule, a placebo matching the Ritlecitinib 50 mg capsule will be given to maintain blind |
| Arm 3 | Placebo comparator | Drug: Ritlecitinib 100 mg, Drug: Placebo - 50 mg, Drug: Placebo - 100 mgRandomized to placebos matching the Ritlecitinib 50 mg and Ritlecitinib 100 mg capsules will be given to maintain blind from Day 1 to Week 12 (Period A). From Week 12 to Week 24 (Period B), will be switched to Ritlecitinib 100 mg. In addition to the active Ritlecitinib 100 mg capsule, a placebo matching the Ritlecitinib 50 mg capsule will be given to maintain blind. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- 18 years of age or older (or the minimum legal adult age as defined per local regulations, whichever is greater) at screening.
- Participants must meet the following Chronic Spontaneous Urticaria (CSU) criteria:
- Participants must have been on a sgAH at locally approved dose or higher for treatment of CSU for at least 7 consecutive days before screening assessment of UAS7 and ISS7 is initiated.
- Urticaria Activity Score 7 (UAS7) ≥16 (range 0-42) and an Itch Severity Score 7 (ISS7) ≥8 (range: 0-21) during the 7 days prior to randomization Day 1 c. Participants must complete at least 5 Urticaria Activity Score (UAS) eDiary entries during the 7 days immediately preceding randomization (Day 1) to confirm eligibility. If this requirement is not met due to documented, limited circumstances such as technical issues or short-term illness, the screening period may be extended only for the number of days necessary to allow completion of 5 UAS entries within any 7-day window. This extension period must not exceed 7 days.
- Anti-Immunoglobulin E-naïve (IgE-naïve) and Anti-Immunoglobulin E-experienced (Anti-IgE-experienced) participants. Anti-IgE-experienced participants are defined as meeting any of the following criteria confirmed by the Site Investigator: (i) Did not adequately respond to the approved dosage of an anti-IgE therapy (eg, omalizumab 300 mg Q4W or an alternate approved anti-IgE therapy) for at least 3 months, as assessed by the Investigator (ii) Could not tolerate an anti-IgE therapy (iii) Stopped an anti-IgE therapy for any reason, eg, loss of access e. Anti-IgE-experienced participants must have stopped anti-IgE therapy for at least 16 weeks, or 5 half-lives, whichever is longer, prior to randomization Day 1
Key exclusion criteria (31 listed)
- Medical conditions pertaining to CSU and other diseases/conditions affecting the skin
- History of severe allergic or anaphylactoid reaction to any kinase inhibitor or a known allergy/hypersensitivity to any component (including excipients) of the study intervention.
- General Infection History:
- Specific Viral Infection History
- Other Medical Conditions
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 |
|---|---|---|
| Ritlecitinib 50 mgAlso: PF-06651600, Litfulo50 mg Capsule | Drug | Arm 1 |
| Ritlecitinib 100 mgAlso: PF-06651600, Litfulo100 mg Capsule | Drug | Arm 2, Arm 3 |
| Placebo - 50 mgMatching Capsule | Drug | Arm 2, Arm 3 |
| Placebo - 100 mgMatching Capsule | Drug | Arm 1, Arm 3 |
Primary outcome
Change from baseline in Urticaria Activity Score 7 (UAS7) at Week 12
Time frame: Week 12
Incidence of Treatment Emergent Adverse Events, Serious Adverse Events, and Adverse Events leading to discontinuation
Time frame: Week 12
10 secondary outcomes
Change from baseline in UAS7 at all timepoints except Week 12
Time frame: Week 1 through Week 11
Change from baseline in Itch Severity Score 7 (ISS7) at Week 12
Time frame: Week 12
Change from baseline in Hives Severity Score 7 (HSS7) at Week 12
Time frame: Week 12
Achieving complete response defined as UAS7=0 at Week 12
Time frame: Week 12
Achieving UAS7 ≤6 at Week 12
Time frame: Week 12
Achieving complete response defined as ISS7=0 at Week 12
Time frame: Week 12
Achieving complete response defined as HSS7=0 at Week 12
Time frame: Week 12
Time to achieving UAS7 ≤6
Time frame: Week 12
Time to achieving improvement from baseline ≥10 in UAS7
Time frame: Week 12
Incidence of TEAEs, SAEs, and AEs leading to discontinuation
Time frame: After Week 12 through Week 24
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 26 Oct 2026.
- To obtain contact information for a study center near you, click here.Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.
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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.
Pfizer CT.gov Call Center study director
Pfizer
77 sites in 10 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Ritlecitinib 50 mg and Ritlecitinib 100 mg in people with Chronic Spontaneous Urticaria, run by Pfizer at 77 sites in 10 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 8 inclusion and 31 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 26 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 77 sites in United States, Canada, Poland, Germany, Spain and 5 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
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 Pfizer CT.gov Call Center (1-800-718-1021, ClinicalTrials.gov_Inquiries@pfizer.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change from baseline in Urticaria Activity Score 7 (UAS7) at Week 12 (time frame: Week 12). The study lists 2 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 26 Oct 2026.