About this trial
This Phase III Trial is Meant to Evaluate the Efficacy, and Safety of JYB1904 Injection in Adult Patients With Chronic Spontaneous Urticaria.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Male or female participant must be ≥18 years old at the time of signing the informed consent.
Participants are diagnosed with CSU for ≥6 months before screening.
Participants suffer from itching and hives for at least 6 consecutive weeks at any time before screening.
UAS7 (range 0~42) ≥16, ISS7 (range 0~21) ≥8 during 7 days before randomization.
Disqualifiers
Participants who suffer from inducible urticaria with definite inducements, including urticaria factitia (dermatographism), cold contact, heat contact, solar, pressure, delayed pressure, aquagenic, cholinergic or contact urticaria, etc.
Participants who suffer from any other skin diseases with chronic itching, such as atopic dermatitis, bullous pemphigoid, dermatitis herpetiformis, senile pruritus or psoriasis, etc.
Participants who suffer from other diseases with symptoms of urticaria or angioedema, including but not limited to urticaria vasculitis, urticaria pigmentosa, erythema multiforme, mastocytosis, hereditary urticaria or acquired/drug-induced urticaria.
Participants who are contraindicated or hypersensitive to antihistamines or any of its component (such as fexofenadine, loratadine, desloratadine, cetirizine, levocetirizine, rupatadine, bilastine).
Trial design
Parallel
Treatments tested in this trial
JYB1904
Drug300 mg JYB1904 injection administered SC every 12 weeks (Q12W) from Day 1 to Week 48.
Placebo+JYB1904
DrugPlacebo administered SC on D1 and W12; 300 mg JYB1904 injection administered SC every 12 weeks (Q12W) from W24 to W48.
Treatment groups
Trial outcomes
Primary outcomes
Urticaria Activity Score Over 7 Consecutive Days(UAS7)
Change from baseline in UAS7 at W12. The UAS7 is a composite score derived from the ISS7 and the HSS7, i.e., the sum of ISS7 and HSS7, ranging from 0 to 42 points. UAS7 = 0 indicates complete resolution of urticaria.
Secondary outcomes
Itch Severity Score Over 7 Consecutive Days(ISS7)
Change from baseline in ISS7 at W12. The ISS7 is the sum of mean daily scores over the 7 days prior to the visit, ranging from 0 to 21 points. ISS7 = 0 indicates complete resolution of itch.
Urticaria Activity Score Over 7 Consecutive Days(UAS7)
Proportion of participants with UAS7=0 at W12
Urticaria Activity Score Over 7 Consecutive Days(UAS7)
Change from baseline in UAS7 at W24
Urticaria Activity Score Over 7 Consecutive Days(UAS7)
Proportion of participants with UAS7=0 at W24
Other outcomes
Pharmacokinetic (PK) profile of JYB1904 injection
Serum concentration of JYB1904
Pharmacodynamic (PD) profile of JYB1904 injection
PD parameters: Changes in serum level of total and free IgE
Immunogenicity of JYB1904 injection
Immunogenicity parameters: Positive detection rate of anti-drug antibodies (ADA)/neutralizing ADA (Nab), ADA onset time, duration, and titer