Extending Omalizumab Treatment Intervals in Patients With Chronic Spontaneous Urticaria

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age18+
SponsorSimon Francis Thomsen

About this trial

This study is a multicentre, randomized, open-label, non-inferiority clinical trial.

The purpose and aim of this study is to investigate if patients with well controlled (UCT score score ≥ 12) chronic spontaneous urticaria (CSU) on omalizumab 300 mg every four weeks can extend treatment intervals and maintain disease control.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

A diagnosis of CSU according to the EAACI/GA2LEN/EDF/WAO guidelines.

Age ≥ 18 years.

Omalizumab-naïve prior to initiating treatment with omalizumab.

Background treatment with four antihistamines daily.

Disqualifiers

Pregnant or breastfeeding women.

Planned pregnancy within the next 6 months.

Weight ≥ 100 kilograms.

Presence of any other active skin disease or condition that may interfere with the assessment of CSU, such as atopic dermatitis, bullous pemphigoid, senile pruritus, or psoriasis.

Trial design

Design model

Parallel

Treatments tested in this trial

  • omalizumab 300 mg every four weeks

    Drug

    Continue standard treatment with omalizumab 300 mg every four weeks from week 12 to week 36. Both arms are treated with omalizumab 300 mg from week 0 to week 12.

  • omalizumab 300 mg every six weeks

    Drug

    Treatment in an extended interval of omalizumab 300 mg every six weeks from week 12 to week 36. Both arms are treated with omalizumab 300 mg from week 0 to week 12.

Treatment groups

40 Participants
are divided into 2 treatment groups
Group A: omalizumab 300 mg every six weeksActive comparator 1 intervention
Group B: omalizumab 300 mg every four weeksActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Absolute difference in average Urticaria Control Test (UCT) score at week 36

The Urticaria Control Test (UCT) is a retrospective questionnaire that gathers information regarding the past 4 weeks. It consists of four questions, each with four possible answer options. A score ranging from 0 to 4 is assigned to each answer option. Consequently, the UCT score ranges from 0 to 16, with higher scores indicating lower control of the disease. A UCT score of 12 or higher suggests well-controlled urticaria, while a score of 16 indicates complete control.

Time frame
Through study completion, an average of 36 weeks

Secondary outcomes

1

Absolute difference in average Urticaria Control Test (UCT) score at week 24

The Urticaria Control Test (UCT) is a retrospective questionnaire that gathers information regarding the past 4 weeks. It consists of four questions, each with four possible answer options. A score ranging from 0 to 4 is assigned to each answer option. Consequently, the UCT score ranges from 0 to 16, with higher scores indicating lower control of the disease. A UCT score of 12 or higher suggests well-controlled urticaria, while a score of 16 indicates complete control.

Time frame
Through study completion, an average of 36 weeks
2

Proportion of well-controlled patients (UCT score ≥ 12) at week 24 and 36

The Urticaria Control Test (UCT) is a retrospective questionnaire that gathers information regarding the past 4 weeks. It consists of four questions, each with four possible answer options. A score ranging from 0 to 4 is assigned to each answer option. Consequently, the UCT score ranges from 0 to 16, with higher scores indicating lower control of the disease. A UCT score of 12 or higher suggests well-controlled urticaria, while a score of 16 indicates complete control.

Time frame
Through study completion, an average of 36 weeks
3

Proportion of completely controlled patients (UCT score = 16) at week 24 and 36

The Urticaria Control Test (UCT) is a retrospective questionnaire that gathers information regarding the past 4 weeks. It consists of four questions, each with four possible answer options. A score ranging from 0 to 4 is assigned to each answer option. Consequently, the UCT score ranges from 0 to 16, with higher scores indicating lower control of the disease. A UCT score of 12 or higher suggests well-controlled urticaria, while a score of 16 indicates complete control.

Time frame
Through study completion, an average of 36 weeks
4

Difference in absolute UCT score measured as area under the curve (AUC)

The Urticaria Control Test (UCT) is a retrospective questionnaire that gathers information regarding the past 4 weeks. It consists of four questions, each with four possible answer options. A score ranging from 0 to 4 is assigned to each answer option. Consequently, the UCT score ranges from 0 to 16, with higher scores indicating lower control of the disease. A UCT score of 12 or higher suggests well-controlled urticaria, while a score of 16 indicates complete control.

Time frame
Through study completion, an average of 36 weeks

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Simon Francis Thomsen

Lead sponsor

Bispebjerg Hospital

Sponsor institution

Aarhus University Hospital

Collaborator