Remibrutinib in Real-world Clinical Practice - a Germany Sub-study (REASSERT)

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorNovartis Pharmaceuticals

About this trial

Prospective, non-interventional study in patients with CSU where the treatment decision prior enrolment has been made to escalate/switch current treatment to remibrutinib. The primary aim of this study is to gather real-world effectiveness and safety data for remibrutinib, a new treatment option, covering a broader, real-world clinical practice population.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients with a confirmed diagnosis of primary CSU by the treating physician.

Aged at least 18 years on the date of enrollment.

Written informed consent of the patient to participate in the study and willingness to complete full follow-up period of 24 months.

Cohort 2: Inadequate control of CSU despite licensed dose or escalated sgH1-AH(s) (no other pre-treatment with exception of first generation H1-AH permitted) with decision (independent of study enrollment) to switch to remibrutinib treatment as per local label.

Disqualifiers

Simultaneous participation in any investigational trial or simultaneous participation in another Novartis-sponsored non-interventional study with remibrutinib.

Patients within the safety follow-up phase of a previous interventional or non-interventional study.

Patients who received remibrutinib at any time in the past.

Patients not capable or willing to continuously provide ePRO/eDiary data via electronic means throughout the duration of the study.

Trial population

Patients with CSU where the treatment decision prior enrolment has been made to escalate/switch current treatment to remibrutinib

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

470 Participants
are grouped into 2 trial groups
Group A: Cohort 2
Group B: Cohort 3

Trial outcomes

Primary outcomes

1

Achievement of well-controlled disease (UCT7 ≥ 12)

Achievement of well-controlled disease (UCT7 ≥ 12). Urticaria Activity Score over 7 days UAS7 is based on 2 daily questions scored 0-3 per day, ranging from 0 (complete control) to 42 (poor control)

Time frame
12 weeks after initiating remibrutinib treatment

Secondary outcomes

1

Number and proportion of participants with well-controlled disease and complete disease

Proportion of patients with UCT score ≥12 and UAS7 score ≤6 (well controlled disease) and UCT=16 and UAS7=0 (complete control). Urticaria Control Test (UCT) consists of 4 questions scored 0 (very much) to 4 (not at all), with a total score range of 0 to 16. High scores indicates better disease control. Urticaria Activity Score over 7 days (UAS7) is based on 2 daily questions, with daily score of 0 to 6 and weekly score of 0 to 42. Lower scores suggests urticaria free and well controlled urticaria.

Time frame
Up to 24 months
2

Change from baseline (CFB) in UCT score

Change in UCT score over time. Urticaria Control Test (UCT) consists of 4 questions scored 0 (very much) to 4 (not at all), with a total score range of 0 to 16. Highest scores indicates better disease control. The study is not powered to detect any specific difference and the purpose is to estimate any observed difference descriptively.

Time frame
Up to 24 months
3

Change from Baseline in UAS7 score ≥ minimal important difference

Urticaria Activity Score over 7 days (UAS7) is based on 2 daily questions, with daily score of 0 to 6 and weekly score of 0 to 42. Lower scores suggests urticaria free and well controlled urticaria. The study is not powered to detect any specific difference and the purpose is to estimate any observed difference descriptively.

Time frame
Up to 24 months
4

Change from baseline in UAS7 score

Urticaria Activity Score over 7 days (UAS7) is based on 2 daily questions, with daily score of 0 to 6 and weekly score of 0 to 42. Lower scores suggests urticaria free and well controlled urticaria. The study is not powered to detect any specific difference and the purpose is to estimate any observed difference descriptively.

Time frame
Up to 24 months

Other outcomes

Sponsors and contacts

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