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A Study of Quilizumab Versus Placebo in Patients With Refractory Chronic Spontaneous Urticaria

Phase 2
Completed
Conditions
Urticaria
Interventions
Drug: Placebo
Registration Number
NCT01987947
Lead Sponsor
Genentech, Inc.
Brief Summary

This multicenter, randomized, double-blind, placebo-controlled, parallel-group study will assess the efficacy and safety of additional quilizumab therapy in adult patients with Chronic Spontaneous Urticaria resistant to antihistamine treatment.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
32
Inclusion Criteria
  • Diagnosis of CSU refractory to H1 antihistamines with/without LTRAs, as defined by the following:
  • The presence of itch and hives for > 6 consecutive weeks at any time prior to enrollment despite use of H1 antihistamines during this time period
  • UAS7 score greater than 16 and itch component of UAS7 greater than 8 during 7 days prior to Day 1. Patients must have been on daily stable doses of H1 antihistamine for at least 3 consecutive days immediately prior to the screening visit and must document current use at screening
  • CSU diagnosed for more than 6 months
  • Patients must have a minimum diary compliance (6 out of 7 consecutive days) prior to Day 1
Exclusion Criteria
  • Treatment with an investigational agent within 30 days of screening, and previous treatment with monoclonal antibody therapies used to treat CSU 9 months prior to screening
  • Chronic urticarias other than CSU, including the following: Acute, solar, cholinergic, heat, cold, aquagenic, delayed pressure or contact.
  • Other diseases and conditions with symptoms of urticaria.
  • Routine doses of the following medications within 30 days prior to screening: systemic or topical corticosteroids (prescription or over the counter), hydroxychloroquine, methotrexate, cyclosporine, or cyclophosphamide
  • IV immunoglobulin G (IVIG), or plasmapheresis within 30 days prior to screening
  • Patients with cancer, history of cancer considered uncured or in complete remission for < 10 years, or currently under work-up for suspected cancer except non-melanoma skin cancer that has been treated or excised and is considered resolved
  • History of anaphylactic shock without clearly identifiable avoidable antigen
  • Presence of clinically significant cardiovascular, neurological, psychiatric, metabolic or other pathological conditions.
  • Medical examination or laboratory findings that suggest the possibility of decompensation of co-existing conditions for the duration of the study.
  • Evidence of current drug or alcohol abuse
  • Nursing women and women of childbearing potential, unless using effective contraception as defined by protocol

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboPlacebo-
QuilizumabQuilizumab-
Primary Outcome Measures
NameTimeMethod
Efficacy: Absolute change from baseline to Week 20 in the weekly itch score.21 weeks
Safety: Incidence of anti-therapeutic antibodies.Approximately 30 weeks
Safety: Incidence & severity of adverse events.Approximately 30 weeks
Secondary Outcome Measures
NameTimeMethod
Efficacy: Absolute change from baseline to Week 20 in the UAS7 aggregate score.21 weeks
Efficacy: Absolute change from baseline to Week 4 in the weekly itch score.5 weeks
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