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A randomized, placebo-controlled, double blind, parallel design study of Xolair (omalizumab) for the management of treatment-resistant systemic and cutaneous mastocytosis.

Phase 2
Completed
Conditions
Systemic mastocytosis
Mastocytosis in the skin
Blood - Other blood disorders
Skin - Other skin conditions
Registration Number
ACTRN12613001096741
Lead Sponsor
ovartis Pharmaceuticals
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
30
Inclusion Criteria

1. Over 18 years of age;
2. A diagnosis of Indolent Systemic Mastocytosis, OR
Smouldering Systemic Mastocytosis, OR
Aggressive Systemic Mastocytosis, OR
Cutaneous Mastocytosis as per WHO current guidelines, with satisfaction of Valent 2007 criteria for Mastocytosis in the Skin (Valent P, Akin C, Escribano L et. al. Standards and Standardization in Mastocytosis: Consensus Statements on Diagnosis, Treatment Recommendations and Response Criteria. Eur J Clin Invest 2007, 37 (6); 435 – 453.);
3. Breakthrough symptoms of disease despite maximal tolerated conventional therapy.

Exclusion Criteria

1. Pregnancy (a beta-HCG and pregnancy counseling will be performed for all female patients of child-bearing age).
2. Terminal illness
3. Associated haematological clonal non-mast cell lineage disease or mast cell leukaemia
4. Beta blocker use
5. Unable to give consent
6. Known sensitivity to study drug(s) or class of study drug(s)
7. Patients with severe medical condition(s) that in the view of the investigator prohibits participation in the study (specify as required)
8. Use of any other investigational agent in the last 30 days

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Improvement in AFIRMM score (standardised and validated symptom score for mastocytosis)[<br>4 weeks after final dose (week 24)]
Secondary Outcome Measures
NameTimeMethod
Improvement in VAS (symptom score)[<br>4 weeks after last dose (week 24)];Improvement in standardised clinical assessment for mastocytosis(SCORMA) [<br>4 weeks after last dose (week 24)];Improvement in standardised score for clinical skin photography as assessed by a dermatologist[<br>4 weeks after last dose (week 24)];Improvement in laboratory parameters relating to mastocytosis including tryptase, routine haematology and biochemistry, bone turnover markers, basophil activation and serum cytokines[<br>4 weeks after last dose (week 24)]
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