Impact of Omalizumab on Quality of Life Measures and Angioedema Occurrence in Patients With CSU Refractory to Therapy
X-ACT
A Randomized, Double-blind, Placebo-controlled, 28-week Treatment With a 8 Week Follow-up to Investigate the Impact of Omalizumab on Quality of Life Measures and the Incidence and Severity of Angioedema Despite H1-antihistamine Therapy.
1 other identifier
interventional
91
1 country
25
Brief Summary
This study will assess the impact of omalizumab on the quality of life improvement when added to the standard therapy in refractory patients suffering from chronic spontaneous urticaria and angioedema.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_3
Started Jan 2013
Shorter than P25 for phase_3
25 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 5, 2012
CompletedFirst Posted
Study publicly available on registry
November 7, 2012
CompletedStudy Start
First participant enrolled
January 23, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 9, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
May 9, 2014
CompletedResults Posted
Study results publicly available
September 9, 2020
CompletedSeptember 9, 2020
August 1, 2020
1.3 years
November 5, 2012
May 7, 2015
August 21, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Mean Change From Baseline Using Chronic Urticaria Quality of Life Questionnaire (CU-Q2oL) Total Scores During the Study: Unadjusted Analysis and ANCOVA (LOCF) (FAS)
The CU-Q2oL is a questionnaire that measures the relative burden of chronic urticaria on subjective well-being. It consists of 23 questions in 3 domains (symptoms, general impairment, difficulties and problems due to urticaria). Participants are asked to respond how much they are troubled by each problem on a 5-point Likert scale (1= not at all to 5= very much). An overall score is calculated and normalized to a scale of 1 to 100.
Baseline, 4, 12, 20, 28 and 36 weeks
Secondary Outcomes (15)
Number of Angioedema Burdened Days by Study Phase (Observed Cases With Imputation)
Baseline, week 28; and the follow-up period (weeks 29-36)
Mean Time Interval Between Successive Angioedema Episodes of the First 15 Episodes
Baseline to week 28
Change of Angioedema Activity Score (AAS) Total Week Sum Scores: Unadjusted Analysis and ANCOVA (Observed Cases With Imputation)
Baseline to week 28; and follow-up period (to week 36)
Diameter: Acute Swelling Episodes Within the Screening Period (Week -2 to -1)
week -2 to -1
Diameter: Acute Swelling Episodes at End of Treatment (Weeks 25 to 28)
weeks 25 to 28
- +10 more secondary outcomes
Study Arms (2)
1 Omalizumab
EXPERIMENTALomalizumab once a month via subcutaneous injection.
2 Placebo
PLACEBO COMPARATORplacebo of omalizumab once a month via subcutaneous injection
Interventions
Humanized monoclonal antibody against human IgE
Eligibility Criteria
You may qualify if:
- Diagnosis of chronic spontaneous urticaria (CSU) refractory to H1-antihistamine treatment
- Presence of itch an hives for more than 6 weeks
- UAS7 score of more than 14 (range 0-42)
- Patient has history of insufficient response to 4x of the approved dose of H1-antihistamines
- CSU diagnosis for more than 6 months
- Angioedema at least 4x in the last 6 months
You may not qualify if:
- Patients with non urticaria associated angioedema
- History of hypersensitivity to omalizumab or the rescue medication or to drugs of similar chemical structure
- Evidence of parasitic infection
- Previous treatment with omalizumab within the last 6 months prior to screening
- History of anaphylactic shock
- Woman who are pregnant or breast feeding
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (25)
Novartis Investigative Site
Mannheim, Baden-Wurttemberg, 68305, Germany
Novartis Investigative Site
Regensburg, Bavaria, 93053, Germany
Novartis Investigative Site
Cologne, North Rhine-Westphalia, 50937, Germany
Novartis Investigative Site
Aachen, 52074, Germany
Novartis Investigative Site
Augsburg, 86179, Germany
Novartis Investigative Site
Berlin, 13353, Germany
Novartis Investigative Site
Bochum, 44791, Germany
Novartis Investigative Site
Bonn, 53105, Germany
Novartis Investigative Site
Darmstadt, 64283, Germany
Novartis Investigative Site
Dresden, 01307, Germany
Novartis Investigative Site
Düsseldorf, 40225, Germany
Novartis Investigative Site
Erlangen, 91054, Germany
Novartis Investigative Site
Essen, 45147, Germany
Novartis Investigative Site
Freiburg im Breisgau, 79106, Germany
Novartis Investigative Site
Gera, 07548, Germany
Novartis Investigative Site
Halle, 06120, Germany
Novartis Investigative Site
Hanover, 30625, Germany
Novartis Investigative Site
Homburg, 66421, Germany
Novartis Investigative Site
Kiel, 24105, Germany
Novartis Investigative Site
Mainz, 55131, Germany
Novartis Investigative Site
München, 81377, Germany
Novartis Investigative Site
München, 81675, Germany
Novartis Investigative Site
Oldenburg, 26133, Germany
Novartis Investigative Site
Selters, 56242, Germany
Novartis Investigative Site
Wiesbaden, 65199, Germany
Related Publications (1)
Staubach P, Metz M, Chapman-Rothe N, Sieder C, Brautigam M, Canvin J, Maurer M. Effect of omalizumab on angioedema in H1 -antihistamine-resistant chronic spontaneous urticaria patients: results from X-ACT, a randomized controlled trial. Allergy. 2016 Aug;71(8):1135-44. doi: 10.1111/all.12870. Epub 2016 Mar 31.
PMID: 27010957DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Study Director
- Organization
- Novartis Pharmaceuticals
Study Officials
- STUDY DIRECTOR
Novartis Pharmaceuticals
Novartis Pharmaceuticals
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 5, 2012
First Posted
November 7, 2012
Study Start
January 23, 2013
Primary Completion
May 9, 2014
Study Completion
May 9, 2014
Last Updated
September 9, 2020
Results First Posted
September 9, 2020
Record last verified: 2020-08