NCT04210843

Brief Summary

The purpose of this extension study was to establish efficacy and safety of ligelizumab. This was assessed in adult and adolescent chronic spontaneous urticaria (CSU) patients who had completed a preceding ligelizumab study and have relapsed, following treatment in these preceding studies, despite standard of care H1-antihistamine (H1-AH) treatment. This study also fulfilled the Novartis commitment to provide post-trial access to patients who had completed studies: CQGE031C2302 (NCT03580369), CQGE031C2303 (NCT03580356), CQGE031C2202 (NCT03437278) or CQGE031C1301 (NCT03907878).

Trial Health

68
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Strong global presence with extensive site network
Enrollment
1,033

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Apr 2020

Geographic Reach
42 countries

251 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

December 17, 2019

Completed
9 days until next milestone

First Posted

Study publicly available on registry

December 26, 2019

Completed
3 months until next milestone

Study Start

First participant enrolled

April 8, 2020

Completed
2.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2022

Completed
11 months until next milestone

Results Posted

Study results publicly available

July 13, 2023

Completed
Last Updated

June 20, 2024

Status Verified

June 1, 2024

Enrollment Period

2.4 years

First QC Date

December 17, 2019

Results QC Date

February 15, 2023

Last Update Submit

June 17, 2024

Conditions

Keywords

Anti-IgEchronic spontaneous urticariahives severity scoreitch severity scoreurticaria activity scoreCSU

Outcome Measures

Primary Outcomes (2)

  • Percentage of Subjects From Core Studies (CQGE031C2302 and CQGE031C2303), Receiving the Same Dose Regimen as in the Core Studies, With Well-controlled Disease (UAS7 ≤ 6) at Week 12

    The Urticaria Activity Score (UAS) is a composite, diary-recorded score with numeric severity intensity ratings (0=none to 3=intense/severe) for the number of wheals (hives) and the intensity of the pruritus (itch) over the past 12 hours (twice daily). The daily UAS is calculated as the average of the morning and evening scores. The UAS7 is the weekly sum of the daily UAS, which is the composite score of the intensity of pruritus and the number of wheals. UAS7 scores ranged from 0 to 42. A higher UAS7 indicated greater urticaria disease activity. A minimum of 4 out of 7 daily scores were needed to calculate the UAS7 values. Otherwise, the weekly score was missing for that week. The percentage of subjects transitioning from CQGE031C2302 and CQGE031C2303 and receiving the same dose regimen as in the core studies with UAS7≤ 6 at Week 12 was estimated using multiple imputation method. The 95% confidence interval was derived based on the Wilson score method with continuity correction.

    Week 12 of the extension study

  • Percentage of Subjects From Core Studies (CQGE031C2302 and CQGE031C2303), Receiving the Same Dose Regimen as in Core Studies and Who Achieved UAS7≤ 6 at Week 12 in Core Studies, With Well-controlled Disease (UAS7 ≤ 6) at Week 12 of the Extension Study

    The Urticaria Activity Score (UAS) is a composite, diary-recorded score with numeric severity intensity ratings (0=none to 3=intense/severe) for the number of wheals and the intensity of the pruritus over the past 12 hours (twice daily). The daily UAS is calculated as the average of the morning and evening scores. The UAS7 is the weekly sum of the daily UAS, which is the composite score of the intensity of pruritus and the number of wheals. UAS7 scores ranged from 0 to 42. A higher UAS7 indicated greater urticaria disease activity. A minimum of 4 out of 7 daily scores were needed to calculate the UAS7 values. Otherwise, the UAS7 was missing for that week. Missing data was considered as non-responder. The percentage of subjects transitioning from core studies (CQGE031C2302 and CQGE031C2303) and receiving the same dose regimen as in the core studies who achieved UAS7 ≤ 6 at week 12 in the core studies with UAS7≤ 6 at Week 12 of the extension study was estimated based on observed data.

    Week 12 of the extension study

Secondary Outcomes (7)

  • Percentage of Subjects From Core Studies (CQGE031C2302 and CQGE031C2303), Receiving the Same Dose Regimen as in the Core Studies, With Completely Controlled Disease (UAS7 =0) at Week 12

    Week 12 of the extension study

  • Change From Extension Study Baseline in the UAS7 at Week 12 in All Subjects From Core Studies (CQGE031C2302 and CQGE031C2303) Receiving the Same Dose Regimen as in the Core Studies

    Extension study baseline (Week 0), Week 12 of the extension study

  • Change From Extension Study Baseline in the ISS7 at Week 12 in All Subjects From Core Studies (CQGE031C2302 and CQGE031C2303) Receiving the Same Dose Regimen as in the Core Studies

    Extension study baseline (Week 0), Week 12 of the extension study

  • Change From Extension Study Baseline in the HSS7 at Week 12 in All Subjects From Core Studies (CQGE031C2302 and CQGE031C2303) Receiving the Same Dose Regimen as in the Core Studies

    Extension study baseline (Week 0), Week 12 of the extension study

  • Cumulative Number of Angioedema-free Weeks (AAS7=0) up to Week 12 in All Subjects From Core Studies (CQGE031C2302 and CQGE031C2303) Receiving the Same Dose Regimen as in the Core Studies

    From extension study baseline (Week 0) up to Week 12 of the extension study

  • +2 more secondary outcomes

Study Arms (2)

Ligelizumab 72 mg LIVI -ligelizumab 120 mg PFS

EXPERIMENTAL

Participants received 72 mg of ligelizumab liquid in vial (LIVI) subcutaneously every 4 weeks for the first 12 weeks. Thereafter, participants received 120 mg of ligelizumab pre-filled syringe (PFS) subcutaneously every 4 weeks for up to 92 additional weeks (continuous or interrupted if the participant entered the observation period 2).

Drug: Ligelizumab

Ligelizumab 120 mg LIVI -ligelizumab 120 mg PFS

EXPERIMENTAL

Participants received 120 mg of ligelizumab liquid in vial (LIVI) subcutaneously every 4 weeks for the first 12 weeks. Thereafter, participants received 120 mg of ligelizumab pre-filled syringe (PFS) subcutaneously every 4 weeks for up to 92 additional weeks (continuous or interrupted if the participant entered the observation period 2).

Drug: Ligelizumab

Interventions

For the first 12 weeks of treatment: i) participants transitioning from CQGE031C2302 (NCT03580369) and CQGE031C2303 (NCT03580356) previously treated with ligelizumab 72 mg LIVI s.c. Q4W were treated with the same dose regimen in a double-blind manner; ii) all other participants transitioning from CQGE031C2302 (NCT03580369) and CQGE031C2303 (NCT03580356) were treated with ligelizumab 120 mg LIVI s.c. Q4W in a double-blind manner; iii) participants transitioning from CQGE031C1301 (NCT03907878) and CQGE031C2202 (NCT03437278) were treated with ligelizumab 120 mg LIVI s.c. Q4W in an open-label manner. Thereafter, all participants were switched to ligelizumab 120 mg s.c. PFS Q4W in an open-label manner and they were offered an opportunity to self-administer ligelizumab. The longest possible treatment was 104 weeks, however this treatment might not be continuous and might span over a period of 156 weeks due to the possibility of entering the intervening observation period.

Also known as: QGE031
Ligelizumab 120 mg LIVI -ligelizumab 120 mg PFSLigelizumab 72 mg LIVI -ligelizumab 120 mg PFS

Eligibility Criteria

Age12 Years+
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Written informed consent
  • Subjects who successfully completed all of the treatment period and the follow-up period in any of the following studies: CQGE031C2302 (NCT03580369), CQGE031C2303 (NCT03580356), CQGE031C2202 (NCT03437278) or CQGE031C1301 (NCT03907878)
  • Male and female, adult and adolescent subjects ≥12 years of age
  • Willing and able to complete a daily symptom eDiary for the duration of the study and adhere to the study visit schedule

You may not qualify if:

  • Use of investigational drugs, other than those in use in the preceding studies, at the time of enrollment
  • Use of omalizumab within 16 weeks of Screening
  • History of hypersensitivity to the study drug ligelizumab or its components, or to drugs of similar chemical classes
  • New onset or signs and symptoms of any form of chronic urticarias other than CSU during the preceding studies CQGE031C2302 (NCT03580369), CQGE031C2303 (NCT03580356) or CQGE031C2202 (NCT03437278).
  • Diseases with possible symptoms of urticaria or angioedema
  • Subjects with evidence of helminthic parasitic infection
  • Documented history of anaphylaxis
  • Pregnant or nursing (lactating) women

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (273)

Novartis Investigative Site

Birmingham, Alabama, 35209, United States

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Gilbert, Arizona, 85234, United States

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Litchfield Park, Arizona, 85340, United States

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Scottsdale, Arizona, 85251, United States

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Little Rock, Arkansas, 72205, United States

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Bakersfield, California, 93301, United States

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Los Angeles, California, 90025, United States

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Redwood City, California, 94063, United States

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San Jose, California, 95117, United States

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Colorado Springs, Colorado, 80907, United States

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Denver, Colorado, 80230, United States

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Greenacres City, Florida, 33467, United States

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Sarasota, Florida, 34233, United States

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Tallahassee, Florida, 32308, United States

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Tampa, Florida, 33609, United States

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Boise, Idaho, 83706, United States

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Evansville, Indiana, 47713, United States

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Indianapolis, Indiana, 46256, United States

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Overland Park, Kansas, 66211, United States

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Bangor, Maine, 04401, United States

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Baltimore, Maryland, 21204, United States

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White Marsh, Maryland, 21162, United States

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Ypsilanti, Michigan, 48197, United States

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Minneapolis, Minnesota, 55402, United States

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Rochester, Minnesota, 55905, United States

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St Louis, Missouri, 63141, United States

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Missoula, Montana, 59808, United States

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Cincinnati, Ohio, 45231, United States

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Toledo, Ohio, 43617, United States

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Oklahoma City, Oklahoma, 73120, United States

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Tulsa, Oklahoma, 74136, United States

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Clackamas, Oregon, 97015, United States

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Medford, Oregon, 97504, United States

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Pittsburgh, Pennsylvania, 15241, United States

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North Charleston, South Carolina, 29420, United States

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El Paso, Texas, 79903, United States

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San Antonio, Texas, 78229, United States

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Murray, Utah, 84107, United States

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Bellingham, Washington, 98225, United States

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CABA, Buenos Aires, C1056ABJ, Argentina

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CABA, Buenos Aires, C1181ACH, Argentina

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CABA, Buenos Aires, C1414AIF, Argentina

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Ciudad Autonoma de Bs As, Buenos Aires, C1425BEA, Argentina

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La Plata, Buenos Aires, B1902COS, Argentina

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Mendoza, Mendoza Province, M5500AWD, Argentina

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Buenos Aires, Nueve De Julio, B6500BWQ, Argentina

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Santa Fe, Rosario, S2000DBS, Argentina

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Rosario, Santa Fe Province, S2000BRH, Argentina

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Rosario, Santa Fe Province, S2000JKR, Argentina

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Bahía Blanca, B8000JRB, Argentina

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Buenos Aires, C1125ABE, Argentina

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Buenos Aires, C1425DKG, Argentina

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CABA, 1035, Argentina

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Capital Federal, C1023AAB, Argentina

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Salta, 4400, Argentina

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Adelaide, South Australia, 5000, Australia

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East Melbourne, Victoria, 3002, Australia

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Parkville, Victoria, 3002, Australia

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Vienna, A 1090, Austria

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Jette, Brussels Capital, 1090, Belgium

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Ghent, 9000, Belgium

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Leuven, 3000, Belgium

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Loverval, 6280, Belgium

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Salvador, Estado de Bahia, 40110-060, Brazil

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Rio de Janeiro, Rio de Janeiro, 21941-913, Brazil

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Alphaville Barueri, São Paulo, 06454010, Brazil

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Santo André, São Paulo, 09060 650, Brazil

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São José do Rio Preto, São Paulo, 15090 000, Brazil

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São Paulo, São Paulo, 05403 000, Brazil

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Pleven, 5800, Bulgaria

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Sofia, 1407, Bulgaria

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Sofia, 1431, Bulgaria

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Sofia, 1606, Bulgaria

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Varna, 9000, Bulgaria

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Hamilton, Ontario, L8N 3Z5, Canada

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Kingston, Ontario, K7L 2V7, Canada

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Toronto, Ontario, M3B 3S6, Canada

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Waterloo, Ontario, N2J 1C4, Canada

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Montreal, Quebec, H2V 2K1, Canada

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Montreal, Quebec, H3H 1P3, Canada

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Québec, Quebec, G1V 4W2, Canada

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Vitacura, Santiago Metropolitan, 7640881, Chile

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Osorno, 5311297, Chile

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Santiago, 8420383, Chile

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Medellín, Antioquia, 0050010, Colombia

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Zagreb, 10000, Croatia

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Teplice, CZE, 415 01, Czechia

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Prague, Prague 1, 11000, Czechia

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Olomouc, 779 00, Czechia

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Pilsen, 305 99, Czechia

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Copenhagen NV, 2400, Denmark

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Tallinn, 10138, Estonia

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Clermont-Ferrand, 63003, France

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Nice, 06202, France

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Pierre-Bénite, 69495, France

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Rouen, 76031, France

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Toulouse, 31400, France

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Bad Bentheim, 48455, Germany

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Berlin, 13353, Germany

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Bochum, 44793, Germany

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Dresden, 01307, Germany

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Erlangen, 91054, Germany

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Essen, 45147, Germany

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Frankfurt, 60590, Germany

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Freiburg im Breisgau, 79106, Germany

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Göttingen, 37075, Germany

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Halle, 06097, Germany

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Hamburg, 22391, Germany

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Hanover, 30625, Germany

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Heidelberg, 69120, Germany

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Jena, 07740, Germany

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Langenau, 89129, Germany

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Leipzig, 04103, Germany

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Mainz, 55131, Germany

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Marburg, 35039, Germany

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Memmingen, 87700, Germany

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München, 80377, Germany

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München, 81377, Germany

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Osnabrück, 49074, Germany

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Stade, 21682, Germany

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Stuttgart, 70178, Germany

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Tübingen, 72076, Germany

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Athens, 115 27, Greece

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Athens, 12462, Greece

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Athens, 161 21, Greece

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Guatemala City, 01010, Guatemala

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Guatemala City, 1015, Guatemala

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Kecskemét, Bács-Kiskun county, 6000, Hungary

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Szeged, Csongrád megye, 6720, Hungary

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Debrecen, 4032, Hungary

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Pécs, 7632, Hungary

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Bangalore, Karnataka, 560004, India

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Belagavi, Karnataka, 590010, India

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Mangalore, Karnataka, 575002, India

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Nashik, Maharashtra, 422005, India

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Nashik, Maharashtra, 422101, India

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New Delhi, National Capital Territory of Delhi, 110 060, India

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New Delhi, 110029, India

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Vijayawada, 520002, India

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Haifa, 3339419, Israel

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Jerusalem, 9112001, Israel

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Kfar Saba, 4428164, Israel

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Ramat Gan, 52621, Israel

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Rehovot, 76100, Israel

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Cagliari, CA, 09042, Italy

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Florence, FI, 50122, Italy

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Rozzano, MI, 20089, Italy

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Siena, SI, 53100, Italy

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Nagoya, Aichi-ken, 454-0012, Japan

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Ichikawa, Chiba, 272-0033, Japan

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Chikushino-shi, Fukuoka, 818 0083, Japan

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Hiroshima, Hiroshima, 734-8551, Japan

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Obihiro, Hokkaido, 080 0013, Japan

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Kobe, Hyōgo, 650-0017, Japan

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Nishinomiya, Hyōgo, 663-8186, Japan

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Kawasaki, Kanagawa, 211-0063, Japan

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Yokohama, Kanagawa, 220-6208, Japan

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Yokohama, Kanagawa, 221-0825, Japan

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Yokohama, Kanagawa, 222-0033, Japan

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Kamimashi-gun, Kumamoto, 861-3106, Japan

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Neyagawa, Osaka, 572-0838, Japan

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Sakai, Osaka, 593-8324, Japan

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Izumo, Shimane, 693 8501, Japan

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Itabashi-ku, Tokyo, 173-8610, Japan

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Machida, Tokyo, 194-0013, Japan

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Setagaya-ku, Tokyo, 158-0097, Japan

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Shinagawa Ku, Tokyo, 141 8625, Japan

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Fukuoka, 819 0167, Japan

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Beirut, 166378, Lebanon

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El Achrafiyé, 166830, Lebanon

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Saida, 652, Lebanon

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Kuala Lumpur, Kuala Lumpur, 50586, Malaysia

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Ipoh, Perak, 30450, Malaysia

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George Town, Pulau Pinang, 10990, Malaysia

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Guadalajara, Jalisco, 44130, Mexico

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Villahermosa, Tabasco, 86035, Mexico

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Bergen op Zoom, 4624 VT, Netherlands

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Breda, 4819 EV, Netherlands

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Utrecht, 3584CX, Netherlands

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Muscat, 123, Oman

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Miraflores, Lima region, 15074, Peru

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San Borja, Lima region, 41, Peru

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City of Taguig, National Capital Region, 1634, Philippines

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Pasig, 1605, Philippines

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Ksawerów, POL, 95-054, Poland

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Gdansk, 80-402, Poland

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Gdansk, 80-803, Poland

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Krakow, 31-530, Poland

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Lodz, 90-436, Poland

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Rzeszów, 35 055, Poland

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Warsaw, 02-507, Poland

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Wroclaw, 50 566, Poland

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San Juan, 00927, Puerto Rico

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Bucharest, District 2, 020762, Romania

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Brasov, 500283, Romania

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Cluj-Napoca, 400162, Romania

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Chelyabinsk, 454048, Russia

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Kazan', 420012, Russia

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Moscow, 115478, Russia

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Moscow, 123182, Russia

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Rostov-on-Don, 344022, Russia

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Ryazan, 390046, Russia

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Saint Petersburg, 191015, Russia

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Saint Petersburg, 191123, Russia

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Saint Petersburg, 193231, Russia

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Saint Petersburg, 194223, Russia

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Saint Petersburg, 194354, Russia

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Saint Petersburg, 195112, Russia

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Saratov, 410012, Russia

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Smolensk, 214019, Russia

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Stavropol, 355000, Russia

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Singapore, 119074, Singapore

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Singapore, 169608, Singapore

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Singapore, 308205, Singapore

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Kežmarok, 060 01, Slovakia

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Komárno, 945 01, Slovakia

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Levice, 934 01, Slovakia

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Nové Zámky, 940 34, Slovakia

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Považská Bystrica, 017 26, Slovakia

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Svidník, 08901, Slovakia

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Topoľčany, 95501, Slovakia

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Žilina, 010 01, Slovakia

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Cape Town, Western Province, 7700, South Africa

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Cape Town, 7700, South Africa

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Durban, 3630, South Africa

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Daegu, Dalseo Gu, 42602, South Korea

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Wŏnju, Gangwon-do, 26426, South Korea

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Hwaseong-si, Gyeonggi-do, 18450, South Korea

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Suwon, Gyeonggi-do, 16499, South Korea

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Seoul, Korea, 08308, South Korea

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Seoul, Seocho Gu, 06591, South Korea

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Incheon, 405 760, South Korea

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Seoul, 03080, South Korea

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Seoul, 03722, South Korea

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Seoul, 06973, South Korea

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Seoul, 07061, South Korea

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Seoul, 150-950, South Korea

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Seville, Andalusia, 41009, Spain

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Related Links

MeSH Terms

Conditions

Chronic Urticaria

Interventions

ligelizumab

Condition Hierarchy (Ancestors)

UrticariaSkin Diseases, VascularSkin DiseasesSkin and Connective Tissue DiseasesHypersensitivity, ImmediateHypersensitivityImmune System DiseasesChronic DiseaseDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Results Point of Contact

Title
Study director
Organization
Novartis Pharmaceuticals

Study Officials

  • Novartis Pharmaceuticals

    Novartis Pharmaceuticals

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
NON RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR
Masking Details
Participants transitioning from CQGE031C2302 (NCT03580369) and CQGE031C2303 (NCT03580356) were treated in a double-blind manner for the first 12 weeks of treatment. Thereafter, they were treated in an open-label manner. No blinding was required for participants transitioning from CQGE031C1301 (NCT03907878) and CQGE031C2202 (NCT03437278)
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 17, 2019

First Posted

December 26, 2019

Study Start

April 8, 2020

Primary Completion

September 1, 2022

Study Completion

September 1, 2022

Last Updated

June 20, 2024

Results First Posted

July 13, 2023

Record last verified: 2024-06

Data Sharing

IPD Sharing
Will share

Novartis is committed to sharing access to patient-level data and supporting clinical documents from eligible studies with qualified external researchers. Requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to protect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com

Locations