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Phase 3 N=91 Randomized Double-blind Treatment

Impact of Omalizumab on Quality of Life Measures and Angioedema Occurrence in Patients With CSU Refractory to Therapy

Chronic Spontaneous Urticaria · Angioedema

Enrolled (actual)
91
Serious AEs
6.6%
Results posted
Sep 2020
Primary outcome: Primary: Mean Change From Baseline Using Chronic Urticaria Quality of Life Questionnaire (CU-Q2oL) Total Scores During the Study: Unadjusted Analysis and ANCOVA (LOCF) (FAS) — -25.5; -6.4; -32.1; -12.1 score

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Omalizumab (Biological); Placebo (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Novartis Pharmaceuticals
Primary completion
May 2014

Outcome Measures

OutcomeResultp-value
PRIMARY
Mean Change From Baseline Using Chronic Urticaria Quality of Life Questionnaire (CU-Q2oL) Total Scores During the Study: Unadjusted Analysis and ANCOVA (LOCF) (FAS)
-25.5; -6.4; -32.1; -12.1; -31.4; -16.2
SECONDARY
Number of Angioedema Burdened Days by Study Phase (Observed Cases With Imputation)
5.2; 6.8; 14.6; 49.5; 5.8; 12.8
SECONDARY
Mean Time Interval Between Successive Angioedema Episodes of the First 15 Episodes
20; 7.8; 11.0; 7.2; 26.4; 8.3
SECONDARY
Change of Angioedema Activity Score (AAS) Total Week Sum Scores: Unadjusted Analysis and ANCOVA (Observed Cases With Imputation)
-17.7; -5.0; -19.0; -9.0; -21.3; -16.9
SECONDARY
Diameter: Acute Swelling Episodes Within the Screening Period (Week -2 to -1)
146; 165; 54; 99; 19; 46
SECONDARY
Diameter: Acute Swelling Episodes at End of Treatment (Weeks 25 to 28)
31; 76; 0; 94; 0; 24
SECONDARY
Diameter: Acute Swelling Episodes at End of Follow-up(Weeks 33 to 36)
92; 90; 28; 58; 8; 19
SECONDARY
Shortness of Breath: Acute Swelling Episodes Within the Screening Period (Weeks -2 to -1)
203; 264; 13; 25; 7; 25
SECONDARY
Shortness of Breath: Acute Swelling Episodes at End of Treatment Period (Weeks 25 to 28)
28; 195; 3; 5; 0; 5
SECONDARY
Shortness of Breath: Acute Swelling Episodes at End of Follow-up Period (Weeks 33 to 36)
127; 172; 14; 5; 1; 3
SECONDARY
Change of AE-Q2oL Scores From Baseline to Week 28: Unadjusted Analysis and ANCOVA (Observed Cases)
-26.5; -10.3; -37.4; -20.4; -37.1; -28.8
SECONDARY
Rescue Medication During the Treatment Period
25; 35; 19; 27; 12; 26
SECONDARY
Days of Rescue Medication During the Treatment Period
507; 787; 403; 524; 92; 236
SECONDARY
Days of Rescue Medication During the Follow-up Period
165; 118; 158; 85; 15; 19
SECONDARY
Change of UAS7 Total Scores From Baseline to Week 28: Unadjusted Analysis and ANCOVA (Observed Cases)
-12.6; -3.0; -16.4; -4.4; -15.0; -7.2
SECONDARY
Change of DLQI Scores From Baseline to Week 28: Unadjusted Analysis and ANCOVA (Observed Cases)
-8.3; -2.4; -10.1; -3.9; -9.5; -5.1

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.

Eligibility Criteria

Inclusion Criteria

  • 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

Exclusion Criteria

  • 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
  • Other protocol-defined inclusion/exclusion criteria may apply.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01723072). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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