Chronic Spontaneous UrticariaPhase 3EMBARQ-CSU1NCT06445023
A Phase 3 Study of Barzolvolimab in Participants With Chronic Spontaneous Urticaria
A Phase 3 study testing barzolvolimab in people with Chronic Spontaneous Urticaria, run by Celldex Therapeutics at 235 sites in 21 countries.
Trial summary
The purpose of this study is to establish the efficacy, safety and tolerability of barzolvolimab in adult participants with Chronic Spontaneous Urticaria (CSU) inadequately controlled by non-sedating second generation H1-antihistamines in comparison to placebo. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Chronic Spontaneous Urticaria
- What is being tested?
- barzolvolimab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 963 participants
- Where
- 235 sitesin 21 countries
- Study dates
- 11 Jul 2024to Apr 2027
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Males and females, >/= 18 years of age.
- Chronic spontaneous urticaria (CSU) >/= 6 months prior to Screening (Visit 1).
- CSU despite the use of a stable regimen of second generation non-sedating H1-antihistamine as defined by:
- The presence of hives for >/= 6 weeks at any time prior to Visit 1 despite the use of non-sedating H1-antihistamines.
- Must be on a stable regimen of second generation non-sedating H1-antihistamine for >/= 4 weeks prior to study treatment.
- UAS7 of >/= 16 and ISS7 of >/= 8 during the 7 days prior to study treatment.
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- Normal blood counts and liver function tests.
- Both males and females of child-bearing potential must agree to use highly effective contraceptives during the study and for 150 days after treatment.
- Willing and able to complete a daily symptom electronic diary and comply with study visits.
- Participants with and without prior biologic experience are eligible.
Who cannot join
- Women who are pregnant or nursing.
- Chronic urticaria whose predominant manifestation is due to CIndU.
- Other diseases associated with urticaria.
- Active pruritic skin condition in addition to CSU.
- Medical condition that would cause additional risk or interfere with study procedures.
- Known HIV, hepatitis B or hepatitis C infection.
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- Vaccination of a live vaccine within 30 days prior to Screening (Visit 1) (subjects must agree to avoid live vaccinations during the study). Inactivated vaccines are allowed such as seasonal influenza injection or authorized COVID-19 vaccine.
- History of anaphylaxis.
- Prior treatment with barzolvolimab.
- There are additional criteria that your study doctor will review with you to confirm you are eligible for the study.
Trial locations and contacts
235 sites in 21 countries.
235 sites in 21 countries
United States58 sites
David Fivenson MD Dermatolgy PLLC
Ann Arbor, Michigan, 48103
Johns Hopkins Asthma and Allergy Center
Baltimore, Maryland, 21224
Bexley Dermatology Research
Bexley, Ohio, 43209
Cahaba Dermatology Skin Health Center
Birmingham, Alabama, 35244
Paradigm Clinical Research Boise
Boise, Idaho, 83709
Encore Medical Research Boynton Beach
Boynton Beach, Florida, 33436
Apex Clinical Research
Canton, Ohio, 44718
Bernstein Clinical Research Center, LLC
Cincinnati, Ohio, 45236
Portland Allergy and Asthma
Clackamas, Oregon, 97015
Finger Lakes Medical Research, PLLC
Cortland, New York, 13045
Alina Clinical Trials
Dallas, Texas, 75225
Zenos Clinical Research
Dallas, Texas, 75230
Wright State Physicians
Fairborn, Ohio, 45324
Auni Allergy
Findlay, Ohio, 45840
First OC Dermatology - Fountain Valley
Fountain Valley, California, 92708
Direct Helpers Research Center
Hialeah, Florida, 33012
Dawes Fretzin Clinical Research Group-7910 N Shadeland Ave
Indianapolis, Indiana, 46250
310 Clinical Research
Inglewood, California, 90301
Excel Clinical Research - Las Vegas
Las Vegas, Nevada, 90301
Dermatolgy and Skin Cancer Center
Lee's Summit, Missouri, 64064
Epic Clinical Research
Lewisville, Texas, 75057
Dermatology Research Associates
Los Angeles, California, 90045
Focus Clinical Research - Los Angeles
Los Angeles, California, 91307
DS Research of Kentucky, LLC
Louisville, Kentucky, 40241
GSI Clinical Research
Margate, Florida, 33063
Apex Clinical Research Center
Mayfield Heights, Ohio, 44124
Clinical Trials Management LLC - Southshore Office
Metairie, Louisiana, 70006
International Dermatology Research Inc - Miami
Miami, Florida, 33144
Miami Dade Medical Research Institute, LLC
Miami, Florida, 33176
Montana Medical Research
Missoula, Montana, 59808
University of Utah - MidValley Dermatology - PPDS
Murray, Utah, 84107
Sadick Research Group
New York, New York, 10075
National Allergy and Asthma Research, LLC - CRN - PPDS
North Charleston, South Carolina, 29420
Allergy Partners of N.J., P.C.
Ocean City, New Jersey, 07712
Allergy Asthma and Clinical Research Center
Oklahoma City, Oklahoma, 73120
Allergy and Asthma Specialists PSC
Owensboro, Kentucky, 42301
Cura Clinical Research
Oxnard, California, 93030
Clinical Research Philadelphia, LLC
Philadelphia, Pennsylvania, 18114
VAST Clinical Research - Plano
Plano, Texas, 75033
Oregon Medical Research Center
Portland, Oregon, 97201
Allergy and Asthma Consultants
Redwood City, California, 94063
DermAssociates, LLC
Rockville, Maryland, 20850
MediSearch, LLC
Saint Joseph, Missouri, 64506
STAAMP Research, LLC - CRN
San Antonio, Texas, 78229
Acclaim Clinical Research
San Diego, California, 92120
West Dermatology Research Center
San Diego, California, 92121
Therapeutics Clinical Research
San Diego, California, 92123
Sarasota Clinical Research
Sarasota, Florida, 34239
Endeavor Health
Skokie, Illinois, 60077
Premier Clinical Research
Spokane, Washington, 99202
GCP Global Clinical Professionals, LLC
St. Petersburg, Florida, 33705
Toledo Institute of Clinical Research
Toledo, Ohio, 43617
Orso Health, Inc.
Torrance, California, 90505
Integrated Research of Inland, Inc.
Upland, California, 91786
Allergy and Asthma Care of Waco
Waco, Texas, 76712
Western States Clinical Research Inc
Wheat Ridge, Colorado, 80033
Institute For Asthma and Allergy
Wheaton, Maryland, 20902
Resp Medicine Research Institute of MI
Ypsilanti, Michigan, 48197
Poland26 sites
NZOZ Specjalistyczny Ośrodek Dermatologiczny "DERMAL"
Bialystok, 15-453
Prywatna Praktyka Lekarska Gabinet Pediatryczno-Alergologiczny Anna Ploszczuk
Bialystok
Pratia Bydgoszcz
Bydgoszcz, 85-796
Ambulatorium Sp. zo.o.
Elblag
Centrum Badan Klinicznych PI-House Sp. z o.o
Gdansk, 80-546
"SYNEXUS POLSKA" sp. z o.o. Odział w Katowicach
Katowice, 40-040
Centrum Medyczne Katowice - PRATIA - PPDS
Katowice, 40-081
Polimedica PTG Kielce
Kielce, 25-355
Centrum Nowoczesnych Terapii "Dobry Lekarz" Sp. o.o.
Krakow, 31-011
Santa Familia PTG Łódź
Lodz, 90-302
Oddzial Kliniczny Chorob Wewnetrznych, Astmy i Alergii z Odcinkiem dla Dzieci, Uniwesytecki Szpital Kliniczny nr 1 im. N. Barlickiego w Lodzi
Lodz
Pratia S.A. Centrum Medyczne Pratia Poznań
Poznan, 60-185
Specjalistyczna Przychodnai Lekarska Alergo-Med Sp. z o.o.
Poznan
Synexus Polska Sp. z o.o. - Poznaniu
Poznan
NSZOZ Puls-Med Anna Bogusz, Agnieszka Musielak spolka jawna
Skarżysko-Kamienna, 26-110
Laser Clinic S.C
Szczecin, 70-332
MICS Centrum Medyczne Torun
Torun, 87-100
Klinika Ambroziak Dermatologia
Warsaw, 02-953
Royalderm Agnieszka Nawrocka
Warsaw, 02-962
FutureMeds - Targowek - PPDS
Warsaw
Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji im. Prof. Dr hab. Med. Eleonory Reicher
Warsaw
Ginemedica
Wroclaw, 50-414
Diagnostic Consultative Center Pulmed
Wroclaw, 50-566
Przychodnia FutureMeds Wroclaw
Wroclaw, 53-673
EuroMediCare Szpital Specjalistyczny z Przychodnia we Wroclawiu
Wroclaw, 54-144
Slaski Park Technologii Medycznych Kardio-Med Silesia Sp. z o. o.
Zabrze
Argentina16 sites
Buenos Aires Skin
Buenos Aires, Buenos Aires, C1054
Fundacion Cidea
Buenos Aires, Buenos Aires, C1121ABE
Hospital Italiano De Buenos Aires
Buenos Aires, Buenos Aires F.D., 1199
Centro Médico Vitae
Buenos Aires
Instituto de Alergia e Inmunologia del Sur
Buenos Aires
Conexa Investigacion Clinica
CABA, Buenos Aires F.D., 1012
Aprillus Asistencia e Investigacion
CABA, Buenos Aires F.D., 1406
CARE- Centro de Alergia y Enfermedades Respiratorias
CABA, Buenos Aires F.D., C14141AIF
CEMLO:Centro de Especialidades Medicas Lobos
Lobos, Buenos Aires, 7240
Centro Respiratorio Infantil
Rosario, Sante Fe, 2000
Instituto de Especialidades de Salud Rosario
Rosario, Sante Fe, 2000
Servicio de Investigacion de Patologias Alergicas
Rosario, Sante Fe, 2000
Instituto Medico de la Fundacion Estudios Clinicos
Rosario, Sante Fe, S2000DEJ
C.I.C.E 9 de Julio - Sanatorio 9 de Julio S.A.
San Miguel de Tucumán, Tucumán Province, 4000
Clinica Mayo
San Miguel de Tucumán, Tucumán Province, 4000
Centro de Investigaciones Medicas Tucuman
San Miguel de Tucumán, Tucumán Province, T4000AXL
South Africa13 sites
Worthwhile Clinical Trials
Benoni, Gauteng, 1501
Iatros International
Bloemfontein, Free State, 9301
Synapta Clinical Research
Durban, KwaZulu-Natal, 4001
Infinity Dermatology Inc
Durban
Ubuntu Clinical Research
Krugersdorp, Gauteng, 1739
University of Cape Town Lung Institute
Mowbray, Western Cape, 7700
Newtown Clinical Research Centre
Newtown, Gauteng, 2001
Meditrial
Pietermaritzburg
About Allergy
Pretoria, Gauteng, 0181
Global Clinical Trials
Pretoria, 0157
Sandton Medical Research Centre
Sandton
FCRN Clinical Trial Centre
Vereeniging, Gauteng, 1935
Allergy and Asthma Centre
Westville
Brazil11 sites
AlergoAlpha Allergia e Immunologia
Barueri
Instituto de Pesquisas Clínicas LTDA Brasilia
Brasília
Fundação Universidade de Caxias do Sul - Instituto de Pesquisas em Saúde
Caxias do Sul
Centro Paraibano de Pesquisas e Estudos Clínicos
João Pessoa
Hospital Sao Lucas Da Pontificia Universidade Catolica Do Rio Grande Do Sul (PUCRS)
Porto Alegre
Hospital Universitário Clementino Fraga Filho (UFRJ)
Rio de Janeiro
Clinica IBIS
Salvador
Centro de Estudos de Pneumologia da Faculdade de Medecina do ABC
Santo André
Centro de Pesquisa SVRI Hospital e Maternidade Christóvão da Gama
Santo André
Clínica de Alergia Martti Antila
São Paulo
Vidamed Care Clínica E Residência
Vitória
Bulgaria10 sites
"Medical center MedTech Services" OOD
Haskovo, 6304
Diagnostic Consultative Center Pulmed
Plovdiv
Aipsimpa D-R Talyat Sali Cholak Eood
Razgrad, 7200
Medical Center Iskar EOOD
Sofia, 1000
MC Excelsior OOD
Sofia, 1407
DCC Fokus - 5 OOD LZIBP
Sofia, 1463
Medical Center Hera EOOD
Sofia, 1510
UMHATEM " N.I.Pirogov"
Sofia, 1606
Medical Center Pulmovision
Sofia, 1756
MBAL Sv. Panteleymon AD
Yambol, 8600
Germany10 sites
Fraunhofer-Institut für Translationale Medizin und Pharmakologie ITMP - Berlin
Berlin
Studienzentrum an der Hase Weyergraf / Frick / Heiber GbR
Bramsche, 49565
Rosenpark Research GmbH
Darmstadt, Hesse, 64283
ProDerma
Dülmen, North Rhine-Westphalia, 48249
UKSH Kiel
Kiel, Schleswig-Holstein, 24105
Medizinisches Versorgungszentrum DermaKiel GmbH
Kiel, Schleswig-Holstein, 24148
Praxis Dr. Beate Schwarz
Langenau, Baden-Wurttemberg, 89129
Siteworks Prüfzentrum Lohne - PPDS
Löhne, Lower Saxony, 49393
Dermatologie Quist
Mainz, 55128
LMU Klinikum der Universität München
München
Spain10 sites
Hospital General Universitario Dr. Balmis
Alicante, 03010
Hospital Universitari Vall d'Hebron
Barcelona, 08035
Hospital de la Santa Creu i Sant Pau
Barcelona
Hospital Universitari de Bellvitge
Barcelona
C.H. Regional Reina Sofia
Córdoba, 14004
Future Meds Madrid
Madrid, 28002
Hospital Clínico San Carlos
Madrid, 28040
Corporació Sanitaria Parc Taulí
Sabadell, Barcelona, 8208
Complejo Asistencial Universitario De Salamanca
Salamanca, 37007
Hospital Universitario de la Plana
Villarreal de Huerva, 12540
Portugal9 sites
ULS da Região de Aveiro, EPE - Hospital Infante D. Pedro
Aveiro
Centro Clínico Académico, Braga - Hospital de Braga
Braga, 4710-243
ULS de Coimbra, EPE - Hospitais da Universidade de Coimbra
Coimbra, 3004-561
Hospital Lusiadas Lisboa
Lisbon, 1500-458
Unidade Local de Saúde de Santa Maria
Lisbon
ULS de Matosinhos, EPE - Hospital Pedro Hispano
Matosinhos Municipality
ULS de Santo António, EPE - Hospital de Santo António
Porto, 4050-342
ULS da Arrábida, EPE - Hospital de São Bernardo
Setúbal, 2910-548
Unidade Local de Saúde de Gaia/Espinho - Unidade I
Vila Nova de Gaia
Taiwan9 sites
National Taiwan University Hospital Hsin-Chu Branch
Hsinchu, 300
Chang Gung Medical Foundation Kaohsiung Chang Gung Memorial Hospital
Kaohsiung City
Kaohsiung Veterans General Hospital
Kaohsiung City
China Medical University Hospital -PPDS
Taichung, 40447
Taichung Veterans General Hospital
Taichung
National Taiwan University Hospital
Taipei, 10002
Taipei Veterans General Hospital
Taipei, 11217
MacKay Memorial Hospital -Taipei branch
Taipei
Chang Gung Memorial Hospital, Linkou
Taoyuan
Belgium8 sites
UZ Brussel
Brussels, 1090
Saint Luc
Brussels, 1200
CHU de Liège
Brussels
Hôpital Erasme - Erasme Medical Center - PPDS
Brussels
UZ Antwerp
Edegem, Antwerpen, 2650
UZ Gent
Ghent, 9000
UZ Leuven
Leuven, Vlaams Brabant, 3000
Dermatologie Maldegem
Maldegem, 9990
Canada8 sites
Rejuvenation Dermatology and Aesthetics
Calgary
Alberta DermaSurgery Centre - Probity - PPDS
Edmonton, Alberta
Triple A Lab
Hamilton, Ontario, L8S1G5
Lynderm Research Inc
Markham, Ontario, L3P 1X3
Centre for Dermatology and Cosmetic Surgery
Richmond Hill, Ontario, L4B 1A5
Skincare Research
St. John's, Newfoundland and Labrador
Canadian Dermatology Centre - Probity - PPDS
Toronto, Ontario, M3B 0A7
Evidence Based Medical Educator Inc.
Toronto, Ontario, M5G1E2
France7 sites
CHU de Grenoble Alpes - Hôpital Michallon
La Tronche
Cabinet du Dr Ruer-Mulard Mireille
Martigues
CHRU Nantes Hôtel Dieu
Nantes, 44093
CHU de Nice-Hôpital L'Archet
Nice, 06202
Hôpital La Pitié Salpêtrière
Paris, 75013
Hospices Civils de Lyon - Hôpital Lyon Sud
Pierre-Bénite, Rhone, 69310
CHRU Rouen - Hôpital Charles-Nicolle
Rouen
South Korea7 sites
Korea University Ansan Hospital
Ansan, 15355
Hanyang University Seoul Hospital
Seongdong, Seoul Teugbyesolsi, 40763
CHA Bundang Medical Center, CHA University
Seongnam-si, 13496
Seoul National University Bundang Hospital
Seongnam-si
Seoul National University Hospital
Seoul, 03080
Asan Medical Center
Seoul, 05505
Ajou University Hospital
Suwon, 16499
Turkey (Türkiye)7 sites
Ankara Universitesi Tip Fakultesi Hastaneleri - Cebeci Hastanesi
Ankara
Gazi Universitesi Saglik Arastirma ve Uygulama Merkezi
Ankara
Bezmialem Vakif Universitesi Tip Fakultesi Hastanesi
Fatih
Kocaeli Universitesi Tip Fakultesi Hastanesi
Kocaeli
Erciyes University School of Medicine
Melikgazi
Ondokuz Mayis University Hospital
Samsun
Karadeniz Teknik Universitesi Tip Fakultesi Hastanesi
Trabzon
Italy6 sites
Azienda Ospedaliero Universitaria delle Marche
Ancona, 60128
ASST Carlo Poma
Mantua, 46100
Istituti Clinici Scientifici Maugeri IRCCS
Milan, 20138
Azienda Ospedaliera Universitaria Federico II
Naples
Azienda Ospedaliera Ordine Mauriziano di Torino
Torino, 20128
Centro Ricerche Cliniche Verona s.r.l./Ospedale G.B. Rossi Borgo Roma
Verona, 37134
Malaysia5 sites
Hospital Pulau Pinang
George Town
Hospital Raja Permaisuri Bainun
Ipoh
Hospital Sultan Ismail
Johor Bahru
Hospital Kuala Lumpur
Kuala Lumpur
Hospital Umum Sarawak
Kuching
Czechia4 sites
Fakultní nemocnice Královské Vinohrady, Dermatovenerologická klinika
Prague, 10034
Sanatorium profesora Arenbergera
Prague, 110 00
Kožní ambulance Fialová, s.r.o.
Prague, 160 00
Fakultní nemocnice Bulovka, Dermatovenerologická klinika
Prague, 18081
Greece4 sites
Naval Hospital of Athens
Athens, 11521
Andreas Syggros Hospital
Athens, 16121
Attikon General University Hospital
Attiki, 12462
General Hospital of Thessaloniki 'Papageorgiou'
Thessaloniki, 56403
Peru4 sites
Clinica Internacional - Sede Lima
Lima
Clinica Ricardo Palma
Lima
Clinica San Felipe
Lima
Medic Ser S.A.C. Auna Clinica Delgado
Lima
Denmark3 sites
Aarhus Universitetshospital
Aarhus N, 8200
Bispebjerg Hospital
Copenhagen NV, 2400
Gentofte Hospital
Hellerup, 2900
About this study
Official title: A Phase 3 Randomized, Double-Blind, Placebo-Controlled Study to Assess the Efficacy and Safety of Barzolvolimab in Patients With Chronic Spontaneous Urticaria Who Remain Symptomatic Despite H1 Antihistamine Treatment (EMBARQ-CSU1)
The purpose of this study is to establish the efficacy, safety and tolerability of barzolvolimab in adult participants with Chronic Spontaneous Urticaria (CSU) inadequately controlled by non-sedating second generation H1-antihistamines in comparison to placebo.
Read the detailed description
This is a global, multicenter, randomized, double-blind, parallel group, placebo-controlled phase 3 study investigating the efficacy, safety and tolerability of barzolvolimab in adult participants with Chronic Spontaneous Urticaria (CSU) who are symptomatic despite treatment with non-sedating second generation H1-antihistamines at 1-4 times the locally approved dose.
There is a screening period of up to 4 weeks, followed by a 24-week placebo-controlled treatment period, a 28-week active treatment period where all participants receive barzolvolimab followed by a 16-week treatment free period.
Approximately 915 adult participants (610 in the active arms and 305 in the placebo arm) will be randomly assigned to the treatment arms.
- Conditions
- Chronic Spontaneous Urticaria
- Being tested
- barzolvolimab, Matching placebo
- Keywords
- CDX-0159, barzolvolimab, chronic spontaneous urticaria, CSU, urticaria activity score, itch severity score, hives severity score
- Medical subject headings
- Chronic Urticaria
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
barzolvolimabBiological
Subcutaneous Administration
Matching placeboBiological
Matching placebo Subcutaneous Administration
| Study group | Role | What they receive |
|---|---|---|
| barzolvolimab 150 mg | Experimental | barzolvolimab given once as a 300 mg subcutaneous injection followed by 150 mg administered every 4 weeks for 52 weeks Receives: Biological: barzolvolimab |
| barzolvolimab 300 mg | Experimental | barzolvolimab given once as a 450 mg subcutaneous injection followed by 300 mg administered every 8 weeks for 52 weeks Receives: Biological: barzolvolimab |
| Placebo then barzolvolimab 150 mg | Experimental | Placebo injection subcutaneous every 4 weeks for 24 weeks and then barzolvolimab 300 mg followed by 150 mg administered every 4 weeks for 28 weeks. Receives: Biological: barzolvolimab; Biological: Matching placebo |
| Placebo then barzolvolimab 300 mg | Experimental | Placebo injection subcutaneous every 4 weeks for 24 weeks and then barzolvolimab 450 mg followed by 300 mg administered every 8 weeks for 28 weeks. Receives: Biological: barzolvolimab; Biological: Matching placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Mean change from baseline to Week 12 of UAS7 (Urticaria Activity Score)
Evaluate efficacy of barzolvolimab on urticaria activity as measured by urticaria activity score (UAS).
The UAS7 is a simple scoring system to evaluate urticaria signs and symptoms. It is based on scoring wheals (hive severity score) and itch (itch severity score) separately on a scale of 0 (no signs/symptoms) to 3 (intense signs/symptoms) over 7 days. The final score is calculated by adding together the daily scores, which can range from 0 to 6, for 7 days. This results in a maximum total score of 42, and a minimum possible score of 0.
Measured: From Day 1 (first dose) to Day 85 (Week 12)
Secondary outcomes (8)
Mean change from baseline to Week 12 of ISS7 (Itch Severity Score)
The ISS7 and HSS7 combined together make up the UAS7 scoring system to evaluate urticaria signs and symptoms. The ISS7 is the itch severity score for 7 days, the scores range from 0 to 21.
Measured: From Day 1 (first dose) to Day 85 (Week 12)
Mean change from baseline to Week 12 of HSS7 (Hives Severity Score)
The ISS7 and HSS7 combined together make up the UAS7 scoring system to evaluate urticaria signs and symptoms. The HSS7 score is the wheal/hives severity score for 7 days, the scores range from 0 to 21.
Measured: From Day 1 (first dose) to Day 85 (Week 12)
Percentage of participants with UAS7 = 0 at Week 12
Proportion of participants who achieve complete absence of hives and itch (UAS7 = 0) at Week 12.
Measured: From Day 1 (first dose) to Day 85 (Week 12)
Percentage of participants with UAS7 ≤ 6 at Week 12
Proportion of participants who achieve control of their urticaria signs and symptoms (UAS7≤6) at Week 12.
Measured: From Day 1 (first dose) to Day 85 (Week 12)
Percentage of participants with AAS7 > 0 at baseline with AAS7 = 0 at Week 12
Proportion of participants with AAS7 > 0 at Day 1 who achieved complete control (AAS7 = 0) at Week 12
Angioedema Activity Score over 7 days [AAS7] describes the effect of angioedema on five categories with 0 being none and 3 being most severe. The final score is calculated by adding together daily scores which can range from 0-15 for 7 days. The resulting maximum score is then 105.
Measured: From Day 1 (first dose) to Day 85 (Week 12)
Mean change from baseline in UAS7 in participants refractory to omalizumab treatment at Week 12
Evaluate efficacy of barzolvolimab on urticaria activity as measured by urticaria activity score (UAS) in participants who did not respond to or did not tolerate omalizumab.
The UAS7 is a simple scoring system to evaluate urticaria signs and symptoms. It is based on scoring wheals (hive severity score) and itch (itch severity score) separately on a scale of 0 (no signs/symptoms) to 3 (intense signs/symptoms) over 7 days. The final score is calculated by adding together the daily scores, which can range from 0 to 6, for 7 days. This results in a maximum total score of 42, and a minimum possible score of 0.
Measured: From Day 1 (first dose) to Day 85 (Week 12)
Proportion of participants with UAS7 = 0 in participants refractory to omalizumab treatment at Week 12
Proportion of participants who achieve complete absence of hives and itch (UAS7 = 0) at Week 12 in participants who did not respond to or did not tolerate omalizumab.
Measured: From Day 1 (first dose) to Day 85 (Week 12)
Incidence of Treatment-Emergent Adverse Events
Occurrence of treatment emergent adverse events and serious adverse events during the study.
Measured: From Day 1 (first dose) to Day 477 (Week 68)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Jun 2024
- Study start11 Jul 2024
- Primary completionOct 2026 (estimated)
- Study completionApr 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Chronic Spontaneous UrticariaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 963 participants (actual)
Sponsor and investigators
- Lead sponsor
- Celldex Therapeutics
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06445023
- Sponsor's protocol ID
- CDX0159-12
- Other IDs
- 2024-513208-32-00
- Acronym
- EMBARQ-CSU1
- Status last verified
- Mar 2026
- First submitted
- 31 May 2024
- Last updated
- 25 Mar 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 25 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3 Randomized, Double-Blind, Placebo-Controlled Study to Assess the Efficacy and Safety of Barzolvolimab in Patients With Chronic Spontaneous Urticaria Who Remain Symptomatic Despite H1 Antihistamine Treatment (EMBARQ-CSU1)
- ClinicalTrials.gov ID
- NCT06445023
- Acronym / sponsor ID
- EMBARQ-CSU1 / CDX0159-12
- Conditions
- Chronic Spontaneous Urticaria
- Keywords
- CDX-0159, barzolvolimab, chronic spontaneous urticaria, CSU, urticaria activity score, itch severity score, hives severity score
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 963 participants (actual)
- Lead sponsor
- Celldex TherapeuticsIndustry (pharma, biotech, devices)
- Study start
- 11 Jul 2024 (actual)
- Primary completion
- Oct 2026 (estimated)
- Study completion
- Apr 2027 (estimated)
- First posted
- 6 Jun 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to establish the efficacy, safety and tolerability of barzolvolimab in adult participants with Chronic Spontaneous Urticaria (CSU) inadequately controlled by non-sedating second generation H1-antihistamines in comparison to placebo.
Detailed description
This is a global, multicenter, randomized, double-blind, parallel group, placebo-controlled phase 3 study investigating the efficacy, safety and tolerability of barzolvolimab in adult participants with Chronic Spontaneous Urticaria (CSU) who are symptomatic despite treatment with non-sedating second generation H1-antihistamines at 1-4 times the locally approved dose.
There is a screening period of up to 4 weeks, followed by a 24-week placebo-controlled treatment period, a 28-week active treatment period where all participants receive barzolvolimab followed by a 16-week treatment free period.
Approximately 915 adult participants (610 in the active arms and 305 in the placebo arm) will be randomly assigned to the treatment arms.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| barzolvolimab 150 mg | Experimental | Biological: barzolvolimabbarzolvolimab given once as a 300 mg subcutaneous injection followed by 150 mg administered every 4 weeks for 52 weeks |
| barzolvolimab 300 mg | Experimental | Biological: barzolvolimabbarzolvolimab given once as a 450 mg subcutaneous injection followed by 300 mg administered every 8 weeks for 52 weeks |
| Placebo then barzolvolimab 150 mg | Experimental | Biological: barzolvolimab, Biological: Matching placeboPlacebo injection subcutaneous every 4 weeks for 24 weeks and then barzolvolimab 300 mg followed by 150 mg administered every 4 weeks for 28 weeks. |
| Placebo then barzolvolimab 300 mg | Experimental | Biological: barzolvolimab, Biological: Matching placeboPlacebo injection subcutaneous every 4 weeks for 24 weeks and then barzolvolimab 450 mg followed by 300 mg administered every 8 weeks for 28 weeks. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Males and females, >/= 18 years of age.
- Chronic spontaneous urticaria (CSU) >/= 6 months prior to Screening (Visit 1).
- CSU despite the use of a stable regimen of second generation non-sedating H1-antihistamine as defined by:
- Normal blood counts and liver function tests.
- Both males and females of child-bearing potential must agree to use highly effective contraceptives during the study and for 150 days after treatment.
Key exclusion criteria (10 listed)
- Women who are pregnant or nursing.
- Chronic urticaria whose predominant manifestation is due to CIndU.
- Other diseases associated with urticaria.
- Active pruritic skin condition in addition to CSU.
- Medical condition that would cause additional risk or interfere with study procedures.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| barzolvolimabSubcutaneous Administration | Biological | Placebo then barzolvolimab 150 mg, Placebo then barzolvolimab 300 mg, barzolvolimab 150 mg, barzolvolimab 300 mg |
| Matching placeboMatching placebo Subcutaneous Administration | Biological | Placebo then barzolvolimab 150 mg, Placebo then barzolvolimab 300 mg |
Primary outcome
Mean change from baseline to Week 12 of UAS7 (Urticaria Activity Score)
Time frame: From Day 1 (first dose) to Day 85 (Week 12)
Evaluate efficacy of barzolvolimab on urticaria activity as measured by urticaria activity score (UAS). The UAS7 is a simple scoring system to evaluate urticaria signs and symptoms. It is based on scoring wheals (hive severity score) and itch (itch severity score) separately on a scale of 0 (no signs/symptoms) to 3 (intense signs/symptoms) over 7 days. The final score is calculated by adding together the daily scores, which can range from 0 to 6, for 7 days. This results in a maximum total score of 42, and a minimum possible score of 0.
8 secondary outcomes
Mean change from baseline to Week 12 of ISS7 (Itch Severity Score)
Time frame: From Day 1 (first dose) to Day 85 (Week 12)
Mean change from baseline to Week 12 of HSS7 (Hives Severity Score)
Time frame: From Day 1 (first dose) to Day 85 (Week 12)
Percentage of participants with UAS7 = 0 at Week 12
Time frame: From Day 1 (first dose) to Day 85 (Week 12)
Percentage of participants with UAS7 ≤ 6 at Week 12
Time frame: From Day 1 (first dose) to Day 85 (Week 12)
Percentage of participants with AAS7 > 0 at baseline with AAS7 = 0 at Week 12
Time frame: From Day 1 (first dose) to Day 85 (Week 12)
Mean change from baseline in UAS7 in participants refractory to omalizumab treatment at Week 12
Time frame: From Day 1 (first dose) to Day 85 (Week 12)
Proportion of participants with UAS7 = 0 in participants refractory to omalizumab treatment at Week 12
Time frame: From Day 1 (first dose) to Day 85 (Week 12)
Incidence of Treatment-Emergent Adverse Events
Time frame: From Day 1 (first dose) to Day 477 (Week 68)
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Mar 2026.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
235 sites in 21 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing barzolvolimab in people with Chronic Spontaneous Urticaria, run by Celldex Therapeutics at 235 sites in 21 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 10 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 25 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 235 sites in United States, Poland, Argentina, South Africa, Brazil and 16 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Mean change from baseline to Week 12 of UAS7 (Urticaria Activity Score) (time frame: From Day 1 (first dose) to Day 85 (Week 12)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Mar 2026.