Chronic Spontaneous UrticariaPhase 3NCT07256392
Long-term Efficacy and Safety Extension (LTE) 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 201 sites in 30 countries.
Trial summary
The purpose of this extension study is to collect long-term efficacy and safety data on barzolvolimab in adult participants with Chronic Spontaneous Urticaria (CSU) who completed the treatment and follow-up periods of the Phase 3 clinical trials. 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?
- No, everyone receives an active treatment
- How many people
- 1,370 participants
- Where
- 201 sitesin 30 countries
- Study dates
- 25 Nov 2025to Sep 2028
- 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
- Written informed consent
- Must have successfully completed the preceding phase 3 clinical trials (CDX0159-12 or CDX0159-13).
- Both males and females of child-bearing potential must agree to use highly effective contraceptives when receiving barzolvolimab treatment and for 150 days after treatment.
- Willing and able to comply with all study requirements and procedures, including completion of a daily symptom electronic diary.
Who cannot join
- Active pruritic skin condition in addition to CSU.
- Medical condition that would cause additional risk or interfere with study procedures.
- Participants without at least one documented UAS7 score from Weeks 64-68 of the CDX0159-12 or CDX0159-13 trials.
- There are additional criteria that your study doctor will review with you to confirm you are eligible for the study.
Trial locations and contacts
201 sites in 30 countries. Contact the study team or a site near you to ask about taking part.
201 sites in 30 countries
United States45 sites
Kern Research
Bakersfield, California, 93301
John Hopkins University
Baltimore, Maryland, 21224
Bexley Dermatology Research
Bexley, Ohio, 43209
Cahaba Dermatology & Skin Health Center, LLC
Birmingham, Alabama, 35244
Encore Medical Research of Boynton Beach LLC
Boynton Beach, Florida, 33436
The Derm Institute of West Michigan
Caledonia, Missouri, 49316-7478
Portland Allergy and Asthma
Clackamas, Oregon, 97015
Michigan Center for Research Co., LLC
Clarkston, Michigan, 48346
Asthma and Allergy Associates
Colorado Springs, Colorado, 80907
Centricity Research Columbus Dermatology
Columbus, Georgia, 31904
Alina Clinical Trials LLC
Dallas, Texas, 75225
Dolphin Medical Research
Doral, Florida, 33172
Western Sky Medical Research
El Paso, Texas, 79912
Auni Allergy
Findlay, Ohio, 45840
Direct Helpers Research Center
Hialeah, Florida, 33012
Clinical Partners LLC
Johnston, Rhode Island, 02919
Allergy and Asthma Associates of Southern California - Laguna Niguel - CRN
Laguna Niguel, California, 92677
Dermatology Research Associates
Los Angeles, California, 90045
LA Universal Research Center, Inc.
Los Angeles, California, 90057
GSI Clinical Research
Margate, Florida, 33063
Miami Dade Medical Research Institute, LLC
Miami, Florida, 33176
Deluxe Health Center
Miami Lakes, Florida, 33014
Montana Medical Research, Inc.
Missoula, Montana, 59808
University of Utah MidValley Dermatology
Murray, Utah, 84107
Markowitz Medical PLLC dba OptiSkin Medical
New York, New York, 10128
Allergy Partners of NJ, PC
Ocean City, New Jersey, 07712
Skin Specialists, PC dba Schlessinger MD
Omaha, Nebraska, 68144
Allergy and Asthma Specialists PSC
Owensboro, Kentucky, 42301
DermAssociates, LLC
Rockville, Maryland, 20850
Rainey & Finklea San Antonio (RFSA) Dermatology
San Antonio, Texas, 78213
Allergy Associates of Utah
Sandy City, Utah, 84093
Sarasota Clinical Research
Sarasota, Florida, 34239
Medical Research of Arizona
Scottsdale, Arizona, 85251
Center for Dermatology & Plastic Surgery - Avacare
Scottsdale, Arizona, 85260
Endeavor Health
Skokie, Illinois, 60026
The South Bend Clinic - Avacare
South Bend, Indiana, 46617
Midwest Clinical Research
St Louis, Missouri, 63141
Washington University School of Medicine
St Louis, Missouri, 63141
GCP, Global Clinical Professionals
St. Petersburg, Florida, 33705
Advanced Clinical Research Institute (ACRI) - Florida
Tampa, Florida, 33607
Toledo Institute for Clinical Research
Toledo, Ohio, 43617
Allergy and Asthma Care of Waco
Waco, Texas, 76712
Kalo Clinical Research
West Valley City, Utah, 84120
Institute for Asthma and Allergy
Wheaton, Maryland, 20902
Respiratory Medicine Research Institute of Michigan PLC
Ypsilanti, Michigan, 48197
Poland25 sites
NZOZ Specjalistyczny Ośrodek Dermatologiczny "DERMAL" S.C.
Bialystok, 15-453
Centrum Medyczne PRATIA Częstochowa
Częstochowa, 42-217
Centrum Kliniczno-Badawcze J.Brzezicki B.Gornikiewicz-Brzezicka Lekarze sp.p.
Elblag, 82-300
Synexus Polska Sp. z o.o. Oddzial w Gdansku
Gdansk, 80-382
Centrum Badan Klinicznych PI-House sp. z o.o.
Gdansk, 80-546
Synexus Polska Sp. z o.o. Oddzial w Katowicach
Katowice, 40-040
Pratia S.A.
Katowice, 40-081
Centrum Medyczne All-Med Badania Kliniczne
Krakow, 30-033
Centrum Nowoczesnych Terapii Dobry Lekarz Sp. z o.o.
Krakow, 31-011
LUXDERM Specjalistyczny Gabinet Dermatologiczny Prof. dr hab. n med. Dorota Krasowska
Lublin, 20-753
Medicome Sp. z o.o.
Oświęcim, 32-600
Pratia S.A
Poznan, 60-185
Specjalistyczny Niepubliczny Zaklad Opieki Zdrowotnej Alergologia Plus Osrodek Diagnostyki I Terapii Uczulen
Poznan, 60-693
EMed Centrum Uslug Medycznych
Rzeszów, 35-205
Niepubliczny Specjalistyczny Zaklad Opieki ZdrowotnejPuls-Med Anna Bogusz Agnieszka Musielak Sp. j.
Skarżysko-Kamienna, 26-110
Laser Clinic S.C.
Szczecin, 70-332
ALERGO-MED Osrodek Badan Klinicznych Sp. z o. o.
Tarnów, 33-100
MICS Centrum Medyczne Toruń
Torun, 87-100
Synexus Polska Sp. z o.o. Oddzial w Warszawie
Warsaw, 02-672
ETG Warszawa Sp. z o.o.
Warsaw, 02-677
Klinika Ambroziak Dermatologia
Warsaw, 02-953
Royalderm
Warsaw, 02-962
Ginemedica Sp. z o.o.
Wroclaw, 50-414
Cityclinic Przychodnia Lekarsko Psychologiczna Matusiak Spółka Partnerska
Wroclaw, 50-566
EuroMediCare Szpital Specjalistyczny z Przychodnia we Wroclawiu
Wroclaw, 54-144
Bulgaria16 sites
Medical Centre Asklepii OOD
Dupnitsa, 2600
Medical Center Pulmo - 2018 EOOD
Haskovo, 6300
Medical Center Medtech Services EOOD
Haskovo, 6304
Medical Center Medconsult Pleven OOD
Lovech, 5500
Outpatient Clinic for IP for Specialized Outpatient Medical Care in Allergology-Dr.Cholak
Razgrad, 7200
Medical Center Prolet EOOD
Rousse, 7000
Medical Center Iskar EOOD
Sofia, 1000
Diagnostic and Consultative Center Ascendent EOOD
Sofia, 1202
Diagnostic and Consulting Center Aleksandrovska EOOD
Sofia, 1431
University Multiprofile Hospital for Active Treatment Aleksandrovska EAD
Sofia, 1431
Diagnostic and Consultative Center Focus-5 - Medical Establishment for Outpatient care OOD
Sofia, 1463
Medical Center Hera EOOD
Sofia, 1510
University Multiprofile Hospital for Active Treatment and Emergency Medicine "N. I. Pirogov" EAD, Multiprofile Emergency Department, Allergology room
Sofia, 1606
Diagnostic-Consultative Center Convex EOOD
Sofia, 1680
Medical Center Pulmovision
Sofia, 1756
MBAL Sv. Panteleymon AD - Yambol
Yambol, 8600
Canada11 sites
Alberta DermaSurgery Centre - Probity - PPDS
Edmonton, Alberta, T6G 1C3
Vida Clinical Research
Edmonton, Alberta, T6H 4J8
LEADER research
Hamilton, Ontario, L8L 3C3
Triple A Lab, Inc.
Hamilton, Ontario, L8S1G5
Kingston Health Science Centre
Kingston, K7L 2V7
Lynderm Research Inc
Markham, Ontario, L3P 1X3
North Bay Dermatology Centre
North Bay, Ontario, P1B 3Z7
Centre de Recherche Saint-Louis
Québec, G1W4R4
North York Research Inc.
Toronto, Ontario, M2N 3A6
Evidence Based Medical Educator Inc.
Toronto, Ontario, M5G1E2
Joel Liem Medicine Professional Corporation
Windsor, Ontario, N8X 2G1
Argentina10 sites
Fundación CIDEA
Buenos Aires, Buenos Aires, C1121ABE
Conexa Investigación Clínica S.A.
CABA, Buenos Aires F.D., 1012
Aprillus Asistencia e Investigacion
CABA, Buenos Aires F.D., 1406
CEMLO - Centro de Especialidades Médicas Lobos
Lobos, Buenos Aires, 7240
Centro de Investigaciones Clinicas - Instituto Especialidades de la Salud Rosario
Rosario, Sante Fe, 2000
Centro Respiratorio Infantil
Rosario, Sante Fe, 2000
Instituto Médico de la Fundación Estudios Clínicos
Rosario, Sante Fe, S2000DEJ
Clinica Mayo de U.M.C.B.
San Miguel de Tucumán, Tucumán Province, 4000
Sanatorio 9 de Julio
San Miguel de Tucumán, Tucumán Province, 4000
Centro de Investigaciones Médicas Tucumán
San Miguel de Tucumán, Tucumán Province, T4000AXL
India10 sites
Assured Care Plus Hospital
Kanpur, Uttar Pradesh, 208002
KR Hospital, Mysore Medical College and Research Institute
Mysore, Karnataka, 570001
Shree Hospital & Critical Care Centre
Nagpur, Maharashtra, 440009
Assured Care Plus Hospital
Nashik, Maharashtra, 422101
Deenanath Mangeshkar Hospital and Research Centre
Pune, Maharashtra, 411004
Oyster& Pearl Hospitals (Phadnis Clinic Pvt Ltd)
Pune, Maharashtra, 411005
Nirmal Hospital - Surat
Surat, Gujarat, 395002
Badoda Medical College and SSG Hospital - Vadodara
Vadodara, Gujarat, 390001
"Dhiraj Hospital, SBKS MI & RC, Sumandeep Vidyapeeth Deemed to be University"
Vadodara, Gujarat, 391760
Sumandeep Vidyapeeth University - Dhiraj Hospital
Vadodara, Gujarat, 391760
Germany8 sites
Fachklinik Bad Bentheim, Dept. of Dermatology, Klinisches Studienzentrum
Bad Bentheim, 48455
Rosenpark Research GmbH
Darmstadt, Hesse, 64283
Universitätsklinikum Carl Gustav Carus Dresden
Dresden, 01307
ProDerma, Dr. Rolf Dominicus
Dülmen, North Rhine-Westphalia, 48249
Universitatsklinikum Schleswig-Holstein - Kiel
Kiel, Schleswig-Holstein, 24105
MVZ DermaKiel GmbH
Kiel, Schleswig-Holstein, 24148
Dermatologie Quist
Mainz, 55128
Universitäts-Hautklinik Tübingen, Studienzentrum Immundermatologie
Tübingen, 72076
Spain8 sites
Hospital General Universitario Dr. Balmis
Alicante, 03010
Hospital del Mar
Barcelona, 8003
Hospital Vall d'Hebron
Barcelona, 8035
Hospital Universitario Puerta del Mar
Barcelona, 8036
C.H. Regional Reina Sofia
Córdoba, 14004
Hospital Clinico San Carlos - Lopez Bran
Madrid, 28040
Corporació Sanitaria Parc Taulí
Sabadell, 8208
Hospital Universitario de La Plana
Villarreal de Huerva, 12540
Taiwan8 sites
National Taiwan University Hospital - Hsin-Chu Branch
Hsinchu, 300
Kaohsiung Veterans General Hospital
Kaohsiung City, 813414
Chang Gung Medical Foundation Kaohsiung Chang Gung Memorial Hospital
Kaohsiung City, 833
China Medical University Hospital
Taichung, 404
Taichung Veterans General Hospital
Taichung, 40705
National Taiwan University Hospital
Taipei, 10048
MacKay Memorial Hospital
Taipei, 10449
Chang Gung Medical Foundation Linkou Chang Gung Memorial Hospital
Taoyuan, 333
South Africa7 sites
Worthwhile Clinical Trials
Benoni, Gauteng, 1501
IATROS International
Bloemfontein, Free State, 9301
Synapta Clinical Research Centre
Durban, KwaZulu-Natal, 4001
University of Cape Town Lung Institute (UCTLI)
Mowbray, Western Cape, 7700
Newtown Clinical Research Centre
Newtown, Gauteng, 2001
Global Clinical Trials (Pty) Ltd - Pretoria
Pretoria, Gauteng, 0157
About Allergy
Pretoria, Gauteng, 0181
Chile6 sites
Hospital Base San Jose de Osorno
Osorno
Enroll SpA
Providencia, 7500000
Clinica Davila - Recoleta
Recoleta, 8420000
Centro Internacional de Estudios Clinicos (CIEC)
Recoleta, 8420383
Biocinetic Servicios Medicos Ltda
Santiago, 8350595
Clínica Dermacross S.A.
Vitacura, 7630000
Malaysia5 sites
Hospital Pulau Pinang
George Town, 10450
Hospital Raja Permaisuri Bainun
Ipoh, 30450
Hospital Sultan Ismail
Johor Bahru, 81100
Hospital Kuala Lumpur
Kuala Lumpur, 50586
Hospital Umum Sarawak
Kuching, 93586
Portugal5 sites
Unidade Local de Saude da Região de Aveiro, E.P.E. - Hospital Infante D. Pedro
Aveiro, 3814-501
Unidade Local De Satide De Coimbra E.P.E.
Coimbra, 3004-561
Hospital Lusíadas Lisboa
Lisbon, 1500-458
Unidade Local de Satide de Santa Maria E.P.E. - Hospital de Santa Maria
Lisbon, 1649-035
Hospital de São Bernardo, Unidade Local de Saúde da Arrábida (ULSA)
Setúbal, 2910-548
United Kingdom5 sites
Southmead Hospital, North Bristol NHS Trust
Bristol, BS10 5NB
Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust
Cambridge, CB2 0QQ
Queen Elizabeth University Hospital, NHS Greater Glasgow and Clyde
Glasgow, G51 4TF
St James's University Hospital, The Leeds Teaching Hospitals NHS Trust
Leeds, West Yorkshire, LS9 7TF
Velocity Clinical Research, North London
North Finchley, N12 8BU
South Korea4 sites
Korea University Ansan Hospital
Ansan, 15355
Seoul National University Hospital
Seoul, 3080
Hanyang University Seoul Hospital
Seoul, 4763
Ajou University Hospital
Suwon, 16499
Australia3 sites
Novatrials
Charlestown, New South Wales, 2290
Cornerstone Dermatology
Coorparoo, QSL, 4151
The Alfred Hospital
Melbourne, Victoria, 3004
France3 sites
CHRU Nantes Hôtel Dieu
Nantes, 44093
CHU de Nice-Hôpital L'Archet
Nice, 06202
CHU de Nice. Hôpital L'Archet 2
Nice, 6202
Georgia3 sites
D. Abuladze Georgian-Italian Clinic
Tbilisi, 0179
Healthy Future
Tbilisi, 119
Center of Allergy and Immunology - Gotua
Tbilisi, 159
Italy3 sites
ASST Fatebenefratelli Sacco - Ospedale Luigi Sacco
Milan, 20157
IRCCS Policlinico San Donato
San Donato Milanese, Lombardy, 20097
Azienda Ospedaliera Ordine Mauriziano di Torino
Torino, 20128
Thailand3 sites
Siriraj Hospital Mahidol University
Bangkok Noi, 10700
Faculty of Medicine, Thammasat University
Khlong Luang, 12120
Chiang Mai University
Muang Chiang Mai, 50200
Denmark2 sites
Aarhus Universitetshospital
Aarhus N, 8200
Gentofte Hospital, Department of Dermatology and Allergy
Hellerup, 2900
Greece2 sites
Hospital of Venereal and Dermatological Diseases Andreas Syggros, 1st Department of Dermatology and Venereology NKUA
Athens, 16121
"University General Hospital ""ATTIKON""- General Hospital of West Attica ""H AGIA VARVARA"", Allergy Unit, Allergy Unit ""Dimitrios Kalogeromitros"", 2nd Department of Dermatology & Venereology NKUA"
Chaïdári, Attica, 12462
Slovakia2 sites
Derma therapy spol. s r.o., Dermatovenerologicka ambulancia
Bratislava, 85101
Alersa s.r.o.
Košice, 4022
About this study
Official title: A Phase 3b Long-term Efficacy and Safety Extension Study of Barzolvolimab in Participants With Chronic Spontaneous Urticaria Who Have Completed CDX0159-12 or CDX0159-13
The purpose of this extension study is to collect long-term efficacy and safety data on barzolvolimab in adult participants with Chronic Spontaneous Urticaria (CSU) who completed the treatment and follow-up periods of the Phase 3 clinical trials.
This study will also fulfill the Celldex commitment to provide post-trial access to participants who have completed the phase 3 studies, where applicable.
Read the detailed description
This is a global, multicenter, long-term extension phase 3b study to determine the time to disease worsening or treatment failure in adult participants with Chronic Spontaneous Urticaria (CSU) who completed the treatment and follow-up periods the phase 3 clinical trials.
The study will consist of 2 Groups: Group 1 (Observation Group), comprising participants whose UAS7 score is less than 16 at entry and Group 2 (Barzolvolimab Retreatment Group) comprising participants whose UAS7 score is 16 or greater.
Participation in this trial will last for approximately 52 weeks for participants assigned to Group 1 (Observation Group) and who do not receive barzolvolimab during the trial. Participants assigned to Group 1 who require barzolvolimab rescue during the trial will be in the trial for up to 68 weeks. Participants assigned to Group 2 (Barzolvolimab Retreatment Group), trial participation will last for approximately 68 weeks from the start of treatment (Day 1).
- Conditions
- Chronic Spontaneous Urticaria
- Being tested
- barzolvolimab, Standard of Care
- Keywords
- CDX-0159, barzolvolimab, chronic spontaneous urticaria, CSU, urticaria activity score, itch 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
Standard of CareOther
Observational/Standard of Care
| Study group | Role | What they receive |
|---|---|---|
| Group 1 Observation Group | Experimental | Standard of care treatment (at least 2nd generation Type 1 antihistamines [H1AH] with or without other permitted background medications) for 52 weeks.
For participants with worsening disease (UAS7 score of 16 or greater at any time between Weeks 0-24), barzolvolimab will be administered once as a 300 mg subcutaneous injection followed by 150 mg every 4 weeks for up to 52 weeks. Receives: Biological: barzolvolimab; Other: Standard of Care |
| Group 2 Barzolvolimab Retreatment Group | Experimental | Barzolvolimab given once as a 300 mg subcutaneous injection followed by 150 mg administered every 4 weeks for 52 weeks Receives: Biological: barzolvolimab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Time to disease worsening or treatment failure through Week 52 based on the occurrence of UAS7 (Urticaria Activity Score) of 16 or greater.
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 (baseline) to Week 52.
Time to disease worsening or treatment failure through Week 52 based on the occurrence of the discontinuation of barzolvolimab in Group 2 due to lack of efficacy or to a treatment related adverse event.
Evaluate duration of efficacy of barzolvolimab on urticaria activity or to a treatment related adverse event.
Measured: From Day 1 (baseline) to Week 52.
Time to disease worsening or treatment failure through Week 52 based on the occurrence of first use of strongly confounding prohibited medication (Group 1 or 2) or use of barzolvolimab in Group 1.
Evaluate duration of efficacy of barzolvolimab on urticaria activity leading to initiation of either a confounding prohibited medication (Group 1 or 2) or barzolvolimab in Group 1.
Measured: From Day 1 (baseline) to Week 52.
Secondary outcomes (29)
Group 1: Change from baseline in Urticaria Activity Score (UAS7) at Week 26.
Evaluate efficacy of barzolvolimab on urticaria activity as measured by urticaria activity score (UAS7).
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 (baseline) in phase 3 trial to Week 26.
Group 1: Change from baseline in UAS7 at Week 52/End of Study.
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 (baseline) in phase 3 trial to Week 52/End of Study.
Percentage of Group 1 participants with UAS7 ≤ 6 at week 26.
Group 1: Proportion of participants who maintained at least well-controlled disease (UAS7 ≤ 6) at Week 26.
Measured: From Day 1 (baseline) to Week 26.
Percentage of Group 1 participants with UAS7 ≤ 6 at week 52.
Group 1: Proportion of participants who maintained at least well-controlled disease (UAS7 ≤ 6) at Week 52.
Measured: From Day 1 (baseline) to Week 52/End of Study.
Percentage of Group 1 participants with UAS7 = 0 at Day 1 who have UAS7 ≤ 6 at Week 26.
Group 1: Proportion of participants with complete absence of hives and itch (UAS7 = 0) at Day 1 who have well controlled CSU (UAS7 ≤ 6) at Week 26.
Measured: From Day 1 (baseline) to Week 26.
Percentage of Group 1 participants with UAS7 = 0 at Day 1 who have UAS7 ≤ 6 at Week 52.
Group 1: Proportion of participants with complete absence of hives and itch (UAS7 = 0) at Day 1 who have well-controlled disease (UAS7 ≤ 6) at Week 52.
Measured: From Day 1 (baseline) to Week 52/End of Treatment.
Group 1: Proportion of participants with complete absence of hives and itch (UAS7 = 0 AAS7 = 0) at Day 1 who maintained complete control at Week 26.
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 (baseline) to Week 26.
Group 1: Proportion of participants with complete absence of hives and itch (UAS7 = 0 AAS7 = 0) at Day 1 who maintained complete control at Week 52.
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 (baseline) to Week 52/End of Study.
Group 1: Participants with UAS7 ≤ 6 at Day 1, time to loss of well-controlled disease through Week 52.
Group 1: Participants with at least well-controlled disease (UAS7 ≤ 6) at Day 1, time to loss of well-controlled disease through Week 52.
Measured: From Day 1 (baseline) to Week 52/End of Study.
Group 1: Participants with UAS7 = 0 at Day 1, time to loss of complete controlled disease through Week 52.
Group 1: Participants with complete absence of hives and itch (UAS7 = 0) at Day 1, time to loss of complete controlled disease through Week 52.
Measured: From Day 1 (baseline) to Week 52/End of Study.
Group 1: Participants with UAS7 = 0 and AAS7 = 0 at Day 1, time to loss of CSU completely controlled through Week 52.
Group 1: Participants with complete controlled CSU (UAS7 = 0 and AAS7 = 0) at Day 1, time to loss of CSU completely controlled through Week 52.
Measured: From Day 1 (baseline) to Week 52/End of Study.
Group 2: Change from baseline in UAS7 at Week 12.
Evaluate efficacy of barzolvolimab on urticaria activity as measured by urticaria activity score (UAS7).
Measured: From Day 1 (baseline) to Week 12.
Group 2: Change from baseline in UAS7 at Week 24.
Evaluate efficacy of barzolvolimab on urticaria activity as measured by urticaria activity score (UAS7).
Measured: From Day 1 (baseline) to Week 24.
Group 2: Change from baseline in UAS7 at Week 52.
Evaluate efficacy of barzolvolimab on urticaria activity as measured by urticaria activity score (UAS7).
Measured: From Day 1 (baseline) to Week 52.
Group 2: Change from baseline in UAS7 at Week 68.
Evaluate efficacy of barzolvolimab on urticaria activity as measured by urticaria activity score (UAS7).
Measured: From Day 1 (baseline) to Week 68.
Group 2: Percentage of participants with UAS7 ≤ 6 at Week 12.
Group 2: Proportion of participants with at least well-controlled disease (UAS7 ≤ 6) at Week 12.
Measured: From Day 1 (baseline) to Week 12.
Group 2: Percentage of participants with UAS7 ≤ 6 at Week 24.
Group 2: Proportion of participants with at least well-controlled disease (UAS7 ≤ 6) at Week 24.
Measured: From Day 1 (baseline) to Week 24.
Group 2: Percentage of participants with UAS7 ≤ 6 at Week 52.
Group 2: Proportion of participants with at least well-controlled disease (UAS7 ≤ 6) at Week 52.
Measured: From Day 1 (baseline) to Week 52.
Group 2: Percentage of participants with UAS7 ≤ 6 at Week 68.
Group 2: Proportion of participants with at least well-controlled disease (UAS7 ≤ 6) at Week 68.
Measured: From Day 1 (baseline) to Week 68.
From Day 1 (baseline) to Week 68.
Group 2: Proportion of participants who achieve complete absence of hives and itch (UAS7 = 0) at Week 12.
Measured: From Day 1 (baseline) to Week 12.
Group 2: Percentage of participants with UAS7 = 0 at Week 24.
Group 2: Proportion of participants who achieve complete absence of hives and itch (UAS7 = 0) at Week 24.
Measured: From Day 1 (baseline) to Week 24.
Group 2: Percentage of participants with UAS7 = 0 at Week 52.
Group 2: Proportion of participants who achieve complete absence of hives and itch (UAS7 = 0) at Week 52.
Measured: From Day 1 (baseline) to Week 52.
Group 2: Percentage of participants with UAS7 = 0 at Week 68.
Group 2: Proportion of participants who achieve complete absence of hives and itch (UAS7 = 0) at Week 68.
Measured: From Day 1 (baseline) to Week 68.
Group 1 Incidence of adverse events.
Group 1: Proportion of participants experiencing adverse events during the study.
Measured: From Day 1 to Week 52.
Group 1 Incidence of non-treatment emergent adverse events.
Group 1: Proportion of participants who never receive barzolvolimab retreatment experiencing non-treatment emergent adverse events.
Measured: From Day 1 to Week 52.
Group 1 Incidence of treatment emergent adverse events in participants receiving barzolvolimab retreatment.
Group 1: Proportion of participants who receive barzolvolimab retreatment experiencing treatment emergent adverse events.
Measured: From Day 1 to Week 68.
Group 1 Incidence of treatment emergent adverse events leading to treatment discontinuation.
Group 1: Proportion of participants who receive barzolvolimab retreatment experiencing treatment emergent adverse events leading to treatment discontinuation during the study.
Measured: From Day 1 to Week 68.
Group 2 Incidence of treatment emergent adverse events.
Group 2: Proportion of participants experiencing treatment emergent adverse events during the study.
Measured: Time Frame: From Day 1 to Week 68.
Group 2 Incidence of treatment emergent adverse events leading to treatment discontinuation.
Group 2: Proportion of participants experiencing treatment emergent adverse events leading to treatment discontinuation during the study.
Measured: From Day 1 to Week 68.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Dec 2025
- Study start25 Nov 2025
- Primary completionSep 2028 (estimated)
- Study completionSep 2028 (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
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 1,370 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Celldex Therapeutics
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07256392
- Sponsor's protocol ID
- CDX0159-17
- Status last verified
- Oct 2026
- First submitted
- 20 Nov 2025
- Last updated
- 2 Nov 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 2 Nov 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3b Long-term Efficacy and Safety Extension Study of Barzolvolimab in Participants With Chronic Spontaneous Urticaria Who Have Completed CDX0159-12 or CDX0159-13
- ClinicalTrials.gov ID
- NCT07256392
- Acronym / sponsor ID
- CDX0159-17
- Conditions
- Chronic Spontaneous Urticaria
- Keywords
- CDX-0159, barzolvolimab, chronic spontaneous urticaria, CSU, urticaria activity score, itch severity score
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Enrolling by invitation
- Enrolment
- 1,370 participants (estimated)
- Lead sponsor
- Celldex TherapeuticsIndustry (pharma, biotech, devices)
- Study start
- 25 Nov 2025 (actual)
- Primary completion
- Sep 2028 (estimated)
- Study completion
- Sep 2028 (estimated)
- First posted
- 1 Dec 2025 (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 extension study is to collect long-term efficacy and safety data on barzolvolimab in adult participants with Chronic Spontaneous Urticaria (CSU) who completed the treatment and follow-up periods of the Phase 3 clinical trials.
This study will also fulfill the Celldex commitment to provide post-trial access to participants who have completed the phase 3 studies, where applicable.
Detailed description
This is a global, multicenter, long-term extension phase 3b study to determine the time to disease worsening or treatment failure in adult participants with Chronic Spontaneous Urticaria (CSU) who completed the treatment and follow-up periods the phase 3 clinical trials.
The study will consist of 2 Groups: Group 1 (Observation Group), comprising participants whose UAS7 score is less than 16 at entry and Group 2 (Barzolvolimab Retreatment Group) comprising participants whose UAS7 score is 16 or greater.
Participation in this trial will last for approximately 52 weeks for participants assigned to Group 1 (Observation Group) and who do not receive barzolvolimab during the trial. Participants assigned to Group 1 who require barzolvolimab rescue during the trial will be in the trial for up to 68 weeks. Participants assigned to Group 2 (Barzolvolimab Retreatment Group), trial participation will last for approximately 68 weeks from the start of treatment (Day 1).
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Group 1 Observation Group | Experimental | Biological: barzolvolimab, Other: Standard of CareStandard of care treatment (at least 2nd generation Type 1 antihistamines [H1AH] with or without other permitted background medications) for 52 weeks. For participants with worsening disease (UAS7 score of 16 or greater at any time between Weeks 0-24), barzolvolimab will be administered once as a 300 mg subcutaneous injection followed by 150 mg every 4 weeks for up to 52 weeks. |
| Group 2 Barzolvolimab Retreatment Group | Experimental | Biological: barzolvolimabBarzolvolimab given once as a 300 mg subcutaneous injection followed by 150 mg administered every 4 weeks for 52 weeks |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Written informed consent
- Must have successfully completed the preceding phase 3 clinical trials (CDX0159-12 or CDX0159-13).
- Both males and females of child-bearing potential must agree to use highly effective contraceptives when receiving barzolvolimab treatment and for 150 days after treatment.
- Willing and able to comply with all study requirements and procedures, including completion of a daily symptom electronic diary.
Key exclusion criteria (4 listed)
- Active pruritic skin condition in addition to CSU.
- Medical condition that would cause additional risk or interfere with study procedures.
- Participants without at least one documented UAS7 score from Weeks 64-68 of the CDX0159-12 or CDX0159-13 trials.
- There are additional criteria that your study doctor will review with you to confirm you are eligible for the study.
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 | Group 1 Observation Group, Group 2 Barzolvolimab Retreatment Group |
| Standard of CareObservational/Standard of Care | Other | Group 1 Observation Group |
Primary outcome
Time to disease worsening or treatment failure through Week 52 based on the occurrence of UAS7 (Urticaria Activity Score) of 16 or greater.
Time frame: From Day 1 (baseline) to Week 52.
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.
Time to disease worsening or treatment failure through Week 52 based on the occurrence of the discontinuation of barzolvolimab in Group 2 due to lack of efficacy or to a treatment related adverse event.
Time frame: From Day 1 (baseline) to Week 52.
Evaluate duration of efficacy of barzolvolimab on urticaria activity or to a treatment related adverse event.
Time to disease worsening or treatment failure through Week 52 based on the occurrence of first use of strongly confounding prohibited medication (Group 1 or 2) or use of barzolvolimab in Group 1.
Time frame: From Day 1 (baseline) to Week 52.
Evaluate duration of efficacy of barzolvolimab on urticaria activity leading to initiation of either a confounding prohibited medication (Group 1 or 2) or barzolvolimab in Group 1.
29 secondary outcomes
Group 1: Change from baseline in Urticaria Activity Score (UAS7) at Week 26.
Time frame: From Day 1 (baseline) in phase 3 trial to Week 26.
Group 1: Change from baseline in UAS7 at Week 52/End of Study.
Time frame: From Day 1 (baseline) in phase 3 trial to Week 52/End of Study.
Percentage of Group 1 participants with UAS7 ≤ 6 at week 26.
Time frame: From Day 1 (baseline) to Week 26.
Percentage of Group 1 participants with UAS7 ≤ 6 at week 52.
Time frame: From Day 1 (baseline) to Week 52/End of Study.
Percentage of Group 1 participants with UAS7 = 0 at Day 1 who have UAS7 ≤ 6 at Week 26.
Time frame: From Day 1 (baseline) to Week 26.
Percentage of Group 1 participants with UAS7 = 0 at Day 1 who have UAS7 ≤ 6 at Week 52.
Time frame: From Day 1 (baseline) to Week 52/End of Treatment.
Group 1: Proportion of participants with complete absence of hives and itch (UAS7 = 0 AAS7 = 0) at Day 1 who maintained complete control at Week 26.
Time frame: From Day 1 (baseline) to Week 26.
Group 1: Proportion of participants with complete absence of hives and itch (UAS7 = 0 AAS7 = 0) at Day 1 who maintained complete control at Week 52.
Time frame: From Day 1 (baseline) to Week 52/End of Study.
Group 1: Participants with UAS7 ≤ 6 at Day 1, time to loss of well-controlled disease through Week 52.
Time frame: From Day 1 (baseline) to Week 52/End of Study.
Group 1: Participants with UAS7 = 0 at Day 1, time to loss of complete controlled disease through Week 52.
Time frame: From Day 1 (baseline) to Week 52/End of Study.
Group 1: Participants with UAS7 = 0 and AAS7 = 0 at Day 1, time to loss of CSU completely controlled through Week 52.
Time frame: From Day 1 (baseline) to Week 52/End of Study.
Group 2: Change from baseline in UAS7 at Week 12.
Time frame: From Day 1 (baseline) to Week 12.
Group 2: Change from baseline in UAS7 at Week 24.
Time frame: From Day 1 (baseline) to Week 24.
Group 2: Change from baseline in UAS7 at Week 52.
Time frame: From Day 1 (baseline) to Week 52.
Group 2: Change from baseline in UAS7 at Week 68.
Time frame: From Day 1 (baseline) to Week 68.
Group 2: Percentage of participants with UAS7 ≤ 6 at Week 12.
Time frame: From Day 1 (baseline) to Week 12.
Group 2: Percentage of participants with UAS7 ≤ 6 at Week 24.
Time frame: From Day 1 (baseline) to Week 24.
Group 2: Percentage of participants with UAS7 ≤ 6 at Week 52.
Time frame: From Day 1 (baseline) to Week 52.
Group 2: Percentage of participants with UAS7 ≤ 6 at Week 68.
Time frame: From Day 1 (baseline) to Week 68.
From Day 1 (baseline) to Week 68.
Time frame: From Day 1 (baseline) to Week 12.
Group 2: Percentage of participants with UAS7 = 0 at Week 24.
Time frame: From Day 1 (baseline) to Week 24.
Group 2: Percentage of participants with UAS7 = 0 at Week 52.
Time frame: From Day 1 (baseline) to Week 52.
Group 2: Percentage of participants with UAS7 = 0 at Week 68.
Time frame: From Day 1 (baseline) to Week 68.
Group 1 Incidence of adverse events.
Time frame: From Day 1 to Week 52.
Group 1 Incidence of non-treatment emergent adverse events.
Time frame: From Day 1 to Week 52.
Group 1 Incidence of treatment emergent adverse events in participants receiving barzolvolimab retreatment.
Time frame: From Day 1 to Week 68.
Group 1 Incidence of treatment emergent adverse events leading to treatment discontinuation.
Time frame: From Day 1 to Week 68.
Group 2 Incidence of treatment emergent adverse events.
Time frame: Time Frame: From Day 1 to Week 68.
Group 2 Incidence of treatment emergent adverse events leading to treatment discontinuation.
Time frame: From Day 1 to 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 2 Nov 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.
The record lists no contact. Use the official record to reach the sponsor.
201 sites in 30 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 201 sites in 30 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 4 inclusion and 4 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: enrolling by invitation, as of the sponsor's last update on 2 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 201 sites in United States, Poland, Bulgaria, Canada, Argentina and 25 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?
Time to disease worsening or treatment failure through Week 52 based on the occurrence of UAS7 (Urticaria Activity Score) of 16 or greater. (time frame: From Day 1 (baseline) to Week 52.). The study lists 3 primary outcomes in all. 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 2 Nov 2026.