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CompletedNCT02649218Updated Oct 11, 2021Results posted

A Safety Extension Study to Evaluate the Long-term Safety of QGE031 in Chronic Spontaneous Urticaria (CSU) Patients

A Phase 2 interventional study of Ligelizumab in Chronic Spontaneous Urticaria, sponsored by Novartis Pharmaceuticals. Completed at 67 sites in 10 countries. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2021-10-11.

Sponsored by Novartis Pharmaceuticals · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
226
Allocation
Not applicable
Ages
18 Years to 75 Years
Sex
All
01

Study summary

A safety extension study to evaluate the long-term safety of QGE031 240 mg s.c. given every 4 weeks for 52 weeks in Chronic Spontaneous Urticaria (CSU) patients who completed study CQGE031C2201

Read the detailed description

A safety extension study to evaluate the long-term safety of QGE031 in Chronic Spontaneous Urticaria patients

02

Conditions studied

  • Chronic Spontaneous Urticaria

Keywords

  • QGE031
  • chronic
  • spontaneous
  • Urticaria
  • CSU
  • adults
  • Safety
  • ligelizumab
03

In context

Urticaria

237 studies on the registry are indexed under Urticaria; 26 are open to participants now.

This study's enrollment of 226 is above the median of 61 across 174 interventional studies indexed under Urticaria.

Browse Urticaria studies →

Lead sponsor

Novartis Pharmaceuticals is the lead sponsor of 2,673 studies on the registry; 228 are open to participants now.

Of its 576 completed or terminated interventional studies of FDA-regulated products, 431 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients eligible for inclusion in this study have to fulfill all of the following criteria:

    1. Written informed consent must be obtained before any assessment is performed.
    2. Patients who complete the treatment epoch in study CQGE031C2201 and complete at least Visit 203 (Week 32 of the follow-up epoch, ≥16 weeks after last injection) and present with active disease as defined by UAS7 ≥12.
    3. Patients must not have any missing eDiary entries in the 7 days prior to Visit 301 (patients are allowed to repeat until this criterion is met).
    4. Willing and able to complete a daily symptom eDiary for the duration of the study and adhere to the study visit schedules.

Exclusion criteria

Exclusion Criteria:

Clearly defined underlying etiology for chronic urticaria other than chronic spontaneous urticaria

  • Evidence of parasitic infection
  • Any other skin diseases than chronic spontaneous urticaria with chronic itching
  • Contraindications to or hypersensitivity to fexofenadine, loratadine, cetirizine, or epinephrine
  • History of anaphylaxis
  • History or current diagnosis of ECG abnormalities indicating significant risk of safety for patients participating in the study
  • History of hypersensitivity to any of the study drugs or its components of similar chemical classes
  • Pregnant or nursing (lactating) women Other protocol-defined inclusion/exclusion criteria may apply
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
226 participants (actual)

Study arms

  • Experimental
    Ligelizumab

    QGE031 240 mg s.c. q4w x 13 treatments

    Biological: Ligelizumab

Interventions

  • BiologicalLigelizumab

    QGE031 240 mg s.c. q4w

    Also known as: QGE031

06

What researchers measure

Primary outcomes

  1. Number of Participants With at Least One Treatment Emergent Adverse Event (AE)

    The primary objective of this study was to assess the long-term safety of one-year treatment of QGE031 in adult Chronic Spontaneous Urticaria (CSU) patients who completed the core study CQGE031C2201 using the following evaluations: number of participants with treatment emergent AEs of non-serious and serious nature including any events of special interest.

    Time frame: Within 16 weeks after Week 48

Secondary outcomes

  1. Percentage of Subjects Having Achieved UAS7 ≤ 6

    The secondary objective of this study was to assess the long-term efficacy of QGE031 in adult CSU patients who completed the CQGE031C2201 study using the following evaluations: Sustained remission defined as maintaining (Urticaria Activity Score) UAS7 ≤ 6 over 48 weeks post-treatment follow up epoch among the participants achieving remission at the end of treatment epoch.

    Time frame: Baseline, Week 52 and Week 100

  2. Number and Proportion of Participants Who Achieved UAS7≤ 6

    Summary of subjects with UAS7 ≤ 6. The long term efficacy of one-year treatment of ligelizumab 240 mg s.c. q4w is assessed by number and proportion of participants who achieved well controlled disease (UAS7≤ 6) at end of the treatment period (Week 52) and end of follow up period (Week 100).

    Time frame: Baseline, Week 52, Week 100

07

Results

Posted Aug 14, 2020

Participant flow

Of the subjects who completed core study (NCT02477332) that were eligible for extension study, 237 were screened; 226 were enrolled to open-label treatment epoch; 201 (88.9%) completed treatment epoch; 209 (92.5%) entered the post-treatment follow-up epoch and 152 (67.3%) completed the post-treatment follow-up epoch

Participant flow — Overall Study
MilestoneLigelizumab
Started226
Completed201
Not completed25
Withdrew: Adverse event8
Withdrew: Lack of efficacy8
Withdrew: Pregnancy3
Withdrew: Protocol violation3
Withdrew: Physician decision1
Withdrew: Withdrawal by subject2

Outcome measures

PrimaryNumber of Participants With at Least One Treatment Emergent Adverse Event (AE)

The primary objective of this study was to assess the long-term safety of one-year treatment of QGE031 in adult Chronic Spontaneous Urticaria (CSU) patients who completed the core study CQGE031C2201 using the following evaluations: number of participants with treatment emergent AEs of non-serious and serious nature including any events of special interest.

Time frame:
Within 16 weeks after Week 48
Reported as:
Count of participants · Participants
Number of Participants With at Least One Treatment Emergent Adverse Event (AE)
ParticipantsLigelizumab
Number of Participants With at Least One Treatment Emergent Adverse Event (AE)190
SecondaryPercentage of Subjects Having Achieved UAS7 ≤ 6

The secondary objective of this study was to assess the long-term efficacy of QGE031 in adult CSU patients who completed the CQGE031C2201 study using the following evaluations: Sustained remission defined as maintaining (Urticaria Activity Score) UAS7 ≤ 6 over 48 weeks post-treatment follow up epoch among the participants achieving remission at the end of treatment epoch.

Time frame:
Baseline, Week 52 and Week 100
Reported as:
Number · percentage of participants
Percentage of Subjects Having Achieved UAS7 ≤ 6
percentage of participantsLigelizumab
Baseline0.44 (0 to 2.4)
Week 5261.06 (54.4 to 67.5)
Week 10028.32 (22.5 to 34.7)
SecondaryNumber and Proportion of Participants Who Achieved UAS7≤ 6

Summary of subjects with UAS7 ≤ 6. The long term efficacy of one-year treatment of ligelizumab 240 mg s.c. q4w is assessed by number and proportion of participants who achieved well controlled disease (UAS7≤ 6) at end of the treatment period (Week 52) and end of follow up period (Week 100).

Time frame:
Baseline, Week 52, Week 100
Reported as:
Count of participants · Participants
Number and Proportion of Participants Who Achieved UAS7≤ 6
ParticipantsLigelizumab
Baseline1
Week 52138
Week 10064

Adverse events

Collected over Within 16 weeks after Week 48. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
QGE031 240 mg q4w (TEAE)1/226 (0.4%)15/226 (6.6%)133/226 (58.8%)
QGE031 240 mg q4w (Non-TEAE)0/226 (0%)6/226 (2.7%)38/226 (16.8%)
Most frequent serious events
Showing 10 of 38
Most frequent serious events
EventQGE031 240 mg q4w (TEAE)QGE031 240 mg q4w (Non-TEAE)
Angina pectorisCardiac disorders1/2260/226
Supraventricular tachycardiaCardiac disorders1/2260/226
VertigoEar and labyrinth disorders1/2260/226
GastritisGastrointestinal disorders1/2260/226
HaemorrhoidsGastrointestinal disorders1/2260/226
Mouth cystGastrointestinal disorders1/2260/226
Non-cardiac chest painGeneral disorders1/2260/226
CholecystitisHepatobiliary disorders1/2260/226
Cholecystitis chronicHepatobiliary disorders1/2260/226
HypersensitivityImmune system disorders1/2260/226
Most frequent other events
Most frequent other events
EventQGE031 240 mg q4w (TEAE)QGE031 240 mg q4w (Non-TEAE)
NasopharyngitisInfections and infestations57/22610/226
HeadacheNervous system disorders29/2262/226
Upper respiratory tract infectionInfections and infestations23/2263/226
UrticariaSkin and subcutaneous tissue disorders23/22618/226
Back painMusculoskeletal and connective tissue disorders16/2262/226
Injection site erythemaGeneral disorders13/2260/226
SinusitisInfections and infestations13/2262/226
Urinary tract infectionInfections and infestations12/2263/226
Blood creatinine increasedInvestigations12/2261/226
ArthralgiaMusculoskeletal and connective tissue disorders12/2261/226

Baseline characteristics

The Safety set (SS) included all subjects who received at least one dose of study drug during this open-label study.

Age, Continuous
Age, Continuous(years)Ligelizumab
Mean44.5 ± 12.69
Age, Customized
Age, Customized(participants)Ligelizumab
<65 years211
>= 65 years15
Sex/Gender, Customized
Sex/Gender, Customized(Percentage of Participants)Ligelizumab
Female75.2
Male24.8
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Percentage of participants)Ligelizumab
Asian22.6
Black or African American1.3
White72.1
American Indian or Alaska Native0.4
Unknown0.9
Other2.7
08

Study locations

67 sites
  • Novartis Investigative Site
    Birmingham, Alabama 35209, United States
  • Novartis Investigative Site
    Scottsdale, Arizona 85251, United States
  • Novartis Investigative Site
    Little Rock, Arkansas 72205, United States
  • Novartis Investigative Site
    Sarasota, Florida 34233, United States
  • Novartis Investigative Site
    Evansville, Indiana 47713, United States
  • Novartis Investigative Site
    Owensboro, Kentucky 42301, United States
  • Novartis Investigative Site
    Waldorf, Maryland 20602, United States
  • Novartis Investigative Site
    Rochester, Minnesota 55905, United States
  • Novartis Investigative Site
    Saint Louis, Missouri 63141, United States
  • Novartis Investigative Site
    Asheville, North Carolina 28801, United States
  • Novartis Investigative Site
    Cincinnati, Ohio 45231, United States
  • Novartis Investigative Site
    Toledo, Ohio 43617, United States
  • Novartis Investigative Site
    Lake Oswego, Oregon 97035, United States
  • Novartis Investigative Site
    Providence, Rhode Island 02906, United States
  • Novartis Investigative Site
    Dallas, Texas 75230, United States
  • Novartis Investigative Site
    Fort Worth, Texas 76132, United States
  • Novartis Investigative Site
    South Burlington, Vermont 05403, United States
  • Novartis Investigative Site
    Campbelltown, New South Wales 2560, Australia
  • Novartis Investigative Site
    Sydney, New South Wales 2010, Australia
  • Novartis Investigative Site
    Woolloongabba, Queensland 4102, Australia
  • Novartis Investigative Site
    Adelaide, South Australia 5000, Australia
  • Novartis Investigative Site
    East Melbourne, Victoria 3002, Australia
  • Novartis Investigative Site
    Toronto, Ontario M4V 1R2, Canada
  • Novartis Investigative Site
    Waterloo, Ontario N2J 1C4, Canada
  • Novartis Investigative Site
    Quebec, G1V 4W2, Canada
  • Novartis Investigative Site
    Muenchen, Bayern 80377, Germany
  • Novartis Investigative Site
    Berlin, 13353, Germany
  • Novartis Investigative Site
    Dresden, 01307, Germany
  • Novartis Investigative Site
    Freiburg, 79106, Germany
  • Novartis Investigative Site
    Hannover, 30625, Germany
  • Novartis Investigative Site
    Mainz, 55131, Germany
  • Novartis Investigative Site
    Muenster, 48149, Germany
  • Novartis Investigative Site
    Athens, GR 115 27, Greece
  • Novartis Investigative Site
    Athens, 115 27, Greece
  • Novartis Investigative Site
    Athens, 12462, Greece
  • Novartis Investigative Site
    Obihiro, Hokkaido 080 0013, Japan
  • Novartis Investigative Site
    Kobe-shi, Hyogo 650-0017, Japan
  • Novartis Investigative Site
    Yokohama, Kanagawa 221-0825, Japan
  • Novartis Investigative Site
    Kamimashi-gun, Kumamoto 861-3101, Japan
  • Novartis Investigative Site
    Kyoto-city, Kyoto 602-8566, Japan
  • Novartis Investigative Site
    Sakai, Osaka 593-8324, Japan
  • Novartis Investigative Site
    Saitama-city, Saitama 330-0854, Japan
  • Novartis Investigative Site
    Machida-city, Tokyo 194-0013, Japan
  • Novartis Investigative Site
    Ota-ku, Tokyo 143-0023, Japan
  • Novartis Investigative Site
    Shinagawa ku, Tokyo 141 8625, Japan
  • Novartis Investigative Site
    Hiroshima, 734-8551, Japan
  • Novartis Investigative Site
    Chelyabinsk, 454092, Russian Federation
  • Novartis Investigative Site
    Moscow, 115478, Russian Federation
  • Novartis Investigative Site
    Smolensk, 214019, Russian Federation
  • Novartis Investigative Site
    St Petersburg, 194223, Russian Federation
  • Novartis Investigative Site
    St.-Petersburg, 195112, Russian Federation
  • Novartis Investigative Site
    Cordoba, Andalucia 14004, Spain
  • Novartis Investigative Site
    Malaga, Andalucia 29009, Spain
  • Novartis Investigative Site
    Sevilla, Andalucia 41009, Spain
  • Novartis Investigative Site
    Barcelona, Cataluna 08003, Spain
  • Novartis Investigative Site
    Barcelona, Cataluna 08035, Spain
  • Novartis Investigative Site
    Barcelona, Catalunya 08036, Spain
  • Novartis Investigative Site
    Alicante, Comunidad Valenciana 03010, Spain
  • Novartis Investigative Site
    Valencia, Comunidad Valenciana 46015, Spain
  • Novartis Investigative Site
    Alcorcon, Madrid 28922, Spain
  • Novartis Investigative Site
    Barcelona, 08041, Spain
  • Novartis Investigative Site
    Madrid, 28040, Spain
  • Novartis Investigative Site
    Madrid, 28041, Spain
  • Novartis Investigative Site
    Taichung, 407, Taiwan
  • Novartis Investigative Site
    Taipei, 10002, Taiwan
  • Novartis Investigative Site
    Tao Yuan, 333, Taiwan
  • Novartis Investigative Site
    Yeovil, Somerset BA21 4AT, United Kingdom
09

References and documents

Publications

  • Maurer M, Gimenez-Arnau A, Bernstein JA, Chu CY, Danilycheva I, Hide M, Makris M, Metz M, Savic S, Sitz K, Soong W, Staubach P, Sussman G, Barve A, Burciu A, Hua E, Janocha R, Severin T. Sustained safety and efficacy of ligelizumab in patients with chronic spontaneous urticaria: A one-year extension study. Allergy. 2022 Jul;77(7):2175-2184. doi: 10.1111/all.15175. Epub 2021 Nov 22. PubMed 34773261 ↗

Study documents

  • Study protocol · Oct 7, 2015
  • Statistical analysis plan · Jun 18, 2019

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Undecided — 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

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 11, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02649218
Lead sponsor
Novartis Pharmaceuticals
Responsible party
Sponsor
First posted
Jan 7, 2016
Start date
May 24, 2016
Primary completion
May 2, 2019
Completion
May 2, 2019
Results posted
Aug 14, 2020
Last update
Oct 11, 2021

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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