ClinicalTrials.gg
CompletedNCT03437278Updated Jan 13, 2026Results posted

Study to Investigate the Efficacy and Safety of QGE031 in Adolescent Patients With Chronic Spontaneous Urticaria (CSU)

A Phase 2 interventional study of Ligelizumab and Placebo in Chronic Spontaneous Urticaria, sponsored by Novartis Pharmaceuticals. Completed at 20 sites in 10 countries. Open to participants aged 12 Years to 17 Years. Per ClinicalTrials.gov, last updated 2026-01-13.

Sponsored by Novartis Pharmaceuticals (part of Novartis) · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
49
Allocation
Randomized
Ages
12 Years to 17 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 37 studies in Chronic Urticaria by Novartis Pharmaceuticals — 7 open to participants now, 12 under way, 5 of them phase 3. Chronic Urticaria · Novartis Pharmaceuticals.

Enrollment
22nd of 25
49 · median 311
Started
2018
with 2 others
Phase 2
7 of 37
1 open now
Registered
10th of 37
by date

Among the 37 studies in Chronic Urticaria by Novartis Pharmaceuticals, this one is the 22nd largest by enrollment of the 25 interventional ones that give a count, is one of 3 that started in 2018, is one of 7 in phase 2, and was the 10th registered.

Chronic Urticaria

194 studies on the registry are indexed under Chronic Urticaria; 46 are open to participants now.

Browse Chronic Urticaria studies →

Open to participants now

7 of the 37 studies in Chronic Urticaria by Novartis Pharmaceuticals are open now, in 9 countries. Recruiting first, the newest first:

2 more — sign in →

By country, each count listing its studies:

All 7 open studies →

Who these studies take

Of the 24 Chronic Urticaria studies recruiting now, 11 (46%) set no upper age limit and 9 (38%) stop at 75 or younger; 1 takes children under 18; 5 take healthy volunteers.

This study: 12 Years to 17 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 37 studies in Chronic Urticaria by Novartis Pharmaceuticals, or all of them as a file.
02

Study summary

This clinical study was designed to evaluate the pharmacokinetics, safety and efficacy of ligelizumab in children from 12 to \< 18 years of age, with chronic spontaneous urticaria (CSU). The participants were treated with ligelizumab as an add-on therapy to approved doses of H1 antihistamines (H1AH) following the guideline on treatment of CSU.

Read the detailed description

This was a Phase IIb dose-finding, randomized, double-blind, parallel-group, placebo-controlled, multicenter study in adolescent patients. The study consisted of 3 distinct study periods: Screening, Treatment and Follow-up period.

After the screening period (up to 4 weeks), at Day 1 participants were randomized into one of the three treatment arms in 1:2:1 fashion to ligelizumab high dose (120 mg every four weeks (q4w)) versus ligelizumab low dose (24 mg q4w) versus placebo. During the 24 weeks of treatment period, doses were administered on Day 1 then on weeks 4, 8, 12, 16, and 20 weeks after randomization. Participants randomized to placebo received placebo on Day 1, Weeks 4 and 8; thereafter they received 120 mg ligelizumab (high dose) on Weeks 12, 16 and 20 such that by the end of the study, the same number of participants received ligelizumab high dose as low dose. The treatment period was followed by a treatment-free follow-up period of 16 weeks to a maximum of Week 40.

03

Conditions studied

  • Chronic Spontaneous Urticaria

Browse trials for

Keywords

  • Anti-IgE
  • Chronic spontaneous urticaria
04

Who can participate

Ages eligible
12 Years to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Parent or legal guardian's written and child's assent, if appropriate, must be obtained before any study related activity or assessment is performed. Of note, if the subject reaches age of consent (age as per local law) during the study, they will also need to sign the corresponding study ICF (Informed Consent Form) at the next study visit.
  • Male and female adolescent patients aged ≥ 12 to \<18 years at the time of screening.
  • Diagnosis of CSU to approved doses of H1-antihistamines at the time of randomization, as defined by all of the following:

    • The presence of itch and hives for at least 6 consecutive weeks at any time prior to enrollment despite current use of non-sedating H1-antihistamines during this time period
    • UAS7 score (range 0 - 42) ≥ 16 and HSS7 (range 0 - 21) ≥ 8 during 7 days prior to randomization (Day 1)
    • In-clinic UAS ≥ 4 on at least one of the screening visit days or Day 1 or a medical record of the presence of hives (confirmed and documented by a physician); patients must have been on H1-antihistamines for treatment of CSU at the time of in-clinic UAS at screening visit and/or time of the medical record of hives (for at least 3 days prior to the in-clinic UAS or medical record) • Patients must have been on H1-antihistamines for treatment of CSU for at least the 3 consecutive days immediately prior to the first screening visit and must have documented current use on the day of the initial screening visit
    • CSU diagnosis for ≥ 6 months
  • Willing and able to complete a daily symptom e-Diary for the duration of the study and adhere to the study visit schedules.
  • Demonstration of compliance with the e-Diary: patients should not have had any missing e-Diary entries in the 7 days prior to randomization. Re-screening may be considered.

Exclusion criteria

Exclusion Criteria:

  • Clearly defined underlying etiology for chronic urticarias other than CSU. This includes the following:

    • Inducible urticaria: urticaria factitia, cold-, heat-, solar-, pressure-, delayed pressure-, aquagenic-, cholinergic-, or contact-urticaria
    • Diseases with possible symptoms of urticaria or angioedema such as urticarial vasculitis, erythema multiforme, cutaneous mastocytosis (urticaria pigmentosa), and hereditary or acquired angioedema (e.g., due to C1 inhibitor deficiency)
  • Any other skin disease associated with chronic itching that might confound the study evaluations and results (e.g. atopic dermatitis, bullous pemphigoid, dermatitis herpetiformis etc.)
  • Previous exposure to omalizumab
  • History of anaphylaxis
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
49 participants (actual)

Study arms

  • Experimental
    Ligelizumab 120 mg

    Participants received a dose of ligelizumab 120 mg (high dose) which consisted of one injection of 1 ml of ligelizumab 120 mg/ 1 ml vial every 4 weeks from Day 1 to Week 20 (inclusive).

    Drug: Ligelizumab

  • Experimental
    Ligelizumab 24 mg

    Participants received a dose of ligelizumab 24 mg (low dose) which consisted of one injection of 0.2 ml of ligelizumab 120 mg/ 1 ml vial every 4 weeks from Day 1 to Week 20 (inclusive).

    Drug: Ligelizumab

  • Placebo comparator
    Placebo + Ligelizumab 120 mg

    Participants received Placebo which consisted of one injection of 1 ml placebo every 4 weeks from Day 1 to Week 8 (inclusive). From week 12 to week 20 (inclusive), participants received a dose of ligelizumab 120 mg (high dose) which consisted of one injection of 1 ml of ligelizumab 120 mg/ 1 ml vial.

    Drug: Ligelizumab · Drug: Placebo

Interventions

  • Ligelizumab comes in 120 mg per 1 ml liquid vials. Participants received one injection every 4 weeks at a dose of 120 mg or 24 mg, high and low doses respectively.

    Also known as: QGE031

  • DrugPlacebo

    Placebo 0 mg per 1 ml liquid injection once every 4 weeks.

06

What researchers measure

Primary outcomes

  1. Change From Baseline of Weekly Urticaria Activity Score (UAS7) at Week 24

    UAS7 is a self-reported scoring system to evaluate urticaria signs and symptoms. UAS7 is the sum of daily urticaria activity scores (UAS) over a seven-day period. The possible range of UAS7 score is 0 to 42 (0 to 6 for daily UAS x 7 days). A higher urticaria activity score indicates more severe symptoms. A negative change score from baseline indicates improvement. Baseline was calculated using data from the 7 days prior to the first treatment date. To handle the missing data, if a participant had at least 4 non-missing daily scores within the 7 days prior to a study visit, the weekly score was calculated as the sum of the available scores in that week, divided by the number of days with daily scores available, multiplied by 7. However, if there were less than 4 non-missing daily scores within the prior 7 days, then the weekly score was missing for the week.

    Time frame: Baseline, week 24

Secondary outcomes

  1. Change From Baseline of Weekly Urticaria Activity Score (UAS7) at Weeks 12 and 40

    UAS7 is a self-reported scoring system to evaluate urticaria signs and symptoms. UAS7 is the sum of daily urticaria activity scores (UAS) over a seven-day period. The possible range of UAS7 score is 0 to 42 (0 to 6 for daily UAS x 7 days). A higher urticaria activity score indicates more severe symptoms. A negative change score from baseline indicates improvement. Baseline was calculated using data from the 7 days prior to the first treatment date. To handle the missing data, if a participant had at least 4 non-missing daily scores within the 7 days prior to a study visit, the weekly score was calculated as the sum of the available scores in that week, divided by the number of days with daily scores available, multiplied by 7. However, if there were less than 4 non-missing daily scores within the prior 7 days, then the weekly score was missing for the week.

    Time frame: Baseline, weeks 12 and 40

  2. Percentage of Participants With Complete Response in Weekly Urticaria Activity Score (UAS7)

    UAS7 is a self-reported scoring system to evaluate urticaria signs and symptoms. UAS7 is the sum of daily urticaria activity scores (UAS) over a seven-day period. The possible range of UAS7 score is 0 to 42 (0 to 6 for daily UAS x 7 days). A higher urticaria activity score indicates more severe symptoms. A complete UAS7 response is defined as UAS7=0, no wheals neither pruritus. Participants with post-baseline missing data were considered as non-responders.

    Time frame: Weeks 12, 24 and 40

  3. Change From Baseline of Weekly Itch Severity Score (ISS7)

    ISS7 is the sum of daily Itch Severity Score (ISS) over a seven-day period. The possible range of ISS7 score is 0-21 (0-3 for daily ISS x 7 days), where 0 is defined as complete ISS7 response (no itching) and 21 is the worst score. A negative change score from baseline indicates improvement. Baseline was calculated using data from the 7 days prior to the first treatment date. To handle the missing data, if a participant had at least 4 non-missing daily scores within the 7 days prior to a study visit, the weekly score was calculated as the sum of the available scores in that week, divided by the number of days with daily scores available, multiplied by 7. However, if there were less than 4 non-missing daily scores within the prior 7 days, then the weekly score was missing for the week.

    Time frame: Baseline, weeks 12, 24 and 40

  4. Percentage of Participants With Complete Response in Weekly Itch Severity Score (ISS7)

    ISS7 is the sum of daily Itch Severity Score (ISS) over a seven-day period. The possible range of ISS7 score is 0-21 (0-3 for daily ISS x 7 days), where 0 is defined as complete ISS7 response (no itching) and 21 is the worst score. Participants with post-baseline missing data were considered as non-responders.

    Time frame: Weeks 12, 24 and 40

  5. Change From Baseline of Weekly Hives Severity Score (HSS7)

    HSS7 is the sum of daily Hives Severity Score (HSS) over a seven-day period. The possible range of HSS7 score is 0-21 (0-3 for daily HSS x 7 days), where 0 is defined as complete HSS7 response (no wheals) and 21 is the worst score. A negative change score from baseline indicates improvement. Baseline was calculated using data from the 7 days prior to the first treatment date. To handle the missing data, if a participant had at least 4 non-missing daily scores within the 7 days prior to a study visit, the weekly score was calculated as the sum of the available scores in that week, divided by the number of days with daily scores available, multiplied by 7. However, if there were less than 4 non-missing daily scores within the prior 7 days, then the weekly score was missing for the week.

    Time frame: Baseline, weeks 12, 24 and 40

  6. Percentage of Participants With Complete Response in Weekly Hives Severity Score (HSS7)

    HSS7 is the sum of daily Hives Severity Score (HSS) over a seven-day period. The possible range of HSS7 score is 0-21 (0-3 for daily HSS x 7 days), where 0 is defined as complete HSS7 response (no wheals) and 21 is the worst score. Participants with post-baseline missing data were considered as non-responders.

    Time frame: Weeks 12, 24 and 40

  7. Change From Baseline of the Children Dermatology Life Quality Index (CDLQI)

    The children dermatology life quality index questionnaire is a 10-item dermatology- specific health-related quality of life measure designed for use in children. Participants rated their dermatology symptoms as well as the impact of their skin condition on various aspects of their lives. The CDLQI total score is a sum of all 10 item responses, each individual response ranging from 0 (not at all) to 3 (very much). Total score ranges from 0 to 30 with higher scores indicating greater health-related quality of life impairment. A negative change score from baseline indicates improvement. Baseline was defined as the last non-missing value prior to or on the first treatment date. To handle the missing data, if a participant had only one item missing score per visit, then it was imputed to 0 and total score was calculated accordingly. If there were 2 or more item missing scores per visit, then the total score for the visit was considered as missing.

    Time frame: Baseline, weeks 12, 24 and 40

  8. Change From Baseline in Total Human Immunoglobulin E (IgE)

    Change from baseline in IgE (free IgE plus IgE bound to ligelizumab) at weeks 12, 24 and 40 as a pharmacodynamic measurement.

    Time frame: Baseline, weeks 12, 24 and 40

  9. Apparent Clearance (CL/F) of Ligelizumab Estimated With a PopPK Model

    Model-based estimate of apparent clearance (CL/F) was derived using compartmental pharmacokinetic population (PopPK) modelling using non-linear mixed effects model for ligelizumab. Apparent clearance population estimate was derived through fitting individual drug administration history and collected ligelizumab concentrations at the specified data points (listed in Time Frame).

    Time frame: Weeks 0 (baseline), 4, 8, 12, 16, 20 (all pre-dose) and weeks 24, 32 and 40

  10. Apparent Volume of Distribution of Ligelizumab Estimated With a PopPK Model

    Model-based estimate of apparent volume of distribution was derived using compartmental pharmacokinetic population (PopPK) modelling using non-linear mixed effects model for ligelizumab. Apparent volume of distribution population estimate was derived through fitting individual drug administration history and collected ligelizumab concentrations at the specified data points (listed in Time Frame).

    Time frame: Weeks 0 (baseline), 4, 8, 12, 16, 20 (all pre-dose) and weeks 24, 32 and 40

  11. Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)

    Number of participants with AEs and SAEs, including significant changes from baseline in vital signs (blood pressure, pulse rate), electrocardiograms and laboratory values qualifying and reported as AEs. The number of participants in each category is reported in the table.

    Time frame: From the start of treatment to 20 weeks after end of treatment, assessed up to maximum duration of 40 weeks

07

Results

Posted Aug 24, 2021

Participant flow

Participants were recruited from 20 sites: Argentina (3), Belgium (1), Canada (2), Germany (2), Hungary (1), India (3), Russia (3), Spain (2), Taiwan (1) and Turkey (2).

Participant flow — Overall Study
MilestoneLigelizumab 24 mgLigelizumab 120 mgPlacebo + Ligelizumab 120 mg
Started241312
Completed221310
Not completed202
Withdrew: Adverse event001
Withdrew: Progressive disease100
Withdrew: Physician decision101

Outcome measures

PrimaryChange From Baseline of Weekly Urticaria Activity Score (UAS7) at Week 24

UAS7 is a self-reported scoring system to evaluate urticaria signs and symptoms. UAS7 is the sum of daily urticaria activity scores (UAS) over a seven-day period. The possible range of UAS7 score is 0 to 42 (0 to 6 for daily UAS x 7 days). A higher urticaria activity score indicates more severe symptoms. A negative change score from baseline indicates improvement. Baseline was calculated using data from the 7 days prior to the first treatment date. To handle the missing data, if a participant had at least 4 non-missing daily scores within the 7 days prior to a study visit, the weekly score was calculated as the sum of the available scores in that week, divided by the number of days with daily scores available, multiplied by 7. However, if there were less than 4 non-missing daily scores within the prior 7 days, then the weekly score was missing for the week.

Time frame:
Baseline, week 24
Reported as:
Mean · Score on a scale
Change From Baseline of Weekly Urticaria Activity Score (UAS7) at Week 24
Score on a scaleLigelizumab 24 mgLigelizumab 120 mgPlacebo + Ligelizumab 120 mg
Change From Baseline of Weekly Urticaria Activity Score (UAS7) at Week 24-20.36 ± 12.963-22.50 ± 13.503-21.26 ± 14.480
SecondaryChange From Baseline of Weekly Urticaria Activity Score (UAS7) at Weeks 12 and 40

UAS7 is a self-reported scoring system to evaluate urticaria signs and symptoms. UAS7 is the sum of daily urticaria activity scores (UAS) over a seven-day period. The possible range of UAS7 score is 0 to 42 (0 to 6 for daily UAS x 7 days). A higher urticaria activity score indicates more severe symptoms. A negative change score from baseline indicates improvement. Baseline was calculated using data from the 7 days prior to the first treatment date. To handle the missing data, if a participant had at least 4 non-missing daily scores within the 7 days prior to a study visit, the weekly score was calculated as the sum of the available scores in that week, divided by the number of days with daily scores available, multiplied by 7. However, if there were less than 4 non-missing daily scores within the prior 7 days, then the weekly score was missing for the week.

Time frame:
Baseline, weeks 12 and 40
Reported as:
Mean · Score on a scale
Change From Baseline of Weekly Urticaria Activity Score (UAS7) at Weeks 12 and 40
Score on a scaleLigelizumab 24 mgLigelizumab 120 mgPlacebo + Ligelizumab 120 mg
Week 12-15.70 ± 10.867-18.38 ± 12.268-12.96 ± 13.043
Week 40-17.50 ± 12.619-15.65 ± 11.096-19.43 ± 17.667
SecondaryPercentage of Participants With Complete Response in Weekly Urticaria Activity Score (UAS7)

UAS7 is a self-reported scoring system to evaluate urticaria signs and symptoms. UAS7 is the sum of daily urticaria activity scores (UAS) over a seven-day period. The possible range of UAS7 score is 0 to 42 (0 to 6 for daily UAS x 7 days). A higher urticaria activity score indicates more severe symptoms. A complete UAS7 response is defined as UAS7=0, no wheals neither pruritus. Participants with post-baseline missing data were considered as non-responders.

Time frame:
Weeks 12, 24 and 40
Reported as:
Count of participants · Participants
Percentage of Participants With Complete Response in Weekly Urticaria Activity Score (UAS7)
ParticipantsLigelizumab 24 mgLigelizumab 120 mgPlacebo + Ligelizumab 120 mg
Week 12452
Week 24884
Week 40324
SecondaryChange From Baseline of Weekly Itch Severity Score (ISS7)

ISS7 is the sum of daily Itch Severity Score (ISS) over a seven-day period. The possible range of ISS7 score is 0-21 (0-3 for daily ISS x 7 days), where 0 is defined as complete ISS7 response (no itching) and 21 is the worst score. A negative change score from baseline indicates improvement. Baseline was calculated using data from the 7 days prior to the first treatment date. To handle the missing data, if a participant had at least 4 non-missing daily scores within the 7 days prior to a study visit, the weekly score was calculated as the sum of the available scores in that week, divided by the number of days with daily scores available, multiplied by 7. However, if there were less than 4 non-missing daily scores within the prior 7 days, then the weekly score was missing for the week.

Time frame:
Baseline, weeks 12, 24 and 40
Reported as:
Mean · Score on a scale
Change From Baseline of Weekly Itch Severity Score (ISS7)
Score on a scaleLigelizumab 24 mgLigelizumab 120 mgPlacebo + Ligelizumab 120 mg
Week 12-7.66 ± 5.824-7.81 ± 6.047-6.34 ± 6.936
Week 24-9.71 ± 7.049-9.85 ± 6.488-10.28 ± 7.811
Week 40-8.73 ± 6.656-6.86 ± 5.848-9.88 ± 8.687
SecondaryPercentage of Participants With Complete Response in Weekly Itch Severity Score (ISS7)

ISS7 is the sum of daily Itch Severity Score (ISS) over a seven-day period. The possible range of ISS7 score is 0-21 (0-3 for daily ISS x 7 days), where 0 is defined as complete ISS7 response (no itching) and 21 is the worst score. Participants with post-baseline missing data were considered as non-responders.

Time frame:
Weeks 12, 24 and 40
Reported as:
Count of participants · Participants
Percentage of Participants With Complete Response in Weekly Itch Severity Score (ISS7)
ParticipantsLigelizumab 24 mgLigelizumab 120 mgPlacebo + Ligelizumab 120 mg
Week 12452
Week 24984
Week 40424
SecondaryChange From Baseline of Weekly Hives Severity Score (HSS7)

HSS7 is the sum of daily Hives Severity Score (HSS) over a seven-day period. The possible range of HSS7 score is 0-21 (0-3 for daily HSS x 7 days), where 0 is defined as complete HSS7 response (no wheals) and 21 is the worst score. A negative change score from baseline indicates improvement. Baseline was calculated using data from the 7 days prior to the first treatment date. To handle the missing data, if a participant had at least 4 non-missing daily scores within the 7 days prior to a study visit, the weekly score was calculated as the sum of the available scores in that week, divided by the number of days with daily scores available, multiplied by 7. However, if there were less than 4 non-missing daily scores within the prior 7 days, then the weekly score was missing for the week.

Time frame:
Baseline, weeks 12, 24 and 40
Reported as:
Mean · Score on a scale
Change From Baseline of Weekly Hives Severity Score (HSS7)
Score on a scaleLigelizumab 24 mgLigelizumab 120 mgPlacebo + Ligelizumab 120 mg
Week 12-8.03 ± 6.307-10.58 ± 7.225-6.62 ± 6.385
Week 24-10.65 ± 6.673-12.65 ± 7.785-10.98 ± 6.842
Week 40-8.77 ± 6.770-8.78 ± 6.084-9.55 ± 9.197
SecondaryPercentage of Participants With Complete Response in Weekly Hives Severity Score (HSS7)

HSS7 is the sum of daily Hives Severity Score (HSS) over a seven-day period. The possible range of HSS7 score is 0-21 (0-3 for daily HSS x 7 days), where 0 is defined as complete HSS7 response (no wheals) and 21 is the worst score. Participants with post-baseline missing data were considered as non-responders.

Time frame:
Weeks 12, 24 and 40
Reported as:
Count of participants · Participants
Percentage of Participants With Complete Response in Weekly Hives Severity Score (HSS7)
ParticipantsLigelizumab 24 mgLigelizumab 120 mgPlacebo + Ligelizumab 120 mg
Week 12662
Week 241094
Week 40525
SecondaryChange From Baseline of the Children Dermatology Life Quality Index (CDLQI)

The children dermatology life quality index questionnaire is a 10-item dermatology- specific health-related quality of life measure designed for use in children. Participants rated their dermatology symptoms as well as the impact of their skin condition on various aspects of their lives. The CDLQI total score is a sum of all 10 item responses, each individual response ranging from 0 (not at all) to 3 (very much). Total score ranges from 0 to 30 with higher scores indicating greater health-related quality of life impairment. A negative change score from baseline indicates improvement. Baseline was defined as the last non-missing value prior to or on the first treatment date. To handle the missing data, if a participant had only one item missing score per visit, then it was imputed to 0 and total score was calculated accordingly. If there were 2 or more item missing scores per visit, then the total score for the visit was considered as missing.

Time frame:
Baseline, weeks 12, 24 and 40
Reported as:
Mean · Score on a scale
Change From Baseline of the Children Dermatology Life Quality Index (CDLQI)
Score on a scaleLigelizumab 24 mgLigelizumab 120 mgPlacebo + Ligelizumab 120 mg
Week 12-10.1 ± 4.88-6.6 ± 8.05-5.0 ± 6.23
Week 24-11.5 ± 6.85-8.8 ± 10.43-10.1 ± 6.74
Week 40-10.3 ± 6.86-5.5 ± 9.04-8.6 ± 8.54
SecondaryChange From Baseline in Total Human Immunoglobulin E (IgE)

Change from baseline in IgE (free IgE plus IgE bound to ligelizumab) at weeks 12, 24 and 40 as a pharmacodynamic measurement.

Time frame:
Baseline, weeks 12, 24 and 40
Reported as:
Mean · International units / millilitre
Change From Baseline in Total Human Immunoglobulin E (IgE)
International units / millilitreLigelizumab 24 mgLigelizumab 120 mgPlacebo + Ligelizumab 120 mg
Week 12186 ± 160245 ± 291-43.1 ± 56.2
Week 24169 ± 126328 ± 504325 ± 411
Week 4030.4 ± 105-15.6 ± 118-22.0 ± 93.0
SecondaryApparent Clearance (CL/F) of Ligelizumab Estimated With a PopPK Model

Model-based estimate of apparent clearance (CL/F) was derived using compartmental pharmacokinetic population (PopPK) modelling using non-linear mixed effects model for ligelizumab. Apparent clearance population estimate was derived through fitting individual drug administration history and collected ligelizumab concentrations at the specified data points (listed in Time Frame).

Time frame:
Weeks 0 (baseline), 4, 8, 12, 16, 20 (all pre-dose) and weeks 24, 32 and 40
Reported as:
Median · Liters / day
Apparent Clearance (CL/F) of Ligelizumab Estimated With a PopPK Model
Liters / dayAll Participants With PK Data
Apparent Clearance (CL/F) of Ligelizumab Estimated With a PopPK Model0.66 (0.44 to 1.03)
SecondaryApparent Volume of Distribution of Ligelizumab Estimated With a PopPK Model

Model-based estimate of apparent volume of distribution was derived using compartmental pharmacokinetic population (PopPK) modelling using non-linear mixed effects model for ligelizumab. Apparent volume of distribution population estimate was derived through fitting individual drug administration history and collected ligelizumab concentrations at the specified data points (listed in Time Frame).

Time frame:
Weeks 0 (baseline), 4, 8, 12, 16, 20 (all pre-dose) and weeks 24, 32 and 40
Reported as:
Median · Liters
Apparent Volume of Distribution of Ligelizumab Estimated With a PopPK Model
LitersAll Participants With PK Data
Apparent Volume of Distribution of Ligelizumab Estimated With a PopPK Model14.5 (11.02 to 16.65)
SecondaryNumber of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)

Number of participants with AEs and SAEs, including significant changes from baseline in vital signs (blood pressure, pulse rate), electrocardiograms and laboratory values qualifying and reported as AEs. The number of participants in each category is reported in the table.

Time frame:
From the start of treatment to 20 weeks after end of treatment, assessed up to maximum duration of 40 weeks
Reported as:
Count of participants · Participants
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
ParticipantsLigelizumab 24 mgLigelizumab 120 mgPlacebo + Ligelizumab 120 mg
AEs18119
Treatment related AEs652
SAEs101
SAEs leading to treatment discontinuation001

Adverse events

Collected over Adverse events were reported from the start treatment to 20 weeks after end of treatment, assessed up to maximum duration of 40 weeks.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Ligelizumab 24 mg0/24 (0%)1/24 (4.2%)18/24 (75%)
Ligelizumab 120 mg0/13 (0%)0/13 (0%)11/13 (84.6%)
Placebo + Ligelizumab 120 mg0/12 (0%)1/12 (8.3%)9/12 (75%)
Total0/49 (0%)2/49 (4.1%)38/49 (77.6%)
Most frequent serious events
Most frequent serious events
EventLigelizumab 24 mgLigelizumab 120 mgPlacebo + Ligelizumab 120 mgTotal
Pulmonary valve incompetenceCardiac disorders0/240/131/121/49
Tricuspid valve incompetenceCardiac disorders0/240/131/121/49
Suicide attemptPsychiatric disorders1/240/130/121/49
Most frequent other events
Showing 10 of 46
Most frequent other events
EventLigelizumab 24 mgLigelizumab 120 mgPlacebo + Ligelizumab 120 mgTotal
NasopharyngitisInfections and infestations7/244/134/1215/49
HeadacheNervous system disorders5/241/134/1210/49
NauseaGastrointestinal disorders1/243/131/125/49
VomitingGastrointestinal disorders1/243/130/124/49
Chronic spontaneous urticariaSkin and subcutaneous tissue disorders5/240/130/125/49
DiarrhoeaGastrointestinal disorders2/240/132/124/49
InfluenzaInfections and infestations2/241/132/125/49
PyrexiaGeneral disorders and administration site conditions2/242/130/124/49
RhinitisInfections and infestations0/242/130/122/49
Upper respiratory tract infectionInfections and infestations3/242/130/125/49

Baseline characteristics

Age, Continuous
Age, Continuous(Years)Ligelizumab 24 mgLigelizumab 120 mgPlacebo + Ligelizumab 120 mgTotal
Mean14.9 ± 1.9415.2 ± 1.4114.4 ± 1.5114.8 ± 1.70
Sex: Female, Male
Sex: Female, Male(Participants)Ligelizumab 24 mgLigelizumab 120 mgPlacebo + Ligelizumab 120 mgTotal
Female109928
Male144321
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Ligelizumab 24 mgLigelizumab 120 mgPlacebo + Ligelizumab 120 mgTotal
American Indian or Alaska Native0000
Asian71210
Native Hawaiian or Other Pacific Islander0000
Black or African American1001
White16121038
More than one race0000
Unknown or Not Reported0000
08

Study locations

20 sites
  • Novartis Investigative Site
    Rosario, Santa Fe Province S2000BRH, Argentina
  • Novartis Investigative Site
    Bahía Blanca, B8000JRB, Argentina
  • Novartis Investigative Site
    Buenos Aires, C1125ABE, Argentina
  • Novartis Investigative Site
    Brussels, 1200, Belgium
  • Novartis Investigative Site
    Montreal, Quebec H3H 1P3, Canada
  • Novartis Investigative Site
    Québec, Quebec G1V 4W2, Canada
  • Novartis Investigative Site
    Berlin, 13353, Germany
  • Novartis Investigative Site
    Mainz, 55131, Germany
  • Novartis Investigative Site
    Budapest, HUN 1037, Hungary
  • Novartis Investigative Site
    Nashik, Maharashtra 422 101, India
  • Novartis Investigative Site
    New Delhi, National Capital Territory of Delhi 110 060, India
  • Novartis Investigative Site
    Bikaner, Rajasthan 334001, India
  • Novartis Investigative Site
    Saint Petersburg, 191015, Russia
  • Novartis Investigative Site
    Saint Petersburg, 191123, Russia
  • Novartis Investigative Site
    Smolensk, 214019, Russia
  • Novartis Investigative Site
    Barcelona, Barcelona 08006, Spain
  • Novartis Investigative Site
    Esplugues de Llobregat, Barcelona 08950, Spain
  • Novartis Investigative Site
    Taipei, Taiwan 10002, Taiwan
  • Novartis Investigative Site
    Aydin, Turkey 09100, Turkey (Türkiye)
  • Novartis Investigative Site
    Ankara, 06100, Turkey (Türkiye)
09

References and documents

Publications

  • Staubach P, Alvaro-Lozano M, Sekerel BE, Maurer M, Ben-Shoshan M, Porter M, Hua E, Ji Y, Burciu A, Savelieva M, Severin T, Drollmann A, Bienczak A. Ligelizumab in adolescents with chronic spontaneous urticaria: Results of a dedicated phase 2b randomized clinical trial supported with pharmacometric analysis. Pediatr Allergy Immunol. 2023 Jul;34(7):e13982. doi: 10.1111/pai.13982. PubMed 37492920 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect 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

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Aug 2018 to primary completion in Oct 2020, 26 months.

Results were first posted in Aug 2021, 10 months after primary completion.

Of 31 phase 2 interventional studies under Chronic Urticaria, half reached primary completion within 19 months of starting (the median), counting those still running; a quarter within 16 and three quarters within 31. This study's 26 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 31, 2018
First posted
Feb 19, 2018
StartActual
Aug 1, 2018
Primary completionActual
Oct 23, 2020
CompletionActual
Feb 3, 2021
Results first posted
Aug 24, 2021
Last update
Jan 13, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 13, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03437278
Responsible party
Sponsor
First posted
Feb 19, 2018
Start date
Aug 1, 2018
Primary completion
Oct 23, 2020
Completion
Feb 3, 2021
Results posted
Aug 24, 2021
Last update
Jan 13, 2026

Oversight

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

Not currently enrolling

This study is completed, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Ligelizumab

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