CClinicalTrials.gg
CompletedNCT03580356Updated Jan 7, 2025Results posted

A Phase III Study of and Efficacy of Ligelizumab in the Treatment of CSU in Adolescents and Adults Inadequately Controlled With H1-antihistamines.

A Phase 3 interventional study of Ligelizumab and Omalizumab in Chronic Spontaneous Urticaria, sponsored by Novartis Pharmaceuticals. Completed at 183 sites in 27 countries. Open to participants aged 12 Years and older. Per ClinicalTrials.gov, last updated 2025-01-07.

Sponsored by Novartis Pharmaceuticals · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
1,078
Allocation
Randomized
Ages
12 Years and older
Sex
All
01

Study summary

The purpose of this study was to establish efficacy and safety of ligelizumab in adolescent and adult subjects with CSU who remained symptomatic despite standard of care treatment by demonstrating better efficacy over omalizumab and over placebo.

The study population consisted of 1,079 male and female subjects aged ≥ 12 years who were diagnosed with CSU and who remained symptomatic despite the use of H1-antihistamines.

This was a multi-center, randomized, double-blind, active- and placebo-controlled, parallel-group study. There was a screening period of up to 28 days, a 52 week double-blind treatment period, and a 12 week post-treatment follow-up period.

Read the detailed description

This was a Phase III multi-center, randomized, double-blind, active and placebo-controlled, parallel-group study. The study consisted of 3 distinct periods:

  • Screening period (Day -28 to Day 1): Duration of up to 4 weeks in which subjects who have given informed consent were assessed for eligibility.
  • Double-blind treatment period (52 weeks): The subjects were seen in the clinic every 4 weeks.
  • Post-treatment follow-up period (12 weeks): This period consists of 3 visits (every 4 weeks) with the final visit occurring 16 weeks after the last dose at Week 48.
02

Conditions studied

  • Chronic Spontaneous Urticaria

Keywords

  • Anti-IgE
  • CSU
  • Chronic Spontaneous Urticaria
  • hives severity score
  • itch severity score
  • urticaria activity score
03

In context

Urticaria

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

This study's enrollment of 1,078 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
12 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  • Signed informed consent must be obtained prior to participation in the study. The subject's, parent's or legal guardian's signed written informed consent and child's assent, if appropriate, must be obtained before any 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 Informed Consent Form (ICF) at the next study visit.
  • Male and female subjects ≥ 12 years of age at the time of screening.
  • CSU diagnosis for ≥ 6 months.
  • Diagnosis of CSU refractory to H1-AH at approved doses at the time of randomization, as defined by all of the following:
  • The presence of itch and hives for ≥ 6 consecutive weeks at any time prior to Visit 1 (Day - 28 to Day -14) despite current use of non-sedating H1-antihistamine
  • UAS7 score (range 0-42) ≥ 16 and HSS7 (range 0-21) ≥ 8 during the 7 days prior to randomization (Visit 110, Day 1)
  • Subjects must be on H1-antihistamine at only locally label approved doses for treatment of CSU starting at Visit 1 (Day -28 to Day -14)
  • Willing and able to complete a daily symptom eDiary for the duration of the study and adhere to the study visit schedules.

Key Exclusion Criteria:

  • History of hypersensitivity to any of the study drugs or their excipients or to drugs of similar chemical classes (i.e. to murine, chimeric or human antibodies).
  • Subjects having a clearly defined cause of their chronic urticaria, other than CSU. This includes, but is not limited to, the following: symptomatic dermographism (urticaria factitia), cold-, heat-, solar-, pressure-, delayed pressure-, aquagenic-, cholinergic- or contact-urticaria.
  • Diseases, other than chronic urticaria, with urticarial or angioedema symptoms such as urticarial vasculitis, erythema multiforme, cutaneous mastocytosis (urticaria pigmentosa) and hereditary or acquired angioedema (eg, due to C1 inhibitor deficiency).
  • Subjects with evidence of helminthic parasitic infection as evidenced by stools being positive for a pathogenic organism according to local guidelines. All subjects will be screened at Visit 1. If stool testing is positive for pathogenic organism, the subject will not be randomized and will not be allowed to rescreen.
  • Any other skin disease associated with chronic itching that might influence in the investigators opinion the study evaluations and results (e.g. atopic dermatitis, bullous pemphigoid, dermatitis herpetiformis, senile pruritus, etc.).
  • Prior exposure to ligelizumab or omalizumab.
  • H1-AH used as background medication at greater than locally label-approved doses after visit 1
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
1,078 participants (actual)

Study arms

  • Experimental
    Ligelizumab 120 mg

    Ligelizumab 120 mg arm: 1 injection of 1.0 mL ligelizumab + 1 injection of 1.0 mL ligelizumab placebo q4w

    Biological: Ligelizumab

  • Experimental
    Ligelizumab 72 mg

    Ligelizumab 72 mg arm: 1 injection of 0.6 mL ligelizumab + 1 injection of 1.0 mL ligelizumab placebo q4w

    Biological: Ligelizumab

  • Active comparator
    Omalizumab 300 mg

    Omalizumab 300 mg arm: 2 injections of 1.2 mL omalizumab q4w

    Biological: Omalizumab

  • Placebo comparator
    Placebo

    Placebo-ligelizumab arm: 2 injections of 1.0mL of ligelizumab placebo from Week 0 through Week 20; 1 injection of 1.0mL of ligelizumab 120 mg + 1 injection of 1.0 mL ligelizumab placebo from Week 24 through Week 48

    Other: Placebo

Interventions

  • BiologicalLigelizumab

    Liquid in vial

  • BiologicalOmalizumab

    Lyophilized powder for solution in vial

  • OtherPlacebo

    Liquid in vial

06

What researchers measure

Primary outcomes

  1. Mean Change From Baseline in UAS7 at Week 12 (Multiple Imputation) of Adult Subjects

    The Urticaria Activity Score (UAS) is sum of the Hive Severity Score (HSS) and the Itch Severity Score (ISS). UAS7 is sum of the HSS7 and the ISS7 scores. Possible range of weekly UAS7 score is 0 to 42. Complete UAS7 response is UAS7 = 0. Hives Severity Score (HSS) scale is 0 to 3. A weekly score (HSS7) is derived by adding up the average daily scores of the 7 days preceding the visit. Possible range of the weekly score is therefore 0 to 21. Hives Severity Score scale: 0 - None 1 - Mild (1-6 hives/12 hours) 2 - Moderate (7-12 hives/12 hours) 3 - Severe (\>12 hives/12 hours). Itch Severity Score (ISS) scale is 0 to 3. Score (ISS7) is derived by adding up average daily scores of 7 days preceding visit. Possible range of weekly score is therefore 0 to 21. Itch Severity Score scale: 0 - None 1 - Mild (minimal awareness, easily tolerated) 2 - Moderate (definite awareness, bothersome but tolerable) 3 - Severe (difficult to tolerate). Negative change from baseline indicates improvement

    Time frame: Baseline, Week 12

  2. Mean Change From Baseline in UAS7 at Week 12 (Observed Data) of Adolescent Subjects (FAS)

    The Urticaria Activity Score (UAS) is sum of the Hive Severity Score (HSS) and the Itch Severity Score (ISS). UAS7 is sum of the HSS7 and the ISS7 scores. Possible range of weekly UAS7 score is 0 to 42. Complete UAS7 response is UAS7 = 0. Hives Severity Score (HSS) scale is 0 to 3. A weekly score (HSS7) is derived by adding up the average daily scores of the 7 days preceding the visit. Possible range of the weekly score is therefore 0 to 21. Hives Severity Score scale: 0 - None 1 - Mild (1-6 hives/12 hours) 2 - Moderate (7-12 hives/12 hours) 3 - Severe (\>12 hives/12 hours). Itch Severity Score (ISS) scale is 0 to 3. Score (ISS7) is derived by adding up average daily scores of 7 days preceding visit. Possible range of weekly score is therefore 0 to 21. Itch Severity Score scale: 0 - None 1 - Mild (minimal awareness, easily tolerated) 2 - Moderate (definite awareness, bothersome but tolerable) 3 - Severe (difficult to tolerate). Negative change from baseline indicates improvement

    Time frame: Baseline, Week 12

Secondary outcomes

  1. Number and Percentage of Subjects With UAS7=0 Response at Week 12 (Multiple Imputation - Adults, Observed Data for Adolescents)

    The Urticaria Activity Score (UAS) is the sum of the Hive Severity Score (HSS) and the Itch Severity Score (ISS). UAS7 is the sum of the HSS7 and the ISS7 scores. The possible range of the weekly UAS7 score is 0 to 42. Complete UAS7 response is defined as UAS7 = 0. Data is presented as percentage of patients with a UAS7=0 score. No Statistical analysis was planned for adolescent group.

    Time frame: Week 12

  2. Mean Change From Baseline in ISS7 at Week 12 (Multiple Imputation) of Adult Subjects (FAS)

    Improvement of severity of itch assessed as absolute change from baseline in ISS7 score at Week 12 Itch Severity Score (ISS) is on a scale of 0 to 3. A weekly score (ISS7) is derived by adding up the average daily scores of the 7 days preceding the visit. The possible range of the weekly score is therefore 0 to 21. Itch Severity Score scale: 0 - None 1 - Mild (minimal awareness, easily tolerated) 2 - Moderate (definite awareness, bothersome but tolerable) 3 - Severe (difficult to tolerate) Negative change from baseline indicates improvement.

    Time frame: Baseline, Week 12

  3. Mean Change From Baseline in ISS7 at Week 12 (Observed Data) of Adolescent Subjects, (FAS)

    Improvement of severity of itch assessed as absolute change from baseline in ISS7 score at Week 12 Itch Severity Score (ISS) is on a scale of 0 to 3. A weekly score (ISS7) is derived by adding up the average daily scores of the 7 days preceding the visit. The possible range of the weekly score is therefore 0 to 21. Itch Severity Score scale: 0 - None 1 - Mild (minimal awareness, easily tolerated) 2 - Moderate (definite awareness, bothersome but tolerable) 3 - Severe (difficult to tolerate) Negative change from baseline indicates improvement.. No Statistical Analysis was planned for adolescent population.

    Time frame: Baseline, Week 12

  4. Number and Percentage of Participants With DLQI Score of 0 - 1 at Week 12 (Multiple Imputation - Adults, Observed Data for Adolescents)

    Assessed as percentage of subjects achieving DLQI = 0-1, which means No impact on subjects quality of life at Week 12 The Dermatology life Quality Index (DLQI) score range is 0 to 30, with 0 (meaning no impact of skin disease on quality of life) to 30 (meaning maximum impact on quality of life). Data is presented as percentage of patients with a DLQI=0 score. No statistical analysis was planned for adolescent group.

    Time frame: Week 12

  5. Cumulative Number of Weeks of AAS7=0 up to Week 12 (Multiple Imputation) of Adult Subjects (FAS)

    Cumulative number of weeks that subjects achieve AAS7 = 0 responses between baseline and Week 12 Angioedema Activity Score (AAS7) is a measure of the frequency and intensity of angioedema episodes. The total possible range of scores over 7 days is 0-15 (mean day sum score) where higher scores indicate increased angioedema activity.

    Time frame: Baseline, Week 12

  6. Cumulative Number of Weeks of AAS7=0 up to Week 12 (Observed Data) of Adolescent Subjects (FAS)

    Cumulative number of weeks that subjects achieve AAS7 = 0 responses between baseline and Week 12 Angioedema Activity Score (AAS7) is a measure of the frequency and intensity of angioedema episodes. The total possible range of scores over 7 days is 0-15 (mean day sum score) where higher scores indicate increased angioedema activity. No Statistical Analysis was planned.

    Time frame: Baseline, Week 12

07

Results

Posted Mar 25, 2024

Participant flow

1,078 participants enrolled in 27 countries at 185 sites.

Treatment Period
Participant flow — Treatment Period
MilestoneLigelizumab 72 mg - AdultsLigelizumab 72 mg - AdolescentsLigelizumab 120 mg - AdultsLigelizumab 120 mg - AdolescentsOmalizumab 300 mg - AdultsOmalizumab 300 mg - AdolescentsPlacebo - Ligelizumab 120mg - AdultsPlacebo - Ligelizumab 120mg - Adolescents
Started3071630419309141036
Randomized set (ran)3071630419309141036
Safety set (saf)3041630619307141036
Full analysis set (fas)3071630319307141036
Completed269152591726313826
Not completed381452461210
Withdrew: Withdrawal by subject13013117050
Withdrew: Adverse event1001305080
Withdrew: Protocol violation50619110
Withdrew: Lack of efficacy60203030
Withdrew: Pregnancy10702010
Withdrew: Physician decision20104020
Withdrew: Lost to follow-up11103010
Withdrew: Death00100000
Withdrew: Technical problems00001000
Withdrew: Misrandomized, no treatment00102000
Post-treatment Follow Up Period
Participant flow — Post-treatment Follow Up Period
MilestoneLigelizumab 72 mg - AdultsLigelizumab 72 mg - AdolescentsLigelizumab 120 mg - AdultsLigelizumab 120 mg - AdolescentsOmalizumab 300 mg - AdultsOmalizumab 300 mg - AdolescentsPlacebo - Ligelizumab 120mg - AdultsPlacebo - Ligelizumab 120mg - Adolescents
Started272152751826513896
Completed260152561725913825
Not completed1201916071
Withdrew: Withdrawal by subject601214061
Withdrew: Lost to follow-up30201000
Withdrew: Adverse event10300000
Withdrew: Lack of efficacy00101000
Withdrew: Protocol violation10100000
Withdrew: Physician decision00000010
Withdrew: Pregnancy10000000

Outcome measures

SecondaryNumber and Percentage of Subjects With UAS7=0 Response at Week 12 (Multiple Imputation - Adults, Observed Data for Adolescents)

The Urticaria Activity Score (UAS) is the sum of the Hive Severity Score (HSS) and the Itch Severity Score (ISS). UAS7 is the sum of the HSS7 and the ISS7 scores. The possible range of the weekly UAS7 score is 0 to 42. Complete UAS7 response is defined as UAS7 = 0. Data is presented as percentage of patients with a UAS7=0 score. No Statistical analysis was planned for adolescent group.

Time frame:
Week 12
Reported as:
Count of participants · Participants
Number and Percentage of Subjects With UAS7=0 Response at Week 12 (Multiple Imputation - Adults, Observed Data for Adolescents)
ParticipantsLigelizumab 72 mgLigelizumab 120 mgOmalizumab 300 mgPlacebo
Adults88103944
Adolescents4850
Statistical analysis
  • Ligelizumab 72 mg vs Placebo · Regression, Logistic · p = <.0001 · Odds ratio (or): 9.029 · 95% CI 3.183 to 25.61595% confidence interval for the odds ratio
  • Ligelizumab 72 mg vs Omalizumab 300 mg · Regression, Logistic · p = 0.6646 · Odds ratio (or): 0.926 · 95% CI 0.650 to 1.31995% confidence interval for the odds ratio
  • Ligelizumab 120 mg vs Placebo · Regression, Logistic · p = <.0001 · Odds ratio (or): 11.508 · 95% CI 4.058 to 32.63895% confidence interval for the odds ratio
  • Ligelizumab 120 mg vs Omalizumab 300 mg · Regression, Logistic · p = 0.1730 · Odds ratio, log: 1.181 · 95% CI 0.836 to 1.66795% confidence interval for the odds ratio
PrimaryMean Change From Baseline in UAS7 at Week 12 (Multiple Imputation) of Adult Subjects

The Urticaria Activity Score (UAS) is sum of the Hive Severity Score (HSS) and the Itch Severity Score (ISS). UAS7 is sum of the HSS7 and the ISS7 scores. Possible range of weekly UAS7 score is 0 to 42. Complete UAS7 response is UAS7 = 0. Hives Severity Score (HSS) scale is 0 to 3. A weekly score (HSS7) is derived by adding up the average daily scores of the 7 days preceding the visit. Possible range of the weekly score is therefore 0 to 21. Hives Severity Score scale: 0 - None 1 - Mild (1-6 hives/12 hours) 2 - Moderate (7-12 hives/12 hours) 3 - Severe (\>12 hives/12 hours). Itch Severity Score (ISS) scale is 0 to 3. Score (ISS7) is derived by adding up average daily scores of 7 days preceding visit. Possible range of weekly score is therefore 0 to 21. Itch Severity Score scale: 0 - None 1 - Mild (minimal awareness, easily tolerated) 2 - Moderate (definite awareness, bothersome but tolerable) 3 - Severe (difficult to tolerate). Negative change from baseline indicates improvement

Time frame:
Baseline, Week 12
Reported as:
Least squares mean · Scores on a scale
Mean Change From Baseline in UAS7 at Week 12 (Multiple Imputation) of Adult Subjects
Scores on a scaleLigelizumab 72 mgLigelizumab 120 mgOmalizumab 300 mgPlacebo
Mean Change From Baseline in UAS7 at Week 12 (Multiple Imputation) of Adult Subjects-19.218 ± 0.651-20.312 ± 0.654-19.632 ± 0.652-9.221 ± 1.135
Statistical analysis
  • Ligelizumab 72 mg vs Placebo · Mixed Models Analysis · p = <.0001 · Ls mean: -9.997 · 95% CI -12.554 to -7.439Linear mixed model with repeated measures (MMRM)
  • Ligelizumab 72 mg vs Omalizumab 300 mg · Mixed Models Analysis · p = 0.6735 · Ls mean: 0.414 · 95% CI -1.392 to 2.221Linear mixed model with repeated measures (MMRM)
  • Ligelizumab 120 mg vs Placebo · Mixed Models Analysis · p = <.0001 · Ls mean: -11.091 · 95% CI -13.664 to -8.518Linear mixed model with repeated measures (MMRM)
  • Ligelizumab 120 mg vs Omalizumab 300 mg · Mixed Models Analysis · p = 0.2305 · Ls mean: -0.680 · 95% CI -2.489 to 1.128Linear mixed model with repeated measures (MMRM)
PrimaryMean Change From Baseline in UAS7 at Week 12 (Observed Data) of Adolescent Subjects (FAS)

The Urticaria Activity Score (UAS) is sum of the Hive Severity Score (HSS) and the Itch Severity Score (ISS). UAS7 is sum of the HSS7 and the ISS7 scores. Possible range of weekly UAS7 score is 0 to 42. Complete UAS7 response is UAS7 = 0. Hives Severity Score (HSS) scale is 0 to 3. A weekly score (HSS7) is derived by adding up the average daily scores of the 7 days preceding the visit. Possible range of the weekly score is therefore 0 to 21. Hives Severity Score scale: 0 - None 1 - Mild (1-6 hives/12 hours) 2 - Moderate (7-12 hives/12 hours) 3 - Severe (\>12 hives/12 hours). Itch Severity Score (ISS) scale is 0 to 3. Score (ISS7) is derived by adding up average daily scores of 7 days preceding visit. Possible range of weekly score is therefore 0 to 21. Itch Severity Score scale: 0 - None 1 - Mild (minimal awareness, easily tolerated) 2 - Moderate (definite awareness, bothersome but tolerable) 3 - Severe (difficult to tolerate). Negative change from baseline indicates improvement

Time frame:
Baseline, Week 12
Reported as:
Mean · scores on a scale
Mean Change From Baseline in UAS7 at Week 12 (Observed Data) of Adolescent Subjects (FAS)
scores on a scaleLigelizumab 72 mgLigelizumab 120 mgOmalizumab 300 mgPlacebo
Mean Change From Baseline in UAS7 at Week 12 (Observed Data) of Adolescent Subjects (FAS)-14.92 ± 13.479-24.83 ± 12.640-18.16 ± 10.246-11.94 ± 14.278
SecondaryMean Change From Baseline in ISS7 at Week 12 (Multiple Imputation) of Adult Subjects (FAS)

Improvement of severity of itch assessed as absolute change from baseline in ISS7 score at Week 12 Itch Severity Score (ISS) is on a scale of 0 to 3. A weekly score (ISS7) is derived by adding up the average daily scores of the 7 days preceding the visit. The possible range of the weekly score is therefore 0 to 21. Itch Severity Score scale: 0 - None 1 - Mild (minimal awareness, easily tolerated) 2 - Moderate (definite awareness, bothersome but tolerable) 3 - Severe (difficult to tolerate) Negative change from baseline indicates improvement.

Time frame:
Baseline, Week 12
Reported as:
Least squares mean · scores on a scale
Mean Change From Baseline in ISS7 at Week 12 (Multiple Imputation) of Adult Subjects (FAS)
scores on a scaleLigelizumab 72 mgLigelizumab 120 mgOmalizumab 300 mgPlacebo
Mean Change From Baseline in ISS7 at Week 12 (Multiple Imputation) of Adult Subjects (FAS)-8.632 ± 0.298-9.023 ± 0.300-8.733 ± 0.300-4.527 ± 0.522
Statistical analysis
  • Ligelizumab 72 mg vs Placebo · Mixed Models Analysis · p = <.0001 · Ls mean: -4.105 · 95% CI -5.281 to -2.929Linear mixed model with repeated measures (MMRM)
  • Ligelizumab 72 mg vs Omalizumab 300 mg · Mixed Models Analysis · p = 0.5943 · Ls mean: 0.101 · 95% CI -0.727 to 0.928Linear mixed model with repeated measures (MMRM)
  • Ligelizumab 120 mg vs Placebo · Mixed Models Analysis · p = <.0001 · Ls mean: -4.496 · 95% CI -5.678 to -3.314Linear mixed model with repeated measures (MMRM)
  • Ligelizumab 120 mg vs Omalizumab 300 mg · Mixed Models Analysis · p = 0.2467 · Ls mean: -0.290 · 95% CI -1.120 to 0.540Linear mixed model with repeated measures (MMRM)
SecondaryMean Change From Baseline in ISS7 at Week 12 (Observed Data) of Adolescent Subjects, (FAS)

Improvement of severity of itch assessed as absolute change from baseline in ISS7 score at Week 12 Itch Severity Score (ISS) is on a scale of 0 to 3. A weekly score (ISS7) is derived by adding up the average daily scores of the 7 days preceding the visit. The possible range of the weekly score is therefore 0 to 21. Itch Severity Score scale: 0 - None 1 - Mild (minimal awareness, easily tolerated) 2 - Moderate (definite awareness, bothersome but tolerable) 3 - Severe (difficult to tolerate) Negative change from baseline indicates improvement.. No Statistical Analysis was planned for adolescent population.

Time frame:
Baseline, Week 12
Reported as:
Mean · scores on a scale
Mean Change From Baseline in ISS7 at Week 12 (Observed Data) of Adolescent Subjects, (FAS)
scores on a scaleLigelizumab 72 mgLigelizumab 120 mgOmalizumab 300 mgPlacebo
Mean Change From Baseline in ISS7 at Week 12 (Observed Data) of Adolescent Subjects, (FAS)-6.38 ± 6.994-12.04 ± 6.264-8.56 ± 4.935-6.97 ± 7.904
SecondaryNumber and Percentage of Participants With DLQI Score of 0 - 1 at Week 12 (Multiple Imputation - Adults, Observed Data for Adolescents)

Assessed as percentage of subjects achieving DLQI = 0-1, which means No impact on subjects quality of life at Week 12 The Dermatology life Quality Index (DLQI) score range is 0 to 30, with 0 (meaning no impact of skin disease on quality of life) to 30 (meaning maximum impact on quality of life). Data is presented as percentage of patients with a DLQI=0 score. No statistical analysis was planned for adolescent group.

Time frame:
Week 12
Reported as:
Count of participants · Participants
Number and Percentage of Participants With DLQI Score of 0 - 1 at Week 12 (Multiple Imputation - Adults, Observed Data for Adolescents)
ParticipantsLigelizumab 72 mgLigelizumab 120 mgOmalizumab 300 mgPlacebo
Adults13415314718
Adolescents4950
Statistical analysis
  • Ligelizumab 72 mg vs Placebo · Regression, Logistic · p = <.0001 · Odds ratio (or): 3.443 · 95% CI 1.955 to 6.06395% confidence interval for the odds ratio
  • Ligelizumab 72 mg vs Omalizumab 300 mg · Regression, Logistic · p = 0.8524 · Odds ratio (or): 0.838 · 95% CI 0.602 to 1.16795% confidence interval for the odds ratio
  • Ligelizumab 120 mg vs Placebo · Regression, Logistic · p = <.0001 · Odds ratio (or): 4.542 · 95% CI 2.577 to 8.00495% confidence interval for the odds ratio
  • Ligelizumab 120 mg vs Omalizumab 300 mg · Regression, Logistic · p = 0.2764 · Odds ratio (or): 1.106 · 95% CI 0.794 to 1.54095% confidence interval for the odds ratio
SecondaryCumulative Number of Weeks of AAS7=0 up to Week 12 (Multiple Imputation) of Adult Subjects (FAS)

Cumulative number of weeks that subjects achieve AAS7 = 0 responses between baseline and Week 12 Angioedema Activity Score (AAS7) is a measure of the frequency and intensity of angioedema episodes. The total possible range of scores over 7 days is 0-15 (mean day sum score) where higher scores indicate increased angioedema activity.

Time frame:
Baseline, Week 12
Reported as:
Least squares mean · Weeks
Cumulative Number of Weeks of AAS7=0 up to Week 12 (Multiple Imputation) of Adult Subjects (FAS)
WeeksLigelizumab 72 mgLigelizumab 120 mgOmalizumab 300 mgPlacebo
Cumulative Number of Weeks of AAS7=0 up to Week 12 (Multiple Imputation) of Adult Subjects (FAS)8.668 ± 0.2418.897 ± 0.2468.427 ± 0.2376.242 ± 0.331
Statistical analysis
  • Ligelizumab 72 mg vs Placebo · Negative binomial regression model · p = <.0001 · Risk ratio (rr): 1.389 · 95% CI 1.235 to 1.56195% confidence interval for the relative risk ratio
  • Ligelizumab 72 mg vs Omalizumab 300 mg · Negative binomial regression model · p = 0.2369 · Risk ratio (rr): 1.029 · 95% CI 0.952 to 1.11195% confidence interval for the relative risk ratio
  • Ligelizumab 120 mg vs Placebo · Negative binomial regression model · p = <.0001 · Risk ratio (rr): 1.425 · 95% CI 1.268 to 1.60395% confidence interval for the relative risk ratio
  • Ligelizumab 120 mg vs Omalizumab 300 mg · Negative binomial regression model · p = 0.0830 · Risk ratio (rr): 1.056 · 95% CI 0.978 to 1.14095% confidence interval for the relative risk ratio
SecondaryCumulative Number of Weeks of AAS7=0 up to Week 12 (Observed Data) of Adolescent Subjects (FAS)

Cumulative number of weeks that subjects achieve AAS7 = 0 responses between baseline and Week 12 Angioedema Activity Score (AAS7) is a measure of the frequency and intensity of angioedema episodes. The total possible range of scores over 7 days is 0-15 (mean day sum score) where higher scores indicate increased angioedema activity. No Statistical Analysis was planned.

Time frame:
Baseline, Week 12
Reported as:
Least squares mean · Weeks
Cumulative Number of Weeks of AAS7=0 up to Week 12 (Observed Data) of Adolescent Subjects (FAS)
WeeksLigelizumab 72 mgLigelizumab 120 mgOmalizumab 300 mgPlacebo
Cumulative Number of Weeks of AAS7=0 up to Week 12 (Observed Data) of Adolescent Subjects (FAS)6.8 ± 4.908.6 ± 4.6010.2 ± 3.019.2 ± 4.92

Adverse events

Collected over Adverse event (AE) monitoring was continued for at least 30 days following the last dose of study treatment or end of study visit (64 weeks), whichever was longer.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Ligelizumab 72mg (Adults)0/304 (0%)3/304 (1%)177/304 (58.2%)
Ligelizumab 72mg (Adolescents)0/16 (0%)0/16 (0%)7/16 (43.8%)
Ligelizumab 72mg (Adults+Adolescents)0/320 (0%)3/320 (0.9%)184/320 (57.5%)
Ligelizumab 120 mg (Adults)1/306 (0.3%)3/306 (1%)182/306 (59.5%)
Ligelizumab 120 mg (Adolescents)0/19 (0%)0/19 (0%)10/19 (52.6%)
Ligelizumab 120 mg (Adults+Adolescents)1/325 (0.3%)3/325 (0.9%)192/325 (59.1%)
Omalizumab 300mg (Adults)0/307 (0%)2/307 (0.7%)165/307 (53.7%)
Omalizumab 300mg (Adolescents)0/14 (0%)0/14 (0%)10/14 (71.4%)
Omalizumab 300mg (Adults+Adolescents)0/321 (0%)2/321 (0.6%)175/321 (54.5%)
Placebo Only (Adults)0/103 (0%)1/103 (1%)40/103 (38.8%)
Placebo Only (Adolescents)0/6 (0%)0/6 (0%)1/6 (16.7%)
Placebo Only (Adults+Adolescents)0/109 (0%)1/109 (0.9%)41/109 (37.6%)
Transitioned to Ligelizumab 120mg (Adults)0/90 (0%)0/90 (0%)37/90 (41.1%)
Transitioned to Ligelizumab 120mg (Adolescents)0/6 (0%)0/6 (0%)2/6 (33.3%)
Transitioned to Ligelizumab 120mg (Adults+Adolescents)0/96 (0%)0/96 (0%)39/96 (40.6%)
Most frequent serious events
Most frequent serious events
EventLigelizumab 72mg (Adults)Ligelizumab 72mg (Adolescents)Ligelizumab 72mg (Adults+Adolescents)Ligelizumab 120 mg (Adults)Ligelizumab 120 mg (Adolescents)Ligelizumab 120 mg (Adults+Adolescents)Omalizumab 300mg (Adults)Omalizumab 300mg (Adolescents)Omalizumab 300mg (Adults+Adolescents)Placebo Only (Adults)Placebo Only (Adolescents)Placebo Only (Adults+Adolescents)Transitioned to Ligelizumab 120mg (Adults)Transitioned to Ligelizumab 120mg (Adolescents)Transitioned to Ligelizumab 120mg (Adults+Adolescents)
UrticariaSkin and subcutaneous tissue disorders0/3040/160/3201/3060/191/3251/3070/141/3211/1030/61/1090/900/60/96
AngioedemaSkin and subcutaneous tissue disorders2/3040/162/3200/3060/190/3250/3070/140/3210/1030/60/1090/900/60/96
COVID-19Infections and infestations1/3040/161/3202/3060/192/3250/3070/140/3210/1030/60/1090/900/60/96
HypertensionVascular disorders0/3040/160/3200/3060/190/3251/3070/141/3210/1030/60/1090/900/60/96
Most frequent other events
Showing 10 of 46
Most frequent other events
EventLigelizumab 72mg (Adults)Ligelizumab 72mg (Adolescents)Ligelizumab 72mg (Adults+Adolescents)Ligelizumab 120 mg (Adults)Ligelizumab 120 mg (Adolescents)Ligelizumab 120 mg (Adults+Adolescents)Omalizumab 300mg (Adults)Omalizumab 300mg (Adolescents)Omalizumab 300mg (Adults+Adolescents)Placebo Only (Adults)Placebo Only (Adolescents)Placebo Only (Adults+Adolescents)Transitioned to Ligelizumab 120mg (Adults)Transitioned to Ligelizumab 120mg (Adolescents)Transitioned to Ligelizumab 120mg (Adults+Adolescents)
NasopharyngitisInfections and infestations42/3042/1644/32036/3063/1939/32536/3074/1440/3216/1031/67/1097/900/67/96
HeadacheNervous system disorders35/3044/1639/32044/3062/1946/32537/3072/1439/3217/1030/67/1096/900/66/96
PharyngitisInfections and infestations4/3040/164/3204/3060/194/3253/3070/143/3211/1030/61/1091/901/62/96
UrticariaSkin and subcutaneous tissue disorders13/3040/1613/32017/3060/1917/32511/3071/1412/3214/1030/64/1091/901/62/96
COVID-19Infections and infestations17/3040/1617/32016/3062/1918/32510/3072/1412/3211/1030/61/1094/900/64/96
SomnolenceNervous system disorders3/3040/163/3204/3060/194/3251/3072/143/3213/1030/63/1090/900/60/96
EczemaSkin and subcutaneous tissue disorders12/3040/1612/32012/3060/1912/32510/3072/1412/3211/1030/61/1090/900/60/96
Abdominal pain upperGastrointestinal disorders9/3042/1611/3204/3060/194/3251/3071/142/3212/1030/62/1090/900/60/96
NauseaGastrointestinal disorders13/3042/1615/32010/3061/1911/3258/3071/149/3212/1030/62/1090/900/60/96
FatigueGeneral disorders8/3042/1610/3209/3060/199/3257/3070/147/3211/1030/61/1091/900/61/96

Baseline characteristics

Randomized set (RAN) included all randomized subjects, regardless of whether or not they received a dose of study drug. Subjects were analyzed according to the treatment they were assigned to.

Age, Categorical
Age, Categorical(Participants)Ligelizumab 72 mgLigelizumab 120 mgOmalizumab 300 mgPlaceboTotal
Adults — <=18 years00000
Adults — Between 18 and 65 years28827828696948
Adults — >=65 years192623775
Adolescents — <=18 years161914655
Adolescents — Between 18 and 65 years00000
Adolescents — >=65 years00000
Age, Continuous
Age, Continuous(Years)Ligelizumab 72 mgLigelizumab 120 mgOmalizumab 300 mgPlaceboTotal
Adults41.7 ± 13.4243.0 ± 14.1144.1 ± 14.1142.9 ± 13.0142.9 ± 13.81
Adolescents14.3 ± 1.3915.1 ± 1.5615.9 ± 1.1714.8 ± 1.4715.0 ± 1.50
Sex: Female, Male
Sex: Female, Male(Participants)Ligelizumab 72 mgLigelizumab 120 mgOmalizumab 300 mgPlaceboTotal
Adult — Female22721122580743
Adult — Male80938423280
Adolescent — Female101210436
Adolescent — Male674219
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Ligelizumab 72 mgLigelizumab 120 mgOmalizumab 300 mgPlaceboTotal
Adult White22721822879752
Adolescent White91510539
Adult Black or African American5129127
Adolescent Black or African American10001
Adult Asian66676319215
Adolescent Asian22408
Adult Native Hawaiian or Other Pacific Islander00000
Adolescent Native Hawaiian or Pacific Islander00000
Adult Native American746320
Adolescents Native American42017
Adult Multi-racial23319
Adolescent Multi-racial00000
Adult Race Not Reported00000
Adolescent Race Not Reported00000
08

Study locations

183 sites
  • Allervie Clinical Research
    Birmingham, Alabama 35209, United States
  • Medical Resch of Arizona-Div of Allergy Asthma and Immunology
    Scottsdale, Arizona 85251, United States
  • Atria Clinical Research Asthma and Allergy Institute
    Little Rock, Arkansas 72209, United States
  • DeMera Allergy Asthma and Immun Ctr
    Fresno, California 93720, United States
  • California Allergy and Asthma Medical Group
    Los Angeles, California 90025, United States
  • Jonathan Corren Inc
    Los Angeles, California 90025, United States
  • Allergy and Asthma Consultants
    Redwood City, California 94063, United States
  • Allergy and Asthma Associates of Santa Clara Vally Center
    San Jose, California 95117, United States
  • Sarasota Clinical Research
    Sarasota, Florida 34233, United States
  • Olympian Clinical Research
    Tampa, Florida 33609, United States
  • Idaho Research
    Eagle, Idaho 83616, United States
  • Midwest Allergy Sinus Asthma SC
    Normal, Illinois 61761, United States
  • John Hopkins University
    Baltimore, Maryland 21204, United States
  • Institute for Asthma and Allergy PC
    Chevy Chase, Maryland 20815, United States
  • Chesapeake Clinical Research
    White Marsh, Maryland 21162, United States
  • Mayo Clinic Rochester
    Rochester, Minnesota 55905, United States
  • Midwest Clinical Research LcLC
    Saint Louis, Missouri 63141, United States
  • Montana Medical Research
    Missoula, Montana 59808, United States
  • The Asthma and Allergy Center PC
    Papillion, Nebraska 68046, United States
  • Icahn School Of Med At Mount Sinai
    New York, New York 10029, United States
  • Toledo Institute of Clinical Research
    Toledo, Ohio 43617, United States
  • Allergy Asthma and Clinical Research
    Oklahoma City, Oklahoma 73120, United States
  • PCR DBA Columbia Asthma and Allergy
    Clackamas, Oregon 97015, United States
  • Allergy and Asthma Specialists PC
    Blue Bell, Pennsylvania 19422, United States
  • Allergy and Clinical Immunology Associates
    Pittsburgh, Pennsylvania 15241, United States
  • National Allergy and Asthma Research LLS
    North Charleston, South Carolina 29420, United States
  • Bellaire Dermatology Associates
    Bellaire, Texas 77401, United States
  • Western Sky Medical Research
    El Paso, Texas 79924, United States
  • North Texas Inst For Clinical Tri
    Fort Worth, Texas 76132, United States
  • Allergy and Asthma Research Center PA
    San Antonio, Texas 78229, United States
  • Quality Assurance Research Center
    San Antonio, Texas 78230, United States
  • Allergy and Asthma Care of Waco
    Waco, Texas 76712, United States
  • Allergy Associates of Utah
    Sandy, Utah 84093, United States
  • Bellingham Asthma Allergy and Immunology
    Bellingham, Washington 98225, United States
  • Novartis Investigative Site
    Caba, Buenos Aires C1181ACH, Argentina
  • Novartis Investigative Site
    Caba, Buenos Aires C1414AIF, Argentina
  • Novartis Investigative Site
    Ciudad de Mendoza, Mendoza M5500AWD, Argentina
  • Novartis Investigative Site
    Santa Fe, Rosario S2000DBS, Argentina
  • Novartis Investigative Site
    Rosario, Santa Fe S2000BRH, Argentina
  • Novartis Investigative Site
    Rosario, Santa Fe S2000JKR, Argentina
  • Novartis Investigative Site
    Buenos Aires, C1425DKG, Argentina
  • Novartis Investigative Site
    Caba, 1035, Argentina
  • Novartis Investigative Site
    Salta, 4400, Argentina
  • Novartis Investigative Site
    Adelaide, South Australia 5000, Australia
  • Novartis Investigative Site
    East Melbourne, Victoria 3002, Australia
  • Novartis Investigative Site
    Parkville, Victoria 3050, Australia
  • Novartis Investigative Site
    Brussel, 1090, Belgium
  • Novartis Investigative Site
    Bruxelles, 1070, Belgium
  • Novartis Investigative Site
    Bruxelles, 1200, Belgium
  • Novartis Investigative Site
    Gent, 9000, Belgium
  • Novartis Investigative Site
    Leuven, 3000, Belgium
  • Novartis Investigative Site
    Loverval, 6280, Belgium
  • Novartis Investigative Site
    Salvador, BA 40110-060, Brazil
  • Novartis Investigative Site
    Rio de Janeiro, RJ 21941-913, Brazil
  • Novartis Investigative Site
    Alphaville Barueri, Sao Paulo 06454010, Brazil
  • Novartis Investigative Site
    Sao Jose do Rio Preto, SP 15090 000, Brazil
  • Novartis Investigative Site
    Sao Paulo, SP 05437 010, Brazil
  • Novartis Investigative Site
    Vitacura, Santiago 7640881, Chile
  • Novartis Investigative Site
    Osorno, 5311297, Chile
  • Novartis Investigative Site
    Santiago, 8420383, Chile
  • Novartis Investigative Site
    Tallinn, 10138, Estonia
  • Novartis Investigative Site
    Tartu, 50406, Estonia
  • Novartis Investigative Site
    Helsinki, 00180, Finland
  • Novartis Investigative Site
    Clermont Ferrand, 63003, France
  • Novartis Investigative Site
    Grenoble, 38043, France
  • Novartis Investigative Site
    Nice, 06202, France
  • Novartis Investigative Site
    Paris, 75970, France
  • Novartis Investigative Site
    Rouen, 76031, France
  • Novartis Investigative Site
    Bad Bentheim, 48455, Germany
  • Novartis Investigative Site
    Dresden, 01307, Germany
  • Novartis Investigative Site
    Duesseldorf, 40225, Germany
  • Novartis Investigative Site
    Frankfurt, 60590, Germany
  • Novartis Investigative Site
    Gera, 07548, Germany
  • Novartis Investigative Site
    Gottingen, 37075, Germany
  • Novartis Investigative Site
    Halle S, 06120, Germany
  • Novartis Investigative Site
    Hamburg, 22303, Germany
  • Novartis Investigative Site
    Hamburg, 22391, Germany
  • Novartis Investigative Site
    Hannover, 30625, Germany
  • Novartis Investigative Site
    Heidelberg, 69120, Germany
  • Novartis Investigative Site
    Leipzig, 04103, Germany
  • Novartis Investigative Site
    Muenchen, 80377, Germany
  • Novartis Investigative Site
    Osnabrueck, 49074, Germany
  • Novartis Investigative Site
    Quedlinburg, 06484, Germany
  • Novartis Investigative Site
    Simmern, 55469, Germany
  • Novartis Investigative Site
    Stade, 21682, Germany
  • Novartis Investigative Site
    Stuttgart, 70178, Germany
  • Novartis Investigative Site
    Tuebingen, 72076, Germany
  • Novartis Investigative Site
    New Delhi, Delhi 110 060, India
  • Novartis Investigative Site
    Bangalore, Karnataka 560004, India
  • Novartis Investigative Site
    Mangalore, Karnataka 575002, India
  • Novartis Investigative Site
    Nashik, Maharashtra 422 101, India
  • Novartis Investigative Site
    Bikaner, Rajasthan 334001, India
  • Novartis Investigative Site
    Afula, 1834111, Israel
  • Novartis Investigative Site
    Haifa, 3339419, Israel
  • Novartis Investigative Site
    Jerusalem, 9112001, Israel
  • Novartis Investigative Site
    Kfar Saba, 44281, Israel
  • Novartis Investigative Site
    Ramat Gan, 52621, Israel
  • Novartis Investigative Site
    Rehovot, 7610001, Israel
  • Novartis Investigative Site
    Cagliari, CA 09042, Italy
  • Novartis Investigative Site
    Catania, CT 95123, Italy

Showing the first 100 of 183 sites across 27 countries.

09

References and documents

Study documents

  • Study protocol · Jan 5, 2021
  • Statistical analysis plan · Jul 1, 2022

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

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

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 7, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03580356
Lead sponsor
Novartis Pharmaceuticals
Responsible party
Sponsor
First posted
Jul 9, 2018
Start date
Oct 20, 2018
Primary completion
Jun 22, 2021
Completion
Jun 14, 2022
Results posted
Mar 25, 2024
Last update
Jan 7, 2025

Study contacts

Novartis Pharmaceuticals
study director · Novartis Pharmaceuticals

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 Jan 2025. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion