ClinicalTrials.gg
CompletedNCT05496465Updated Apr 7, 2026Results posted

Safety and Efficacy of Intranasal Epinephrine After Administration of ARS -1 in Subjects With Frequent Urticaria Flares

A Phase 2 interventional study of ARS-1 in Urticaria, sponsored by ARS Pharmaceuticals, Inc.. Completed at 2 sites in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-04-07.

Sponsored by ARS Pharmaceuticals, Inc. · Phase 2, Interventional, and Treatment

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Phase
Phase 2
Study type
Interventional
Enrollment
21
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 47 studies in Urticaria with a site in United States — 4 open to participants now, 4 under way, none of them phase 3. Urticaria · United States.

Enrollment
26th of 37
21 · median 39
Started
2022
with 2 others
Phase 2
16 of 47
2 open now
Registered
38th of 47
by date

Among the 47 studies in Urticaria with a site in United States, this one is the 26th largest by enrollment of the 37 interventional ones that give a count, is one of 3 that started in 2022, is one of 16 in phase 2, and was the 38th registered.

Urticaria

147 studies on the registry are indexed under Urticaria; 19 are open to participants now.

Browse Urticaria studies →

Open to participants now

4 of the 47 studies in Urticaria with a site in United States are open now. Recruiting first, the newest first:

All 4 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 12 Urticaria studies recruiting now, 3 (25%) set no upper age limit and 6 (50%) stop at 75 or younger; 6 take children under 18; 6 take healthy volunteers.

This study: 18 Years to 65 Years · all sexes · no healthy volunteers.

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02

Study summary

Determine the effect of ARS-1 on a patient reported pruritus/hive score

03

Conditions studied

  • Urticaria

Browse trials for

04

Who can participate

Ages eligible
18 Years to 65 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

  • 1. Male or female subject between the ages of 18 and 65 years.
  • 2. Clinically diagnosed urticaria with acute symptom flares at least two (2) times a week while on a chronic treatment.
  • 3. Body weight more than 30 kg and between 18 and 34 kg/m².
  • 4. Has no medical history of hypertension and cardiovascular disease in the last 10 years.
  • 5. At screening, has stable vital signs.
  • 6. If female, is not pregnant or breastfeeding.
  • 7. If male (with or without vasectomy), agree to the use of highly effective methods at screening until 7 days after the last day of study drug.

    8. Is able to communicate clearly with the Investigator and staff. 9. Provide written prior to participating in the study.

Exclusion criteria

Exclusion Criteria:

  • 1. History of gastrointestinal, renal, hepatic, neurologic, hematologic, endocrine, oncologic, pulmonary, immunologic, psychiatric, or cardiovascular disease.
  • 2. Patients receiving beta blocker due to potential interaction with the study drug.
  • 3. Prior nasal fractures, severe nasal injuries or history of nasal disorders.
  • 4. Clinically significant medical condition or physical exam finding.
  • 5. Abnormal cardiovascular exam at screening including any prior history of myocardial infarction or clinically significant abnormal .
  • 6. Mucosal inflammatory disorders.
  • 7. Significant traumatic injury or major surgery within 30 days prior to study screening.
  • 8. Has donated blood or had an acute loss of blood (>50 mL) during the 30 days before study drug administration.
  • 9. Known to any compound in the test product.
  • 10. Participated in a clinical trial within 30 days prior to the first dose of study drug.
Terms in these criteria, in plain language(6)

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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
21 participants (actual)

Study arms

  • Experimental
    Sequence 1

    1 mg ARS-1 IN: placebo: 2 mg ARS-1 IN

    Drug: ARS-1

  • Experimental
    Sequence 2

    2 mg ARS-1 IN: placebo: 1 mg ARS-1

    Drug: ARS-1

Interventions

  • DrugARS-1

    A single treatment of ARS-1 1mg, 2 mg or placebo

06

What researchers measure

Primary outcomes

  1. Effect of ARS-1 Versus Placebo Based on a Patient Reported Pruritus/Hive Score

    Assess time to effect and duration of effect on acute flares associated with urticaria based on a patient reported pruritus/hive score, from 0 (none) to 3 (severe) for itch and hive using Uniform Assessment System (UAS) as below: Severity Score Amount of Itch Itch Severity 0 None None 1. Mild Easily tolerated 2. Moderate Bothersome but tolerable 3. Intense Difficult to tolerate Hive Severity Score Number of Hives 0 None 1. 1-6 2. 7-12 3. \>12

    Time frame: UAS score at 120 (± 10 min) minutes after dosing.

07

Results

Posted Apr 7, 2026

Participant flow

Participant flow — Overall Study
MilestoneSequence 1Sequence 2
Started1011
Completed810
Not completed21

Outcome measures

PrimaryEffect of ARS-1 Versus Placebo Based on a Patient Reported Pruritus/Hive Score

Assess time to effect and duration of effect on acute flares associated with urticaria based on a patient reported pruritus/hive score, from 0 (none) to 3 (severe) for itch and hive using Uniform Assessment System (UAS) as below: Severity Score Amount of Itch Itch Severity 0 None None 1. Mild Easily tolerated 2. Moderate Bothersome but tolerable 3. Intense Difficult to tolerate Hive Severity Score Number of Hives 0 None 1. 1-6 2. 7-12 3. \>12

Time frame:
UAS score at 120 (± 10 min) minutes after dosing.
Reported as:
Mean · UAS score 0 to 3
Effect of ARS-1 Versus Placebo Based on a Patient Reported Pruritus/Hive Score
UAS score 0 to 31 mg2 mgPlacebo
Hives1.1 ± 0.30.8 ± 0.31.8 ± 0.3
Itch0.4 ± 0.10.3 ± 0.11.5 ± 0.2

Adverse events

Collected over AEs were collected for two hours after dosing.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
ARS-1 1mg0/21 (0%)0/21 (0%)6/21 (28.6%)
ARS-1 2mg0/21 (0%)0/21 (0%)7/21 (33.3%)
Placebo0/21 (0%)0/21 (0%)0/21 (0%)
Most frequent other events
Most frequent other events
EventARS-1 1mgARS-1 2mgPlacebo
Nasal discomfortGeneral disorders6/217/210/21

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Interventional Treatment
<=18 years0
Between 18 and 65 years21
>=65 years0
Sex: Female, Male
Sex: Female, Male(Participants)Interventional Treatment
Female17
Male4
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Interventional Treatment
Hispanic or Latino0
Not Hispanic or Latino0
Unknown or Not Reported21
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Interventional Treatment
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American0
White0
More than one race0
Unknown or Not Reported21
Region of Enrollment
Region of Enrollment(participants)Interventional Treatment
United States21
08

Study locations

2 sites
  • Massachusetts General Hospital
    Boston, Massachusetts 02114, United States
  • Bernstein Clinical Research Center, LLC
    Cincinnati, Ohio 45236, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

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 Jul 2022 to primary completion in Feb 2024, 19 months.

Results were first posted in Apr 2026, 2 years 1 month after primary completion.

Of 13 phase 2 interventional studies under Urticaria, half reached primary completion within 28 months of starting (the median), counting those still running; a quarter within 15 and three quarters within 32. This study's 19 months is below that.

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

Registered
Apr 27, 2022
First posted
Aug 11, 2022
StartActual
Jul 28, 2022
Primary completionActual
Feb 29, 2024
CompletionActual
Feb 29, 2024
Results first posted
Apr 7, 2026
Last update
Apr 7, 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 Apr 7, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05496465
Lead sponsor
ARS Pharmaceuticals, Inc.
Responsible party
Sponsor
First posted
Aug 11, 2022
Start date
Jul 28, 2022
Primary completion
Feb 29, 2024
Completion
Feb 29, 2024
Results posted
Apr 7, 2026
Last update
Apr 7, 2026

Study contacts

Sarina Tanimoto, MD, PhD
study director · ARS Pharmaceuticals, Inc.

Oversight

Data monitoring committee
No
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 Mar 2026. You cannot join it, but the record below documents what was studied.

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