ClinicalTrials.gg
RecruitingNCT07181369CHILL-MCUpdated Oct 30, 2026

A Phase 1 Study of GTX-B001 in Healthy Subjects and Patients With Chronic Inducible Urticaria

A Phase 1 interventional study of GTX-B001 and Normal Saline in Healthy Subjects, Cold Urticaria and Symptomatic Dermographism, sponsored by Granular Therapeutics Limited. Recruiting at 5 sites in Germany. Open to participants aged 18 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-10-30.

Sponsored by Granular Therapeutics Limited · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Oct 2025; still recruiting 1 year 1 month later.
Updated Oct 30, 20263 sites added1 site removedGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
72
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This is a first-in-human study aimed at determining the safety of a single dose of GTX-B001 in healthy participants and in people with chronic inducible urticaria.

Read the detailed description

GTX-B001 is a humanized bispecific antibody than binds with one arm to a protein called c-Kit and with the second arm to a protein called CD203c, both expressed on mast cells.

This study is a randomized, double-bind, placebo-controlled phase 1 study evaluating the safety, pharmacokinetics and pharmacodynamics of a single dose of GTX-B001 in healthy participants (Part A) and in patients with chronic inducible urticaria (cold urticaria and symptomatic dermographism) who remain symptomatic despite treatment with antihistamines (Part B). In part B, the preliminary efficacy of GTX-B001 on the signs and symptoms of chronic inducible urticaria will also be evaluated.

48 healthy participants are estimated to be enrolled in part A in five ascending cohorts, while 24 patients with chronic inducible urticaria are estimated to be enrolled in Part B in two ascending cohorts.

Potential participants will be screened for up to 4 weeks prior to enrollment. GTX-B001 will be administered intravenously on Day 1 to randomized participants who will be followed for 12 weeks post-treatment.

Participants will be required to attend a total of 9 visits including the screening visit.

02

Conditions studied

  • Healthy Subjects
  • Cold Urticaria
  • Symptomatic Dermographism
  • Chronic Inducible Urticaria

Keywords

  • Urticaria
  • Skin diseases
  • Mast cells
  • Bispecific antibody
  • GTX-B001
  • Infusion
  • Single Ascending Dose
  • Healthy subjects
  • Safety
  • Pharmacokinetics
  • Pharmacodynamics
  • Cold urticaria
  • Intravenous
  • symptomatic dermographism
03

In context

Urticaria

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

This study's planned enrollment of 72 is above the median of 51 across 104 interventional studies indexed under Urticaria.

Browse Urticaria studies →

Lead sponsor

This is the only study on the registry with Granular Therapeutics Limited as lead sponsor.

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
Yes

Eligibility criteria

Key inclusion Criteria (Part A):

  • The subject is between 18 and 55 years of age (both inclusive) at the date of screening.
  • The subject is in good general health based on the medical history, physical examination and the results of vital signs, and clinical laboratory, as judged by the investigator.

Key inclusion Criteria (Part B):

  • The subject is between 18 and 75 years of age (both inclusive) at the date of screening
  • A history of signs and/or symptoms of ColdU or SD experienced ≥ 3 months prior to screening.
  • For ColdU patients, a positive provocation test during screening and baseline, using the TempTest® device.
  • For SD patients, a positive provocation test with at least 3 pins during screening and baseline, using the FricTest® device.
  • Inadequate control of ColdU or SD by second generation H1-antihistamine (sgAH) as defined as the presence of itch and hives following a trigger (e.g. cold or scratching, respectively) within the last 6 weeks prior to screening in spite of use of a sgAH.
  • A Urticaria Control Test (UCT) score of \< 12 at screening.

Key exclusion Criteria (Parts A \& B):

  • Presence of any illness, such as cardiovascular, neurologic, pulmonary, hepatic, renal, metabolic, gastrointestinal, urologic, immunologic, or endocrine disease or disorder that would interfere with the patient's safety or the interpretation of trial results in the judgment of the investigator.
  • Treatment with an drug or intervention for any condition within three months of screening, or concurrent participation in another clinical trial in which an investigational drug is administered.
  • Treatment with immunomodulating therapy (e.g., intravenous or intramuscular immunoglobulins, systemic , cyclosporine, methotrexate, dapsone, cyclophosphamide, tacrolimus, mycophenolate mofetil, hydroxychloroquine, infliximab, adalimumab, etanercept, etc.) within 4 weeks (or 5 half-lives, whichever is longer) prior to screening.
  • Use of any monoclonal antibody or therapeutic protein within 4 weeks (or 5 half-lives, whichever is longer) prior to screening.
  • History of anaphylaxis, disorders requiring more than topical medication, or asthma requiring regular use of inhaled medication within the past 5 years, unless, in the opinion of the Investigator, the condition is not considered clinically significant and is unlikely to affect subject safety or study outcomes.

Additionally for Part B:

  • Disease with symptoms of urticaria or angioedema other than Chronic Urticaria (CU), for example urticaria vasculitis, erythema multiforme, mastocytosis, or drug-induced urticaria. Patients with concomitant Chronic Spontaneous Urticaria (CSU) or other forms of Chronic Inducible Urticaria (CIndU) are eligible provided that symptoms at screening are consistent with ColdU or SD and that ColdU or SD is the dominant form of CU.
  • Any other skin disease associated with chronic itching that might influence in the investigators' opinion of the study evaluations and results, e.g., atopic dermatitis, bullous pemphigoid, dermatitis herpetiformis, or psoriasis.
  • Receipt of any biologic therapy for urticaria control (e.g. omalizumab, dupilumab, ligelizumab, etc.) within three months of screening (whether on-label or off-label).
Terms in these criteria, in plain language(5)

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.

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.

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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
72 participants (estimated)

Study arms

  • Experimental
    Part A (HV) - GTX-B001

    Healthy participants will receive a single dose of GTX-B001

    Drug: GTX-B001

  • Placebo comparator
    Part A (HV) - Normal Saline

    Healthy participants assigned to receive placebo will receive a single dose of normal saline

    Drug: Normal Saline

  • Experimental
    Part B (ColdU/SD) - GTX-B001

    Patients with cold urticaria or symptomatic dermographism will receive a single dose of GTX-B001

    Drug: GTX-B001

  • Placebo comparator
    Part B (ColdU/SD) - Normal Saline

    Patients with cold urticaria or symptomatic dermographism assigned to receive placebo will receive a single dose of normal saline

    Drug: Normal Saline

Interventions

  • DrugGTX-B001

    Single infusion of one of up to five dosages of GTX-B001

    Also known as: ALY-301

  • DrugNormal Saline

    Single infusion of normal saline

06

What researchers measure

Primary outcomes

  1. Safety as assessed by the incidence and severity of adverse events (Parts A and B)

    Safety and tolerability of a single intravenous infusion of GTX-B001 as assessed by the percentage of subjects at each dose level with Grade 2 or higher adverse events as assessed by the Common Terminology Criteria for Adverse Events (CTCAE).

    Time frame: Day 1 to Day 85

Secondary outcomes

  1. GTX-B001 pharmacokinetics (Parts A and B)

    Serum concentrations of GTX-B001 at specified visits

    Time frame: Day 1 to Day 85

Other outcomes

  1. GTX-B001 pharmacodynamics (Parts A and B)

    Change from baseline in blood biomarkers such as serum tryptase

    Time frame: Day 1 to Day 85

  2. GTX-B001 pharmacodynamics in skin (Part B)

    Change from baseline in mast cell density and mast cell activation markers upon cold or friction provocation, assessed from skin punch biopsy at baseline and three times post-treatment.

    Time frame: Day 1 to Day 29

  3. Evaluation of immunogenicity (Parts A and B)

    Incidence of anti-drug antibodies

    Time frame: Day 1 to Day 85

  4. Disease control (Part B ColdU) - Critical Temperature Threshold (CTT)

    Change from baseline and percentage of responders in Critical Temperature Threshold (CTT) over time as determined by provocation testing using the TempTest®. The CTT determines the highest temperature that induces symptoms.

    Time frame: Day 1 to Day 85

  5. Disease control (Part B SD) - Critical Friction Threshold (CFT)

    Change from baseline and percentage of responders in Critical Friction Threshold (CFT) over time as determined by provocation testing using the FricTest®. The CFT determines the shortest pin length (or lowest pressure) that induces symptoms.

    Time frame: Day 1 to Day 85

  6. Disease control (Part B) - Urticaria Control Test (UCT)

    Change from baseline and percentage of responders for the Urticaria Control Test (UCT). Total score ranges from 0 to 16. A score of 12 or higher indicates well-controlled chronic urticaria, while a score below 12 suggests poorly controlled disease.

    Time frame: Day 1 to Day 85

  7. Disease control (Part B ColdU) - Cold Urticaria Activity Score (Cold UAS)

    Change from baseline in Cold Urticaria Activity Score (Cold UAS). The total score ranges from 0 to 6, the higher the score the higher the disease activity.

    Time frame: Day 1 to Day 85

  8. Disease control (Part B SD) - Symptomatic Dermographism Activity Score (SDAS)

    Change from baseline in Symptomatic Dermographism Activity Score (SDAS)

    Time frame: Day 1 to Day 85

  9. Disease control (Part B ColdU) - Cold Urticaria Quality of Life Questionnaire (ColdU-QoL)

    Change from baseline in Cold Urticaria Quality of Life Questionnaire (ColdU-QoL). The total score ranges from 0 to 100, the higher the score the higher the impairment.

    Time frame: Day 1 to Day 85

  10. Disease control (Part B SD) - Symptomatic Dermographism Quality of Life Questionnaire (SD-QoL)

    Change from baseline in Symptomatic Dermographism Quality of Life Questionnaire (SD-QoL). The total score ranges from 0 to 100, the higher the score the higher the impairment.

    Time frame: Day 1 to Day 85

07

Study locations

4 of 5 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Sites
3 sites added, 1 site removed
Show 3 added (3 Germany)
  • Charite Universitaetsmedizin Berlin · Berlin, Germany
  • Universitaetsklinikum Giessen und Marburg GmbH · Marburg, Germany
  • Universitatsklinikum Münster · Münster, Germany
Show 1 removed
  • Fraunhofer Institute For Translational Medicine And Pharmacology · Berlin, Germany
Oct 30, 2026
Show all 1 update
  1. Oct 30, 2026
    3 sites added, 1 site removed
    Show 3 added (3 Germany)
    • Charite Universitaetsmedizin Berlin · Berlin, Germany
    • Universitaetsklinikum Giessen und Marburg GmbH · Marburg, Germany
    • Universitatsklinikum Münster · Münster, Germany
    Show 1 removed
    • Fraunhofer Institute For Translational Medicine And Pharmacology · Berlin, Germany
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07181369
Lead sponsor
Granular Therapeutics Limited
Responsible party
Sponsor
First posted
Sep 18, 2025
Start date
Oct 6, 2025
Primary completion
Aug 2027 (estimated)
Completion
Aug 2027 (estimated)
Last update
Oct 30, 2026

Oversight

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

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