CClinicalTrials.gg
RecruitingNCT07700056Updated Sep 28, 2026

A Study to Evaluate Efficacy, Safety and Tolerability of Remibrutinib in Adult Participants With Severe Chronic Pruritus of Unknown Origin (CPUO)

A Phase 3 interventional study of Remibrutinib and Placebo in Chronic Pruritus of Unknown Origin, sponsored by Novartis Pharmaceuticals. Recruiting at 13 sites in 4 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-28.

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

From the registry’s dates

  • Started Aug 2026; still recruiting 1 month later.
Updated Sep 28, 2026First sites in Canada and South Korea8 sites addedGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
180
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this phase 3 study is to establish the efficacy, safety and tolerability of remibrutinib in adult participants with severe chronic pruritus of unknown origin (CPUO).

Read the detailed description

This is a global, phase 3 multicenter, randomized, double-blind, placebo-controlled, parallel group study to evaluate the efficacy, safety, and tolerability of remibrutinib in adult participants with severe CPUO.

The design includes 4 periods, for a total duration of up to 60 weeks:

  • Screening period: up to 4 weeks.
  • Double-blind treatment period (treatment period 1, TP1): 24 weeks of double-blind treatment with remibrutinib or matching placebo
  • Open-label treatment period (treatment period 2, TP2): 28 weeks of open-label treatment with remibrutinib. The participants randomized to the placebo arm will be switched to remibrutinib at Week 24.
  • Safety follow-up period: 4 weeks of treatment-free safety follow-up.
02

Conditions studied

  • Chronic Pruritus of Unknown Origin

Keywords

  • BTK inhibitor
  • chronic pruritus
  • chronic pruritus of unknown origin
  • CPUO
  • remibrutinib
03

In context

Lead sponsor

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

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

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  • Participant must be ≥ 18 years of age, at the time of signing the informed consent.
  • Participants with chronic pruritus for at least 4 months prior to screening.
  • Chronic pruritus considered of unknown origin as assessed by the investigator at baseline (e.g., excluding chronic pruritus related to primary dermatological or systemic conditions, neuropathic or psychogenic origin or secondary to drugs or other allergen exposures).
  • Chronic pruritus must affect at least 2 of the following body areas: trunk, arms, or legs (cannot be unilateral and/or dermatomal in distribution).
  • Participants with ongoing, severe chronic pruritus despite the use of emollients and who are candidates for systemic therapy.
  • Participants must have severe itch defined by a WI-NRS ≥7 at screening; score scale ranges from 0 to 10; higher score indicates worse itch.
  • Participants must have an average WI-NRS ≥7 over the 7 days prior to randomization/baseline visit.
  • The average WI-NRS score over the preceding 7 days prior to the randomization/baseline visit will be calculated based on the daily WI-NRS scores (0-10).
  • Participants must have PGIS of pruritus scored as 3 "severe" at screening and baseline visits.

Key Exclusion Criteria:

  • Any active skin conditions (e.g., atopic dermatitis, psoriasis, etc.) that may interfere with the assessment of CPUO.
  • Known systemic condition(s) or medication(s) that are considered by the investigator to be the primary cause of current pruritus.
  • Known or suspected infectious disease that is active, chronic or recurrent which precludes the participant from participating in the clinical trial as per Investigator´s assessment. These infectious diseases include but are not limited to opportunistic infections (e.g., tuberculosis, atypical mycobacterioses, listeriosis or aspergillosis) and/or known or suspected HIV infection.
  • History of malignancy of any organ system (other than localized basal cell carcinoma of the skin or in situ cervical cancer), treated or untreated, within the past 5 years, regardless of whether there is evidence of local recurrence or metastases.
  • Significant bleeding risk or coagulation disorders. History of gastrointestinal bleeding, e.g., in association with use of nonsteroidal anti-inflammatory drugs (NSAIDs), that was clinically relevant (e.g., where intervention was indicated or requiring hospitalization or blood transfusion). Requirement for anti-platelet medication, except for acetylsalicylic acid up to 100 mg/d or clopidogrel up to 75 mg/d. The use of dual anti-platelet therapy (e.g., acetylsalicylic acid + clopidogrel) is prohibited.
  • History or current hepatic disease, including but not limited to, acute or chronic hepatitis, cirrhosis or hepatic failure or aspartate aminotransferase (AST)/ alanine aminotransferase (ALT) levels of more than 1.5 x upper limit of normal (ULN) or International Normalized Ratio (INR) of more than 1.5 at screening.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
180 participants (estimated)

Study arms

  • Experimental
    Remibrutinib

    Remibrutinib film coated tablets

    Drug: Remibrutinib

  • Experimental
    Placebo followed by remibrutinib

    Matching placebo. At the Week 24 visit, all participants will receive active treatment (remibrutinib).

    Drug: Remibrutinib · Drug: Placebo

Interventions

  • DrugRemibrutinib

    Oral administration of remibrutinib

    Also known as: LOU064

  • DrugPlacebo

    Oral administration of matching placebo.

06

What researchers measure

Primary outcomes

  1. Proportion of participants achieving ≥4 point reduction from baseline in Worst itch Numerical Rating Scale (WI NRS)

    The WI-NRS is a patient-reported outcome (PRO) instrument consisting of a single question that asks participants to rate the severity of their worst itch over a defined period. The score range is from 0 (no itch) to 10 (worst imaginable itch). Higher scores indicate worse itch severity.

    Time frame: Baseline, Week 12

Secondary outcomes

  1. Proportion of participants achieving ≥4 point reduction from baseline in WI NRS

    The WI-NRS is a PRO instrument consisting of a single question that asks participants to rate the severity of their worst itch over a defined period. The score range is from 0 (no itch) to 10 (worst imaginable itch). Higher scores indicate worse itch severity.

    Time frame: Baseline, Week 4

  2. Proportion of participants achieving Patient Global Impression of Severity (PGIS) score of 0 (none) or 1 (mild)

    The PGIS of pruritus is a PRO measure consisting of a single item that captures the participant's overall self-assessment of the severity of their pruritus (itch) over a defined recall period. The score range is from 0 (none) to 3 (severe). Lower scores indicate better outcome.

    Time frame: Week 12

  3. Proportion of participants achieving Patient Global Impression of Severity (PGIS) score of 0 (none) or 1 (mild)

    The PGIS of pruritus is a PRO measure consisting of a single item that captures the participant's overall self-assessment of the severity of their pruritus (itch) over a defined recall period. The score range is from 0 (none) to 3 (severe). Lower scores indicate better outcome.

    Time frame: Week 24

  4. Change from baseline in Pruritus-related Sleep Disturbance Numerical Rating Scale (SD-NRS)

    The SD-NRS is a PRO instrument used to assess the degree of sleep disturbance caused by pruritus (itch). The score range is from 0 (No sleep disturbance) to 10 (Worst possible sleep disturbance). Higher scores indicate greater sleep disturbance due to pruritus.

    Time frame: Week 12

  5. Incidence and severity of Adverse Events (AEs) and Serious Adverse Events (SAEs)

    Number of participants with AEs and SAEs.

    Time frame: Up to Week 52

07

Study locations

13 of 13 sites recruiting
  • Driven Research
    Miami, Florida 33126, United States
    Recruiting
  • Aeroallergy Research Laboratories
    Savannah, Georgia 31406, United States
    Recruiting
  • Dawes Fretzin Clinical Rea Group
    Indianapolis, Indiana 46256, United States
    • Joannie Prusa · Contact · jprusa@ecommunity.com · +1 317 516 5030#102
    • Kenneth Dawes · Principal investigator
    Recruiting
  • Equity Medical
    The Bronx, New York 10455, United States
    Recruiting
  • Optima Research-Boardman
    Boardman, Ohio 44512, United States
    Recruiting
  • National Allergy and Asthma Research LLS
    North Charleston, South Carolina 29420, United States
    Recruiting
  • Austin Inst for Clinical Research
    Pflugerville, Texas 78660, United States
    Recruiting
  • Novartis Investigative Site
    Hamilton, Ontario L8L 3C3, Canada
    Recruiting
  • Novartis Investigative Site
    Québec, Quebec G1W 4R4, Canada
    Recruiting
  • Novartis Investigative Site
    Sakai, Osaka 5938324, Japan
    Recruiting
  • Novartis Investigative Site
    Tachikawa, Tokyo 1900023, Japan
    Recruiting
  • Novartis Investigative Site
    Ansan, Gyeonggi-do 15355, South Korea
    Recruiting
  • Novartis Investigative Site
    Seoul, 07804, South Korea
    Recruiting
08

References and documents

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

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Sites
8 sites added — first sites in Canada and South Korea
Show 8 added (3 United States, 2 Canada, 2 South Korea, 1 Japan)
  • Driven Research · Miami, United States
  • Equity Medical · The Bronx, United States
  • National Allergy and Asthma Research LLS · North Charleston, United States
  • Novartis Investigative Site · Hamilton, Canada
  • Novartis Investigative Site · Québec, Canada
  • Novartis Investigative Site · Sakai, Japan
  • Novartis Investigative Site · Ansan, South Korea
  • Novartis Investigative Site · Seoul, South Korea
Sep 28, 2026
Show all 1 update
  1. Sep 28, 2026
    8 sites added — first sites in Canada and South Korea
    Show 8 added (3 United States, 2 Canada, 2 South Korea, 1 Japan)
    • Driven Research · Miami, United States
    • Equity Medical · The Bronx, United States
    • National Allergy and Asthma Research LLS · North Charleston, United States
    • Novartis Investigative Site · Hamilton, Canada
    • Novartis Investigative Site · Québec, Canada
    • Novartis Investigative Site · Sakai, Japan
    • Novartis Investigative Site · Ansan, South Korea
    • Novartis Investigative Site · Seoul, South Korea
    + 2 other changes: verification date and contact details

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
NCT07700056
Lead sponsor
Novartis Pharmaceuticals
Responsible party
Sponsor
First posted
Jul 13, 2026
Start date
Aug 24, 2026
Primary completion
Dec 19, 2029 (estimated)
Completion
Apr 15, 2030 (estimated)
Last update
Sep 28, 2026

Study contacts

Novartis Pharmaceuticals
Contact
novartis.email@novartis.com
1-888-669-6682
Novartis Pharmaceuticals
Contact
+41613241111

Oversight

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

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