ClinicalTrials.gg
Not yet recruitingNCT07764003Updated Aug 24, 2026

A Study of Efficacy and Safety of TLL-018 in CSU Participants With Inadequate Response to 2nd-generation H1-AHs

A Phase 2 interventional study of TLL-018 tablets and TLL-018 tablets in Chronic Spontaneous Urticaria (CSU), sponsored by Hangzhou Highlightll Pharmaceutical Co., Ltd. Not yet recruiting. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-08-24.

Sponsored by Hangzhou Highlightll Pharmaceutical Co., Ltd · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
140
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The goal of this clinical trial is to learn if different doses of TLL-018 works to treat in moderate-to-severe chronic spontaneous urticaria (CSU) participants . It will also learn about the safety of TLL-018. The main questions it aims to answer are:

Which is the best regimen of TLL-018 administration in reducing or eliminating symptoms (hives, itch, and/or angioedema) ? What medical problems do participants have when taking TLL-018? Researchers will compare different doses of TLL-018, and placebo (a look-alike substance that contains no drug).

Participants will:

Take TLL-018 or a placebo every day for 12 weeks Visit the clinic once every 4 weeks for checkups and tests Keep a diary of their symptoms

02

Conditions studied

  • Chronic Spontaneous Urticaria (CSU)

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03

In context

Chronic Urticaria

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

This study's planned enrollment of 140 is above the median of 80 across 145 interventional studies indexed under Chronic Urticaria.

Browse Chronic Urticaria studies →

Lead sponsor

Hangzhou Highlightll Pharmaceutical Co., Ltd is the lead sponsor of 14 studies on the registry; 5 are open to participants now.

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
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

  • Aged between 18 and 75.
  • Diagnosis of CSU to second-generation H1-AH.
  • CSU diagnosis for ≥ 6 months.
  • The presence of itch and hives despite current use of an approved dose of H1-AH prior to randomization.
  • UAS7 score (range 0-42) ≥ 16 and ISS7 (range 0-21) ≥ 8 during 7 days prior to randomization.
  • Participants were required to take a stable standard dose of a second generation H1-AH concomitantly according to local guidelines.
  • Willing and able to complete UPDD during the study; participants must not have more than one missing UPDD symptom score (either morning or evening) within the 7-day period prior to randomization.
  • Evidence of urticaria confirmed by the investigator prior to randomization.
  • Women of Child Bearing Potential () should not be pregnant or breastfeeding and the pregnancy test should be negative before randomization.
  • Participants and their partners must agree to have adequate barrier during the whole treatment period and at least 90 days after treatment; subjects should avoid the sperm or ovum donation for at least six months after treatment.
  • The trial participant understands the form and voluntarily agrees to participate in the study.

Exclusion criteria

Exclusion Criteria:

  • Participants meeting diagnosis criteria of chronic spontaneous urticaria with the following concomitant diseases cannot be enrolled:

    1. Progressive or uncontrolled signs or symptoms of renal, hepatic, hematologic, gastrointestinal, endocrine, pulmonary, cardiovascular, neurologic, psychiatric, or cerebral disease, as judged by the investigator to place the subject at unacceptable risk by study participation.
    2. Clearly defined underlying etiology for chronic urticarias other than CSU. E.g. induced urticaria, including but not limited to artificial urticaria.
    3. Any disease, which may have symptoms of urticaria and/or angioedema, including but not limited to urticaria and vasculitis.
    4. Suffering from other chronic pruritic diseases that may affect the assessment of efficacy, such as psoriasis, atopic dermatitis, etc.
    5. Previous , herpes zoster, active tuberculosis.
  • Participants with any of the following prior therapies or medications cannot be enrolled:

    1. Have received treatment with JAK inhibitors (e.g., tofacitinib, baricitinib, ruxolitinib, etc.) or BTK inhibitors (e.g., remibrutinib) within 4 weeks prior to randomization;
    2. Have received any product within 4 weeks prior to randomization or within 5 elimination half-lives, whichever is longer;
    3. Have received omalizumab/omalizumab biosimilar treatment within 4 months prior to randomization;
    4. Have received biologics with potential therapeutic effects for chronic spontaneous urticaria (e.g., dupilumab, etc.) within 3 months prior to randomization or within 5 elimination half-lives, whichever is longer;
    5. Have received or immunomodulatory drug therapy within 4 weeks prior to randomization, e.g., systemic , etc.
  • Known allergy to any active ingredients or of H1-AH or TLL-018.
  • Abnormal laboratory test results that may interfere with the conduct of the study by the assessment from the investigator.
  • Any other situation or condition that, in the investigator's judgment, would render the participant unsuitable for study participation.
Terms in these criteria, in plain language(9)

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.

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

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.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

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.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

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

Study arms

  • Experimental
    Arm A

    TLL-018 tablets taken orally 10 mg (1 tablet) twice daily for 12 weeks

    Drug: TLL-018 tablets

  • Experimental
    Arm B

    TLL-018 tablets taken orally 20 mg (2 tablets) twice daily for 4 weeks, followed by TLL-018 tablets taken orally 10 mg (1 tablet) twice daily for 8 weeks

    Drug: TLL-018 tablets

  • Experimental
    Arm C

    TLL-018 tablets taken orally 20 mg (2 tablets) twice daily for 12 weeks

    Drug: TLL-018 tablets

  • Placebo comparator
    Arm D

    Placebo taken orally (2 tablets) twice daily for 12 weeks

    Drug: Placebo

Interventions

  • TLL-018 tablets taken orally 10 mg (1 tablet) twice daily

  • TLL-018 tablets taken orally 20 mg (2 tablets) twice daily

  • DrugPlacebo

    Placebo taken orally (2 tablets) twice daily for 12 weeks

06

What researchers measure

Primary outcomes

  1. Change from baseline in weekly Itch Severity Score at Week 12

    The weekly Itch Severity Score (ISS7) is the itch severity score for 7 days, and it ranges from 0 to 21 (higher = worse itch).

    Time frame: 12 weeks

  2. Change from baseline in weekly Urticaria Activity Score at Week 12

    The weekly Urticaria Activity Score (UAS7) is a scoring system to evaluate urticaria signs and symptoms. It is based on scoring wheals (hive severity score) and itch (itch severity score) separately on a scale of 0 (no signs/symptoms) to 3 (intense signs/symptoms) over 7 days. The final score is calculated by adding together the daily scores, which can range from 0 to 6, for 7 days. This results in a maximum total score of 42, and a minimum possible score of 0.

    Time frame: 12 weeks

Secondary outcomes

  1. Change from baseline in weekly Hive Severity Score

    Change from baseline in weekly hive severity score (HSS7) at week 1, 2, 4, 8, and 12. The weekly hive severity score (HSS7) ranges from 0 to 21 (higher = worse).

    Time frame: 12 weeks

  2. Proportion of Participants With weekly Urticaria Activity Score ≤ 6

    Proportion of participants achieve disease activity control (weekly Urticaria Activity Score≤6) at Week 1, 2, 4, 8, and 12. The weekly Urticaria Activity Score is a scoring system to evaluate urticaria signs and symptoms. It is based on scoring wheals (hive severity score) and itch (itch severity score) separately on a scale of 0 (no signs/symptoms) to 3 (intense signs/symptoms) over 7 days. The final score is calculated by adding together the daily scores, which can range from 0 to 6, for 7 days. This results in a maximum total score of 42, and a minimum possible score of 0.

    Time frame: 12 weeks

  3. Proportion of Participants With weekly Urticaria Activity Score = 0

    Proportion of participants achieve achieve complete absence of hives and itch (weekly Urticaria Activity Score=0) at Week 1, 2, 4, 8, and 12. The weekly Urticaria Activity Score is a scoring system to evaluate urticaria signs and symptoms. It is based on scoring wheals (hive severity score) and itch (itch severity score) separately on a scale of 0 (no signs/symptoms) to 3 (intense signs/symptoms) over 7 days. The final score is calculated by adding together the daily scores, which can range from 0 to 6, for 7 days. This results in a maximum total score of 42, and a minimum possible score of 0.

    Time frame: 12 weeks

  4. Change from baseline in Dermatology Life Quality Index score

    Change from baseline in Dermatology Life Quality Index score at week 4, 8,and 12. The Dermatology Life Quality Index (DLQI) is a widely used patient-reported outcome (PRO) instrument with a range of 0-30, higher scores indicate greater impairment of quality of life.

    Time frame: 12 weeks

  5. Proportion of Participants With Dermatology Life Quality Index score=0/1

    Proportion of Participants With Dermatology Life Quality Index score=0/1 at week 4, 8, and 12. The Dermatology Life Quality Index (DLQI) is a widely used patient-reported outcome (PRO) instrument with a range of 0-30, higher scores indicate greater impairment of quality of life.

    Time frame: 12 weeks

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07764003
Responsible party
Sponsor
First posted
Aug 13, 2026
Start date
Sep 10, 2026 (estimated)
Primary completion
Dec 31, 2027 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
Aug 24, 2026

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: TLL-018

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