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Trial ยท NCT03580369

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

NCT03580369, Phase 3, Completed, Novartis Pharmaceuticals; results first posted 2022-12-30

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Phase III Study of Safety and Efficacy of Ligelizumab in the Treatment of CSU in Adolescents and Adults Inadequately Controlled With H1-antihistamines. Trials, record NCT03580369. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03580369

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Phase III Study of Safety and Efficacy of Ligelizumab in the Treatment of CSU in Adolescents and Adults Inadequately Controlled With H1-antihistamines
NCT number
NCT03580369
Status
Completed
Phases
Phase 3
Enrollment
1,072 participants, actual
Lead sponsor
Novartis Pharmaceuticals
Conditions
Chronic Spontaneous Urticaria
Interventions
Ligelizumab, Omalizumab, Placebo
First posted
2018-07-09
Last updated
2023-07-24
Other registries' IDs
eudract:2018-000839-28
Results first posted
2022-12-30
Limitations and caveats
The difference of 4 subjects between RAN (1034) vs FAS (1030) is due to mis-randomization of 4 subjects. These subjects did not receive Ligelizumab and hence rightfully not included in FAS (though included in RAN).

Source ClinicalTrials.gov

Registered outcomes8

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryMean Change From Baseline in UAS7 at Week 12 (Multiple Imputation) of Adult SubjectsBaseline, Week 12
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
PrimaryMean Change From Baseline in UAS7 at Week 12 (Observed Data) of Adolescent Subjects (FAS)Baseline, Week 12
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
SecondaryNumber and Proportion of Subjects With UAS7=0 Response at Week 12 (Multiple Imputation - Adults, Observed Data for Adolescents)Week 12
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. No Statistical analysis was planned for adolescent group.
SecondaryMean Change From Baseline in ISS7 at Week 12 (Multiple Imputation) of Adult Subjects (FAS)Baseline, Week 12
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.
SecondaryMean Change From Baseline in ISS7 at Week 12 (Observed Data) of Adolescent Subjects, (FAS)Baseline, Week 12
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.
SecondaryNumber and Proportion of Participants With DLQI Score of 0 - 1 at Week 12 (Multiple Imputation - Adults, Observed Data for Adolescents)Baseline, Week 12
Assessed as percentage of subjects achieving DLQI = 0-1, meaning, 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). No statistical anaylsis was planned for adolescent group.
SecondaryCumulative Number of Weeks of AAS7=0 up to Week 12 (Multiple Imputation) of Adult Subjects (FAS)Baseline, Week 12
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.
SecondaryCumulative Number of Weeks of AAS7=0 up to Week 12 (Observed Data) of Adolescent Subjects (FAS)Baseline, Week 12
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.

Outcomes8

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYMean Change From Baseline in UAS7 at Week 12 (Multiple Imputation) of Adult SubjectsBaseline, Week 12
Full analysis set (FAS) included all randomized Adult subjects who received at least one dose of study drug. Subjects were analyzed according to the treatment to which they were assigned at randomization. FAS was used for all efficacy variables, unless otherwise stated.
ScoreLEAST_SQUARES_MEAN
PRIMARYMean Change From Baseline in UAS7 at Week 12 (Observed Data) of Adolescent Subjects (FAS)Baseline, Week 12
Full analysis set (FAS) included all randomized adolescent subjects who received at least one dose of study drug. Subjects were analyzed according to the treatment to which they were assigned at randomization. FAS was used for all efficacy variables, unless otherwise stated.
ScoreMEAN
SECONDARYNumber and Proportion of Subjects With UAS7=0 Response at Week 12 (Multiple Imputation - Adults, Observed Data for Adolescents)Week 12FAS: Adults + Adolescents (observed data) = TotalParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYMean Change From Baseline in ISS7 at Week 12 (Multiple Imputation) of Adult Subjects (FAS)Baseline, Week 12FAS: AdultsscoreLEAST_SQUARES_MEAN
SECONDARYMean Change From Baseline in ISS7 at Week 12 (Observed Data) of Adolescent Subjects, (FAS)Baseline, Week 12FAS: AdolescentsscoreMEAN
SECONDARYNumber and Proportion of Participants With DLQI Score of 0 - 1 at Week 12 (Multiple Imputation - Adults, Observed Data for Adolescents)Baseline, Week 12FAS: Adults + Adolescents (observed) = TotalParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYCumulative Number of Weeks of AAS7=0 up to Week 12 (Multiple Imputation) of Adult Subjects (FAS)Baseline, Week 12FAS: AdultsWeeksLEAST_SQUARES_MEAN
SECONDARYCumulative Number of Weeks of AAS7=0 up to Week 12 (Observed Data) of Adolescent Subjects (FAS)Baseline, Week 12FAS: AdolescentsWeeksLEAST_SQUARES_MEAN

Results by group40

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Mean Change From Baseline in UAS7 at Week 12 (Multiple Imputation) of Adult SubjectsLigelizumab 72 mg-19.368Standard Error 0.668Score
Mean Change From Baseline in UAS7 at Week 12 (Multiple Imputation) of Adult SubjectsLigelizumab 120 mg-19.330Standard Error 0.660Score
Mean Change From Baseline in UAS7 at Week 12 (Multiple Imputation) of Adult SubjectsOmalizumab 300 mg-20.040Standard Error 0.663Score
Mean Change From Baseline in UAS7 at Week 12 (Multiple Imputation) of Adult SubjectsPlacebo-11.366Standard Error 1.129Score
Mean Change From Baseline in UAS7 at Week 12 (Observed Data) of Adolescent Subjects (FAS)Ligelizumab 72 mg-17.39Standard Deviation 13.070Score
Mean Change From Baseline in UAS7 at Week 12 (Observed Data) of Adolescent Subjects (FAS)Ligelizumab 120 mg-14.64Standard Deviation 14.662Score
Mean Change From Baseline in UAS7 at Week 12 (Observed Data) of Adolescent Subjects (FAS)Omalizumab 300 mg-13.84Standard Deviation 15.343Score
Mean Change From Baseline in UAS7 at Week 12 (Observed Data) of Adolescent Subjects (FAS)Placebo-12.75Standard Deviation 18.738Score
Number and Proportion of Subjects With UAS7=0 Response at Week 12 (Multiple Imputation - Adults, Observed Data for Adolescents)Ligelizumab 72 mgAdults102Participants
Number and Proportion of Subjects With UAS7=0 Response at Week 12 (Multiple Imputation - Adults, Observed Data for Adolescents)Ligelizumab 120 mgAdults104Participants

Participant flow24

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDLigelizumab 72 mg - Adults307
Overall StudySTARTEDLigelizumab 72 mg - Adolescents10
Overall StudySTARTEDLigelizumab 120 mg - Adults312
Overall StudySTARTEDLigelizumab 120 mg - Adolescents12
Overall StudySTARTEDOmalizumab 300 mg - Adults309
Overall StudySTARTEDOmalizumab 300 mg - Adolescents13
Overall StudySTARTEDPlacebo - Ligelizumab 120mg - Adults106
Overall StudySTARTEDPlacebo - Ligelizumab 120mg - Adolesecents3
Overall StudyCOMPLETEDLigelizumab 72 mg - Adults263
Overall StudyCOMPLETEDLigelizumab 72 mg - Adolescents10

Adverse events600

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAbdominal painGastrointestinal disordersQGE031 72mg1316
otherAbdominal painGastrointestinal disordersQGE031 120mg6324
otherAbdominal painGastrointestinal disordersOmalizumab 300mg9319
otherAbdominal painGastrointestinal disordersPlacebo Only0109
otherAbdominal painGastrointestinal disordersTransitioned to QGE031 120mg0102
otherAbdominal pain upperGastrointestinal disordersQGE031 72mg7316
otherAbdominal pain upperGastrointestinal disordersQGE031 120mg5324
otherAbdominal pain upperGastrointestinal disordersOmalizumab 300mg8319
otherAbdominal pain upperGastrointestinal disordersPlacebo Only2109
otherAbdominal pain upperGastrointestinal disordersTransitioned to QGE031 120mg2102

Adverse event totals15

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityQGE031 72mg0316
Total, all-cause mortalityQGE031 120mg0324
Total, all-cause mortalityOmalizumab 300mg0319
Total, all-cause mortalityPlacebo Only0109
Total, all-cause mortalityTransitioned to QGE031 120mg0102
Total, other adverse eventsQGE031 72mg178316
Total, other adverse eventsQGE031 120mg182324
Total, other adverse eventsOmalizumab 300mg206319
Total, other adverse eventsPlacebo Only38109
Total, other adverse eventsTransitioned to QGE031 120mg43102

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
38008109DERIVED

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03580369

GET https://conductscience.org/api/trials/v1/NCT03580369/results?page=2