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barzolvolimab

Phase 3

Chronic Spontaneous Urticaria | Monoclonal antibody | Dermatology |Celldex Therapeutics, Inc.|Last Updated: Jun 3, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDDMC
Total Trials4
Total Enrollment3,517
FDA Designations
No designations recorded
Clinical Trials (4)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07256392Long-term Efficacy and Safety Extension (LTE) Study of Barzolvolimab in Participants With Chronic Spontaneous UrticariaPHASE3 ENROLLING BY_INVITATION 1,370Nov 25, 2025Sep 1, 2028Jun 3, 202634 United States, Australia +5
NCT06455202A Phase 3 Study of Barzolvolimab in Participants With Chronic Spontaneous Urticaria (CSU)PHASE3 ACTIVE NOT_RECRUITING 976Jul 19, 2024Apr 1, 2027Mar 25, 2026245 United States, Australia +20
NCT06445023A Phase 3 Study of Barzolvolimab in Participants With Chronic Spontaneous UrticariaPHASE3 ACTIVE NOT_RECRUITING 963Jul 11, 2024Apr 1, 2027Mar 25, 2026235 United States, Argentina +19
NCT05368285A Phase 2 Study of CDX-0159 in Patients With Chronic Spontaneous UrticariaPHASE2 COMPLETED 208May 19, 2022Dec 20, 2024Mar 26, 202556 United States, Bulgaria +7
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Study Endpoints
Primary Endpoints
Time to disease worsening or treatment failure through Week 52 based on the occurrence of UAS7 (Urticaria Activity Score) of 16 or greater.
From Day 1 (baseline) to Week 52.

The UAS7 is a simple 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 to disease worsening or treatment failure through Week 52 based on the occurrence of the discontinuation of barzolvolimab in Group 2 due to lack of efficacy or to a treatment related adverse event.
From Day 1 (baseline) to Week 52.

Evaluate duration of efficacy of barzolvolimab on urticaria activity or to a treatment related adverse event.

Time to disease worsening or treatment failure through Week 52 based on the occurrence of first use of strongly confounding prohibited medication (Group 1 or 2) or use of barzolvolimab in Group 1.
From Day 1 (baseline) to Week 52.

Evaluate duration of efficacy of barzolvolimab on urticaria activity leading to initiation of either a confounding prohibited medication (Group 1 or 2) or barzolvolimab in Group 1.

Mean change from baseline to Week 12 of UAS7 (Urticaria Activity Score)
From Day 1 (first dose) to Day 85 (Week 12)

Evaluate efficacy of barzolvolimab on urticaria activity as measured by urticaria activity score (UAS). The UAS7 is a simple 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.

Secondary Endpoints
Group 1: Change from baseline in Urticaria Activity Score (UAS7) at Week 26.
From Day 1 (baseline) in phase 3 trial to Week 26.
Group 1: Change from baseline in UAS7 at Week 52/End of Study.
From Day 1 (baseline) in phase 3 trial to Week 52/End of Study.
Percentage of Group 1 participants with UAS7 ≤ 6 at week 26.
From Day 1 (baseline) to Week 26.
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Group 1 Observation GroupEXPERIMENTALStandard of care treatment (at least 2nd generation Type 1 antihistamines \[H1AH\] with or without other permitted background medications) for 52 weeks. For participants with worsening disease (UAS7 score of 16 or greater at any time between Weeks 0-24), barzolvolimab will be administered once as a 300 mg subcutaneous injection followed by 150 mg every 4 weeks for up to 52 weeks.
Group 2 Barzolvolimab Retreatment GroupEXPERIMENTALBarzolvolimab given once as a 300 mg subcutaneous injection followed by 150 mg administered every 4 weeks for 52 weeks
barzolvolimab 150 mgEXPERIMENTALbarzolvolimab given once as a 300 mg subcutaneous injection followed by 150 mg administered every 4 weeks for 52 weeks
barzolvolimab 300 mgEXPERIMENTALbarzolvolimab given once as a 450 mg subcutaneous injection followed by 300 mg administered every 8 weeks for 52 weeks
Placebo then barzolvolimab 150 mgEXPERIMENTALPlacebo injection subcutaneous every 4 weeks for 24 weeks and then barzolvolimab 300 mg followed by 150 mg administered every 4 weeks for 28 weeks.
Placebo then barzolvolimab 300 mgEXPERIMENTALPlacebo injection subcutaneous every 4 weeks for 24 weeks and then barzolvolimab 450 mg followed by 300 mg administered every 8 weeks for 28 weeks.
barzolvolimab 75 mg then 150 mgEXPERIMENTALbarzolvolimab 75 mg injection subcutaneous every 4 weeks for 16 weeks and then 150 mg injection subcutaneous every 4 weeks for 36 weeks
barzolvolimab 75 mg then 300 mgEXPERIMENTALbarzolvolimab 75 mg injection subcutaneous every 4 weeks for 16 weeks and then 300 mg injection subcutaneous every 8 weeks for 36 weeks
Interventions
NameTypeDescription
barzolvolimabBIOLOGICALSubcutaneous Administration
Standard of CareOTHERObservational/Standard of Care
Matching placeboBIOLOGICALMatching placebo Subcutaneous Administration
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites34

Key Inclusion Criteria: 1. Written informed consent 2. Must have successfully completed the preceding phase 3 clinical trials (CDX0159-12 or CDX0159-13). 3. Both males and females of child-bearing potential must agree to use highly effective contraceptives when receiving barzolvolimab treatment and...

Countries:United StatesAustraliaBulgariaCanadaPolandSouth AfricaSpainChileColombiaCroatiaGeorgiaGermanyHungaryIndiaItalyLithuaniaMexicoNetherlandsNew ZealandSlovakiaThailandTunisiaUnited KingdomArgentinaBelgiumBrazilCzechiaDenmarkFranceGreeceMalaysiaPeruPortugalSouth KoreaTaiwanTurkey (Türkiye)Estonia
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Recent Changes (Last 90 Days)
LOWJun 3, 2026NCT07256392Status: RECRUITING → ENROLLING_BY_INVITATION
LOWJun 3, 2026NCT07256392Status: RECRUITING → ENROLLING_BY_INVITATION
LOWMay 27, 2026NCT07256392lastUpdatePostDate: changed
LOWMay 27, 2026NCT07256392lastUpdatePostDate: changed
LOWMay 26, 2026NCT07256392primaryCompletionDate: changed
LOWMay 26, 2026NCT06455202primaryCompletionDate: changed
LOWMay 26, 2026NCT06445023primaryCompletionDate: changed
LOWMay 24, 2026NCT07256392studyFirstPostDate: changed
LOWMay 24, 2026NCT06455202studyFirstPostDate: changed
LOWMay 24, 2026NCT06445023studyFirstPostDate: changed