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Ligelizumab

Phase 3

Chronic Spontaneous Urticaria | Small molecule | Dermatology |Novartis AG|Last Updated: Jan 13, 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-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials5
Total Enrollment2,491
FDA Designations
No designations recorded
Clinical Trials (5)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03907878A Safety and Efficacy Study of Ligelizumab in the Treatment of CSU in Japanese Patients Inadequately Controlled With H1- AntihistaminesPHASE3 COMPLETED 66Apr 13, 2019Jan 26, 2022Mar 6, 202511 Japan
NCT03580356A Phase III Study of and Efficacy of Ligelizumab in the Treatment of CSU in Adolescents and Adults Inadequately Controlled With H1-antihistamines.PHASE3 COMPLETED 1,078Oct 20, 2018Jun 14, 2022Jan 7, 2025183 United States, Argentina +25
NCT03580369A Phase III Study of Safety and Efficacy of Ligelizumab in the Treatment of CSU in Adolescents and Adults Inadequately Controlled With H1-antihistaminesPHASE3 COMPLETED 1,072Oct 17, 2018Jun 14, 2022Jul 24, 2023161 United States, Argentina +27
NCT03437278Study to Investigate the Efficacy and Safety of QGE031 in Adolescent Patients With Chronic Spontaneous Urticaria (CSU)PHASE2 COMPLETED 49Aug 1, 2018Feb 3, 2021Jan 13, 202620 Argentina, Belgium +8
NCT02649218A Safety Extension Study to Evaluate the Long-term Safety of QGE031 in Chronic Spontaneous Urticaria (CSU) PatientsPHASE2 COMPLETED 226May 24, 2016May 2, 2019Oct 11, 202167 United States, Australia +8
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Study Endpoints
Primary Endpoints
Safety and Tolerability of Ligelizumab 120 mg q4w Treatment for 12 Months
64 weeks

Participants with treatment emergent adverse events (AEs) and serious adverse events (SAEs) summary for entire study (64 weeks) An AE is any untoward medical occurrence, unfavorable, or unintended sign (including an abnormal laboratory finding), symptom, disease, or injury, temporally associated with the use of a marketed or investigational medicinal product, gene therapy, theragnostic product, or medical device, in patients, clinical-trial subjects, device users, or other persons, whether or not it is considered to be related to or due to the product.

Mean Change From Baseline in UAS7 at Week 12 (Multiple Imputation) of Adult Subjects
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

Mean 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

Change From Baseline of Weekly Urticaria Activity Score (UAS7) at Week 24
Baseline, week 24

UAS7 is a self-reported scoring system to evaluate urticaria signs and symptoms. UAS7 is the sum of daily urticaria activity scores (UAS) over a seven-day period. The possible range of UAS7 score is 0 to 42 (0 to 6 for daily UAS x 7 days). A higher urticaria activity score indicates more severe symptoms. A negative change score from baseline indicates improvement. Baseline was calculated using data from the 7 days prior to the first treatment date. To handle the missing data, if a participant had at least 4 non-missing daily scores within the 7 days prior to a study visit, the weekly score was calculated as the sum of the available scores in that week, divided by the number of days with daily scores available, multiplied by 7. However, if there were less than 4 non-missing daily scores within the prior 7 days, then the weekly score was missing for the week.

Number of Participants With at Least One Treatment Emergent Adverse Event (AE)
Within 16 weeks after Week 48

The primary objective of this study was to assess the long-term safety of one-year treatment of QGE031 in adult Chronic Spontaneous Urticaria (CSU) patients who completed the core study CQGE031C2201 using the following evaluations: number of participants with treatment emergent AEs of non-serious and serious nature including any events of special interest.

Secondary Endpoints
UAS7 Change From Baseline Over Time
Baseline, Weeks 12, 24, 52, and 64
HSS7 Change From Baseline Over Time
Baseline, Weeks 12, 24, 52, and 64
ISS7 Change From Baseline Over Time
Baseline, Weeks 12, 24, 52, and 64
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Ligelizumab 120 mg per 1 mL qw4EXPERIMENTALSubjects received one subcutaneous injection every 4 weeks at 13 visits during the treatment period
Ligelizumab 120 mgEXPERIMENTALLigelizumab 120 mg arm: 1 injection of 1.0 mL ligelizumab + 1 injection of 1.0 mL ligelizumab placebo q4w
Ligelizumab 72 mgEXPERIMENTALLigelizumab 72 mg arm: 1 injection of 0.6 mL ligelizumab + 1 injection of 1.0 mL ligelizumab placebo q4w
Omalizumab 300 mgACTIVE_COMPARATOROmalizumab 300 mg arm: 2 injections of 1.2 mL omalizumab q4w
PlaceboPLACEBO_COMPARATORPlacebo-ligelizumab arm: 2 injections of 1.0mL of ligelizumab placebo from Week 0 through Week 20; 1 injection of 1.0mL of ligelizumab 120 mg + 1 injection of 1.0 mL ligelizumab placebo from Week 24 through Week 48
Ligelizumab 24 mgEXPERIMENTALParticipants received a dose of ligelizumab 24 mg (low dose) which consisted of one injection of 0.2 ml of ligelizumab 120 mg/ 1 ml vial every 4 weeks from Day 1 to Week 20 (inclusive).
Placebo + Ligelizumab 120 mgPLACEBO_COMPARATORParticipants received Placebo which consisted of one injection of 1 ml placebo every 4 weeks from Day 1 to Week 8 (inclusive). From week 12 to week 20 (inclusive), participants received a dose of ligelizumab 120 mg (high dose) which consisted of one injection of 1 ml of ligelizumab 120 mg/ 1 ml vial.
LigelizumabEXPERIMENTALQGE031 240 mg s.c. q4w x 13 treatments
Interventions
NameTypeDescription
LigelizumabBIOLOGICALLiquid in vial
OmalizumabBIOLOGICALLyophilized powder for solution in vial
PlaceboOTHERLiquid in vial
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites11

Key Inclusion Criteria: * Signed informed consent must be obtained prior to participation in the study * Male and female subjects ≥ 18 years of age at the time of screening * CSU diagnosis for ≥ 6 months * Diagnosis of CSU refractory to H1-AH at approved doses at the time of Baseline (Visit 110, Da...

Countries:JapanUnited StatesArgentinaAustraliaBelgiumBrazilChileEstoniaFinlandFranceGermanyIndiaIsraelItalyLebanonMexicoNetherlandsPhilippinesPolandRomaniaRussiaSlovakiaSpainTaiwanTunisiaUnited KingdomVietnamAustriaBulgariaCanadaColombiaCroatiaCzechiaDenmarkGreeceGuatemalaHungaryMalaysiaOmanPeruPuerto RicoSingaporeSouth AfricaSouth KoreaSwedenThailandTurkey (Türkiye)
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