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Omalizumab 75-

Phase 2

Chronic Urticaria | Small molecule | Dermatology |Novartis AG|Last Updated: Apr 15, 2014

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_CONTROLLEDDMC
Total Trials2
Total Enrollment79
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01803763Prospective Double-blind Placebo-controlled Study of the Effect of Xolair (Omalizumab) in Chronic Urticaria PatientsPHASE2 COMPLETED 30Sep 1, 2012Mar 1, 2014Apr 15, 20141 Switzerland
NCT00481676Efficacy and Safety of Omalizumab in Adults (18-70 Years) With Moderate to Severe Chronic UrticariaPHASE2 COMPLETED 49May 1, 2007Apr 1, 2009Oct 21, 201111 Germany
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Study Endpoints
Primary Endpoints
Fc-IgE Receptor density change on basophils
Twice before (1 month before and the day of first treatment), after 1 week, after 1 and 3 months of treatment start and 2 months after stopping treatment
Change in the Weekly Urticaria Activity Score (UAS7) From Baseline to the End of the Study (Week 24)
Baseline to end of the study (Week 24)

The UAS is a composite diary-recorded score with numeric severity ratings (0=none to 3=intense) for the number of wheals per 24 hours and the intensity of the pruritus. The total daily score (sum of the wheal and pruritus scores) ranges from 0 to 6. Because of variations in chronic urticaria disease intensity, assessment of disease activity was based on a weekly (7 days) UAS score called UAS7, that is, the sum of the daily UASs, ranging from 0 to 42 per week. A higher score indicates worse disease. A negative change score (Week 24 score minus Baseline score) indicates improvement.

Secondary Endpoints
Change of responsiveness to Fc-IgE cross-linking dependent stimuli (anti-IgE, Allergen induced IgE-cross-linking in grass or birch pollen allergic patients)
Once before treatment, 1 week and 3 months after treatment start
Comparison of serum of visit 1 and 6 on third party basophils (CD63 upregulation on basophils)
Once before treatment and 3 months after treatment start
Measurement of IL-3 hyperresponsiveness of basophils
Day of the first treatment, 1 week and 3 months after treatment start
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeBASIC_SCIENCE
Treatment Arms
ArmTypeDescription
Omalizumab (Xolair)ACTIVE_COMPARATORFixed dose of 300 mg omalizumab is subcutaneously administered in total 4 monthly doses
PlaceboPLACEBO_COMPARATORFixed dose of Placebo is subcutaneously administered in total 4 monthly doses
Omalizumab 75-375 mgEXPERIMENTALOmalizumab was dosed at 75 to 375 mg according to baseline IgE and body weight as described in dosing tables in the study protocol. Dosing occurred subcutaneously every 2 or 4 weeks depending on dose.
Placebo to omalizumabPLACEBO_COMPARATORPlacebo to omalizumab was dosed at 75 to 375 mg according to baseline IgE and body weight as described in dosing tables in the study protocol. Dosing occurred subcutaneously every 2 or 4 weeks depending on dose.
Interventions
NameTypeDescription
Omalizumab (Xolair)DRUGFixed dose of 300 mg omalizumab is subcutaneously administered in total 4 monthly doses
PlaceboDRUGFixed dose of placebo is subcutaneously administered in total 4 monthly doses
Omalizumab 75-375 mgDRUGOmalizumab was supplied as lyophilized, sterile powder in a single-use, 5 ml vial designed to deliver 150 mg of omalizumab upon reconstitution with 1.4 ml sterile water for injection.
Placebo to omalizumabDRUGPlacebo to omalizumab was supplied as lyophilized, sterile powder in a single-use, 5 ml vial designed to deliver 150 mg placebo to omalizumab upon reconstitution with 1.4 ml sterile water for injection.
LoratadineDRUGAll participants received antihistamines on demand (loratadine and clemastine), as the trial was designed to investigate the effect of omalizumab as an add-on to antihistamines in people with chronic urticaria (CU). Administration of antihistamines is the current gold standard treatment of CU. A significant proportion of people with CU is not well controlled by this standard or by using high doses of antihistamines.
ClemastineDRUGAll participants received antihistamines on demand (loratadine and clemastine), as the trial was designed to investigate the effect of omalizumab as an add-on to antihistamines in people with chronic urticaria (CU). Administration of antihistamines is the current gold standard treatment of CU. A significant proportion of people with CU is not well controlled by this standard or by using high doses of antihistamines.
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Eligibility Criteria
Age Range18 Years — 70 Years
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * 1\. Diagnosis of chronic urticaria made by clinical symptoms and clinical investigations * 2\. Patients with chronic urticaria were defined as having symptoms for at least 6 weeks, with hives present at least twice weekly, refractory to H1 antihistaminics at time of randomizat...

Countries:SwitzerlandGermany
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