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omalizumab

Phase 3

Chronic Spontaneous Urticaria | Small molecule | Dermatology |Novartis AG|Last Updated: Nov 4, 2020

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-BlindCONTROLLEDBiomarker
Total Trials3
Total Enrollment823
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03328897Study of Efficacy and Safety of Xolair® (Omalizumab) in Chinese Patients With Chronic Spontaneous UrticariaPHASE3 COMPLETED 418Apr 26, 2017Sep 24, 2019Nov 4, 202027 China
NCT02161562OPTIMA: Efficacy of Optimized Re-treatment and Step-up Therapy With Omalizumab in Chronic Spontaneous Urticaria (CSU) PatientsPHASE3 COMPLETED 314Aug 1, 2014Nov 3, 2016Sep 13, 201835 Argentina, Brazil +6
NCT01723072Impact of Omalizumab on Quality of Life Measures and Angioedema Occurrence in Patients With CSU Refractory to TherapyPHASE3 COMPLETED 91Jan 23, 2013May 9, 2014Sep 9, 202025 Germany
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Study Endpoints
Primary Endpoints
Change From Baseline of the Itch Severity Score (ISS7) Score After 12 Weeks of Treatment
Baseline, Week 12

The severity of the itch was recorded by the patient twice daily in their eDiary, on a scale of 0 (none) to 3 (intense/severe). Baseline ISS7 was calculated 7 days prior to the first treatment date. A weekly score (ISS7) was derived by adding up the average daily scores of the seven days preceding the visit. The possible range of the weekly score was therefore 0 to 21, where 0 is the best score and 21 is the worst score. The complete itch response was defined as ISS7 = 0. Itch (Pruritus) Severity Score Scale: 0 = None 1. = Mild (minimal awareness, easily tolerated) 2. = Moderate (definite awareness, bothersome but tolerable) 3. = Severe (difficult to tolerate)

Number of Participants Who Were Clinically Well-controlled (UAS7<=6) After the Initial Dosing Period, Relapsed (UAS7>=16) When Treatment Was Discontinued, and Who Achieved a UAS7 Score <=6 at the End of the Second Dosing Period (Retreatment A2 and B2)
Last 7 days of second dosing period, 44 weeks

The UAS7 is a 7-day composite self-reported evaluation of itch (daily score 0-3) plus number of hives (daily score 0-3). The worst possible daily UAS score is 6, and the worst possible UAS7 score is 42. For this outcome, the participant's self-reported UAS7 score will be drawn from the last 7 days of the second dosing period.

Mean Change From Baseline Using Chronic Urticaria Quality of Life Questionnaire (CU-Q2oL) Total Scores During the Study: Unadjusted Analysis and ANCOVA (LOCF) (FAS)
Baseline, 4, 12, 20, 28 and 36 weeks

The CU-Q2oL is a questionnaire that measures the relative burden of chronic urticaria on subjective well-being. It consists of 23 questions in 3 domains (symptoms, general impairment, difficulties and problems due to urticaria). Participants are asked to respond how much they are troubled by each problem on a 5-point Likert scale (1= not at all to 5= very much). An overall score is calculated and normalized to a scale of 1 to 100.

Secondary Endpoints
Change From Baseline of Urticaria Activity Score (UAS7) After 12 Weeks of Treatment
Baseline, Week 12
Change From Baseline of Number of Hives Score (NHS7) After 12 Weeks of Treatment
Baseline, Week 12
Percentage of Patients With UAS7≤6 at Week 12
Week 12
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Omalizumab 300mgEXPERIMENTALpatients received a dose of omalizumab 300 mg which consisted of two injections of omalizumab 150 mg vials every 4 weeks (Day 1, Week 4 and Week 8)
Omalizumab 150mgEXPERIMENTALpatients received a dose of omalizumab 150 mg which consisted of one injection of omalizumab 150 mg vial and one injection of placebo 150 mg vial every 4 weeks (Day 1, Week 4 and Week 8)
PlaceboPLACEBO_COMPARATORpatients received placebo which consisted of two injections of placebo 150 mg vials every 4 weeks (Day 1, Week 4 and Week 8)
1 OmalizumabEXPERIMENTALomalizumab once a month via subcutaneous injection.
2 PlaceboPLACEBO_COMPARATORplacebo of omalizumab once a month via subcutaneous injection
Interventions
NameTypeDescription
OmalizumabDRUGinjection of 150mg or 300 mg
PlaceboDRUGInjection of placebo
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Eligibility Criteria
Age Range18 Years — 75 Years
SexALL
Healthy VolunteersNo
Study Sites27

Main Inclusion Criteria: * Symptomatic CSU patients with CSU diagnosis for at least 6 months. * Patients must have been on an approved dose of an H1AH for CSU for at least the 3 consecutive days immediately prior to the Day -14 screening visit * Patients must have documented current use on the day ...

Countries:ChinaArgentinaBrazilCanadaChileDominican RepublicGuatemalaMexicoPanamaGermany
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