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epinephrine

Phase 2

Urticaria Chronic | Small molecule | Dermatology |ARS Pharmaceuticals, Inc.|Last Updated: Sep 16, 2026

Target and mechanism

Molecular targetADRA1A, ADRA2A, ADRB1, ADRB2, ADRA2C, ADRA1D
Target classAgonist
ModalitySmall molecule
ChEMBLCHEMBL679

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment42

FDA Designations

No designations recorded

Clinical trial landscape

epinephrine · 1 trial · 1 indication

Phase 2 1
NCT06927999An Outpatient Study of the Efficacy of ARS-2 in Patients With Chronic Spontaneous UrticariaUrticaria Chronic
RECRUITING42 Analytics
PHASE2RECRUITING
An Outpatient Study of the Efficacy of ARS-2 in Patients With Chronic Spontaneous Urticaria
Urticaria ChronicUnlock trial analytics

Study Endpoints

Primary Endpoints

Determine the effect of ARS-2 (0.5 mg or 1 mg) versus placebo on itch
12 months

Change in itch scores (Uniform Assessment System) - Range is a scale of 0-3. Zero is none and 3 is severe. \[UAS\] as compared to placebo at each timepoint on exacerbation days

Secondary Endpoints

Determine the effect of ARS-2 (0.5 mg or 1 mg) versus placebo on hive
12 months
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelCROSSOVER
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
PlaceboPLACEBO_COMPARATORPlacebo solution nasal spray containing no active drug will be administered using the commercial sprayer device.
0.5 mgACTIVE_COMPARATOR0.5 mg epinephrine per spray
1 mgACTIVE_COMPARATOR1 mg epinephrine per spray

Interventions

NameTypeDescription
PlaceboDRUGPlacebo solution nasal spray containing no active drug
0.5 mg epinephrineDRUG0.5 mg epinephrine per spray
1 mg epinephrineDRUG1 mg epinephrine per spray
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Eligibility Criteria

Age Range18 Years to 65 Years
SexALL
Healthy VolunteersNo
Study Sites3

Inclusion Criteria: * Is a male or female between the ages of 18 and 65 years, inclusive. * Has been clinically diagnosed with CSU and experiences an acute flare of moderate to severe urticaria symptoms (itch and hive severity UAS score ≥ 2) approximately 1-2 times a month or every other month cons...

Countries:United StatesGermany
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Recent Changes (Last 90 Days)

LOWSep 16, 2026NCT06927999lastUpdatePostDate: changed
LOWSep 16, 2026NCT06927999lastUpdatePostDate: changed
LOWSep 15, 2026NCT06927999lastUpdatePostDate: changed
LOWSep 15, 2026NCT06927999lastUpdatePostDate: changed
LOWSep 15, 2026NCT06927999lastUpdatePostDate: changed
MEDIUMJul 22, 2026NCT06927999primaryCompletionDate: changed
MEDIUMJul 22, 2026NCT06927999primaryCompletionDate: changed

Frequently asked questions about epinephrine

What is epinephrine used for in chronic urticaria?

Epinephrine is being studied as a treatment for chronic spontaneous urticaria, a condition characterized by recurrent hives. It is an investigational small molecule agonist being developed by ARS Pharmaceuticals, Inc. for this dermatologic indication. The drug is currently in Phase 2 clinical development.

What does epinephrine target?

Epinephrine targets multiple adrenergic receptors, including ADRA1A, ADRA2A, ADRB1, ADRB2, ADRA2C, and ADRA1D. It acts as an agonist at these receptors, which are part of the G protein-coupled receptor family. This mechanism is being investigated for its potential effects in chronic urticaria.

Who makes epinephrine for chronic urticaria?

ARS Pharmaceuticals, Inc. (NASDAQ: SPRY) is developing epinephrine for chronic spontaneous urticaria. The company is conducting a Phase 2 clinical trial to evaluate the drug's efficacy in this patient population. Epinephrine is a small molecule therapeutic being investigated for this dermatologic condition.

What phase is epinephrine in for chronic urticaria?

Epinephrine is in Phase 2 clinical development for chronic spontaneous urticaria. It is an investigational drug and has not been approved by regulatory authorities for this indication. The ongoing Phase 2 trial is actively recruiting patients to assess the treatment's efficacy and safety.

What clinical trials is epinephrine in for chronic urticaria?

Epinephrine is being studied in one Phase 2 clinical trial, NCT06927999, titled "An Outpatient Study of the Efficacy of ARS-2 in Patients With Chronic Spontaneous Urticaria." This randomized, double-blind, placebo-controlled trial is recruiting 42 participants at sites in the United States and Germany.

Is epinephrine the same as ARS-2?

Epinephrine is also known as 0.5 mg epinephrine and is being studied under the trial name ARS-2. In the context of chronic spontaneous urticaria, ARS-2 refers to the specific formulation of epinephrine being evaluated in the Phase 2 clinical trial NCT06927999.