80 Participants Needed

Briquilimab for Chronic Hives

(BEACON Trial)

Recruiting at 39 trial locations
ET
MD
Overseen ByMedical Director
Age: 18+
Sex: Any
Trial Phase: Phase 1 & 2
Sponsor: Jasper Therapeutics, Inc.
Must be taking: H1-antihistamines, Omalizumab
Approved in 1 JurisdictionThis treatment is already approved in other countries

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to test the safety and effectiveness of briquilimab (also known as JSP191 or AMG-191) for individuals with chronic hives (chronic spontaneous urticaria) that persist despite standard treatments like antihistamines and omalizumab. The trial will also examine how briquilimab affects certain cells and chemicals in the body related to allergies. Participants should have experienced chronic hives for at least six months and continue to have symptoms such as itchiness and hives despite treatment. As a Phase 1, Phase 2 trial, this research focuses on understanding how the treatment works in people and measuring its effectiveness in an initial, smaller group, offering participants a chance to contribute to groundbreaking research.

Will I have to stop taking my current medications?

The trial requires that you continue taking H1-antihistamines at a stable dose, but you must stop using H2 antihistamines, leukotriene receptor antagonists, and tricyclic antidepressants at least 3 days before screening. Other medications like immunosuppressive therapy and certain experimental therapies must be stopped weeks or months before the trial.

Is there any evidence suggesting that briquilimab is likely to be safe for humans?

Research has shown that briquilimab has been safe in previous studies. In one study, participants tolerated briquilimab well, with no serious or severe side effects reported, meaning most people did not experience major negative reactions. Another study found that briquilimab worked quickly and effectively at different doses while remaining safe.

These results suggest that briquilimab might be safe for people with chronic hives who haven't had success with other treatments. While this is encouraging, please remember that the current trial is still in the early stages, so the treatment's safety is still being carefully monitored and evaluated.12345

Why do researchers think this study treatment might be promising?

Unlike the standard treatments for chronic hives, which often include antihistamines and corticosteroids, Briquilimab offers a novel approach by targeting specific immune pathways. Researchers are excited about Briquilimab because it works by inhibiting certain immune cells responsible for inflammation, potentially reducing the frequency and severity of hives more effectively. Additionally, its targeted mechanism may lead to fewer side effects compared to broad-spectrum treatments, providing a more tailored and safer option for patients.

What evidence suggests that briquilimab might be an effective treatment for chronic hives?

Research has shown that briquilimab, which participants in this trial may receive, offers promising results for treating chronic hives, particularly in patients unresponsive to other treatments. In one study, all patients who received a 180mg dose experienced significant symptom control. Another study found that 73% of participants achieved a complete response in just 12 weeks when given 180mg every eight weeks. Additionally, briquilimab demonstrated much better results compared to a placebo, with a noticeable reduction in symptoms. These findings suggest that briquilimab could effectively manage chronic hives.12567

Who Is on the Research Team?

MD

Medical Director

Principal Investigator

Jasper Therapeutics

Are You a Good Fit for This Trial?

Adults over 18 with chronic spontaneous urticaria (CSU) who still have symptoms despite taking H1 antihistamines and omalizumab can join. They must not be pregnant, nursing, or planning pregnancy; should not have other active diseases mimicking CSU; no recent use of certain medications like JAK inhibitors; and willing to use contraception if applicable.

Inclusion Criteria

Written informed consent after the nature of the trial has been fully explained and before performing any trial related assessments
I have had itch and hives for 8 weeks or more, even with omalizumab treatment or cannot tolerate it.
I have been taking a stable dose of antihistamines since screening.
See 5 more

Exclusion Criteria

I am not pregnant, nursing, or planning to become pregnant during the trial.
Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > 1.5 x Upper limit of normal (ULN) at Screening
Serum total bilirubin >1.5 x ULN, unless attributable to Gilbert's syndrome
See 17 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Dose Escalation

Participants receive escalating doses of briquilimab to determine safety and tolerability

12 weeks
Multiple visits for dose escalation and monitoring

Randomized Treatment

Participants are randomized to receive either briquilimab or placebo in a double-blinded manner

36 weeks
Regular visits for treatment and monitoring

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Briquilimab
Trial Overview The trial is testing Briquilimab's safety, how the body processes it, and its initial effectiveness in treating CSU compared to a placebo. It starts with an open-label phase where everyone gets Briquilimab, followed by a randomized double-blind phase where participants get either Briquilimab or a placebo without knowing which one.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Placebo Group
Group I: BriquilimabExperimental Treatment1 Intervention
Group II: PlaceboPlacebo Group1 Intervention

Briquilimab is already approved in European Union for the following indications:

🇪🇺
Approved in European Union as Briquilimab for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

Jasper Therapeutics, Inc.

Lead Sponsor

Trials
7
Recruited
310+

Published Research Related to This Trial

In a study of 25 patients with chronic idiopathic urticaria, nearly 48% showed improvement when treated with montelukast combined with antihistamines, indicating its potential efficacy for this condition.
Despite the observed responses, the study could not identify specific clinical features or laboratory markers that predicted which patients would benefit from montelukast, highlighting the need for further research in this area.
Efficacy of montelukast as added therapy in patients with chronic idiopathic urticaria.Khan, S., Lynch, N.[2021]
In a phase 2b extension study involving 230 patients with chronic spontaneous urticaria (CSU), remibrutinib showed a favorable safety profile, with most adverse events being mild to moderate and not directly related to the treatment.
Remibrutinib provided significant and sustained efficacy, with 55.8% of patients achieving complete response (UAS7 = 0) and 68.0% achieving well-controlled disease (UAS7 ≤6) after 52 weeks of treatment.
Remibrutinib demonstrates favorable safety profile and sustained efficacy in chronic spontaneous urticaria over 52 weeks.Jain, V., Giménez-Arnau, A., Hayama, K., et al.[2023]
In a study of 298 patients with chronic idiopathic urticaria (CIU) treated with omalizumab, about 60% continued therapy beyond 18 months, indicating its long-term efficacy in managing persistent hives.
The use of other medications for CIU, such as corticosteroids and antihistamines, decreased after starting omalizumab, suggesting that it effectively reduces the need for additional treatments.
Real-World Characteristics and Treatment Patterns in Patients with Urticaria Initiating Omalizumab in the United States.Ke, X., Kavati, A., Wertz, D., et al.[2023]

Citations

Jasper Therapeutics Reports Clinical Data Update from ...Briquilimab administration resulted in deep and rapid disease control in the 240mg and 360mg single-dose cohorts, with 8 of 9 (89%) of ...
Jasper Therapeutics Reports Positive Data from BEACON ...Jasper Therapeutics Reports Positive Data from BEACON Study of Briquilimab in Chronic Spontaneous Urticaria ; Mean difference from placebo, -14.2 ...
Briquilimab Shows Promising Results in Chronic Urticaria ...In the open-label extension study, 73% of participants receiving 180mg every eight weeks achieved a complete response at 12 weeks. Unfortunately ...
Jasper Therapeutics Reports Positive Data from 180mg ...Briquilimab (subcutaneous) administration resulted in deep disease control at 180mg, with 12 of 12 participants (100%) enrolled in the cohort achieving a ...
Study Details | NCT06162728 | Dose Escalation Trial of ...The trial is intended to determine the safety and tolerability and assess the preliminary efficacy of briquilimab in adult participants with chronic spontaneous ...
Jasper Therapeutics Reports Positive Data from ...Briquilimab was well tolerated in the study, with no serious adverse events (SAEs) and no grade 3 or higher adverse events (AEs) reported.
Study Details | NCT06353971 | A Dose Escalation Trial of ...This is an open-label, single ascending dose Phase 1b/2a trial to determine the safety and tolerability and assess the preliminary efficacy of briquilimab ...
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