1370 Participants Needed

Barzolvolimab for Chronic Urticaria

Recruiting at 1 trial location
CT
Overseen ByCelldex Therapeutics
Age: 18+
Sex: Any
Trial Phase: Phase 3
Sponsor: Celldex Therapeutics
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Pivotal Trial (Near Approval)This treatment is in the last trial phase before FDA approval
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial examines the long-term safety and effectiveness of barzolvolimab, an experimental treatment for Chronic Spontaneous Urticaria (CSU), a condition causing hives and itching without a known trigger. Participants who completed earlier study phases and still experience symptoms may qualify. The trial involves either observing standard care with antihistamines or administering barzolvolimab injections to assess condition management over a year. It aims to assist those needing ongoing treatment after past studies. Individuals who participated in a phase 3 CSU study and continue to have symptoms might be suitable candidates. As a Phase 3 trial, this study represents the final step before FDA approval, offering a chance to contribute to a potentially groundbreaking treatment.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with your study doctor to understand how your current medications might interact with the trial requirements.

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

Research has shown that barzolvolimab is generally safe. Some participants experienced mild side effects, such as changes in hair color, but these were not serious. This treatment is a monoclonal antibody that targets a protein known as KIT. It has been used in people with chronic urticaria, or hives. Barzolvolimab reduces certain skin cells that cause the condition. In earlier studies, patients who took barzolvolimab saw their symptoms improve without major side effects, suggesting the treatment is generally safe.12345

Why are researchers excited about this study treatment for chronic urticaria?

Barzolvolimab is unique because it targets chronic urticaria differently than standard treatments, which typically involve second-generation Type 1 antihistamines. It works by inhibiting the c-KIT receptor, which plays a crucial role in mast cell activation, a key factor in chronic urticaria flare-ups. This targeted approach could offer better control over symptoms and potentially longer-lasting relief. Additionally, the administration method of a subcutaneous injection every four weeks provides a convenient and consistent treatment regimen. Researchers are excited about Barzolvolimab because it represents a novel mechanism that might offer relief to those unresponsive to current therapies.

What evidence suggests that barzolvolimab might be an effective treatment for chronic urticaria?

Research shows that barzolvolimab effectively treats chronic spontaneous urticaria (CSU), a condition that causes hives. In earlier studies, barzolvolimab helped patients fully recover and improved their quality of life, with benefits lasting up to 76 weeks. Many patients experienced significant symptom improvement, with some achieving complete relief. These positive effects persisted for months even after discontinuing the treatment. In this trial, participants in the Barzolvolimab Retreatment Group will receive a 300 mg subcutaneous injection of barzolvolimab, followed by 150 mg every 4 weeks for 52 weeks. Participants in the Observation Group will receive standard care, with barzolvolimab administered only if their condition worsens. Evidence suggests that barzolvolimab could be a promising option for people with CSU.15678

Are You a Good Fit for This Trial?

This trial is for adults with Chronic Spontaneous Urticaria who finished the Phase 3 trials of barzolvolimab. Participants must agree to use effective contraception, have completed a year of treatment plus follow-up in prior studies, and be willing to adhere to study requirements including daily symptom tracking.

Inclusion Criteria

I agree to use effective birth control during and for 150 days after barzolvolimab treatment.
I am willing and able to follow all study rules and fill out a daily symptom diary.
I have signed the consent form.
See 2 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Observation

Participants in Group 1 receive standard of care treatment with antihistamines for 52 weeks, with potential barzolvolimab rescue treatment if disease worsens

52 weeks
Regular visits as per standard care

Barzolvolimab Retreatment

Participants in Group 2 receive barzolvolimab treatment starting with a 300 mg injection followed by 150 mg every 4 weeks for 52 weeks

52 weeks
Injections every 4 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

16 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Barzolvolimab

Trial Overview

The study aims to gather long-term data on the effectiveness and safety of barzolvolimab for treating Chronic Spontaneous Urticaria. It also provides continued access to the drug for those who were part of earlier phase trials.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Group I: Group 2 Barzolvolimab Retreatment GroupExperimental Treatment1 Intervention
Group II: Group 1 Observation GroupExperimental Treatment2 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

Celldex Therapeutics

Lead Sponsor

Trials
66
Recruited
5,900+

Anthony S. Marucci

Celldex Therapeutics

Chief Executive Officer since 2008

MBA from Columbia University, MHL from Brown University

Diane C. Young

Celldex Therapeutics

Chief Medical Officer since 2019

MD from Harvard Medical School, AB in Biochemical Sciences from Harvard University

Citations

Celldex Presents Unprecedented 76 Week Results from ...

Barzolvolimab achieved the primary efficacy endpoint, a statistically significant mean change from baseline to Week 12 in UAS7 (weekly urticaria ...

Barzolvolimab Shows Long-Term Efficacy in Chronic ...

Barzolvolimab demonstrated sustained complete responses and improved quality of life (QOL) up to 76 weeks and 7 months after treatment concluded among patients ...

Up to 66% of Patients with ColdU and 49% with SD Obtain ...

Up to 66% of patients with ColdU and 49% of patients with SD obtained a complete response compared to 16% and 10% of patients on placebo, ...

Long-term Efficacy and Safety Extension (LTE) Study of ...

The purpose of this extension study is to collect long-term efficacy and safety data on barzolvolimab in adult participants with Chronic ...

Chronic spontaneous urticaria improvements persist 28 ...

Patients with chronic spontaneous urticaria saw complete response and improved quality of life 7 months after treatment with barzolvolimab, ...

Release Details

Barzolvolimab demonstrated a well tolerated safety profile throughout the study and KIT related tolerability events, mild hair color changes and ...

Safety and Clinical Activity of Multiple Doses ...

Barzolvolimab (BAR/CDX-0159), a monoclonal anti-KIT antibody, has been demonstrated to deplete skin MCs in chronic inducible urticaria and reduce disease ...

Anti‐KIT Barzolvolimab for Chronic Spontaneous Urticaria

We compared the efficacy and safety of four doses of barzolvolimab compared to placebo in reducing symptoms of chronic spontaneous urticaria in a randomized, ...