Long-term extension study of ligelizumab in food allergy

2022-502366-25-00 Protocol CQGE031G12303B Therapeutic confirmatory (Phase III) Ended

Start 11 Sep 2023 · End 6 Mar 2025 · Status Ended · 5 EU/EEA countries · 19 sites · Protocol CQGE031G12303B

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ended
Participants planned 550
Countries 5
Sites 19

Food allergy

To evaluate the long-term safety and tolerability of ligelizumab in participants with food allergy

Key facts

Sponsor
Novartis Pharma AG
Participant type
Pediatric, Patients
Age range
0-17 years, 18-64 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Immune System Diseases [C20]
Trial duration
11 Sep 2023 → 6 Mar 2025
Decision date (initial)
2023-08-21
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
Novartis Pharma AG

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Pharmacodynamic, Safety, Pharmacokinetic, Efficacy, Others

To evaluate the long-term safety and tolerability of ligelizumab in participants with food allergy

Secondary objectives 3

  1. To describe the long-term efficacy of ligelizumab as measured by the tolerance of an allergen food protein during an open-label OFC at scheduled timepoints.
  2. To assess the safety and tolerability of ligelizumab in all participants who are administered study treatment at home by self-administration or parent/caregiver
  3. To assess the long-term impact of ligelizumab on the health related quality of life (HRQoL) of patients with food allergy

Conditions and MedDRA coding

Food allergy

VersionLevelCodeTermSystem organ class
20.0 PT 10016946 Food allergy 100000004870
20.0 LLT 10077084 Allergic reaction to food 10021428

Regulatory references

EU CT numberTitleSponsor
2020-005339-56 A 52 week, multi-center, randomized, double-blind placebo-controlled study to assess the clinical efficacy and safety of ligelizumab (QGE031) in decreasing the sensitivity to peanuts in patients with peanut allergy, Etude multicentrique de 52 semaines, randomisée, en double aveugle, contrôlée par placebo évaluant l’efficacité et la sécurité d’emploi du ligélizumab (QGE031) dans la diminution de la sensibilité à l’arachide chez des patients allergiques à l’arachide, Estudio multicéntrico, aleatorizado, doble ciego, controlado con placebo de 52 semanas de duración para evaluar la eficacia clínica y la seguridad de ligelizumab (QGE031) en la disminución de la sensibilidad a los cacahuetes en pacientes con alergia al cacahuete., Studio multicentrico, randomizzato, in doppio cieco controllato verso placebo, di 52 settimane per valutare l’efficacia clinica e la sicurezza di ligelizumab (QGE031) nel ridurre la sensibilità alle arachidi in pazienti con allergia alle arachidi

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. Signed informed consent form (ICF) and assent form (where applicable) obtained from the participant/legal representative before study participation. If a minor participant reaches the age of legal majority (as defined by local law), they must be re-consented at the next study visit
  2. Participants have completed the treatment period in any ligelizumab Phase III studies in food allergy (e.g., Study CQGE031G12301). Please refer to the Section 4.1 for the timing of transition.
  3. Participants who are willing to adhere to the study visits and procedures, including receiving injections (study treatment) and participating in the OL-OFC (open label oral food challenge)
  4. Participants who agree to continue avoiding exposure to allergens (per core study) and any other foods they are allergic to throughout this study
  5. Participants who are able to safely continue into the study as judged by the investigator

Exclusion criteria 6

  1. Development of a severe or life threatening episode of an allergic reaction that required intubation and/or ICU admission during the core studies
  2. Development of a serious adverse event which is suspected to be related to the study treatment judged by the investigator during the core study
  3. Development of uncontrolled asthma during the core study that could compromise the safety of the participants judged by the investigator
  4. Development of clinically significant cardiovascular, neurological, and or psychiatric conditions during the core study that could interfere with or compromise the safety of the participants, interfere with evaluation or interpretation of the study results or preclude completion of the study judged by the investigator
  5. Participants who failed to comply with the protocol requirements and procedures during the core study, and in the Investigator's opinion they should not participate in this extension study
  6. Platelets <75,000/ul at EoT of the core study

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Overall incidence and exposure-adjusted occurrence rates of treatment-emergent AEs and SAEs

Secondary endpoints 3

  1. Proportion of participants tolerating a single dose of ≥ 600 mg of peanut protein without dose limiting symptoms during an open label OFC at scheduled timepoints
  2. Overall incidence and exposure-adjusted occurrence rates of treatment-emergent AEs and SAEs
  3. Summaries of total scores in the FAQLQ, FAIM and SF-36v2 by age and responder (participants and/or caregiver) at scheduled timepoints

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

QGE031

PRD10319937 · Product

Active substance
Ligelizumab
Pharmaceutical form
SOLUTION FOR INJECTION IN PRE-FILLED SYRINGE
Route of administration
SUBCUTANEOUS USE
Max daily dose
240 mg milligram(s)
Max total dose
9600 mg milligram(s)
Max treatment duration
156 Week(s)
Authorisation status
Not Authorised
MA holder
NOVARTIS PHARMA AG
Paediatric formulation
No
Orphan designation
No

Placebo 1

placebo to QGE031 120 mg/ mL solution for injection in pre-filled syringe

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

Auxiliary 7

PCM001

PRD10293222 · Product

Active substance
Defatted Powder of Arachis Hypogaea L., Semen (Peanuts)
Pharmaceutical form
GRANULES FOR ORAL SUSPENSION
Route of administration
ORAL USE
Max daily dose
5044 mg milligram(s)
Max total dose
45396 mg milligram(s)
Max treatment duration
9 Day(s)
Authorisation status
Not Authorised
MA holder
NOVARTIS PHARMA AG
Paediatric formulation
No
Orphan designation
No

PCM001

PRD10293241 · Product

Active substance
Defatted Powder of Arachis Hypogaea L., Semen (Peanuts)
Pharmaceutical form
GRANULES FOR ORAL SUSPENSION
Route of administration
ORAL USE
Max daily dose
5044 mg milligram(s)
Max total dose
45396 mg milligram(s)
Max treatment duration
9 Day(s)
Authorisation status
Not Authorised
MA holder
NOVARTIS PHARMA AG
Paediatric formulation
No
Orphan designation
No

-

V04CL · Product

Pharmaceutical form
PHF00024MIG
Route of administration
INTRAEPIDERMAL USE
Max daily dose
0 DF dosage form
Max total dose
0 DF dosage form
Max treatment duration
7 Day(s)
Authorisation status
Authorised
ATC code
V04CL — TESTS FOR ALLERGIC DISEASES
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Epinephrine

SUB06568MIG · Substance

Active substance
Epinephrine
Pharmaceutical form
SOLUTION FOR INJECTION IN PRE-FILLED PEN
Route of administration
INTRAMUSCULAR USE
Max daily dose
0.9 mg milligram(s)
Max total dose
1083.60 mg milligram(s)
Max treatment duration
172 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Epinephrine

SUB06568MIG · Substance

Active substance
Epinephrine
Pharmaceutical form
SOLUTION FOR INJECTION IN PRE-FILLED PEN
Route of administration
INTRAMUSCULAR USE
Max daily dose
0.9 mg milligram(s)
Max total dose
1083.60 mg milligram(s)
Max treatment duration
172 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Salbutamol

SUB10422MIG · Substance

Active substance
Salbutamol
Pharmaceutical form
NEBULISER SOLUTION
Route of administration
INHALATION USE
Max daily dose
20 mg milligram(s)
Max total dose
24080 mg milligram(s)
Max treatment duration
172 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Salbutamol

SUB10422MIG · Substance

Active substance
Salbutamol
Pharmaceutical form
INHALATION POWDER
Route of administration
INHALATION USE
Max daily dose
20 mg milligram(s)
Max total dose
24080 mg milligram(s)
Max treatment duration
172 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Novartis Pharma AG

Sponsor organisation
Novartis Pharma AG
Address
Lichtstrasse 35
City
Basel Town
Postcode
4056
Country
Switzerland

Scientific contact point

Organisation
Novartis Pharma AG
Contact name
Novartis Pharma Arzneimittel GmbH

Public contact point

Organisation
Novartis Pharma AG
Contact name
Novartis Pharma Arzneimittel GmbH

Third parties 18

OrganisationCity, countryDuties
Syneos Health Inc.
ORG-100008382
Morrisville, United States On site monitoring
Eresearchtechnology Inc.
ORG-100013039
Philadelphia, United States Other
Creapharm Clinical Supplies
ORG-100020131
Reims, France Other
Q Squared Solutions Limited
ORG-100042527
Reading, United Kingdom Laboratory analysis
Phardis S.r.l.
ORG-100019559
Calvenzano, Italy Other
Icon Clinical Research (U.K.) Limited
ORG-100008610
Marlow, United Kingdom Code 10
Icon Clinical Research Limited
ORG-100008322
Dublin 18, Ireland On site monitoring
Iqvia Rds Inc.
ORG-100043858
Durham, United States Other
Somalogic Operating Co. Inc.
ORG-100042788
Boulder, United States Other
Iqvia Rds Inc.
ORG-100043858
Durham, United States Interactive response technologies (IRT)
Iqvia Limited
ORG-100008655
Reading, United Kingdom On site monitoring
Emsere B.V.
ORG-100046660
Leiden, Netherlands Other
Myonex Limited
ORG-100015937
Leicester, United Kingdom Other
Kayentis
ORG-100037894
Meylan, France Other
Opis S.r.l.
ORG-100011127
Desio, Italy Other
Parexel International (IRL) Limited
ORG-100022780
Dublin 2, Ireland Code 12
Charles River Laboratories France C.R.L.F.
ORG-100011847
Saint-Germain-Nuelles, France Other
RWS Life Sciences Inc.
ORG-100042348
East Hartford, United States Other

Locations

5 EU/EEA countries · 19 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Ended 12 5
Germany Ended 25 5
Italy Ended 2 2
Netherlands Ended 6 1
Spain Ended 10 6
Rest of world
South Africa, United Kingdom, Japan, Canada, United States, Australia
495

Investigational sites

France

5 sites · Ended
Centre Hospitalier Universitaire D Angers
3010:Allergology, 4 Rue Larrey, 49933, Angers Cedex 9
Les Hopitaux Universitaires De Strasbourg
3011:Asthma and allergology-Pneumology, 1 Place De L Hopital, Cs 80426, Strasbourg Cedex
Centre Hospitalier Universitaire De Lille
3013:Pediatric, Avenue Eugene Avinee, 59000, Lille
Centre Hospitalier Universitaire De Toulouse
3012:Pneumology, 24 Chemin De Pouvourville, 31400, Toulouse
CHRU De Nancy
3014:Pediatric - Allergology, Rue Du Morvan, 54500, Vandoeuvre Les Nancy

Germany

5 sites · Ended
Technische Universitat Dresden
3200: Kinderklinik, Fetscherstrasse 74, Johannstadt-Nord, Dresden
Medaimun GmbH
3204: Medaimun GmbH, Kennedyallee 97a, Sachsenhausen, Frankfurt Am Main
Charite Universitaetsmedizin Berlin KöR
3203: Klinik für Dermatologie, Venerologie und Allergologie, Chariteplatz 1, Mitte, Berlin
Charite Universitaetsmedizin Berlin KöR
3201: Klinik fur Paediatrie m. S. Pneumologie, lmmunologie und lntensivmedizin, Augustenburger Platz 1, Wedding, Berlin
Goethe University Frankfurt
3202: Universitaetsklinikum Frankfurt Klinik fuer Kinder- und Jugendmedizin, Theodor-Stern-Kai 7, 60590, Frankfurt Am Main

Italy

2 sites · Ended
Bambino Gesu Childrens Hospital
3021:UOC Allergologia, Piazza Sant'onofrio 4, 00165, Rome
Azienda Ospedale-Universita Padova
3020:UOSD Allergie Alimentari Adulto e Pediatriche, Via Nicolo' Giustiniani 2, 35128, Padova

Netherlands

1 site · Ended
University Medical Center Utrecht
3030: Reumatologie/Klin. Immunologie en Dermatologie, Heidelberglaan 100, 3584 CX, Utrecht

Spain

6 sites · Ended
Hospital Infantil Universitario Nino Jesus
3101:Servicio alergología, Avenida Menendez Pelayo 65, 28009, Madrid
Hospital Clinic De Barcelona
3104:Servicio alergología, Calle Villarroel 170, 08036, Barcelona
Hospital General Universitario Gregorio Maranon
3105:Servicio alergología, Calle Del Doctor Esquerdo 46, 28009, Madrid
Hospital Universitari Vall D Hebron
3103:Servicio alergología, Edificio Materno-Infantil, Passeig De La Vall D'hebron 119-129, Barcelona
Fundacio Sant Joan De Deu
3102:Servicio alergología, Calle Santa Rosa 39-57 3a Planta, 08950, Esplugues De Llobregat
Hospital Clinico San Carlos
3100:Servicio alergología, Calle Del Profesor Martin Lagos S/n, 28040, Madrid

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
France 2023-09-26 2023-09-26 2024-08-05
Germany 2023-09-11 2023-09-11 2024-08-05
Italy 2024-01-29 2024-01-29 2024-08-05
Netherlands 2023-10-18 2023-10-18 2024-08-05
Spain 2023-10-05 2023-10-05 2024-08-05

Oversight and notifications

Regulatory notifications under CTR Articles 38, 52, 53, 54 and 77

Temporary halts 5 · Art. 38 CTR

Temporary halt TH-39368

Halt date
2024-08-05
Member states concerned
France
Publication date
2024-08-07
Reason
Sponsor decision
Explanation
Business decision
Follow-up measures
Early termination of the study is planned. Patients will complete the end of treatment visit within approximately 4-6 weeks prior to transitioning to the 16-week safety follow-up period. End of Study will be declared when the last patient completes the 16-week wash-out period.
Benefit-risk balance changed
No
Treatment stopped
No

Temporary halt TH-39346

Halt date
2024-08-05
Member states concerned
Netherlands
Publication date
2024-08-07
Reason
Sponsor decision
Explanation
Business decision
Follow-up measures
Early termination of the study is planned. Patients will complete the end of treatment visit within approximately 4-6 weeks prior to transitioning to the 16-week safety follow-up period. End of Study will be declared when the last patient completes the 16-week wash-out period.
Benefit-risk balance changed
No
Treatment stopped
No

Temporary halt TH-39366

Halt date
2024-08-05
Member states concerned
Germany
Publication date
2024-08-07
Reason
Sponsor decision
Explanation
Business decision
Follow-up measures
Early termination of the study is planned. Patients will complete the end of treatment visit within approximately 4-6 weeks prior to transitioning to the 16-week safety follow-up period. End of Study will be declared when the last patient completes the 16-week wash-out period.
Benefit-risk balance changed
No
Treatment stopped
No

Temporary halt TH-39364

Halt date
2024-08-05
Member states concerned
Italy
Publication date
2024-08-07
Reason
Sponsor decision
Explanation
Business decision
Follow-up measures
Early termination of the study is planned. Patients will complete the end of treatment visit within approximately 4-6 weeks prior to transitioning to the 16-week safety follow-up period. End of Study will be declared when the last patient completes the 16-week wash-out period.
Benefit-risk balance changed
No
Treatment stopped
No

Temporary halt TH-39361

Halt date
2024-08-05
Member states concerned
Spain
Publication date
2024-08-07
Reason
Sponsor decision
Explanation
Business decision
Follow-up measures
Early termination of the study is planned. Patients will complete the end of treatment visit within approximately 4-6 weeks prior to transitioning to the 16-week safety follow-up period. End of Study will be declared when the last patient completes the 16-week wash-out period.
Benefit-risk balance changed
No
Treatment stopped
No

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Summary of results Art. 37(4) CTR

TitleSubmission dateStatusType
CQGE031G12303B summary of results
SUM-96607
2025-09-04T19:01:21 Submitted Summary of Results

Layperson summary Annex V

TitleSubmission dateStatusType
CQGE031G1230B_Adult Patient Summary-English-US 2025-09-03T14:59:43 Submitted Laypersons Summary of Results
CQGE031G12303B_Pediatric Patient Summary-English-US 2025-09-03T14:59:37 Submitted Laypersons Summary of Results
CQGE031G12303B_Adult Patient Summary_Dutch 2025-11-14T11:28:09 Submitted Laypersons Summary of Results
CQGE031G12303B_Adult Patient Summary-French-Canada 2025-11-14T11:28:27 Submitted Laypersons Summary of Results
CQGE031G12303B_Adult Patient Summary-Italian 2025-11-14T11:28:49 Submitted Laypersons Summary of Results
CQGE031G12303B_Adult Patient Summary-Japanese 2025-11-14T11:29:05 Submitted Laypersons Summary of Results
CQGE031G12303B_Adult Patient Summary-Spanish-Spain 2025-11-14T11:29:21 Submitted Laypersons Summary of Results
CQGE031G12303B_Pediatric Patient Summary-Dutch 2025-11-14T11:30:17 Submitted Laypersons Summary of Results
CQGE031G12303B_Pediatric Patient Summary-French-Canada 2025-11-14T11:30:30 Submitted Laypersons Summary of Results
CQGE031G12303B_Pediatric Patient Summary-French-France 2025-11-14T11:30:43 Submitted Laypersons Summary of Results
CQGE031G12303B_Adult Patient Summary-French-France 2025-11-14T11:29:36 Submitted Laypersons Summary of Results
CQGE031G12303B_Pediatric Patient Summary-German-Germany 2025-11-14T11:30:58 Submitted Laypersons Summary of Results
CQGE031G12303B_Adult Patient Summary-German-Germany 2025-11-14T11:29:54 Submitted Laypersons Summary of Results
CQGE031G12303B_Pediatric Patient Summary-Italian 2025-11-14T11:31:08 Submitted Laypersons Summary of Results
CQGE031G12303B_Pediatric Patient Summary-Japanese 2025-11-14T11:31:21 Submitted Laypersons Summary of Results
CQGE031G12303B_Pediatric Patient Summary-Spanish-Spain 2025-11-14T11:31:31 Submitted Laypersons Summary of Results

Documents 17 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Laypersons summary of results (for publication) CQGE031G12303B_PatientSummary_Dutch 1
Laypersons summary of results (for publication) CQGE031G12303B_PatientSummary_English-US_29Aug2025 1
Laypersons summary of results (for publication) CQGE031G12303B_PatientSummary_French-Canada 1
Laypersons summary of results (for publication) CQGE031G12303B_PatientSummary_French-France 1
Laypersons summary of results (for publication) CQGE031G12303B_PatientSummary_German-Germany 1
Laypersons summary of results (for publication) CQGE031G12303B_PatientSummary_Italian 1
Laypersons summary of results (for publication) CQGE031G12303B_PatientSummary_Japanese 1
Laypersons summary of results (for publication) CQGE031G12303B_PatientSummary_Spanish-Spain 1
Laypersons summary of results (for publication) CQGE031G12303B_PediatricPatientSummary_Dutch 1
Laypersons summary of results (for publication) CQGE031G12303B_PediatricPatientSummary_English-US_29Aug2025 1
Laypersons summary of results (for publication) CQGE031G12303B_PediatricPatientSummary_French-Canada 1
Laypersons summary of results (for publication) CQGE031G12303B_PediatricPatientSummary_French-France 1
Laypersons summary of results (for publication) CQGE031G12303B_PediatricPatientSummary_German-Germany 1
Laypersons summary of results (for publication) CQGE031G12303B_PediatricPatientSummary_Italian 1
Laypersons summary of results (for publication) CQGE031G12303B_PediatricPatientSummary_Japanese 1
Laypersons summary of results (for publication) CQGE031G12303B_PediatricPatientSummary_Spanish-Spain 1
Summary of results (for publication) CQGE031G12303B summary of results 2

Application history

3 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-04-28 France Acceptable
2023-08-21
2023-08-21
2 SUBSTANTIAL MODIFICATION SM-1 2023-11-01 France Acceptable
2024-02-16
2024-02-19
3 SUBSTANTIAL MODIFICATION SM-2 2024-04-24 France Acceptable
2024-06-07
2024-06-11