Extending omalizumab treatment intervals in patients with chronic spontaneous urticaria (EXOTIC trial)

2023-506187-14-00 Phase III and Phase IV (Integrated) Ended

Start 12 Jan 2024 · End 9 Jan 2026 · Status Ended · 1 EU/EEA countries · 2 sites

Overview

Sponsor-declared trial summary

Phase Phase III and Phase IV (Integrated)
Status Ended
Participants planned 40
Countries 1
Sites 2

Chronic spontaneous urticaria

To investigate if adult patients with well controlled chronic spontaneous urticaria (CSU) treated with omalizumab can extend treatment intervals and maintain disease control.

Key facts

Sponsor
Bispebjerg Hospital
Participant type
Patients
Age range
18-64 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Skin and Connective Tissue Diseases [C17]
Trial duration
12 Jan 2024 → 9 Jan 2026
Decision date (initial)
2023-11-24
Transition trial
No
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2023-506187-14-00
ClinicalTrials.gov
NCT05916937

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy

To investigate if adult patients with well controlled chronic spontaneous urticaria (CSU) treated with omalizumab can extend treatment intervals and maintain disease control.

Conditions and MedDRA coding

Chronic spontaneous urticaria

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 7

  1. A diagnosis of CSU according to the EAACI/GA2LEN/EDF/WAO guidelines
  2. Age ≥ 18 years
  3. A UCT score ≥ 12 at week 12 after initiating treatment with 300 mg omalizumab every four weeks.
  4. Omalizumab naïve prior to initiating treatment with omalizumab.
  5. Background treatment of 4 antihistamines daily
  6. Type 1 CSU (negative BHRA)
  7. Candidate for omalizumab treatment according to Danish practice

Exclusion criteria 8

  1. Pregnant or breastfeeding women
  2. Planned pregnancy within 6 months
  3. Body mass index (BMI) ≥ 100 kilograms
  4. Any other active skin disease or condition that may interfere with assessment of CSU e.g., atopic dermatitis, bullous pemphigoid, senile pruritus, or psoriasis.
  5. Use of immunosuppressive drugs e.g., prednisolone, azathioprine, methotrexate, and cyclosporine.
  6. Predominantly symptoms from chronic inducible urticaria (CIndU)
  7. Positive BHRA
  8. Inability to complete study or comply with study procedures

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Absolute difference in average urticaria control test (UCT) score between treatment arms at week 36.

Investigational products

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

Test 1

Xolair 150 mg solution for injection in pre-filled syringe

PRD3944941 · Product

Active substance
Omalizumab
Substance synonyms
IGE-025A, SYN008
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS
Max daily dose
300 mg milligram(s)
Max total dose
2700 mg milligram(s)
Max treatment duration
36 Week(s)
Authorisation status
Authorised
ATC code
R03DX05 — OMALIZUMAB
Marketing authorisation
EU/1/05/319/008
MA holder
NOVARTIS EUROPHARM LIMITED
MA country
Iceland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Bispebjerg Hospital

Sponsor organisation
Bispebjerg Hospital
Address
Borgmester Ib Juuls Vej 31
City
Herlev
Postcode
2730
Country
Denmark

Scientific contact point

Organisation
Bispebjerg Hospital
Contact name
Ditte Georgina Zhang

Public contact point

Organisation
Bispebjerg Hospital
Contact name
Ditte Georgina Zhang

Third parties 1

OrganisationCity, countryDuties
Frederiksberg Hospital
ORG-100028217
Frederiksberg, Denmark On site monitoring

Locations

1 EU/EEA country · 2 investigational sites

By country

CountryMS statusPlanned subjectsSites
Denmark Ended 40 2
Rest of world 0

Investigational sites

Denmark

2 sites · Ended
Bispebjerg Hospital
Dermatology, Bispebjerg Bakke 23, 2400, Copenhagen Nv
Aarhus Universitetshospital
Dermatology, Palle Juul-Jensens Boulevard 99, 8200, Aarhus N

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Denmark 2024-01-12 2026-01-09 2024-01-12

Results and documents

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

Documents 4 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol - EXOTIC trial 2023-506187-14-00 CLEAN 1
Protocol (for publication) D1_Protocol 2023-506187-14-00 1
Protocol (for publication) Protocol - EXOTIC trial NOT FOR PUBLICATION 1
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC Xolair 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-08-23 Denmark Acceptable
2023-10-20
2023-11-24
2 SUBSTANTIAL MODIFICATION SM-1 2025-06-05 Denmark Acceptable
2025-06-13
2025-06-13