Rilzabrutinib for the Treatment of Chronic Spontaneous Urticaria in Patients Who Remain Symptomatic Despite the Use of H1 Antihistamine
Study on Investigational Medication for Chronic Spontaneous Urticaria
Study Overview
The first phase of this study will be a parallel, 12-week treatment, Phase 2, double-blind, 4 arm study to assess the safety and effectiveness of 3 oral doses of SAR444671 (rilzabrutinib), i.e. dose A, B and C, compared with placebo for decreasing the frequency and severity of itch and urticaria in male and female participants aged 18 years inclusive or older with CSU.
After completion of the double-blind phase of the study, participants will be given the option of enrolling in the 40-week open label extension (OLE) phase of the study. Participants will receive open-label rilzabrutinib at dose C (the dose may be modified based on the 12-week safety and efficacy data). Due to the fact that some participants may be receiving rilzabrutinib for the first time, all participants will be monitored at Week 14, Week 16, Week 20, and Week 24. Afterwards, participants will be monitored at Week 36 and Week 52.
Eligibility Criteria
You may be eligible for this study if you meet the following criteria:
- Conditions: Chronic Spontaneous Urticaria
-
Age: 18 years - 80 years
-
Gender: All
Inclusion Criteria:
- Participants who have a diagnosis of CSU refractory to H1-AH at the time of randomization
- Diagnosis of CSU ≥3 months prior to screening visit (Visit 1).
- The presence of itch and hives for ≥6 consecutive weeks at any time prior to screening visit (Visit 1) despite the use of H1-AH during this time period.
- Participants using a study defined H1-AH for CSU treatment. For participants on stable doses of non-study-approved H1-AH, investigators may switch participants to an equivalent dose of a study-approved H1-AH maintenance medication.
- Participants who are omalizumab naïve OR omalizumab-incomplete responders.
- Participants must be willing and able to complete a daily symptom e-diary for the duration of the study.
- During the 7 days before randomization: UAS7 ≥16 and ISS7 ≥8.
- Contraceptive use by men and women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
Exclusion Criteria:
- Clearly defined underlying etiology for CUs other than CSU (main manifestation being physical urticaria).
- Presence of skin morbidities other than CSU that may interfere with the assessment of the study outcomes.
- Participants with active atopic dermatitis (AD).
- Severe concomitant illness(es) that, in the Investigator's judgment, would adversely affect the patient's participation in the study.
- Known or suspected immunodeficiency, or otherwise recurrent infections of abnormal frequency or prolonged duration suggesting an immune compromised status, as judged by the Investigator.
- History of serious infections requiring intravenous (IV) therapy with the potential for recurrence (as judged by the Site Investigator) with less than 4 weeks interval between resolution of serious infection and first dose of study drug, or currently active moderate to severe infection at Screening (Grade 2 or higher), including active coronavirus disease 2019 (COVID-19).
- Live vaccine except Bacille Calmette Guerin-vaccination within 28 days prior to Day 1 or plan to receive one during the trial; Bacille Calmette Guerin-vaccination within 12 months prior to Screening.
- Active malignancy or history of malignancy within 5 years.
- Conditions that may predispose the participant to excessive bleeding
- Any participant with an uncontrolled disease state as judged by the Investigator, such as asthma, psoriasis, or inflammatory bowel disease, etc. that are typically treated with oral or parenteral corticosteroids
- Previous use of a BTK inhibitor.
- Has received any investigational drug (or is currently using an investigational device) within the 30 days before Day 1, or at least 5 times the respective elimination half-life time (whichever is longer).
- Previous exposure to another investigative drug for CSU.
- Positive for human immunodeficiency virus (HIV) antibody test.
- Presence of hepatitis B surface antigen (HBsAg) or hepatitis B core antibody (HBcAb) with positive DNA test result at screening or within 3 months prior to the screening visit.
- Positive hepatitis C antibody test result at screening or within 3 months prior to the screening visit.
- Tuberculosis infection.
- Any of significant laboratory abnormalities and ECG findings at the screening visit.
The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
This study investigates the safety and effectiveness of an investigational medication for people with Chronic Spontaneous Urticaria (CSU), a condition characterized by persistent itch and hives. Participants will be divided into four study arms, receiving either one of three different doses of the investigational medication or a placebo. The aim is to evaluate how these treatments affect the frequency and severity of symptoms in adults aged 18 and older.
Participants will follow a set procedure that includes taking the investigational medication or placebo and attending regular check-ups. After the initial 12-week phase, there is an option to continue in an open-label extension phase for 40 weeks, where all participants will receive the investigational medication. Monitoring will be conducted at specific intervals to ensure safety and gather data on the medication's effects.
- Who can participate: Adults aged 18 and older with CSU that does not respond to standard H1-antihistamines may participate. Key eligibility includes a history of itch and hives for at least 6 weeks and willingness to complete a daily symptom diary. Participants should not have other skin conditions or severe illnesses that could interfere with the study.
- Study details: Participants will be required to take the investigational medication or placebo and attend regular study visits. A placebo is an inactive substance that looks like the investigational medicine but does not contain any medicine. Participants must also complete a daily electronic diary to record their symptoms.
- Study timelines: The study will last 12 weeks for the initial phase, with an optional 40-week extension.