A Phase 2 Study of MG-K10 in Chronic Spontaneous Urticaria

September 17, 2026 updated by: Shanghai Mabgeek Biotech.Co.Ltd

A Randomized, Double-Blind, Placebo-Controlled Phase II Clinical Study to Evaluate the Efficacy and Safety of MG-K10 Humanized Monoclonal Antibody Injection in Subjects With Chronic Spontaneous Urticaria

This Phase 2 study evaluates the efficacy and safety of MG-K10 in participants with chronic spontaneous urticaria inadequately controlled by second-generation H1-antihistamines. Participants are randomized 1:1 to MG-K10 or placebo for 16 weeks, followed by an 8-week follow-up period.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Estimated)

60

Phase

  • Phase 2

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 75 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • CSU diagnosed ≥6 months.
  • Itch and hives present continuously for >6 weeks despite second-generation H1-antihistamine treatment.
  • Before randomization:UAS7 ≥16,ISS7 ≥8,at least one investigator-assessed UAS ≥4.
  • Stable second-generation H1-antihistamine background therapy per protocol.
  • Effective contraception requirements during study and for 6 months after last dose.

Exclusion Criteria:

  • Chronic inducible urticaria or other urticaria/angioedema-mimicking diseases.
  • Other chronic pruritic skin disease affecting assessment.
  • Active or inadequately treated tuberculosis;acute/subacute infection.
  • Clinically significant uncontrolled diabetes,cardiac,renal,hepatic,neurologic,autoimmune,or other severe systemic disease.
  • Hypersensitivity to study drug/excipients;severe monoclonal-antibody reaction history.
  • Prior MG-K10 trial participation.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Quadruple

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: MG-K10;600 mg SC at Week 0, then 300 mg SC Q4W through Week 12,4 doses total.

MG-K10 humanized monoclonal antibody injection targeting interleukin-4 receptor alpha (IL-4Rα), administered by subcutaneous injection.

Placebo Comparator: Matching placebo SC;4.0 mL at Week 0, then 2.0 mL Q4W,4 doses total.

Matching placebo administered by subcutaneous injection, placebo matches MG-K10 in appearance and administration schedule to maintain blinding.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change from baseline in Urticaria Activity Score over 7 Days (UAS7) at Week 16
Time Frame: Baseline to Week 16

UAS7 is the sum of daily itch severity and hive severity scores over 7 days, with total scores ranging from 0 to 42. The change from baseline at Week 16 will be compared between MG-K10 and placebo.

Baseline to Week 16

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change from baseline in Itch Severity Score over 7 Days (ISS7) at Week 16
Time Frame: Baseline to Week 16

The Itch Severity Score over 7 Days (ISS7) is the sum of the daily itch severity scores over 7 consecutive days. Each daily itch severity score ranges from 0 to 3, where 0 indicates no itch and 3 indicates intense itch. The total ISS7 ranges from 0 to 21, where 0 indicates no itch and 21 indicates the most severe itch. Higher ISS7 scores indicate worse itch severity. Change from baseline is calculated as the ISS7 at Week 16 minus the baseline ISS7; a negative change indicates improvement.

Baseline to Week 16
Change from baseline in Hives Severity Score over 7 Days (HSS7) at Week 16
Time Frame: Baseline to Week 16

The Hives Severity Score over 7 Days (HSS7) is the sum of the daily hives severity scores over 7 consecutive days. Each daily hives severity score ranges from 0 to 3, where 0 indicates no hives, 1 indicates fewer than 20 hives per 24 hours, 2 indicates 20 to 50 hives per 24 hours, and 3 indicates more than 50 hives per 24 hours or large confluent areas of hives. The total HSS7 ranges from 0 to 21. Higher HSS7 scores indicate greater hives severity and worse outcome. Change from baseline is calculated as the HSS7 at Week 16 minus the baseline HSS7; a negative change indicates improvement.

Baseline to Week 16

Other Outcome Measures

Outcome Measure
Measure Description
Time Frame
adverse events
Time Frame: Baseline to Week 24

Adverse events will be assessed from the first administration of study intervention through the protocol-specified follow-up period. The number of participants experiencing at least one adverse event will be summarized by treatment group.

Baseline to Week 24

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Principal Investigator: Jianzhong Zhang, MD, Peking University People's Hospital

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

September 23, 2026

Primary Completion (Estimated)

May 7, 2027

Study Completion (Estimated)

September 20, 2027

Study Registration Dates

First Submitted

September 14, 2026

First Submitted That Met QC Criteria

September 17, 2026

First Posted (Actual)

September 24, 2026

Study Record Updates

Last Update Posted (Actual)

September 24, 2026

Last Update Submitted That Met QC Criteria

September 17, 2026

Last Verified

September 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • MG-K10-CSU-002

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.