- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06162728
Dose Escalation Trial Of Safety, Pharmacokinetic/Pharmacodynamic And Preliminary Clinical Activity of Briquilimab In Adult Patients With Chronic Spontaneous Urticaria (CSU) (BEACON)
A Phase 1B/2A, Dose Escalation Trial of Safety, Pharmacokinetic/Pharmacodynamic And Preliminary Clinical Activity of Briquilimab In Adult Patients With Chronic Spontaneous Urticaria (CSU) Who Remain Symptomatic Despite Treatment With, Or Who Cannot Tolerate Omalizumab
This trial will be performed as a three-part dose escalating clinical trial where Parts 1 is open label and Parts 2 and 3 are randomized, double-blinded, and placebo-controlled.
The trial is intended to determine the safety and tolerability and assess the preliminary efficacy of briquilimab in adult participants with chronic spontaneous urticaria (CSU), who remain symptomatic despite treatment with H1 antihistamines and omalizumab. Additionally, pharmacokinetic (PK) properties of briquilimab, and other pharmacodynamic (PD) parameters (such as effects on mast cells (MC), serum tryptase levels, and on allergic skin reactivity) will be investigated.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Estimated)
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
- Name: Edwin Tucker, MD
- Phone Number: 6505491400
- Email: etucker@jaspertherapeutics.com
Study Locations
-
-
Alabama
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Birmingham, Alabama, United States, 35244
- Recruiting
- Cahaba Dermatology & Skin Health Center
-
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Arkansas
-
Little Rock, Arkansas, United States, 72205
- Recruiting
- Little Rock Allergy & Asthma Clinical Research Center
-
Contact:
- Mindy DeMarco, RN,BSN,CCRP
- Phone Number: 7 501-224-1157
- Email: mdemarco@littlerockallergy.com
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-
California
-
Fremont, California, United States, 94538
- Recruiting
- Center of Dermatology Clinical Research
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San Diego, California, United States, 92123
- Recruiting
- Allergy & Asthma Medical Group and Research Center
-
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Florida
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Miami, Florida, United States, 33165
- Recruiting
- South FL Research Clinic
-
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Idaho
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Boise, Idaho, United States, 83706
- Recruiting
- Treasure Valley Medical Research
-
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Indiana
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Indianapolis, Indiana, United States, 46250
- Recruiting
- Dawes Fretzin Clinical Research Group
-
-
Maryland
-
Chevy Chase, Maryland, United States, 20815
- Recruiting
- Institute for Asthma and Allergy, PC
-
-
Missouri
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Saint Louis, Missouri, United States, 63141
- Recruiting
- The Clinical Research Center
-
-
Ohio
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Cincinnati, Ohio, United States, 45236
- Recruiting
- Bernstein Clinical Research Center
-
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19103
- Recruiting
- Paddington Testing Co, Inc.
-
-
South Carolina
-
North Charleston, South Carolina, United States, 29420
- Recruiting
- National Allergy and Asthma Research LLC
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Texas
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Dallas, Texas, United States, 75230
- Recruiting
- Dermatology Treatment and Research Center
-
-
Utah
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Murray, Utah, United States, 84107
- Recruiting
- Allergy Associates of Utah
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Written informed consent after the nature of the trial has been fully explained and before performing any trial related assessments
- Males and females, ≥18 years old
Diagnosis of symptomatic CSU despite treatment as defined by:
- Diagnosis of CSU for ≥ 6 months
- The presence of itch and hives for ≥ 8 consecutive weeks at any time prior to Screening despite current use of H1-antihistamines (as reported by the participant)
- The presence of itch and hives for ≥ 8 consecutive weeks at any time prior to Screening despite treatment with omalizumab or intolerance to omalizumab (as reported by the participant)
- UAS7 of ≥ 16 and ISS7 of ≥ 8 on Days -10 through Day -3 of Screening (not more than 2 missing entries during that period, re-screening may be considered with Medical Monitor approval)
- Use of H1-antihistamines on stable dose up to four-fold of the approved dose since Screening and not expected to change during first 12 weeks of the trial
Blood counts at Screening with:
- Hemoglobin: ≥ 11 g/dl
- Platelets: ≥ 100,000/mm3
- Leucocytes: ≥ 3,000/mm3
- Neutrophils: ≥ 2,000/mm3
- Willing and able to complete a daily diary for the duration of the trial and adhere to the trial visit schedule
Exclusion Criteria:
- Women who are pregnant or nursing or intend to become pregnant during the course of the trial
- Dominant comorbid chronic urticaria with a clearly defined predominant or sole trigger (chronic inducible urticaria) including urticaria factitia (symptomatic dermographism), cold-, heat-, solar-, pressure-, delayed pressure-, aquagenic-, cholinergic-, or contact urticaria
- Other active diseases with possible symptoms of urticaria, wheals or angioedema, including urticarial vasculitis, erythema multiforme, cutaneous mastocytosis (urticaria pigmentosa), and hereditary or acquired angioedema (e.g., due to C1 inhibitor deficiency)
- Any other active skin disease associated with chronic itching that might confound the trial evaluations and results, in the opinion of the Investigator (e.g., atopic dermatitis, bullous pemphigoid, dermatitis herpetiformis, senile pruritus, etc.)
- History of anaphylaxis
- Any H2 antihistamine, leukotriene receptor antagonist or tricyclic antidepressant use within 3 days prior to Screening
- Experimental monoclonal antibody therapy (e.g., dupilumab, ligelizumab, etc.) within 6 months or Janus kinase (JAK) inhibitors within 5 half-lives prior to first IP dosing
- Immunosuppressive therapy (e.g., systemic corticosteroids, cyclosporine, methotrexate, dapsone, cyclophosphamide, tacrolimus and mycophenolate mofetil, hydroxychloroquine, etc.) within 4 weeks (or 5 half-lives, whichever is longer) prior to first IP dosing
- Electrocardiogram (ECG) findings at Screening that are considered clinically significant
- Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > 1.5 x Upper limit of normal (ULN) at Screening
- Serum total bilirubin >1.5 x ULN, unless attributable to Gilbert's syndrome
- Estimated creatinine clearance (eCrCl) by Cockcroft-Gault equation using total body weight < 60 mL/min
- Known HIV+, active hepatitis B or hepatitis C infection, or acute/long-COVID
- Major abdominal or thoracic surgery within 8 weeks prior to Screening or planned surgery during trial participation
- Male participants (who are not vasectomized) who are not willing to use highly effective contraceptive methods (when having sexual intercourse with a female partner of childbearing potential, Section 8.2) and who are not willing to abstain from sperm donation during the trial and for at least 150 days after last IP dosing. A male participant is considered vasectomized if he had a vasectomy at least 4 months prior to Screening and if he has received post-surgical medical assessment of the surgical success of the vasectomy.
- Female participants of childbearing potential not willing to use highly effective contraceptive methods (Section 8.2) during the trial and for at least 150 days after last IP dosing. Women of nonchildbearing potential, must be surgically sterile (i.e., had undergone complete hysterectomy, bilateral oophorectomy, or tubal ligation) or be in menopausal state (at least 1 year without menses).
- Participation in another research trial involving the use of an IP within the last 30 days (or 5 halflives of IP, whichever is longer) prior to Screening
- Any known contraindications or hypersensitivity to any component of the IP, drugs of similar chemical classes (i.e., to murine, chimeric or human antibodies) or antihistamines or leukotrienes
- Any other acute or chronic medical or psychiatric condition or laboratory abnormality that could increase the risk associated with trial participation or IP administration or could interfere with the interpretation of trial results and, in the judgment of the Investigator, would make the participant inappropriate for entry into the trial
- Participants not willing to abstain from blood donations while being on the trial (until EOT Visit)
- Close affiliation with the Investigator (e.g., a close relative, financially dependent on the trial site) or participant who is an employee of the Sponsor's company
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Sequential Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Placebo Comparator: Placebo
Placebo Comparator
|
Placebo Comparator
|
Experimental: Briquilimab
This trial will be performed as a three-part dose escalating clinical trial where Parts 1 is open label and Parts 2 and 3 are randomized, double-blinded, and placebo-controlled.
|
Subcutaneous Administration
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Evaluate the safety and tolerability of briquilimab
Time Frame: From signing the informed consent form (ICF) through end of trial (EOT) visit (up to 48 weeks)
|
Incidence and severity of treatment emergent AEs/SAEs
|
From signing the informed consent form (ICF) through end of trial (EOT) visit (up to 48 weeks)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Evaluate the preliminary efficacy of briquilimab-- UAS7 Score
Time Frame: Change from baseline to Week 12 and all assessment time points through Week 48
|
UAS7 is the sum of the daily Hives Severity Score (HSS) and the daily Itch Severity Score (ISS) for seven consecutive days.
The possible range of the weekly UAS7 score is 0 - 42.
|
Change from baseline to Week 12 and all assessment time points through Week 48
|
Evaluate the preliminary efficacy of briquilimab - Urticaria Control Test (UCT)
Time Frame: Change from baseline to Week 12 and all assessment time points through Week 48
|
The UCT score is derived by adding up the scores from each of the four questions.
A total score from 0 (no control) to 16 points (complete control) is derived, with a score of ≥ 12 indicating well-controlled disease.
|
Change from baseline to Week 12 and all assessment time points through Week 48
|
Maximum serum concentration (Cmax)
Time Frame: Up to 12 weeks
|
Maximum serum concentration (Cmax) following a single dose of briquilimab.
|
Up to 12 weeks
|
Time of maximum serum concentration (Tmax)
Time Frame: Up to 12 weeks
|
Time of maximum serum concentration (Tmax) following a single dose of briquilimab
|
Up to 12 weeks
|
Minimum plasma concentration (Cmin)
Time Frame: Up to 12 weeks
|
Minimum serum concentration (Cmin) following a single dose of briquilimab
|
Up to 12 weeks
|
Area under the time-concentration curve from time zero to the last quantifiable concentration (AUClast)
Time Frame: Up to 12 weeks
|
Area under the time-concentration curve from time zero to the last quantifiable concentration (AUClast) following a single dose of briquilimab
|
Up to 12 weeks
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- JSP-CP-011
- 2023-505446-25 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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.
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