RecruitingPhase 3NCT06868212

A Study to Evaluate Efficacy of Remibrutinib Compared to Dupilumab at Early Timepoints in Adults With Chronic Spontaneous Urticaria Inadequately Controlled by Second Generation H1-antihistamines

A US Phase 3b, Multi-center, Randomized, Double-blind, Double-Dummy Study to Evaluate Efficacy of Remibrutinib Compared to Dupilumab at Early Timepoints in Adults With Chronic Spontaneous Urticaria Inadequately Controlled by Second Generation H1-Antihistamines


Sponsor

Novartis Pharmaceuticals

Enrollment

400 participants

Start Date

Jul 11, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

This is a US, multi-center, randomized, double-blind, double-dummy, Phase 3b study to evaluate efficacy of remibrutinib (25 mg twice daily \[b.i.d.\] by mouth \[p.o.\]) compared to dupilumab (600 mg loading dose administered subcutaneously (s.c.) followed by 300 mg every 2 weeks s.c.) at early timepoints (4 weeks and earlier), when administered as an add-on treatment to second generation H1-antihistamines (sgH1-AH) (standard label dose as background therapy) in adult US participants with moderate to severe chronic spontaneous urticaria (CSU) inadequately controlled by sgH1-AHs.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This Phase 3b study compares two medications — remibrutinib (a tablet taken twice daily) and dupilumab (an injection every 2 weeks) — for treating moderate to severe chronic spontaneous urticaria (CSU), a condition characterized by persistent, itchy hives that are not controlled by standard antihistamines. The study specifically focuses on how quickly each treatment works, with a primary interest in the first 4 weeks. US adults aged 18 or older with CSU lasting at least 6 months and significant ongoing hive and itch symptoms despite antihistamine use, who have never used remibrutinib or dupilumab before, may be eligible. Participation involves a 12-week double-blind treatment period with oral tablets and injections plus continued antihistamine background therapy, followed by optional extended treatment and safety follow-up. This summary was generated by AI to help patients understand the study in plain language.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGRemibrutinib

Film-coated tablet, oral administration, 25 mg b.i.d.

DRUGRemibrutinib matching placebo

Film-coated tablet, oral administration, b.i.d.

DRUGDupilumab

Solution for injection in pre-filled syringe 600 mg loading dose followed by 300 mg dose every 2 weeks

DRUGPlacebo solution for injection

Solution for injection in pre-filled syringe every 2 weeks


Locations(114)

Allervie Clinical Research

Birmingham, Alabama, United States

Cahaba Derm and skin hlth ctr 27

Birmingham, Alabama, United States

Research Solutions of Arizona

Litchfield Park, Arizona, United States

Peak Dermatology

Payson, Arizona, United States

Premier Allergy Asthma And Immunology

Phoenix, Arizona, United States

Avacare Center for Dermatology

Phoenix, Arizona, United States

Orso Health

Scottsdale, Arizona, United States

Acuro Research Inc

Little Rock, Arkansas, United States

First OC Dermatology

Fountain Valley, California, United States

Ctr for Dermatology Clinical Res

Fremont, California, United States

Allergy and Asthma Specialists Group

Huntington Beach, California, United States

Orso Health

Long Beach, California, United States

Ark Clinical Research

Long Beach, California, United States

California Allergy and Asthma Medical Group

Los Angeles, California, United States

Dermatology Research Associates

Los Angeles, California, United States

One Of A Kind Clinical Research

Napa, California, United States

Empire Clinical Research

Pomona, California, United States

Allergy and Asthma Consultants

Redwood City, California, United States

Norcal Clinical Research

Rocklin, California, United States

Integrative Skin Science and Res

Sacramento, California, United States

UC Davis Neuromuscular Research Center

Sacramento, California, United States

Therapeutics Clinical Research

San Diego, California, United States

Integrated Research of Inland Inc

Upland, California, United States

Allergy and Asthma Clin Res Inc

Walnut Creek, California, United States

University of Colorado Hospital - Aurora

Aurora, Colorado, United States

Asthma and Allergy Associates P C

Colorado Springs, Colorado, United States

UCONN Health Dermatology

Farmington, Connecticut, United States

Howard University Hospital Division of Geriatrics

Washington D.C., District of Columbia, United States

Florida Ctr Allergy Asthma Research

Aventura, Florida, United States

Florida Ctr Allergy Asthma Research

Aventura, Florida, United States

Skin Care Research Inc

Boca Raton, Florida, United States

Omnicure Clinical Research

Doral, Florida, United States

Skin Care Research LLC

Hollywood, Florida, United States

Jacksonville Center for Clinical Research

Jacksonville, Florida, United States

University of MiamiHealth System

Miami, Florida, United States

FXM Clinical Res Miami LLC

Miami, Florida, United States

Miami Dade Medical Research

Miami, Florida, United States

FXM Clin Res Miramar LLC

Miramar, Florida, United States

Ziaderm Research LLC

North Miami Beach, Florida, United States

AllerVie Health

Panama, Florida, United States

Sarasota Clinical Research

Sarasota, Florida, United States

Lenus Research and Med Group LLC

Sweetwater, Florida, United States

Olympian Clinical Research

Tampa, Florida, United States

Asthma Allergy Immunology Clin Res

Tampa, Florida, United States

Conquest Research

Winter Park, Florida, United States

AllerVie Clin Res Columbus GA

Columbus, Georgia, United States

Cleaver Medical Group

Cumming, Georgia, United States

Southeast Dermatology Specialists

Douglasville, Georgia, United States

Aeroallergy Research Laboratories

Savannah, Georgia, United States

The Allergy Group-Meridian Clinic

Meridian, Idaho, United States

Midwest Allergy Sinus Asthma SC

Normal, Illinois, United States

Clinical Res Ctr of S Illinois

O'Fallon, Illinois, United States

Asthma and Allergy Center of Chicago S C

River Forest, Illinois, United States

Endeavor Health Clinical Trials Center

Skokie, Illinois, United States

Deaconess Clin Allerg Res Inst

Evansville, Indiana, United States

Southern IN Clinical Trials

New Albany, Indiana, United States

Equity Medical LLC

Bowling Green, Kentucky, United States

Family Allergy And Asthma Rsch Inst

Louisville, Kentucky, United States

Allergy and Asthma Specialist P S C

Owensboro, Kentucky, United States

Ochsner Health Center

Baton Rouge, Louisiana, United States

Velocity Clinical Research

Lafayette, Louisiana, United States

Johns Hopkins U School of Med

Baltimore, Maryland, United States

Chesapeake Clinical Research Inc

Baltimore, Maryland, United States

Institute for Asthma and Allergy PC

Chevy Chase, Maryland, United States

AllerVie Clin Res Glenn Dale

Glenn Dale, Maryland, United States

Boston Specialists LLC

Boston, Massachusetts, United States

ClinSite Inc

Ann Arbor, Michigan, United States

Derm Institute West Michigan PLLC

Caledonia, Michigan, United States

Henry Ford Hospital

Detroit, Michigan, United States

Revival Research Institute

Troy, Michigan, United States

Somerset Skin Centre

Troy, Michigan, United States

Clinical Research Institute

Minneapolis, Minnesota, United States

University of Minnesota

Minneapolis, Minnesota, United States

Mayo Clinic - Rochester

Rochester, Minnesota, United States

The Clinical Research Center

St Louis, Missouri, United States

Washington University

St Louis, Missouri, United States

Las Vegas Dermatology

Las Vegas, Nevada, United States

Hudson Essex Allergy-Circuit Clinical

Belleville, New Jersey, United States

Circuit Clinical Mercer Algy Pulm

Hamilton, New Jersey, United States

Allergy Asthma Assoc Monmouth

Little Silver, New Jersey, United States

Circuit Clinical

Riverdale, New Jersey, United States

Equity Medical

The Bronx, New York, United States

Montefiore Medical Center

The Bronx, New York, United States

UNC DermatologyandSkinCancer Ctr

Chapel Hill, North Carolina, United States

Bernstein Clinical Research Center

Cincinnati, Ohio, United States

CR Services Acquisition US

Columbus, Ohio, United States

Optimed Research LLC

Columbus, Ohio, United States

Wright State University

Fairborn, Ohio, United States

Toledo Institute of Clinical Research

Toledo, Ohio, United States

Unity Clinical Research

Oklahoma City, Oklahoma, United States

Vital Prospects Clinical Research Institute

Tulsa, Oklahoma, United States

Oregon Medical Research Center

Portland, Oregon, United States

Oregon Health Sciences University

Portland, Oregon, United States

Allergy and Clinical Immunology Associates

Pittsburgh, Pennsylvania, United States

Medical Univ Of SC Medical Ctr

Charleston, South Carolina, United States

Tribe Clinical Research LLC

Greenville, South Carolina, United States

Allergic Disease and Asthma Center

Greenville, South Carolina, United States

Charleston ENT and Allergy

North Charleston, South Carolina, United States

National Allergy and Asthma Research LLS

North Charleston, South Carolina, United States

International Clinical Research Tennessee, LCC

Murfreesboro, Tennessee, United States

Arlington Center for Dermatology

Arlington, Texas, United States

Orion Clinical Research

Austin, Texas, United States

Bellaire Dermatology Associates

Bellaire, Texas, United States

Reveal Research Institute

Dallas, Texas, United States

Pharma Research and Amp Consult

Dallas, Texas, United States

Western Sky Medical Research

El Paso, Texas, United States

Center for Clinical Studies

Houston, Texas, United States

Sante Clinical Research

Kerrville, Texas, United States

RFSA Dermatology

San Antonio, Texas, United States

Andante Research

San Antonio, Texas, United States

University Of Utah

Murray, Utah, United States

Allergy Associates of Utah

Sandy City, Utah, United States

Forefront Dermatology

Vienna, Virginia, United States

Bellingham Asthma Allergy and Immunology

Bellingham, Washington, United States

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NCT06868212


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