Actively Recruiting

Phase 3
Age: 18Years +
All Genders
NCT06868212

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

Led by Novartis Pharmaceuticals · Updated on 2026-03-11

400

Participants Needed

114

Research Sites

96 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

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.

CONDITIONS

Official Title

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

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adults 6 18 years of age at the time of signing the informed consent
  • Chronic spontaneous urticaria (CSU) lasting at least 6 months before screening
  • CSU inadequately controlled by second generation H1-antihistamines at randomization
  • Presence of itch and hives for 6 consecutive weeks before screening despite antihistamine use
  • Weekly Urticaria Activity Score (UAS7) of 16 or higher
  • ISS7 score of 6 or higher
  • HSS7 score of 6 or higher
  • Documentation of hives within 3 months before randomization
  • Willing and able to complete a daily urticaria diary during the study
  • No more than one missed diary entry in the 7 days before randomization
Not Eligible

You will not qualify if you...

  • Previous use of remibrutinib or other Bruton's tyrosine kinase (BTK) inhibitors
  • Previous use of dupilumab
  • Significant cardiovascular, neurological, psychiatric, pulmonary, renal, hepatic, endocrine, metabolic disorders, or immunodeficiency that may affect safety or study results
  • Blood disorders or significant bleeding risk
  • History or evidence of clinically relevant gastrointestinal disease including bleeding
  • Need for anti-platelet medication other than low-dose aspirin (up to 100 mg/day) or clopidogrel (up to 75 mg/day)
  • Use of dual anti-platelet therapy is prohibited
  • Need for anticoagulant medication such as warfarin or novel oral anticoagulants
  • History or current liver disease or abnormal liver function tests (AST/ALT more than 1.5 times upper limit or INR > 1.5) at screening

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 114 locations

1

Allervie Clinical Research

Birmingham, Alabama, United States, 35209

Actively Recruiting

2

Cahaba Derm and skin hlth ctr 27

Birmingham, Alabama, United States, 35244

Actively Recruiting

3

Research Solutions of Arizona

Litchfield Park, Arizona, United States, 85340

Actively Recruiting

4

Peak Dermatology

Payson, Arizona, United States, 85541

Actively Recruiting

5

Premier Allergy Asthma And Immunology

Phoenix, Arizona, United States, 85032

Actively Recruiting

6

Avacare Center for Dermatology

Phoenix, Arizona, United States, 85044

Actively Recruiting

7

Orso Health

Scottsdale, Arizona, United States, 85254

Actively Recruiting

8

Acuro Research Inc

Little Rock, Arkansas, United States, 72205

Actively Recruiting

9

First OC Dermatology

Fountain Valley, California, United States, 92708

Actively Recruiting

10

Ctr for Dermatology Clinical Res

Fremont, California, United States, 95438

Actively Recruiting

11

Allergy and Asthma Specialists Group

Huntington Beach, California, United States, 92647

Actively Recruiting

12

Orso Health

Long Beach, California, United States, 90808

Actively Recruiting

13

Ark Clinical Research

Long Beach, California, United States, 90815

Actively Recruiting

14

California Allergy and Asthma Medical Group

Los Angeles, California, United States, 90025

Actively Recruiting

15

Dermatology Research Associates

Los Angeles, California, United States, 90045

Actively Recruiting

16

One Of A Kind Clinical Research

Napa, California, United States, 94558

Actively Recruiting

17

Empire Clinical Research

Pomona, California, United States, 91767

Actively Recruiting

18

Allergy and Asthma Consultants

Redwood City, California, United States, 94063

Actively Recruiting

19

Norcal Clinical Research

Rocklin, California, United States, 95765

Actively Recruiting

20

Integrative Skin Science and Res

Sacramento, California, United States, 95815

Actively Recruiting

21

UC Davis Neuromuscular Research Center

Sacramento, California, United States, 95817

Actively Recruiting

22

Therapeutics Clinical Research

San Diego, California, United States, 92123

Actively Recruiting

23

Integrated Research of Inland Inc

Upland, California, United States, 91786

Actively Recruiting

24

Allergy and Asthma Clin Res Inc

Walnut Creek, California, United States, 94598

Actively Recruiting

25

University of Colorado Hospital - Aurora

Aurora, Colorado, United States, 80045

Actively Recruiting

26

Asthma and Allergy Associates P C

Colorado Springs, Colorado, United States, 80907

Actively Recruiting

27

UCONN Health Dermatology

Farmington, Connecticut, United States, 06030-2840

Actively Recruiting

28

Howard University Hospital Division of Geriatrics

Washington D.C., District of Columbia, United States, 20059

Actively Recruiting

29

Florida Ctr Allergy Asthma Research

Aventura, Florida, United States, 33180

Actively Recruiting

30

Florida Ctr Allergy Asthma Research

Aventura, Florida, United States, 33180

Actively Recruiting

31

Skin Care Research Inc

Boca Raton, Florida, United States, 33486

Actively Recruiting

32

Omnicure Clinical Research

Doral, Florida, United States, 33172

Actively Recruiting

33

Skin Care Research LLC

Hollywood, Florida, United States, 33021

Actively Recruiting

34

Jacksonville Center for Clinical Research

Jacksonville, Florida, United States, 32216

Actively Recruiting

35

University of MiamiHealth System

Miami, Florida, United States, 33125

Actively Recruiting

36

FXM Clinical Res Miami LLC

Miami, Florida, United States, 33175

Actively Recruiting

37

Miami Dade Medical Research

Miami, Florida, United States, 33176

Actively Recruiting

38

FXM Clin Res Miramar LLC

Miramar, Florida, United States, 33027

Actively Recruiting

39

Ziaderm Research LLC

North Miami Beach, Florida, United States, 33162

Actively Recruiting

40

AllerVie Health

Panama, Florida, United States, 32405

Actively Recruiting

41

Sarasota Clinical Research

Sarasota, Florida, United States, 34233

Actively Recruiting

42

Lenus Research and Med Group LLC

Sweetwater, Florida, United States, 33172

Actively Recruiting

43

Olympian Clinical Research

Tampa, Florida, United States, 33609

Actively Recruiting

44

Asthma Allergy Immunology Clin Res

Tampa, Florida, United States, 33613

Actively Recruiting

45

Conquest Research

Winter Park, Florida, United States, 32789

Actively Recruiting

46

AllerVie Clin Res Columbus GA

Columbus, Georgia, United States, 31904

Actively Recruiting

47

Cleaver Medical Group

Cumming, Georgia, United States, 30040

Actively Recruiting

48

Southeast Dermatology Specialists

Douglasville, Georgia, United States, 30135

Actively Recruiting

49

Aeroallergy Research Laboratories

Savannah, Georgia, United States, 31406

Actively Recruiting

50

The Allergy Group-Meridian Clinic

Meridian, Idaho, United States, 83642

Actively Recruiting

51

Midwest Allergy Sinus Asthma SC

Normal, Illinois, United States, 61761

Actively Recruiting

52

Clinical Res Ctr of S Illinois

O'Fallon, Illinois, United States, 62269

Actively Recruiting

53

Asthma and Allergy Center of Chicago S C

River Forest, Illinois, United States, 60305

Actively Recruiting

54

Endeavor Health Clinical Trials Center

Skokie, Illinois, United States, 60077

Actively Recruiting

55

Deaconess Clin Allerg Res Inst

Evansville, Indiana, United States, 47715

Actively Recruiting

56

Southern IN Clinical Trials

New Albany, Indiana, United States, 47150

Actively Recruiting

57

Equity Medical LLC

Bowling Green, Kentucky, United States, 42104

Actively Recruiting

58

Family Allergy And Asthma Rsch Inst

Louisville, Kentucky, United States, 40215

Actively Recruiting

59

Allergy and Asthma Specialist P S C

Owensboro, Kentucky, United States, 42301

Actively Recruiting

60

Ochsner Health Center

Baton Rouge, Louisiana, United States, 70816

Actively Recruiting

61

Velocity Clinical Research

Lafayette, Louisiana, United States, 70508

Actively Recruiting

62

Johns Hopkins U School of Med

Baltimore, Maryland, United States, 21205

Actively Recruiting

63

Chesapeake Clinical Research Inc

Baltimore, Maryland, United States, 21236

Actively Recruiting

64

Institute for Asthma and Allergy PC

Chevy Chase, Maryland, United States, 20815

Actively Recruiting

65

AllerVie Clin Res Glenn Dale

Glenn Dale, Maryland, United States, 20769

Actively Recruiting

66

Boston Specialists LLC

Boston, Massachusetts, United States, 02111

Actively Recruiting

67

ClinSite Inc

Ann Arbor, Michigan, United States, 48106-0525

Actively Recruiting

68

Derm Institute West Michigan PLLC

Caledonia, Michigan, United States, 49316

Actively Recruiting

69

Henry Ford Hospital

Detroit, Michigan, United States, 48202

Actively Recruiting

70

Revival Research Institute

Troy, Michigan, United States, 48084

Actively Recruiting

71

Somerset Skin Centre

Troy, Michigan, United States, 48084

Actively Recruiting

72

Clinical Research Institute

Minneapolis, Minnesota, United States, 55402

Actively Recruiting

73

University of Minnesota

Minneapolis, Minnesota, United States, 55455

Actively Recruiting

74

Mayo Clinic - Rochester

Rochester, Minnesota, United States, 55905

Actively Recruiting

75

The Clinical Research Center

St Louis, Missouri, United States, 63141

Actively Recruiting

76

Washington University

St Louis, Missouri, United States, 63141

Actively Recruiting

77

Las Vegas Dermatology

Las Vegas, Nevada, United States, 89144

Actively Recruiting

78

Hudson Essex Allergy-Circuit Clinical

Belleville, New Jersey, United States, 07109

Actively Recruiting

79

Circuit Clinical Mercer Algy Pulm

Hamilton, New Jersey, United States, 08619

Actively Recruiting

80

Allergy Asthma Assoc Monmouth

Little Silver, New Jersey, United States, 07739

Actively Recruiting

81

Circuit Clinical

Riverdale, New Jersey, United States, 07457

Actively Recruiting

82

Equity Medical

The Bronx, New York, United States, 10455

Actively Recruiting

83

Montefiore Medical Center

The Bronx, New York, United States, 10467

Actively Recruiting

84

UNC DermatologyandSkinCancer Ctr

Chapel Hill, North Carolina, United States, 27516

Actively Recruiting

85

Bernstein Clinical Research Center

Cincinnati, Ohio, United States, 45231

Actively Recruiting

86

CR Services Acquisition US

Columbus, Ohio, United States, 43213

Actively Recruiting

87

Optimed Research LLC

Columbus, Ohio, United States, 43235

Withdrawn

88

Wright State University

Fairborn, Ohio, United States, 45324

Actively Recruiting

89

Toledo Institute of Clinical Research

Toledo, Ohio, United States, 43617

Actively Recruiting

90

Unity Clinical Research

Oklahoma City, Oklahoma, United States, 73118

Actively Recruiting

91

Vital Prospects Clinical Research Institute

Tulsa, Oklahoma, United States, 74136

Actively Recruiting

92

Oregon Medical Research Center

Portland, Oregon, United States, 97223

Actively Recruiting

93

Oregon Health Sciences University

Portland, Oregon, United States, 97239

Actively Recruiting

94

Allergy and Clinical Immunology Associates

Pittsburgh, Pennsylvania, United States, 15241

Actively Recruiting

95

Medical Univ Of SC Medical Ctr

Charleston, South Carolina, United States, 29425

Actively Recruiting

96

Tribe Clinical Research LLC

Greenville, South Carolina, United States, 29601

Actively Recruiting

97

Allergic Disease and Asthma Center

Greenville, South Carolina, United States, 29607

Actively Recruiting

98

Charleston ENT and Allergy

North Charleston, South Carolina, United States, 29406

Actively Recruiting

99

National Allergy and Asthma Research LLS

North Charleston, South Carolina, United States, 29420

Actively Recruiting

100

International Clinical Research Tennessee, LCC

Murfreesboro, Tennessee, United States, 37130

Actively Recruiting

101

Arlington Center for Dermatology

Arlington, Texas, United States, 76011

Actively Recruiting

102

Orion Clinical Research

Austin, Texas, United States, 78759

Actively Recruiting

103

Bellaire Dermatology Associates

Bellaire, Texas, United States, 77401

Actively Recruiting

104

Reveal Research Institute

Dallas, Texas, United States, 75230

Actively Recruiting

105

Pharma Research and Amp Consult

Dallas, Texas, United States, 75231

Actively Recruiting

106

Western Sky Medical Research

El Paso, Texas, United States, 79924

Actively Recruiting

107

Center for Clinical Studies

Houston, Texas, United States, 77030

Actively Recruiting

108

Sante Clinical Research

Kerrville, Texas, United States, 78028

Actively Recruiting

109

RFSA Dermatology

San Antonio, Texas, United States, 78213

Actively Recruiting

110

Andante Research

San Antonio, Texas, United States, 78229

Actively Recruiting

111

University Of Utah

Murray, Utah, United States, 84107

Actively Recruiting

112

Allergy Associates of Utah

Sandy City, Utah, United States, 84093

Actively Recruiting

113

Forefront Dermatology

Vienna, Virginia, United States, 22182

Actively Recruiting

114

Bellingham Asthma Allergy and Immunology

Bellingham, Washington, United States, 98225

Actively Recruiting

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Research Team

N

Novartis Pharmaceuticals

CONTACT

N

Novartis Pharmaceuticals

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

TRIPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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