Severe chronic urticaria not responding to high-dose omalizumab in France
Official title: Characteristics and Management of Patients With Severe Chronic Spontaneous and/or Inducible Urticaria Refractory to Optimized Omalizumab Treatment: A French Multicenter Observational Study.
Run by Centre Hospitalier Universitaire de Besancon · NCT07833696 · Data updated 2026-11-12
This study looks at adults with chronic spontaneous or inducible urticaria who don’t respond to optimized omalizumab to see what factors are linked to non-response and what other options people use.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 80 Years |
| Sex | All |
| Enrollment | 73 (estimated) |
| Sponsor | Centre Hospitalier Universitaire de Besancon Academic / other |
| Drugs / interventions | OMALIZUMAB |
| Locations | 1 site (Besançon, Franche-comté) |
| Status | Recruiting |
| Started | January 1, 2020 |
| Main results expected | December 31, 2026 |
| Study ends | December 31, 2026 |
| Registry record updated | September 22, 2026 |
| Trial ID | NCT07833696 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults (18–80) with severe CU (CSU or CINDU) who did not respond well to optimized omalizumab (600 mg every 2 weeks) and have available medical records.
✕Probably not a fit
Patients who respond well to high-dose omalizumab or those without complete medical records may not benefit from the study findings.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a multicenter, retrospective observational study conducted in French hospitals led by CHU Besancon. It aims to describe clinical and biological characteristics of patients who remain refractory to high-dose omalizumab and to identify risk factors for non-response. The project plans to include about 70 adults and will cover medical records from January 2020 to December 2026 without requiring additional procedures. Data collection uses existing records and respects patient data privacy. The focus is on documenting alternative treatments and real-world outcomes after treatment failure.
Why it matters
Potential benefit: If successful, findings could help clinicians predict which patients are unlikely to respond to high-dose omalizumab and guide next-step management.
How similar studies have gone: Other observational studies have explored omalizumab-resistant CU, but this French multicenter effort specifically characterizes non-response and real-world management.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients with severe chronic urticaria resistant to optimized OMALIZUMAB (600 mg every 2 weeks) with an UCT score \< 6 or less than 50% clinical improvement according to the investigator's assessment. * Men and women aged 18 to 80 years inclusive. * Subjects who do not object to the use of their personal data and/or biological samples. * Affiliation with or beneficiary of a French social security scheme. Exclusion Criteria: * description of the characteristics and management of patients with severe chronic spontaneous and/or inducible urticaria experiencing failure of treatment with optimized omalizumab * patients with severe chronic urticaria resistant to optimized omalizumab (600 mg every 2 weeks) with an uct score \< 6 or less than 50% clinical improvement according to the investigator's assessment * men and women aged 18 to 80 years inclusive * subjects who do not object to the use of their personal data and/or biological samples * affiliation with or beneficiary of a french social security scheme
Where it's running
-
CHU Minjoz BESANCON
Besançon, Franche-comté, France Recruiting
Study contacts
- Principal investigator: Julie CASTAGNA, Dr — CHU Minjoz Besançon
- Study coordinator: Julie CASTAGNA, Dr
- Email: jcastagna@chu-besancon.fr
- Phone: +33381218108
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.