Clinical trial Recruiting at 15 sites Phase 2 Interventional Ages 18 to 85

THB335 in adults with chronic spontaneous urticaria (CSU)

Official title: A Phase 2, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Multicenter Study to Assess the Efficacy and Safety of THB335 in Adult Participants With Chronic Spontaneous Urticaria (CSU) Who Remain Symptomatic Despite Standard-of-Care Treatment

Run by Calixis Inc. · NCT07766499 · Data updated 2026-11-12

A 12‑week study will test two doses of THB335 versus placebo in adults with CSU still having hives despite second‑generation antihistamines.

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years to 85 Years
SexAll
Enrollment81 (estimated)
SponsorCalixis Inc.
Industry-sponsored
Locations15 sites (Pasadena, California and 14 other locations)
StatusRecruiting
StartedSeptember 15, 2026
Main results expectedDecember 31, 2027
Study endsJanuary 31, 2028
Registry record updatedNovember 2, 2026
Trial IDNCT07766499 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 18–85 with CSU for at least 6 months who continue to have symptoms despite a second‑generation H1 antihistamine.

Probably not a fit

Participants who do not respond to THB335 or have safety concerns may not experience benefit.

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 Phase 2, randomized, double‑blind, placebo‑controlled trial conducted at about 40 locations. Adults with CSU who remain symptomatic despite standard antihistamine therapy will be assigned to 1 of 3 groups (two THB335 doses or placebo) and continue their antihistamine treatment. The primary outcome is the change in UAS7 from baseline to Week 12, with follow‑up to Week 16. The study includes a screening period up to 4 weeks, a 12‑week treatment period, and a 4‑week follow‑up period.

Why it matters

Potential benefit: If THB335 proves effective, patients could experience fewer hives and less itching during CSU.

How similar studies have gone: Prior TRIALs with similar antihistamine–adjunct therapies have shown potential benefits in CSU, but the specific THB335 approach is investigational.

Who can join: the full rules

Show full inclusion / exclusion criteria
Key Inclusion Criteria:

* Males and females 18 through 85 years.
* Diagnosis of chronic spontaneous urticaria (CSU) ≥ 6 months.
* Active CSU despite treatment with a second-generation H1 antihistamine.
* Weekly Urticaria Activity Score (UAS7) ≥ 16 and ISS7 ≥ 8 during the 7 days before randomization, with sufficient electronic diary entries to calculate the baseline scores.
* Body mass index of 18 to 38 kg/m² and minimum body weight of 50 kg for male participants or 45 kg for female participants.
* Willing and able to complete the daily electronic diary, attend scheduled study visits, and comply with study procedures.
* Participants capable of becoming pregnant or producing sperm must agree to follow the protocol-defined contraception requirements.

Key Exclusion Criteria:

* Chronic urticaria with an identified cause other than chronic spontaneous urticaria.
* Another active skin condition associated with chronic itching that could interfere with the study assessments.
* Recent treatment with prohibited immunosuppressive therapy, biologic therapy, a Bruton's tyrosine kinase inhibitor, an investigational drug, or another therapy that inhibits the c-KIT receptor.
* Clinically significant hepatic, hematologic, or renal disease or laboratory abnormalities.
* Active, chronic, or recurrent infection, including human immunodeficiency virus or viral hepatitis infection.
* Clinically significant cardiovascular disease or electrocardiogram abnormality, including clinically significant arrhythmia, prolonged QT interval, familial long QT syndrome, or use of medication known to prolong the QT interval that cannot be discontinued.
* History of idiopathic anaphylaxis, a severe allergic reaction that may increase the risk of study participation, or hypersensitivity to the study drug or related compounds.
* History of malignancy within the previous 5 years, except successfully treated nonmetastatic basal cell or squamous cell skin cancer or carcinoma in situ.
* Current or planned use of prohibited medications, including specified inhibitors, inducers, or sensitive substrates of drug-metabolizing enzymes or transporters, or proton pump inhibitors.
* Positive urine drug screen at Screening.
* Pregnancy or breastfeeding.
* Any medical or psychiatric condition that, in the investigator's judgment, could place the participant at increased risk, interfere with the study assessments, or affect the participant's ability to complete the study.

Additional eligibility criteria are outlined in the full protocol. The study investigator will review all requirements with potential participants to determine whether they are eligible to participate.

Where it's running

  • Calixis Study Site
    Pasadena, California, United States
    Recruiting
  • Calixis Study Site
    Ventura, California, United States
    Recruiting
  • Calixis Study Site
    Walnut Creek, California, United States
    Recruiting
  • Calixis Study Site
    Altamonte Springs, Florida, United States
    Recruiting
  • Calixis Study Site
    Tampa, Florida, United States
    Recruiting
  • Calixis Study Site
    Atlanta, Georgia, United States
    Recruiting
Show 9 more locations
  • Calixis Study Site
    Boise, Idaho, United States
    Recruiting
  • Calixis Study Site
    Baton Rouge, Louisiana, United States
    Recruiting
  • Calixis Study Site
    White Marsh, Maryland, United States
    Recruiting
  • Calixis Study Site
    Wildwood, Missouri, United States
    Recruiting
  • Calixis Study Site
    Asheville, North Carolina, United States
    Recruiting
  • Calixis Study Site
    Smyrna, Tennessee, United States
    Recruiting
  • Calixis Study Site
    Austin, Texas, United States
    Recruiting
  • Calixis Study Site
    Houston, Texas, United States
    Recruiting
  • Calixis Study Site
    Prosper, Texas, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.