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
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 85 Years |
| Sex | All |
| Enrollment | 81 (estimated) |
| Sponsor | Calixis Inc. Industry-sponsored |
| Locations | 15 sites (Pasadena, California and 14 other locations) |
| Status | Recruiting |
| Started | September 15, 2026 |
| Main results expected | December 31, 2027 |
| Study ends | January 31, 2028 |
| Registry record updated | November 2, 2026 |
| Trial ID | NCT07766499 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
- Study coordinator: Clinical Trials Monitor
- Email: info@calixisbio.com
- Phone: +1 (617) 299 - 6702
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Switching to Omlyclo® (omalizumab biosimilar) for adults with chronic spontaneous urticaria or severe allergic asthma
This will try switching adults who are stable on reference omalizumab to the biosimilar Omlyclo® to see if disease control and patient satisfaction stay the same over 12 months.
-
Lesigercept for adults with chronic spontaneous urticaria not controlled by H1-antihistamines
This trial tests whether lesigercept, given every four weeks, can reduce symptoms in adults whose chronic spontaneous urticaria is not controlled by second-generation H1-antihistamines.
-
ICP-332 for adults with moderate to severe chronic spontaneous urticaria not controlled by antihistamines
This study tests whether ICP-332 tablets can reduce hives and itching in adults (18–75) with moderate to severe chronic spontaneous urticaria that is not controlled by second-generation H1-antihistamines.
-
Different forms of IgE in health and disease.
We will test whether different forms of IgE in the blood differ between healthy adults and people with allergies, chronic spontaneous urticaria, recent anaphylaxis, mastocytosis, hereditary alpha tryptasemia, X‑linked agammaglobulinemia, or those undergoing venom/medication desensitization.
-
CM512 injection for adults with chronic spontaneous urticaria
This study will test whether injections of CM512 reduce hives and itching in adults with chronic spontaneous urticaria who still have symptoms despite second-generation H1‑antihistamines.
-
SKINERGY: deep biomarker profiling of immune-driven skin diseases in dermatology clinics
This project will test whether detailed blood, tissue, imaging, and patient-reported biomarker profiles in adults with several immune-related skin conditions can find patterns that distinguish disease types and predict who responds to treatment.
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.