A Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Multiple-Ascending Doses of Tacabrutideg (BGB-16673) in Adults With Chronic Spontaneous Urticaria and in Healthy Participants
This is a Phase 1b study to evaluate the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics of multiple-ascending doses of tacabrutideg in adults with chronic spontaneous urticaria (CSU) and in healthy participants.
Eligibility
Sex
ALL
Min age
18 Years
Max age
70 Years
Healthy volunteers
Accepted
Inclusion Criteria:
Part A
* Participants must be diagnosed with chronic spontaneous urticaria (CSU) for ≥ 6 months before randomization.
* The presence of itch and hives for ≥6 consecutive weeks at any time prior to randomization despite the use of second-generation H1-antihistamines
* UAS7≥16 and HSS7≥8 during the 7 days before randomization
* Participants must not have had any missing UAS7 entry (ISS7 and HSS7) during the 7 days before randomization
* Presence of hives must have been documented within 3 months before randomization
Part B
* Participants must be 18 to 55 years of age and healthy, with no clinically relevant abnormalities.
* Body Mass Index (BMI) of 18 to 32 kg/m\^2; and a total body weight \> 50 kg (110 lbs).
Exclusion Criteria:
Part A
* Participants who have a clearly defined, predominating or sole trigger for their chronic urticaria (chronic inducible urticaria), including urticaria factitia (symptomatic dermographism) or cold, heat, solar, pressure, delayed pressure, aquagenic, cholinergic, or contact urticaria.
* Other diseases with symptoms of urticaria or angioedema
* Any other skin disease associated with chronic itching that might influence in the investigators opinion the study evaluations and results, eg, atopic dermatitis, bullous pemphigoid, dermatitis herpetiformis, senile pruritus, or psoriasis.
All Participants
* Any uncontrolled disease state, including asthma or inflammatory bowel disease where flares are commonly treated with oral or parenteral corticosteroids.
* Significant bleeding risk or coagulopathy.
* Prior exposure to any BTK inhibitors or protein degraders.
NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
Primary outcome measure(s)
Part A: Number of participants with adverse events (AEs) — Up to approximately 4 months Number of participants with treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs), including findings from laboratory tests and electrocardiogram results.
Part B: Number of participants with adverse events (AEs) — Up to approximately 6 weeks Number of participants with TEAEs and SAEs, including findings from laboratory tests and electrocardiogram results.
Part A: Maximum observed plasma concentration (Cmax) of tacabrutideg — Up to approximately 10 weeks
Part A: Minimum observed plasma concentration (Cmin) of tacabrutideg — Up to approximately 10 weeks
Part A: Time to reach maximum observed plasma concentration (Tmax) of tacabrutideg — Up to approximately 10 weeks
Part A: Apparent terminal elimination half life (t1/2) of tacabrutideg — Up to approximately 10 weeks
Part A: Area under the curve (AUC) of tacabrutideg — Up to approximately 10 weeks
Part A: Apparent oral clearance (CL/F) of tacabrutideg — Up to approximately 10 weeks
Part A: Apparent volume of distribution (Vz/F) of tacabrutideg — Up to approximately 10 weeks
Part A: Accumulation Ratio of AUC for tacabrutideg — Up to approximately 10 weeks
Part A: Accumulation Ratio of Cmax for tacabrutideg — Up to approximately 10 weeks
Trial sites (9)
Facility
City
Region
Status
Peking University Third Hospital
Beijing
Beijing Municipality
Completed
The First Affiliated Hospital of Chongqing Medical University
Chongqing
Chongqing Municipality
Completed
Dermatology Hospital of Southern Medical University
Guangzhou
Guangdong
Completed
Union Hospital of Tongji Medical College, Huazhong University of Science and Technology
Wuhan
Hubei
Completed
Xiangya Hospital of Central South University
Changsha
Hunan
Completed
The Affiliated Hospital of Qingdao University Branch West Coast
Qingdao
Shandong
Recruiting
Chengdu Second Peoples Hospital
Chengdu
Sichuan
Completed
Hangzhou First Peoples Hospital
Hangzhou
Zhejiang
Completed
The First Affiliated Hospital of Wenzhou Medical University
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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