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Efficacy and Mechanism of Omalizumab in Different Immunological Subtypes of Chronic Spontaneous Urticaria

Efficacy and Mechanism of Omalizumab in Different Immunological Subtypes of Chronic Spontaneous Urticaria

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2600117324
Enrollment
Unknown
Registered
2026-01-22
Start date
2026-01-22
Completion date
Unknown
Last updated
2026-01-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Chronic Spontaneous Urticaria

Interventions

Non-disease-controlled study participants:Collect an additional tube of the patients peripheral blood for single-cell sequencing, in addition to the routine blood draw
CSU patients treated with omalizumab:Collect an additional tube of the patients peripheral blood for single-cell sequencing, in addition to the routine blood draw

Sponsors

Huashan Hospital, Fudan University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 75 Years

Inclusion criteria

Inclusion criteria: CSU patients: 1. Patients with isolated inducible urticaria or isolated angioedema. 2. Concomitant cardiovascular or cerebrovascular disease, severe hepatic or renal insufficiency, malignancy, or other serious internal medical conditions. 3. Concomitant severe psychiatric disorders. 4. Concurrent infection or fever within four weeks, or evidence of significant infection on complete blood count. 5. Use of systemic corticosteroids, immunosuppressants, immunoglobulins, or small-molecule drugs (e.g., BTK inhibitors) and other immune-related therapies within four weeks; 6. Pregnancy and lactation; 7. Allergic to the study drug or undergoing desensitization treatment. 8. Any other condition that, in the investigator's judgment, warr1. Diagnosis of chronic spontaneous urticaria (CSU); 2. Patients aged 18–75 years, both male and female; 3. Ineffective antihistamine treatment: defined as failure to achieve symptom relief within 4 weeks of guideline-recommended therapy with second-generation antihistamines, including up-dosing or combination therapy (Urticaria Activity Score over 7 days [UAS7] > 6 and Urticaria Control Test [UCT] = 40 IU/ml and BAT negative (-): Type I CSU; 2) Total IgE = 40 IU/ml and BAT positive (+): Type I/IIb overlap CSU; 4) Total IgE < 40 IU/ml and BAT negative (-): Non-Type I/IIb CSU.ants exclusion; Non-disease-controlled study participants: age 18-75 years, male or female.

Exclusion criteria

Exclusion criteria: CSU patients: 1. Patients with isolated inducible urticaria or isolated angioedema. 2. Concomitant cardiovascular or cerebrovascular disease, severe hepatic or renal insufficiency, malignancy, or other serious internal medical conditions. 3. Concomitant severe psychiatric disorders. 4. Concurrent infection or fever within four weeks, or evidence of significant infection on complete blood count. 5. Use of systemic corticosteroids, immunosuppressants, immunoglobulins, or small-molecule drugs (e.g., BTK inhibitors) and other immune-related therapies within four weeks; 6. Pregnancy and lactation; 7. Allergic to the study drug or undergoing desensitization treatment. 8. Any other condition that, in the investigator's judgment, warrants exclusion; Non-disease control study participants: 1. Patients with acute urticaria or chronic urticaria (including chronic spontaneous urticaria, chronic inducible urticaria, or both), with or without angioedema. 2. Patients with severe allergic skin diseases or in an acute exacerbation phase, such as generalized eczema or moderate-to-severe atopic dermatitis; 3. Abnormal immunoglobulin levels (including IgE), with evaluation indicating an abnormal B-cell immunophenotype; 4. With autoimmune diseases such as systemic lupus erythematosus, Sjogren's syndrome, Hashimoto's thyroiditis, etc; 5. Concomitant cardiovascular or cerebrovascular disease, severe hepatic or renal insufficiency, malignancy, or other serious internal medical conditions. 6. Concomitant severe psychiatric disorders. 7. Concurrent infection or fever within four weeks, or evidence of significant infection on complete blood count. 8. Use of systemic corticosteroids, immunosuppressants, immunoglobulins, or small-molecule drugs (e.g., BTK inhibitors) and other immune-related therapies within four weeks; 9. Pregnancy and lactation; 10. Any other condition that, in the investigator's judgment, warrants exclusion;

Design outcomes

Primary

MeasureTime frame
Urticaria control score;

Secondary

MeasureTime frame
Clinical information;

Countries

China

Contacts

Public Contacthui Tang

Huashan Hospital, Fudan University

5420@huashan.org.cn+86 21 5288 9999

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026