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Safety and Efficacy of Intranasal Epinephrine After Administration of ARS -1 in Subjects With Frequent Urticaria Flares

A Single-Dose, Randomized, Placebo-Controlled, Cross-Over Study of the Safety and Efficacy of Intranasal Epinephrine After Administration of ARS -1 in Subjects With Frequent Urticaria Flares

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05496465
Enrollment
21
Registered
2022-08-11
Start date
2022-07-28
Completion date
2024-02-29
Last updated
2026-04-07

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

Conditions

Urticaria

Brief summary

Determine the effect of ARS-1 on a patient reported pruritus/hive score

Interventions

DRUGARS-1

A single treatment of ARS-1 1mg, 2 mg or placebo

Sponsors

ARS Pharmaceuticals, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
NONE

Intervention model description

Each subject received all three treatments in a randomized sequence.

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

* 1\. Male or female subject between the ages of 18 and 65 years. * 2\. Clinically diagnosed urticaria with acute symptom flares at least two (2) times a week while on a chronic treatment. * 3\. Body weight more than 30 kg and body mass index between 18 and 34 kg/m². * 4\. Has no medical history of hypertension and cardiovascular disease in the last 10 years. * 5\. At screening, has stable vital signs. * 6\. If female, is not pregnant or breastfeeding. * 7\. If male (with or without vasectomy), agree to the use of highly effective contraceptive methods at screening until 7 days after the last day of study drug. 8\. Is able to communicate clearly with the Investigator and staff. 9. Provide written informed consent prior to participating in the study.

Exclusion criteria

* 1\. History of clinically significant gastrointestinal, renal, hepatic, neurologic, hematologic, endocrine, oncologic, pulmonary, immunologic, psychiatric, or cardiovascular disease. * 2\. Patients receiving beta blocker due to potential interaction with the study drug. * 3\. Prior nasal fractures, severe nasal injuries or history of nasal disorders. * 4\. Clinically significant medical condition or physical exam finding. * 5\. Abnormal cardiovascular exam at screening including any prior history of myocardial infarction or clinically significant abnormal ECG. * 6\. Mucosal inflammatory disorders. * 7\. Significant traumatic injury or major surgery within 30 days prior to study screening. * 8\. Has donated blood or had an acute loss of blood (\>50 mL) during the 30 days before study drug administration. * 9\. Known hypersensitivity to any compound in the test product. * 10\. Participated in a clinical trial within 30 days prior to the first dose of study drug.

Design outcomes

Primary

MeasureTime frameDescription
Effect of ARS-1 Versus Placebo Based on a Patient Reported Pruritus/Hive ScoreUAS score at 120 (± 10 min) minutes after dosing.Assess time to effect and duration of effect on acute flares associated with urticaria based on a patient reported pruritus/hive score, from 0 (none) to 3 (severe) for itch and hive using Uniform Assessment System (UAS) as below: Severity Score Amount of Itch Itch Severity 0 None None 1. Mild Easily tolerated 2. Moderate Bothersome but tolerable 3. Intense Difficult to tolerate Hive Severity Score Number of Hives 0 None 1. 1-6 2. 7-12 3. \>12

Countries

United States

Contacts

STUDY_DIRECTORSarina Tanimoto, MD, PhD

ARS Pharmaceuticals, Inc.

Participant flow

Pre-assignment details

Cross-over study. All participants received at least one treatment.

Baseline characteristics

Characteristic
Age, Categorical
<=18 years
0 Participants
Age, Categorical
>=65 years
0 Participants
Age, Categorical
Between 18 and 65 years
21 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
0 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
21 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
Asian
0 Participants
Race (NIH/OMB)
Black or African American
0 Participants
Race (NIH/OMB)
More than one race
0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Unknown or Not Reported
21 Participants
Race (NIH/OMB)
White
0 Participants
Region of Enrollment
United States
21 participants
Sex: Female, Male
Female
17 Participants
Sex: Female, Male
Male
4 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
0 / 210 / 210 / 21
other
Total, other adverse events
6 / 217 / 210 / 21
serious
Total, serious adverse events
0 / 210 / 210 / 21

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Apr 8, 2026