Evidence map›Paper›PMID 41358486›Full record

Trial reportAllergy2026

Long-Term Efficacy and Safety of Ligelizumab as Re-Treatment in Patients With Chronic Spontaneous Urticaria.

Ana M Gimenez-Arnau, Marcus Maurer, Adam Reich, Chia-Yu Chu, Diana Deleanu, Gordon Sussman, Jorge Sanchez, Knut Brockow, Koremasa Hayama, Michihiro Hide and 13 more

Abstract readMulticenter StudyClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Allergy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors.

Ana M Gimenez-ArnauDepartment of Dermatology, Hospital del Mar Research Institute, Universitat Pompeu Fabra, Barcelona, Spain.ORCID https://orcid.org/0000-0001-9548-5423
Marcus MaurerUrticaria Center of Reference and Excellence (UCARE), Institute of Allergology, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt‑Universität zu Berlin, Berlin, Germany.ORCID https://orcid.org/0000-0002-4121-481X
Adam ReichDepartment of Dermatology, University of Rzeszów, Rzeszów, Poland.
Chia-Yu ChuDepartment of Dermatology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.ORCID https://orcid.org/0000-0002-9370-3279
Diana DeleanuUniversity Medicine and Pharmacy Iuliu Hatieganu, IRGH, Allergy, Cluj-Napoca, Romania.
Gordon SussmanDivision of Clinical Immunology and Allergy, Department of Medicine, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0002-2202-2513
Jorge SanchezGroup of Clinical and Experimental Allergy, Hospital "Alma Mater de antioquia," University of Antioquia (Medellín, Colombia), Medellín, Colombia.ORCID https://orcid.org/0000-0001-6341-783X
Knut BrockowDepartment of Dermatology and Allergy Biederstein, School of Medicine and Health, Technical University of Munich, Munich, Germany.ORCID https://orcid.org/0000-0002-2775-3681
Koremasa HayamaDivision of Cutaneous Science, Department of Dermatology, Nihon University School of Medicine, Tokyo, Japan.
Michihiro HideDepartment of Dermatology, Hiroshima University Hospital, Hiroshima, Japan.
Mohamed DenguezliFarhat Hached Hospital, Dermatology Department, Sousse, Tunisia.ORCID https://orcid.org/0000-0002-4176-2744
Raisa MeshkovaSmolensk State Medical University, Department of Clinical Immunology and Allergology, Smolensk, Russia.
Roberta F J CriadoDepartment of Dermatology, Centro Universitario ABC, Santo André, Brazil.
Sarbjit SainiJohn Hopkins Asthma and Allergy Center, Baltimore, Maryland, USA.
Solange ValleDepartment of Clinical Medicine, Hospital Universitário Clementino Fraga Filho, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Eva HuaChina Novartis Institutes for Biomedical Research Co., Ltd, Shanghai, China.
Pengpeng WangChina Novartis Institutes for Biomedical Research Co., Ltd, Shanghai, China.
Alis BurciuNovartis Pharma AG, Basel, Switzerland.
Isabelle IndermuehleNovartis Pharma AG, Basel, Switzerland.
Vineeth VaranasiNovartis Healthcare Pvt. Ltd., Hyderabad, India.
Yolandi JoubertNovartis Pharma AG, Basel, Switzerland.
Thomas SeverinNovartis Pharma AG, Basel, Switzerland.
Manmath PatekarNovartis Pharma AG, Basel, Switzerland.

Funding

Novartis Pharma AG
6 · The paper itself

Abstract

backgroundChronic spontaneous urticaria (CSU) is a debilitating skin condition affecting approximately 1% of the global population, characterized by recurrent wheals, angioedema, or both for over 6 weeks without identifiable external triggers.

methodsThis Phase 3b multicentre, double-blinded followed by open-label extension study evaluated the long-term efficacy and safety of ligelizumab re-treatment in patients with CSU who rolled over from previous studies. Patients from the PEARL-1 or PEARL-2 Phase 3 trials (re-treatment subpopulation) received blinded re-treatment with ligelizumab 72 mg or 120 mg every 4 weeks for 12 weeks, followed by open-label ligelizumab 120 mg up to Week 104. Patients from a Phase 3 open-label Japanese study or a Phase 2 pediatric study received open-label ligelizumab 120 mg throughout. Primary and key secondary efficacy endpoints were assessed at Week 12 in the re-treatment subpopulation; safety was evaluated throughout.

resultsIn the overall ligelizumab re-treatment subpopulation, 53.5% and 57.5% of patients treated with ligelizumab 72 mg and 120 mg, respectively, achieved weekly urticaria activity score (UAS7) of ≤ 6 at Week 12. Re-treatment efficacy was demonstrated in both treatment arms, across all secondary endpoints, maintained up to Week 52. Re-treatment efficacy in the overall trial population showed similar trends to those in the re-treatment subpopulation. The safety profile of ligelizumab showed no new or unexpected safety signals compared with the known safety profile of ligelizumab.

conclusionLong-term and re-treatment with ligelizumab was well tolerated and efficacious in patients with CSU, aligning with the short-term outcomes observed in the Phase 3 PEARL studies.

Indexed as

Anti-Allergic AgentsAntibodies, Monoclonal, HumanizedChronic UrticariaAdolescentAdultChildChronic DiseaseFemaleHumansMaleMiddle AgedTreatment OutcomeYoung AdultAnti-Allergic AgentsAntibodies, Monoclonal, Humanizedligelizumabanti‐IgEchronic spontaneous urticariaIgEligelizumabPhase 3b

Identifiers

PMID41358486
PMCPMC13342781

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.