New pill could tame stubborn hives when antihistamines fail
NCT ID NCT05936567
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This phase 2 trial tested an oral drug called povorcitinib in 136 adults with chronic spontaneous urticaria (hives and itching lasting months) that standard antihistamines couldn't control. Participants took either povorcitinib or a placebo for 12 weeks to see if the drug reduced hive and itch scores. The goal is to find a new option for people whose hives don't improve with usual care.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- povorcitinib (oral tablet)
- What this could lead to
- If it works, this could provide a new treatment option for people with chronic hives that don't respond to standard antihistamines.
- What could go wrong
- This is an early phase 2 trial with only 136 participants, so results may not apply to everyone. The drug may not prove effective or could have side effects.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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136 people
The number who actually took part.
- Started
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Jul 2023
- Finished
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Oct 2025
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 65 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: Participants are eligible to be included in the study only if all of the following criteria apply: * CSU diagnosis for ≥ 3 months prior to screening. * CSU refractory to second-generation H1 antihistamines * Participants must have been on a stable dose of second-generation H1 antihistamine, and must agree to maintain the stable dose of second-generation H1 antihistamine throughout study. * Willingness and ability to comply with the study Protocol and procedures. * Further inclusion criteria apply Exclusion Criteria: * Treatment with an anti-IgE biologic (eg, omalizumab) within 8 weeks prior to screening. * Clearly defined underlying etiology for chronic urticarias other than CSU * Other cutaneous or systemic diseases with chronic itching or with symptoms of urticaria or angioedema. * Women who are pregnant (or who are considering pregnancy) or breastfeeding. * Concurrent or history of Thrombocytopenia, coagulopathy, or platelet dysfunction, Venous and arterial thrombosis, deep vein thrombosis, pulmonary embolism, stroke, moderate to severe heart failure (NYHA Class III or IV), cerebrovascular accident, MI, coronary stenting, or CABG surgery, other significant cardiovascular diseases or uncontrolled hypertension * Recipient of an organ transplant that requires continued immunosuppression. * Any malignancies or history of malignancies with the exception of adequately treated or excised nonmetastatic basal cell or squamous cell cancer of the skin, or cervical carcinoma in situ. * Chronic or recurrent infectious disease. * Further exclusion criteria apply.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Allergy and Asthma Center of Charleston
Charleston, South Carolina, 29407, United States
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Allergy and Asthma Consultants, Pc
Redwood City, California, 94063, United States
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Antelope Valley Clinical Trials Lancaster Office
Palmdale, California, 93551, United States
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Arkansas Research Trials
North Little Rock, Arkansas, 72117, United States
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Bellingham Asthma, Allergy Immunology Clinic
Bellingham, Washington, 98225, United States
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Cahaba Dermatology
Birmingham, Alabama, 35244, United States
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Central Sooner Research
Oklahoma City, Oklahoma, 73170, United States
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Centrum Alergologii Sp Z.O.O
Lublin, 20-552, Poland
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Centrum Medyczne Pratia Katowice I
Katowice, 40-081, Poland
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Charite Universitaetsmedizin Berlin - Campus Benjamin Franklin
Berlin, 12200, Germany
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Clinical Research Center of Alabama
Birmingham, Alabama, 35209, United States
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DC-MED
Swidnica, 58-100, Poland
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David Fivenson, Md, Dermatology, Pllc
Ann Arbor, Michigan, 48103, United States
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Delricht Research
New Orleans, Louisiana, 70115, United States
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Dermdox Center For Dermatology
Sugarloaf, Pennsylvania, 18249, United States
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Etg Warszawa
Warsaw, 02-793, Poland
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First Oc Dermatology
Fountain Valley, California, 92708, United States
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Foothills Research Center
Scottsdale, Arizona, 85260, United States
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Klifos - Klinische Forschung Osnabruck
Osnabrück, 49074, Germany
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Klinika Ambroziak
Warsaw, 02-953, Poland
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Little Rock Allergy Asthma, Pa Clinical Research Center Lraac
Little Rock, Arkansas, 72205, United States
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Melita Medical Sp. Z O. O.
Wroclaw, 50-449, Poland
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Mensingderma Research Gmbh
Hamburg, 22391, Germany
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Midwest Allergy Sinus Asthma, Sc
Normal, Illinois, 61761, United States
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Newport Native Md
Newport Beach, California, 92663, United States
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Optimed Research Ltd
Columbus, Ohio, 43235, United States
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Panstwowy Instytut Medyczny Ministerstwa Spraw Wewnetrznych Administracji
Warsaw, 02-507, Poland
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Rainey and Finklea Dermatology
San Antonio, Texas, 78212, United States
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Revival Research Institute, Llc Troy
Troy, Michigan, 48084, United States
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Solumed Centrum Medyczne
Poznan, 60-529, Poland
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Specderm Poznanska
Bialystok, 15-375, Poland
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Specjalistyczny Nzoz Alergologia Plus
Poznan, 60-693, Poland
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The Clinical Research Center Crc, Llc
St Louis, Missouri, 63141, United States
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Treasure Valley Medical Research
Boise, Idaho, 83706, United States
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Universitaetsklinikum Carl Gustav Carus Tu Dresden
Dresden, 01307, Germany
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Universitaetsklinikum Schleswig-Holstein - Campus Kiel
Kiel, 24105, Germany
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Universitats-Hautklink Tubingen
Tübingen, 72076, Germany
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Universitatsklinikum Frankfurt
Frankfurt, 60590, Germany
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Universitatsklinikum Leipzig Aor
Leipzig, 04103, Germany
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Universitatsmedizin Der Johannes Gutenberg-Universitat Mainz Iii
Mainz, 55131, Germany
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University Clinical Hospital
Opole, 45-401, Poland
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Vital Prospects Clinical Research Institute, Pc Vpcri
Tulsa, Oklahoma, 74136, United States
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