ER hives study: do steroids really help?
NCT ID NCT03545464
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study tested whether giving a steroid (cortancyl) along with an antihistamine (levocetirizine) is better than the antihistamine alone for treating sudden hives in the emergency department. 137 adults with acute urticaria (with or without mild angioedema) were enrolled. The main goal was to see if the antihistamine alone was not worse than the combination at controlling hives and itching over 7 days.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Corticosteroid (prednisone) and antihistamine (levocetirizine)
- What this could lead to
- If successful, this could show that antihistamines alone are enough for acute hives, avoiding unnecessary steroid use.
- What could go wrong
- This is a completed Phase 3 trial with only 137 participants, so results may not apply to everyone. The study focused on non-inferiority, not superiority, so it may not show a clear benefit of one approach over the other.
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
-
Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
-
137 people
The number who actually took part.
- Started
-
Sep 2019
- Finished
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Sep 2025
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
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Anyone
- Healthy volunteers
-
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: * Age \> 18 years * Isolated acute urticaria (acute hives): spontaneous urticaria, inducible urticaria * Acute urticaria with angioedema without laryngeal edema * Obtain patient's consent * Social security affiliation Exclusion Criteria: * Pregnancy or breastfeeding * Acute hives with anaphylaxis * Bradykinin angioedema * Angioedema without urticaria (hives) * Laryngeal edema with urticaria (hives) * Corticosteroid administration in the previous 5 days visiting the emergency department * Antihistamines greater than 1 tablet per day in the previous 5 days visiting the ED * Other treatment for urticaria : omalizumab, montelukast, ciclosporin A * Chronic urticaria before acute urticaria diagnosis * Atopic dermatitis * Eczema * Bullous pemphigoid * Acute exanthematous pustulosis * Diabetes mellitus * Gastrointestinal ulcer * Refusal to participate * Known allergy to the study drugs or formulation ingredients * Known Renal failure defined by creatinine clearance \< 10 mL/min or cardiac failure defined by ejection fraction \< 40%. * Corticoid use in 5 days prior to randomisation * Contra-indication to corticotherapy: * Any live vaccine * Psychotic states still uncontrolled by treatment limiting the participant's compliance with the research
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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
-
Hospital Louis MOURIER
Colombes, Île-de-France Region, 92700, France
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