Trial Outcomes & Findings for Safety and Efficacy of Intranasal Epinephrine After Administration of ARS -1 in Subjects With Frequent Urticaria Flares (NCT NCT05496465)

NCT ID: NCT05496465

Last Updated: 2026-04-07

Results Overview

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

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

21 participants

Primary outcome timeframe

UAS score at 120 (± 10 min) minutes after dosing.

Results posted on

2026-04-07

Participant Flow

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

Participant milestones

Participant milestones
Measure
Sequence 1
1 mg ARS-1 IN: placebo: 2 mg ARS-1 IN
Sequence 2
2 mg ARS-1 IN: placebo: 1 mg ARS-1 IN
Overall Study
STARTED
10
11
Overall Study
COMPLETED
8
10
Overall Study
NOT COMPLETED
2
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

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

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Interventional Treatment
n=21 Participants
Each subject received the following treatments in a randomized sequence: ARS-1 1 mg ARS-1 2 mg placebo
Age, Categorical
<=18 years
0 Participants
n=527 Participants
Age, Categorical
Between 18 and 65 years
21 Participants
n=527 Participants
Age, Categorical
>=65 years
0 Participants
n=527 Participants
Sex: Female, Male
Female
17 Participants
n=527 Participants
Sex: Female, Male
Male
4 Participants
n=527 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=527 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
0 Participants
n=527 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
21 Participants
n=527 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=527 Participants
Race (NIH/OMB)
Asian
0 Participants
n=527 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=527 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=527 Participants
Race (NIH/OMB)
White
0 Participants
n=527 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=527 Participants
Race (NIH/OMB)
Unknown or Not Reported
21 Participants
n=527 Participants
Region of Enrollment
United States
21 participants
n=527 Participants

PRIMARY outcome

Timeframe: UAS 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

Outcome measures

Outcome measures
Measure
2 mg
n=18 Participants
2 mg ARS-1 IN
Placebo
n=18 Participants
Placebo
1 mg
n=18 Participants
1 mg ARS-1 IN
Effect of ARS-1 Versus Placebo Based on a Patient Reported Pruritus/Hive Score
Hives
0.8 UAS score 0 to 3
Standard Error 0.3
1.8 UAS score 0 to 3
Standard Error 0.3
1.1 UAS score 0 to 3
Standard Error 0.3
Effect of ARS-1 Versus Placebo Based on a Patient Reported Pruritus/Hive Score
Itch
0.3 UAS score 0 to 3
Standard Error 0.1
1.5 UAS score 0 to 3
Standard Error 0.2
0.4 UAS score 0 to 3
Standard Error 0.1

Adverse Events

ARS-1 1mg

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

ARS-1 2mg

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
ARS-1 1mg
n=21 participants at risk
1 mg ARS-1 IN
ARS-1 2mg
n=21 participants at risk
2 mg ARS-1 IN
Placebo
n=21 participants at risk
Placebo
General disorders
Nasal discomfort
28.6%
6/21 • Number of events 10 • AEs were collected for two hours after dosing.
There are no known risks anticipated for ARS-1.
33.3%
7/21 • Number of events 12 • AEs were collected for two hours after dosing.
There are no known risks anticipated for ARS-1.
0.00%
0/21 • AEs were collected for two hours after dosing.
There are no known risks anticipated for ARS-1.

Additional Information

Director, Clinical Operations

Pacific-Link Consulting

Phone: 952-334-5797

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60