Clinical trial • Respiratory|Other

mepolizumab for Chronic rhinosinusitis with nasal polyposis

Clinical trial of mepolizumab for Chronic rhinosinusitis with nasal polyposis.

Overview

Trial Therapeutic Area
Respiratory|Other
Trial Disease
Chronic rhinosinusitis with nasal polyposis
Drug Modality
Monoclonal antibody

Key dates

Initial CTIS Submission Date
19-08-2024
First CTIS Authorization Date
30-08-2024

Trial design

Randomised, mepolizumab + functional endoscopic sinus surgery (fess) versus mepolizumab alone-controlled trial across 1 site in Denmark.

Randomised
Yes
Comparator
Mepolizumab + functional endoscopic sinus surgery (FESS) versus mepolizumab alone
Target Sample Size
58
Trial Duration For Participant
365

Eligibility

Recruits 58 No vulnerable population selected. Participants must be ≥18 years and provide signed informed consent; patients who are permanently incapable or not able to give informed consent are excluded..

Pregnancy Exclusion
Current pregnancy and breastfeeding, as well as planning to be pregnant in the near future; Pregnancy during the study will be excluded after an unscheduled visit (LOCF)
Vulnerable Population
No vulnerable population selected. Participants must be ≥18 years and provide signed informed consent; patients who are permanently incapable or not able to give informed consent are excluded.

Inclusion criteria

  • {"criterion_text":"- Patients ≥ 18 years old at the time of signed informed consent (no upper limit)"}
  • {"criterion_text":"- Patients who are referred to the outpatient clinic for the following reasons: o Doctor’s diagnosis of CRS1"}
  • {"criterion_text":"- NPS ≥ 2+2 out of a score of 8 (max)"}
  • {"criterion_text":"- Severity measured as an SNOT22 score > 35"}
  • {"criterion_text":"- Type 2 inflammation (see below)"}
  • {"criterion_text":"- One FESS surgery in general anaesthesia performed prior to inclusion (no time limitations)"}
  • {"criterion_text":"- No course of systemic steroids within the last 3 months, whereas a daily low dose (5-10 mg) is allowed"}
  • {"criterion_text":"- Possible doctor’s diagnosis of asthma2"}

Exclusion criteria

  • {"criterion_text":"- Patients who, because of language barriers, are not able to understand written information and, thus, are not able to answer questionnaires"}
  • {"criterion_text":"- Patients who currently receive biologics for any other disease"}
  • {"criterion_text":"- Patients who have previously or currently received biologics for CRS or asthma"}
  • {"criterion_text":"- Patients who are not able to give informed consent (i.e., patients who are permanently incapable)"}
  • {"criterion_text":"- Patients who meet ≥1 of the following:Malignant lung disease o Cardiac disease of clinical importance o Current pregnancy and breastfeeding, as well as planning to be pregnant in the near future o Unwillingness to have FESS performed"}
  • {"criterion_text":"- Patients needing FESS or systemic steroids (OCS) during the study period will be excluded after an unscheduled visit (last observation carried forward (LOCF))"}
  • {"criterion_text":"- Patients who are not eligible because of the investigator’s judgement"}
  • {"criterion_text":"- Reaction towards Mepolizumab and one or more of the adjuvants."}
  • {"criterion_text":"- Pregnancy during the study will be excluded after an unscheduled visit (LOCF)"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Change in SNOT-22 score, Nasal polyp score and smell","definition_or_measurement_approach":""}

Recruitment

Planned Sample Size
58
Recruitment Window Months
20
Consent Approach
Informed consent required from participants aged ≥18 (signed informed consent). Subject information and informed consent forms are provided (documents listed in trial documents such as 'Informeret_Samtykke_CRSwNP' and 'Deltagerinformation version 11 ...'). Those permanently incapable of giving consent are excluded. Languages of consent forms not specified.

Geography

Total Number Of Sites
1
Total Number Of Participants
58

Denmark

Earliest CTIS Part Ii Submission Date
21-08-2024
Latest Decision Or Authorization Date
05-09-2025
Processing Time Days
380
Number Of Sites
1
Number Of Participants
58

Sites

Site Name
Rigshospitalet
Department Name
Department of Otorhinolaryngology, Head and Neck Surgery
Principal Investigator Name
Anne-Sophie Homøe
Principal Investigator Email
anne-sophie.homoee.01@regionh.dk
Contact Person Name
Anne-Sophie Homøe
Number Of Participants
58

Sponsor

Primary sponsor

Full Name
Rigshospitalet
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Denmark

Third parties

  • {"country":"Denmark","full_name":"GCP-enheden ved Københavns Universitetshospital","duties_or_roles":"","organisation_type":"Health care"}

Investigational products

Investigational Product Name
MEPOLIZUMAB
Active Substance
mepolizumab
Modality
Monoclonal antibody
Routes Of Administration
Subcutaneous injection
Route
Subcutaneous injection
Maximum Dose
100 mg
Combination Treatment
Yes

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