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
- Contact Person Email
- anne-sophie.homoee.01@regionh.dk
- 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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