The Role of IL5 in Epithelial Cell Integrity

Trial statusRecruiting
Trial phaseEarly Phase 1
Trial typeInterventional
Biological sexAll
Age18-100
SponsorJohns Hopkins University

About this trial

The goal of this laboratory study is the examine the effect of mepolizumab drug on the health and function of the cells lining the human nasal airways in vitro cell culture derived from patients with chronic rhinosinusitis with nasal polyposis. The main questions the study aims to study are:

1. To see what mepolizumab does to suppress inflammation of the human cells. 2. To see what mepolizumab does to maintain barrier integrity of epithelial cells

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

(1) sinonasal inflammation for greater than 12 weeks which include at least 2 of the following symptoms: nasal obstruction/congestion, nasal discharge (anterior or posterior), facial pressure/pain, reduction of sense of smell.

(2) confirmation of the clinical symptoms by: (2a) CT scan evidence of paranasal sinus mucosal inflammation, and/or (2b) endoscopic exam evidence of purulence from the sinuses or ostiomeatal complex; and

(3) presence of nasal polyps seen on endoscopic exam or sinus CT scan.

Disqualifiers

possible confounding diagnosis of cystic fibrosis and other non-Type 2 inflammatory etiologies that commonly presents with nasal polyps in the pediatric population.

lack of complete pneumatization of the majority of paranasal sinuses

2. pregnant or lactating females,

3. prisoners,

Trial design

Design model

Parallel

Treatments tested in this trial

  • Mepolizumab

    Drug

    In vitro exposure of human nasal epithelial cells to mepolizumab

Treatment groups

8 Participants
are divided into 2 treatment groups
Group A: Mepolizumab treatment armExperimental treatment 1 intervention
Group B: Control armNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Change in Type 1 inflammatory markers (ng/mL)

IL8 cytokine mRNA and protein expression

Time frame
0 to 48 hours
2

Change in Type 2 inflammatory markers (ng/mL)

IL5 and thymic stromal lymphopoietin cytokine mRNA and protein expression

Time frame
0 to 48 hours
3

Change in Innate immune inflammatory markers (ng/mL)

IL1 receptor mRNA and protein expression

Time frame
0 to 48 hours
4

Change in epithelial barrier function protein expression (ng/mL)

E-cadherin

Time frame
0 to 48 hours

Secondary outcomes

Other outcomes

Sponsors and contacts

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Johns Hopkins University

Lead sponsor

GlaxoSmithKline

Collaborator