A Phase 3 Study to Assess the Efficacy, Safety, and Tolerability of Itepekimab (Anti-IL-33 mAb) in Adult Japanese Participants With Inadequately-controlled Chronic Rhinosinusitis With Nasal Polyps

Trial statusNot yet recruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18+
SponsorSanofi

About this trial

This is a randomized, multicenter, double-blind, Phase 3 study with 2 parallel groups. The purpose of this study is to evaluate the efficacy, safety, and tolerability of 2 different dosing regimens of itepekimab monotherapy in Japanese participants aged 18 years or older with chronic rhinosinusitis with nasal polyp(s) (CRSwNP) who are not adequately controlled despite previous surgery and/or treatment with systemic corticosteroid(s) (SCS).

The total study duration par participant is approximately 76 week, including:

* A screening period for up to 4 weeks. * A randomized study intervention period for up to 52 weeks * A post-intervention safety follow-up for up to 20 weeks * The number of visits will be 9 site visits and 20 phone/home visits

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Participants must be 18 years of age or older.

Participants with a history of CRSwNP for at least 1 year.

Prior sinonasal surgery for NP.

Worsening symptoms of CRS requiring treatment with SCS within the prior 1 year.

Disqualifiers

Participants with a history of clinically significant renal, hepatic, metabolic, neurologic, hematologic, ophthalmologic, respiratory (excluding those with asthma and AERD which may be included in the study), gastrointestinal, cardiovascular, cerebrovascular, or other significant medical illness or disorder, which, in the judgment of the Investigator, could interfere with the study or require treatment that might interfere with the study.

Participants who are currently smoking tobacco and/or vaping, or participants in whom smoking/vaping cessation has occurred <6 months. Nicotine replacement therapy and/or noninhaled tobacco product use are not considered current smoking of tobacco.

Participants with a history of a severe systemic hypersensitivity reaction to a mAb.

Participants with conditions/concomitant diseases making them non-evaluable or for the primary efficacy endpoint.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Itepekimab (SAR440340)

    Drug

    Pharmaceutical form: Solution for injection in prefilled syringe. Route of administration: Subcutaneous

  • Placebo

    Drug

    Pharmaceutical form: Solution for injection in prefilled syringe. Route of administration: Subcutaneous

Treatment groups

20 Participants
are divided into 2 treatment groups
Group A: Itepekimab high doseExperimental treatment 1 intervention
Group B: Itepekimab low doseExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Change from baseline in the endoscopic NPS

The Nasal Polyp Score (NPS) is the sum of the right and left nostril scores, as evaluated by means of nasal endoscopy. Nasal polyp is graded based on polyp size from 0 to 4 with higher scores indicating larger polyps. The sum of right and left nostril scores ranges from 0 (no polyps) to 8 (large polyps).

Time frame
Baseline to Week 24

Secondary outcomes

1

Change from baseline in the NCS

The Nasal Congestion Score (NCS) is scored using a 0-3 categorical scale where 0 = no symptoms, 1 = mild symptoms, 2 = moderate symptoms and 3 = severe symptoms. Outcome value is defined as the preceding 28-day average of morning scores recorded in eDiary.

Time frame
Baseline to Week 24
2

Proportion of NPS responders (defined as participants with improvement by at least 1 points in NPS)

Time frame
Week 24 and Week 52
3

Change from baseline in endoscopic NPS

The NPS is the sum of the right and left nostril scores, as evaluated by means of nasal endoscopy. Nasal polyp is graded based on polyp size from 0 to 4 with higher scores indicating larger polyps. The sum of right and left nostril scores ranges from 0 (no polyps) to 8 (large polyps).

Time frame
Baseline to Week 52
4

Change from baseline in NCS

The NCS is scored using a 0-3 categorical scale where 0 = no symptoms, 1 = mild symptoms, 2 = moderate symptoms and 3 = severe symptoms. Outcome value is defined as the preceding 28-day average of morning scores recorded in eDiary.

Time frame
Baseline to Week 52

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Sanofi

Lead sponsor

Regeneron Pharmaceuticals

Collaborator

This trial is not recruiting at the moment. You can still explore other options: