BENITIONSClinical Trial Intelligence

Effect of Mepolizumab in Severe Bilateral Nasal Polyps

第3相 完了 NCT03085797

対象疾患Nasal Polyps
第3相
スポンサーGlaxoSmithKline
ステータス完了
参加者数414 名
介入(薬剤)Mepolizumab, Mometasone furoate
開始日2017年5月25日
完了日2019年12月11日
結果公開日2020年12月17日

概要

Nasal polyps (NP) has long been known as chronic inflammatory disease of the nasal mucosa. This disease is characterized by the presence of polyps in the upper nasal cavity, originating from within the ostiomeatal complex. The presence of polyps can cause long-term symptoms such as prominent nasal obstruction, post-nasal drip, loss of smell, and discharge. Mepolizumab (SB240563) is an Immunoglobulin G 1 \[IgG1\], kappa humanized monoclonal antibody (mAB) that blocks human interleukin-5 (hIL-5) from binding to the interleukin-5 (IL-5) receptor complex expressed on the eosinophil cell surface and thus inhibits signaling. Neutralization of IL-5 with mepolizumab has been shown to reduce blood, sputum and tissue eosinophils and hence is assumed to be a treatment option in a number of eosinophilic diseases including NP. The aim of this randomized, double-blind, parallel group, phase 3 (PhIII) study is to assess the clinical efficacy and safety of 100 milligram (mg) subcutaneous (SC) mepolizumab as an add on to maintenance treatment in adults with severe bilateral NP. The study will include a 4-week run in period followed by randomization to a 52-week treatment period. Participants will r

Change From Baseline in Total Endoscopic Nasal Polyps Score at Week 52

Baseline (Day 1) and Week 52 · Scores on a scale

Placebo0.0 Scores on a scale
Mepolizumab 100 mg SC-1.0 Scores on a scale
p-value<0.001
Difference in Medians-0.73 (95% CI -1.11–-0.34)

Change From Baseline in Nasal Obstruction Visual Analog Scale (VAS) Score During the 4 Weeks Prior to Week 52

Baseline and Weeks 49 to 52 · Scores on a scale

Placebo-0.82 Scores on a scale
Mepolizumab 100 mg SC-4.41 Scores on a scale
p-value<0.001
Difference in Medians-3.14 (95% CI -4.09–-2.18)

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