Effect of Mepolizumab in Severe Bilateral Nasal Polyps
3상
완료
NCT03085797
| 대상 질환 | Nasal Polyps |
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| 임상 단계 | 3상 |
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| 스폰서 | GlaxoSmithKline |
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| 상태 | 완료 |
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| 참여자 수 | 414 명 |
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| 중재(약물) | Mepolizumab, Mometasone furoate |
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| 시작일 | 2017년 5월 25일 |
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| 완료일 | 2019년 12월 11일 |
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| 결과 공개일 | 2020년 12월 17일 |
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요약
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
| Placebo | 0.0 Scores on a scale |
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| Mepolizumab 100 mg SC | -1.0 Scores on a scale |
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| 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 |
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| Mepolizumab 100 mg SC | -4.41 Scores on a scale |
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| p-value | <0.001 |
| Difference in Medians | -3.14 (95% CI -4.09–-2.18) |
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