BENITIONSClinical Trial Intelligence

Effect of Mepolizumab in Severe Bilateral Nasal Polyps

3상 완료 NCT03085797

대상 질환Nasal Polyps
임상 단계3상
스폰서GlaxoSmithKline
상태완료
참여자 수414 명
중재(약물)Mepolizumab, Mometasone furoate
시작일2017년 5월 25일
완료일2019년 12월 11일
결과 공개일2020년 12월 17일

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

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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