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临床试验/JPRN-jRCT2061220020
JPRN-jRCT2061220020进行中(未招募)3 期

A randomised, double-blind, parallel group Phase III study to assess the efficacy and safety of 100 mg SC depemokimab in patients with chronic rhinosinusitis with nasal polyps (CRSwNP) -ANCHOR-1 (depemokimAb iN CHrOnic Rhinosinusitis)

Sugiyama Yutaro0 个研究点目标入组 250 人开始时间: 2022年5月28日最近更新:

试验速览

阶段
3 期
状态
进行中(未招募)
发起方
入组人数
250

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
>= 18age old 至 ot applicable(—)
性别
All

入选标准

  • 1.18 years of age and older inclusive, at the time of signing the informed consent.
  • 2.Endoscopic bilateral Nasal Polyps (NP) score of at least 5 out of a maximum score of 8 (with a minimum score of 2 in each nasal cavity) assessed by the investigator
  • 3.Participants who have had at least one of the following at Visit 1:
  • - previous nasal surgery for the removal of NP;
  • - have used at least three consecutive days of systemic corticosteroids in the previous 2 years for the treatment of NP;
  • - medically unsuitable or intolerant to systemic corticosteroid.
  • 4.Participants (except for those in Japan) must be on daily treatment with INCS (including intranasal liquid steroid wash/douching) for at least 8 weeks prior to
  • 5.Participants with severe NP symptoms defined as symptoms of nasal congestion/blockade/obstruction with moderate or severe severity (VRS (Verbal response scale) score of 2 or 3) and loss of smell or rhinorrhoea (runny nose)
  • 6.Presence of symptoms of chronic rhinosinusitis as described by at least 2 different symptoms for at least 12 weeks prior to Visit 1, one of which should be either
  • nasal blockage/obstruction/congestion or nasal discharge (anterior/posterior nasal drip), plus
  • - facial pain/pressure
  • - reduction or loss of smell
  • 7.Male or eligible female participants.

排除标准

  • 1.As a result of medical interview, physical examination, or screening investigation the physician responsible considers the participant unfit for the study
  • 2.Cystic fibrosis
  • 3.Antrochoanal polyps
  • 4.Nasal cavity tumor (malignant or benign)
  • 5.Fungal rhinosinusitis
  • 6.Severe nasal septal deviation occluding one nostril preventing full assessment of nasal polyps in both nostrils
  • 7.Participants who had a sino-nasal or sinus surgery changing the lateral wall structure of the nose making impossible the evaluation of nasal polyp score
  • 8.Acute sinusitis or upper respiratory tract infection (URTI) at screening or in 2 weeks prior to screening
  • 9.Ongoing rhinitis medicamentosa (rebound or chemical induced rhinitis)
  • 10.Participants who have had an asthma exacerbation requiring admission to hospital within 4 weeks of Screening
  • 11.Participants who have undergone any intranasal and/or sinus surgery (for example polypectomy, balloon dilatation or nasal stent insertion) within 6 months prior to Visit 1; nasal biopsy prior to Visit 1 for diagnostic purposes only is excepted.
  • 12.Participants where NP surgery is contraindicated in the opinion of the Investigator
  • 13.Eosinophilic Diseases: Participants with other conditions that could lead toelevated eosinophils such as hyper-eosinophilic syndromes including (but not limited to) EGPA (formerly known as Churg-Strauss Syndrome) or Eosinophilic Esophagitis
  • 14.Parasitic infection: Participants with a known, pre-existing parasitic infestation within 6 months prior to Visit 1
  • 15.Immunodeficiency: A known immunodeficiency (e.g. human immunodeficiency virus - HIV), other than that explained by the use of corticosteroids (CSs) taken as therapy for asthma
  • 16.Malignancy: A current malignancy or previous history of cancer in remission for less than 12 months prior to screening.
  • 17.Liver Disease:
  • - Alanine aminotransferase (ALT) >2x ULN
  • - Total bilirubin >1.5x ULN (isolated bilirubin >1.5xULN is acceptable if bilirubin is fractionated and direct bilirubin <35%)
  • - Cirrhosis or current unstable liver or biliary disease per investigator assessment defined by the presence of ascites, encephalopathy, coagulopathy, hypoalbuminaemia, oesophageal or gastric varices, persistent jaundice.
  • 18.Other Concurrent Medical Conditions: Participants who have known, preexisting, clinically significant cardiac, endocrine, autoimmune, metabolic,neurological, renal, gastrointestinal, hepatic, haematological or any other system abnormalities that are uncontrolled with standard treatment.
  • 19.Vasculitis: Participants with current diagnosis of vasculitis. Participants with high clinical suspicion of vasculitis at screening will be evaluated and current vasculitis must be excluded prior to enrolment.
  • 20.Hypersensitivity: Participants with allergy/intolerance to the excipients of depemokimab, a monoclonal antibody, or biologic.
  • 21.COVID-19: Participants that, according to the investigator's medical judgment, are likely to have active COVID-19 infection must be excluded. Participants with known COVID-19 positive contacts within the past 14 days must be excluded for at least 14 days following the exposure during which the participant should remain symptom-free. Reported smell/ taste complications from COVID-19 must be used as exclusion.
  • 22.Participants that have been exposed to ionising radiation in excess of 10mSv above background over the previous 3-year period as a result of occupational exposure or previous participation in research studies.

研究者

发起方
Sugiyama Yutaro

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