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临床试验/NCT05891483
NCT05891483已完成2 期

A Multicentre, Randomised, Double-Blind, Placebo-Controlled, Parallel-Group Phase 2 Efficacy and Safety Study of SHR-1905 in Patiens With Chronic Rhinosinusitis With Nasal Polyps

Guangdong Hengrui Pharmaceutical Co., Ltd1 个研究点 分布在 1 个国家目标入组 114 人开始时间: 2023年9月4日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
已完成
发起方
入组人数
114
试验地点
1
主要终点
Nasal polyp scores (NPS)

研究概览

简要总结

The study is being conducted to evaluate the efficacy, and safety of SHR-1905 injection in subjects with chronic rhinosinusitis with nasal polyps (CRSwNP), as well as to explore the reasonable dosage of SHR-1905 injection for CRSwNP.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

入排标准

年龄范围
18 Years 至 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Weight ≥40kg
  • Diagnosed with chronic rhinosinusitis with nasal polyps (CRSwNP).
  • Bilateral nasal polyps at screening and baseline, total NPS ≥5, ≥2 points for each nostril.
  • NCS ≥2 at screening and baseline.
  • SNOT-22≥20 at screening period and baseline.
  • Recorded persistent NP symptoms for over 4 weeks prior to screening.
  • Subjects received standard therapy with intranasal corticosteroids (INCS) and remained stable during the 4 weeks prior to randomization.
  • NP surgery in the past and/or ACERS treated with SCS occurred within 2 years before randomization (or with contraindications/ intolerances).

排除标准

  • Any comorbidities that may affect the efficacy evaluation of nasal polyps.
  • Any comorbidities except for asthma that may affect blood EOS levels.
  • Concomitant with immunodeficiency.
  • Concomitant with contraindications or not suitable for nasal endoscopy.
  • Uncontrolled hypertension.
  • Uncontrolled diabetes.
  • Infection within 2 weeks prior to screening to randomization that is clinically significant and/or should be treated with systemic antibiotics.
  • Uncontrolled epistaxis within 4 weeks prior to randomization.
  • Major surgery performed within 3 months prior to randomization, or surgery planned during the study, or treatments that may affect evaluations according to investigators.
  • Parasitic infection within 6 months before randomization.
  • Sinus or intranasal surgery (except for diagnostic biopsy) within 6 months prior to randomization, or changes in the nasal walls caused by sinus or intranasal surgery that made NPS evaluation impossible.
  • Malignancies diagnosed within 5 years before randomization (except those with a low risk of metastasis or death).
  • Abnormalities of laboratory tests at screening or baseline.
  • Concomitant with active hepatitis B, positive hepatitis C virus antibodies, positive human immunodeficiency virus antibodies, or positive treponema pallidum antibodies.
  • Prolonged QTc interval (>450ms for male and >470ms for female) or other clinically significant abnormal results of ECG at screening or baseline that may cause significant safety risks to subjects.
  • FEV1 before the use of bronchodilator (pre-BD) was less than 50% at screening.
  • Transfusion of blood products or immunoglobulin within 4 weeks prior to randomization.
  • SCS or additional INCS use within 4 weeks before randomization, or planned use during treatment period.
  • Regular use of decongestants (local or systemic) within 4 weeks before randomization, except for during the endoscopic procedure.
  • Adnimistration of live vaccine or viral vector vaccine within 4 weeks before randomization.
  • Allergen immunotherapy within 8 weeks before randomization.
  • Smoking history ≥10 pack-years, smoking at screening, or smoking cessation less than 6 months at screening.
  • Substance abuse, drug abuse, and/or excessive alcohol consumption within 1 year prior to randomization.
  • Pregnancy (including positive pregnancy test at screening or baseline), lactation, or pregnancy plan during study period.

研究组 & 干预措施

Placebo Group

Placebo Comparator

干预措施: SHR-1905 Placebo Injection (Drug)

Treatment group A: SHR-1905 Injection(dose 1)

Experimental

干预措施: SHR-1905 Injection (Drug)

Treatment group B: SHR-1905 Injection(dose 2)

Experimental

干预措施: SHR-1905 Injection (Drug)

Treatment group C: SHR-1905 Injection(dose 3)

Experimental

干预措施: SHR-1905 Injection (Drug)

结局指标

主要结局

Nasal polyp scores (NPS)

时间窗: Baseline to Week 24

Change from baseline in NPS at Week 24.

次要结局

  • Loss of smell(Baseline to Week 48)
  • Nasal Congestion Scores (NCS)(Baseline to Week 48)
  • NPS(Baseline to Week 48)
  • Runny nose/postnasal drip(Baseline to Week 48)
  • Facial pain and/or pressure(Baseline to Week 48)
  • Total symptoms score (TSS)(Baseline to Week 48)
  • Sino-nasal outcome test-22 (SNOT-22) scores(Baseline to Week 48)
  • Proportion of subjects exposed to SCS for acute exacerbation of chronic rhinosinusitis (AECRS) over 24 weeks.(Baseline to Week 24)
  • Dose of SCS used for AECRS over 24 weeks (converted to equivalent dose of prednisone).(Baseline to Week 24)

研究者

发起方
Guangdong Hengrui Pharmaceutical Co., Ltd
申办方类型
Industry
责任方
Sponsor

研究点 (1)

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