An Extension Study of Omalizumab in Participants With Chronic Rhinosinusitis With Nasal Polyps

NCT ID: NCT03478930

Last Updated: 2022-04-04

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

249 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-05-09

Study Completion Date

2020-03-16

Brief Summary

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The overall purpose of this study is to evaluate the safety, efficacy, and durability of response of omalizumab in an open-label setting in adult participants with chronic rhinosinusitis with nasal polyps who completed the double-blind, placebo-controlled, Phase III studies GA39688 (NCT03280550) or GA39855 (NCT03280537). Participants will be eligible for enrollment in the study at, or within 28 days after, the Week 24 visit of Studies GA39688/GA39855. After enrollment into this open-label extension (OLE) study, participants will receive 28 weeks of dosing of omalizumab before entering a 24-week off-treatment observation phase of the study. Baseline in this OLE study is defined as the last pre-treatment measurement prior to randomization in Studies GA39688/GA39855 (i.e., baseline of Studies GA39688/GA39855). The data that will be reported from baseline to Week 24 inclusive will come from Studies GA39688/GA39855.

Detailed Description

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Conditions

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Nasal Polyps Chronic Rhinosinusitis

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors
Although this is an open-label study and all participants will be receiving omalizumab, in order to minimize bias in this study participants and the evaluating physicians will be blinded to treatment assignment of the previous studies (GA39688/GA39855) until all participants have either completed the study through the follow-up period (Week 76) or discontinued early from the study, the database is locked, and the study analyses are final.

Study Groups

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Cohort A: Study GA39688 Omalizumab

Participants who received omalizumab once every 2 weeks (Q2W) or once every 4 weeks (Q4W) in Study GA39688 will continue to receive omalizumab at Week 24 at the same dosing schedule.

Group Type EXPERIMENTAL

Omalizumab

Intervention Type DRUG

Omalizumab will be administered as a subcutaneous (SC) injection Q2W or Q4W.

Cohort A: Study GA39688 Placebo

Participants who received placebo Q2W or Q4W in Study GA39688 will start receiving omalizumab Q2W or Q4W at Week 24 at the same dosing schedule.

Group Type EXPERIMENTAL

Omalizumab

Intervention Type DRUG

Omalizumab will be administered as a subcutaneous (SC) injection Q2W or Q4W.

Placebo

Intervention Type DRUG

Participants will not be receiving placebo in this OLE study. Participants who were randomized to the placebo arms for 24 weeks in studies GA39688/GA39855 and then enter this OLE study will receive omalizumab, but they will be placed in separate analysis cohorts.

Cohort B: Study GA39855 Omalizumab

Participants who received omalizumab Q2W or Q4W in Study GA39855 will continue to receive omalizumab at Week 24 at the same dosing schedule.

Group Type EXPERIMENTAL

Omalizumab

Intervention Type DRUG

Omalizumab will be administered as a subcutaneous (SC) injection Q2W or Q4W.

Cohort B: Study GA39855 Placebo

Participants who received placebo Q2W or Q4W in Study GA39855 will start receiving omalizumab Q2W or Q4W at Week 24 at the same dosing schedule.

Group Type EXPERIMENTAL

Omalizumab

Intervention Type DRUG

Omalizumab will be administered as a subcutaneous (SC) injection Q2W or Q4W.

Placebo

Intervention Type DRUG

Participants will not be receiving placebo in this OLE study. Participants who were randomized to the placebo arms for 24 weeks in studies GA39688/GA39855 and then enter this OLE study will receive omalizumab, but they will be placed in separate analysis cohorts.

Interventions

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Omalizumab

Omalizumab will be administered as a subcutaneous (SC) injection Q2W or Q4W.

Intervention Type DRUG

Placebo

Participants will not be receiving placebo in this OLE study. Participants who were randomized to the placebo arms for 24 weeks in studies GA39688/GA39855 and then enter this OLE study will receive omalizumab, but they will be placed in separate analysis cohorts.

Intervention Type DRUG

Other Intervention Names

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Xolair

Eligibility Criteria

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Inclusion Criteria

* Ability to comply with the study protocol, in the investigator's judgment
* Participation in Study GA39688 or GA39855, including completion of endoscopy and other assessments at Week 24, without discontinuation of study drug
* Completion of eDiary daily assessments for at least 4 out of 7 days in the week prior to the Week 24 visit of Study GA39688 or GA39855
* For women of childbearing potential: agreement to remain abstinent or use acceptable contraceptive methods during the treatment period and for 60 days after the last dose of study drug

Exclusion Criteria

* Anaphylaxis/hypersensitivity related to study drug in Study GA39688 or GA39855
* Serious adverse events related to study drug in Study GA39688 or GA39855 that the investigator or Sponsor determines may jeopardize the patient's safety if he or she continues in the study
* Uncontrolled epistaxis within Study GA39688 or GA39855
* Pregnant or breastfeeding, or intending to become pregnant during the study or within 60 days after the last dose of omalizumab
* Any serious medical condition or abnormality in clinical laboratory tests that, in the investigator's judgment, precludes the patient's safe participation in and completion of the study
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hoffmann-La Roche

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trials

Role: STUDY_DIRECTOR

Hoffmann-La Roche

Locations

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Clinical Research Center of Alabama, LLC

Birmingham, Alabama, United States

Site Status

Banner University of Arizona Medical Center

Tucson, Arizona, United States

Site Status

Jonathan Corren MD, Inc.

Los Angeles, California, United States

Site Status

The Allergy Station at Sacramento ENT

Roseville, California, United States

Site Status

Bensch Clinical Research LLC

Stockton, California, United States

Site Status

Colorado ENT & Allergy

Colorado Springs, Colorado, United States

Site Status

Specialist Global Research

Hialeah, Florida, United States

Site Status

Vitae Research Center

Miami, Florida, United States

Site Status

University of South Florida

Tampa, Florida, United States

Site Status

Asthma & Allergy of Idaho

Twin Falls, Idaho, United States

Site Status

University of Kansas Medical Center

Kansas City, Kansas, United States

Site Status

Tandem Clinical Research, LLC

Marrero, Louisiana, United States

Site Status

Chesapeake Clinical Research Inc - CRN

Baltimore, Maryland, United States

Site Status

Institute for Asthma & Allergy

Chevy Chase, Maryland, United States

Site Status

Brigham and Womens Hospital

Boston, Massachusetts, United States

Site Status

University of Missouri Health Care System

Columbia, Missouri, United States

Site Status

Northwell Health

Great Neck, New York, United States

Site Status

Montefiore Medical Center

The Bronx, New York, United States

Site Status

Vital Prospects Clinical Research Institute PC - CRN

Tulsa, Oklahoma, United States

Site Status

Allergy Associates Research Center LLC - CRN

Portland, Oregon, United States

Site Status

Medical University of South Carolina Hospital

Charleston, South Carolina, United States

Site Status

TTS Research

Boerne, Texas, United States

Site Status

Allergy & Asthma Res Ctr PA

San Antonio, Texas, United States

Site Status

Chrysalis Clinical Research

St. George, Utah, United States

Site Status

Eastern Virginia Medical School

Norfolk, Virginia, United States

Site Status

UZ Gent

Ghent, , Belgium

Site Status

UZ Leuven

Leuven, , Belgium

Site Status

Yang Medicine

Ottawa, Ontario, Canada

Site Status

Hopital du Saint Sacrement

Québec, Quebec, Canada

Site Status

Fakultni nemocnice u sv. Anny v Brne

Brno, , Czechia

Site Status

Fakultni nemocnice Hradec Kralove, Chirurgicka klinika

Hradec Králové, , Czechia

Site Status

Stredomoravska nemocnicni a.s. - odstepny zavod Nemocnice Prostejov

Prostějov, , Czechia

Site Status

Centre Hospitalier Universitaire de Bordeaux Hopital Pellegrin

Bordeaux, , France

Site Status

Hopital de Hautepierre

Strasbourg, , France

Site Status

Nouvel Hopital Civil; Pole de Pathologie Thoracique

Strasbourg, , France

Site Status

Charie Campus Mitte; Hals, Nasen, Ohrenheilkunde

Berlin, , Germany

Site Status

Universitatsklinikum Leipzig

Leipzig, , Germany

Site Status

Universitatsklinikum Schleswig-Holstein; Klinik fuer Innere Medizin I

Lübeck, , Germany

Site Status

Bajcsy-Zsilinszky Hospital

Budapest, , Hungary

Site Status

Szent Imre Egyetemi Oktatokorhaz

Budapest, , Hungary

Site Status

Szent Janos Korhaz es Eszak-Budai Egyesitett Korhazak

Budapest, , Hungary

Site Status

Pecsi Tudomanyegyetem Altalanos Orvostudomanyi Kar

Pécs, , Hungary

Site Status

Unidad de Investigacion CIMA SC

Chihuahua City, , Mexico

Site Status

Instituto Jalisciense de Investigacion Clinica S.A. de C.V.

Guadalajara, , Mexico

Site Status

Synexus Affiliate - Clinic Med s.j. Bialystok

Bialystok, , Poland

Site Status

Synexus - Gdynia

Gdynia, , Poland

Site Status

Synexus - Katowice

Katowice, , Poland

Site Status

Centrum Medyczne Angelius Provita

Katowice, , Poland

Site Status

Centrum Medyczne ALL-MED

Krakow, , Poland

Site Status

Centrum Medyczne Wos i Piwowarczyk

Krakow, , Poland

Site Status

Centrum Alergologii Specjalistyczna Przychodnia Alergologiczna

Lublin, , Poland

Site Status

Synexus - Poznan

Poznan, , Poland

Site Status

Synexus - Warsaw

Warsaw, , Poland

Site Status

Centrum Medyczne Biotamed

Wieliczka, , Poland

Site Status

Synexus - Wroclaw

Wroclaw, , Poland

Site Status

EMC Instytut Medyczny S.A.

Wroclaw, , Poland

Site Status

Centro Hospitalar do Baixo Vouga E.P.E. - Hospital de Aveiro; Servicos Farmaceuticos

Aveiro, , Portugal

Site Status

Hospital de Braga

Braga, , Portugal

Site Status

Hospital Senhora da Oliveira - Guimarães, E.P.E

Guimarães, , Portugal

Site Status

Centro Hospitalar do Algarve - Hospital de Portimao

Portimão, , Portugal

Site Status

Central Clinical Hospital With Polyclinic of President Administration of RF

Moscow, Moscow Oblast, Russia

Site Status

Medical Center Uromed

Smolensk, Moscow Oblast, Russia

Site Status

LLC Kurator

Saint Petersburg, Sankt-Peterburg, Russia

Site Status

Terapharm, Llc

Stavropol, , Russia

Site Status

Hospital de Jerez

Jerez de la Frontera, Cadiz, Spain

Site Status

CHUS - H. Clinico U. de Santiago; Servicio de Farmacia

Santiago de Compostela, LA Coruña, Spain

Site Status

Hospital Universitario Virgen Macarena

Seville, Sevilla, Spain

Site Status

Hospital Clinic de Barcelona

Barcelona, , Spain

Site Status

Hospital Universitario Fundacion Jimenez Diaz.

Madrid, , Spain

Site Status

Hospital Universitari i Politecnic La Fe de Valencia

Valencia, , Spain

Site Status

Municipal Health Care Institution Regional clinical specialized dispensary of radiation protection

Kharkiv, Kharkiv Governorate, Ukraine

Site Status

State Institution Institute of Otolaryngology n.a. Prof. O.S.

Kyiv, KIEV Governorate, Ukraine

Site Status

Ternopil Municipal City Hospital

Ternopil, Podolia Governorate, Ukraine

Site Status

Municipal Institution "City Clinical Hospital #3"

Zaporizhzhia, Polissya Okruha, Ukraine

Site Status

University Clinic

Ivano-Frankivsk, Poltava Governorate, Ukraine

Site Status

Poltava Regional Clinical Hospital n.a. M.V. Skliphosovskyi

Poltava, Poltava Governorate, Ukraine

Site Status

Ivano-Frankivsk Central City Clinical Hospital

Ivano-Frankivsk, , Ukraine

Site Status

Kyiv City Clinical Hospital #9

Kyiv, , Ukraine

Site Status

Wigan,Wrighington & Leigh NHS Trust

Wigan, , United Kingdom

Site Status

Countries

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United States Belgium Canada Czechia France Germany Hungary Mexico Poland Portugal Russia Spain Ukraine United Kingdom

References

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Gevaert P, Mullol J, Saenz R, Ko J, Steinke JW, Millette LA, Meltzer EO. Omalizumab improves sinonasal outcomes in patients with chronic rhinosinusitis with nasal polyps regardless of allergic status. Ann Allergy Asthma Immunol. 2024 Mar;132(3):355-362.e1. doi: 10.1016/j.anai.2023.11.001. Epub 2023 Nov 10.

Reference Type DERIVED
PMID: 37951571 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2017-003450-16

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

WA40169

Identifier Type: -

Identifier Source: org_study_id

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