Etokimab in Adults With Chronic Rhinosinusitis With Nasal Polyps (CRSwNP)

NCT ID: NCT03614923

Last Updated: 2022-01-24

Study Results

Results available

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

View full results

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

105 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-11-29

Study Completion Date

2020-10-26

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

A study to evaluate the safety and efficacy of multiple doses of etokimab in adults with chronic rhinosinusitis with nasal polyps.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

This study is a randomized, placebo controlled, double-blind, multi-dose study to assess the efficacy of two different dose regimens of etokimab compared to placebo in adults with moderate-to-severe chronic sinusitis with nasal polyposis (CRSwNP).

During the screening period, all subjects will undergo evaluation for eligibility. A centralized reader will be used to confirm the diagnosis of CRSwNP as assessed by nasal endoscopy, computed tomography (CT) scan of sinuses, and symptom scoring to reduce the risk of interpretation variation.

Participants will also be provided mometasone furoate nasal spray (MFNS) for use during the trial and are required to undergo a minimum run-in period of 20 days prior to Day 1 with approximately 80% compliance.

Participants will be randomly assigned on Day 1 to one of the three treatment arms in a 1:1:1 ratio.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Chronic Rhinosinusitis

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Etokimab 300 mg + 150 mg Q4W

Participants received a 300 mg loading dose of etokimab administered by subcutaneous injection at Week 0 then 150 mg etokimab by subcutaneous injection every 4 weeks (Q4W) up to Week 12 (Weeks 4, 8, and 12). Participants also used mometasone furoate nasal spray (MFNS) of 2 actuations (50 μg/actuation) in each nostril twice daily (BID).

Group Type EXPERIMENTAL

Etokimab

Intervention Type BIOLOGICAL

Administered by subcutaneous injection

Mometasone Furoate Nasal Spray

Intervention Type DRUG

Mometasone Furoate Nasal Spray (MFNS) was used from 4 weeks prior to Day 1 (Run-in period) through the end of the study. Participants used 2 actuations (50 μg/actuation) in each nostril BID, total daily dose of 400 μg. Participants intolerant to BID intranasal corticosteroids (INCS) could use the lower dose regimen of 1 actuation in each nostril BID, total daily dose of 200 μg.

Etokimab 300 mg + 150 mg Q8W

Participants received a 300 mg loading dose of etokimab administered by subcutaneous injection at Week 0 then etokimab 150 mg by subcutaneous injection every 8 weeks (Q8W) up to Week 12 and placebo at Weeks 4 and 12. Participants also used MFNS of 2 actuations (50 μg/actuation) in each nostril BID.

Group Type EXPERIMENTAL

Etokimab

Intervention Type BIOLOGICAL

Administered by subcutaneous injection

Placebo

Intervention Type BIOLOGICAL

Administered by subcutaneous injection

Mometasone Furoate Nasal Spray

Intervention Type DRUG

Mometasone Furoate Nasal Spray (MFNS) was used from 4 weeks prior to Day 1 (Run-in period) through the end of the study. Participants used 2 actuations (50 μg/actuation) in each nostril BID, total daily dose of 400 μg. Participants intolerant to BID intranasal corticosteroids (INCS) could use the lower dose regimen of 1 actuation in each nostril BID, total daily dose of 200 μg.

Placebo

Participants received placebo subcutaneous injection once every 4 weeks up to Week 12. Participants also used MFNS of 2 actuations (50 μg/actuation) in each nostril BID.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

Administered by subcutaneous injection

Mometasone Furoate Nasal Spray

Intervention Type DRUG

Mometasone Furoate Nasal Spray (MFNS) was used from 4 weeks prior to Day 1 (Run-in period) through the end of the study. Participants used 2 actuations (50 μg/actuation) in each nostril BID, total daily dose of 400 μg. Participants intolerant to BID intranasal corticosteroids (INCS) could use the lower dose regimen of 1 actuation in each nostril BID, total daily dose of 200 μg.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Etokimab

Administered by subcutaneous injection

Intervention Type BIOLOGICAL

Placebo

Administered by subcutaneous injection

Intervention Type BIOLOGICAL

Mometasone Furoate Nasal Spray

Mometasone Furoate Nasal Spray (MFNS) was used from 4 weeks prior to Day 1 (Run-in period) through the end of the study. Participants used 2 actuations (50 μg/actuation) in each nostril BID, total daily dose of 400 μg. Participants intolerant to BID intranasal corticosteroids (INCS) could use the lower dose regimen of 1 actuation in each nostril BID, total daily dose of 200 μg.

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

ANB020

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Clinically confirmed diagnosis of CRSwNP
* Nasal polyp score (NPS) ≥ 4 out of a maximum score for both nostrils (with at least a score of 1 for each nostril).
* 22 Item Sino-Nasal Outcome Test (SNOT-22) score \> 15.
* Presence of at least two of the following symptoms prior to screening: nasal blockade/obstruction/congestion or nasal discharge (anterior/posterior nasal drip); facial pain/pressure; reduction or loss of smell
* Body mass index (BMI) of 18 to 42 kg/m\^2 (inclusive) and total body weight \> 50 kg (110 lb). BMI=weight (kg)/(height \[m\^2\]).

Exclusion Criteria

* Use of investigational drugs or prohibited therapy for this study within 8 weeks before screening or 5 half-lives, whichever is longer.
* Have experienced severe life threatening anaphylactic reactions.
* Participation in any interventional study for the treatment of CRSwNP in the 3 months before screening.
* If female, is pregnant or lactating, or intend to become pregnant during the study period.
* History (or suspected history) of alcohol or substance abuse.
* Current smokers or former smokers with a smoking history of ≥ 10 pack years. If a patient has less than 10 pack years smoking history, he or she should have quit smoking at least 2 months before screening to enroll in the study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

AnaptysBio, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

[email protected]

Role: STUDY_DIRECTOR

AnaptysBio, Inc.

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Asthma & Allergy Institute

Little Rock, Arkansas, United States

Site Status

Alliance Research Institute

Canoga Park, California, United States

Site Status

DaVinci Research

Roseville, California, United States

Site Status

Sacramento Ear Nose and Throat Surgical and Medical Group Inc. - SacENT

Sacramento, California, United States

Site Status

Allergy & Asthma Medical Group and Research Center

San Diego, California, United States

Site Status

Colorado Allergy Asthma Centers

Denver, Colorado, United States

Site Status

Intermed Medical Research Center

Miami, Florida, United States

Site Status

Advanced Research Institute, Inc.

New Port Richey, Florida, United States

Site Status

Clinical Research Consultants of Atlanta

Suwanee, Georgia, United States

Site Status

Treasure Valley Medical Research

Boise, Idaho, United States

Site Status

Chicago ENT

Chicago, Illinois, United States

Site Status

Advanced ENT and Allergy

Louisville, Kentucky, United States

Site Status

Chesapeake Clinical Research Inc.

Baltimore, Maryland, United States

Site Status

ENT and Allergy Associates ENTA LLP

New York, New York, United States

Site Status

University of North Carolina Hospitals

Chapel Hill, North Carolina, United States

Site Status

Charlotte Eye Ear Nose and Throat Associates

Matthews, North Carolina, United States

Site Status

Ohio Sinus Institute

Dublin, Ohio, United States

Site Status

Allergy Asthma Clinical Research Center

Oklahoma City, Oklahoma, United States

Site Status

Allergy Asthma and Immunology Center P.C.

Tulsa, Oklahoma, United States

Site Status

Central States Research, LLC

Tulsa, Oklahoma, United States

Site Status

National Allergy and Asthma Research

North Charleston, South Carolina, United States

Site Status

Fort Worth ENT Berkson Medical

Fort Worth, Texas, United States

Site Status

Ear Nose and Throat Associates of Texas

McKinney, Texas, United States

Site Status

Intermountain Ear Nose Throat Specialist

Draper, Utah, United States

Site Status

Chrysalis Clinical Research

St. George, Utah, United States

Site Status

Eastern Virginia Medical School EVMS Medical Group

Norfolk, Virginia, United States

Site Status

Bellingham Asthma Allergy Immunology Clinic

Bellingham, Washington, United States

Site Status

Allergy, Asthma Sinus Center, SC

Greenfield, Wisconsin, United States

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States

Provided Documents

Download supplemental materials such as informed consent forms, study protocols, or participant manuals.

Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

ANB020-006

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

th2 Modulation CRSwNP
NCT06107101 NOT_YET_RECRUITING PHASE4
CST1-Guided Oral Glucocorticoids Management for CRSwNP
NCT05598411 NOT_YET_RECRUITING PHASE4