EValuating trEatment RESponses of Dupilumab Versus Omalizumab in Type 2 Patients
NCT ID: NCT04998604
Last Updated: 2025-10-23
Study Results
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View full resultsBasic Information
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COMPLETED
PHASE4
360 participants
INTERVENTIONAL
2021-09-27
2024-12-27
Brief Summary
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-To evaluate the efficacy of dupilumab compared to omalizumab in reducing the polyp size and improving sense of smell
Secondary Objectives
* To evaluate the efficacy of dupilumab in improving chronic rhinosinusitis with nasal polyps (CRSwNP) symptoms at Week 24 compared to omalizumab
* To evaluate the efficacy of dupilumab in improving CRSwNP total symptom score (TSS) at Week 24 compared to omalizumab
* To evaluate the effect of dupilumab on health related quality of life (HRQoL) at week 24 compared to omalizumab
* To evaluate the efficacy of dupilumab in improving nasal peak inspiratory flow at Week 24 compared to omalizumab
* To evaluate the effect of dupilumab on CRSwNP overall disease severity at Week 24 compared to omalizumab
* To evaluate the safety of dupilumab and omalizumab
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
TRIPLE
Study Groups
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Dupilumab 300 mg Q2W
Participants received dupilumab 300 milligrams (mg) subcutaneous (SC) injection every 2 weeks (Q2W) for 24 weeks.
Dupilumab
solution for injection subcutaneous
Placebo
solution for injection subcutaneous
Omalizumab 75 to 600 mg Q2W/Q4W
Participants received omalizumab 75 to 600 mg SC injection Q2W/every 4 weeks (Q4W) based on their serum immunoglobulin E (IgE) levels and body weight for 24 weeks.
Omalizumab
solution for injection subcutaneous
Placebo
solution for injection subcutaneous
Interventions
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Dupilumab
solution for injection subcutaneous
Omalizumab
solution for injection subcutaneous
Placebo
solution for injection subcutaneous
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Participants with bilateral sino-nasal polyposis, that despite prior treatment with Systemic corticosteroids (SCS) anytime within the past 2 years; and/or medical contraindication/intolerance to SCS; and/or prior surgery for NP have:
* An endoscopic bilateral NPS of at least 5 out of a maximum score of 8 (with a minimum score of 2 in each nasal cavity) at visit 1; AND
* Ongoing symptoms of Nasal congestion/blockade/obstruction and loss of smell for at least 8 weeks before screening (Visit 1), AND
* Nasal congestion/blockade/obstruction and a weekly average severity greater than 1 in the 7 days before randomization (Visit 2) AND
* loss of smell symptom severity score 2 or 3 at screening (Visit 1) and a weekly average severity of greater than 1 in the 7 days before randomization (Visit 2).
* Participants with a physician diagnosis of asthma based on the Global Initiative for Asthma (GINA) 2020 treated with low, medium or high dose inhaled corticosteroids (ICS) and a second controller (ie, LABA), a third controller is allowed but not mandatory. The dose regimen was to be stable for at least 1 month before Visit 1 (screening visit) and during the screening and run-in period.
* Asthma Control Questionnaire 5-question version (ACQ-5) score ≥1.5 at Visits 1 or 2.
* Treatment with intranasal mometasone ≥200 μg once daily (QD) (or equivalent of another INCS) for 1 month prior to Visit 1 and during the run-in period (for CRSwNP).
* Eligibility as per omalizumab drug-dosing table (serum IgE level ≥30 to ≤1500 IU/mL and body weight ≥30 to ≤150 kg) and ability to be dosed per the dosing table.
Exclusion Criteria
* Participants who underwent any sinus intranasal surgery (including polypectomy) within 6 months before Visit 1.
* Participants who had a sino-nasal surgery changing the lateral wall structure of the nose, making impossible the evaluation of NPS.
* Participants with conditions/concomitant diseases making them non evaluable at Visit 1 or for the primary efficacy endpoint such as: Antrochoanal polyps, Nasal septal deviation that would occlude at least one nostril, Acute sinusitis, nasal infection, or upper respiratory infection.
* Severe asthma exacerbation requiring treatment with SCS in the last 4 weeks prior to Visit 1 and during screening.
* Severe concomitant illness(es) that, in the Investigator's judgment, would adversely affect the participant's participation in the study
* Diagnosed with, suspected of, or at high risk of endoparasitic infection, and/or use of antiparasitic drugs within 2 weeks before Visit 1 (screening visit) or during the screening and run-in period.
* History of human immunodeficiency virus (HIV) infection or positive HIV 1/2 serology at Visit 1 (screening visit).
* Known or suspected immunodeficiency, including history of invasive opportunistic infections
* Active malignancy or history of malignancy within 5 years before Visit 1 (screening visit), except completely treated in situ carcinoma of the cervix and completely treated and resolved non metastatic squamous or basal cell carcinoma of the skin.
* History of systemic hypersensitivity or anaphylaxis to dupilumab and omalizumab, including any excipient
* Treatment with a live (attenuated) vaccine within 4 weeks before Visit 1 (screening visit).
The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
18 Years
ALL
No
Sponsors
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Regeneron Pharmaceuticals
INDUSTRY
Sanofi
INDUSTRY
Responsible Party
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Locations
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Cedars Sinai Medical Center Site Number : 8400026
Los Angeles, California, United States
Asthma Allergy & Immunology Clinical Research Unit Site Number : 8400027
Tampa, Florida, United States
Northwestern University Site Number : 8400001
Chicago, Illinois, United States
University of Illinois
Chicago, Illinois, United States
Advanced ENT and Allergy Site Number : 8400013
Louisville, Kentucky, United States
University of Missouri Health Care - University Hospital Site Number : 8400016
Columbia, Missouri, United States
Northwell Health Site Number : 8400044
Great Neck, New York, United States
University of Rochester Site Number : 8400015
Rochester, New York, United States
Cleveland Clinic Foundation Site Number : 8400029
Cleveland, Ohio, United States
Optimed Research, LTD Site Number : 8400014
Columbus, Ohio, United States
Allergy, Asthma and Clinical Research Center Site Number : 8400037
Oklahoma City, Oklahoma, United States
Essential Medical Research, LLC Site Number : 8400024
Tulsa, Oklahoma, United States
Oregon Health & Science University Site Number : 8400031
Portland, Oregon, United States
University of Texas Health Science Center- Site Number : 8400019
Houston, Texas, United States
Chryaslis Clinical Research Site Number : 8400017
St. George, Utah, United States
Eastern Virginia Medical School Site Number : 8400010
Norfolk, Virginia, United States
Investigational Site Number : 0560001
Ghent, , Belgium
Investigational Site Number : 0560002
Leuven, , Belgium
Investigational Site Number : 0560003
Woluwe-Saint-Lambert, , Belgium
Investigational Site Number : 1240004
London, Ontario, Canada
Investigational Site Number : 1240002
Montreal, Quebec, Canada
Investigational Site Number : 1240003
Québec, , Canada
Investigational Site Number : 2030007
Benešov, , Czechia
Investigational Site Number : 2030001
Hradec Králové, , Czechia
Investigational Site Number : 2030003
Ostrava - Poruba, , Czechia
Investigational Site Number : 2030002
Pardubice, , Czechia
Investigational Site Number : 2030012
Pilsen, , Czechia
Investigational Site Number : 2030010
Prague, , Czechia
Investigational Site Number : 2030006
Prague, , Czechia
Investigational Site Number : 2030008
Prague, , Czechia
Investigational Site Number : 2030004
Praha 5 - Motole, , Czechia
Investigational Site Number : 2080003
Aarhus, , Denmark
Investigational Site Number : 2080001
Copenhagen, , Denmark
Investigational Site Number : 2460003
Helsinki, , Finland
Investigational Site Number : 2460002
Tampere, , Finland
Investigational Site Number : 2500009
Créteil, , France
Investigational Site Number : 2500006
La Roche-sur-Yon, , France
Investigational Site Number : 2500008
Le Kremlin-Bicêtre, , France
Investigational Site Number : 2500002
Lille, , France
Investigational Site Number : 2500004
Marseille, , France
Investigational Site Number : 2500005
Montpellier, , France
Investigational Site Number : 2500007
Toulouse, , France
Investigational Site Number : 2760002
Berlin, , Germany
Investigational Site Number : 2760004
Düsseldorf, , Germany
Investigational Site Number : 2760003
München, , Germany
Investigational Site Number : 2760001
Münster, , Germany
Investigational Site Number : 3480007
Budapest, , Hungary
Investigational Site Number : 3480004
Budapest, , Hungary
Investigational Site Number : 3480005
Debrecen, , Hungary
Investigational Site Number : 3480006
Edelény, , Hungary
Investigational Site Number : 3480002
Pécs, , Hungary
Investigational Site Number : 3480001
Szeged, , Hungary
Investigational Site Number : 3800002
Rome, Lazio, Italy
Investigational Site Number : 3800001
Rozzano, Lombardy, Italy
Investigational Site Number : 3800003
Catania, , Italy
Investigational Site Number : 3800004
Florence, , Italy
Investigational Site Number : 3800006
Milan, , Italy
Investigational Site Number : 3800005
Varese, , Italy
Investigational Site Number : 4840003
Guadalajara, Jalisco, Mexico
Investigational Site Number : 4840002
Chihuahua City, , Mexico
Investigational Site Number : 4840004
Durango, , Mexico
Investigational Site Number : 6160004
Poznan, Greater Poland Voivodeship, Poland
Investigational Site Number : 6160008
Warsaw, Masovian Voivodeship, Poland
Investigational Site Number : 6160005
Katowice, Silesian Voivodeship, Poland
Investigational Site Number : 6160001
Krakow, , Poland
Investigational Site Number : 6160007
Lodz, , Poland
Investigational Site Number : 6160006
Środa Wielkopolska, , Poland
Investigational Site Number : 6200005
Almada, , Portugal
Investigational Site Number : 6200003
Aveiro, , Portugal
Investigational Site Number : 6200006
Guimarães, , Portugal
Investigational Site Number : 6200001
Matosinhos Municipality, , Portugal
Investigational Site Number : 6200007
Santa Maria da Feira, , Portugal
Investigational Site Number : 6420002
Brasov, , Romania
Investigational Site Number : 6420004
Craiova, , Romania
Investigational Site Number : 7240001
Seville, Andalusia, Spain
Investigational Site Number : 7240005
Barcelona, Barcelona [Barcelona], Spain
Investigational Site Number : 7240008
L'Hospitalet de Llobregat, Barcelona [Barcelona], Spain
Investigational Site Number : 7240003
Jerez de la Frontera, Cádiz, Spain
Investigational Site Number : 7240007
Majadahonda, Madrid, Spain
Investigational Site Number : 7240004
Madrid / Madrid, Madrid, Comunidad de, Spain
Investigational Site Number : 7240006
Pamplona, Navarre, Spain
Investigational Site Number : 7520003
Gothenburg, , Sweden
Investigational Site Number : 7520002
Lund, , Sweden
Investigational Site Number : 7520001
Stockholm, , Sweden
Investigational Site Number : 8260003
Wigan, Lancashire, United Kingdom
Investigational Site Number : 8260002
Manchester, , United Kingdom
Investigational Site Number : 8260001
Newcastle upon Tyne, , United Kingdom
Countries
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References
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De Corso E, Canonica GW, Heffler E, Springer M, Grzegorzek T, Viana M, Horvath Z, Mullol J, Gevaert P, Michel J, Peters AT, Wagenmann M, Zaghloul S, Zhang M, Corbett M, Nash S, Angello JT, Radwan A, Deniz Y, Martin A, Hellings PW. Dupilumab versus omalizumab in patients with chronic rhinosinusitis with nasal polyps and coexisting asthma (EVEREST): a multicentre, randomised, double-blind, head-to-head phase 4 trial. Lancet Respir Med. 2025 Sep 28:S2213-2600(25)00287-5. doi: 10.1016/S2213-2600(25)00287-5. Online ahead of print.
De Prado Gomez PharmD MSc L, Khan Mbbs Mph AH, Peters Md AT, Bachert Md PhD C, Wagenmann Md M, Heffler Md PhD E, Hopkins BMBCh C, Hellings Md PhD PW, Zhang PhD M, Xing PhD J, Rowe Md P, Jacob-Nara Md Mph DHSc JA. Efficacy and Safety of Dupilumab Versus Omalizumab in Chronic Rhinosinusitis With Nasal Polyps and Asthma: EVEREST Trial Design. Am J Rhinol Allergy. 2022 Nov;36(6):788-795. doi: 10.1177/19458924221112211. Epub 2022 Jul 15.
Provided Documents
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Document Type: Study Protocol
Document Type: Statistical Analysis Plan
Related Links
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LPS16747 Chronic Rhinosinusitis with Nasal Polyps Dupilumab Trial website
LPS16747 Plain Language Results Summary
Other Identifiers
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U1111-1255-4713
Identifier Type: REGISTRY
Identifier Source: secondary_id
2021-000829-27
Identifier Type: EUDRACT_NUMBER
Identifier Source: secondary_id
LPS16747
Identifier Type: -
Identifier Source: org_study_id
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