EValuating trEatment RESponses of Dupilumab Versus Omalizumab in Type 2 Patients

NCT ID: NCT04998604

Last Updated: 2025-10-23

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

360 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-09-27

Study Completion Date

2024-12-27

Brief Summary

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Primary Objective

-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

Detailed Description

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Study duration per participant will be 38 weeks. The study will comprise 3 periods: 28 days ± 3 days screening and run-in period; 24 weeks Randomized investigational medicinal product (IMP) intervention period; up to 12 weeks follow-up period.

Conditions

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Chronic Rhinosinusitis With Nasal Polyps Asthma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors
Placebo injections will be administered as needed to blind the number of active dupilumab and omalizumab injections

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.

Group Type EXPERIMENTAL

Dupilumab

Intervention Type DRUG

solution for injection subcutaneous

Placebo

Intervention Type DRUG

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.

Group Type EXPERIMENTAL

Omalizumab

Intervention Type DRUG

solution for injection subcutaneous

Placebo

Intervention Type DRUG

solution for injection subcutaneous

Interventions

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Dupilumab

solution for injection subcutaneous

Intervention Type DRUG

Omalizumab

solution for injection subcutaneous

Intervention Type DRUG

Placebo

solution for injection subcutaneous

Intervention Type DRUG

Other Intervention Names

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SAR231893 Dupixent Xolair

Eligibility Criteria

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Inclusion Criteria

* Participant must be at least 18 (or the legal age of consent in the jurisdiction in which the study is taking place) years of age inclusive, at the time of signing the informed consent.
* 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 were excluded from the study if any of the following criteria apply:

* 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.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Regeneron Pharmaceuticals

INDUSTRY

Sponsor Role collaborator

Sanofi

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Cedars Sinai Medical Center Site Number : 8400026

Los Angeles, California, United States

Site Status

Asthma Allergy & Immunology Clinical Research Unit Site Number : 8400027

Tampa, Florida, United States

Site Status

Northwestern University Site Number : 8400001

Chicago, Illinois, United States

Site Status

University of Illinois

Chicago, Illinois, United States

Site Status

Advanced ENT and Allergy Site Number : 8400013

Louisville, Kentucky, United States

Site Status

University of Missouri Health Care - University Hospital Site Number : 8400016

Columbia, Missouri, United States

Site Status

Northwell Health Site Number : 8400044

Great Neck, New York, United States

Site Status

University of Rochester Site Number : 8400015

Rochester, New York, United States

Site Status

Cleveland Clinic Foundation Site Number : 8400029

Cleveland, Ohio, United States

Site Status

Optimed Research, LTD Site Number : 8400014

Columbus, Ohio, United States

Site Status

Allergy, Asthma and Clinical Research Center Site Number : 8400037

Oklahoma City, Oklahoma, United States

Site Status

Essential Medical Research, LLC Site Number : 8400024

Tulsa, Oklahoma, United States

Site Status

Oregon Health & Science University Site Number : 8400031

Portland, Oregon, United States

Site Status

University of Texas Health Science Center- Site Number : 8400019

Houston, Texas, United States

Site Status

Chryaslis Clinical Research Site Number : 8400017

St. George, Utah, United States

Site Status

Eastern Virginia Medical School Site Number : 8400010

Norfolk, Virginia, United States

Site Status

Investigational Site Number : 0560001

Ghent, , Belgium

Site Status

Investigational Site Number : 0560002

Leuven, , Belgium

Site Status

Investigational Site Number : 0560003

Woluwe-Saint-Lambert, , Belgium

Site Status

Investigational Site Number : 1240004

London, Ontario, Canada

Site Status

Investigational Site Number : 1240002

Montreal, Quebec, Canada

Site Status

Investigational Site Number : 1240003

Québec, , Canada

Site Status

Investigational Site Number : 2030007

Benešov, , Czechia

Site Status

Investigational Site Number : 2030001

Hradec Králové, , Czechia

Site Status

Investigational Site Number : 2030003

Ostrava - Poruba, , Czechia

Site Status

Investigational Site Number : 2030002

Pardubice, , Czechia

Site Status

Investigational Site Number : 2030012

Pilsen, , Czechia

Site Status

Investigational Site Number : 2030010

Prague, , Czechia

Site Status

Investigational Site Number : 2030006

Prague, , Czechia

Site Status

Investigational Site Number : 2030008

Prague, , Czechia

Site Status

Investigational Site Number : 2030004

Praha 5 - Motole, , Czechia

Site Status

Investigational Site Number : 2080003

Aarhus, , Denmark

Site Status

Investigational Site Number : 2080001

Copenhagen, , Denmark

Site Status

Investigational Site Number : 2460003

Helsinki, , Finland

Site Status

Investigational Site Number : 2460002

Tampere, , Finland

Site Status

Investigational Site Number : 2500009

Créteil, , France

Site Status

Investigational Site Number : 2500006

La Roche-sur-Yon, , France

Site Status

Investigational Site Number : 2500008

Le Kremlin-Bicêtre, , France

Site Status

Investigational Site Number : 2500002

Lille, , France

Site Status

Investigational Site Number : 2500004

Marseille, , France

Site Status

Investigational Site Number : 2500005

Montpellier, , France

Site Status

Investigational Site Number : 2500007

Toulouse, , France

Site Status

Investigational Site Number : 2760002

Berlin, , Germany

Site Status

Investigational Site Number : 2760004

Düsseldorf, , Germany

Site Status

Investigational Site Number : 2760003

München, , Germany

Site Status

Investigational Site Number : 2760001

Münster, , Germany

Site Status

Investigational Site Number : 3480007

Budapest, , Hungary

Site Status

Investigational Site Number : 3480004

Budapest, , Hungary

Site Status

Investigational Site Number : 3480005

Debrecen, , Hungary

Site Status

Investigational Site Number : 3480006

Edelény, , Hungary

Site Status

Investigational Site Number : 3480002

Pécs, , Hungary

Site Status

Investigational Site Number : 3480001

Szeged, , Hungary

Site Status

Investigational Site Number : 3800002

Rome, Lazio, Italy

Site Status

Investigational Site Number : 3800001

Rozzano, Lombardy, Italy

Site Status

Investigational Site Number : 3800003

Catania, , Italy

Site Status

Investigational Site Number : 3800004

Florence, , Italy

Site Status

Investigational Site Number : 3800006

Milan, , Italy

Site Status

Investigational Site Number : 3800005

Varese, , Italy

Site Status

Investigational Site Number : 4840003

Guadalajara, Jalisco, Mexico

Site Status

Investigational Site Number : 4840002

Chihuahua City, , Mexico

Site Status

Investigational Site Number : 4840004

Durango, , Mexico

Site Status

Investigational Site Number : 6160004

Poznan, Greater Poland Voivodeship, Poland

Site Status

Investigational Site Number : 6160008

Warsaw, Masovian Voivodeship, Poland

Site Status

Investigational Site Number : 6160005

Katowice, Silesian Voivodeship, Poland

Site Status

Investigational Site Number : 6160001

Krakow, , Poland

Site Status

Investigational Site Number : 6160007

Lodz, , Poland

Site Status

Investigational Site Number : 6160006

Środa Wielkopolska, , Poland

Site Status

Investigational Site Number : 6200005

Almada, , Portugal

Site Status

Investigational Site Number : 6200003

Aveiro, , Portugal

Site Status

Investigational Site Number : 6200006

Guimarães, , Portugal

Site Status

Investigational Site Number : 6200001

Matosinhos Municipality, , Portugal

Site Status

Investigational Site Number : 6200007

Santa Maria da Feira, , Portugal

Site Status

Investigational Site Number : 6420002

Brasov, , Romania

Site Status

Investigational Site Number : 6420004

Craiova, , Romania

Site Status

Investigational Site Number : 7240001

Seville, Andalusia, Spain

Site Status

Investigational Site Number : 7240005

Barcelona, Barcelona [Barcelona], Spain

Site Status

Investigational Site Number : 7240008

L'Hospitalet de Llobregat, Barcelona [Barcelona], Spain

Site Status

Investigational Site Number : 7240003

Jerez de la Frontera, Cádiz, Spain

Site Status

Investigational Site Number : 7240007

Majadahonda, Madrid, Spain

Site Status

Investigational Site Number : 7240004

Madrid / Madrid, Madrid, Comunidad de, Spain

Site Status

Investigational Site Number : 7240006

Pamplona, Navarre, Spain

Site Status

Investigational Site Number : 7520003

Gothenburg, , Sweden

Site Status

Investigational Site Number : 7520002

Lund, , Sweden

Site Status

Investigational Site Number : 7520001

Stockholm, , Sweden

Site Status

Investigational Site Number : 8260003

Wigan, Lancashire, United Kingdom

Site Status

Investigational Site Number : 8260002

Manchester, , United Kingdom

Site Status

Investigational Site Number : 8260001

Newcastle upon Tyne, , United Kingdom

Site Status

Countries

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United States Belgium Canada Czechia Denmark Finland France Germany Hungary Italy Mexico Poland Portugal Romania Spain Sweden United Kingdom

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.

Reference Type DERIVED
PMID: 41033334 (View on PubMed)

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.

Reference Type DERIVED
PMID: 35837739 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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https://www.sanofistudies.com/1GHY/

LPS16747 Chronic Rhinosinusitis with Nasal Polyps Dupilumab Trial website

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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