Efficacy and Safety of Depemokimab (GSK3511294) in Participants With Chronic Rhinosinusitis With Nasal Polyps (ANCHOR-2)
NCT ID: NCT05281523
Last Updated: 2025-09-09
Study Results
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View full resultsBasic Information
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COMPLETED
PHASE3
264 participants
INTERVENTIONAL
2022-04-18
2024-08-06
Brief Summary
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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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Depemokimab
Participants received a 100 milligram (mg) dose of depemokimab subcutaneous (SC) injection once every 26 weeks (week 0 and week 26) over a treatment period of 52-weeks. Participants were to be maintained on their existing baseline maintenance Chronic rhinosinusitis with nasal polyps (CRSwNP) standard of care (SOC) treatment throughout the study.
Depemokimab (GSK3511294)
Depemokimab (GSK3511294) was administered using a pre-filled syringe.
Placebo
Participants received placebo SC injection once every 26 weeks (week 0 and week 26) over a treatment period of 52-weeks. Participants were to be maintained on their existing baseline maintenance CRSwNP SOC treatment throughout the study.
Placebo
Placebo was administered as normal saline using a pre-filled syringe.
Interventions
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Depemokimab (GSK3511294)
Depemokimab (GSK3511294) was administered using a pre-filled syringe.
Placebo
Placebo was administered as normal saline using a pre-filled syringe.
Eligibility Criteria
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Inclusion Criteria
* Endoscopic bilateral NP score of at least 5 out of a maximum score of 8 (with a minimum score of 2 in each nasal cavity) assessed by the investigator.
* Participants who have had at least one of the following at Visit 1: Previous nasal surgery for the removal of NP; Have used at least three consecutive days of systemic corticosteroids in the previous 2 years for the treatment of NP; Medically unsuitable or intolerant to systemic corticosteroid.
* Participants (except for those in Japan) must be on daily treatment with intranasal corticosteroids (INCS) (including intranasal liquid steroid wash/douching) for at least 8 weeks prior to screening.
* Participants presenting with severe NP symptoms defined as symptoms of nasal congestion/blockade/obstruction with moderate or severe severity and loss of smell or rhinorrhea (runny nose) based on clinical assessment by the investigator.
* Presence of symptoms of chronic rhinosinusitis as described by at least 2 different symptoms for at least 12 weeks prior to Visit 1, one of which should be either nasal blockage/obstruction/congestion or nasal discharge (anterior/posterior nasal drip), plus facial pain/pressure and/or reduction or loss of smell.
* Male or eligible female participants
Exclusion Criteria
* Cystic fibrosis.
* Antrochoanal polyps.
* Nasal cavity tumor (malignant or benign)
* Fungal rhinosinusitis
* Severe nasal septal deviation occluding one nostril preventing full assessment of nasal polyps in both nostrils.
* Participants who had a sino-nasal or sinus surgery changing the lateral wall structure of the nose making impossible the evaluation of nasal polyp score.
* Acute sinusitis or upper respiratory tract infection (URTI) at screening or in 2 weeks prior to screening.
* Ongoing rhinitis medicamentosa (rebound or chemical induced rhinitis).
* Participants who have had an asthma exacerbation requiring admission to hospital within 4 weeks of Screening.
* Participants who have undergone any intranasal and/or sinus surgery (for example polypectomy, balloon dilatation or nasal stent insertion) within 6 months prior to Visit 1; nasal biopsy prior to Visit 1 for diagnostic purposes only is excepted.
* Participants where NP surgery is contraindicated in the opinion of the Investigator.
* Participants with other conditions that could lead to elevated eosinophils such as hyper-eosinophilic syndromes including (but not limited to) eosinophilic granulomatosis with polyangiitis (EGPA) (formerly known as Churg-Strauss Syndrome) or Eosinophilic Esophagitis.
* Participants with a known, pre-existing parasitic infestation within 6 months prior to Visit 1.
* A known immunodeficiency (e.g. human immunodeficiency virus (HIV), other than that explained by the use of corticosteroids (CSs) taken as therapy for asthma.
* A current malignancy or previous history of cancer in remission for less than 12 months prior to screening.
* Liver Disease: Alanine aminotransferase (ALT) \>2 times upper limit normal (ULN); Total bilirubin \>1.5 times ULN (isolated bilirubin \>1.5 times ULN is acceptable if bilirubin is fractionated and direct bilirubin less than \[\<\]35 percent \[%\]); Cirrhosis or current unstable liver or biliary disease per investigator assessment defined by the presence of ascites, encephalopathy, coagulopathy, hypoalbuminemia, esophageal or gastric varices, persistent jaundice.
* Participants who have known, pre-existing, clinically significant cardiac, endocrine, autoimmune, metabolic, neurological, renal, gastrointestinal, hepatic, hematological or any other system abnormalities that are uncontrolled with standard treatment.
* Participants with current diagnosis of vasculitis. Participants with high clinical suspicion of vasculitis at screening will be evaluated and current vasculitis must be excluded prior to enrollment.
* Hypersensitivity: Participants with allergy/intolerance to the excipients of depemokimab (GSK3511294) in a monoclonal antibody, or biologic.
* Participants that, according to the investigator's medical judgment, are likely to have active Coronavirus disease-2019 (COVID-19) infection must be excluded. Participants with known COVID-19 positive contacts within the past 14 days must be excluded for at least 14 days following the exposure during which the participant should remain symptom-free. Reported smell/ taste complications from COVID-19 must be used as exclusion.
* Participants that have been exposed to ionising radiation in excess of 10 millisievert (mSv) above background over the previous 3-year period as a result of occupational exposure or previous participation in research studies.
* Previously participated in any study with mepolizumab, reslizumab, or benralizumab and received study intervention (including placebo) within 12 months prior to Visit 1.
* Women who are pregnant or lactating or are planning on becoming pregnant during the study.
18 Years
ALL
No
Sponsors
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GlaxoSmithKline
INDUSTRY
Responsible Party
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Principal Investigators
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GSK Clinical Trials
Role: STUDY_DIRECTOR
GlaxoSmithKline
Locations
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GSK Investigational Site
Tucson, Arizona, United States
GSK Investigational Site
Roseville, California, United States
GSK Investigational Site
New Haven, Connecticut, United States
GSK Investigational Site
Hialeah, Florida, United States
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Baltimore, Maryland, United States
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Grand Rapids, Michigan, United States
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Columbia, Missouri, United States
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Oklahoma City, Oklahoma, United States
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Fort Worth, Texas, United States
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McAllen, Texas, United States
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McKinney, Texas, United States
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San Antonio, Texas, United States
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Norfolk, Virginia, United States
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Morgantown, West Virginia, United States
GSK Investigational Site
Changsha, , China
GSK Investigational Site
Chengdu, , China
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Guangzhou, , China
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Hangzhou, , China
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Nanjing, , China
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Shanghai, , China
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Shanghai, , China
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Suzhou, , China
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Wuhan, , China
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Xiamen, , China
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Zhongshan, , China
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Zibo Shandong Province, , China
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Bologna, , Italy
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Catania, , Italy
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Milan, , Italy
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Napoli, , Italy
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Padua, , Italy
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Pisa, , Italy
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Roma, , Italy
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Roma, , Italy
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Rozzano MI, , Italy
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Varese, , Italy
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Aichi, , Japan
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Chiba, , Japan
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Chiba, , Japan
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Gunma, , Japan
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Hyōgo, , Japan
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Hyōgo, , Japan
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Ibaraki, , Japan
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Kanagawa, , Japan
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Nagano, , Japan
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Shiga, , Japan
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Shizuoka, , Japan
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Tokyo, , Japan
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?Od?, , Poland
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Gdansk, , Poland
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Katowice, , Poland
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Krakow, , Poland
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Krakow, , Poland
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Lubin, , Poland
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Nadarzyn, , Poland
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Poznan, , Poland
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Strzelce Opolskie, , Poland
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Brasov, , Romania
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Brasov, , Romania
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Bucharest, , Romania
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Bucharest, , Romania
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Cluj-Napoca, , Romania
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Timișoara, , Romania
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Barcelona, , Spain
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Barcelona, , Spain
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Barcelona, , Spain
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Barcelona, , Spain
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Jerez de la Frontera, , Spain
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Madrid, , Spain
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Madrid, , Spain
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Madrid, , Spain
GSK Investigational Site
Pamplona, , Spain
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Santander, , Spain
GSK Investigational Site
Seville, , Spain
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Valladolid, , Spain
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Zaragoza, , Spain
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Gothenburg, , Sweden
GSK Investigational Site
Lund, , Sweden
GSK Investigational Site
Stockholm, , Sweden
GSK Investigational Site
Stockholm, , Sweden
GSK Investigational Site
Ankara, , Turkey (Türkiye)
GSK Investigational Site
CapaIstanbul, , Turkey (Türkiye)
GSK Investigational Site
Izmir, , Turkey (Türkiye)
GSK Investigational Site
Tekirdağ, , Turkey (Türkiye)
Countries
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References
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Gevaert P, Cornet M, Mullol J, De Corso E, Keles Turel N, Desrosiers M, et al. . ANCHOR-1/-2 primary data including pooled analysis ms. Lancet. PMID: 40037388 DOI: 10.1016/S0140-6736(25)00197-7
Gevaert P, Desrosiers M, Cornet M, Mullol J, De Corso E, Keles Turel N, Maspero J, Fujieda S, Zhang L, Sousa AR, Woods SJ, Davis AM, Schalkwijk S, Edwards D, Ranganathan P, Follows R, Marshall C, Han JK; ANCHOR-1 and ANCHOR-2 trial investigators. Efficacy and safety of twice per year depemokimab in chronic rhinosinusitis with nasal polyps (ANCHOR-1 and ANCHOR-2): phase 3, randomised, double-blind, parallel trials. Lancet. 2025 Mar 15;405(10482):911-926. doi: 10.1016/S0140-6736(25)00197-7. Epub 2025 Mar 1.
Provided Documents
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Document Type: Study Protocol
Document Type: Statistical Analysis Plan
Other Identifiers
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2021-005055-36
Identifier Type: EUDRACT_NUMBER
Identifier Source: secondary_id
218079
Identifier Type: -
Identifier Source: org_study_id
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