A Study of the Efficacy and Safety of Brensocatib in Participants With Chronic Rhinosinusitis Without Nasal Polyps (CRSsNP)

NCT ID: NCT06013241

Last Updated: 2025-11-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

288 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-10-30

Study Completion Date

2025-10-30

Brief Summary

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The primary purpose of the study is to evaluate the efficacy of brensocatib at 10 and 40 milligrams (mg) once daily (QD) compared with placebo in improving clinical symptoms of CRSsNP.

Detailed Description

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Conditions

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Chronic Rhinosinusitis Without Nasal Polyps

Keywords

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CRSsNP

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Brensocatib 40 mg

Participants will receive brensocatib 40 mg tablet, orally, QD for 24 weeks along with mometasone furoate nasal spray (MFNS) by nasal route as background therapy at a stable dose according to the Investigator's discretion and local guidance.

Group Type EXPERIMENTAL

Brensocatib

Intervention Type DRUG

Film-coated tablet.

Mometasone furoate nasal spray (MFNS)

Intervention Type DRUG

Nasal spray suspension.

Brensocatib 10 mg

Participants will receive brensocatib 10 mg tablet, orally, QD for 24 weeks along with MFNS by nasal route as background therapy at a stable dose according to the Investigator's discretion and local guidance.

Group Type EXPERIMENTAL

Brensocatib

Intervention Type DRUG

Film-coated tablet.

Mometasone furoate nasal spray (MFNS)

Intervention Type DRUG

Nasal spray suspension.

Placebo

Participants will receive a brensocatib-matching placebo tablet, orally, QD for 24 weeks along with MFNS by nasal route as background therapy at a stable dose according to the Investigator's discretion and local guidance.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Film-coated tablet.

Mometasone furoate nasal spray (MFNS)

Intervention Type DRUG

Nasal spray suspension.

Interventions

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Brensocatib

Film-coated tablet.

Intervention Type DRUG

Placebo

Film-coated tablet.

Intervention Type DRUG

Mometasone furoate nasal spray (MFNS)

Nasal spray suspension.

Intervention Type DRUG

Other Intervention Names

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INS1007

Eligibility Criteria

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Inclusion Criteria

* Participants who have at least a 12-week history before Screening Visit of CRSsNP and confirmed by endoscopy at Visit 1 (Screening).
* Participants must have a NCS of ≥2 at Visit 1 (Screening Visit) and Visit 2 (Baseline; average score in the week prior to randomization).
* Participants must have sTSS (nasal congestion \[NC\], anterior/posterior rhinorrhea, facial pain/pressure) ≥5 at Visit 1 (Screening) and at Visit 2 (Baseline; average score in the week prior to randomization).
* Participants who have at least 1 of the 3 following features:

1. Previous sinonasal surgery for CRS, including but not limited to fenestrated endoscopic sinus surgery and balloon sinuplasty.
2. Received medical treatment with systemic corticosteroids (SCS) to treat symptoms of CRS as defined by any dose and duration within 1 year of Screening Visit or intolerance/contraindication to SCS.
3. Received a course of antibiotics to treat symptoms of CRS within 1 year before the Screening Visit.
* Participants who have a blood eosinophil count ≤750 cells/microliter (μL) at Visit 1 (Screening).
* Participants who have bilateral inflammation of paranasal sinuses in the CT scan performed during Screening and bilateral ethmoid and/or maxillary opacification before randomization as confirmed by the central reader.
* Participants who have a SNOT-22 score of ≥20 at Visit 1 (Screening) and Visit 2 (Baseline).
* Participants who have received a stable daily dose regimen of MFNS for at least 4 weeks before Visit 2 (Baseline).

Exclusion Criteria

* Diagnosis of unilateral or bilateral chronic rhinosinusitis with nasal polyps (CRSwNP).
* Clinical diagnosis of cystic fibrosis (CF) or primary ciliary dyskinesia.
* Scheduled sinus surgery at any time during the study.
* Participants who have had nasal surgery within 4 weeks before Visit 1 (Screening) and during the Screening Period.
* Significant oral maxillofacial structural abnormalities or severe septal deviation.
* Participants with radiological suspicion or confirmed invasive fungal rhinosinusitis, odontogenic sinusitis, osteomas, or nasal tumors.
* Participants with acute change in symptoms consistent with acute rhinosinusitis.
* Participants with seasonal allergic rhinitis whose symptoms coincide with the treatment period of the study.
* Participants with moderate to severe atopic dermatitis requiring treatment with high potency topical steroids or topical calcineurin inhibitors or biologics.
* Clinical diagnosis of Papillon-Lefèvre syndrome.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Insmed Incorporated

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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USA034

Tucson, Arizona, United States

Site Status

USA002

Roseville, California, United States

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USA006

Upland, California, United States

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USA016

Boca Raton, Florida, United States

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USA019

Hollywood, Florida, United States

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USA001

Miami, Florida, United States

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USA009

Tampa, Florida, United States

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USA031

Chicago, Illinois, United States

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USA021

Chicago, Illinois, United States

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USA003

New Albany, Indiana, United States

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USA035

Mandeville, Louisiana, United States

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USA026

Baltimore, Maryland, United States

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USA011

Columbia, Missouri, United States

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USA024

St Louis, Missouri, United States

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USA033

New York, New York, United States

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USA028

Tulsa, Oklahoma, United States

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USA004

Tulsa, Oklahoma, United States

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USA015

Hershey, Pennsylvania, United States

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USA023

Charleston, South Carolina, United States

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USA022

North Charleston, South Carolina, United States

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USA025

Dallas, Texas, United States

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USA037

Fredericksburg, Texas, United States

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USA029

Houston, Texas, United States

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USA018

Houston, Texas, United States

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USA030

San Antonio, Texas, United States

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USA038

Tomball, Texas, United States

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USA005

Norfolk, Virginia, United States

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ARG015

La Plata, Buenos Aires, Argentina

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ARG001

La Plata, Buenos Aires, Argentina

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ARG006

Lobos, Buenos Aires, Argentina

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ARG005

Buenos Aires, Ciudad Autónoma de BuenosAires, Argentina

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ARG012

Buenos Aires, Ciudad Autónoma de BuenosAires, Argentina

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ARG011

Buenos Aires, Ciudad Autónoma de BuenosAires, Argentina

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ARG017

Buenos Aires, Ciudad Autónoma de BuenosAires, Argentina

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ARG013

San Rafael, Mendoza Province, Argentina

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ARG007

Rosario, Santa Fe Province, Argentina

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ARG010

Rosario, Santa Fe Province, Argentina

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ARG004

Rosario, Santa Fe Province, Argentina

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ARG009

San Miguel de Tucumán, Tucumán Province, Argentina

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ARG002

Mar del Plata, , Argentina

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ARG014

Mendoza, , Argentina

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ARG003

Mendoza, , Argentina

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ARG016

Rosario, , Argentina

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ARG008

Santa Fe, , Argentina

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AUS001

Herston, Queensland, Australia

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AUS002

Spearwood, Western Australia, Australia

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BEL001

Ghent, Oost-Vlaanderen, Belgium

Site Status

BEL002

Erpent, , Belgium

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BEL003

Woluwe-Saint-Lambert, , Belgium

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BGR005

Sofia, Sofia-Grad, Bulgaria

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BGR003

Plovdiv, , Bulgaria

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BGR006

Stara Zagora, , Bulgaria

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CAN003

Vancouver, British Columbia, Canada

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CAN006

London, Ontario, Canada

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CAN007

Toronto, Ontario, Canada

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CAN005

Montreal, Quebec, Canada

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CAN001

Québec, Quebec, Canada

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CAN002

Québec, , Canada

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CZE002

Olomouc, Olomoucký kraj, Czechia

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CZE003

Pardubice, Pardubický kraj, Czechia

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CZE005

Nový Hradec Králové, , Czechia

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CZE004

Prague, , Czechia

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DNK004

Hillerød, Capital, Denmark

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DNK001

København Ø, Capital, Denmark

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DNK003

Aarhus C, Central Jutland, Denmark

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DNK002

Køge, Zeeland, Denmark

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FRA002

Strasbourg, Bas-Rhin, France

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FRA003

Marseille, Bouches-du-Rhône, France

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FRA001

Nantes, Loire-Atlantique, France

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FRA004

La Roche-sur-Yon, Vendée, France

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GER004

Wiesbaden, Hesse, Germany

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GER009

Leipzig, Saxony, Germany

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GER003

Mittweida, Saxony, Germany

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GER008

Lübeck, Schleswig-Holstein, Germany

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GER005

Jena, Thuringia, Germany

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GER007

Berlin, , Germany

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GER001

Dresden, , Germany

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HUN003

Pécs, Baranya, Hungary

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ITA001

Rozzano, Lombardy, Italy

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ITA002

Sassari, Sardinia, Italy

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ITA003

Pisa, Tuscany, Italy

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POL002

Poznan, Greater Poland Voivodeship, Poland

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POL010

Poznan, Greater Poland Voivodeship, Poland

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POL005

Krakow, Lesser Poland Voivodeship, Poland

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POL007

Wieliczka, Lesser Poland Voivodeship, Poland

Site Status

POL009

Wroclaw, Lower Silesian Voivodeship, Poland

Site Status

POL003

Lublin, Lublin Voivodeship, Poland

Site Status

POL001

Warsaw, Masovian Voivodeship, Poland

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POL004

Bialystok, Podlaskie Voivodeship, Poland

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POL006

Katowice, Silesian Voivodeship, Poland

Site Status

POL008

Warsaw, , Poland

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PRT001

Guimarães, Braga District, Portugal

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PRT003

Lisbon, Lisbon District, Portugal

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PRT005

Senhora da Hora, Porto District, Portugal

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PRT004

Aveiro, , Portugal

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PRT002

Braga, , Portugal

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ESP003

Santander, Cantabria, Spain

Site Status

ESP002

Jerez de la Frontera, Cádiz, Spain

Site Status

ESP004

Málaga, Málaga, Spain

Site Status

ESP001

Seville, , Spain

Site Status

Countries

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United States Argentina Australia Belgium Bulgaria Canada Czechia Denmark France Germany Hungary Italy Poland Portugal Spain

Related Links

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Other Identifiers

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2022-502481-24-00

Identifier Type: OTHER

Identifier Source: secondary_id

INS1007-221

Identifier Type: -

Identifier Source: org_study_id