FESSnonFESS

2024-514632-24-02 Phase III and Phase IV (Integrated) Ongoing, recruiting

Start 2 May 2025 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Phase III and Phase IV (Integrated)
Status Ongoing, recruiting
Participants planned 58
Countries 1
Sites 1

Chronic Rhinosinusitis with Nasal Polyposis

Does surgical intervention in combination with biologic treatment give faster disease control

Key facts

Sponsor
Rigshospitalet
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Respiratory Tract Diseases [C08], Diseases [C] - Otorhinolaryngologic Diseases [C09]
Trial duration
2 May 2025 → ongoing
Decision date (initial)
2024-08-30
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-514632-24-02
EudraCT number
2022-002923-37

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Others, Therapy, Efficacy

Does surgical intervention in combination with biologic treatment give faster disease control

Conditions and MedDRA coding

Chronic Rhinosinusitis with Nasal Polyposis

Regulatory references

Plan to share IPD
No
EU CT numberTitleSponsor
2024-514632-24-01 Optimisation of treatment in patients with CRSwNP. An RCT of mepolizumab and surgical treatment with FESS and mepolizumab versus only mepolizumab over a 6- and 12-month follow-up Rigshospitalet
2024-514632-24-00 Optimisation of treatment in patients with CRSwNP. An RCT of mepolizumab and surgical treatment with FESS and mepolizumab versus only mepolizumab over a 6- and 12-month follow-up Rigshospitalet

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. Patients ≥ 18 years old at the time of signed informed consent (no upper limit)  Patients who are referred to the outpatient clinic for the following reasons: o Doctor’s diagnosis of CRS1  NPS ≥ 2+2 out of a score of 8 (max)  Severity measured as an SNOT22 score > 35  Type 2 inflammation (see below)  One FESS surgery in general anaesthesia performed prior to inclusion (no time limitations)  No course of systemic steroids within the last 3 months, whereas a daily low dose (5-10 mg) is allowed  Possible doctor’s diagnosis of asthma2

Exclusion criteria 1

  1. Patients who, because of language barriers, are not able to understand written information and, thus, are not able to answer questionnaires  Patients who currently receive biologics for any other disease  Patients who have previously or currently received biologics for CRS or asthma  Patients who are not able to give informed consent (i.e., patients who are permanently incapable)  Patients who meet ≥1 of the following:Malignant lung disease o Cardiac disease of clinical importance o Current pregnancy and breastfeeding, as well as planning to be pregnant in the near future o Unwillingness to have FESS performed  Patients needing FESS or systemic steroids (OCS) during the study period will be excluded after an unscheduled visit (last observation carried forward (LOCF))  Patients who are not eligible because of the investigator’s judgement  Reaction towards Mepolizumab and one or more of the adjuvants.  Pregnancy during the study will be excluded after an unscheduled visit (LOCF)

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Change in SNOT-22 score, Nasal polyp score and smell

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Mepolizumab

SUB21650 · Substance

Active substance
Mepolizumab
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS INJECTION
Max daily dose
0 mg milligram(s)
Max total dose
100 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Rigshospitalet

Sponsor organisation
Rigshospitalet
Address
Blegdamsvej 9
City
Copenhagen Oe
Postcode
2100
Country
Denmark

Scientific contact point

Organisation
Rigshospitalet
Contact name
Anne-Sophie Homøe

Public contact point

Organisation
Rigshospitalet
Contact name
Anne-Sophie Homøe

Third parties 1

OrganisationCity, countryDuties
GCP-enheden ved Københavns Universitetshospital
ORL-000009801
Frederiksberg, Denmark On site monitoring

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Denmark Ongoing, recruiting 58 1
Rest of world 0

Investigational sites

Denmark

1 site · Ongoing, recruiting
Rigshospitalet
Department of Otorhinolaryngology, Head and Neck Surgery, Blegdamsvej 9, 2100, Copenhagen Oe

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Denmark 2025-05-02 2025-05-02

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 8 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) FESSnonFESSprotokolCTIS 1
Recruitment arrangements (for publication) placeholder vmk 1
Subject information and informed consent form (for publication) Deltagerinformation version 11 03082025_CLEAN 1
Subject information and informed consent form (for publication) Deltagerinformation version 11 03082025Tracked 1
Subject information and informed consent form (for publication) Informeret_Samtykke_CRSwNP 1
Subject information and informed consent form (for publication) Informeret_Samtykke_CRSwNP_Tracked 1
Summary of Product Characteristics (SmPC) (for publication) Placeholder above with 1
Synopsis of the protocol (for publication) ResumeofFESSnonFESSFESSonly 1

Application history

2 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-08-19 Denmark Acceptable
2024-08-23
2024-08-30
2 SUBSTANTIAL MODIFICATION SM-1 2025-06-20 Denmark Acceptable 2025-09-05