Overview
Sponsor-declared trial summary
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 number | Title | Sponsor |
|---|---|---|
| 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
- 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
- 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
- Change in SNOT-22 score, Nasal polyp score and smell
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 1
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
| Organisation | City, country | Duties |
|---|---|---|
| GCP-enheden ved Københavns Universitetshospital ORL-000009801
|
Frederiksberg, Denmark | On site monitoring |
Locations
1 EU/EEA country · 1 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Denmark | Ongoing, recruiting | 58 | 1 |
| Rest of world | — | 0 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment 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.
| Type | Title | Version |
|---|---|---|
| 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
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision 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 |