Long-term effect of Dupilumab on acetylsalicylic acid (ASA) intolerance and its mechanisms in patients with non-steroidal anti-inflammatory drug-exacerbated respiratory disease (N-ERD)

2024-520082-31-01 Therapeutic use (Phase IV) Authorised, recruitment pending

Status Authorised, recruitment pending · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Authorised, recruitment pending
Participants planned 30
Countries 1
Sites 1

non-steroidal anti-inflammatory drug-exacerbated respiratory disease (N-ERD)

The main goal of this study is to assess the long-term effect of Dupilumab on patients with N-ERD with a special focus on the long-term effects of Dupilumab on salicylic acid tolerance. We hope to find higher rates of salicylic acid tolerant patients compared to before treatment and 6 months after treatment initiation.

Key facts

Sponsor
Medical University Of Vienna
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Immune System Diseases [C20]
Decision date (initial)
2025-05-20
Transition trial
No
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
No

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy

The main goal of this study is to assess the long-term effect of Dupilumab on patients with N-ERD with a special focus on the long-term effects of Dupilumab on salicylic acid tolerance. We hope to find higher rates of salicylic acid tolerant patients compared to before treatment and 6 months after treatment initiation.

Conditions and MedDRA coding

non-steroidal anti-inflammatory drug-exacerbated respiratory disease (N-ERD)

Regulatory references

Plan to share IPD
No
EU CT numberTitleSponsor
2024-520082-31-00 Long-term effect of Dupilumab on acetylsalicylic acid (ASA) intolerance and its mechanisms in patients with non-steroidal anti-inflammatory drug-exacerbated respiratory disease (N-ERD) Medical University Of Vienna

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. 1. Participated previously in a previous study (EK 1044/2020) 2. Signed and dated informed consent has been obtained 3. Current therapy with Dupilumab

Exclusion criteria 1

  1. 1. Pregnancy (as determined by urine ß-HCG test) 2. Clinically significant abnormal laboratory values and active infection (Tbc, HIV, hepatitis A/B/C) 3. History of malignancy or immunodeficiency 4. Chronic obstructive lung disorders (COPD), other obstructive lung disorders (bronchiolitis) 5. Need for systemic corticosteroid therapy 1 month prior to screening visit 6. Eosinophilic pneumonia and Churg-Strauss Syndrome

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Tolerated aspirin dose levels as tested with different dosages (62.5mg, 125mg, 250mg and 500 mg) compared to tolerated dosages before and 6 months into Dupilumab treatment.

Secondary endpoints 1

  1. 1. Serum ECP, total IgE, allergen specific IgE, tryptase, peripheral blood eosinophils 2. Allergenic sensitization as assessed by skin prick and blood test 3. Olfactory performance 4. Prostaglandin levels in urine 5. Cytokine pattern in nasal secretions 6. Inflammatory cytokine patterns at mRNA levels 7. Nasal microbiome composition 8. TPS, VAS, SNOT-22 9. ACT, ACQ

Investigational products

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

Test 1

Dupixent 300 mg solution for injection in pre-filled syringe

PRD5521296 · Product

Active substance
Dupilumab
Substance synonyms
REGN668, SAR231893
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS INJECTION
Max daily dose
1 mg milligram(s)
Max total dose
300 mg milligram(s)
Max treatment duration
60 Month(s)
Authorisation status
Authorised
ATC code
D11AH05 — -
Marketing authorisation
EU/1/17/1229/005
MA holder
SANOFI WINTHROP INDUSTRIE
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Medical University Of Vienna

Sponsor organisation
Medical University Of Vienna
Address
Spitalgasse 23, Alsergrund Alsergrund
City
Vienna
Postcode
1090
Country
Austria

Scientific contact point

Organisation
Medical University Of Vienna
Contact name
Department of Ear, Nose and Throat Diseases, Division of General Otorhinolaryngology

Public contact point

Organisation
Medical University Of Vienna
Contact name
Department of Ear, Nose and Throat Diseases, Division of General Otorhinolaryngology

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Austria Authorised, recruitment pending 30 1
Rest of world 0

Investigational sites

Austria

1 site · Authorised, recruitment pending
Medical University Of Vienna
Department of Ear, Nose and Throat Diseases, Division of General Otorhinolaryngology, Waehringer Guertel 18-20, Alsergrund, Vienna

Results and documents

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

Documents 10 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol_N-ERD_for_publication 2.0
Protocol (for publication) D4_Patient facing documents_Questionnaire_V1_DE 1
Protocol (for publication) D4_Patient facing documents_Questionnaire_V2_EN 1
Recruitment arrangements (for publication) K1_Recruitment_arrangements_redacted 1
Recruitment arrangements (for publication) KI_Recruitment_arrangements 1
Subject information and informed consent form (for publication) L1_SIS_and_ICF_marked 3
Subject information and informed consent form (for publication) L1_SIS_and_ICF_redacted 3
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC_Dupilumab_EN 1
Synopsis of the protocol (for publication) D1_Protocol synopsis_DE_N-ERD 1
Synopsis of the protocol (for publication) D1_Protocol synopsis_EN_N-ERD 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-02-04 Austria Acceptable
2025-05-02
2025-05-20