A Phase 3 Study to Assess the Efficacy, Safety, and Tolerability of Itepekimab (Anti-IL-33 mAb) in Participants With Inadequately-controlled Chronic Rhinosinusitis With Nasal Polyps
Itepekimab (SAR440340): Pharmaceutical form: Solution for injection in prefilled syringe. Route of administration: Subcutaneous
Placebo: Pharmaceutical form: Solution for injection in prefilled syringe. Route of administration: Subcutaneous
Mometasone furoate nasal spray (MFNS): Pharmaceutical form: Solution for administration via spray pump. Route of administration: Intranasal spray
Study summary
EFC18418 is a multinational, randomized, double-blind, placebo-controlled, parallel-group, Phase 3 study with 3 treatment groups. The purpose of the study is to evaluate the efficacy, safety and tolerability of 2 dosing regimens of itepekimab compared to placebo as add-on therapy to intranasal corticosteroids (INCS) in male and female participants with chronic rhinosinusitis with nasal polyps (CRSwNP) aged 18 years of age and older.
Study details include:
* The study duration per participant (4-week screening, 52-week treatment, 20-week safety follow-up) will be up to 76 weeks. For participants transitioning to the LTS18420 study, the study duration will be 56 weeks.
* The treatment duration will be up to 52 weeks.
* The number of visits will be 9 site visits and 20 phone/home visits.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* Participants must be 18 years of age or older.
* Participants with a history of chronic rhinosinusitis with nasal polyps (CRSwNP) for at least 1 year prior to screening
* Participants must have at least one of the following features:
* Prior sinonasal surgery for nasal polyps (NP).
* Worsening symptoms of chronic rhinosinusitis (CRS) requiring treatment with systemic corticosteroid(s) (SCS) within the prior 1 year before screening (Visit 1).
* An endoscopic bilateral Nasal Polyp Score (NPS) of at least 5 out of maximum score of 8 (with a minimum score of 2 in each nasal cavity) at screening and randomization.
* Ongoing symptoms (for at least 12 weeks before Visit 1) of:
* Nasal congestion/blockade/obstruction with moderate or severe (symptom severity score 2 or 3) at Visit 1 and a weekly average severity of greater than 1 in the week before randomization (Visit 2), AND
* At least one of the following two symptoms: loss of smell or rhinorrhea (anterior/posterior).
* A female participant is eligible to participate if she is not pregnant or breastfeeding, and at least 1 of the following conditions applies:
* Is not a women of childbearing potential (WOCBP), OR
* Is a WOCBP and agrees to use a contraceptive method that is highly effective, with a failure rate of \<1% during the study (at a minimum until 20 weeks after the last dose of study intervention).
Exclusion Criteria:
Participants are excluded from the study if any of the following criteria apply:
* Participants with a history of clinically significant renal, hepatic, metabolic, neurologic, hematologic, ophthalmologic, respiratory (excluding those with asthma and aspirin-exacerbated respiratory disease (AERD) which may be included in the study), gastrointestinal, cardiovascular, cerebrovascular, or other significant medical illness or disorder, which, in the judgment of the Investigator, could interfere with the study or require treatment that might interfere with the study.
* Participants who are currently smoking tobacco and/or vaping, or participants in whom smoking/vaping cessation has occurred \<6 months prior to Screening (Visit 1). Nicotine replacement therapy and/or noninhaled tobacco product use are not considered current smoking of tobacco.
* Participants meet any contraindications for mometasone furoate nasal spray (MFNS) such as hypersensitivity to MFNS or any of its components; or participants with uncontrolled opportunistic infections.
* Participants with a history of a severe systemic hypersensitivity reaction to a mAb.
* Participants with conditions/concomitant diseases making them non-evaluable at Visit 1 or for the primary efficacy endpoint.
* Participants with nasal cavity malignant tumor and benign tumors (eg, papilloma, blood boil etc).
* Participants with severe uncontrolled asthma with history of 2 and/or more exacerbations, requiring SCS or 1 hospitalization requiring SCS in the past year.
* History of concomitant lung disease (other than asthma, eg, COPD, interstitial lung disease) which in the opinion of the Investigator could interfere with performance and interpretation of spirometry.
* Participants treated with intranasal corticosteroid(s) (INCS) (MFNS is permitted), intranasal emitting devices/stents, nasal spray using exhalation delivery system such as XhanceTM during the screening period. In Japan and China INCS other than MFNS are permitted.
* Participants who have undergone any sinus intranasal surgery (including polypectomy) within 6 months before Visit 1.
* Participants who received SCS 1 month prior to Screening (Visit 1) or during the screening period (between Visit 1 and Visit 2).
* Known allergy to itepekimab or its excipients, or any drug or other allergy that, in the opinion of the Investigator, contraindicates participation in this study.
The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
Primary outcome measure(s)
Change from baseline in the endoscopic NPS — Baseline to Week 24 The Nasal Polyp Score (NPS) is the sum of the right and left nostril scores, as evaluated by means of nasal endoscopy. Nasal polyp is graded based on polyp size from 0 to 4 with higher scores indicating larger polyps. The sum of right and left nostril scores ranges from 0 (no polyps) to 8 (large polyps).
Change from baseline in the NCS — Baseline to Week 24 The Nasal Congestion Score (NCS) is scored using a 0-3 categorical scale where 0 = no symptoms, 1 = mild symptoms, 2 = moderate symptoms and 3 = severe symptoms.
Outcome value is defined as the preceding 28-day average of morning scores recorded in eDiary.
Trial sites (121)
Facility
City
Region
Status
University of Southern California (USC) / Keck Medicine of USC- Site Number : 8400037
Arcadia
California
Sensa Health- Site Number : 8400038
Los Angeles
California
Newport Native MD- Site Number : 8400031
Newport Beach
California
Sacramento Ear Nose & Throat - Roseville- Site Number : 8400064
Roseville
California
Breathe Clear Institute of Sinus and Allergy Relief- Site Number : 8400040
Torrance
California
Orso Health - Torrance - Hawthorne Boulevard- Site Number : 8400035
Torrance
California
Advanced Research Associates (ARA) Professionals- Site Number : 8400011
Miami
Florida
Paradisus Med Research - Miami- Site Number : 8400009
Miami
Florida
Orlando ENT Associates - Orlando- Site Number : 8400008
Orlando
Florida
Emory University School of Medicine- Grady Campus- Site Number : 8400047
Atlanta
Georgia
Treasure Valley Medical Research- Site Number : 8400063
Boise
Idaho
University of Chicago Medical Center- Site Number : 8400018
Chicago
Illinois
Deaconess Clinic Allergy East- Site Number : 8400056
Evansville
Indiana
SSM Health Saint Louis University Hospital- Site Number : 8400005
St Louis
Missouri
Northwell Health Physician Partners Rheumatology at Great Neck- Site Number : 8400028
Great Neck
New York
Essential Medical Research- Site Number : 8400066
Tulsa
Oklahoma
TEN20 Clinical Research - Dallas- Site Number : 8400015
Dallas
Texas
Houston Methodist Hospital- Site Number : 8400054
Houston
Texas
ENT Associates of Texas - McKinne- Site Number : 8400062
McKinney
Texas
Alamo ENT Associates- Site Number : 8400065
San Antonio
Texas
Eastern Virginia Medical School (EVMS) Medical Group- Site Number : 8400046
Norfolk
Virginia
Investigational Site Number : 0320002
La Plata
Buenos Aires
Investigational Site Number : 0320004
Rosario
Santa Fe Province
Investigational Site Number : 0320001
Buenos Aires
Argentina
Investigational Site Number : 0320005
Buenos Aires
Argentina
Investigational Site Number : 0320003
Mendoza
Argentina
Investigational Site Number : 0400005
Graz
Austria
Investigational Site Number : 0400002
Linz
Austria
Investigational Site Number : 0400001
Vienna
Austria
Hospital das Clinicas da Faculdade de Medicina de Ribeirao Preto- Site Number : 0760002
Ribeirão Preto
São Paulo
Centro Internacional de Pesquisa Clínica (CIPES)- Site Number : 0760005
São José dos Campos
São Paulo
Hospital Israelita Albert Einstein- Site Number : 0760001
São Paulo
Brazil
Investigational Site Number : 1240005
London
Ontario
Investigational Site Number : 1240002
Montreal
Quebec
Investigational Site Number : 1240001
Québec
Quebec
Investigational Site Number : 1520006
Valdivia
Los Ríos Region
Investigational Site Number : 1520003
Talca
Maule Region
Investigational Site Number : 1520004
Lo Barnechea
Reg Metropolitana de Santiago
Investigational Site Number : 1520002
Santiago
Reg Metropolitana de Santiago
Investigational Site Number : 1520001
Santiago
Reg Metropolitana de Santiago
+ 81 more sites — see the full list on the official registry below.
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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