Immunologic Impact of Dupilumab in Patients Suffering From Asthma and Chronic Rhinosinusitis With Polyps
- Sponsor
- Dr. Andrew Thamboo, MD
- Study ID
- NCT06556264
- Phase
- PHASE4
- Status
- Not Yet Recruiting
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Conditions
- Asthma
- Chronic Rhinosinusitis With Nasal Polyps
Eligibility Criteria
- Sex
- ALL
- Age
- 19 Years - N/A
- Healthy Volunteers
- Not accepted
Interventions
- Dupilumab — DRUGDupilumab 300mg every 2 weeks for 24 weeks
- Placebo — OTHERPlacebo 300mg every 2 weeks for 24 weeks
Study Details
The investigators are studying adults who have chronic rhinosinusitis with nasal polyps (CRSwNP) and moderate to severe asthma, and who are undergoing Endoscopic Sinus Surgery (ESS). Investigators want to understand how adding a medication called dupilumab to their usual treatment affects inflammation in their upper and lower airways over 24 weeks. Dupilumab works by blocking certain signals in the immune system that contribute to inflammation in both the sinuses and the lungs. By studying how this medication changes the immune profiles of both airway systems, investigators hope to learn more about the underlying causes of airway inflammation in these conditions. This research is important because it may help understand if treating inflammation in one part of the airway (like the lungs) has a similar effect on inflammation in another part (like the sinuses). This could lead to better treatments for people with CRSwNP and asthma, targeting the root causes of their symptoms more effectively.
Key Dates
- Start date
- Aug 31, 2024
- Status verified
- Aug 2024
- Primary completion
- Jan 31, 2025
- Completion
- Dec 31, 2025
Study Design
- Enrollment
- 60 participants (estimated)
- Allocation
- RANDOMIZED
- Intervention model
- SINGLE_GROUP
- Primary purpose
- TREATMENT
Arms
- Active Comparator: Dupilumab30 subjects undergoing ESS + dupilumab 300 (1-week post-surgery) every 2 weeks + standard of care treatment (INCS + background asthma medication) for 24 weeks
- Placebo Comparator: Placebo30 subjects undergoing ESS + placebo (1-week post-surgery) every 2 weeks + standard of care treatment (INCS + background asthma medication) for 24 weeks.
Primary Outcome Measure
Change in Cytokine levels such as GM-CSF, IFNg, TNFa, VEGF-A, Identification of Key Interleukins and chemokynes (10/CXCL10, MIP-1a/CCL3, RANTES/CCL5), compared with placebo in CRSwNP and asthma patients from baseline to week 24 [ Time Frame: From baseline to 24 weeks. ]
Central Contacts
- Andrew Thamboo604-250-4174
- Leonora Beltran604-250-4174
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