Efficacy and Safety of SHR-1905 Injection in Patients With Chronic Rhinosinusitis With Nasal Polyps
A Multicentre, Randomised, Double-Blind, Placebo-Controlled, Parallel-Group Phase 2 Efficacy and Safety Study of SHR-1905 in Patiens With Chronic Rhinosinusitis With Nasal Polyps
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: Huize Han
- Phone Number: +0518-81220121
- Email: huize.han@hengrui.com
Study Locations
-
-
Shanghai Municipality
-
Shanghai, Shanghai Municipality, China, 200031
- Eye & ENT Hospital of Fudan University
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Weight ≥40kg
- Diagnosed with chronic rhinosinusitis with nasal polyps (CRSwNP).
- Bilateral nasal polyps at screening and baseline, total NPS ≥5, ≥2 points for each nostril.
- NCS ≥2 at screening and baseline.
- SNOT-22≥20 at screening period and baseline.
- Recorded persistent NP symptoms for over 4 weeks prior to screening.
- Subjects received standard therapy with intranasal corticosteroids (INCS) and remained stable during the 4 weeks prior to randomization.
- NP surgery in the past and/or ACERS treated with SCS occurred within 2 years before randomization (or with contraindications/ intolerances).
Exclusion Criteria:
- Any comorbidities that may affect the efficacy evaluation of nasal polyps.
- Any comorbidities except for asthma that may affect blood EOS levels.
- Concomitant with immunodeficiency.
- Concomitant with contraindications or not suitable for nasal endoscopy.
- Uncontrolled hypertension.
- Uncontrolled diabetes.
- Infection within 2 weeks prior to screening to randomization that is clinically significant and/or should be treated with systemic antibiotics.
- Uncontrolled epistaxis within 4 weeks prior to randomization.
- Major surgery performed within 3 months prior to randomization, or surgery planned during the study, or treatments that may affect evaluations according to investigators.
- Parasitic infection within 6 months before randomization.
- Sinus or intranasal surgery (except for diagnostic biopsy) within 6 months prior to randomization, or changes in the nasal walls caused by sinus or intranasal surgery that made NPS evaluation impossible.
- Malignancies diagnosed within 5 years before randomization (except those with a low risk of metastasis or death).
- Abnormalities of laboratory tests at screening or baseline.
- Concomitant with active hepatitis B, positive hepatitis C virus antibodies, positive human immunodeficiency virus antibodies, or positive treponema pallidum antibodies.
- Prolonged QTc interval (>450ms for male and >470ms for female) or other clinically significant abnormal results of ECG at screening or baseline that may cause significant safety risks to subjects.
- FEV1 before the use of bronchodilator (pre-BD) was less than 50% at screening.
- Transfusion of blood products or immunoglobulin within 4 weeks prior to randomization.
- SCS or additional INCS use within 4 weeks before randomization, or planned use during treatment period.
- Regular use of decongestants (local or systemic) within 4 weeks before randomization, except for during the endoscopic procedure.
- Adnimistration of live vaccine or viral vector vaccine within 4 weeks before randomization.
- Allergen immunotherapy within 8 weeks before randomization.
- Smoking history ≥10 pack-years, smoking at screening, or smoking cessation less than 6 months at screening.
- Substance abuse, drug abuse, and/or excessive alcohol consumption within 1 year prior to randomization.
- Pregnancy (including positive pregnancy test at screening or baseline), lactation, or pregnancy plan during study period.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Placebo Comparator: Placebo Group
|
SHR-1905 Placebo Injection
|
|
Experimental: Treatment group A: SHR-1905 Injection(dose 1)
|
SHR-1905 Injection
|
|
Experimental: Treatment group B: SHR-1905 Injection(dose 2)
|
SHR-1905 Injection
|
|
Experimental: Treatment group C: SHR-1905 Injection(dose 3)
|
SHR-1905 Injection
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Nasal polyp scores (NPS)
Time Frame: Baseline to Week 24
|
Change from baseline in NPS at Week 24.
|
Baseline to Week 24
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
NPS
Time Frame: Baseline to Week 48
|
Changes from baseline in NPS from baseline at each evaluation time point.
|
Baseline to Week 48
|
|
Nasal Congestion Scores (NCS)
Time Frame: Baseline to Week 48
|
Changes from baseline in NCS at each evaluation time point.
|
Baseline to Week 48
|
|
Loss of smell
Time Frame: Baseline to Week 48
|
Changes from baseline in scores of loss of smell at each evaluation time point.
|
Baseline to Week 48
|
|
Runny nose/postnasal drip
Time Frame: Baseline to Week 48
|
Change from baseline in scores of runny nose/postnasal drip at each evaluation time point.
|
Baseline to Week 48
|
|
Facial pain and/or pressure
Time Frame: Baseline to Week 48
|
Change from baseline in facial pain and/or pressure scores at each evaluation time point.
|
Baseline to Week 48
|
|
Total symptoms score (TSS)
Time Frame: Baseline to Week 48
|
Changes from baseline in TSS each evaluation time point.
|
Baseline to Week 48
|
|
Sino-nasal outcome test-22 (SNOT-22) scores
Time Frame: Baseline to Week 48
|
Changes from baseline in SNOT-22 scores at each evaluation time point.
|
Baseline to Week 48
|
|
Proportion of subjects exposed to SCS for acute exacerbation of chronic rhinosinusitis (AECRS) over 24 weeks.
Time Frame: Baseline to Week 24
|
Baseline to Week 24
|
|
|
Dose of SCS used for AECRS over 24 weeks (converted to equivalent dose of prednisone).
Time Frame: Baseline to Week 24
|
Baseline to Week 24
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- SHR-1905-202
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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