BIOlogics in Severe Nasal POlyposis SurvEy.: a French Registry (BIOPOSE2)
Real Life Assessment of Biologics Efficacy in Severe Chronic Rhinosinusitis With Nasal Polyps
With a prevalence of 2-4% in western countries, Chronic Rhinosinusitis with Nasal Polyps (CRSwNP) is of major concern regarding its substantial impact on the social and physical quality of life. So far, endoscopic sinus surgery remains the treatment of choice when the first line of medical treatment with corticosteroid has failed.
During the last 15 years, several studies have shown that CRSwNP is associated with a T helper 2 (T2) immune response leading to B cell release of IgE, mucosal recruitment of eosinophils from bone marrow via Interleukin (IL)-5, IL-4 and IL-13 mediated chemoattractant production.
New biologic agents capable of blocking T2 cytokines have been developed in the field of eosinophil-associated diseases, shifting the paradigm of treatment for patients with CRSwNP. In the near future, endotype profiling with accurate biomarkers will be mandatory to tailor the treatment of nasal polyposis with specific biologic therapies.
Herein the investigators propose a prospective study monitoring medical records of CRSwNP patients who undergo biologic treatments. The objectives are to assess treatment efficacy on quality of life, to report clinical and biological criteria for prescription and to measure tolerance and compliance.Patient-reported outcomes will be addressed according to their initial clinical profile (allergy, asthma, NSAID, gastroesophageal reflux disease, obstructive apnea, otologic disorder, smoke habit).
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Geoffrey Mortuaire, MD, pHD
- Phone Number: 0320445675
- Email: geoffrey.mortuaire@chru-lille.fr
Study Contact Backup
- Name: Geoffrey Mortuaire
- Phone Number: 0320445675
- Email: geoffrey.mortuaire@chru-lille.fr
Study Locations
-
-
-
Lille, France
- Recruiting
- CHU de LILLE
-
Contact:
- Geoffrey MORTUAIRE, Pr
- Phone Number: 03 20 44 59 62
- Email: geoffrey.mortuaire@chu-lille.fr
-
Lille, France
- Active, not recruiting
- CHU de LILLE
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patients of over 18-year old requiring a biologic treatment for CRswNP in accordance with its marketing approval.
- The patients already treated according to this criteria since August 2021 will be followed and their previous clinical and biological data retrospectively collected
Exclusion Criteria:
- Oral corticotherapy in the previous month;
- Biologic treatment with anti-IgE (omalizumab), anti-IL-5/IL-5R (mepolizumab, benralizumab) or anti-IL-4/IL-13R (dupilumab) or any other biotherapy for inflammatory diseases in the previous 6 months of initiation of treatment apart from ongoing biotherapies for severe asthma or CRSwNP;
- Hypersensitivity to humanized antibodies ;
- Documented SARS-Cov2 infection in the last 3 months with persistent olfactory disorders related to COVID;
- Pregnant or breast-feeding women;
- Patient without social coverage.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Other: Biologic treatments available
Biologic treatments available in CRSwNP (dupilumab, mepolizumab and benralizumab according to their marketing approval).
|
Drug prescription according to their marketing approval (subcutaneously, every month or every two weeks).
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Comparison of quality of life over 5 years according to the asthmatic status of the patients
Time Frame: 5-year follow-up
|
Assessment of disease control with the Sino-nasal outcome test-22.
from 0 to 110, 110=worst outcome
|
5-year follow-up
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Quality of life progression in patients with Chronic Rhinosinusitis with Nasal Polyps
Time Frame: Evaluation after 6 months of treatment with biologics
|
Assessment of disease control with the Sino-nasal outcome test-22.
from 0 to 110, 110=worst outcome
|
Evaluation after 6 months of treatment with biologics
|
|
Patient reported symptoms measurement
Time Frame: Month 0, Month 3, Month 6, and every 6 months until 5 years
|
Number of oral corticosteroid treatment courses between each visit (in grammes)
|
Month 0, Month 3, Month 6, and every 6 months until 5 years
|
|
Time to first surgical procedure since the beginning of biologic treatment
Time Frame: MMonth 0, Month 3, Month 6, and every 6 months until 5 years
|
Date and type of sinus surgery between each visit
|
MMonth 0, Month 3, Month 6, and every 6 months until 5 years
|
|
Blood eosinophil count and total IgE blood concentrations evolution during the course of the 5-year follow-up
Time Frame: Month 0, Month 3, Month 6, and every 6 months until 5 years
|
Number off cells per mm3
|
Month 0, Month 3, Month 6, and every 6 months until 5 years
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
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
- 2023_0682
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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