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Tezepelumab CRSwNP Real World Study (CREW Study) (CREW)

24. srpna 2026 aktualizováno: AstraZeneca

Tezepelumab CRSwNP Real World Study (CREW Study): Non-interventional Prospective, Observational Study in Patients With CRSwNP Treated by Tezepelumab, Evaluating Patient-reported Outcomes in Japan Real World Practice.

The CREW Study is a non-interventional prospective, observational study in patients with CRSwNP that will evaluate patient-reported outcomes and describe the proportion of participants achieving treatment goals.)

Přehled studie

Postavení

Zatím nenabíráme

Podmínky

Intervence / Léčba

Typ studie

Pozorovací

Zápis (Odhadovaný)

100

Kontakty a umístění

Tato část poskytuje kontaktní údaje pro ty, kteří studii provádějí, a informace o tom, kde se tato studie provádí.

Studijní kontakt

Kritéria účasti

Výzkumníci hledají lidi, kteří odpovídají určitému popisu, kterému se říká kritéria způsobilosti. Některé příklady těchto kritérií jsou celkový zdravotní stav osoby nebo předchozí léčba.

Kritéria způsobilosti

Věk způsobilý ke studiu

  • Dospělý
  • Starší dospělý

Přijímá zdravé dobrovolníky

Ne

Metoda odběru vzorků

Vzorek nepravděpodobnosti

Studijní populace

The study population will consist of male and female participants aged ≥ 18 years with diagnosed severe uncontrolled CRSwNP, for whom a tezepelumab biologic treatment for CRSWNP will be initiated. Eligible participant will be identified in routine care and enrolled prospectively at participating sites.

Popis

Inclusion Criteria:

  • Participant must be 18 years of age or older, at the time of signing the informed consent
  • Confirmed diagnosis of CRSwNP for at least 12 months prior to routine care visit 1
  • Participants who will be enrolled after index date need to have at least SNOT-22 prior (maximum of 4 weeks) to index date
  • Documented SNOT-22 total score>=30, collected within the 4 weeks prior to the first tezepelumab dose (index date)
  • Treated per the Japanese Handbook for the Management of Chronic Rhinosinusitis with Nasal Polyps for at least 30 days prior to routine care visit 1
  • Physician decision that participant is eligible for treatment with tezepelumab according to local approved CRSwNP label and Optimal Clinical Use Guidelines
  • Patients must be able and willing to read and comprehend written instructions, to collect PROs and medication intake and to sign the informed consent document

Exclusion Criteria:

  • Patients who participate in an interventional clinical trial in the last 4 months
  • Known hypersensitivity to tezepelumab or any of its excipients
  • Patients who have received any biologic therapy for asthma or CRSwNP
  • Condition (acute or chronic) that, in the investigator's opinion, would limit the participant´s ability to complete questionnaires or participate in this study
  • Pregnancy or lactation period or planning pregnancy during the study period

Studijní plán

Tato část poskytuje podrobnosti o studijním plánu, včetně toho, jak je studie navržena a co studie měří.

Jak je studie koncipována?

Detaily designu

Kohorty a intervence

Skupina / kohorta
Intervence / Léčba
Tezepelumab Treatment Group
Adult patients with severe CRSwNP who are newly initiated on subcutaneous (SC) tezepelumab. Eligible participants are those for whom therapy with systemic corticosteroids and/or surgery does not provide adequate disease control.
Subcutaneous (SC) tezepelumab indicated as add-on therapy for the treatment of participants with severe CRSwNP as part of routine clinical care.
Ostatní jména:
  • Tezspire

Co je měření studie?

Primární výstupní opatření

Měření výsledku
Popis opatření
Časové okno
Mean change from baseline in sinonasal symptoms measured by SNOT-22 total score
Časové okno: at 24 weeks from initiation of tezepelumab treatment.
To describe the changes in participant-reported sinonasal symptoms as evaluated by sinonasal outcome test, 22 item (SNOT-22) total score.
at 24 weeks from initiation of tezepelumab treatment.

Sekundární výstupní opatření

Měření výsledku
Popis opatření
Časové okno
Mean change from baseline in sinonasal symptoms measured by SNOT-22 total score
Časové okno: at 4, 12, and 52 weeks from initiation of tezepelumab treatment
To describe the changes in participant-reported sinonasal symptoms as SNOT-22 total score following initiation of tezepelumab treatment.
at 4, 12, and 52 weeks from initiation of tezepelumab treatment
Proportion of tezepelumab SNOT-22 responders
Časové okno: up to 52 weeks
Proportion of responders in sinonasal symptoms as evaluated by SNOT-22 total score, defined as patients achieving the MCID (≥ 8.9-point decrease from baseline) at each collected timepoint.
up to 52 weeks
Odds to achieve tezepelumab SNOT-22 response
Časové okno: up to 52 weeks
Odds to achieve tezepelumab SNOT-22 response meeting or exceeding the MCID (≥ 8.9-point decrease from baseline) at each collected timepoint.
up to 52 weeks
Median time to first MCID-defined responder in sinonasal symptoms
Časové okno: up to 52 weeks
To describe time to response in sinonasal symptoms as evaluated by SNOT-22 total score (time from baseline to the first occurrence of ≥ 8.9-point decrease).
up to 52 weeks
Mean change from baseline in nasal blockage (NB) measured by VAS-NB
Časové okno: up to 52 weeks
To describe changes in nasal blockage (NB) as evaluated by a visual analogue scale (VAS-NB) at each collected timepoint.
up to 52 weeks
Proportion of NB responders
Časové okno: up to 52 weeks
To describe proportion of NB responders, defined as patients achieving the MCID (≥ 3.0-point decrease from baseline; in participants with VAS-NB ≥ 7 at baseline) at each collected timepoint.
up to 52 weeks
Median time to meeting or exceeding the MCID for VAS-NB
Časové okno: up to 52 weeks
Median time from baseline to the first occurrence of a ≥3.0-point decrease by each collected timepoint in participants with VAS-NB ≥ 7 at baseline.
up to 52 weeks
Mean change from baseline in sense of smell score by VAS-smell
Časové okno: up to 52 weeks
To describe changes in sense of smell as evaluated by VAS-Smell
up to 52 weeks
Proportion of VAS-Smell responders
Časové okno: up to 52 weeks
Proportion of VAS-Smell responders, defined as patients achieving the MCID (≥ 3.0-point decrease from baseline) in participants with VAS-Smell ≥ 7 at baseline at each collected timepoint.
up to 52 weeks
Median time to meeting or exceeding the MCID for VAS-Smell
Časové okno: up to 52 weeks
Median time from baseline to the first occurrence of a ≥3.0-point decrease by each collected timepoint in participants with VAS-Smell ≥ 7 at baseline.
up to 52 weeks
Mean change from baseline in NP severity as measured by VAS-NP symptoms
Časové okno: up to 52 weeks
To describe changes in NP severity (VAS-NP) at each collected timepoint.
up to 52 weeks
Proportion of VAS-NP symptom responders
Časové okno: up to 52 weeks
To describe responders proportion of VAS-NP symptom responders, defined as patients achieving the MCID (≥ 2.5-point decrease from baseline) at each collected timepoint.
up to 52 weeks
Median time to meeting or exceeding the MCID for VAS-NP symptom
Časové okno: up to 52 weeks
Median time from baseline to the first occurrence of a ≥2.5-point decrease by each collected timepoint.
up to 52 weeks
Mean change from baseline in total NPS evaluated by nasal endoscopy
Časové okno: up to 52 weeks
To describe changes in nasal polyp score (NPS) at each collected timepoint.
up to 52 weeks
Proportion of NPS responders
Časové okno: up to 52 weeks
To describe proportion of NPS responders, defined as patients achieving the MCID (≥ 1.0-point decrease from baseline).
up to 52 weeks
Median time to meeting or exceeding the MCID for NPS
Časové okno: up to 52 weeks
To describe median time to meeting or exceeding the MCID for NPS by each collected timepoint.
up to 52 weeks
Proportion of participants who respond as 'well controlled' or 'completely controlled' NP symptoms to the NP control question
Časové okno: up to 52 weeks
To describe responder proportion for NP control.
up to 52 weeks
Median time to first attainment of NP well control or NP complete control
Časové okno: up to 52 weeks
To describe median time to first attainment of NP well control or NP complete control by each collected timepoint.
up to 52 weeks
Average SCS daily dose after initiating tezepelumab
Časové okno: From baseline up to 24 weeks and from baseline up to 52 weeks
To describe overall systemic steroid use in participants, measured as average SCS daily dose (e.g., prednisone-equivalent milligrams).
From baseline up to 24 weeks and from baseline up to 52 weeks
Proportion of participants with CRSwNP-related, asthma-related and other-disease-related SCS use
Časové okno: From baseline up to 24 weeks and from baseline up to 52 weeks
To describe proportion of participants with CRSwNP-related, asthma-related and other-disease-related SCS use.
From baseline up to 24 weeks and from baseline up to 52 weeks
Number of patients with ≥ 100, 200 and 400 mg cumulative SCS
Časové okno: From baseline up to 24 weeks and from baseline up to 52 weeks
Number of patients with ≥ 100, 200 and 400 mg cumulative SCS (e.g., prednisone-equivalent milligrams).
From baseline up to 24 weeks and from baseline up to 52 weeks
Time-to-first disease-related SCS use
Časové okno: From baseline up to 24 weeks and from baseline up to 52 weeks
Time-to-first disease-related SCS use, with cumulative incidence CRSwNP-related SCS use, asthma-related SCS use, other indications related SCS use and unknown indication-related SCS use.
From baseline up to 24 weeks and from baseline up to 52 weeks
Proportion of participants with AEs, SAEs, DAEs, and AESIs
Časové okno: Up to 52 weeks
To describe the occurrence of adverse events in CRSwNP patients treated with tezepelumab.
Up to 52 weeks
Individual goal attainment
Časové okno: At Week 24 and Week 52
Proportion of participants achieving symptoms goal: SNOT-22* ≤ 20
At Week 24 and Week 52
Individual goal attainment
Časové okno: At Week 24 and Week 52
Proportion of participants achieving Exacerbations goal: No SCS for sino-nasal exacerbations
At Week 24 and Week 52
Individual goal attainment
Časové okno: At Week 24 and Week 52
Proportion of participants achieving Surgery goal: No sino-nasal surgery
At Week 24 and Week 52
Individual goal attainment
Časové okno: At Week 24 and Week 52
Proportion of participants achieving Polyp burden goal: NPS improvement or NPS ≤2
At Week 24 and Week 52
Individual goal attainment
Časové okno: At Week 24 and Week 52
Proportion of participants achieving olfaction goal: Smell PRO improvement following initiation of tezepelumab
At Week 24 and Week 52
Composite goal attainment
Časové okno: At Week 24 and Week 52
Proportion of participants achieving the following goals combinations: Combined symptom/exacerbation/surgery
At Week 24 and Week 52
Composite goal attainment
Časové okno: At Week 24 and Week 52
Proportion of participants achieving the following goals combinations: Combined symptom/exacerbation/surgery/polyp
At Week 24 and Week 52
Composite goal attainment
Časové okno: At Week 24 and Week 52
Proportion of participants achieving the following goals combinations: Combined symptom/exacerbation/surgery/olfaction
At Week 24 and Week 52
Composite goal attainment
Časové okno: At Week 24 and Week 52
Proportion of participants achieving the following goals combinations: Combined symptom/exacerbation/surgery/polyp burden/olfaction
At Week 24 and Week 52

Spolupracovníci a vyšetřovatelé

Zde najdete lidi a organizace zapojené do této studie.

Sponzor

Termíny studijních záznamů

Tato data sledují průběh záznamů studie a předkládání souhrnných výsledků na ClinicalTrials.gov. Záznamy ze studií a hlášené výsledky jsou před zveřejněním na veřejné webové stránce přezkoumány Národní lékařskou knihovnou (NLM), aby se ujistily, že splňují specifické standardy kontroly kvality.

Hlavní termíny studia

Začátek studia (Odhadovaný)

1. října 2026

Primární dokončení (Odhadovaný)

31. října 2028

Dokončení studie (Odhadovaný)

28. září 2029

Termíny zápisu do studia

První předloženo

18. srpna 2026

První předloženo, které splnilo kritéria kontroly kvality

24. srpna 2026

První zveřejněno (Aktuální)

27. srpna 2026

Aktualizace studijních záznamů

Poslední zveřejněná aktualizace (Aktuální)

27. srpna 2026

Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality

24. srpna 2026

Naposledy ověřeno

1. srpna 2026

Více informací

Termíny související s touto studií

Další relevantní podmínky MeSH

Další identifikační čísla studie

  • D5242R00014

Plán pro data jednotlivých účastníků (IPD)

Plánujete sdílet data jednotlivých účastníků (IPD)?

ANO

Popis plánu IPD

Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal Vivli.org. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared. does not contain a plan to share individual participant data.

Časový rámec sdílení IPD

AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA PhRMA Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.

Kritéria přístupu pro sdílení IPD

When a request has been approved AstraZeneca will provide access to the anonymized individual patient-level data via secure research environment Vivli.org.

Signed Data Usage Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information.

Informace o lécích a zařízeních, studijní dokumenty

Studuje lékový produkt regulovaný americkým FDA

Ne

Studuje produkt zařízení regulovaný americkým úřadem FDA

Ne

produkt vyrobený a vyvážený z USA

Ne

Tyto informace byly beze změn načteny přímo z webu clinicaltrials.gov. Máte-li jakékoli požadavky na změnu, odstranění nebo aktualizaci podrobností studie, kontaktujte prosím register@clinicaltrials.gov. Jakmile bude změna implementována na clinicaltrials.gov, bude automaticky aktualizována i na našem webu .