Tezepelumab CRSwNP Real World Study (CREW Study) (CREW)
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.
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Studientyp
Studientyp
Einschreibung (Geschätzt)
Einschreibung
Kontakte und Standorte
Studienkontakt
Studienkontakt
- Name: AstraZeneca Clinical Study Information Center
- Telefonnummer: 1-877-240-9479
- E-Mail: information.center@astrazeneca.com
Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
- Erwachsene
- Älterer Erwachsener
Akzeptiert gesunde Freiwillige
Probenahmeverfahren
Studienpopulation
Beschreibung
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
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
Anzahl der Gruppen / Kohorten
Kohorten und Interventionen
Gruppe / KohorteGruppe / Kohorte |
Intervention / BehandlungIntervention / Behandlung |
|---|---|
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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.
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Subcutaneous (SC) tezepelumab indicated as add-on therapy for the treatment of participants with severe CRSwNP as part of routine clinical care.
Andere Namen:
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Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Mean change from baseline in sinonasal symptoms measured by SNOT-22 total score
Zeitfenster: at 24 weeks from initiation of tezepelumab treatment.
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To describe the changes in participant-reported sinonasal symptoms as evaluated by sinonasal outcome test, 22 item (SNOT-22) total score.
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at 24 weeks from initiation of tezepelumab treatment.
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Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Mean change from baseline in sinonasal symptoms measured by SNOT-22 total score
Zeitfenster: at 4, 12, and 52 weeks from initiation of tezepelumab treatment
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To describe the changes in participant-reported sinonasal symptoms as SNOT-22 total score following initiation of tezepelumab treatment.
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at 4, 12, and 52 weeks from initiation of tezepelumab treatment
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Proportion of tezepelumab SNOT-22 responders
Zeitfenster: 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.
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up to 52 weeks
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Odds to achieve tezepelumab SNOT-22 response
Zeitfenster: up to 52 weeks
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Odds to achieve tezepelumab SNOT-22 response meeting or exceeding the MCID (≥ 8.9-point decrease from baseline) at each collected timepoint.
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up to 52 weeks
|
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Median time to first MCID-defined responder in sinonasal symptoms
Zeitfenster: 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).
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up to 52 weeks
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Mean change from baseline in nasal blockage (NB) measured by VAS-NB
Zeitfenster: up to 52 weeks
|
To describe changes in nasal blockage (NB) as evaluated by a visual analogue scale (VAS-NB) at each collected timepoint.
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up to 52 weeks
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Proportion of NB responders
Zeitfenster: up to 52 weeks
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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.
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up to 52 weeks
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Median time to meeting or exceeding the MCID for VAS-NB
Zeitfenster: 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.
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up to 52 weeks
|
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Mean change from baseline in sense of smell score by VAS-smell
Zeitfenster: up to 52 weeks
|
To describe changes in sense of smell as evaluated by VAS-Smell
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up to 52 weeks
|
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Proportion of VAS-Smell responders
Zeitfenster: 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.
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up to 52 weeks
|
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Median time to meeting or exceeding the MCID for VAS-Smell
Zeitfenster: up to 52 weeks
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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.
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up to 52 weeks
|
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Mean change from baseline in NP severity as measured by VAS-NP symptoms
Zeitfenster: up to 52 weeks
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To describe changes in NP severity (VAS-NP) at each collected timepoint.
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up to 52 weeks
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Proportion of VAS-NP symptom responders
Zeitfenster: 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.
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up to 52 weeks
|
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Median time to meeting or exceeding the MCID for VAS-NP symptom
Zeitfenster: up to 52 weeks
|
Median time from baseline to the first occurrence of a ≥2.5-point decrease by each collected timepoint.
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up to 52 weeks
|
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Mean change from baseline in total NPS evaluated by nasal endoscopy
Zeitfenster: up to 52 weeks
|
To describe changes in nasal polyp score (NPS) at each collected timepoint.
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up to 52 weeks
|
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Proportion of NPS responders
Zeitfenster: up to 52 weeks
|
To describe proportion of NPS responders, defined as patients achieving the MCID (≥ 1.0-point decrease from baseline).
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up to 52 weeks
|
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Median time to meeting or exceeding the MCID for NPS
Zeitfenster: up to 52 weeks
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To describe median time to meeting or exceeding the MCID for NPS by each collected timepoint.
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up to 52 weeks
|
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Proportion of participants who respond as 'well controlled' or 'completely controlled' NP symptoms to the NP control question
Zeitfenster: up to 52 weeks
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To describe responder proportion for NP control.
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up to 52 weeks
|
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Median time to first attainment of NP well control or NP complete control
Zeitfenster: up to 52 weeks
|
To describe median time to first attainment of NP well control or NP complete control by each collected timepoint.
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up to 52 weeks
|
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Average SCS daily dose after initiating tezepelumab
Zeitfenster: 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).
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From baseline up to 24 weeks and from baseline up to 52 weeks
|
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Proportion of participants with CRSwNP-related, asthma-related and other-disease-related SCS use
Zeitfenster: 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.
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From baseline up to 24 weeks and from baseline up to 52 weeks
|
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Number of patients with ≥ 100, 200 and 400 mg cumulative SCS
Zeitfenster: From baseline up to 24 weeks and from baseline up to 52 weeks
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Number of patients with ≥ 100, 200 and 400 mg cumulative SCS (e.g., prednisone-equivalent milligrams).
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From baseline up to 24 weeks and from baseline up to 52 weeks
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Time-to-first disease-related SCS use
Zeitfenster: 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.
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From baseline up to 24 weeks and from baseline up to 52 weeks
|
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Proportion of participants with AEs, SAEs, DAEs, and AESIs
Zeitfenster: Up to 52 weeks
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To describe the occurrence of adverse events in CRSwNP patients treated with tezepelumab.
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Up to 52 weeks
|
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Individual goal attainment
Zeitfenster: At Week 24 and Week 52
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Proportion of participants achieving symptoms goal: SNOT-22* ≤ 20
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At Week 24 and Week 52
|
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Individual goal attainment
Zeitfenster: At Week 24 and Week 52
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Proportion of participants achieving Exacerbations goal: No SCS for sino-nasal exacerbations
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At Week 24 and Week 52
|
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Individual goal attainment
Zeitfenster: At Week 24 and Week 52
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Proportion of participants achieving Surgery goal: No sino-nasal surgery
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At Week 24 and Week 52
|
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Individual goal attainment
Zeitfenster: At Week 24 and Week 52
|
Proportion of participants achieving Polyp burden goal: NPS improvement or NPS ≤2
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At Week 24 and Week 52
|
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Individual goal attainment
Zeitfenster: 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
|
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Composite goal attainment
Zeitfenster: At Week 24 and Week 52
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Proportion of participants achieving the following goals combinations: Combined symptom/exacerbation/surgery
|
At Week 24 and Week 52
|
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Composite goal attainment
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: At Week 24 and Week 52
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Proportion of participants achieving the following goals combinations: Combined symptom/exacerbation/surgery/polyp burden/olfaction
|
At Week 24 and Week 52
|
Mitarbeiter und Ermittler
Sponsor
Sponsor
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Geschätzt)
Studienbeginn
Primärer Abschluss (Geschätzt)
Primärer Abschluss
Studienabschluss (Geschätzt)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- D5242R00014
Plan für individuelle Teilnehmerdaten (IPD)
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Beschreibung des IPD-Plans
IPD-Sharing-Zeitrahmen
IPD-Sharing-Zugriffskriterien
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.
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