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.
Studie Overzicht
Toestand
Toestand
Conditie
Conditie
Interventie / Behandeling
Interventie / Behandeling
Studietype
Studietype
Inschrijving (Geschat)
Inschrijving
Contacten en locaties
Studiecontact
Studiecontact
- Naam: AstraZeneca Clinical Study Information Center
- Telefoonnummer: 1-877-240-9479
- E-mail: information.center@astrazeneca.com
Deelname Criteria
Geschiktheidscriteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Volwassen
- Oudere volwassene
Accepteert gezonde vrijwilligers
Bemonsteringsmethode
Studie Bevolking
Beschrijving
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
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
Aantal groepen / cohorten
Cohorten en interventies
Groep / CohortGroep / Cohort |
Interventie / BehandelingInterventie / Behandeling |
|---|---|
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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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Wat meet het onderzoek?
Primaire uitkomstmaten
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Mean change from baseline in sinonasal symptoms measured by SNOT-22 total score
Tijdsspanne: 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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Secundaire uitkomstmaten
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Mean change from baseline in sinonasal symptoms measured by SNOT-22 total score
Tijdsspanne: 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
Tijdsspanne: up to 52 weeks
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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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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-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
Tijdsspanne: 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
Tijdsspanne: up to 52 weeks
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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
Tijdsspanne: 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
Tijdsspanne: up to 52 weeks
|
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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: up to 52 weeks
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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
Tijdsspanne: 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
Tijdsspanne: up to 52 weeks
|
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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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).
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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
Tijdsspanne: 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
Tijdsspanne: Up to 52 weeks
|
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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: At Week 24 and Week 52
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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
Tijdsspanne: At Week 24 and Week 52
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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
Tijdsspanne: 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
|
|
Composite goal attainment
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
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Medewerkers en onderzoekers
Sponsor
Sponsor
Studie record data
Bestudeer belangrijke data
Studie start (Geschat)
Studie start
Primaire voltooiing (Geschat)
Primaire voltooiing
Studie voltooiing (Geschat)
Studie voltooiing
Studieregistratiedata
Eerst ingediend
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Eerst geplaatst
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update geplaatst
Laatste update ingediend die voldeed aan QC-criteria
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
Andere studie-ID-nummers
- D5242R00014
Plan Individuele Deelnemersgegevens (IPD)
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Beschrijving IPD-plan
IPD-tijdsbestek voor delen
IPD-toegangscriteria voor delen
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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