- ICH GCP
- Реестр клинических исследований США
- Клиническое испытание NCT05246267
Эффекты лечения дупилумабом у этнически разнообразной популяции с хроническим риносинуситом с полипозом носа (CRSwNP)
Эффекты лечения дупилумабом у этнически разнообразной популяции с хроническим риносинуситом с полипозом носа (CRSwNP)
Обзор исследования
Статус
Вмешательство/лечение
Подробное описание
Во-первых, оно подтвердит эффективность дупилумаба при лечении ХРСННП у пациентов из этнических и расовых меньшинств, которые традиционно недостаточно представлены в существующих клинических испытаниях биологических препаратов при ХРСННП. Во-вторых, это исследование установит биомаркер терапевтического ответа на дупилумаб, определяющий биологический эффект. дупилумаба у пациентов с CRSwNP и его связь с улучшением симптомов.
Наконец, исследователи измерят влияние дупилумаба на симптомы астмы и функцию легких у пациентов с CRSwNP и сопутствующей астмой.
Будет осмотр с целью скрининга, за которым последует базовый визит, во время которого будут даны лекарства. Последующие посещения будут запланированы через 2 недели, а затем через 16 недель от исходного уровня. Долгосрочные визиты состоятся в 36 и 52 недели.
Тип исследования
Регистрация (Действительный)
Контакты и местонахождение
Места учебы
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New York
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The Bronx, New York, Соединенные Штаты, 10461
- Montefiore Medical Center
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Критерии участия
Критерии приемлемости
Возраст, подходящий для обучения
Принимает здоровых добровольцев
Метод выборки
Исследуемая популяция
Описание
Критерии включения:
- Пациенты с диагностированным врачом CRSwNP с сопутствующей астмой или без нее, которые соответствуют критериям показаний для одобренного FDA использования дупилумаба.
- Пациенты в возрасте 18 лет и старше.
- Пациент, желающий дать согласие на участие в исследовании.
- Пациенты со страховкой, которая позволяет покрытие Dupilumab или покрытие Dupilumab, полученное в рамках «Dupixent MyWay Program».
Критерий исключения:
- Возраст до 18 лет
- Подозрение или диагностированный аллергический грибковый риносинусит.
- Подозрение или диагноз муковисцидоза.
- Отказ в покрытии дупилумаба из-за страховки или «Программы Dupixent MyWay»
- Пациенты, которые нуждались в снижении дозы стероидов в предшествующие 30 дней. Тем не менее, пациенты, постоянно принимающие стероиды в дозе менее или равной 20 мг преднизолона в день, имеют право на участие.
- Пациенты, которые принимали другие биологические препараты в течение предшествующих 3 месяцев.
- Пациенты с диагнозом EGPA/синдром Чарга-Стросса
- Беременные пациенты
- Пациенты с ростом инвертированной папилломы
Учебный план
Как устроено исследование?
Детали дизайна
Когорты и вмешательства
Группа / когорта |
Вмешательство/лечение |
|---|---|
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CRSwNP participants receiving dupilumab
Patients with physician-diagnosed CRSwNP, with or without comorbid asthma that meet indication criteria for FDA-approved use of Dupilumab.
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Стандарт лечения дупилумабом
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Non-CRSwNP surgical controls
Patients undergoing sinonasal surgery for septal deviation, facial trauma with sinus fracture, cerebrospinal fluid (CSF) rhinorrhea, or sinonasal tumor.
Single tissue collection at the time of surgery.
No dupilumab administered.
No subsequent study visits.
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Что измеряет исследование?
Первичные показатели результатов
Мера результата |
Мера Описание |
Временное ограничение |
|---|---|---|
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Change from baseline in Sino-Nasal outcome test (SNOT-22) score
Временное ограничение: Baseline, 2 weeks, 16 weeks, 36 weeks, and 52 weeks post-administration
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Change in sinonasal values from baseline will be assessed using the 22-item Sino-Nasal Outcome Test (SNOT-22).
The SNOT-22 is a 22-item patient questionnaire used to measure symptom severity and related quality of life in people with chronic rhinosinusitis or nasal problems.
Each of the 22 items is measured using a 6-point Likert scale ranging from 0 ("No problem") to 5 ("Worst possible problem"), yielding an overall scoring range of 0-110, such that higher scores are indicative of worsening symptom burden.
This outcome measure will only be assessed longitudinally in the participants receiving Dupilumab.
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Baseline, 2 weeks, 16 weeks, 36 weeks, and 52 weeks post-administration
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Change from baseline in Smell Function
Временное ограничение: Baseline, 2 weeks, 16 weeks, 36 weeks, and 52 weeks post-administration
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Change in smell function from baseline will be assessed using the University of Pennsylvania Smell Identification Test (UPSIT).
The UPSIT is a standardized 40-item "scratch-and-sniff" test of olfactory function.
Each participant is provided with four small booklets containing a total of 40 microencapsulated scent strips and is instructed to scratch the strip, sniff the odor, and pick the correct answer from a multiple-choice list of four options per item.
Each correct identification of a scratch-and-sniff odor gives one point, yielding an overall possible scoring range of 1-40.
Lower scores reflect a reduced ability to identify odors.
This outcome measure will only be assessed longitudinally in the participants receiving Dupilumab.
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Baseline, 2 weeks, 16 weeks, 36 weeks, and 52 weeks post-administration
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Change from baseline in Nasal Peak Flow (NPF)
Временное ограничение: Baseline, 2 weeks, 16 weeks, 36 weeks, and 52 weeks post-administration
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Change in NPF values from baseline will be evaluated in the clinic.
Peak nasal inspiratory flow (PNIF) normal values typically range from 80-180 Liters per minute (L/min) in healthy adults, varying based on age, sex, and physical stature.
Higher values are indicative of greater nasal airway patency.
Change from baseline values will be expressed in units of L/min.
This outcome measure will only be assessed longitudinally in the participants receiving Dupilumab.
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Baseline, 2 weeks, 16 weeks, 36 weeks, and 52 weeks post-administration
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Вторичные показатели результатов
Мера результата |
Мера Описание |
Временное ограничение |
|---|---|---|
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Change from baseline in urinary Leukotriene E4 (uLTE₄) levels
Временное ограничение: Baseline, 2 weeks, 16 weeks, 36 weeks, and 52 weeks post-administration
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Change in uLTE₄ levels from baseline will be assessed in the clinic.
Urine samples will be collected during each specified timepoint, and samples will be processed and analyzed using liquid chromatography-tandem mass spectrometry (LC-MS/MS) or the appropriate immunoassay.
Normal reference ranges for uLTE4 is ≤ 104 picograms per milligram (pg/mg) creatinine.
Elevated uLTE₄ levels are indicative of heightened systemic or airway cysteinyl leukotriene activity and serve as a reliable, non-invasive biomarker for several inflammatory, respiratory, and hypersensitivity disorders.
Change from baseline values will be expressed in units of pg/mg.
This outcome measure will only be assessed longitudinally in the participants receiving Dupilumab.
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Baseline, 2 weeks, 16 weeks, 36 weeks, and 52 weeks post-administration
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Change from Baseline in Absolute Peripheral Blood Eosinophil Count
Временное ограничение: Baseline, 2 weeks, 16 weeks, 36 weeks, and 52 weeks post-administration
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Changes in Absolute Eosinophil Count from peripheral blood from baseline will be assessed in the clinic.
Blood samples will be drawn during each prespecified timepoint and analyzed using automated hematology analyzers or manual microscopy as part of a Complete Blood Count (CBC) with differential.
Absolute Eosinophil Counts (AEC) vary by laboratory but are generally in the range of 0-500 cells per microliter (cells/µL) of blood.
Elevated AEC in peripheral blood is indicative of increased in eosinophilic conditions as evident from rashes, worsening pulmonary symptoms and/or neuropathy.
Change from baseline values will be expressed in cells/uL.
This outcome measure will only be assessed longitudinally in the participants receiving Dupilumab.
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Baseline, 2 weeks, 16 weeks, 36 weeks, and 52 weeks post-administration
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Change from Baseline in Serum Total Immunoglobulin E (IgE) Levels
Временное ограничение: Baseline, 2 weeks, 16 weeks, 36 weeks, and 52 weeks post-administration
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Changes in total serum IgE levels from baseline will be assessed in the clinic.
Blood samples will be drawn during each prespecified timepoint and analyzed using automated immunoassay techniques to measure the concentration of circulating IgE.
Standard reference ranges vary by laboratory assay, age, and individual baseline factors but are generally in the range of 0-100 International Units per milliliter (IU/mL) of blood.
Elevated IGe concentrations can be indicative of a number of clinical indications including atopic and allergic diseases.
Change from baseline values will be expressed in IU/mL.
This outcome measure will only be assessed longitudinally in the participants receiving Dupilumab.
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Baseline, 2 weeks, 16 weeks, 36 weeks, and 52 weeks post-administration
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Соавторы и исследователи
Спонсор
Следователи
- Главный следователь: Golda Hudes, MD, Montefiore Medical Center
Публикации и полезные ссылки
Общие публикации
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- Effect of 16-week Dupilumab Treatment on Sinonasal Respiratory Symptoms and Sense of Smell in Ethnically Diverse Patients with Chronic Rhinosinusitis with Nasal Polyposis
Даты записи исследования
Изучение основных дат
Начало исследования (Действительный)
Первичное завершение (Оцененный)
Завершение исследования (Оцененный)
Даты регистрации исследования
Первый отправленный
Впервые представлено, что соответствует критериям контроля качества
Первый опубликованный (Действительный)
Обновления учебных записей
Последнее опубликованное обновление (Действительный)
Последнее отправленное обновление, отвечающее критериям контроля качества
Последняя проверка
Дополнительная информация
Термины, связанные с этим исследованием
Дополнительные соответствующие термины MeSH
Другие идентификационные номера исследования
- 2021-13161
Планирование данных отдельных участников (IPD)
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Информация о лекарствах и устройствах, исследовательские документы
Изучает лекарственный продукт, регулируемый FDA США.
Изучает продукт устройства, регулируемый Управлением по санитарному надзору за качеством пищевых продуктов и медикаментов США.
продукт, произведенный в США и экспортированный из США.
Эта информация была получена непосредственно с веб-сайта clinicaltrials.gov без каких-либо изменений. Если у вас есть запросы на изменение, удаление или обновление сведений об исследовании, обращайтесь по адресу register@clinicaltrials.gov. Как только изменение будет реализовано на clinicaltrials.gov, оно будет автоматически обновлено и на нашем веб-сайте. .