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Prospective, Non-interventional Single-arm Study With Tezepelumab to Investigate the Change in Clinical and Patient-reported Outcomes in Patients With CRSwNP in Real-world (PETRICHOR) (PETRICHOR)

2026年8月24日 更新者：AstraZeneca
PETRICHOR is a prospective, non-interventional, single-arm, multi-centre study in Germany evaluating real-world clinical and patient-reported outcomes in adults with severe chronic rhinosinusitis with nasal polyps (CRSwNP), whose disease is inadequately controlled with systemic corticosteroids (SCS) and/or surgery. Eligible participants are newly initiated on subcutaneous tezepelumab in routine clinical practice, in accordance with the European Summary of Product Characteristics (SmPC). Treatment decisions are made jointly by patients and their physicians, independent of study enrollment. No additional diagnostic or monitoring procedures are applied; data are collected using epidemiological methods at baseline and during routine clinical visits for up to 104 weeks.

研究概览

地位

招聘中

条件

研究类型

观察性的

注册 (估计的)

200

联系人和位置

本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。

学习联系方式

学习地点

  • 德国
      • Dortmund、德国
        • 招聘中
        • Research Site
      • Hamburg、德国
        • 招聘中
        • Research Site
      • Heilbronn、德国
        • 招聘中
        • Research Site
      • Jena、德国
        • 招聘中
        • Research Site
      • Kiel、德国
        • 招聘中
        • Research Site
      • München、德国
        • 招聘中
        • Research Site
      • Neuenhagen、德国
        • 招聘中
        • Research Site
      • Rosenheim、德国
        • 招聘中
        • Research Site
      • Starnberg、德国
        • 招聘中
        • Research Site
      • Tübingen、德国
        • 招聘中
        • Research Site
      • Wiesbaden、德国
        • 招聘中
        • Research Site

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

  • 成人
  • 年长者

接受健康志愿者

不

取样方法

非概率样本

研究人群

The study population will consist of male and female participants aged ≥ 18 years treated by ear-nose-throat specialists with diagnosed severe uncontrolled CRSwNP, for whom a tezepelumab biologic treatment for CRSwNP will be initiated in line with the applicable European Summary of Product Characteristics (SmPC) within routine clinical practice. The decision to initiate or switch to Tezepelumab must be made by the treating physician according to the participant's medical needs and a positive benefit/risk balance. Eligible patients will be included into the study after and independently of the treating physician's treatment and diagnostic decisions. Each participant should meet all the Inclusion Criteria and none of the Exclusion Criteria for this study in order to be part of the study.

描述

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.
  • - Stable standard of care (SoC) treatment with Intranasal corticosteroids (INCS) for CRSwNP for at least 30 days prior to routine care visit 1.
  • - Physician decision that participant is eligible for treatment with Tezepelumab according to locally approved CRSwNP label.
  • Participants must be able and willing to read and comprehend written instructions, to collect Patient-reported outcome (PROs) and medication intake via app or alternative mode (paper) and to sign the informed consent document. Use of the mobile app is optional; participants without smartphones will not be excluded. Mode of data capture will be recorded and adjusted for in analyses where relevant.
  • - Participants who will be enrolled after index date need to have at least one measurement for SNOT-22 prior (within a maximum of 4 weeks) to index date.
  • - -

Exclusion Criteria:

  • - Participants who participate in an observational study that might influence the assessment of the current study (participants can be part of the German National Registry for Chronic rhinosinusitis (GENRE-CRS)); or participate in an interventional clinical trial in the last 3 months.
  • - Concurrent biologic therapy for CRSwNP or Asthma except where the last dose was administered ≥ 30 days. Stable allergen immunotherapy (defined as a stable dose and regimen at the time of enrolment) is allowed.
  • - Endoscopic NP surgery within 6 months prior to index date.
  • - Condition (acute or chronic) that, in the investigator's opinion, would limit the participant's ability to complete questionnaires or participate in this study.
  • - History of documented anaphylactic reactions/hypersensitivity/serious allergic reactions (immune complex disease) following any biologic therapy.
  • - Known hypersensitivity to Tezepelumab or any of its excipients.
  • - Pregnancy, planned pregnancy or lactation period.
  • - -

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

研究是如何设计的？

设计细节

研究衡量的是什么？

主要结果指标

结果测量
措施说明
大体时间
Mean change from baseline in sino-nasal symptoms measured by SNOT-22 total score at clinical routine visits.
大体时间：From Baseline up to 104 weeks, during each routine care visit

To describe changes from baseline in patient-reported sino-nasal symptoms as evaluated by Sinonasal outcome test (SNOT)-22 total score following initiation of tezepelumab treatment.

SNOT-22 scores are participant-reported and assess physical problems, functional limitations and emotional consequences of SinoNasal conditions. Patient-reported symptom severity and symptom impact over the past 2 weeks are captured via a 6-point scale (0-No Problem to 5-Problem as bad as it can be). The total score is the sum of item scores and has a range from 0 to 110 (higher scores indicate poorer outcomes).
From Baseline up to 104 weeks, during each routine care visit

次要结果测量

结果测量
措施说明
大体时间
Proportion of SNOT-22 total score responders (minimal clinically important difference (MCID) from baseline = -8.9) at clinical routine visits.
大体时间：From Baseline up to 104 weeks, during clinical routine visit
To describe responder proportion in sino-nasal symptoms as evaluated by SNOT-22 total score following initiation of tezepelumab treatment.
From Baseline up to 104 weeks, during clinical routine visit
Mean change from baseline in NB measured by VAS-NB at clinical routine visits.
大体时间：From Baseline up to 104 weeks, during clinical routine visit

To describe changes in nasal blockage (NB) as evaluated by a visual analog scale (VAS)-NB following initiation of tezepelumab treatment.

VAS-NB is a 10-cm line with a bottom anchor of 0 = None and 10 = As bad as you can imagine. Participants will be requested to answer the following question: Please rate your [NB] at its worst over the previous 14 days.
From Baseline up to 104 weeks, during clinical routine visit
Proportion of NB responders (minimal clinically important difference (MCID) from baseline = -3.0; in participants with VAS-NB ≥ 7 at baseline) at clinical routine visits.
大体时间：From Baseline up to 104 weeks, during clinical routine visit
To describe changes in nasal blockage (NB) as evaluated by a VAS-NB following initiation of tezepelumab treatment.
From Baseline up to 104 weeks, during clinical routine visit
Mean change from baseline in loss of smell score evaluated by SST-12/16.
大体时间：From Baseline up to 104 weeks, during clinical routine visit

To describe changes in sense of smell as evaluated by Sniffin Sticks Test (SST)-12/16 odours following initiation of tezepelumab treatment.

SST-12/16 is a validated tool to assess the chemosensory olfactory performance of an individual. The SST is based on 12 or 16 pen-like odor dispensing devices. The participant will have to name the smell using a multiple-choice form which offers 4 answers for every pen, only one of the answers is correct. Participants with a SST-16 result will be converted to the range of SST-12 results through percentage based conversion.
From Baseline up to 104 weeks, during clinical routine visit
Proportion of SST-16 responders (MCID from baseline = 3) at clinical routine visits.
大体时间：From Baseline up to 104 weeks, during clinical routine visit
To describe changes in sense of smell as evaluated by SST-12/16 odours following initiation of tezepelumab treatment.
From Baseline up to 104 weeks, during clinical routine visit
Proportion of participants in each category of olfactory function based on SST-12 results (normosmia 11-12, hyposmia 7-10 and anosmia 0-6) at clinical routine visits. Participants with a SST-16 result will be converted to the range of SST-12 results.
大体时间：From Baseline up to 104 weeks, during clinical routine visit
To describe changes in sense of smell as evaluated by SST-12/16 odours following initiation of tezepelumab treatment.
From Baseline up to 104 weeks, during clinical routine visit
Mean change from baseline in loss of smell score evaluated by VAS-Smell.
大体时间：From Baseline up to 104 weeks, during clinical routine visit
To describe changes in sense of smell as evaluated by VAS-Smell following initiation of tezepelumab treatment.
From Baseline up to 104 weeks, during clinical routine visit
Proportion of VAS-Smell responders (MCID from baseline = -3.0; in participants with VAS-Smell ≥ 7 at baseline) at clinical routine visits.
大体时间：From Baseline up to 104 weeks, during clinical routine visit
To describe changes in sense of smell as evaluated by VAS-Smell following initiation of tezepelumab treatment.
From Baseline up to 104 weeks, during clinical routine visit
Mean change from baseline in NP severity as measured by VAS-NP symptoms at clinical routine visits.
大体时间：From Baseline up to 104 weeks, during clinical routine visit
To describe changes in nasal polyp (NP) severity as evaluated by VAS-NP. The VAS-NP is a 10-cm line with a bottom anchor of 0 = None and 10 = As bad as you can imagine. Participants will be requested to answer the following question: Please rate your [loss of smell] at its worst over the previous 14 days.
From Baseline up to 104 weeks, during clinical routine visit
Proportion of NB responders (MCID from baseline = -3.0; in participants with VAS-NB ≥ 7 at baseline) at clinical routine visits.
大体时间：From Baseline up to 104 weeks, during clinical routine visit
To describe changes in nasal polyp (NP) severity as evaluated by VAS-NP.
From Baseline up to 104 weeks, during clinical routine visit
Mean change from baseline in total NPS evaluated by nasal endoscopy by analysing data at clinical routine visits.
大体时间：From Baseline up to 104 weeks, during clinical routine visit

To describe changes in nasal polyp score (NPS) following initiation of tezepelumab treatment.

The NPS is the sum of the right and left nostril scores (maximum 8), as evaluated by nasal endoscopy. Total NPS is graded based on polyp size described in Gevaert et al. 2023.

(0=no polyps; 1= Small polyps in the middle meatus not reaching below the inferior border of the middle turbinate ; 2= Polyps reaching below the lower border of the middle turbinate; 3= Polyps reaching the lower border of the inferior turbinate or a middle meatal polyp with a score of 2 with any additional polyp medial to the middle turbinate; 4= Large polyps causing complete or near complete obstruction of the inferior nasal cavity i. e., touching the floor of the nose).
From Baseline up to 104 weeks, during clinical routine visit
Proportion of NPS responders (MCID from baseline = -1.0) at clinical routine visits.
大体时间：From Baseline up to 104 weeks, during clinical routine visit
To describe changes in nasal polyp score (NPS) following initiation of tezepelumab treatment.
From Baseline up to 104 weeks, during clinical routine visit
Proportion of participants who respond as 'well controlled' or 'completely controlled' NP symptoms to the patient-reported NP control question at clinical routine visits.
大体时间：From Baseline up to 104 weeks, during clinical routine visit

To describe responder proportion for NP control evaluated by patient-reported NP control question following initiation of tezepelumab treatment.

The NP control question was adapted from the asthma control test (ACT) and asks participants to rate how controlled their NP condition has been over the past 2 weeks. Response options are: Not controlled at all, Poorly controlled, Somewhat controlled, Well controlled, and Completely controlled.
From Baseline up to 104 weeks, during clinical routine visit
Mean change from baseline in average SCS daily dose (only for long-term use) after initiating tezepelumab at clinical routine visits.
大体时间：From Baseline up to 104 weeks, during clinical routine visit
To describe overall prescribed systemic cortico steroids (SCS) in participants following initiation of tezepelumab.
From Baseline up to 104 weeks, during clinical routine visit
Proportion of participants who reduced/stopped using SCS (only for long-term use) after initiating tezepelumab at clinical routine visits.
大体时间：From Baseline up to 104 weeks, during clinical routine visitit
To describe overall prescribed systemic cortico steroids (SCS) in participants following initiation of tezepelumab.
From Baseline up to 104 weeks, during clinical routine visitit
Proportion of participants with CRSwNP-related, asthma-related and other-disease-related SCS use at clinical routine visits.
大体时间：From Baseline up to 104 weeks, during clinical routine visit
To describe overall prescribed systemic cortico steroids (SCS) in participants following initiation of tezepelumab.
From Baseline up to 104 weeks, during clinical routine visit
Mean change from baseline in average cumulative SCS use in participants at clinical routine visits.
大体时间：From Baseline up to 104 weeks, during clinical routine visit
To describe overall prescribed systemic cortico steroids (SCS) in participants following initiation of tezepelumab.
From Baseline up to 104 weeks, during clinical routine visit
Proportion of participants with ≥ 500, 1000 and 2000 mg cumulative SCS at clinical routine visits.
大体时间：From Baseline up to 104 weeks, during clinical routine visit
To describe overall prescribed systemic cortico steroids (SCS) in participants following initiation of tezepelumab.
From Baseline up to 104 weeks, during clinical routine visit
Proportion of participants who are considered as 'good' (4-5 criteria), 'moderate' (2-3 criteria) or 'no - poor response' (0-1 criteria) based on EUFOREA 2023 criteria.
大体时间：From Baseline up to 104 weeks, during clinical routine visit
To describe proportion of participants who show response based on European Forum for Research and Education in Allergy and Airway diseases (EUFOREA) 2023 criteria (1: Reduced NP size (NPS), 2: Reduced need for SCS/ salvage surgery, 3: improved QoL (SNOT-22), 4: improved sense of smell (VAS-Smell or SST), 5: Reduced impact of comorbidities (ACT for asthma)) following initiation of tezepelumab.
From Baseline up to 104 weeks, during clinical routine visit
Proportion of participants who reach 5 EUFOREA 2023 criteria at clinical routine visits.
大体时间：From Baseline up to 104 weeks, during clinical routine visit
To describe proportion of participants who show response based on EUFOREA 2023 criteria.
From Baseline up to 104 weeks, during clinical routine visit
Proportion of participants with AEs, SAEs.
大体时间：From Baseline up to 104 weeks, during clinical routine visit
To describe the safety and tolerability of tezepelumab treatment. Safety evaluated based on type of Adverse Event (AE), intensity, causal relationship to treatment, duration, handling, outcome, and seriousness.
From Baseline up to 104 weeks, during clinical routine visit

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

AstraZeneca

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2026年6月10日

初级完成 (估计的)

2029年12月31日

研究完成 (估计的)

2029年12月31日

研究注册日期

首次提交

2026年6月3日

首先提交符合 QC 标准的

2026年6月3日

首次发布 (实际的)

2026年6月8日

研究记录更新

最后更新发布 (实际的)

2026年8月25日

上次提交的符合 QC 标准的更新

2026年8月24日

最后验证

2026年7月1日

更多信息

与本研究相关的术语

关键字

其他研究编号

  • D5242R00004

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)？

是的

IPD 计划说明

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.

IPD 共享时间框架

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.

IPD 共享访问标准

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.

此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.

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