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Mepolizumab for Chronic Sinusitis

Phase < 1
Recruiting
Led By Jean Kim, MD PhD
Research Sponsored by Johns Hopkins University
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Sinonasal inflammation for greater than 12 weeks which include at least 2 of the following symptoms: nasal obstruction/congestion, nasal discharge (anterior or posterior), facial pressure/pain, reduction of sense of smell
Confirmation of the clinical symptoms by CT scan evidence of paranasal sinus mucosal inflammation, and/or endoscopic exam evidence of purulence from the sinuses or ostiomeatal complex
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 0 to 48 hours
Awards & highlights

Study Summary

This trial examines how a drug (mepolizumab) affects cells in the nose to suppress inflammation, and maintain barrier integrity.

Who is the study for?
This trial is for adults with chronic sinusitis and nasal polyps, confirmed by CT or endoscopy, experiencing symptoms like nasal blockage or reduced smell for over 12 weeks. It's not suitable for children under 18, pregnant/lactating women, prisoners, mentally disabled individuals who can't consent, or those recently on steroids/biologics.Check my eligibility
What is being tested?
The study tests Mepolizumab's effects on human nasal airway cells from chronic rhinosinusitis patients in a lab setting. It aims to determine how the drug reduces inflammation and maintains the integrity of the cell lining in these patients.See study design
What are the potential side effects?
While this study is conducted in vitro (outside a living organism), potential side effects of Mepolizumab generally include headache, injection site reactions, back pain, fatigue and allergic reactions.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
I have had sinus inflammation for over 12 weeks with at least two symptoms like blocked nose, runny nose, facial pain, or loss of smell.
Select...
My CT scan or endoscopic exam shows sinus inflammation or infection.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~0 to 48 hours
This trial's timeline: 3 weeks for screening, Varies for treatment, and 0 to 48 hours for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Change in Innate immune inflammatory markers (ng/mL)
Change in Type 1 inflammatory markers (ng/mL)
Change in Type 2 inflammatory markers (ng/mL)
+2 more

Side effects data

From 2016 Phase 3 trial • 136 Patients • NCT02020889
32%
Headache
22%
Arthralgia
21%
Sinusitis
21%
Upper respiratory tract infection
18%
Diarrhoea
18%
Nasopharyngitis
16%
Nausea
16%
Vomiting
15%
Fatigue
15%
Asthma
13%
Injection site reaction
13%
Rash
12%
Back pain
12%
Oropharyngeal pain
12%
Neck pain
10%
Influenza
10%
Bronchitis
10%
Pyrexia
9%
Pruritus
9%
Acute sinusitis
9%
Myalgia
9%
Musculoskeletal pain
9%
Productive cough
9%
Sinus congestion
7%
Wheezing
7%
Alanine aminotransferase increased
7%
Vertigo
7%
Respiratory tract infection
7%
Gastroenteritis
7%
Rhinitis
7%
Abdominal pain upper
7%
Cough
7%
Urinary tract infection
7%
Asthenia
7%
Pain in extremity
6%
Weight increased
6%
Nasal congestion
6%
Fungal skin infection
6%
Oral herpes
6%
Conjunctivitis
6%
Paraesthesia
6%
Urticaria
6%
Vision blurred
6%
Ligament sprain
4%
Aspartate aminotransferase increased
4%
Muscle spasms
4%
Skin lesion
4%
Adrenal insufficiency
4%
Hot flush
4%
Otitis media
4%
Viral infection
4%
Epistaxis
4%
Sneezing
4%
Dizziness
4%
Migraine
4%
Oedema peripheral
4%
Influenza like illness
4%
Cataract
4%
Eye pruritus
4%
Laceration
4%
Contusion
4%
Gamma-glutamyltransferase increased
3%
Insomnia
3%
Abdominal pain
3%
Upper-airway cough syndrome
3%
Injection site pain
3%
Sinus headache
3%
Joint swelling
1%
Nystagmus
1%
Ear discomfort
1%
Hernia
1%
Lacunar infarction
1%
Cerebellar ischaemia
1%
Cardiac arrest
1%
Pachymeningitis
1%
Facial paresis
1%
Dyspepsia
1%
Hypersensitivity
1%
Gastrooesophageal reflux disease
1%
Dyspnoea
1%
Enterococcal infection
1%
Parainfluenzae virus infection
1%
Perirectal abscess
1%
Chest pain
1%
Ear infection
100%
80%
60%
40%
20%
0%
Study treatment Arm
Placebo
Mepolizumab 300mg

Trial Design

2Treatment groups
Experimental Treatment
Active Control
Group I: Mepolizumab treatment armExperimental Treatment1 Intervention
Nasal epithelial cells will be exposed in vitro to mepolizumab in culture.
Group II: Control armActive Control1 Intervention
Nasal epithelial cells will be exposed in vitro to media without mepolizumab in culture
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Mepolizumab
2020
Completed Phase 3
~4800

Find a Location

Who is running the clinical trial?

Johns Hopkins UniversityLead Sponsor
2,266 Previous Clinical Trials
14,837,489 Total Patients Enrolled
GlaxoSmithKlineIndustry Sponsor
4,755 Previous Clinical Trials
8,070,827 Total Patients Enrolled
Jean Kim, MD PhDPrincipal InvestigatorJohns Hopkins University
1 Previous Clinical Trials
8 Total Patients Enrolled

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Are individuals aged 30 and older eligible for this research study?

"The trial's eligibility requirements stipulate that the lower limit for age is 18 while the upper boundary stands at 100."

Answered by AI

Are there certain criteria for enrolling in this investigation?

"Eligibility for this study is limited to persons between 18 and 100 years of age who suffer from chronic rhinosinusitis. A maximum of 8 patients can be accepted into the trial."

Answered by AI

How many participants are being recruited for this clinical trial?

"Affirmative. Clinicaltrials.gov data reveals the recruitment effort for this clinical trial, which was first shared on September 5th 2023 is ongoing. The study requires 8 participants to be sourced from 2 different medical centres."

Answered by AI

Does this research endeavor welcome new participants?

"Correct. The information located on clinicaltrials.gov confirms that recruitment for this medical trial is in progress, with the initial posting occuring on September 5th 2023 and the last update being October 9th of the same year. There are 8 participants needed to be enrolled from 2 sites total."

Answered by AI
~4 spots leftby Jan 2025