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Monoclonal Antibodies
Dupilumab vs Omalizumab for Nasal Polyps (EVEREST Trial)
Phase 4
Waitlist Available
Research Sponsored by Sanofi
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Eligibility as per omalizumab drug-dosing table (serum IgE level ≥30 to ≤1500 IU/mL and body weight ≥30 to ≤150 kg) and ability to be dosed per the dosing table.
Participants with bilateral sino-nasal polyposis, meeting specific endoscopic and symptom criteria
Must not have
Diagnosed with, suspected of, or at high risk of endoparasitic infection, and/or use of antiparasitic drugs within 2 weeks before Visit 1 (screening visit) or during the screening and run-in period.
Known or suspected immunodeficiency, including history of invasive opportunistic infections.
Timeline
Screening 3 weeks
Treatment Varies
Follow Up baseline to week 36
Awards & highlights
Summary
This trial compares Dupilumab and Omalizumab to see which is better at reducing nasal polyps and improving symptoms in patients with Chronic Rhinosinusitis with Nasal Polyps (CRSwNP). Both medications work by reducing inflammation but target different parts of the immune system. Omalizumab is a biologic agent that blocks the action of immunoglobulin E and has been shown to be effective in treating severe allergic asthma and chronic rhinosinusitis with nasal polyps (CRSwNP).
Who is the study for?
This trial is for adults with chronic rhinosinusitis and nasal polyps who've had symptoms like nasal blockage or loss of smell for at least 8 weeks, despite previous treatments. They should have used mometasone before and meet specific criteria for asthma control and body weight/IgE levels. People can't join if they've had recent sinus surgery, certain infections including HIV, severe allergies to the drugs being tested, or a history of cancer within the last 5 years.
What is being tested?
The study compares Dupilumab against Omalizumab in reducing nasal polyp size and improving sense of smell by week 24. It also looks at how these drugs affect other symptoms, lung function, quality of life, asthma control, and overall disease severity. Participants are randomly assigned to receive either drug or a placebo.
What are the potential side effects?
Potential side effects include allergic reactions to the medications such as rash or itching; possible injection site reactions like pain or swelling; headache; eye irritation; joint pain; nausea; fatigue. The exact side effects will be monitored throughout the trial.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
My IgE levels and weight match the criteria for omalizumab treatment.
Select...
I have polyps in both sides of my nose confirmed by a special nose exam.
Select...
I have had severe nasal congestion for over a week.
Select...
I have been using mometasone nasal spray daily for at least a month.
Select...
I am at least 18 years old or the legal age of consent where the study is conducted.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I might have a parasite infection or have taken antiparasitic drugs recently.
Select...
I have a weak immune system or a history of serious infections.
Select...
I do not have HIV or have not tested positive for HIV.
Select...
I have not received a live vaccine in the last 4 weeks.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ baseline to week 36
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~baseline to week 36
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Change from baseline to Week 24 in Nasal Polyp Score (NPS)
Change from baseline to Week 24 in University of Pennsylvania Smell Identification Test (UPSIT)
Secondary study objectives
Change from baseline to Week 24 in 22-Item Sino-nasal Outcome Test (SNOT-22)
Change from baseline to Week 24 in Nasal Peak Inspiratory Flow (NPIF)
Change from baseline to Week 24 in SNOT-22 nasal domain score
+6 moreSide effects data
From 2016 Phase 4 trial • 17 Patients • NCT0202315177%
Infections
100%
80%
60%
40%
20%
0%
Study treatment Arm
Omalizumab
Trial Design
2Treatment groups
Experimental Treatment
Group I: OmalizumabExperimental Treatment2 Interventions
Dosing Q2W or every 4 weeks (Q4W)
Group II: DupilumabExperimental Treatment2 Interventions
Dosing every 2 weeks (Q2W)
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Dupilumab
2017
Completed Phase 4
~11960
Omalizumab
2006
Completed Phase 4
~2350
Placebo
1995
Completed Phase 3
~2670
Research Highlights
Information in this section is not a recommendation. We encourage patients to speak with their healthcare team when evaluating any treatment decision.Mechanism Of Action
Side Effect Profile
Prior Approvals
Other Research
The most common treatments for Chronic Rhinosinusitis (CRS) include Dupilumab and Omalizumab, which target specific pathways involved in the inflammatory and allergic responses. Dupilumab works by inhibiting IL-4 and IL-13, cytokines that play a crucial role in the inflammatory process, thereby reducing inflammation and tissue damage.
Omalizumab, on the other hand, inhibits IgE, preventing it from binding to receptors on mast cells and basophils, which reduces allergic reactions. These mechanisms are significant for CRS patients as they directly address the underlying causes of chronic inflammation and allergies, leading to symptom relief and improved quality of life.
Find a Location
Who is running the clinical trial?
SanofiLead Sponsor
2,189 Previous Clinical Trials
4,032,921 Total Patients Enrolled
Regeneron PharmaceuticalsIndustry Sponsor
655 Previous Clinical Trials
384,947 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I've needed strong asthma medication in the last 4 weeks.I might have a parasite infection or have taken antiparasitic drugs recently.I have been diagnosed with asthma by a doctor.My IgE levels and weight match the criteria for omalizumab treatment.I have nasal polyps and treatments like steroids or surgery haven't worked for me.I have polyps in both sides of my nose confirmed by a special nose exam.Your asthma control questionnaire score is 1.5 or higher at Visits 1 or 2.I have had severe nasal congestion for over a week.I have had a blocked nose and lost my sense of smell for at least 8 weeks.I have not had sinus or nasal surgery in the last 6 months.I have a weak immune system or a history of serious infections.I have been using mometasone nasal spray daily for at least a month.I do not have HIV or have not tested positive for HIV.You have had a serious allergic reaction to dupilumab or omalizumab, or any of their ingredients.I am at least 18 years old or the legal age of consent where the study is conducted.I have not received a live vaccine in the last 4 weeks.I haven't had cancer, except for certain skin cancers or cervical cancer, in the last 5 years.
Research Study Groups:
This trial has the following groups:- Group 1: Dupilumab
- Group 2: Omalizumab
Awards:
This trial has 2 awards, including:- Drug Has Already Been Approved - The FDA has already approved this drug, and is just seeking more data.
- Pivotal Trial - The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
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