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An Extension Study of Omalizumab in Participants With Chronic Rhinosinusitis With Nasal Polyps

Primary Purpose

Nasal Polyps, Chronic Rhinosinusitis

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Omalizumab
Placebo
Sponsored by
Hoffmann-La Roche
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Nasal Polyps

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Ability to comply with the study protocol, in the investigator's judgment
  • Participation in Study GA39688 or GA39855, including completion of endoscopy and other assessments at Week 24, without discontinuation of study drug
  • Completion of eDiary daily assessments for at least 4 out of 7 days in the week prior to the Week 24 visit of Study GA39688 or GA39855
  • For women of childbearing potential: agreement to remain abstinent or use acceptable contraceptive methods during the treatment period and for 60 days after the last dose of study drug

Exclusion Criteria:

  • Anaphylaxis/hypersensitivity related to study drug in Study GA39688 or GA39855
  • Serious adverse events related to study drug in Study GA39688 or GA39855 that the investigator or Sponsor determines may jeopardize the patient's safety if he or she continues in the study
  • Uncontrolled epistaxis within Study GA39688 or GA39855
  • Pregnant or breastfeeding, or intending to become pregnant during the study or within 60 days after the last dose of omalizumab
  • Any serious medical condition or abnormality in clinical laboratory tests that, in the investigator's judgment, precludes the patient's safe participation in and completion of the study

Sites / Locations

  • Clinical Research Center of Alabama, LLC
  • Banner University of Arizona Medical Center
  • Jonathan Corren MD, Inc.
  • The Allergy Station at Sacramento ENT
  • Bensch Clinical Research LLC
  • Colorado ENT & Allergy
  • Specialist Global Research
  • Vitae Research Center
  • University of South Florida
  • Asthma & Allergy of Idaho
  • University of Kansas Medical Center
  • Tandem Clinical Research, LLC
  • Chesapeake Clinical Research Inc - CRN
  • Institute for Asthma & Allergy
  • Brigham and Womens Hospital
  • University of Missouri Health Care System
  • Montefiore Medical Center
  • Northwell Health
  • Vital Prospects Clinical Research Institute PC - CRN
  • Allergy Associates Research Center LLC - CRN
  • Medical University of South Carolina Hospital
  • TTS Research
  • Allergy & Asthma Res Ctr PA
  • Chrysalis Clinical Research
  • Eastern Virginia Medical School
  • UZ Gent
  • UZ Leuven
  • Yang Medicine
  • Hopital du Saint Sacrement
  • Fakultni nemocnice u sv. Anny v Brne
  • Fakultni nemocnice Hradec Kralove, Chirurgicka klinika
  • Stredomoravska nemocnicni a.s. - odstepny zavod Nemocnice Prostejov
  • Centre Hospitalier Universitaire de Bordeaux Hopital Pellegrin
  • Hopital de Hautepierre
  • Nouvel Hopital Civil; Pole de Pathologie Thoracique
  • Charie Campus Mitte; Hals, Nasen, Ohrenheilkunde
  • Universitatsklinikum Leipzig
  • Universitatsklinikum Schleswig-Holstein; Klinik fuer Innere Medizin I
  • Bajcsy-Zsilinszky Hospital
  • Szent Imre Egyetemi Oktatokorhaz
  • Szent Janos Korhaz es Eszak-Budai Egyesitett Korhazak
  • Pecsi Tudomanyegyetem Altalanos Orvostudomanyi Kar
  • Unidad de Investigacion CIMA SC
  • Instituto Jalisciense de Investigacion Clinica S.A. de C.V.
  • Synexus Affiliate - Clinic Med s.j. Bialystok
  • Synexus - Gdynia
  • Synexus - Katowice
  • Centrum Medyczne Angelius Provita
  • Centrum Medyczne ALL-MED
  • Centrum Medyczne Wos i Piwowarczyk
  • Centrum Alergologii Specjalistyczna Przychodnia Alergologiczna
  • Synexus - Poznan
  • Synexus - Warsaw
  • Centrum Medyczne Biotamed
  • Synexus - Wroclaw
  • EMC Instytut Medyczny S.A.
  • Centro Hospitalar do Baixo Vouga E.P.E. - Hospital de Aveiro; Servicos Farmaceuticos
  • Hospital de Braga
  • Hospital Senhora da Oliveira - Guimarães, E.P.E
  • Centro Hospitalar do Algarve - Hospital de Portimao
  • Central Clinical Hospital With Polyclinic of President Administration of RF
  • Medical Center Uromed
  • LLC Kurator
  • Terapharm, Llc
  • Hospital de Jerez
  • CHUS - H. Clinico U. de Santiago; Servicio de Farmacia
  • Hospital Universitario Virgen Macarena
  • Hospital Clinic de Barcelona
  • Hospital Universitario Fundacion Jimenez Diaz.
  • Hospital Universitari i Politecnic La Fe de Valencia
  • Municipal Health Care Institution Regional clinical specialized dispensary of radiation protection
  • State Institution Institute of Otolaryngology n.a. Prof. O.S.
  • Ternopil Municipal City Hospital
  • Municipal Institution "City Clinical Hospital #3"
  • University Clinic
  • Poltava Regional Clinical Hospital n.a. M.V. Skliphosovskyi
  • Ivano-Frankivsk Central City Clinical Hospital
  • Kyiv City Clinical Hospital #9
  • Wigan,Wrighington & Leigh NHS Trust

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Cohort A: Study GA39688 Omalizumab

Cohort A: Study GA39688 Placebo

Cohort B: Study GA39855 Omalizumab

Cohort B: Study GA39855 Placebo

Arm Description

Participants who received omalizumab once every 2 weeks (Q2W) or once every 4 weeks (Q4W) in Study GA39688 will continue to receive omalizumab at Week 24 at the same dosing schedule.

Participants who received placebo Q2W or Q4W in Study GA39688 will start receiving omalizumab Q2W or Q4W at Week 24 at the same dosing schedule.

Participants who received omalizumab Q2W or Q4W in Study GA39855 will continue to receive omalizumab at Week 24 at the same dosing schedule.

Participants who received placebo Q2W or Q4W in Study GA39855 will start receiving omalizumab Q2W or Q4W at Week 24 at the same dosing schedule.

Outcomes

Primary Outcome Measures

Change From Baseline in Nasal Polyp Score (NPS)
Total NPS ranges from 0 to 8 (sum of 0-4 for left and right nasal passage scores per the following criteria), with a lower score indicating smaller-sized nasal polyps: 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 (modified to accommodate those with a middle turbinectomy, such that polyp must have reached the top of the inferior turbinate.); 3 = Large polyps reaching the lower border of the inferior turbinate or polyps medial to the middle turbinate; and 4 = Large polyps causing complete obstruction of the inferior nasal cavity. Two blinded primary independent expert readers reviewed every post-screening recorded video endoscopy for a given participant to determine total NPS. A third reader chose one of the two scores to be used for analysis in cases where there was any discrepancy in total NPS assigned between the two primary readers.
Change From Baseline in Average Daily Nasal Congestion Score (NCS)
The Nasal Congestion Score (NCS) was assessed daily by the participant via an electronic diary as the response to the following question: Is your nose blocked? The four available response options were scored from 0 (no symptoms) to 3 (severe symptoms): 0 = Not at all; 1 = Mild; 2 = Moderate; and 3 = Severe. For each study day, a score was calculated using an average of the prior 7 days among the available days within the pre-specified window (For Week 24: Study Days 155 to 186), excluding the study day itself, if a value had been recorded by the participant on at least 4 of the prior 7 days; otherwise, the 7-day prior average for that study day was to be considered missing. One calculated (non-missing) 7-day prior average was selected for analysis according to the study day with nearest proximity to Week 24 (Study Day 168), with the earlier selected in the case of a tie. Baseline was defined as the (non-missing) 7-day interval ending on the latest day prior to randomization.
Percentage of Participants With Adverse Events (AE) and Serious Adverse Events (SAE)
A serious adverse event was defined as any adverse event that met any of the following criteria: was fatal; was life-threatening; required or prolonged inpatient hospitalization; resulted in persistent or significant disability/incapacity; was a congenital anomaly/birth defect in a neonate/infant born to a mother exposed to the study drug; or, was a significant medical event in the investigator's judgment. Multiple occurrences of the same serious adverse event in one individual were counted once.
Percentage of Participants With Adverse Events Leading to Discontinuation of Omalizumab
A serious adverse event was defined as any adverse event that met any of the following criteria: was fatal; was life-threatening; required or prolonged inpatient hospitalization; resulted in persistent or significant disability/incapacity; was a congenital anomaly/birth defect in a neonate/infant born to a mother exposed to the study drug; or, was a significant medical event in the investigator's judgment. Multiple occurrences of the same serious adverse event in one individual were counted once.

Secondary Outcome Measures

Change From Baseline in Average Daily Total Nasal Symptom Score (TNSS)
The Total Nasal Symptom Score (TNSS) was defined as the sum of the four individual scores for Nasal Congestion Score, Anterior Rhinorrhea Score, Posterior Rhinorrhea Score, and Sense of Smell Score, ranging from 0 (no symptoms) to 12 (most severe symptoms), assessed daily by the participant via an electronic diary. For each study day, a score was calculated using an average of the prior 7 days among the available days within the pre-specified window (For Week 24: Study Days 155 to 186), excluding the study day itself, if a value had been recorded by the participant on at least 4 of the prior 7 days; otherwise, the 7-day prior average for that study day was to be considered missing. One calculated (non-missing) 7-day prior average was selected for analysis according to the study day with nearest proximity to Week 24 (Study Day 168), with the earlier selected in the case of a tie. Baseline was defined as the (non-missing) 7-day interval ending on the latest day prior to randomization.
Change From Baseline in Loss of Sense of Smell Score
The Sense of Smell Score was assessed daily by the participant via an electronic diary as the response to the following question: Is your sense of smell reduced? The four available response options were scored from 0 (no symptoms) to 3 (severe symptoms): 0 = Not at all; 1 = Mild; 2 = Moderate; and 3 = Severe. For each study day, a score was calculated using an average of the prior 7 days among the available days within the pre-specified window (For Week 24: Study Days 155 to 186), excluding the study day itself, if a value had been recorded by the participant on at least 4 of the prior 7 days; otherwise, the 7-day prior average for that study day was to be considered missing. One calculated (non-missing) 7-day prior average was selected for analysis according to the study day with nearest proximity to Week 24 (Study Day 168), with the earlier selected in the case of a tie. Baseline was defined as the (non-missing) 7-day interval ending on the latest day prior to randomization.
Change From Baseline in Average Daily Posterior Rhinorrhea Score
The Posterior Rhinorrhea Score was assessed daily by the participant via an electronic diary as the response to the following question: Do you feel dripping at the back of the nose? The four available response options were scored from 0 (no symptoms) to 3 (severe symptoms): 0=Not at all; 1=Mild; 2=Moderate; and 3=Severe. For each study day, a score was calculated using an average of the prior 7 days among available days within a pre-specified window (For Week 24: Study Days 155 to 186), excluding the study day itself, if a value had been recorded by the participant on at least 4 of the prior 7 days, otherwise the 7-day prior average for that study day was to be considered missing. One calculated (non-missing) 7-day prior average was selected for analysis according to the study day with nearest proximity to Week 24 (Study Day 168), with the earlier selected in the case of a tie. Baseline was defined as the (non-missing) 7-day interval ending on the latest day prior to randomization.
Change From Baseline in Average Daily Anterior Rhinorrhea Score
The Anterior Rhinorrhea Score was assessed daily by the participant via an electronic diary as the response to the following question: Do you have a runny nose? The four available response options were scored from 0 (no symptoms) to 3 (severe symptoms): 0=Not at all; 1=Mild; 2=Moderate; and 3=Severe. For each study day, a score was calculated using an average of the prior 7 days among available days within a pre-specified window (For Week 24: Study Days 155 to 186), excluding the study day itself, if a value had been recorded by the participant on at least 4 of the prior 7 days, otherwise the 7-day prior average for that study day was to be considered missing. One calculated (non-missing) 7-day prior average was selected for analysis according to the study day with nearest proximity to Week 24 (Study Day 168), with the earlier selected in the case of a tie. Baseline was defined as the (non-missing) 7-day interval ending on the latest day prior to randomization.
Change From Baseline in Health-Related Quality of Life (HRQoL) as Assessed by the Total Sino-Nasal Outcome Test (SNOT)-22 Score
The SNOT-22 Questionnaire, a disease specific HRQoL measure, comprises a list of 22 symptoms and social or emotional consequences of the nasal disorder. Every participant was asked to rate how severe each problem had been for them over the past 2 weeks on a scale from 0 (no problem at all) to 5 (problem as bad as it can be). The total score is the sum of the scores for all 22 items, ranging from 0 to 110, with a lower score indicating less disease and better HRQoL. A negative score indicates a decrease (or improvement) from the baseline score.
Change From Baseline in European Quality of Life 5-Dimension 5-Level Questionnaire (EQ-5D-5L) Visual Analogue Scale (VAS) Score
The EQ-5D-5L contains a visual analog score (VAS), providing a global assessment of health. The EQ-VAS questionnaire is a self-reported questionnaire that measures health state. The VAS is a 100 mm scale from worst (0 mm) to best (100 mm) health the participant can imagine.
Percentage of Participants Reporting "No Problem" in the European Quality of Life 5-Dimension 5-Level Questionnaire (EQ-5D-5L) Subdomains
The EQ-5D-5L contains five domains: Mobility, Self-Care, Usual activity, Pain/Discomfort, and Anxiety/Depression, providing a global assessment of health. Each item is rated by the participant on a five-point scale indicating the followings: Level 1 - no problem; Level 2 - slight problems; Level 3 - moderate problems; Level 4 - severe problems; Level 5 - extreme problems.
Change From Baseline in Asthma Quality of Life Questionnaire (AQLQ) Score (in Participants With Comorbid Asthma Only)
The AQLQ is a 32-item participant-reported measure of asthma-related quality of life (QoL) with a total score (the mean of all 32 responses) ranging from 1 (severely impaired) to 7 (not impaired at all); a higher score indicates a better QoL. An increase of at least 0.5 points in the AQLQ score was considered the minimal important difference for improvement in QoL.
Change From Baseline in Sense of Smell, as Assessed by The University of Pennsylvania Smell Identification Test (UPSIT) Score
The UPSIT is a 40-question instrument that measures an individual's ability to detect odors and ranges from 0 to 40, with a higher score indicating a better sense of smell. It is a self-administered "scratch-and-sniff" test provided in booklets that have 40 microencapsulated odorants, each with a multiple-choice option for the response. The number of correct responses is summed to provide a total score.
Percentage of Participants With a Clinically Significant Change From Baseline in Laboratory Values
Investigators will assess the participants' clinical laboratory values (e.g., serum chemistry, hematology evaluations including complete blood count [CBC] with differential and platelet counts, and urinalysis values) at timepoints throughout this OLE study relative to the participants' values at baseline from studies GA39688/GA39855 and parameters with clinically significant changes from baseline will be reported.
Minimum Serum Concentrations (Ctrough) of Omalizumab at Specified Timepoints
Serum concentrations of omalizumab were quantified using an enzyme-linked immunoabsorbent assay (ELISA) with a lower limit of quantification (LLOQ) of 28.0 nanograms per millilitre (ng/mL). According to the analysis plan, values below the lower limit of quantification (BLQ) were set to 14 ng/mL (i.e. half of LLOQ value). We confirm that all 121 and 123 participants contributed data to the PK outcome measure. The reason why the numbers of participants analyzed per row are different from the overall number of participants is mainly because some PK concentrations at those time points are below LLOQ. Other reasons include: (1) Five participants received accidental dose of Omalizumab at the OLE Week52 thus are excluded for PK sample results for OLE Week64 and OLE Week76, and (2) One participant received omalizumab as concomitant medication in the follow-up period and is excluded from PK sample results for OLE Week76.
Serum Concentration of Total Immunoglobulin E (IgE)
Serum concentrations of total immunoglobulin E (IgE) were measured throughout the study, as target engagement biomarkers of omalizumab, using validated quantitative immunoassays with lower limits of quantification of 2 International Units per millilitre (IU/mL), and upper limits of quantification (ULQ) of 5000 IU/mL.
Serum Concentration of Free IgE
Serum concentrations of free IgE were measured throughout the study, as target engagement biomarkers of omalizumab, using validated quantitative immunoassays with LLOQ of 0.83 IU/mL, and ULQ of 62.5 IU/mL. The free IgE assay had limited range to measure circulating levels of free IgE in the presence of complexes of omalizumab-IgE. Results above ULQ were set to 62.5 IU/mL. If results for 1/3 or fewer of the participants were greater than the ULQ, then all summary statistics were reported. If the results for more than 1/3 of participants were greater than the ULQ, then only the median, interquartile range and minimum were calculated, and the mean, standard deviation, and maximum were non-reportable.The following are available for median and interquartile ranges (IQR; IQ1-IQ3): Placebo: OLE Week 64 median 55.4 (IQR 33.3 - 62.5), OLE Week 76 median 62.5 (IQR 31.1 - 62.5). Omalizumab: OLE Week 64 median 55.8 (IQR 37.5 - 62.5), OLE Week 76 median 62.5 (IQR 47.9 - 62.5)

Full Information

First Posted
March 12, 2018
Last Updated
March 31, 2022
Sponsor
Hoffmann-La Roche
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1. Study Identification

Unique Protocol Identification Number
NCT03478930
Brief Title
An Extension Study of Omalizumab in Participants With Chronic Rhinosinusitis With Nasal Polyps
Official Title
Open-Label Extension Study of Omalizumab in Patients With Chronic Rhinosinusitis With Nasal Polyps
Study Type
Interventional

2. Study Status

Record Verification Date
March 2022
Overall Recruitment Status
Completed
Study Start Date
May 9, 2018 (Actual)
Primary Completion Date
March 16, 2020 (Actual)
Study Completion Date
March 16, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Hoffmann-La Roche

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The overall purpose of this study is to evaluate the safety, efficacy, and durability of response of omalizumab in an open-label setting in adult participants with chronic rhinosinusitis with nasal polyps who completed the double-blind, placebo-controlled, Phase III studies GA39688 (NCT03280550) or GA39855 (NCT03280537). Participants will be eligible for enrollment in the study at, or within 28 days after, the Week 24 visit of Studies GA39688/GA39855. After enrollment into this open-label extension (OLE) study, participants will receive 28 weeks of dosing of omalizumab before entering a 24-week off-treatment observation phase of the study. Baseline in this OLE study is defined as the last pre-treatment measurement prior to randomization in Studies GA39688/GA39855 (i.e., baseline of Studies GA39688/GA39855). The data that will be reported from baseline to Week 24 inclusive will come from Studies GA39688/GA39855.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Nasal Polyps, Chronic Rhinosinusitis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Masking Description
Although this is an open-label study and all participants will be receiving omalizumab, in order to minimize bias in this study participants and the evaluating physicians will be blinded to treatment assignment of the previous studies (GA39688/GA39855) until all participants have either completed the study through the follow-up period (Week 76) or discontinued early from the study, the database is locked, and the study analyses are final.
Allocation
Non-Randomized
Enrollment
249 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Cohort A: Study GA39688 Omalizumab
Arm Type
Experimental
Arm Description
Participants who received omalizumab once every 2 weeks (Q2W) or once every 4 weeks (Q4W) in Study GA39688 will continue to receive omalizumab at Week 24 at the same dosing schedule.
Arm Title
Cohort A: Study GA39688 Placebo
Arm Type
Experimental
Arm Description
Participants who received placebo Q2W or Q4W in Study GA39688 will start receiving omalizumab Q2W or Q4W at Week 24 at the same dosing schedule.
Arm Title
Cohort B: Study GA39855 Omalizumab
Arm Type
Experimental
Arm Description
Participants who received omalizumab Q2W or Q4W in Study GA39855 will continue to receive omalizumab at Week 24 at the same dosing schedule.
Arm Title
Cohort B: Study GA39855 Placebo
Arm Type
Experimental
Arm Description
Participants who received placebo Q2W or Q4W in Study GA39855 will start receiving omalizumab Q2W or Q4W at Week 24 at the same dosing schedule.
Intervention Type
Drug
Intervention Name(s)
Omalizumab
Other Intervention Name(s)
Xolair
Intervention Description
Omalizumab will be administered as a subcutaneous (SC) injection Q2W or Q4W.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Participants will not be receiving placebo in this OLE study. Participants who were randomized to the placebo arms for 24 weeks in studies GA39688/GA39855 and then enter this OLE study will receive omalizumab, but they will be placed in separate analysis cohorts.
Primary Outcome Measure Information:
Title
Change From Baseline in Nasal Polyp Score (NPS)
Description
Total NPS ranges from 0 to 8 (sum of 0-4 for left and right nasal passage scores per the following criteria), with a lower score indicating smaller-sized nasal polyps: 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 (modified to accommodate those with a middle turbinectomy, such that polyp must have reached the top of the inferior turbinate.); 3 = Large polyps reaching the lower border of the inferior turbinate or polyps medial to the middle turbinate; and 4 = Large polyps causing complete obstruction of the inferior nasal cavity. Two blinded primary independent expert readers reviewed every post-screening recorded video endoscopy for a given participant to determine total NPS. A third reader chose one of the two scores to be used for analysis in cases where there was any discrepancy in total NPS assigned between the two primary readers.
Time Frame
Baseline, Weeks 4, 8, 16, 24, 36, 52, 64, and 76
Title
Change From Baseline in Average Daily Nasal Congestion Score (NCS)
Description
The Nasal Congestion Score (NCS) was assessed daily by the participant via an electronic diary as the response to the following question: Is your nose blocked? The four available response options were scored from 0 (no symptoms) to 3 (severe symptoms): 0 = Not at all; 1 = Mild; 2 = Moderate; and 3 = Severe. For each study day, a score was calculated using an average of the prior 7 days among the available days within the pre-specified window (For Week 24: Study Days 155 to 186), excluding the study day itself, if a value had been recorded by the participant on at least 4 of the prior 7 days; otherwise, the 7-day prior average for that study day was to be considered missing. One calculated (non-missing) 7-day prior average was selected for analysis according to the study day with nearest proximity to Week 24 (Study Day 168), with the earlier selected in the case of a tie. Baseline was defined as the (non-missing) 7-day interval ending on the latest day prior to randomization.
Time Frame
Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, and 76
Title
Percentage of Participants With Adverse Events (AE) and Serious Adverse Events (SAE)
Description
A serious adverse event was defined as any adverse event that met any of the following criteria: was fatal; was life-threatening; required or prolonged inpatient hospitalization; resulted in persistent or significant disability/incapacity; was a congenital anomaly/birth defect in a neonate/infant born to a mother exposed to the study drug; or, was a significant medical event in the investigator's judgment. Multiple occurrences of the same serious adverse event in one individual were counted once.
Time Frame
From Start to End (Weeks 24 to 52) of OLE Study
Title
Percentage of Participants With Adverse Events Leading to Discontinuation of Omalizumab
Description
A serious adverse event was defined as any adverse event that met any of the following criteria: was fatal; was life-threatening; required or prolonged inpatient hospitalization; resulted in persistent or significant disability/incapacity; was a congenital anomaly/birth defect in a neonate/infant born to a mother exposed to the study drug; or, was a significant medical event in the investigator's judgment. Multiple occurrences of the same serious adverse event in one individual were counted once.
Time Frame
From Start to End (Weeks 24 to 76) of OLE Study
Secondary Outcome Measure Information:
Title
Change From Baseline in Average Daily Total Nasal Symptom Score (TNSS)
Description
The Total Nasal Symptom Score (TNSS) was defined as the sum of the four individual scores for Nasal Congestion Score, Anterior Rhinorrhea Score, Posterior Rhinorrhea Score, and Sense of Smell Score, ranging from 0 (no symptoms) to 12 (most severe symptoms), assessed daily by the participant via an electronic diary. For each study day, a score was calculated using an average of the prior 7 days among the available days within the pre-specified window (For Week 24: Study Days 155 to 186), excluding the study day itself, if a value had been recorded by the participant on at least 4 of the prior 7 days; otherwise, the 7-day prior average for that study day was to be considered missing. One calculated (non-missing) 7-day prior average was selected for analysis according to the study day with nearest proximity to Week 24 (Study Day 168), with the earlier selected in the case of a tie. Baseline was defined as the (non-missing) 7-day interval ending on the latest day prior to randomization.
Time Frame
Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, and 76
Title
Change From Baseline in Loss of Sense of Smell Score
Description
The Sense of Smell Score was assessed daily by the participant via an electronic diary as the response to the following question: Is your sense of smell reduced? The four available response options were scored from 0 (no symptoms) to 3 (severe symptoms): 0 = Not at all; 1 = Mild; 2 = Moderate; and 3 = Severe. For each study day, a score was calculated using an average of the prior 7 days among the available days within the pre-specified window (For Week 24: Study Days 155 to 186), excluding the study day itself, if a value had been recorded by the participant on at least 4 of the prior 7 days; otherwise, the 7-day prior average for that study day was to be considered missing. One calculated (non-missing) 7-day prior average was selected for analysis according to the study day with nearest proximity to Week 24 (Study Day 168), with the earlier selected in the case of a tie. Baseline was defined as the (non-missing) 7-day interval ending on the latest day prior to randomization.
Time Frame
Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, and 76
Title
Change From Baseline in Average Daily Posterior Rhinorrhea Score
Description
The Posterior Rhinorrhea Score was assessed daily by the participant via an electronic diary as the response to the following question: Do you feel dripping at the back of the nose? The four available response options were scored from 0 (no symptoms) to 3 (severe symptoms): 0=Not at all; 1=Mild; 2=Moderate; and 3=Severe. For each study day, a score was calculated using an average of the prior 7 days among available days within a pre-specified window (For Week 24: Study Days 155 to 186), excluding the study day itself, if a value had been recorded by the participant on at least 4 of the prior 7 days, otherwise the 7-day prior average for that study day was to be considered missing. One calculated (non-missing) 7-day prior average was selected for analysis according to the study day with nearest proximity to Week 24 (Study Day 168), with the earlier selected in the case of a tie. Baseline was defined as the (non-missing) 7-day interval ending on the latest day prior to randomization.
Time Frame
Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, and 76
Title
Change From Baseline in Average Daily Anterior Rhinorrhea Score
Description
The Anterior Rhinorrhea Score was assessed daily by the participant via an electronic diary as the response to the following question: Do you have a runny nose? The four available response options were scored from 0 (no symptoms) to 3 (severe symptoms): 0=Not at all; 1=Mild; 2=Moderate; and 3=Severe. For each study day, a score was calculated using an average of the prior 7 days among available days within a pre-specified window (For Week 24: Study Days 155 to 186), excluding the study day itself, if a value had been recorded by the participant on at least 4 of the prior 7 days, otherwise the 7-day prior average for that study day was to be considered missing. One calculated (non-missing) 7-day prior average was selected for analysis according to the study day with nearest proximity to Week 24 (Study Day 168), with the earlier selected in the case of a tie. Baseline was defined as the (non-missing) 7-day interval ending on the latest day prior to randomization.
Time Frame
Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, and 76
Title
Change From Baseline in Health-Related Quality of Life (HRQoL) as Assessed by the Total Sino-Nasal Outcome Test (SNOT)-22 Score
Description
The SNOT-22 Questionnaire, a disease specific HRQoL measure, comprises a list of 22 symptoms and social or emotional consequences of the nasal disorder. Every participant was asked to rate how severe each problem had been for them over the past 2 weeks on a scale from 0 (no problem at all) to 5 (problem as bad as it can be). The total score is the sum of the scores for all 22 items, ranging from 0 to 110, with a lower score indicating less disease and better HRQoL. A negative score indicates a decrease (or improvement) from the baseline score.
Time Frame
Baseline, Weeks 4, 8, 16, 24, 36, 52, 64, and 76
Title
Change From Baseline in European Quality of Life 5-Dimension 5-Level Questionnaire (EQ-5D-5L) Visual Analogue Scale (VAS) Score
Description
The EQ-5D-5L contains a visual analog score (VAS), providing a global assessment of health. The EQ-VAS questionnaire is a self-reported questionnaire that measures health state. The VAS is a 100 mm scale from worst (0 mm) to best (100 mm) health the participant can imagine.
Time Frame
Baseline, Weeks 16, 24, 36, 52, 64, and 76
Title
Percentage of Participants Reporting "No Problem" in the European Quality of Life 5-Dimension 5-Level Questionnaire (EQ-5D-5L) Subdomains
Description
The EQ-5D-5L contains five domains: Mobility, Self-Care, Usual activity, Pain/Discomfort, and Anxiety/Depression, providing a global assessment of health. Each item is rated by the participant on a five-point scale indicating the followings: Level 1 - no problem; Level 2 - slight problems; Level 3 - moderate problems; Level 4 - severe problems; Level 5 - extreme problems.
Time Frame
Baseline, Weeks 16, 24, 36, 52, 64 and 76
Title
Change From Baseline in Asthma Quality of Life Questionnaire (AQLQ) Score (in Participants With Comorbid Asthma Only)
Description
The AQLQ is a 32-item participant-reported measure of asthma-related quality of life (QoL) with a total score (the mean of all 32 responses) ranging from 1 (severely impaired) to 7 (not impaired at all); a higher score indicates a better QoL. An increase of at least 0.5 points in the AQLQ score was considered the minimal important difference for improvement in QoL.
Time Frame
Baseline, Weeks 16, 24, 36, 52, 64, and 76
Title
Change From Baseline in Sense of Smell, as Assessed by The University of Pennsylvania Smell Identification Test (UPSIT) Score
Description
The UPSIT is a 40-question instrument that measures an individual's ability to detect odors and ranges from 0 to 40, with a higher score indicating a better sense of smell. It is a self-administered "scratch-and-sniff" test provided in booklets that have 40 microencapsulated odorants, each with a multiple-choice option for the response. The number of correct responses is summed to provide a total score.
Time Frame
Baseline, Weeks 8, 16, 24, 36, 52, 64, and 76
Title
Percentage of Participants With a Clinically Significant Change From Baseline in Laboratory Values
Description
Investigators will assess the participants' clinical laboratory values (e.g., serum chemistry, hematology evaluations including complete blood count [CBC] with differential and platelet counts, and urinalysis values) at timepoints throughout this OLE study relative to the participants' values at baseline from studies GA39688/GA39855 and parameters with clinically significant changes from baseline will be reported.
Time Frame
Baseline, Weeks 36, 52, 64, and 76
Title
Minimum Serum Concentrations (Ctrough) of Omalizumab at Specified Timepoints
Description
Serum concentrations of omalizumab were quantified using an enzyme-linked immunoabsorbent assay (ELISA) with a lower limit of quantification (LLOQ) of 28.0 nanograms per millilitre (ng/mL). According to the analysis plan, values below the lower limit of quantification (BLQ) were set to 14 ng/mL (i.e. half of LLOQ value). We confirm that all 121 and 123 participants contributed data to the PK outcome measure. The reason why the numbers of participants analyzed per row are different from the overall number of participants is mainly because some PK concentrations at those time points are below LLOQ. Other reasons include: (1) Five participants received accidental dose of Omalizumab at the OLE Week52 thus are excluded for PK sample results for OLE Week64 and OLE Week76, and (2) One participant received omalizumab as concomitant medication in the follow-up period and is excluded from PK sample results for OLE Week76.
Time Frame
Predose at Weeks 36, 52, 64, and 76
Title
Serum Concentration of Total Immunoglobulin E (IgE)
Description
Serum concentrations of total immunoglobulin E (IgE) were measured throughout the study, as target engagement biomarkers of omalizumab, using validated quantitative immunoassays with lower limits of quantification of 2 International Units per millilitre (IU/mL), and upper limits of quantification (ULQ) of 5000 IU/mL.
Time Frame
Predose at Weeks 36, 52, 64, and 76
Title
Serum Concentration of Free IgE
Description
Serum concentrations of free IgE were measured throughout the study, as target engagement biomarkers of omalizumab, using validated quantitative immunoassays with LLOQ of 0.83 IU/mL, and ULQ of 62.5 IU/mL. The free IgE assay had limited range to measure circulating levels of free IgE in the presence of complexes of omalizumab-IgE. Results above ULQ were set to 62.5 IU/mL. If results for 1/3 or fewer of the participants were greater than the ULQ, then all summary statistics were reported. If the results for more than 1/3 of participants were greater than the ULQ, then only the median, interquartile range and minimum were calculated, and the mean, standard deviation, and maximum were non-reportable.The following are available for median and interquartile ranges (IQR; IQ1-IQ3): Placebo: OLE Week 64 median 55.4 (IQR 33.3 - 62.5), OLE Week 76 median 62.5 (IQR 31.1 - 62.5). Omalizumab: OLE Week 64 median 55.8 (IQR 37.5 - 62.5), OLE Week 76 median 62.5 (IQR 47.9 - 62.5)
Time Frame
Predose at Weeks 36, 52, 64, and 76

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Ability to comply with the study protocol, in the investigator's judgment Participation in Study GA39688 or GA39855, including completion of endoscopy and other assessments at Week 24, without discontinuation of study drug Completion of eDiary daily assessments for at least 4 out of 7 days in the week prior to the Week 24 visit of Study GA39688 or GA39855 For women of childbearing potential: agreement to remain abstinent or use acceptable contraceptive methods during the treatment period and for 60 days after the last dose of study drug Exclusion Criteria: Anaphylaxis/hypersensitivity related to study drug in Study GA39688 or GA39855 Serious adverse events related to study drug in Study GA39688 or GA39855 that the investigator or Sponsor determines may jeopardize the patient's safety if he or she continues in the study Uncontrolled epistaxis within Study GA39688 or GA39855 Pregnant or breastfeeding, or intending to become pregnant during the study or within 60 days after the last dose of omalizumab Any serious medical condition or abnormality in clinical laboratory tests that, in the investigator's judgment, precludes the patient's safe participation in and completion of the study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Trials
Organizational Affiliation
Hoffmann-La Roche
Official's Role
Study Director
Facility Information:
Facility Name
Clinical Research Center of Alabama, LLC
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35209
Country
United States
Facility Name
Banner University of Arizona Medical Center
City
Tucson
State/Province
Arizona
ZIP/Postal Code
85724
Country
United States
Facility Name
Jonathan Corren MD, Inc.
City
Los Angeles
State/Province
California
ZIP/Postal Code
90025
Country
United States
Facility Name
The Allergy Station at Sacramento ENT
City
Roseville
State/Province
California
ZIP/Postal Code
95661
Country
United States
Facility Name
Bensch Clinical Research LLC
City
Stockton
State/Province
California
ZIP/Postal Code
95207
Country
United States
Facility Name
Colorado ENT & Allergy
City
Colorado Springs
State/Province
Colorado
ZIP/Postal Code
80909
Country
United States
Facility Name
Specialist Global Research
City
Hialeah
State/Province
Florida
ZIP/Postal Code
33012
Country
United States
Facility Name
Vitae Research Center
City
Miami
State/Province
Florida
ZIP/Postal Code
33135
Country
United States
Facility Name
University of South Florida
City
Tampa
State/Province
Florida
ZIP/Postal Code
33613
Country
United States
Facility Name
Asthma & Allergy of Idaho
City
Twin Falls
State/Province
Idaho
ZIP/Postal Code
83301
Country
United States
Facility Name
University of Kansas Medical Center
City
Kansas City
State/Province
Kansas
ZIP/Postal Code
66160
Country
United States
Facility Name
Tandem Clinical Research, LLC
City
Marrero
State/Province
Louisiana
ZIP/Postal Code
70072
Country
United States
Facility Name
Chesapeake Clinical Research Inc - CRN
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21236
Country
United States
Facility Name
Institute for Asthma & Allergy
City
Chevy Chase
State/Province
Maryland
ZIP/Postal Code
20815
Country
United States
Facility Name
Brigham and Womens Hospital
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02115
Country
United States
Facility Name
University of Missouri Health Care System
City
Columbia
State/Province
Missouri
ZIP/Postal Code
65212
Country
United States
Facility Name
Montefiore Medical Center
City
Bronx
State/Province
New York
ZIP/Postal Code
10461
Country
United States
Facility Name
Northwell Health
City
Great Neck
State/Province
New York
ZIP/Postal Code
11021
Country
United States
Facility Name
Vital Prospects Clinical Research Institute PC - CRN
City
Tulsa
State/Province
Oklahoma
ZIP/Postal Code
74136
Country
United States
Facility Name
Allergy Associates Research Center LLC - CRN
City
Portland
State/Province
Oregon
ZIP/Postal Code
97202
Country
United States
Facility Name
Medical University of South Carolina Hospital
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29425
Country
United States
Facility Name
TTS Research
City
Boerne
State/Province
Texas
ZIP/Postal Code
78006
Country
United States
Facility Name
Allergy & Asthma Res Ctr PA
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78251
Country
United States
Facility Name
Chrysalis Clinical Research
City
Saint George
State/Province
Utah
ZIP/Postal Code
84790
Country
United States
Facility Name
Eastern Virginia Medical School
City
Norfolk
State/Province
Virginia
ZIP/Postal Code
23507
Country
United States
Facility Name
UZ Gent
City
Gent
ZIP/Postal Code
9000
Country
Belgium
Facility Name
UZ Leuven
City
Leuven
ZIP/Postal Code
3000
Country
Belgium
Facility Name
Yang Medicine
City
Ottawa
State/Province
Ontario
ZIP/Postal Code
K1G 6C6
Country
Canada
Facility Name
Hopital du Saint Sacrement
City
Quebec City
State/Province
Quebec
ZIP/Postal Code
G1S 4L8
Country
Canada
Facility Name
Fakultni nemocnice u sv. Anny v Brne
City
Brno
ZIP/Postal Code
656 91
Country
Czechia
Facility Name
Fakultni nemocnice Hradec Kralove, Chirurgicka klinika
City
Hradec Kralove
ZIP/Postal Code
50005
Country
Czechia
Facility Name
Stredomoravska nemocnicni a.s. - odstepny zavod Nemocnice Prostejov
City
Prostejov
ZIP/Postal Code
796 04
Country
Czechia
Facility Name
Centre Hospitalier Universitaire de Bordeaux Hopital Pellegrin
City
Bordeaux
ZIP/Postal Code
33076
Country
France
Facility Name
Hopital de Hautepierre
City
Strasbourg
ZIP/Postal Code
67091
Country
France
Facility Name
Nouvel Hopital Civil; Pole de Pathologie Thoracique
City
Strasbourg
ZIP/Postal Code
67091
Country
France
Facility Name
Charie Campus Mitte; Hals, Nasen, Ohrenheilkunde
City
Berlin
ZIP/Postal Code
10117
Country
Germany
Facility Name
Universitatsklinikum Leipzig
City
Leipzig
ZIP/Postal Code
04103
Country
Germany
Facility Name
Universitatsklinikum Schleswig-Holstein; Klinik fuer Innere Medizin I
City
Lubeck
ZIP/Postal Code
23538
Country
Germany
Facility Name
Bajcsy-Zsilinszky Hospital
City
Budapest
ZIP/Postal Code
1106
Country
Hungary
Facility Name
Szent Imre Egyetemi Oktatokorhaz
City
Budapest
ZIP/Postal Code
1115
Country
Hungary
Facility Name
Szent Janos Korhaz es Eszak-Budai Egyesitett Korhazak
City
Budapest
ZIP/Postal Code
1122
Country
Hungary
Facility Name
Pecsi Tudomanyegyetem Altalanos Orvostudomanyi Kar
City
Pecs
ZIP/Postal Code
7602
Country
Hungary
Facility Name
Unidad de Investigacion CIMA SC
City
Chihuahua
ZIP/Postal Code
31200
Country
Mexico
Facility Name
Instituto Jalisciense de Investigacion Clinica S.A. de C.V.
City
Guadalajara
ZIP/Postal Code
44100
Country
Mexico
Facility Name
Synexus Affiliate - Clinic Med s.j. Bialystok
City
Bialystok
ZIP/Postal Code
15-879
Country
Poland
Facility Name
Synexus - Gdynia
City
Gdynia
ZIP/Postal Code
81-384
Country
Poland
Facility Name
Synexus - Katowice
City
Katowice
ZIP/Postal Code
40-040
Country
Poland
Facility Name
Centrum Medyczne Angelius Provita
City
Katowice
ZIP/Postal Code
40-611
Country
Poland
Facility Name
Centrum Medyczne ALL-MED
City
Krakow
ZIP/Postal Code
30-033
Country
Poland
Facility Name
Centrum Medyczne Wos i Piwowarczyk
City
Krakow
ZIP/Postal Code
31-572
Country
Poland
Facility Name
Centrum Alergologii Specjalistyczna Przychodnia Alergologiczna
City
Lublin
ZIP/Postal Code
20-552
Country
Poland
Facility Name
Synexus - Poznan
City
Poznan
ZIP/Postal Code
60-702
Country
Poland
Facility Name
Synexus - Warsaw
City
Warszawa
ZIP/Postal Code
01-192
Country
Poland
Facility Name
Centrum Medyczne Biotamed
City
Wieliczka
ZIP/Postal Code
32-020
Country
Poland
Facility Name
Synexus - Wroclaw
City
Wroclaw
ZIP/Postal Code
50-088
Country
Poland
Facility Name
EMC Instytut Medyczny S.A.
City
Wrocław
ZIP/Postal Code
50-220
Country
Poland
Facility Name
Centro Hospitalar do Baixo Vouga E.P.E. - Hospital de Aveiro; Servicos Farmaceuticos
City
Aveiro
ZIP/Postal Code
3814-501
Country
Portugal
Facility Name
Hospital de Braga
City
Braga
ZIP/Postal Code
4710-243
Country
Portugal
Facility Name
Hospital Senhora da Oliveira - Guimarães, E.P.E
City
Guimaraes
ZIP/Postal Code
4835-044
Country
Portugal
Facility Name
Centro Hospitalar do Algarve - Hospital de Portimao
City
Portimao
ZIP/Postal Code
8500-338
Country
Portugal
Facility Name
Central Clinical Hospital With Polyclinic of President Administration of RF
City
Moscow
State/Province
Moskovskaja Oblast
ZIP/Postal Code
121356
Country
Russian Federation
Facility Name
Medical Center Uromed
City
Smolensk
State/Province
Moskovskaja Oblast
ZIP/Postal Code
214031
Country
Russian Federation
Facility Name
LLC Kurator
City
Sankt-peterburg
State/Province
Sankt Petersburg
ZIP/Postal Code
196240
Country
Russian Federation
Facility Name
Terapharm, Llc
City
Stavropol
ZIP/Postal Code
355000
Country
Russian Federation
Facility Name
Hospital de Jerez
City
Jerez De La Frontera
State/Province
Cadiz
ZIP/Postal Code
11407
Country
Spain
Facility Name
CHUS - H. Clinico U. de Santiago; Servicio de Farmacia
City
Santiago de Compostela
State/Province
LA Coruña
ZIP/Postal Code
15706
Country
Spain
Facility Name
Hospital Universitario Virgen Macarena
City
Seville
State/Province
Sevilla
ZIP/Postal Code
41071
Country
Spain
Facility Name
Hospital Clinic de Barcelona
City
Barcelona
ZIP/Postal Code
08036
Country
Spain
Facility Name
Hospital Universitario Fundacion Jimenez Diaz.
City
Madrid
ZIP/Postal Code
28040
Country
Spain
Facility Name
Hospital Universitari i Politecnic La Fe de Valencia
City
Valencia
ZIP/Postal Code
46026
Country
Spain
Facility Name
Municipal Health Care Institution Regional clinical specialized dispensary of radiation protection
City
Kharkiv
State/Province
Kharkiv Governorate
ZIP/Postal Code
61166
Country
Ukraine
Facility Name
State Institution Institute of Otolaryngology n.a. Prof. O.S.
City
Kyiv
State/Province
KIEV Governorate
ZIP/Postal Code
3680
Country
Ukraine
Facility Name
Ternopil Municipal City Hospital
City
Ternopil
State/Province
Podolia Governorate
ZIP/Postal Code
46000
Country
Ukraine
Facility Name
Municipal Institution "City Clinical Hospital #3"
City
Zaporizhzhia
State/Province
Polissya Okruha
ZIP/Postal Code
69032
Country
Ukraine
Facility Name
University Clinic
City
Ivano-Frankivsk
State/Province
Poltava Governorate
ZIP/Postal Code
76000
Country
Ukraine
Facility Name
Poltava Regional Clinical Hospital n.a. M.V. Skliphosovskyi
City
Poltava
State/Province
Poltava Governorate
ZIP/Postal Code
36024
Country
Ukraine
Facility Name
Ivano-Frankivsk Central City Clinical Hospital
City
Ivano-Frankivsk
ZIP/Postal Code
76014
Country
Ukraine
Facility Name
Kyiv City Clinical Hospital #9
City
Kyiv
ZIP/Postal Code
04060
Country
Ukraine
Facility Name
Wigan,Wrighington & Leigh NHS Trust
City
Wigan
ZIP/Postal Code
WN1 2NN
Country
United Kingdom

12. IPD Sharing Statement

Learn more about this trial

An Extension Study of Omalizumab in Participants With Chronic Rhinosinusitis With Nasal Polyps

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