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Effects of Anti-IgE Antibody Omalizumab on Patients With Chronic Sinusitis

Primary Purpose

Chronic Sinusitis

Status
Withdrawn
Phase
Phase 4
Locations
Study Type
Interventional
Intervention
Placebo
Xolair
Sponsored by
University of California, San Francisco
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Sinusitis focused on measuring Chronic sinusitis, Xolair, Nasal Discharge, Nasal Obstruction, Facial Pain, Hyposmia

Eligibility Criteria

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

Inclusion Criteria:

  • Males and females between 18 and 75 years of age
  • Chronic sinusitis as defined by symptoms for greater than 12 weeks despite treatment.
  • Paranasal sinus CT scan showing evidence of chronic sinusitis.
  • Positive skin or RAST test to an inhalant allergen.
  • Serum total IgE between 30 and 700 International Units/ml.
  • Body weight less than 150kg.
  • Impaired quality of life as measured by the Rhinosinusitis Disability Index (RSDI).

Exclusion Criteria:

  • Women of childbearing potential not using the contraception method(s) (Birth control pills, depo Provera, double barrier) as well as women who are breastfeeding.
  • Known sensitivity to Xolair
  • Patients with severe medical conditions that in the view of the investigator prohibits participation in the study (heart, lung, kidney, neurological, oncologic or liver disease).
  • Use of any other investigational agent in the last 30 days.
  • No measurable disability on the RSDI.
  • Immunocompromised patients or patients with ciliary disorders.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Placebo Comparator

    Experimental

    Arm Label

    A

    B

    Arm Description

    Subjects to receive placebo treatment for 6 months

    Subjects to receive Xolair treatment for 6 months

    Outcomes

    Primary Outcome Measures

    Subjects will have QOL measures (RSDI, SNOT 20, SF-36), NPIF, and nasal lavage repeated. Exacerbations of sinusitis requiring additional treatments will be recorded. Paranasal sinus CT scans will be obtained at the screening and final visits

    Secondary Outcome Measures

    Full Information

    First Posted
    January 11, 2008
    Last Updated
    January 30, 2020
    Sponsor
    University of California, San Francisco
    Collaborators
    University of Chicago
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00603785
    Brief Title
    Effects of Anti-IgE Antibody Omalizumab on Patients With Chronic Sinusitis
    Official Title
    Effects of Anti-IgE Antibody Omalizumab (Xolair) on Patients With Chronic Sinusitis and a Positive Allergen Test
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    January 2020
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    Insufficient funds available
    Study Start Date
    January 2008 (undefined)
    Primary Completion Date
    April 2008 (Anticipated)
    Study Completion Date
    April 2008 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    University of California, San Francisco
    Collaborators
    University of Chicago

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    We propose to study the effects of Xolair on patients with chronic sinusitis with or without nasal polyps. Because of the similarities between the inflammatory processes found in asthmas and rhinitis to those found in chronic sinusitis, we hypothesize that sinusitis should respond to Xolair, just as asthma.
    Detailed Description
    We propose to study the effects of Xolair on patients with chronic sinusitis with or without nasal polyps. Since Xolair has been shown to be effective in asthmatic subjects with evidence of atopy and elevated IgE, we will limit our study to patients with chronic sinusitis and these parameters. The primary objective is to determine if Xolair decreases mucosal thickness on CT scan after 6 months of treatment.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Chronic Sinusitis
    Keywords
    Chronic sinusitis, Xolair, Nasal Discharge, Nasal Obstruction, Facial Pain, Hyposmia

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 4
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantInvestigator
    Allocation
    Randomized
    Enrollment
    0 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    A
    Arm Type
    Placebo Comparator
    Arm Description
    Subjects to receive placebo treatment for 6 months
    Arm Title
    B
    Arm Type
    Experimental
    Arm Description
    Subjects to receive Xolair treatment for 6 months
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Intervention Description
    Subjects with chronic sinusitis and evidence of atopy and an elevated total IgE (>30 and <700 IU/ml) will be randomized to receive placebo treatment for 6 months.
    Intervention Type
    Drug
    Intervention Name(s)
    Xolair
    Intervention Description
    Subjects with chronic sinusitis and evidence of atopy and an elevated total IgE (>30 and <700 IU/ml) will be randomized to receive Xolair treatment for 6 months.
    Primary Outcome Measure Information:
    Title
    Subjects will have QOL measures (RSDI, SNOT 20, SF-36), NPIF, and nasal lavage repeated. Exacerbations of sinusitis requiring additional treatments will be recorded. Paranasal sinus CT scans will be obtained at the screening and final visits
    Time Frame
    At entry and every 4 weeks

    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: Males and females between 18 and 75 years of age Chronic sinusitis as defined by symptoms for greater than 12 weeks despite treatment. Paranasal sinus CT scan showing evidence of chronic sinusitis. Positive skin or RAST test to an inhalant allergen. Serum total IgE between 30 and 700 International Units/ml. Body weight less than 150kg. Impaired quality of life as measured by the Rhinosinusitis Disability Index (RSDI). Exclusion Criteria: Women of childbearing potential not using the contraception method(s) (Birth control pills, depo Provera, double barrier) as well as women who are breastfeeding. Known sensitivity to Xolair Patients with severe medical conditions that in the view of the investigator prohibits participation in the study (heart, lung, kidney, neurological, oncologic or liver disease). Use of any other investigational agent in the last 30 days. No measurable disability on the RSDI. Immunocompromised patients or patients with ciliary disorders.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Andrew Goldberg, MD
    Organizational Affiliation
    University of California, San Francisco
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Learn more about this trial

    Effects of Anti-IgE Antibody Omalizumab on Patients With Chronic Sinusitis

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