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Subcutaneously CM310/Placebo in Patients With Chronic Rhinosinusitis With Nasal Polyposis (CROWNS-1)

Primary Purpose

Chronic Rhinosinusitis (Diagnosis), Nasal Polyps

Status
Completed
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
CM310
Placebo
Sponsored by
Keymed Biosciences Co.Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Rhinosinusitis (Diagnosis) focused on measuring Chronic Rhinosinusitis with Nasal Polyps

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Bilateral CRSwNP.
  • Prior treatment with systemic corticosteroids (SCS), and/or contraindicate to or intolerance to SCS, and/or with prior surgery to nasal polyps.
  • Stable dose of intranasal corticosteroids for at least 4 weeks before screening.
  • Ongoing symptoms for at least 4 weeks before screening:1)Nasal congestion/obstruction; 2)Othe symptom, e.g., loss of smell or rhinorrhea.
  • Bilateral NPS of ≥5 with a minimum score of 2 in each nasal cavity at screening and at baseline.
  • NCS score of 2 or 3 at screening and at baseline.
  • Eosinophilic level meets the one of the following criteria: 1) serum eosinophil count ≥6.9% (without concomitant asthma) or ≥3.7% (with concomitant asthma) at screening; 2) absolute count of ≥55 per high power field or percentage of ≥27% in eosinophil level from nasal polyps biospy tissue.
  • Contraception.

Exclusion Criteria:

  • Not enough washingout period for previous therapy, e.g., less than 10 weeks or 5 half-lives (whichever is longer) for IL-4Rα antagonists, less than 8 weeks or 5 half-lives for biologic therapy/systemic immunosuppressant, less than 6 months for sinus surgery (including polypectomy).
  • concurrent disease, e.g., ongoing rhinitis medicamentosa, acute sinusitis, nasal infection or upper respiratory infection, allergic fungal rhinosinusitis, malignancy, uncontrolled chronic disease such as cardivascular diseases, tuberculosis, diabetes etc.
  • Allergic or intolerant to mometasone furoate spray or CM310/placebo.
  • Significant liver or renal dysfunction.
  • Other.

Sites / Locations

  • Beijing Chaoyang Hospital, CMU
  • Beijing Hospital
  • Beijing Renmin Hospital
  • Beijing Tongren Hospital, CMU
  • First Affiliated Hospital of Chongqing Medical University
  • Jingzhou Central Hospital
  • Renmin Hospital of Wuhan University
  • Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology
  • Third Xiangya Hospital of Central South University
  • The First Affiliated Hospital of Nanchang University
  • Affiliated Hospital of Qingdao University
  • Yantai Yuhuangding Hospital
  • Shandong Second Provincial General Hospital (Shandong ENT hospital)
  • Renji Hospital of Shanghai Jiaotong University School of Medicine
  • Tongji Hospital of Tongji University
  • Second Hospital of Shanxi Medical University
  • Hospital of Chengdu University of Traditional Chinese Medicine
  • West China Hospital of Sichuan University
  • Zhejiang Provincial People's Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

CM310

Placebo

Arm Description

CM310 300mg is given subcutaneously (SC) every two weeks for 16-week treatment

Placebo is given subcutaneously (SC) every two weeks for 16-week treatment.

Outcomes

Primary Outcome Measures

Bilateral endoscopic Nasal Polyps Score (NPS)
Change from baseline in the bilateral endoscopic NPS.NPS score ranges from 0-8. (sum of 0-4 for each nasal passage scores), higher score means a worse outcome.
Nasal Congestion/Obstruction SymptomSeverity (NCS) Score
Change from baseline in the NCS score. NCS score (0-3), higher score means worse nasal symptom.

Secondary Outcome Measures

Time to the first response of NPS
Time to the first response of NPS (defined as bilateral endoscopic NPS improved ≥1).
Lund-Mackay score
Change from baseline in the Lund-Mackay score on CT scan. The range of LM score is 0-24. Higher score means worse nasosinusitis.
Volume of the involved area of nasosinusitis on 3D-construction CT scan
Change from baseline in the volume of the involved area of nasosinusitis on 3D-construction CT scan.
Bilateral endoscopic NPS
Change from baseline in the bilateral endoscopic NPS.
Proportion of subjects receiving rescue therapy for nasal polyps
Proportion of subjects receiving rescue therapy for nasal polyps.
University of Pennsylvania Smell Identification Test (UPSIT)
Change from baseline in UPSIT. UPSIT score (0-40). Higher score means better sense of smell.
22-item Sino-nasal Outcome Test Scores(SNOT-22) score
Change from baseline in SNOT-22 score. SNOT-22 score (0-110). Higher score means a worse outcome.
Total Symptom Score(TSS) score
Change from baseline in TSS score. TSS score (0-9). Higher score means worse nasal symptom.
Bilateral endoscopic NPS
Change from baseline in the bilateral endoscopic NPS in subjects with concurrent asthma.
Bilateral endoscopic NCS
Change from baseline in the NCS in subjects with concurrent asthma.
Safety parameters
Incidence of treatment-emergent adverse events (TEAEs), of treatment-emergent serious AEs (TESAEs), etc.
Pharmacokinetics(PK)
Trough concentration and exposure.
Pharmacodynamics(PD)
Change from baseline in serum biomarker level (TARC, total IgE and eosinophil level).
PD(eosinophil level in nasal polyps biospy tissue)
Change from baseline of eosinophil level in nasal polyps biospy tissue.
Anti-drug antibodies(ADA)
Incidence of ADA.
Neutralizing antibody (Nab)
Incidence of Nab.

Full Information

First Posted
March 12, 2021
Last Updated
June 23, 2022
Sponsor
Keymed Biosciences Co.Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT04805398
Brief Title
Subcutaneously CM310/Placebo in Patients With Chronic Rhinosinusitis With Nasal Polyposis (CROWNS-1)
Official Title
A Randomized, Double Blind, Placebo-Controlled Phase 2 Study to Evaluate the Efficacy, Safety, PK, PD and Immunogenicity of Subcutaneously Given Multiple-Dose CM310 in Patients With Chronic Rhinosinusitis With Nasal Polyps (CRSwNP)
Study Type
Interventional

2. Study Status

Record Verification Date
November 2021
Overall Recruitment Status
Completed
Study Start Date
April 6, 2021 (Actual)
Primary Completion Date
March 18, 2022 (Actual)
Study Completion Date
March 18, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Keymed Biosciences Co.Ltd

4. Oversight

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

5. Study Description

Brief Summary
This is a multi-center, randomized, double blind, placebo-controlled study to evaluate the efficacy, safety, PK, PD and immumogenicity of CM310 in comparison to placebo in addition to a background treatment of mometasone furcate nasal spray (MFNS) in patients with chronic rhinosinusitis with nasal polyposis (CRSwNP).
Detailed Description
The study consists of a Screening/run-in Period (up to 4 weeks), a Randomized, Double Blind Treatment Period (16 weeks, till End-of-Treatment Visit) and a Safety Follow-up Period (8 weeks, till End-of-Study Visit). 56 patients who meet eligibility criteria will be randomized 1:1 to receive either CM310 300mg or matched placebo subcutaneously every two weeks (Q2W) for a total of 8 times. All patients will receive MFNS on a daily basis as a background treatment throughout the study. MFNS is required to use no less than 14 days during Screening/run-in Period. Central reading will be implemented to nasal endoscopic nasal polyp score (NPS) , CT scans to Lund-Mackay score and volume of the involved area of nasosinusitis on 3D-construction images, and nasal polyp biopsy tissue analysis to eosinophil counts & percentage.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Rhinosinusitis (Diagnosis), Nasal Polyps
Keywords
Chronic Rhinosinusitis with Nasal Polyps

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
56 (Actual)

8. Arms, Groups, and Interventions

Arm Title
CM310
Arm Type
Experimental
Arm Description
CM310 300mg is given subcutaneously (SC) every two weeks for 16-week treatment
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo is given subcutaneously (SC) every two weeks for 16-week treatment.
Intervention Type
Biological
Intervention Name(s)
CM310
Intervention Description
300 mg every two weeks
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
300 mg every two weeks
Primary Outcome Measure Information:
Title
Bilateral endoscopic Nasal Polyps Score (NPS)
Description
Change from baseline in the bilateral endoscopic NPS.NPS score ranges from 0-8. (sum of 0-4 for each nasal passage scores), higher score means a worse outcome.
Time Frame
at Week 16
Title
Nasal Congestion/Obstruction SymptomSeverity (NCS) Score
Description
Change from baseline in the NCS score. NCS score (0-3), higher score means worse nasal symptom.
Time Frame
at Week 16
Secondary Outcome Measure Information:
Title
Time to the first response of NPS
Description
Time to the first response of NPS (defined as bilateral endoscopic NPS improved ≥1).
Time Frame
Baseline up to Week 24
Title
Lund-Mackay score
Description
Change from baseline in the Lund-Mackay score on CT scan. The range of LM score is 0-24. Higher score means worse nasosinusitis.
Time Frame
at Week 16
Title
Volume of the involved area of nasosinusitis on 3D-construction CT scan
Description
Change from baseline in the volume of the involved area of nasosinusitis on 3D-construction CT scan.
Time Frame
at Week 16
Title
Bilateral endoscopic NPS
Description
Change from baseline in the bilateral endoscopic NPS.
Time Frame
at Week 8
Title
Proportion of subjects receiving rescue therapy for nasal polyps
Description
Proportion of subjects receiving rescue therapy for nasal polyps.
Time Frame
Baseline up to Week 24
Title
University of Pennsylvania Smell Identification Test (UPSIT)
Description
Change from baseline in UPSIT. UPSIT score (0-40). Higher score means better sense of smell.
Time Frame
at Week 16
Title
22-item Sino-nasal Outcome Test Scores(SNOT-22) score
Description
Change from baseline in SNOT-22 score. SNOT-22 score (0-110). Higher score means a worse outcome.
Time Frame
at Week 16
Title
Total Symptom Score(TSS) score
Description
Change from baseline in TSS score. TSS score (0-9). Higher score means worse nasal symptom.
Time Frame
at Week 16
Title
Bilateral endoscopic NPS
Description
Change from baseline in the bilateral endoscopic NPS in subjects with concurrent asthma.
Time Frame
at Week 16
Title
Bilateral endoscopic NCS
Description
Change from baseline in the NCS in subjects with concurrent asthma.
Time Frame
at Week 16
Title
Safety parameters
Description
Incidence of treatment-emergent adverse events (TEAEs), of treatment-emergent serious AEs (TESAEs), etc.
Time Frame
Baseline up to Week 24
Title
Pharmacokinetics(PK)
Description
Trough concentration and exposure.
Time Frame
Baseline up to Week 24
Title
Pharmacodynamics(PD)
Description
Change from baseline in serum biomarker level (TARC, total IgE and eosinophil level).
Time Frame
Baseline up to Week 24
Title
PD(eosinophil level in nasal polyps biospy tissue)
Description
Change from baseline of eosinophil level in nasal polyps biospy tissue.
Time Frame
at Week 16
Title
Anti-drug antibodies(ADA)
Description
Incidence of ADA.
Time Frame
Baseline up to Week 24
Title
Neutralizing antibody (Nab)
Description
Incidence of Nab.
Time Frame
Baseline up to Week 24

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Bilateral CRSwNP. Prior treatment with systemic corticosteroids (SCS), and/or contraindicate to or intolerance to SCS, and/or with prior surgery to nasal polyps. Stable dose of intranasal corticosteroids for at least 4 weeks before screening. Ongoing symptoms for at least 4 weeks before screening:1)Nasal congestion/obstruction; 2)Othe symptom, e.g., loss of smell or rhinorrhea. Bilateral NPS of ≥5 with a minimum score of 2 in each nasal cavity at screening and at baseline. NCS score of 2 or 3 at screening and at baseline. Eosinophilic level meets the one of the following criteria: 1) serum eosinophil count ≥6.9% (without concomitant asthma) or ≥3.7% (with concomitant asthma) at screening; 2) absolute count of ≥55 per high power field or percentage of ≥27% in eosinophil level from nasal polyps biospy tissue. Contraception. Exclusion Criteria: Not enough washingout period for previous therapy, e.g., less than 10 weeks or 5 half-lives (whichever is longer) for IL-4Rα antagonists, less than 8 weeks or 5 half-lives for biologic therapy/systemic immunosuppressant, less than 6 months for sinus surgery (including polypectomy). concurrent disease, e.g., ongoing rhinitis medicamentosa, acute sinusitis, nasal infection or upper respiratory infection, allergic fungal rhinosinusitis, malignancy, uncontrolled chronic disease such as cardivascular diseases, tuberculosis, diabetes etc. Allergic or intolerant to mometasone furoate spray or CM310/placebo. Significant liver or renal dysfunction. Other.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Luo Zhang
Organizational Affiliation
Beijing Tongren Hospital, CMU
Official's Role
Principal Investigator
Facility Information:
Facility Name
Beijing Chaoyang Hospital, CMU
City
Beijing
State/Province
Beijing
Country
China
Facility Name
Beijing Hospital
City
Beijing
State/Province
Beijing
Country
China
Facility Name
Beijing Renmin Hospital
City
Beijing
State/Province
Beijing
Country
China
Facility Name
Beijing Tongren Hospital, CMU
City
Beijing
State/Province
Beijing
Country
China
Facility Name
First Affiliated Hospital of Chongqing Medical University
City
Chongqing
State/Province
Chongqing
Country
China
Facility Name
Jingzhou Central Hospital
City
Jingzhou
State/Province
Hubei
Country
China
Facility Name
Renmin Hospital of Wuhan University
City
Wuhan
State/Province
Hubei
Country
China
Facility Name
Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology
City
Wuhan
State/Province
Hubei
Country
China
Facility Name
Third Xiangya Hospital of Central South University
City
Changsha
State/Province
Hunan
Country
China
Facility Name
The First Affiliated Hospital of Nanchang University
City
Nanchang
State/Province
Jiangxi
Country
China
Facility Name
Affiliated Hospital of Qingdao University
City
Qingdao
State/Province
Shandong
Country
China
Facility Name
Yantai Yuhuangding Hospital
City
Yantai
State/Province
Shandong
Country
China
Facility Name
Shandong Second Provincial General Hospital (Shandong ENT hospital)
City
Jinan
State/Province
Shangdong
Country
China
Facility Name
Renji Hospital of Shanghai Jiaotong University School of Medicine
City
Shanghai
State/Province
Shanghai
Country
China
Facility Name
Tongji Hospital of Tongji University
City
Shanghai
State/Province
Shanghai
Country
China
Facility Name
Second Hospital of Shanxi Medical University
City
Taiyuan
State/Province
Shanxi
Country
China
Facility Name
Hospital of Chengdu University of Traditional Chinese Medicine
City
Chengdu
State/Province
Sichuan
Country
China
Facility Name
West China Hospital of Sichuan University
City
Chengdu
State/Province
Sichuan
Country
China
Facility Name
Zhejiang Provincial People's Hospital
City
Hangzhou
State/Province
Zhejiang
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No

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Subcutaneously CM310/Placebo in Patients With Chronic Rhinosinusitis With Nasal Polyposis (CROWNS-1)

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