A Real-world, Head-to-head Comparison of Dupilumab Versus Mepolizumab in Danish Patients With Chronic Rhinosinusitis With Nasal Polyps
NCT05942222 · Status: ACTIVE_NOT_RECRUITING · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 220
Last updated 2025-07-01
Summary
The goal of this randomized clinical trial is to compare the effects of two newly available biological drugs for the treatment of severe chronic rhinosinusitis with nasal polyps in Danish patients.
The main questions it aims to answer are whether the two drugs are comparable in effect after 24 weeks in terms of:
* A subjective score (the SNOT-22)
* An objective score, i.e.the physician-assessed score of nasal polyp size (the Nasal Polyp Score (0-8))
Methods:
Participants will be randomized to receive one of the IMPs drug in the standard dose. After 24 weeks the effect is assessed by subjective and objective measures. If the criteria set by the Danish Medicinal Council are met (see elsewhere), treatment continues with the same drug for an additional 24 weeks. If the effect criteria are not met, the subject crosses-over to the opposite drug for an additional 24 weeks. After 48 weeks the effect is assessed once more.
Conditions
- Chronic Rhinosinusitis With Nasal Polyps
- Asthma; Eosinophilic
- Eosinophilia
Interventions
- BIOLOGICAL
-
Subcutaneus injections in standard doses, i.e. 300 mg s.c. every 2 weeks.
- BIOLOGICAL
-
mepolizumab
Subcutaneus injections in standard doses, i.e. 100 mg s.c. every 4 weeks.
Sponsors & Collaborators
-
Rigshospitalet, Denmark
lead OTHER
Principal Investigators
-
Christian Pedersen, MD · Department of ORL, Head and Neck Surgery & Audiology, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark
-
Christian von Buchwald · Department of ORL, Head and Neck Surgery & Audiology, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-04-27
- Primary Completion
- 2026-04-01
- Completion
- 2026-05-01
Countries
- Denmark
Study Locations
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