Mepolizumab Effectiveness in Patients With Chronic Rhinosinusitis, Nasal Polyps and Comorbid Severe Eosinophilic Asthma
NCT06069310 · Status: ACTIVE_NOT_RECRUITING · Type: OBSERVATIONAL · Enrollment: 40
Last updated 2026-04-17
Summary
The goal of this observational study is to learn about clinical and functional outcomes in patients with Chronic rhinosinusitis with nasal polyps and comorbid Severe Eosinophilic Asthma and patients with Chronic rhinosinusitis with nasal polyps only treated with mepolizumab compared to healthy controls.
Participants will be asked to give nasal, blood and sputum samples before mepolizumab administration (T0) and at 3 (T3), 6 (T6) and 12 (T12) months after mepolizumab initiation The main aims are to identify airways microbiota modifications and differential gene expression after mepolizumab initiation.
Researchers will compare:
* Patients with Chronic rhinosinusitis with nasal polyps and comorbid Severe Eosinophilic Asthma
* Patients with Chronic rhinosinusitis with nasal polyps only
* Healthy subjects
The research will address the following questions:
1. What are the prospective clinical and functional outcomes of mepolizumab treatment
2. What is the impact of mepolizumab therapy on the airways microbiota and how this may relate to a potentially reduced need for steroids
3. What are the host differential gene expression patterns and the immune/inflammatory (cytokines/chemokines) profile alterations in airways microenvironment and in systemic circulation in response to therapy
4. What are the associations between host and microbiome variables for building up diagnostic and predictive biomarker classifiers of responsive disease endotypes
Conditions
- Chronic Rhinosinusitis With Nasal Polyps
- Severe Eosinophilic Asthma
- Chronic Rhinosinusitis Without Nasal Polyps
Interventions
- DRUG
-
Mepolizumab 100 MG
Monthly administartion of mepolizumab 100mg
Sponsors & Collaborators
-
National and Kapodistrian University of Athens
lead OTHER
Principal Investigators
-
Paraskevi Katsaounou, MD, PhD, Msc · National and Kapodistrian University of Athens
-
Eleni Loutrari, PhD · National and Kapodistrian University of Athens
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2023-09-01
- Primary Completion
- 2026-08-31
- Completion
- 2027-03-30
Countries
- Greece
Study Locations
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