Head-to-Head: which biologic works best for nasal polyps and asthma?

NCT ID NCT04998604

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This completed phase 4 trial directly compared two injectable drugs, dupilumab (Dupixent) and omalizumab (Xolair), in 360 adults with severe chronic rhinosinusitis with nasal polyps and asthma. The main goals were to see which drug better reduced polyp size and improved sense of smell after 24 weeks. Researchers also tracked symptom relief and quality of life. The study provides head-to-head evidence to guide treatment choices for this challenging condition.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

Dupilumab (Dupixent) and Omalizumab (Xolair)

What this could lead to

If dupilumab proves better than omalizumab, it could offer a more effective treatment option for people with severe nasal polyps and asthma, improving breathing and quality of life.

What could go wrong

This is a completed phase 4 trial, so results are already known. However, individual responses vary, and both drugs have side effects like injection reactions or infections. The findings may not apply to all patients.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

asthma

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Advanced ENT and Allergy Site Number : 8400013

    Louisville, Kentucky, 40220, United States

  • Allergy, Asthma and Clinical Research Center Site Number : 8400037

    Oklahoma City, Oklahoma, 73120, United States

  • Asthma Allergy & Immunology Clinical Research Unit Site Number : 8400027

    Tampa, Florida, 33613, United States

  • Cedars Sinai Medical Center Site Number : 8400026

    Los Angeles, California, 90048, United States

  • Chryaslis Clinical Research Site Number : 8400017

    St. George, Utah, 84790, United States

  • Cleveland Clinic Foundation Site Number : 8400029

    Cleveland, Ohio, 44195, United States

  • Eastern Virginia Medical School Site Number : 8400010

    Norfolk, Virginia, 23507, United States

  • Essential Medical Research, LLC Site Number : 8400024

    Tulsa, Oklahoma, 74137, United States

  • Investigational Site Number : 0560001

    Ghent, 9000, Belgium

  • Investigational Site Number : 0560002

    Leuven, 3000, Belgium

  • Investigational Site Number : 0560003

    Woluwe-Saint-Lambert, 1200, Belgium

  • Investigational Site Number : 1240002

    Montreal, Quebec, H4A 3J1, Canada

  • Investigational Site Number : 1240003

    Québec, G1V 4G5, Canada

  • Investigational Site Number : 1240004

    London, Ontario, N6A 5A5, Canada

  • Investigational Site Number : 2030001

    Hradec Králové, 50005, Czechia

  • Investigational Site Number : 2030002

    Pardubice, 53203, Czechia

  • Investigational Site Number : 2030003

    Ostrava - Poruba, 70852, Czechia

  • Investigational Site Number : 2030004

    Praha 5 - Motole, 15006, Czechia

  • Investigational Site Number : 2030006

    Prague, 12808, Czechia

  • Investigational Site Number : 2030007

    Benešov, 256 01, Czechia

  • Investigational Site Number : 2030008

    Prague, 14059, Czechia

  • Investigational Site Number : 2030010

    Prague, 10034, Czechia

  • Investigational Site Number : 2030012

    Pilsen, 30599, Czechia

  • Investigational Site Number : 2080001

    Copenhagen, 2100, Denmark

  • Investigational Site Number : 2080003

    Aarhus, 8200, Denmark

  • Investigational Site Number : 2460002

    Tampere, 33520, Finland

  • Investigational Site Number : 2460003

    Helsinki, 00029 HUS, Finland

  • Investigational Site Number : 2500002

    Lille, 59037, France

  • Investigational Site Number : 2500004

    Marseille, 13005, France

  • Investigational Site Number : 2500005

    Montpellier, 34295, France

  • Investigational Site Number : 2500006

    La Roche-sur-Yon, 85925, France

  • Investigational Site Number : 2500007

    Toulouse, 31059, France

  • Investigational Site Number : 2500008

    Le Kremlin-Bicêtre, 94275, France

  • Investigational Site Number : 2500009

    Créteil, 94010, France

  • Investigational Site Number : 2760001

    Münster, 48149, Germany

  • Investigational Site Number : 2760002

    Berlin, 13353, Germany

  • Investigational Site Number : 2760003

    München, 81377, Germany

  • Investigational Site Number : 2760004

    Düsseldorf, 40225, Germany

  • Investigational Site Number : 3480001

    Szeged, 6725, Hungary

  • Investigational Site Number : 3480002

    Pécs, 7621, Hungary

  • Investigational Site Number : 3480004

    Budapest, 1115, Hungary

  • Investigational Site Number : 3480005

    Debrecen, 4026, Hungary

  • Investigational Site Number : 3480006

    Edelény, 3780, Hungary

  • Investigational Site Number : 3480007

    Budapest, 1083, Hungary

  • Investigational Site Number : 3800001

    Rozzano, Lombardy, 20089, Italy

  • Investigational Site Number : 3800002

    Rome, Lazio, 00168, Italy

  • Investigational Site Number : 3800003

    Catania, 95123, Italy

  • Investigational Site Number : 3800004

    Florence, 50134, Italy

  • Investigational Site Number : 3800005

    Varese, 21100, Italy

  • Investigational Site Number : 3800006

    Milan, 20132, Italy

  • Investigational Site Number : 4840002

    Chihuahua City, 31000, Mexico

  • Investigational Site Number : 4840003

    Guadalajara, Jalisco, 44100, Mexico

  • Investigational Site Number : 4840004

    Durango, 34000, Mexico

  • Investigational Site Number : 6160001

    Krakow, 30-033, Poland

  • Investigational Site Number : 6160004

    Poznan, Greater Poland Voivodeship, 60-693, Poland

  • Investigational Site Number : 6160005

    Katowice, Silesian Voivodeship, 40-611, Poland

  • Investigational Site Number : 6160006

    Środa Wielkopolska, 63000, Poland

  • Investigational Site Number : 6160007

    Lodz, 90141, Poland

  • Investigational Site Number : 6160008

    Warsaw, Masovian Voivodeship, 04-141, Poland

  • Investigational Site Number : 6200001

    Matosinhos Municipality, 4454-509, Portugal

  • Investigational Site Number : 6200003

    Aveiro, 3814-501, Portugal

  • Investigational Site Number : 6200005

    Almada, 2801-951, Portugal

  • Investigational Site Number : 6200006

    Guimarães, 4810-061, Portugal

  • Investigational Site Number : 6200007

    Santa Maria da Feira, 4520-211, Portugal

  • Investigational Site Number : 6420002

    Brasov, 500283, Romania

  • Investigational Site Number : 6420004

    Craiova, 200222, Romania

  • Investigational Site Number : 7240001

    Seville, Andalusia, 41009, Spain

  • Investigational Site Number : 7240003

    Jerez de la Frontera, Cádiz, 11407, Spain

  • Investigational Site Number : 7240004

    Madrid / Madrid, Madrid, Comunidad de, 28040, Spain

  • Investigational Site Number : 7240005

    Barcelona, Barcelona [Barcelona], 08036, Spain

  • Investigational Site Number : 7240006

    Pamplona, Navarre, 31080, Spain

  • Investigational Site Number : 7240007

    Majadahonda, Madrid, 28222, Spain

  • Investigational Site Number : 7240008

    L'Hospitalet de Llobregat, Barcelona [Barcelona], 08907, Spain

  • Investigational Site Number : 7520001

    Stockholm, 171 76, Sweden

  • Investigational Site Number : 7520002

    Lund, 221 85, Sweden

  • Investigational Site Number : 7520003

    Gothenburg, 413 45, Sweden

  • Investigational Site Number : 8260001

    Newcastle upon Tyne, NE7 7DN, United Kingdom

  • Investigational Site Number : 8260002

    Manchester, M23 9LT, United Kingdom

  • Investigational Site Number : 8260003

    Wigan, Lancashire, WN6 9EP, United Kingdom

  • Northwell Health Site Number : 8400044

    Great Neck, New York, 11021, United States

  • Northwestern University Site Number : 8400001

    Chicago, Illinois, 60611, United States

  • Optimed Research, LTD Site Number : 8400014

    Columbus, Ohio, 43235, United States

  • Oregon Health & Science University Site Number : 8400031

    Portland, Oregon, 97239, United States

  • University of Illinois

    Chicago, Illinois, 60612, United States

  • University of Missouri Health Care - University Hospital Site Number : 8400016

    Columbia, Missouri, 65212, United States

  • University of Rochester Site Number : 8400015

    Rochester, New York, 14642, United States

  • University of Texas Health Science Center- Site Number : 8400019

    Houston, Texas, 77030, United States