New drug aims to tame rare inflammatory disease
NCT ID NCT05263934
First seen Jun 27, 2026 · Last updated Jul 09, 2026 · Updated 2 times
Summary
This phase 3 trial tests whether a new drug, depemokimab, works as well as the current treatment mepolizumab for adults with a rare disease called EGPA, which causes inflammation of blood vessels. The study involves 163 participants and aims to see if depemokimab can help patients achieve remission while reducing their steroid use. Results are expected after 52 weeks of treatment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- depemokimab (compared to mepolizumab)
- What this could lead to
- If depemokimab works as well as mepolizumab, it could offer a new treatment option for EGPA, potentially with less frequent dosing.
- What could go wrong
- This is a non-inferiority trial, so depemokimab may not be better than the existing drug. Results are still pending, and individual responses may vary.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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163 people
The number who actually took part.
- Started
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Jul 2022
- Expected to finish
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Oct 2026
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Participant (male or female) must be 18 years of age or older at the time of signing the informed consent. * Participants who are \>=40 kilogram at Screening Visit 1. * Participants with a documented diagnosis of EGPA for at least 6 months based on the history or presence of: asthma plus eosinophilia defined as \>1.0\*10\^9/Liter (L) and/or \>10 percentage (%) of leucocytes plus at least 2 of the following additional features of EGPA: a biopsy showing histopathological evidence of eosinophilic vasculitis, or perivascular eosinophilic infiltration, or eosinophil-rich granulomatous inflammation, neuropathy, mono or poly (motor deficit or nerve conduction abnormality), pulmonary infiltrates, non-fixed, sino-nasal abnormality, cardiomyopathy (established by echocardiography or magnetic resonance imaging), glomerulonephritis (hematuria, red cell casts, proteinuria), alveolar hemorrhage (by bronchoalveolar lavage), palpable purpura, anti-neutrophil cytoplasmic antibodies positive Myeloperoxidase or Proteinase 3. * History of relapsing OR refractory disease. * Participants must be on a stable dose of oral prednisolone or prednisone of \>=7.5 mg/day (but not \>50 mg/day) or equivalent for at least 4 weeks prior to Baseline (Visit 2). * If participants receiving immunosuppressive therapy (excluding cyclophosphamide) the dosage must be stable for the 4 weeks prior to Baseline (Visit 2) and during the study. * A female participant is eligible to participate if she is not pregnant or breastfeeding, and one of the following conditions applies: Is a woman of non-childbearing potential (WONCBP) OR Is a woman of childbearing potential (WOCBP) and using a contraceptive method that is highly effective, with a failure rate of \<1%. * Capable of giving signed informed consent Exclusion Criteria: * Participants diagnosed with granulomatosis with polyangiitis; previously known as Wegener's granulomatosis or microscopic polyangiitis. * Participants with organ-threatening EGPA as per EULAR criteria, * Imminently life-threatening EGPA disease within 3 months prior to Screening (Visit 1). * A current malignancy or previous history of cancer in remission for less than 12 months prior to Screening. * Participants with alanine aminotransferase \>2\*upper limit of normal (ULN) or if participant is on background methotrexate or azathioprine \>3\*ULN, aspartate aminotransferase \>2\*ULN or if participant is on background methotrexate or azathioprine \>3\*ULN, alkaline phosphatase \>=2.0\*ULN, total bilirubin \>1.5\*ULN (isolated bilirubin \>1.5\*ULN is acceptable if bilirubin is fractionated and direct bilirubin \<35%), Cirrhosis or current unstable liver or biliary disease per investigator assessment. * Participants who have severe or clinically significant cardiovascular disease uncontrolled with standard treatment. * Participants who have known, pre-existing, clinically significant system abnormalities that are not associated with EGPA and are uncontrolled with standard treatment. * Clinically significant abnormality in the hematological, biochemical or urinalysis screen at Visit 1. * Chronic or ongoing active infectious disease requiring systemic treatment. * Participants with a known, pre-existing parasitic infestation within 6 months prior to Screening Visit 1. * A known immunodeficiency (e.g., human immunodeficiency virus \[HIV\]). * Participants that, according to the investigator's medical judgment, are likely to have active coronavirus disease 2019 (COVID-19) infection. Participants with known COVID-19 positive contacts within the past 14 days must be excluded for at least 14 days following the exposure during which the participant must remain symptom-free. * Participants with a known allergy or intolerance to a monoclonal antibody or biologic therapy or any of the excipients of the investigational products. * Participants who have a previous documented failure with anti-Interleukin-5 /Interleukin-5 receptor therapy (e.g., mepolizumab, reslizumab, benralizumab). Participants who have received monoclonal antibodies (mAb) and who have not undergone the required washout periods, prior to Visit 1. * Participants receiving any of the following: Oral corticosteroids: Participant requires an oral corticosteroid dose of \>50 mg/day prednisolone/prednisone in the 4-week period prior to Baseline (Visit 2), Intravenous (IV), intramuscular or subcutaneous (SC) corticosteroids in the 4-week period prior to Baseline (Visit 2), Omalizumab within 130 days prior to Screening (Visit 1), Cyclophosphamide (CYC): oral CYC within 4 weeks prior to Baseline (Visit 2) and IV CYC within 3 weeks prior to Baseline (Visit 2), if their total white blood cells is \>=4\*10\^9/L (measured using the local laboratory if necessary), Rituximab within 12 months prior to Screening (Visit 1); in addition, the Participant must have shown recovery of peripheral B-cell count to within the normal range, Tezepelumab and Dupilumab with a washout period of 5 half-lives prior to Screening Visit 1, IV or SC immunoglobulin within 6 months prior to Screening (Visit 1); For China and Japan only within 12 weeks prior to Screening (Visit 1), Interferon-alpha within 6 months prior to Screening Visit 1, Anti-tumor necrosis factor therapy within 12 weeks prior to Screening Visit 1, Anti-CD52 (alemtuzumab) within 6 months prior to Screening Visit 1. * Participants with QT interval corrected for heart rate according to Fridericia's formula (QTcF) \>=450 milliseconds (msec) or QTcF \>=480 msec for participants with Bundle Branch Block in the 12-lead ECG central over-read from at Screening Visit 1.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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GSK Investigational Site
Denver, Colorado, 80206, United States
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GSK Investigational Site
Gainesville, Florida, 32610, United States
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GSK Investigational Site
Rochester, Minnesota, 55905, United States
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GSK Investigational Site
New York, New York, 10021, United States
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GSK Investigational Site
Charlotte, North Carolina, 28211, United States
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GSK Investigational Site
Pittsburgh, Pennsylvania, 15261, United States
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GSK Investigational Site
La Plata, B1900, Argentina
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GSK Investigational Site
San Miguel de Tucumán, T4000, Argentina
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GSK Investigational Site
Graz, 8036, Austria
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GSK Investigational Site
Santo André, 09060-870, Brazil
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GSK Investigational Site
São Paulo, 4023900, Brazil
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GSK Investigational Site
Toronto, Ontario, M5T 3A9, Canada
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GSK Investigational Site
Toronto, Ontario, M5T 3L9, Canada
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GSK Investigational Site
Beijing, 100005, China
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GSK Investigational Site
Guangzhou, 510163, China
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GSK Investigational Site
Hefei, 230001, China
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GSK Investigational Site
Nanjing, 210006, China
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GSK Investigational Site
Qingdao, 266071, China
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GSK Investigational Site
Shanghai, 200032, China
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GSK Investigational Site
Shenzhen, 518020, China
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GSK Investigational Site
Wenzhou, 325000, China
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GSK Investigational Site
La Roche-sur-Yon, 85925, France
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GSK Investigational Site
Nantes, 44093, France
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GSK Investigational Site
Paris, 75014, France
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GSK Investigational Site
Freiburg im Breisgau, 79106, Germany
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GSK Investigational Site
Minden, 32429, Germany
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GSK Investigational Site
Ramat Gan, 52621, Israel
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GSK Investigational Site
Bari, 70124, Italy
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GSK Investigational Site
Brescia, 25123, Italy
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GSK Investigational Site
Florence, 50134, Italy
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GSK Investigational Site
Milan, 20132, Italy
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GSK Investigational Site
Milan, 20162, Italy
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GSK Investigational Site
Pavia, 27100, Italy
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GSK Investigational Site
Pisa, 56126, Italy
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GSK Investigational Site
Roma, 00128, Italy
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GSK Investigational Site
Torrette AN, 60126, Italy
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GSK Investigational Site
Treviso, 31100, Italy
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GSK Investigational Site
Kanagawa, 247-8533, Japan
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GSK Investigational Site
Kanagawa, 252-0392, Japan
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GSK Investigational Site
Saitama, 350-8550, Japan
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GSK Investigational Site
Tokyo, 162-8666, Japan
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GSK Investigational Site
Tokyo, 181-8611, Japan
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GSK Investigational Site
Groningen, 9713 GZ, Netherlands
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GSK Investigational Site
Leiden, 2333 ZA, Netherlands
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GSK Investigational Site
Gdansk, 80-952, Poland
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GSK Investigational Site
Lodz, 90-153, Poland
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GSK Investigational Site
Warsaw, 01-138, Poland
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GSK Investigational Site
Lisbon, 1649-035, Portugal
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GSK Investigational Site
Porto, 4099-001, Portugal
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GSK Investigational Site
Gwangju, 61469, South Korea
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GSK Investigational Site
Seoul, 05505, South Korea
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GSK Investigational Site
Seoul, 06351, South Korea
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GSK Investigational Site
Seoul, 06591, South Korea
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GSK Investigational Site
Seoul, 3080, South Korea
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GSK Investigational Site
Barcelona, 08035, Spain
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GSK Investigational Site
Barcelona, 08036, Spain
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GSK Investigational Site
Granada, 18014, Spain
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GSK Investigational Site
Pamplona, 31008, Spain
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GSK Investigational Site
Zaragoza, 50009, Spain
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GSK Investigational Site
Malmö, SE-205 02, Sweden
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GSK Investigational Site
Birmingham, B15 2GW, United Kingdom
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GSK Investigational Site
Cambridge, CB2 2QQ, United Kingdom
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GSK Investigational Site
London, SE1 7EH, United Kingdom
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- New hope for rare disease: can NS-229 help patients reduce steroids?
- New study tracks Nucala's Long-Term impact on rare inflammatory disease
- Scientists build tissue bank to unlock vasculitis mysteries
- Scientists hunt for clues to rare immune disease
- New drug aims to tame rare inflammatory disease EGPA
- New drug MT-2990 tested in rare blood vessel disease