New shot could shrink nasal polyps and ease stuffy nose
NCT ID NCT06834360
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This Phase 3 trial tests itepekimab, an injectable drug, in 216 adults with chronic sinusitis and nasal polyps that are not well-controlled by standard nasal sprays. Participants receive itepekimab or a placebo for 52 weeks, plus a nasal spray. The study measures changes in polyp size and nasal congestion. It aims to see if itepekimab can improve symptoms and reduce the need for surgery or steroids.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- itepekimab
- What this could lead to
- If it works, this could provide a new treatment option to shrink nasal polyps and ease congestion for people whose symptoms are not controlled by standard sprays.
- What could go wrong
- This is a Phase 3 trial, but results are not yet known. The drug may not work better than placebo, and side effects are possible. It is an add-on therapy, not a standalone cure.
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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216 people
The number who actually took part.
- Started
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Feb 2025
- Expected to finish
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Oct 2027
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: * Participants must be 18 years of age or older. * Participants with a history of chronic rhinosinusitis with nasal polyps (CRSwNP) for at least 1 year prior to screening * Participants must have at least one of the following features: * Prior sinonasal surgery for nasal polyps (NP). * Worsening symptoms of chronic rhinosinusitis (CRS) requiring treatment with systemic corticosteroid(s) (SCS) within the prior 1 year before screening (Visit 1). * An endoscopic bilateral Nasal Polyp Score (NPS) of at least 5 out of maximum score of 8 (with a minimum score of 2 in each nasal cavity) at screening and randomization. * Ongoing symptoms (for at least 12 weeks before Visit 1) of: * Nasal congestion/blockade/obstruction with moderate or severe (symptom severity score 2 or 3) at Visit 1 and a weekly average severity of greater than 1 in the week before randomization (Visit 2), AND * At least one of the following two symptoms: loss of smell or rhinorrhea (anterior/posterior). * A female participant is eligible to participate if she is not pregnant or breastfeeding, and at least 1 of the following conditions applies: * Is not a women of childbearing potential (WOCBP), OR * Is a WOCBP and agrees to use a contraceptive method that is highly effective, with a failure rate of \<1% during the study (at a minimum until 20 weeks after the last dose of study intervention). Exclusion Criteria: Participants are excluded from the study if any of the following criteria apply: * Participants with a history of clinically significant renal, hepatic, metabolic, neurologic, hematologic, ophthalmologic, respiratory (excluding those with asthma and aspirin-exacerbated respiratory disease (AERD) which may be included in the study), gastrointestinal, cardiovascular, cerebrovascular, or other significant medical illness or disorder, which, in the judgment of the Investigator, could interfere with the study or require treatment that might interfere with the study. * Participants who are currently smoking tobacco and/or vaping, or participants in whom smoking/vaping cessation has occurred \<6 months prior to Screening (Visit 1). Nicotine replacement therapy and/or noninhaled tobacco product use are not considered current smoking of tobacco. * Participants meet any contraindications for mometasone furoate nasal spray (MFNS) such as hypersensitivity to MFNS or any of its components; or participants with uncontrolled opportunistic infections. * Participants with a history of a severe systemic hypersensitivity reaction to a mAb. * Participants with conditions/concomitant diseases making them non-evaluable at Visit 1 or for the primary efficacy endpoint. * Participants with nasal cavity malignant tumor and benign tumors (eg, papilloma, blood boil etc). * Participants with severe uncontrolled asthma with history of 2 and/or more exacerbations, requiring SCS or 1 hospitalization requiring SCS in the past year. * History of concomitant lung disease (other than asthma, eg, COPD, interstitial lung disease) which in the opinion of the Investigator could interfere with performance and interpretation of spirometry. * Participants treated with intranasal corticosteroid(s) (INCS) (MFNS is permitted), intranasal emitting devices/stents, nasal spray using exhalation delivery system such as XhanceTM during the screening period. In Japan and China INCS other than MFNS are permitted. * Participants who have undergone any sinus intranasal surgery (including polypectomy) within 6 months before Visit 1. * Participants who received SCS 1 month prior to Screening (Visit 1) or during the screening period (between Visit 1 and Visit 2). * Known allergy to itepekimab or its excipients, or any drug or other allergy that, in the opinion of the Investigator, contraindicates participation in this study. The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
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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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Advanced ENT & Allergy - Louisville- Site Number : 8400007
Louisville, Kentucky, 40220, United States
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Advanced Research Institute - New Port Richey- Site Number : 8400014
New Port Richey, Florida, 34653, United States
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Allergy, Asthma and Clinical Research- Site Number : 8400002
Oklahoma City, Oklahoma, 73120, United States
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Cedars-Sinai Medical Center- Site Number : 8400030
Los Angeles, California, 90048, United States
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Centro de Pesquisa Clínica de Marília - CPCLIM- Site Number : 0760002
Marília, São Paulo, 17504-072, Brazil
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Clinica de Alergia Martti Antila- Site Number : 0760003
Sorocaba, São Paulo, 18040-425, Brazil
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Ear and Sinus Institute- Site Number : 8400048
Fort Worth, Texas, 76104, United States
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Excel ENT of Alabama- Site Number : 8400052
Birmingham, Alabama, 35244, United States
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Fundação Faculdade Regional de Medicina de São José do Rio Preto- Site Number : 0760005
São José do Rio Preto, São Paulo, 15090-000, Brazil
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Investigational Site Number : 0320001
Buenos Aires, 1414, Argentina
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Investigational Site Number : 0320002
Buenos Aires, 1121, Argentina
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Investigational Site Number : 0320003
Mendoza, 5500, Argentina
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Investigational Site Number : 0320004
Corrientes, 3400, Argentina
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Investigational Site Number : 0320005
San Miguel de Tucumán, Tucumán Province, 4000, Argentina
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Investigational Site Number : 0360001
Spearwood, Western Australia, 6163, Australia
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Investigational Site Number : 0360002
Brisbane, Queensland, 4029, Australia
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Investigational Site Number : 0360003
Bella Vista, New South Wales, 2153, Australia
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Investigational Site Number : 0560001
Leuven, 3000, Belgium
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Investigational Site Number : 0560002
Ghent, 9000, Belgium
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Investigational Site Number : 0560004
Gesves, Namur, 5340, Belgium
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Investigational Site Number : 0560006
Alken, 3570, Belgium
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Investigational Site Number : 1240003
Québec, Quebec, G1V 4W2, Canada
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Investigational Site Number : 1240012
Québec, Quebec, G2J 0C4, Canada
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Investigational Site Number : 1240014
Ottawa, Ontario, K1G 6C6, Canada
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Investigational Site Number : 1240015
Cambridge, Ontario, N1R 8L4, Canada
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Investigational Site Number : 1240017
Vancouver, British Columbia, V6A 2W1, Canada
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Investigational Site Number : 1240019
Burlington, Ontario, L7R 3P9, Canada
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Investigational Site Number : 1520001
Concepción, Biobio, 4070094, Chile
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Investigational Site Number : 1520002
Quillota, Valparaiso, 2260877, Chile
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Investigational Site Number : 1520003
Santiago, Reg Metropolitana de Santiago, 7500505, Chile
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Investigational Site Number : 1520004
Talcahuano, Biobio, 2687000, Chile
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Investigational Site Number : 1560001
Beijing, 100730, China
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Investigational Site Number : 1560002
Jinan, 250022, China
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Investigational Site Number : 1560003
Yantai, 264001, China
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Investigational Site Number : 1560004
Chengdu, 610017, China
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Investigational Site Number : 1560006
Shenyang, 110004, China
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Investigational Site Number : 1560009
Zibo, 255036, China
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Investigational Site Number : 1560012
Jingzhou, 434020, China
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Investigational Site Number : 1560014
Wuhan, 430060, China
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Investigational Site Number : 1560017
Taiyuan, 030001, China
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Investigational Site Number : 1560019
Hangzhou, 310003, China
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Investigational Site Number : 1560020
Baotou, 014040, China
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Investigational Site Number : 1560021
Nanning, 530021, China
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Investigational Site Number : 1560023
Taiyuan, 030001, China
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Investigational Site Number : 1560024
Suzhou, 215006, China
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Investigational Site Number : 1560025
Chongqing, 400016, China
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Investigational Site Number : 2030001
Prague, 150 06, Czechia
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Investigational Site Number : 2030002
Hradec Králové, 500 05, Czechia
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Investigational Site Number : 2030003
Pardubice, 532 03, Czechia
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Investigational Site Number : 2030004
Prague, 100 34, Czechia
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Investigational Site Number : 2030005
Pilsen, 305 99, Czechia
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Investigational Site Number : 2080001
Aarhus, 8200, Denmark
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Investigational Site Number : 2080002
Køge, 4600, Denmark
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Investigational Site Number : 2080004
Copenhagen, 2100, Denmark
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Investigational Site Number : 2500001
Nantes, 44093, France
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Investigational Site Number : 2500004
Marseille, 13005, France
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Investigational Site Number : 2500005
Toyama, 939-2716, Japan
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Investigational Site Number : 2500007
Toulouse, 31059, France
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Investigational Site Number : 2500010
Poitiers, 86021, France
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Investigational Site Number : 2500011
Bordeaux, 33076, France
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Investigational Site Number : 2500014
Pontoise, 95300, France
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Investigational Site Number : 2760001
Dresden, 01307, Germany
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Investigational Site Number : 2760002
Leipzig, 04103, Germany
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Investigational Site Number : 2760005
Hamburg, 20246, Germany
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Investigational Site Number : 2760006
Dresden, 01139, Germany
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Investigational Site Number : 2760007
Mainz, 55131, Germany
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Investigational Site Number : 2760008
Villingen-Schwenningen, 78052, Germany
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Investigational Site Number : 3480001
Szeged, 6720, Hungary
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Investigational Site Number : 3480005
Budapest, 1026, Hungary
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Investigational Site Number : 3760001
Nahariya, 2210001, Israel
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Investigational Site Number : 3760002
Rehovot, 7610001, Israel
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Investigational Site Number : 3760003
Haifa, 3104802, Israel
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Investigational Site Number : 3760004
Jerusalem, 9112001, Israel
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Investigational Site Number : 3800001
Milan, Milano, 20132, Italy
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Investigational Site Number : 3800003
Catania, 95123, Italy
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Investigational Site Number : 3800005
Naples, Napoli, 80131, Italy
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Investigational Site Number : 4840001
Guadalajara, Jalisco, 44100, Mexico
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Investigational Site Number : 4840002
Veracruz, 91900, Mexico
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Investigational Site Number : 4840007
Chihuahua City, 31217, Mexico
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Investigational Site Number : 4840008
Monterrey, Nuevo León, 64718, Mexico
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Investigational Site Number : 5280001
Utrecht, 3584 CX, Netherlands
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Investigational Site Number : 5280002
Amsterdam, 1081 HV, Netherlands
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Investigational Site Number : 6160001
Bielsko-Biala, Silesian Voivodeship, 43-300, Poland
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Investigational Site Number : 6160002
Lodz, Lódzkie, 90-302, Poland
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Investigational Site Number : 6160004
Poznan, Greater Poland Voivodeship, 60-693, Poland
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Investigational Site Number : 6160005
Wroclaw, Lower Silesian Voivodeship, 50-750, Poland
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Investigational Site Number : 6420001
Bucharest, 022328, Romania
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Investigational Site Number : 6420002
Brasov, 500283, Romania
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Investigational Site Number : 6420003
Brasov, 500091, Romania
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Investigational Site Number : 7240002
Santander, Cantabria, 39008, Spain
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Investigational Site Number : 7240004
L'Hospitalet de Llobregat, Catalunya [Cataluña], 08907, Spain
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Investigational Site Number : 7240006
Barcelona, Barcelona [Barcelona], 08003, Spain
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Investigational Site Number : 7240008
Pamplona, Navarre, 31008, Spain
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Investigational Site Number : 7240010
Madrid, 28034, Spain
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Investigational Site Number : 7240012
Madrid, 28040, Spain
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Investigational Site Number : 7920001
Bursa, 16059, Turkey (Türkiye)
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Investigational Site Number : 7920002
Istanbul, 34360, Turkey (Türkiye)
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Investigational Site Number : 7920003
Ankara, 06230, Turkey (Türkiye)
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Investigational Site Number : 8260001
London, London, City of, W2 1NY, United Kingdom
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Investigational Site Number : 8260002
Wigan, Lancashire, Wn6 9ep, United Kingdom
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Investigational Site Number : 8260003
Taunton, Somerset, TA1 5DA, United Kingdom
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Johns Hopkins Hospital- Site Number : 8400017
Baltimore, Maryland, 21287, United States
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One Of A Kind Clinical Research Center- Site Number : 8400034
Napa, California, 94558, United States
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Private Practice - Dr. Nelson Rosário- Site Number : 0760001
Curitiba, Paraná, 80810-100, Brazil
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Spartanburg-Greer ENT & Allergy- Site Number : 8400039
Greer, South Carolina, 29650, United States
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Thomas Jefferson University Hospital- Site Number : 8400044
Philadelphia, Pennsylvania, 19107, United States
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University of Cincinnati Medical Center- Site Number : 8400022
Cincinnati, Ohio, 45219, United States
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University of Florida - Jacksonville- Site Number : 8400053
Jacksonville, Florida, 32209, United States
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University of Illinois at Chicago- Site Number : 8400003
Chicago, Illinois, 60607, United States
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Velocity Clinical Research - Lafayette- Site Number : 8400026
Lafayette, Louisiana, 70508, United States
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Velocity Clinical Research - San Diego- Site Number : 8400041
La Mesa, California, 91942, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can an antibody injection shrink nasal polyps?
- Can a biologic drug plus office polyp removal beat either alone for stubborn nasal polyps?
- A biologic shot may rewire nasal polyps for years of relief
- Can a biologic drug ease the burden of severe nasal polyps?
- Can a new drug shrink nasal polyps and restore smell?
- Triple-Action nasal spray could ease chronic sinusitis