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NCT03797404: REMOMEPO

Airway Remodeling During Mepolizumab Treatment

Completed Last updated 20 January 2023
What this trial tests

trial in Asthma in 37 participants. Completed in 21 June 2022.

Timeline
24 April 2019
Primary endpoint
21 June 2022
21 June 2022

Quick facts

Lead sponsorAssistance Publique - Hôpitaux de Paris
StatusCompleted
Study typeOBSERVATIONAL
Enrollment37
Start date24 April 2019
Primary completion21 June 2022
Estimated completion21 June 2022
Sites1 location across France

Conditions studied

Sponsor

Assistance Publique - Hôpitaux de Paris — full company profile →

Who can join

18 and older, any sex, with Asthma. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Chronic airway changes, such as smooth muscle hypertrophy/hyperplasia, reticular basement membrane (RBM) thickening, goblet cells hyperplasia characterize severe asthma. Chronic inflammation, and especially eosinophilia and T2 cytokines are involved in these structural changes. The aim of this prospective observational study is to assess airway changes, assessed by bronchial biopsies before treatment, then after 6 months and 12 months, induced by mepolizumab in 40 severe asthma patients who will receive the treatment as part of their standard care. Changes in RBM thickening, in airway smooth muscle (ASM) area, in the number of PGP9 sections will be assessed on bronchial biopsies after 6 months and 12 months of mepolizumab treatment. Bronchoalveolar lavage (BAL) levels of inflammatory and remodeling mediators and of extra-cellular matrix (ECM) components will be measured after 6 months and 12 months of mepolizumab treatment. Relationship between clinical response to mepolizumab and remodeling changes after 6 months and 12 months will be assessed.

Publications & conference data

6 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Biologics and airway remodeling in severe asthma.
    Varricchi G, Ferri S, Pepys J, Poto R, et al · · 2022 · cited 194× · PMID 35950646 · DOI 10.1111/all.15473
  2. Holy Grail: the journey towards disease modification in asthma.
    Busse WW, Melén E, Menzies-Gow AN. · · 2022 · cited 39× · PMID 35197266 · DOI 10.1183/16000617.0183-2021
  3. Biologics and airway remodeling in asthma: early, late, and potential preventive effects.
    Varricchi G, Poto R, Lommatzsch M, Brusselle G, et al · · 2025 · cited 33× · PMID 39520155 · DOI 10.1111/all.16382
  4. Targeting inflammation or remodeling in asthma? Is there a right way?
    Domvri K, Porpodis K. · · 2023 · cited 2× · PMID 38076243 · DOI 10.3389/fmed.2023.1241920
  5. Impact of Mepolizumab on Airway Remodeling and Inflammation in Severe Eosinophilic Asthma.
    Taillé C, Hamidi F, Heddebaut N, Poté N, et al · · 2026 · cited 1× · PMID 41354402 · DOI 10.1016/j.chest.2025.10.047
  6. Decrease in Eosinophil-Derived-Neurotoxin With Mepolizumab Is Associated With Asthma Improvement.
    Granger V, Nadif R, Orsi L, Chollet Martin S, et al · · 2025 · PMID 40785372 · DOI 10.1111/all.70008

Verify or expand the search:

Other recruiting trials for Asthma

Currently open trials in the same condition.

Other Assistance Publique - Hôpitaux de Paris trials

Trials by the same sponsor.

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Data sources for this page

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