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NCT03797404: REMOMEPO
Airway Remodeling During Mepolizumab Treatment
trial in Asthma in 37 participants. Completed in 21 June 2022.
21 June 2022
Quick facts
| Lead sponsor | Assistance Publique - Hôpitaux de Paris |
|---|---|
| Status | Completed |
| Study type | OBSERVATIONAL |
| Enrollment | 37 |
| Start date | 24 April 2019 |
| Primary completion | 21 June 2022 |
| Estimated completion | 21 June 2022 |
| Sites | 1 location across France |
Conditions studied
- Asthma — all drugs for Asthma →
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):
-
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 -
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 -
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 -
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 -
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 -
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:
- PubMed search for NCT03797404
- Europe PMC full search
- ASCO Meeting Library
- ESMO Meeting Library
- bioRxiv preprints
- medRxiv preprints
- Google Scholar
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Verify against primary sources
- ClinicalTrials.gov — authoritative US registry record
- WHO ICTRP — international registry index
- EU Clinical Trials Register
- Sponsor press releases (Google)
- Trial protocol + status: ClinicalTrials.gov NCT03797404 (US National Library of Medicine, public domain)
- Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
- Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
- Sponsor: as reported to ClinicalTrials.gov by Assistance Publique - Hôpitaux de Paris
- Last refreshed: 20 January 2023
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03797404.
Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing