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NCT05365841

Role of Epithelial Barrier Integrity in Biologic Treatment Response of Severe Asthmatics With/Out Chronic Rhinosinusitis With Nasal Polyps (CRSwNP).

Status unknown Last updated 18 January 2024
What this trial tests

trial testing Mepolizumab 100 MG in Severe Eosinophilic Asthma w/wo CRSwNP in 85 participants. Status unknown.

Timeline
15 May 2022
Primary endpoint
15 May 2025
16 November 2025

Quick facts

Lead sponsorUniversity of Crete
StatusStatus unknown
Study typeOBSERVATIONAL
Enrollment85
Start date15 May 2022
Primary completion15 May 2025
Estimated completion16 November 2025
Sites2 locations across Greece

Drugs / interventions tested

Conditions studied

Sponsor

University of Crete

Who can join

18 and older, any sex, with Severe Eosinophilic Asthma w/wo CRSwNP. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Advances in understanding the pathophysiology of asthma development and severity have pointed towards a prominent role of the bronchial epithelium, especially in more chronic and severe disease. Studies suggest that airway eosinophilic inflammation in asthma is linked to epithelial injury and structural changes of the airways, co called airway wall remodeling. Together the chronic airway inflammation and remodeling are associated with bronchial hyperresponsiveness, fixed airflow obstruction or progressive loss of lung function and clinical severity of asthma. Chronic rhinosinusitis with nasal polyps (CRSwNP), is another respiratory inflammatory disease often co-existing with severe asthma, sharing similar pathophysiology. The investigators hypothesize that epithelial barrier integrity may play a role in the pathophysiology of severe eosinophilic asthma and nasal polyposis and in response to anti-IL5 therapy of severe asthmatics, and that shedding of epithelial barrier proteins may be used as biomarker in the management of severe asthma. In order to study that, the investigators will conduct a prospective cohort study of adult severe asthmatics with/out CRSwNP, who live on the island of Crete, Greece and who meet the criteria for entering anti-IL5 treatment, as assessed by pulmonologist. The participants will be recruited with a convenience sampling in a period of 2 years, under real life conditions, and will be followed up for 1 year after treatment initiation. A control group of subjects diagnosed with nasal polyposis without severe asthma will be used. Eligible subjects will undergo clinical assessment with radiological (CT) and endoscopic investigations. Samples of serum, sputum, nasal secretions, as well as nasal and bronchial biopsies will be obtain for assessing clinicopathological differences among the 3 groups but also response to anti-IL5 therapy in SEA w/o CRSwNP.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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Other trials of Mepolizumab 100 MG

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Data sources for this page

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