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| ID | Type | Description | Link |
|---|---|---|---|
| 2023-507987-38-00 | Registry Identifier | CTIS | |
| 2021-000267-72 | EudraCT Number |
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The study has a double-blind period and an open-label period. The study did not meet its primary endpoints after the primary LSLV and the decision was taken to terminate the study early.
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This is a randomized, double-blind, placebo-controlled, parallel-group, international, multicenter, Phase 3 study to evaluate the efficacy and safety of repeat dosing of benralizumab 30 mg administered subcutaneously (SC) versus placebo in patients with severe nasal polyposis.
Approximately 250 patients will be randomized to receive benralizumab 30 mg SC or matching placebo. After enrolment, eligible patients will enter a 6-week screening/run in period. Patients who meet eligibility criteria will be randomised 1:1 at Week 0 (Day 0) to receive either placebo or benralizumab 30 mg SC every 4 weeks for the first 3 doses (Weeks 0, 4 and 8) and every 8 weeks thereafter (Weeks 16, 24, 32, 40 and 48). An end of treatment visit will be conducted at Week 56.All patients who complete the 56-week DB treatment period on investigational product (IP) may be eligible to continue into around one year OLE (Open Label Extension), during which all patients will receive 8 doses of benralizumab 30 mg. Patients in Benra arm during DB period will receive one dummy dose for the second dose during OLE (Open Label Extension). The last study visit will occur at 8 weeks after the last dose of IP (Week 112/FU). Patients who do not enter OLE (Open Label Extension), will have their last study visit at Week 56 (EoDB) for follow-up and without administration of IP.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Benralizumab | Experimental | Benralizumab administered subcutaneously |
|
| Placebo | Placebo Comparator | Placebo administered subcutaneously |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Benralizumab 30 mg | Biological | Benralizumab is 30 mg/ml solution for injection in accessorized pre-filled syringe, 1 ml fill volume. Benralizumab 30 mg subcutaneously will be injected every 4 weeks for the first 3 doses (Weeks 0, 4 and 8) and every 8 weeks thereafter (Weeks 16, 24, 32, 40 and 48). For OLE, Benralizumab 30 mg subcutaneously will be injected every 4 weeks for the first 3 doses and every 8 weeks for the rest 5 doses. For the patients on Benralizumab treatment during double blind period, placebo will be dosed at the second dose during OLE. |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Endoscopic Total Nasal Polyp Score (NPS) at Week 56 | The total nasal polyp score (NPS) is the sum of the right and left nostril scores (maximum of 8), as evaluated by nasal endoscopy. Higher scores indicate greater symptom severity. The left and right score will be based on a central read with a scale from 0 to 4. Each nasal endoscopy is evaluated by two independent physician reviewers. | Baseline to Week 56 |
| Change From Baseline in Mean Nasal Blockage Score (NBS) at Week 56. | The NBS is an item in the NPSD. Patients were asked to rate the severity of their worst nasal blockage over the past 24 hours using the following response options: 0 - none; 1 - mild; 2 - moderate; 3 - severe. Higher scores indicate greater symptom severity. The NBS and the changes from baseline were summarised every two weeks (bi-weekly). Baseline was the average of daily responses from Day -13 to Day 1. Bi-weekly mean were calculated if at least 8 days in each 14-day period had evaluable data; otherwise, the biweekly mean was set to missing. | Baseline to week 56 |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Difficulty With Sense of Smell (DSS) Score at Week 56. | The DSS is an item in the NPSD. Patients were asked to rate the severity of their worst difficulty with sense of smell over the past 24 hours using the following response options: 0-none; 1-mild; 2-moderate; 3-severe. Higher scores indicate greater symptom severity. The DSS and the changes from baseline were summarised every two weeks (bi-weekly). Baseline was the average of daily responses from Day -13 to Day 1. Bi-weekly mean of DSS was calculated if at least 8 days in each 14-day period have evaluable data; otherwise the bi-weekly mean was set to missing. |
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Inclusion criteria:
Exclusion criteria:
Any nasal and/or sinus surgery within 3 months prior to enrolment
Patients with conditions that makes them non evaluable for the co-primary efficacy endpoint including but not limited to:
Clinically important comorbidities (other eosinophil-driven diseases but CRSwNP) that may put the patient at risk, or may confound interpretation of clinical efficacy and/or safety results
Receipt of SCS for within 4 weeks prior to screening, or a scheduled SCS treatment during the study period.
Receipt of any marketed or investigational biologic product within 6 months of enrolment
Currently pregnant or breastfeeding
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| Name | Affiliation | Role |
|---|---|---|
| Luo Zhang, Prof. Dr. | Beijing Tongren Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Research Site | Huntington Beach | California | 92647 | United States | ||
| Research Site |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33710614 | Derived | Chong LY, Piromchai P, Sharp S, Snidvongs K, Webster KE, Philpott C, Hopkins C, Burton MJ. Biologics for chronic rhinosinusitis. Cochrane Database Syst Rev. 2021 Mar 12;3(3):CD013513. doi: 10.1002/14651858.CD013513.pub3. |
| Label | URL |
|---|---|
| CSR Synopsis | View source |
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Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
When a request has been approved AstraZeneca will provide access to the de-identified individual patient-level data in an approved sponsored tool . Signed Data Sharing Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information. Additionally, all users will need to accept the terms and conditions of the SAS MSE to gain access. For additional details, please review the Disclosure Statements at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
All patients completed a 6-week run-in period during which inclusion/exclusion criteria was assessed, medical history and surgical history were documented, Nasal endoscopy performed, and patient reported outcomes (PROs), clinical laboratories, and diet questionnaires were administered.
A total of 723 participants were screened between 15NOV2019 and 01JUN2023. Of those, 295 were randomized to either the treatment (147 participants) or placebo (148 participants) arms of the double-blind treatment period. Eight participants were excluded due to Japan GCP breach. Therefore, 144 participants started in the treatment arm and 143 in the placebo arm, for a total of 287 participants.
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| ID | Title | Description |
|---|---|---|
| FG000 | Double Blind Benralizumab | 30 mg Benralizumab administered every 4 weeks subcutaneously for the first 3 doses (Weeks 0, 4 and 8) and every 8 weeks (Q8W) thereafter. |
| FG001 | Double Blind Placebo |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Double-Blind Period |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Mar 20, 2024 | Nov 28, 2025 |
Not provided
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|
| Matched placebo | Biological | Matching placebo solution for injection in accessorized pre-filled syringe. 1 ml fill volume. Matching placebo subcutaneously will be injected every 4 weeks for the first 3 doses (Weeks 0, 4 and 8) and every 8 weeks thereafter (Weeks 16, 24, 32, 40 and 48). |
|
| Baseline to Week 56 |
| Sinus Opacification by CT Scan at Week 56. | Change from baseline in Lund- Mackay score (LMS). The Lund-Mackay score scoring system is used to provide a quantitative assessment of nasal sinuses on sinus CT scans. Based on the sinus CT images, the five sinuses (maxillary, anterior ethmoid, posterior ethmoid, sphenoid and frontal) on each site are score by central radiologist as follows: (0-Normal; 1-Partial Opacification; 2-Total Opacification). The osteomeatal complex is scored for right and left sides (0 - Not occluded; 2- Occluded). The total score ranges from 0 to 24 (higher scores indicate poorer outcomes). | Baseline to Week 56 |
| Disease Specific Health-related Quality of Life (HRQoL): Change From Baseline in SinoNasal Outcome Test (SNOT-22) Score at Week 56. | SinoNasal Outcome Test 22 scores are participant-reported and assess physical problems, functional limitations and emotional consequences of SinoNasal conditions. Patient-reported symptom severity and symptom impact over the past 2 weeks are captured via a 6-point scale (0-No Problem to 5-Problem as bad as it can be). The total score is the sum of item scores and has a range from 0 to 110 (higher scores indicate poorer outcomes). | Baseline to Week 56 |
| Time to First Nasal Polyp Surgery | Time to the first surgery for CRSwNP= Start date of the first surgery for CRSwNP - date of randomisation + 1 | Baseline to Week 56 |
| Time to First SCS Course for CRSwNP | Time to the first SCS use for CRSwNP = Start date of the first SCS use for CRSwNP - date of randomisation + 1 | Baseline to Week 56 |
| Time to First NP Surgery and/or SCS Use for CRSwNP | Time to first surgery and/or SCS use for CRSwNP = earlier date of (start date of first surgery for CRSwNP, start date of first SCS use for CRSwNP) - date of randomisation + 1 | Baseline to Week 56 |
| Change From Baseline in Bi-weekly Mean Nasal Polyps Symptom Diary Total Symptom Score at Week 56. | The participant completed the nasal polyposis symptom diary each morning throughout the study. The participant was asked to consider their experience with nasal polyposis/nasal polyps over the past 24 hours when responding to each question. Participants were asked to report their experience with nasal polyposis symptoms (nasal blockage, nasal congestion, runny nose, postnasal drip (mucus drainage down the throat), headache, facial pain, facial pressure, difficulty with sense of smell). Participants reported the severity of each symptom and symptom impact at its worst using a 4-point verbal rating scale (0-None to 3-Severe). A total symptom score (range from 0 to 24) was calculated by taking the sum of the 8 equally weighted symptom items. Higher scores indicate greater symptom severity. | Baseline to Week 56 |
| Percentage of Participants With Surgery and/or Use SCS for CRSwNP | Nasal polyps surgery is defined as any procedure involving instruments resulting in incision and removal of tissue (e.g. polypectomy, endoscopic sinus surgery). An SCS course can be considered as a new course if the start date is preceded by at least 7 days after the end date of the last SCS course for CRSwNP (i.e. start date of the new course - end date of the last course > 7) | Baseline to Week 56 |
| Percentage of Participants With Surgery for CRSwNP | Nasal polyps surgery is defined as any procedure involving instruments resulting in incision and removal of tissue (e.g. polypectomy, endoscopic sinus surgery). | Baseline to Week 56 |
| Percentage of Participants With SCS Use for CRSwNP | An SCS course can be considered as a new course if the start date is preceded by at least 7 days after the end date of the last SCS course for CRSwNP (i.e. start date of the new course - end date of the last course > 7) | Baseline to Week 56 |
| Grand Junction |
| Colorado |
| 81501 |
| United States |
| Research Site | Gainesville | Florida | 32605 | United States |
| Research Site | Louisville | Kentucky | 40220 | United States |
| Research Site | White Marsh | Maryland | 21162 | United States |
| Research Site | The Bronx | New York | 10461 | United States |
| Research Site | White Plains | New York | 10605 | United States |
| Research Site | Tulsa | Oklahoma | 74136 | United States |
| Research Site | Bethlehem | Pennsylvania | 18017 | United States |
| Research Site | Fort Worth | Texas | 76109 | United States |
| Research Site | McKinney | Texas | 75070 | United States |
| Research Site | St. George | Utah | 84790 | United States |
| Research Site | Richmond | Virginia | 23235 | United States |
| Research Site | Bellingham | Washington | 98225 | United States |
| Research Site | Milwaukee | Wisconsin | 53228 | United States |
| Research Site | Buenos Aires | C1121 ABE | Argentina |
| Research Site | Buenos Aires | C1414AIF | Argentina |
| Research Site | Ciudad de Buenos Aire | C1425BEN | Argentina |
| Research Site | San Fernando | B1646EBJ | Argentina |
| Research Site | Herston | 4029 | Australia |
| Research Site | Melbourne | 3004 | Australia |
| Research Site | Spearwood | 6163 | Australia |
| Research Site | Brussels | 1200 | Belgium |
| Research Site | Ghent | 9000 | Belgium |
| Research Site | Leuven | 3000 | Belgium |
| Research Site | Plovdiv | 4001 | Bulgaria |
| Research Site | Sofia | 1303 | Bulgaria |
| Research Site | Sofia | 1606 | Bulgaria |
| Research Site | Quillota | 2260000 | Chile |
| Research Site | Santiago | 7500588 | Chile |
| Research Site | Santiago | 8150000 | Chile |
| Research Site | Talca | 3481349 | Chile |
| Research Site | Beijing | 100044 | China |
| Research Site | Beijing | 100191 | China |
| Research Site | Beijing | 100730 | China |
| Research Site | Changchun | 130061 | China |
| Research Site | Changsha | 410008 | China |
| Research Site | Changsha | 410013 | China |
| Research Site | Changsha | China |
| Research Site | Chengdu | 610041 | China |
| Research Site | Chengdu | 610072 | China |
| Research Site | Chongqing | 400042 | China |
| Research Site | Foshan | 528000 | China |
| Research Site | Guangzhou | 510000 | China |
| Research Site | Guangzhou | 510180 | China |
| Research Site | Hangzhou | 310003 | China |
| Research Site | Jinan | 250014 | China |
| Research Site | Nanchang | 330006 | China |
| Research Site | Nanjing | 210029 | China |
| Research Site | Nanning | 530021 | China |
| Research Site | Qingdao | 266071 | China |
| Research Site | Shanghai | 200065 | China |
| Research Site | Shanghai | 200092 | China |
| Research Site | Tianjin | 300050 | China |
| Research Site | Ürümqi | 830054 | China |
| Research Site | Wuhan | 430022 | China |
| Research Site | Xi'an | 710004 | China |
| Research Site | Xi'an | 710061 | China |
| Research Site | Yantai | 264000 | China |
| Research Site | Marseille | 13005 | France |
| Research Site | Toulouse | 31059 | France |
| Research Site | Budapest | 1033 | Hungary |
| Research Site | Budapest | 1046 | Hungary |
| Research Site | Győr | 9024 | Hungary |
| Research Site | Kaposvár | 7400 | Hungary |
| Research Site | Siófok | 8600 | Hungary |
| Research Site | Székesfehérvár | 8000 | Hungary |
| Research Site | Tatabánya | 2800 | Hungary |
| Research Site | Catanzaro | 88100 | Italy |
| Research Site | Pisa | 56124 | Italy |
| Research Site | Roma | 00161 | Italy |
| Research Site | Roma | 00168 | Italy |
| Research Site | Chiba | 262-0015 | Japan |
| Research Site | Fujisawa-shi | 251-0052 | Japan |
| Research Site | Hiroshima | 734-8551 | Japan |
| Research Site | Ichikawa-shi | 272-0143 | Japan |
| Research Site | Iida-shi | 395-8505 | Japan |
| Research Site | Kawasaki-shi | 211-0063 | Japan |
| Research Site | Kumamoto | 860-0814 | Japan |
| Research Site | Meguro-ku | 153-0061 | Japan |
| Research Site | Meguro-ku | 153-8515 | Japan |
| Research Site | Minatoku | 105-8471 | Japan |
| Research Site | Moriguchi-shi | 570-0074 | Japan |
| Research Site | Nagaoka-shi | 940-2085 | Japan |
| Research Site | Osaka | 540-0008 | Japan |
| Research Site | Shinjuku-ku | 160-0017 | Japan |
| Research Site | Yoshida-gun | 910-1193 | Japan |
| Research Site | Bydgoszcz | 85-231 | Poland |
| Research Site | Elblag | 82-300 | Poland |
| Research Site | Krakow | 31-513 | Poland |
| Research Site | Lublin | 20-552 | Poland |
| Research Site | Nadarzyn | 05-830 | Poland |
| Research Site | Poznan | 60-805 | Poland |
| Research Site | Wroclaw | 53-301 | Poland |
| Research Site | Łodź | 90-153 | Poland |
| Research Site | Izhevsk | 426061 | Russia |
| Research Site | Penza | 440067 | Russia |
| Research Site | Saint Petersburg | 196158 | Russia |
| Research Site | Taipei | 10002 | Taiwan |
| Research Site | Taipei | 110 | Taiwan |
| Research Site | Taipei | 11217 | Taiwan |
| Research Site | Taipei | 114 | Taiwan |
| Research Site | Taipei | 235 | Taiwan |
| Research Site | Taoyuan | 333 | Taiwan |
| Research Site | Bangkok | 10330 | Thailand |
| Research Site | Bangkok | 10400 | Thailand |
| Research Site | Bangkok | 10700 | Thailand |
| Research Site | Chiang Mai | 50200 | Thailand |
| Research Site | Khon Kaen | 40002 | Thailand |
| Research Site | Phitsanulok | 65000 | Thailand |
| Research Site | Aydin | 09100 | Turkey (Türkiye) |
| Research Site | Bakırköy | 34147 | Turkey (Türkiye) |
| Research Site | Izmir | 35340 | Turkey (Türkiye) |
| Research Site | Malatya | 44280 | Turkey (Türkiye) |
| Research Site | Hanoi | 100000 | Vietnam |
| Research Site | Ho Chi Minh City | 700000 | Vietnam |
30 mg Placebo administered every 4 weeks subcutaneously for the first 3 doses (Weeks 0, 4 and 8) and every 8 weeks (Q8W) thereafter.
| COMPLETED |
|
| NOT COMPLETED |
|
|
| Open-Label Extension Period |
|
|
All participants who were randomized and received any IP were included in the full analysis set.
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Double Blind Benralizumab | 30 mg Benralizumab administered every 4 weeks subcutaneously for the first 3 doses (Weeks 0, 4 and 8) and every 8 weeks (Q8W) thereafter. |
| BG001 | Double Blind Placebo | 30 mg Placebo administered every 4 weeks subcutaneously for the first 3 doses (Weeks 0, 4 and 8) and every 8 weeks (Q8W) thereafter. |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
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| Age, Continuous | Mean | Standard Deviation | Years |
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| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||||
| Race/Ethnicity, Customized | Number | Participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Change From Baseline in Endoscopic Total Nasal Polyp Score (NPS) at Week 56 | The total nasal polyp score (NPS) is the sum of the right and left nostril scores (maximum of 8), as evaluated by nasal endoscopy. Higher scores indicate greater symptom severity. The left and right score will be based on a central read with a scale from 0 to 4. Each nasal endoscopy is evaluated by two independent physician reviewers. | Primary full analysis set (All CRSwNP participants with asthma who were randomized and received any IP. N=139 in treatment group and N=135 in placebo). The analysis included all participants with baseline and at least one evaluable post-baseline assessment and all the participants with a baseline assessment who are rescued by surgery and/or SCS use for CRSwNP. | Posted | Mean | Standard Deviation | Score | Baseline to Week 56 |
|
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| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Primary | Change From Baseline in Mean Nasal Blockage Score (NBS) at Week 56. | The NBS is an item in the NPSD. Patients were asked to rate the severity of their worst nasal blockage over the past 24 hours using the following response options: 0 - none; 1 - mild; 2 - moderate; 3 - severe. Higher scores indicate greater symptom severity. The NBS and the changes from baseline were summarised every two weeks (bi-weekly). Baseline was the average of daily responses from Day -13 to Day 1. Bi-weekly mean were calculated if at least 8 days in each 14-day period had evaluable data; otherwise, the biweekly mean was set to missing. | Primary full analysis set (All CRSwNP participants with asthma who were randomized and received any IP. N=139 in treatment group and N=135 in placebo). The analysis included all participants with baseline and at least one evaluable post-baseline assessment and all the participants with a baseline assessment who are rescued by surgery and/or SCS use for CRSwNP. | Posted | Mean | Standard Deviation | Score | Baseline to week 56 |
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| Secondary | Change From Baseline in Difficulty With Sense of Smell (DSS) Score at Week 56. | The DSS is an item in the NPSD. Patients were asked to rate the severity of their worst difficulty with sense of smell over the past 24 hours using the following response options: 0-none; 1-mild; 2-moderate; 3-severe. Higher scores indicate greater symptom severity. The DSS and the changes from baseline were summarised every two weeks (bi-weekly). Baseline was the average of daily responses from Day -13 to Day 1. Bi-weekly mean of DSS was calculated if at least 8 days in each 14-day period have evaluable data; otherwise the bi-weekly mean was set to missing. | Primary full analysis set (All CRSwNP participants with asthma who were randomized and received any IP. N=139 in treatment group and N=135 in placebo). The analysis included all participants with baseline and at least one evaluable post-baseline assessment and all the participants with a baseline assessment who are rescued by surgery and/or SCS use for CRSwNP. | Posted | Mean | Standard Deviation | Score | Baseline to Week 56 |
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| Secondary | Sinus Opacification by CT Scan at Week 56. | Change from baseline in Lund- Mackay score (LMS). The Lund-Mackay score scoring system is used to provide a quantitative assessment of nasal sinuses on sinus CT scans. Based on the sinus CT images, the five sinuses (maxillary, anterior ethmoid, posterior ethmoid, sphenoid and frontal) on each site are score by central radiologist as follows: (0-Normal; 1-Partial Opacification; 2-Total Opacification). The osteomeatal complex is scored for right and left sides (0 - Not occluded; 2- Occluded). The total score ranges from 0 to 24 (higher scores indicate poorer outcomes). | Primary full analysis set (All CRSwNP participants with asthma who were randomized and received any IP. N=139 in treatment group and N=135 in placebo). The analysis included all participants with baseline and at least one evaluable post-baseline assessment and all the participants with a baseline assessment who are rescued by surgery and/or SCS use for CRSwNP. | Posted | Mean | Standard Deviation | Score | Baseline to Week 56 |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Disease Specific Health-related Quality of Life (HRQoL): Change From Baseline in SinoNasal Outcome Test (SNOT-22) Score at Week 56. | SinoNasal Outcome Test 22 scores are participant-reported and assess physical problems, functional limitations and emotional consequences of SinoNasal conditions. Patient-reported symptom severity and symptom impact over the past 2 weeks are captured via a 6-point scale (0-No Problem to 5-Problem as bad as it can be). The total score is the sum of item scores and has a range from 0 to 110 (higher scores indicate poorer outcomes). | Primary full analysis set (All CRSwNP participants with asthma who were randomized and received any IP. N=139 in treatment group and N=135 in placebo). The analysis included all participants with baseline and at least one evaluable post-baseline assessment and all the participants with a baseline assessment who are rescued by surgery and/or SCS use for CRSwNP. | Posted | Mean | Standard Error | Score | Baseline to Week 56 |
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| Secondary | Time to First Nasal Polyp Surgery | Time to the first surgery for CRSwNP= Start date of the first surgery for CRSwNP - date of randomisation + 1 | Primary full analysis set (All CRSwNP participants with asthma who were randomized and received any IP. N=139 in treatment group and N=135 in placebo). | Posted | Median | Full Range | Months | Baseline to Week 56 |
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| Secondary | Time to First SCS Course for CRSwNP | Time to the first SCS use for CRSwNP = Start date of the first SCS use for CRSwNP - date of randomisation + 1 | Primary full analysis set (All CRSwNP participants with asthma who were randomized and received any IP. N=139 in treatment group and N=135 in placebo). | Posted | Median | Full Range | Months | Baseline to Week 56 |
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| Secondary | Time to First NP Surgery and/or SCS Use for CRSwNP | Time to first surgery and/or SCS use for CRSwNP = earlier date of (start date of first surgery for CRSwNP, start date of first SCS use for CRSwNP) - date of randomisation + 1 | Primary full analysis set (All CRSwNP participants with asthma who were randomized and received any IP. N=139 in treatment group and N=135 in placebo). | Posted | Median | Full Range | Months | Baseline to Week 56 |
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| Secondary | Change From Baseline in Bi-weekly Mean Nasal Polyps Symptom Diary Total Symptom Score at Week 56. | The participant completed the nasal polyposis symptom diary each morning throughout the study. The participant was asked to consider their experience with nasal polyposis/nasal polyps over the past 24 hours when responding to each question. Participants were asked to report their experience with nasal polyposis symptoms (nasal blockage, nasal congestion, runny nose, postnasal drip (mucus drainage down the throat), headache, facial pain, facial pressure, difficulty with sense of smell). Participants reported the severity of each symptom and symptom impact at its worst using a 4-point verbal rating scale (0-None to 3-Severe). A total symptom score (range from 0 to 24) was calculated by taking the sum of the 8 equally weighted symptom items. Higher scores indicate greater symptom severity. | Primary full analysis set (All CRSwNP participants with asthma who were randomized and received any IP. N=139 in treatment group and N=135 in placebo). The analysis included all participants with baseline and at least one evaluable post-baseline assessment and all the participants with a baseline assessment who are rescued by surgery and/or SCS use for CRSwNP. | Posted | Mean | Standard Deviation | Score | Baseline to Week 56 |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Percentage of Participants With Surgery and/or Use SCS for CRSwNP | Nasal polyps surgery is defined as any procedure involving instruments resulting in incision and removal of tissue (e.g. polypectomy, endoscopic sinus surgery). An SCS course can be considered as a new course if the start date is preceded by at least 7 days after the end date of the last SCS course for CRSwNP (i.e. start date of the new course - end date of the last course > 7) | Primary full analysis set (All CRSwNP participants with asthma who were randomized and received any IP. N=139 in treatment group and N=135 in placebo). | Posted | Count of Participants | Participants | Baseline to Week 56 |
|
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Percentage of Participants With Surgery for CRSwNP | Nasal polyps surgery is defined as any procedure involving instruments resulting in incision and removal of tissue (e.g. polypectomy, endoscopic sinus surgery). | Primary full analysis set (All CRSwNP participants with asthma who were randomized and received any IP. N=139 in treatment group and N=135 in placebo). | Posted | Count of Participants | Participants | Baseline to Week 56 |
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| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Percentage of Participants With SCS Use for CRSwNP | An SCS course can be considered as a new course if the start date is preceded by at least 7 days after the end date of the last SCS course for CRSwNP (i.e. start date of the new course - end date of the last course > 7) | Primary full analysis set (All CRSwNP participants with asthma who were randomized and received any IP. N=139 in treatment group and N=135 in placebo). | Posted | Count of Participants | Participants | Baseline to Week 56 |
|
|
On study AEs were collected from the first dose to the last date in study, up to 112 weeks.
AEs during DB period: date of first dose of IP in DB period ≤ AE onset date ≤ EoDB, except any AE that started on or after the date of first OLE dose was counted in the OLE and not in the DB period.
• AEs during the OLE period: date of first dose of IP in OLE ≤ AE onset date
≤ study completion or withdrawal date.
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Double Blind Benralizumab | 30 mg Benralizumab administered every 4 weeks subcutaneously for the first 3 doses (Weeks 0, 4 and 8) and every 8 weeks (Q8W) thereafter. | 0 | 144 | 12 | 144 | 78 | 144 |
| EG001 | Double Blind Placebo | 30 mg Placebo administered every 4 weeks subcutaneously for the first 3 doses (Weeks 0, 4 and 8) and every 8 weeks (Q8W) thereafter. | 0 | 143 | 12 | 143 | 59 | 143 |
| EG002 | Double Blind Benralizumab First, Then Open Label Benralizumab | All participants who received Benralizumab in the double-blind (DB) period and continued to receive Benralizumab in the open-label extension (OLE) period. 30 mg Benralizumab administered every 4 weeks subcutaneously for the first 3 doses (Weeks 56, 60, 64) and Q8W thereafter (Weeks 72, 80, 88, 96 and 104). | 0 | 122 | 6 | 122 | 37 | 122 |
| EG003 | Double Blind Placebo First, Then Open Label Benralizumab | All participants who initially received Placebo in the DB period, then switched to receive Benralizumab in the open-label extension (OLE) period. 30 mg Benralizumab administered every 4 weeks subcutaneously for the first 3 doses (Weeks 56, 60, 64) and Q8W thereafter (Weeks 72, 80, 88, 96 and 104). | 0 | 125 | 9 | 125 | 33 | 125 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| COVID-19 | Infections and infestations | MedDRA version 27.0 | Systematic Assessment |
| |
| COVID-19 pneumonia | Infections and infestations | MedDRA version 27.0 | Systematic Assessment |
| |
| Infective exacerbation of asthma | Infections and infestations | MedDRA version 27.0 | Systematic Assessment |
| |
| Influenza | Infections and infestations | MedDRA version 27.0 | Systematic Assessment |
| |
| Lower respiratory tract infection | Infections and infestations | MedDRA version 27.0 | Systematic Assessment |
| |
| Otitis media | Infections and infestations | MedDRA version 27.0 | Systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA version 27.0 | Systematic Assessment |
| |
| Pneumonia bacterial | Infections and infestations | MedDRA version 27.0 | Systematic Assessment |
| |
| Fibula fracture | Injury, poisoning and procedural complications | MedDRA version 27.0 | Systematic Assessment |
| |
| Meniscus injury | Injury, poisoning and procedural complications | MedDRA version 27.0 | Systematic Assessment |
| |
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Osteoarthritis | Musculoskeletal and connective tissue disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Colorectal adenoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA version 27.0 | Systematic Assessment |
| |
| Invasive breast carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA version 27.0 | Systematic Assessment |
| |
| Ovarian cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA version 27.0 | Systematic Assessment |
| |
| Papillary thyroid cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA version 27.0 | Systematic Assessment |
| |
| Prostate cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA version 27.0 | Systematic Assessment |
| |
| Transitional cell carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA version 27.0 | Systematic Assessment |
| |
| Guillain-Barre syndrome | Nervous system disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Calculus urinary | Renal and urinary disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Adenomyosis | Reproductive system and breast disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Vulval leukoplakia | Reproductive system and breast disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Asthma | Respiratory, thoracic and mediastinal disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Asthmatic crisis | Respiratory, thoracic and mediastinal disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Chronic rhinosinusitis with nasal polyps | Respiratory, thoracic and mediastinal disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Cataract | Eye disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Abdominal pain | Gastrointestinal disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Chronic gastritis | Gastrointestinal disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Gastrooesophageal reflux disease | Gastrointestinal disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Haemorrhoids | Gastrointestinal disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Reflux gastritis | Gastrointestinal disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Chest discomfort | General disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Acute myocardial infarction | Cardiac disorders | MedDRA version 27.0 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| COVID-19 | Infections and infestations | MedDRA version 27.0 | Systematic Assessment |
| |
| Influenza | Infections and infestations | MedDRA version 27.0 | Systematic Assessment |
| |
| Nasopharyngitis | Infections and infestations | MedDRA version 27.0 | Systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA version 27.0 | Systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA version 27.0 | Systematic Assessment |
| |
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Asthma | Respiratory, thoracic and mediastinal disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Chronic gastritis | Gastrointestinal disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Influenza like illness | General disorders | MedDRA version 27.0 | Systematic Assessment |
| |
| Pyrexia | General disorders | MedDRA version 27.0 | Systematic Assessment |
|
The Institution and/or the Principal Investigator shall not include in or shall remove from any proposed publication any Confidential Information, errors or inaccuracies; and shall withhold publication, submission for publication or presentation for a period of ninety (90) days from the date on which the Company receives the material to allow the Company to take such measures as the Company considers necessary to preserve its proprietary rights and/or protect its Confidential Information.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Global Clinical Head | AstraZeneca | 1-877-240-9479 | information.center@astrazeneca.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Jun 20, 2024 | Nov 27, 2025 | SAP_001.pdf |
Not provided
| ID | Term |
|---|---|
| D009298 | Nasal Polyps |
| D001249 | Asthma |
| ID | Term |
|---|---|
| D009668 | Nose Diseases |
| D012140 | Respiratory Tract Diseases |
| D010038 | Otorhinolaryngologic Diseases |
| D011127 | Polyps |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001982 | Bronchial Diseases |
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
| D012130 | Respiratory Hypersensitivity |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| C571386 | benralizumab |
Not provided
Not provided
Not provided
| Physician Decision |
|
| Adverse Event |
|
| patient withdrew due to failure of treatment |
|
| >=65 years |
|
| Male |
|
| Black or African American |
|
| Asian |
|
| American Indian or Alaska Native |
|
| Native Hawaiian or Other Pacific Islander |
|
| Other |
|
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| Units | Counts |
|---|---|
| Participants |
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30 mg Placebo administered every 4 weeks subcutaneously for the first 3 doses (Weeks 0, 4 and 8) and every 8 weeks (Q8W) thereafter. |
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