NCT02874144

Brief Summary

To evaluate the efficacy of an anti-inflammatory agent compared with placebo in relieving signs and symptoms of disease in patients with sinusitis.

Trial Health

100
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
43

participants targeted

Target at P25-P50 for phase_2

Timeline
Completed

Started Jun 2016

Typical duration for phase_2

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

June 20, 2016

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

July 26, 2016

Completed
27 days until next milestone

First Posted

Study publicly available on registry

August 22, 2016

Completed
3.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 7, 2020

Completed
7 months until next milestone

Study Completion

Last participant's last visit for all outcomes

August 10, 2020

Completed
1.8 years until next milestone

Results Posted

Study results publicly available

May 25, 2022

Completed
Last Updated

May 25, 2022

Status Verified

May 1, 2022

Enrollment Period

3.6 years

First QC Date

July 26, 2016

Results QC Date

April 8, 2021

Last Update Submit

May 4, 2022

Conditions

Outcome Measures

Primary Outcomes (3)

  • TOTAL POLYP SCORE (TPS)

    Measure Description: Measurement of Primary outcome- 0-4 scale in each nostril, total is 8. The total polyp score is the sum of the right and left nasal polyp score. Maximum is 8, minimum is 0. Higher score indicates worse disease. 0 =No polyps 1=Small polyps in the middle meatus not reaching below the inferior border of the middle turbinate 2=Polyps reaching the lower border of the middle turbinate or polyp medial to the middle turbinate 3 = Large polyps reaching the lower border of the inferior turbinate 4 =Large polyps causing complete obstruction. The primary outcome measured change in polyp size and secondary outcomes included change in radiographic severity of sinus disease, quality of life, and nasal symptoms as measured by Sino Nasal Outcome Test-22 (SNOT-22) and sense of smell by Brief Smell Identification Test (B-SIT) at 12 weeks in the AZD1981 group vs. the placebo. These were done at the baseline visit and the Week 12 visit.

    Baseline and Week 12

  • Sinus CT Scan Scores by Lund-Mackay Scores

    Measurement of secondary outcome: sinus CT scan scores by Lund-Mckay scores. We measured sinus radiographic severity with Lund-Mackay scores of 0 to 24. 0 was the least severe and 24 was the most severe. This secondary outcomes included change in radiographic severity of sinus disease, as measured by sinus CT scan scores at baseline and 12 weeks in the AZD1981 group vs. the placebo group.

    Baseline and Week 12

  • BSIT (Brief Smell Identification Test)

    Measurement of secondary outcome- BSIT (brief smell identification test) is a 12-item test measuring sense of smell. This is a multiple choice test with one correct answer out of four possible answer choices. This test features distinct types of smells. Minimum score: 0/12, which indicates that none of the correct answers were chosen on the 12-item test. Maximum score: 12/12, which indicates that all of the correct answers were chosen on the 12-item test. The higher the score, the better the outcome. Only one out of the four possible answer choices for each multiple choice question is correct. There are no subscales. This secondary outcome measures sense of smell by Brief Smell Identification Test (B-SIT) at baseline (visit 1) and 12 weeks (visit 5) in the AZD1981 group vs. the placebo group.

    Baseline and Week 12

Secondary Outcomes (2)

  • SNOT-22 (Sino-Nasal Outcome Test-22) Score

    Baseline and Week 12

  • Visual Analog Scale (VAS)

    Baseline and Week 12

Study Arms (2)

AZ Compound

EXPERIMENTAL

40 mg 12 weeks TID po

Drug: AZ compoundOther: Collection of Biological SpecimensDrug: Intranasal corticosteroid

Placebo

PLACEBO COMPARATOR

40 mg 12 weeks TID po

Other: Collection of Biological SpecimensDrug: Intranasal corticosteroidDrug: Placebo

Interventions

40 mg three times daily po for 12 weeks

AZ Compound

collection of biomarkers for analysis of nasal disease

Also known as: Biomarkers
AZ CompoundPlacebo

QD Nasal Spray

Also known as: Nasal Steroid (Nasonex, Flonase)
AZ CompoundPlacebo

looks like AZ compound, made by same company, double blind. 40 mg three times daily po for 12 weeks

Placebo

Eligibility Criteria

Age18 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • \. Females must have a negative urine pregnancy test at screening unless documented to have a hysterectomy or be postmenopausal.

You may not qualify if:

  • Inability or unwillingness of a participant to give written informed consent or comply with study protocol
  • Use of any investigational drugs within 30 days of screening.
  • Acute infection needing antibiotic treatment at screening.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (1)

  • Price CPE, Guo A, Stevens WW, Cousens L, Vu TT, Suh LA, Erickson KA, Conley D, Grammer LC, Kern RC, Tan BK, Kato A, Schleimer RP, Smith SS, Welch KC, Peters AT. Efficacy of an oral CRTH2 antagonist (AZD1981) in the treatment of chronic rhinosinusitis with nasal polyps in adults: A randomized controlled clinical trial. Clin Exp Allergy. 2022 Jul;52(7):859-867. doi: 10.1111/cea.14158. Epub 2022 May 18.

MeSH Terms

Conditions

Nasal Polyps

Interventions

MeRho-Az compoundBiomarkersMometasone FuroateFluticasone

Condition Hierarchy (Ancestors)

Nose DiseasesRespiratory Tract DiseasesOtorhinolaryngologic DiseasesPolypsPathological Conditions, AnatomicalPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Biological FactorsPregnadienediolsPregnadienesPregnanesSteroidsFused-Ring CompoundsPolycyclic CompoundsAndrostadienesAndrostenesAndrostanes

Results Point of Contact

Title
Anju Peters
Organization
Northwestern

Study Officials

  • Anju T Peters, MD

    Northwestern University

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

July 26, 2016

First Posted

August 22, 2016

Study Start

June 20, 2016

Primary Completion

January 7, 2020

Study Completion

August 10, 2020

Last Updated

May 25, 2022

Results First Posted

May 25, 2022

Record last verified: 2022-05

Data Sharing

IPD Sharing
Will not share