Clinical trial

Preclinical Studies of Omalizumab in Chronic Rhinosinusitis With Nasal Polyposis

Name
IRB00255799
Description
The goal of this study is to examine the mechanism of action of omalizumab in ex vivo tissue culture of whole human nasal polyps from patients with chronic rhino sinusitis with nasal polyposis (CRSwNP), such that specific molecular markers of inflammation can be identified.
Trial arms
Trial start
2020-12-15
Estimated PCD
2024-05-30
Trial end
2024-05-30
Status
Recruiting
Phase
Early phase I
Treatment
Omalizumab
Omalizumab will used as dose comparable to to 0.016 mg/kg/IU in serum.
Arms:
Omalizumab
Size
8
Primary endpoint
IgE tissue compartment distribution in nasal polyps as assessed by quantitative IgE expression
1 year
Messenger ribonucleic acid (mRNA) expression
1 year
Eligibility criteria
Inclusion Criteria: * Sinonasal inflammation for greater than 12 weeks which include at least 2 of the following symptoms: nasal obstruction/congestion, nasal discharge (anterior or posterior), facial pressure/pain, reduction of sense of smell * Confirmation of the clinical symptoms by (2a) CT scan evidence of paranasal sinus mucosal inflammation, and/or (2b) endoscopic exam evidence of purulence from the sinuses or ostiomeatal complex * Presence of nasal polyps seen on endoscopic exam or sinus CT scan * Adults from age of 18-100 will be eligible * All potential participants will be required to sign an Institutional Review Board (IRB) approved research consent form. Exclusion Criteria: * Children under the age of 18 will be excluded * No pregnant or lactating females, prisoners, mentally disabled, or persons unable to give informed consent will be contemplated for inclusion. * The subject groups will also exclude those with disease secondary to a clearly defined anatomic process, such as facial trauma, and obstruction due to sinonasal neoplasm. * To eliminate confounding variables in our ex vivo experimental studies, any subject with a history of exposure to oral or systemic IV glucocorticoids within 2 weeks of surgery or any immunomodulatory biologics will be excluded. These include, but are not limited to systemic treatment with biologics omalizumab, dupilumab, mepolizumab, benralizumab, reslizumab, or rituximab.
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['EARLY_PHASE1'], 'designInfo': {'allocation': 'NA', 'interventionModel': 'SINGLE_GROUP', 'primaryPurpose': 'BASIC_SCIENCE', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 8, 'type': 'ESTIMATED'}}
Updated at
2024-05-03

1 organization

1 product

2 indications

Product
Omalizumab
Indication
Nasal Polyps