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CompletedNCT03478930Updated Apr 4, 2022Results posted

An Extension Study of Omalizumab in Participants With Chronic Rhinosinusitis With Nasal Polyps

A Phase 3 interventional study of Omalizumab and Placebo in Nasal Polyps and Chronic Rhinosinusitis, sponsored by Hoffmann-La Roche. Completed at 79 sites in 14 countries. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2022-04-04.

Sponsored by Hoffmann-La Roche · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
249
Allocation
Non-randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The overall purpose of this study is to evaluate the safety, efficacy, and durability of response of omalizumab in an open-label setting in adult participants with chronic rhinosinusitis with nasal polyps who completed the double-blind, placebo-controlled, Phase III studies GA39688 (NCT03280550) or GA39855 (NCT03280537). Participants will be eligible for enrollment in the study at, or within 28 days after, the Week 24 visit of Studies GA39688/GA39855. After enrollment into this open-label extension (OLE) study, participants will receive 28 weeks of dosing of omalizumab before entering a 24-week off-treatment observation phase of the study. Baseline in this OLE study is defined as the last pre-treatment measurement prior to randomization in Studies GA39688/GA39855 (i.e., baseline of Studies GA39688/GA39855). The data that will be reported from baseline to Week 24 inclusive will come from Studies GA39688/GA39855.

02

Conditions studied

  • Nasal Polyps
  • Chronic Rhinosinusitis

Browse trials for

03

In context

Nasal Polyps

236 studies on the registry are indexed under Nasal Polyps; 68 are open to participants now.

This study's enrollment of 249 is above the median of 60 across 181 interventional studies indexed under Nasal Polyps.

Browse Nasal Polyps studies →

Lead sponsor

Hoffmann-La Roche is the lead sponsor of 2,101 studies on the registry; 87 are open to participants now.

Of its 330 completed or terminated interventional studies of FDA-regulated products, 248 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Ability to comply with the study protocol, in the investigator's judgment
  • Participation in Study GA39688 or GA39855, including completion of endoscopy and other assessments at Week 24, without discontinuation of study drug
  • Completion of eDiary daily assessments for at least 4 out of 7 days in the week prior to the Week 24 visit of Study GA39688 or GA39855
  • For women of : agreement to remain abstinent or use acceptable methods during the treatment period and for 60 days after the last dose of study drug

Exclusion criteria

Exclusion Criteria:

  • Anaphylaxis/ related to study drug in Study GA39688 or GA39855
  • Serious adverse events related to study drug in Study GA39688 or GA39855 that the investigator or Sponsor determines may jeopardize the patient's safety if he or she continues in the study
  • Uncontrolled epistaxis within Study GA39688 or GA39855
  • Pregnant or breastfeeding, or intending to become pregnant during the study or within 60 days after the last dose of omalizumab
  • Any serious medical condition or abnormality in clinical laboratory tests that, in the investigator's judgment, precludes the patient's safe participation in and completion of the study
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
249 participants (actual)

Study arms

  • Experimental
    Cohort A: Study GA39688 Omalizumab

    Participants who received omalizumab once every 2 weeks (Q2W) or once every 4 weeks (Q4W) in Study GA39688 will continue to receive omalizumab at Week 24 at the same dosing schedule.

    Drug: Omalizumab

  • Experimental
    Cohort A: Study GA39688 Placebo

    Participants who received placebo Q2W or Q4W in Study GA39688 will start receiving omalizumab Q2W or Q4W at Week 24 at the same dosing schedule.

    Drug: Omalizumab · Drug: Placebo

  • Experimental
    Cohort B: Study GA39855 Omalizumab

    Participants who received omalizumab Q2W or Q4W in Study GA39855 will continue to receive omalizumab at Week 24 at the same dosing schedule.

    Drug: Omalizumab

  • Experimental
    Cohort B: Study GA39855 Placebo

    Participants who received placebo Q2W or Q4W in Study GA39855 will start receiving omalizumab Q2W or Q4W at Week 24 at the same dosing schedule.

    Drug: Omalizumab · Drug: Placebo

Interventions

  • Omalizumab will be administered as a subcutaneous (SC) injection Q2W or Q4W.

    Also known as: Xolair

  • DrugPlacebo

    Participants will not be receiving placebo in this OLE study. Participants who were randomized to the placebo arms for 24 weeks in studies GA39688/GA39855 and then enter this OLE study will receive omalizumab, but they will be placed in separate analysis cohorts.

06

What researchers measure

Primary outcomes

  1. Change From Baseline in Nasal Polyp Score (NPS)

    Total NPS ranges from 0 to 8 (sum of 0-4 for left and right nasal passage scores per the following criteria), with a lower score indicating smaller-sized nasal polyps: 0 = No polyps; 1 = Small polyps in the middle meatus not reaching below the inferior border of the middle turbinate; 2 = Polyps reaching below the lower border of the middle turbinate (modified to accommodate those with a middle turbinectomy, such that polyp must have reached the top of the inferior turbinate.); 3 = Large polyps reaching the lower border of the inferior turbinate or polyps medial to the middle turbinate; and 4 = Large polyps causing complete obstruction of the inferior nasal cavity. Two blinded primary independent expert readers reviewed every post-screening recorded video endoscopy for a given participant to determine total NPS. A third reader chose one of the two scores to be used for analysis in cases where there was any discrepancy in total NPS assigned between the two primary readers.

    Time frame: Baseline, Weeks 4, 8, 16, 24, 36, 52, 64, and 76

  2. Change From Baseline in Average Daily Nasal Congestion Score (NCS)

    The Nasal Congestion Score (NCS) was assessed daily by the participant via an electronic diary as the response to the following question: Is your nose blocked? The four available response options were scored from 0 (no symptoms) to 3 (severe symptoms): 0 = Not at all; 1 = Mild; 2 = Moderate; and 3 = Severe. For each study day, a score was calculated using an average of the prior 7 days among the available days within the pre-specified window (For Week 24: Study Days 155 to 186), excluding the study day itself, if a value had been recorded by the participant on at least 4 of the prior 7 days; otherwise, the 7-day prior average for that study day was to be considered missing. One calculated (non-missing) 7-day prior average was selected for analysis according to the study day with nearest proximity to Week 24 (Study Day 168), with the earlier selected in the case of a tie. Baseline was defined as the (non-missing) 7-day interval ending on the latest day prior to randomization.

    Time frame: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, and 76

  3. Percentage of Participants With Adverse Events (AE) and Serious Adverse Events (SAE)

    A serious adverse event was defined as any adverse event that met any of the following criteria: was fatal; was life-threatening; required or prolonged inpatient hospitalization; resulted in persistent or significant disability/incapacity; was a congenital anomaly/birth defect in a neonate/infant born to a mother exposed to the study drug; or, was a significant medical event in the investigator's judgment. Multiple occurrences of the same serious adverse event in one individual were counted once.

    Time frame: From Start to End (Weeks 24 to 52) of OLE Study

  4. Percentage of Participants With Adverse Events Leading to Discontinuation of Omalizumab

    A serious adverse event was defined as any adverse event that met any of the following criteria: was fatal; was life-threatening; required or prolonged inpatient hospitalization; resulted in persistent or significant disability/incapacity; was a congenital anomaly/birth defect in a neonate/infant born to a mother exposed to the study drug; or, was a significant medical event in the investigator's judgment. Multiple occurrences of the same serious adverse event in one individual were counted once.

    Time frame: From Start to End (Weeks 24 to 76) of OLE Study

Secondary outcomes

  1. Change From Baseline in Average Daily Total Nasal Symptom Score (TNSS)

    The Total Nasal Symptom Score (TNSS) was defined as the sum of the four individual scores for Nasal Congestion Score, Anterior Rhinorrhea Score, Posterior Rhinorrhea Score, and Sense of Smell Score, ranging from 0 (no symptoms) to 12 (most severe symptoms), assessed daily by the participant via an electronic diary. For each study day, a score was calculated using an average of the prior 7 days among the available days within the pre-specified window (For Week 24: Study Days 155 to 186), excluding the study day itself, if a value had been recorded by the participant on at least 4 of the prior 7 days; otherwise, the 7-day prior average for that study day was to be considered missing. One calculated (non-missing) 7-day prior average was selected for analysis according to the study day with nearest proximity to Week 24 (Study Day 168), with the earlier selected in the case of a tie. Baseline was defined as the (non-missing) 7-day interval ending on the latest day prior to randomization.

    Time frame: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, and 76

  2. Change From Baseline in Loss of Sense of Smell Score

    The Sense of Smell Score was assessed daily by the participant via an electronic diary as the response to the following question: Is your sense of smell reduced? The four available response options were scored from 0 (no symptoms) to 3 (severe symptoms): 0 = Not at all; 1 = Mild; 2 = Moderate; and 3 = Severe. For each study day, a score was calculated using an average of the prior 7 days among the available days within the pre-specified window (For Week 24: Study Days 155 to 186), excluding the study day itself, if a value had been recorded by the participant on at least 4 of the prior 7 days; otherwise, the 7-day prior average for that study day was to be considered missing. One calculated (non-missing) 7-day prior average was selected for analysis according to the study day with nearest proximity to Week 24 (Study Day 168), with the earlier selected in the case of a tie. Baseline was defined as the (non-missing) 7-day interval ending on the latest day prior to randomization.

    Time frame: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, and 76

  3. Change From Baseline in Average Daily Posterior Rhinorrhea Score

    The Posterior Rhinorrhea Score was assessed daily by the participant via an electronic diary as the response to the following question: Do you feel dripping at the back of the nose? The four available response options were scored from 0 (no symptoms) to 3 (severe symptoms): 0=Not at all; 1=Mild; 2=Moderate; and 3=Severe. For each study day, a score was calculated using an average of the prior 7 days among available days within a pre-specified window (For Week 24: Study Days 155 to 186), excluding the study day itself, if a value had been recorded by the participant on at least 4 of the prior 7 days, otherwise the 7-day prior average for that study day was to be considered missing. One calculated (non-missing) 7-day prior average was selected for analysis according to the study day with nearest proximity to Week 24 (Study Day 168), with the earlier selected in the case of a tie. Baseline was defined as the (non-missing) 7-day interval ending on the latest day prior to randomization.

    Time frame: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, and 76

  4. Change From Baseline in Average Daily Anterior Rhinorrhea Score

    The Anterior Rhinorrhea Score was assessed daily by the participant via an electronic diary as the response to the following question: Do you have a runny nose? The four available response options were scored from 0 (no symptoms) to 3 (severe symptoms): 0=Not at all; 1=Mild; 2=Moderate; and 3=Severe. For each study day, a score was calculated using an average of the prior 7 days among available days within a pre-specified window (For Week 24: Study Days 155 to 186), excluding the study day itself, if a value had been recorded by the participant on at least 4 of the prior 7 days, otherwise the 7-day prior average for that study day was to be considered missing. One calculated (non-missing) 7-day prior average was selected for analysis according to the study day with nearest proximity to Week 24 (Study Day 168), with the earlier selected in the case of a tie. Baseline was defined as the (non-missing) 7-day interval ending on the latest day prior to randomization.

    Time frame: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, and 76

  5. Change From Baseline in Health-Related Quality of Life (HRQoL) as Assessed by the Total Sino-Nasal Outcome Test (SNOT)-22 Score

    The SNOT-22 Questionnaire, a disease specific HRQoL measure, comprises a list of 22 symptoms and social or emotional consequences of the nasal disorder. Every participant was asked to rate how severe each problem had been for them over the past 2 weeks on a scale from 0 (no problem at all) to 5 (problem as bad as it can be). The total score is the sum of the scores for all 22 items, ranging from 0 to 110, with a lower score indicating less disease and better HRQoL. A negative score indicates a decrease (or improvement) from the baseline score.

    Time frame: Baseline, Weeks 4, 8, 16, 24, 36, 52, 64, and 76

  6. Change From Baseline in European Quality of Life 5-Dimension 5-Level Questionnaire (EQ-5D-5L) Visual Analogue Scale (VAS) Score

    The EQ-5D-5L contains a visual analog score (VAS), providing a global assessment of health. The EQ-VAS questionnaire is a self-reported questionnaire that measures health state. The VAS is a 100 mm scale from worst (0 mm) to best (100 mm) health the participant can imagine.

    Time frame: Baseline, Weeks 16, 24, 36, 52, 64, and 76

  7. Percentage of Participants Reporting "No Problem" in the European Quality of Life 5-Dimension 5-Level Questionnaire (EQ-5D-5L) Subdomains

    The EQ-5D-5L contains five domains: Mobility, Self-Care, Usual activity, Pain/Discomfort, and Anxiety/Depression, providing a global assessment of health. Each item is rated by the participant on a five-point scale indicating the followings: Level 1 - no problem; Level 2 - slight problems; Level 3 - moderate problems; Level 4 - severe problems; Level 5 - extreme problems.

    Time frame: Baseline, Weeks 16, 24, 36, 52, 64 and 76

  8. Change From Baseline in Asthma Quality of Life Questionnaire (AQLQ) Score (in Participants With Comorbid Asthma Only)

    The AQLQ is a 32-item participant-reported measure of asthma-related quality of life (QoL) with a total score (the mean of all 32 responses) ranging from 1 (severely impaired) to 7 (not impaired at all); a higher score indicates a better QoL. An increase of at least 0.5 points in the AQLQ score was considered the minimal important difference for improvement in QoL.

    Time frame: Baseline, Weeks 16, 24, 36, 52, 64, and 76

  9. Change From Baseline in Sense of Smell, as Assessed by The University of Pennsylvania Smell Identification Test (UPSIT) Score

    The UPSIT is a 40-question instrument that measures an individual's ability to detect odors and ranges from 0 to 40, with a higher score indicating a better sense of smell. It is a self-administered "scratch-and-sniff" test provided in booklets that have 40 microencapsulated odorants, each with a multiple-choice option for the response. The number of correct responses is summed to provide a total score.

    Time frame: Baseline, Weeks 8, 16, 24, 36, 52, 64, and 76

  10. Percentage of Participants With a Clinically Significant Change From Baseline in Laboratory Values

    Investigators will assess the participants' clinical laboratory values (e.g., serum chemistry, hematology evaluations including complete blood count \[CBC\] with differential and platelet counts, and urinalysis values) at timepoints throughout this OLE study relative to the participants' values at baseline from studies GA39688/GA39855 and parameters with clinically significant changes from baseline will be reported.

    Time frame: Baseline, Weeks 36, 52, 64, and 76

  11. Minimum Serum Concentrations (Ctrough) of Omalizumab at Specified Timepoints

    Serum concentrations of omalizumab were quantified using an enzyme-linked immunoabsorbent assay (ELISA) with a lower limit of quantification (LLOQ) of 28.0 nanograms per millilitre (ng/mL). According to the analysis plan, values below the lower limit of quantification (BLQ) were set to 14 ng/mL (i.e. half of LLOQ value). We confirm that all 121 and 123 participants contributed data to the PK outcome measure. The reason why the numbers of participants analyzed per row are different from the overall number of participants is mainly because some PK concentrations at those time points are below LLOQ. Other reasons include: (1) Five participants received accidental dose of Omalizumab at the OLE Week52 thus are excluded for PK sample results for OLE Week64 and OLE Week76, and (2) One participant received omalizumab as concomitant medication in the follow-up period and is excluded from PK sample results for OLE Week76.

    Time frame: Predose at Weeks 36, 52, 64, and 76

  12. Serum Concentration of Total Immunoglobulin E (IgE)

    Serum concentrations of total immunoglobulin E (IgE) were measured throughout the study, as target engagement biomarkers of omalizumab, using validated quantitative immunoassays with lower limits of quantification of 2 International Units per millilitre (IU/mL), and upper limits of quantification (ULQ) of 5000 IU/mL.

    Time frame: Predose at Weeks 36, 52, 64, and 76

  13. Serum Concentration of Free IgE

    Serum concentrations of free IgE were measured throughout the study, as target engagement biomarkers of omalizumab, using validated quantitative immunoassays with LLOQ of 0.83 IU/mL, and ULQ of 62.5 IU/mL. The free IgE assay had limited range to measure circulating levels of free IgE in the presence of complexes of omalizumab-IgE. Results above ULQ were set to 62.5 IU/mL. If results for 1/3 or fewer of the participants were greater than the ULQ, then all summary statistics were reported. If the results for more than 1/3 of participants were greater than the ULQ, then only the median, interquartile range and minimum were calculated, and the mean, standard deviation, and maximum were non-reportable.The following are available for median and interquartile ranges (IQR; IQ1-IQ3): Placebo: OLE Week 64 median 55.4 (IQR 33.3 - 62.5), OLE Week 76 median 62.5 (IQR 31.1 - 62.5). Omalizumab: OLE Week 64 median 55.8 (IQR 37.5 - 62.5), OLE Week 76 median 62.5 (IQR 47.9 - 62.5)

    Time frame: Predose at Weeks 36, 52, 64, and 76

07

Results

Posted May 11, 2021

Participant flow

Participant flow — Overall Study
MilestoneReceived Placebo in GA39688 or GA39855Received Omalizumab in GA39688 or GA39855
Started126123
Completed117114
Not completed99
Withdrew: Adverse event01
Withdrew: Lack of efficacy33
Withdrew: Withdrawal by subject65

Outcome measures

PrimaryChange From Baseline in Nasal Polyp Score (NPS)

Total NPS ranges from 0 to 8 (sum of 0-4 for left and right nasal passage scores per the following criteria), with a lower score indicating smaller-sized nasal polyps: 0 = No polyps; 1 = Small polyps in the middle meatus not reaching below the inferior border of the middle turbinate; 2 = Polyps reaching below the lower border of the middle turbinate (modified to accommodate those with a middle turbinectomy, such that polyp must have reached the top of the inferior turbinate.); 3 = Large polyps reaching the lower border of the inferior turbinate or polyps medial to the middle turbinate; and 4 = Large polyps causing complete obstruction of the inferior nasal cavity. Two blinded primary independent expert readers reviewed every post-screening recorded video endoscopy for a given participant to determine total NPS. A third reader chose one of the two scores to be used for analysis in cases where there was any discrepancy in total NPS assigned between the two primary readers.

Time frame:
Baseline, Weeks 4, 8, 16, 24, 36, 52, 64, and 76
Reported as:
Mean · Sore on a scale
Change From Baseline in Nasal Polyp Score (NPS)
Sore on a scaleReceived Placebo in GA39688 or GA39855Received Omalizumab in GA39688 or GA39855
Week 4-0.17 (-0.38 to 0.05)-0.85 (-1.07 to -0.63)
Week 8-0.26 (-0.49 to -0.02)-1.06 (-1.30 to -0.82)
Week 16-0.17 (-0.38 to 0.05)-1.09 (-1.31 to -0.87)
Week 24-0.19 (-0.42 to 0.03)-1.01 (-1.24 to -0.78)
Week 36-0.83 (-1.07 to -0.59)-1.09 (-1.32 to -0.85)
Week 52-0.97 (-1.25 to -0.69)-1.31 (-1.60 to -1.03)
Week 64-0.40 (-0.66 to -0.13)-0.85 (-1.12 to -0.58)
Week 76-0.48 (-0.76 to -0.20)-0.54 (-0.83 to -0.25)
PrimaryChange From Baseline in Average Daily Nasal Congestion Score (NCS)

The Nasal Congestion Score (NCS) was assessed daily by the participant via an electronic diary as the response to the following question: Is your nose blocked? The four available response options were scored from 0 (no symptoms) to 3 (severe symptoms): 0 = Not at all; 1 = Mild; 2 = Moderate; and 3 = Severe. For each study day, a score was calculated using an average of the prior 7 days among the available days within the pre-specified window (For Week 24: Study Days 155 to 186), excluding the study day itself, if a value had been recorded by the participant on at least 4 of the prior 7 days; otherwise, the 7-day prior average for that study day was to be considered missing. One calculated (non-missing) 7-day prior average was selected for analysis according to the study day with nearest proximity to Week 24 (Study Day 168), with the earlier selected in the case of a tie. Baseline was defined as the (non-missing) 7-day interval ending on the latest day prior to randomization.

Time frame:
Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, and 76
Reported as:
Mean · Score on a scale
Change From Baseline in Average Daily Nasal Congestion Score (NCS)
Score on a scaleReceived Placebo in GA39688 or GA39855Received Omalizumab in GA39688 or GA39855
Week 4-0.17 (-0.27 to -0.07)-0.39 (-0.50 to -0.29)
Week 8-0.25 (-0.38 to -0.13)-0.73 (-0.85 to -0.60)
Week 12-0.31 (-0.44 to -0.18)-0.81 (-0.94 to -0.68)
Week 16-0.32 (-0.46 to -0.19)-0.88 (-1.02 to -0.74)
Week 20-0.34 (-0.48 to -0.20)-0.85 (-1.00 to -0.71)
Week 24-0.31 (-0.46 to -0.16)-0.85 (-1.00 to -0.70)
Week 28-0.61 (-0.76 to -0.47)-0.88 (-1.03 to -0.73)
Week 32-0.72 (-0.87 to -0.57)-0.90 (-1.05 to -0.75)
Week 36-0.74 (-0.89 to -0.59)-0.98 (-1.13 to -0.82)
Week 40-0.73 (-0.88 to -0.59)-1.02 (-1.17 to -0.87)
Week 44-0.89 (-1.05 to -0.73)-1.04 (-1.20 to -0.88)
Week 48-0.94 (-1.10 to -0.79)-1.04 (-1.20 to -0.88)
Week 52-0.99 (-1.14 to -0.83)-1.12 (-1.28 to -0.96)
Week 56-0.80 (-0.97 to -0.64)-0.98 (-1.14 to -0.81)
Week 60-0.71 (-0.87 to -0.54)-0.88 (-1.05 to -0.71)
Week 64-0.63 (-0.80 to -0.46)-0.88 (-1.05 to -0.71)
Week 68-0.64 (-0.80 to -0.47)-0.78 (-0.95 to -0.62)
Week 72-0.56 (-0.73 to -0.40)-0.71 (-0.87 to -0.54)
Week 76-0.58 (-0.76 to -0.41)-0.65 (-0.83 to -0.48)
PrimaryPercentage of Participants With Adverse Events (AE) and Serious Adverse Events (SAE)

A serious adverse event was defined as any adverse event that met any of the following criteria: was fatal; was life-threatening; required or prolonged inpatient hospitalization; resulted in persistent or significant disability/incapacity; was a congenital anomaly/birth defect in a neonate/infant born to a mother exposed to the study drug; or, was a significant medical event in the investigator's judgment. Multiple occurrences of the same serious adverse event in one individual were counted once.

Time frame:
From Start to End (Weeks 24 to 52) of OLE Study
Reported as:
Number · Percentage of Participants
Percentage of Participants With Adverse Events (AE) and Serious Adverse Events (SAE)
Percentage of ParticipantsReceived Placebo in GA39688 or GA39855Received Omalizumab in GA39688 or GA39855
With at least one AE49.643.5
With at least one SAE4.82.4
PrimaryPercentage of Participants With Adverse Events Leading to Discontinuation of Omalizumab

A serious adverse event was defined as any adverse event that met any of the following criteria: was fatal; was life-threatening; required or prolonged inpatient hospitalization; resulted in persistent or significant disability/incapacity; was a congenital anomaly/birth defect in a neonate/infant born to a mother exposed to the study drug; or, was a significant medical event in the investigator's judgment. Multiple occurrences of the same serious adverse event in one individual were counted once.

Time frame:
From Start to End (Weeks 24 to 76) of OLE Study
Reported as:
Number · Percentage of Participants
Percentage of Participants With Adverse Events Leading to Discontinuation of Omalizumab
Percentage of ParticipantsReceived Placebo in GA39688 or GA39855Received Omalizumab in GA39688 or GA39855
Percentage of Participants With Adverse Events Leading to Discontinuation of Omalizumab0.80.0
SecondaryChange From Baseline in Average Daily Total Nasal Symptom Score (TNSS)

The Total Nasal Symptom Score (TNSS) was defined as the sum of the four individual scores for Nasal Congestion Score, Anterior Rhinorrhea Score, Posterior Rhinorrhea Score, and Sense of Smell Score, ranging from 0 (no symptoms) to 12 (most severe symptoms), assessed daily by the participant via an electronic diary. For each study day, a score was calculated using an average of the prior 7 days among the available days within the pre-specified window (For Week 24: Study Days 155 to 186), excluding the study day itself, if a value had been recorded by the participant on at least 4 of the prior 7 days; otherwise, the 7-day prior average for that study day was to be considered missing. One calculated (non-missing) 7-day prior average was selected for analysis according to the study day with nearest proximity to Week 24 (Study Day 168), with the earlier selected in the case of a tie. Baseline was defined as the (non-missing) 7-day interval ending on the latest day prior to randomization.

Time frame:
Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, and 76
Reported as:
Mean · Score on a Scale
Change From Baseline in Average Daily Total Nasal Symptom Score (TNSS)
Score on a ScaleReceived Placebo in GA39688 or GA39855Received Omalizumab in GA39688 or GA39855
Week 4-0.50 (-0.80 to -0.19)-1.44 (-1.75 to -1.13)
Week 8-0.72 (-1.09 to -0.34)-2.44 (-2.82 to -2.06)
Week 12-0.82 (-1.22 to -0.41)-2.73 (-3.14 to -2.32)
Week 16-0.87 (-1.30 to -0.43)-2.84 (-3.29 to -2.40)
Week 20-0.93 (-1.36 to -0.49)-2.84 (-3.27 to -2.40)
Week 24-0.92 (-1.37 to -0.47)-2.82 (-3.27 to -2.36)
Week 28-1.80 (-2.25 to -1.34)-2.94 (-3.40 to -2.48)
Week 32-2.19 (-2.64 to -1.74)-3.14 (-3.60 to -2.68)
Week 36-2.22 (-2.69 to -1.76)-3.24 (-3.71 to -2.77)
Week 40-2.32 (-2.77 to -1.86)-3.40 (-3.87 to -2.94)
Week 44-2.72 (-3.21 to -2.24)-3.52 (-4.02 to -3.03)
Week 48-2.84 (-3.32 to -2.36)-3.49 (-3.98 to -3.00)
Week 52-3.01 (-3.49 to -2.53)-3.83 (-4.31 to -3.34)
Week 56-2.54 (-3.04 to -2.04)-3.23 (-3.74 to -2.72)
Week 60-2.27 (-2.78 to -1.76)-2.90 (-3.42 to -2.38)
Week 64-1.94 (-2.44 to -1.43)-2.97 (-3.49 to -2.46)
Week 68-1.83 (-2.33 to -1.33)-2.59 (-3.09 to -2.08)
Week 72-1.59 (-2.10 to -1.08)-2.37 (-2.88 to -1.85)
Week 76-1.63 (-2.19 to -1.08)-2.18 (-2.74 to -1.62)
SecondaryChange From Baseline in Loss of Sense of Smell Score

The Sense of Smell Score was assessed daily by the participant via an electronic diary as the response to the following question: Is your sense of smell reduced? The four available response options were scored from 0 (no symptoms) to 3 (severe symptoms): 0 = Not at all; 1 = Mild; 2 = Moderate; and 3 = Severe. For each study day, a score was calculated using an average of the prior 7 days among the available days within the pre-specified window (For Week 24: Study Days 155 to 186), excluding the study day itself, if a value had been recorded by the participant on at least 4 of the prior 7 days; otherwise, the 7-day prior average for that study day was to be considered missing. One calculated (non-missing) 7-day prior average was selected for analysis according to the study day with nearest proximity to Week 24 (Study Day 168), with the earlier selected in the case of a tie. Baseline was defined as the (non-missing) 7-day interval ending on the latest day prior to randomization.

Time frame:
Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, and 76
Reported as:
Mean · Score on a Scale
Change From Baseline in Loss of Sense of Smell Score
Score on a ScaleReceived Placebo in GA39688 or GA39855Received Omalizumab in GA39688 or GA39855
Week 4-0.07 (-0.16 to 0.02)-0.22 (-0.31 to -0.13)
Week 8-0.14 (-0.25 to -0.03)-0.43 (-0.55 to -0.32)
Week 12-0.14 (-0.27 to -0.02)-0.57 (-0.70 to -0.45)
Week 16-0.19 (-0.33 to -0.06)-0.58 (-0.72 to -0.44)
Week 20-0.21 (-0.35 to -0.08)-0.58 (-0.72 to -0.45)
Week 24-0.23 (-0.36 to -0.09)-0.56 (-0.70 to -0.43)
Week 28-0.26 (-0.40 to -0.12)-0.58 (-0.72 to -0.44)
Week 32-0.39 (-0.54 to -0.24)-0.65 (-0.80 to -0.50)
Week 36-0.39 (-0.54 to -0.25)-0.63 (-0.77 to -0.48)
Week 40-0.42 (-0.57 to -0.27)-0.66 (-0.81 to -0.51)
Week 44-0.51 (-0.67 to -0.36)-0.70 (-0.85 to -0.54)
Week 48-0.54 (-0.70 to -0.38)-0.70 (-0.86 to -0.54)
Week 52-0.60 (-0.76 to -0.43)-0.76 (-0.92 to -0.59)
Week 56-0.54 (-0.69 to -0.38)-0.62 (-0.78 to -0.46)
Week 60-0.50 (-0.65 to -0.34)-0.56 (-0.71 to -0.40)
Week 64-0.41 (-0.57 to -0.26)-0.53 (-0.68 to -0.37)
Week 68-0.39 (-0.53 to -0.24)-0.44 (-0.59 to -0.30)
Week 72-0.35 (-0.49 to -0.21)-0.42 (-0.56 to -0.28)
Week 76-0.35 (-0.50 to -0.20)-0.39 (-0.54 to -0.24)
SecondaryChange From Baseline in Average Daily Posterior Rhinorrhea Score

The Posterior Rhinorrhea Score was assessed daily by the participant via an electronic diary as the response to the following question: Do you feel dripping at the back of the nose? The four available response options were scored from 0 (no symptoms) to 3 (severe symptoms): 0=Not at all; 1=Mild; 2=Moderate; and 3=Severe. For each study day, a score was calculated using an average of the prior 7 days among available days within a pre-specified window (For Week 24: Study Days 155 to 186), excluding the study day itself, if a value had been recorded by the participant on at least 4 of the prior 7 days, otherwise the 7-day prior average for that study day was to be considered missing. One calculated (non-missing) 7-day prior average was selected for analysis according to the study day with nearest proximity to Week 24 (Study Day 168), with the earlier selected in the case of a tie. Baseline was defined as the (non-missing) 7-day interval ending on the latest day prior to randomization.

Time frame:
Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, and 76
Reported as:
Mean · Score on a Scale
Change From Baseline in Average Daily Posterior Rhinorrhea Score
Score on a ScaleReceived Placebo in GA39688 or GA39855Received Omalizumab in GA39688 or GA39855
Week 4-0.13 (-0.23 to -0.03)-0.35 (-0.44 to -0.25)
Week 8-0.13 (-0.24 to -0.02)-0.58 (-0.70 to -0.47)
Week 12-0.14 (-0.25 to -0.02)-0.60 (-0.72 to -0.48)
Week 16-0.11 (-0.24 to 0.02)-0.63 (-0.76 to -0.50)
Week 20-0.14 (-0.27 to -0.02)-0.64 (-0.77 to -0.51)
Week 24-0.15 (-0.29 to -0.02)-0.66 (-0.79 to -0.52)
Week 28-0.36 (-0.49 to -0.22)-0.67 (-0.81 to -0.53)
Week 32-0.46 (-0.60 to -0.32)-0.72 (-0.86 to -0.58)
Week 36-0.46 (-0.60 to -0.32)-0.76 (-0.90 to -0.62)
Week 40-0.49 (-0.62 to -0.36)-0.77 (-0.91 to -0.64)
Week 44-0.58 (-0.72 to -0.44)-0.80 (-0.94 to -0.65)
Week 48-0.60 (-0.74 to -0.46)-0.77 (-0.91 to -0.62)
Week 52-0.62 (-0.75 to -0.48)-0.87 (-1.00 to -0.73)
Week 56-0.52 (-0.66 to -0.38)-0.74 (-0.88 to -0.59)
Week 60-0.47 (-0.62 to -0.33)-0.70 (-0.85 to -0.55)
Week 64-0.38 (-0.52 to -0.23)-0.78 (-0.93 to -0.63)
Week 68-0.37 (-0.52 to -0.21)-0.66 (-0.81 to -0.50)
Week 72-0.27 (-0.42 to -0.11)-0.61 (-0.76 to -0.45)
Week 76-0.28 (-0.44 to -0.12)-0.53 (-0.70 to -0.37)
SecondaryChange From Baseline in Average Daily Anterior Rhinorrhea Score

The Anterior Rhinorrhea Score was assessed daily by the participant via an electronic diary as the response to the following question: Do you have a runny nose? The four available response options were scored from 0 (no symptoms) to 3 (severe symptoms): 0=Not at all; 1=Mild; 2=Moderate; and 3=Severe. For each study day, a score was calculated using an average of the prior 7 days among available days within a pre-specified window (For Week 24: Study Days 155 to 186), excluding the study day itself, if a value had been recorded by the participant on at least 4 of the prior 7 days, otherwise the 7-day prior average for that study day was to be considered missing. One calculated (non-missing) 7-day prior average was selected for analysis according to the study day with nearest proximity to Week 24 (Study Day 168), with the earlier selected in the case of a tie. Baseline was defined as the (non-missing) 7-day interval ending on the latest day prior to randomization.

Time frame:
Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, and 76
Reported as:
Mean · Score on a Scale
Change From Baseline in Average Daily Anterior Rhinorrhea Score
Score on a ScaleReceived Placebo in GA39688 or GA39855Received Omalizumab in GA39688 or GA39855
Week 4-0.13 (-0.23 to -0.03)-0.47 (-0.57 to -0.37)
Week 8-0.21 (-0.32 to -0.09)-0.68 (-0.80 to -0.57)
Week 12-0.24 (-0.36 to -0.13)-0.73 (-0.85 to -0.61)
Week 16-0.26 (-0.38 to -0.13)-0.74 (-0.87 to -0.61)
Week 20-0.24 (-0.37 to -0.11)-0.74 (-0.87 to -0.61)
Week 24-0.24 (-0.38 to -0.11)-0.73 (-0.87 to -0.59)
Week 28-0.58 (-0.71 to -0.45)-0.80 (-0.93 to -0.66)
Week 32-0.65 (-0.77 to -0.52)-0.84 (-0.97 to -0.71)
Week 36-0.66 (-0.79 to -0.52)-0.85 (-0.99 to -0.71)
Week 40-0.71 (-0.85 to -0.57)-0.93 (-1.07 to -0.79)
Week 44-0.77 (-0.91 to -0.63)-0.96 (-1.10 to -0.82)
Week 48-0.80 (-0.95 to -0.66)-0.94 (-1.09 to -0.80)
Week 52-0.85 (-0.98 to -0.71)-1.06 (-1.19 to -0.92)
Week 56-0.71 (-0.85 to -0.56)-0.89 (-1.03 to -0.74)
Week 60-0.61 (-0.76 to -0.46)-0.75 (-0.90 to -0.60)
Week 64-0.54 (-0.69 to -0.39)-0.77 (-0.92 to -0.61)
Week 68-0.47 (-0.62 to -0.32)-0.69 (-0.84 to -0.54)
Week 72-0.43 (-0.59 to -0.28)-0.62 (-0.77 to -0.46)
Week 76-0.45 (-0.62 to -0.29)-0.57 (-0.74 to -0.40)
SecondaryChange From Baseline in Health-Related Quality of Life (HRQoL) as Assessed by the Total Sino-Nasal Outcome Test (SNOT)-22 Score

The SNOT-22 Questionnaire, a disease specific HRQoL measure, comprises a list of 22 symptoms and social or emotional consequences of the nasal disorder. Every participant was asked to rate how severe each problem had been for them over the past 2 weeks on a scale from 0 (no problem at all) to 5 (problem as bad as it can be). The total score is the sum of the scores for all 22 items, ranging from 0 to 110, with a lower score indicating less disease and better HRQoL. A negative score indicates a decrease (or improvement) from the baseline score.

Time frame:
Baseline, Weeks 4, 8, 16, 24, 36, 52, 64, and 76
Reported as:
Mean · Score on a Scale
Change From Baseline in Health-Related Quality of Life (HRQoL) as Assessed by the Total Sino-Nasal Outcome Test (SNOT)-22 Score
Score on a ScaleReceived Placebo in GA39688 or GA39855Received Omalizumab in GA39688 or GA39855
Week 4-8.43 (-10.82 to -6.04)-17.86 (-20.28 to -15.44)
Week 8-8.85 (-11.56 to -6.15)-21.74 (-24.47 to -19.01)
Week 16-8.52 (-11.32 to -5.72)-24.56 (-27.40 to -21.73)
Week 24-7.76 (-10.73 to -4.80)-23.56 (-26.55 to -20.57)
Week 36-17.87 (-20.91 to -14.83)-25.42 (-28.51 to -22.34)
Week 52-22.39 (-25.39 to -19.40)-28.47 (-31.52 to -25.42)
Week 64-17.02 (-20.31 to -13.72)-22.66 (-26.01 to -19.31)
Week 76-15.37 (-18.79 to -11.95)-19.44 (-22.89 to -15.99)
SecondaryChange From Baseline in European Quality of Life 5-Dimension 5-Level Questionnaire (EQ-5D-5L) Visual Analogue Scale (VAS) Score

The EQ-5D-5L contains a visual analog score (VAS), providing a global assessment of health. The EQ-VAS questionnaire is a self-reported questionnaire that measures health state. The VAS is a 100 mm scale from worst (0 mm) to best (100 mm) health the participant can imagine.

Time frame:
Baseline, Weeks 16, 24, 36, 52, 64, and 76
Reported as:
Mean · Score on a Scale
Change From Baseline in European Quality of Life 5-Dimension 5-Level Questionnaire (EQ-5D-5L) Visual Analogue Scale (VAS) Score
Score on a ScaleReceived Placebo in GA39688 or GA39855Received Omalizumab in GA39688 or GA39855
Week 16-0.6 ± 20.86.4 ± 16.7
Week 242.3 ± 19.67.9 ± 16.9
Week 367.4 ± 20.09.3 ± 16.1
Week 528.5 ± 22.210.8 ± 17.9
Week 645.3 ± 21.45.3 ± 18.4
Week 762.8 ± 20.44.4 ± 20.8
SecondaryPercentage of Participants Reporting "No Problem" in the European Quality of Life 5-Dimension 5-Level Questionnaire (EQ-5D-5L) Subdomains

The EQ-5D-5L contains five domains: Mobility, Self-Care, Usual activity, Pain/Discomfort, and Anxiety/Depression, providing a global assessment of health. Each item is rated by the participant on a five-point scale indicating the followings: Level 1 - no problem; Level 2 - slight problems; Level 3 - moderate problems; Level 4 - severe problems; Level 5 - extreme problems.

Time frame:
Baseline, Weeks 16, 24, 36, 52, 64 and 76
Reported as:
Number · Percentage of Participants
Percentage of Participants Reporting "No Problem" in the European Quality of Life 5-Dimension 5-Level Questionnaire (EQ-5D-5L) Subdomains
Percentage of ParticipantsReceived Placebo in GA39688 or GA39855Received Omalizumab in GA39688 or GA39855
Baseline Usual activities57.959.5
Baseline Mobility67.568.6
Baseline Self-care83.390.9
Baseline Pain/Discomfort27.027.3
Baseline Anxiety/Depression49.247.9
Week 16 Usual activities54.075.6
Week 16 Mobility60.579.7
Week 16 Self-care84.791.1
Week 16 Pain/Discomfort32.348.0
Week 16 Anxiety/Depression48.457.7
Week 24 Usual activities60.869.9
Week 24 Mobility66.474.0
Week 24 Self-care87.289.4
Week 24 Pain/Discomfort29.651.2
Week 24 Anxiety/Depression47.260.2
Week 36 Usual activities60.374.8
Week 36 Mobility69.475.6
Week 36 Self-care83.590.8
Week 36 Pain/Discomfort40.548.7
Week 36 Anxiety/Depression55.468.9
Week 52 Usual activities65.574.6
Week 52 Mobility72.371.9
Week 52 Self-care87.491.2
Week 52 Pain/Discomfort40.356.1
Week 52 Anxiety/Depression62.270.2
Week 64 Usual activities62.972.1
Week 64 Mobility62.170.3
Week 64 Self-care84.590.1
Week 64 Pain/Discomfort32.847.7
Week 64 Anxiety/Depression50.961.3
Week 76 Usual activities64.671.4
Week 76 Mobility66.476.8
Week 76 Self-care85.089.3
Week 76 Pain/Discomfort34.548.2
Week 76 Anxiety/Depression51.358.0
SecondaryChange From Baseline in Asthma Quality of Life Questionnaire (AQLQ) Score (in Participants With Comorbid Asthma Only)

The AQLQ is a 32-item participant-reported measure of asthma-related quality of life (QoL) with a total score (the mean of all 32 responses) ranging from 1 (severely impaired) to 7 (not impaired at all); a higher score indicates a better QoL. An increase of at least 0.5 points in the AQLQ score was considered the minimal important difference for improvement in QoL.

Time frame:
Baseline, Weeks 16, 24, 36, 52, 64, and 76
Reported as:
Mean · Score on a Scale
Change From Baseline in Asthma Quality of Life Questionnaire (AQLQ) Score (in Participants With Comorbid Asthma Only)
Score on a ScaleReceived Placebo in GA39688 or GA39855Received Omalizumab in GA39688 or GA39855
Week 160.05 ± 1.140.77 ± 1.15
Week 24-0.01 ± 0.940.84 ± 1.25
Week 360.50 ± 1.050.84 ± 1.27
Week 520.52 ± 1.100.95 ± 1.23
Week 640.34 ± 1.120.66 ± 1.35
Week 760.27 ± 1.150.42 ± 1.57
SecondaryChange From Baseline in Sense of Smell, as Assessed by The University of Pennsylvania Smell Identification Test (UPSIT) Score

The UPSIT is a 40-question instrument that measures an individual's ability to detect odors and ranges from 0 to 40, with a higher score indicating a better sense of smell. It is a self-administered "scratch-and-sniff" test provided in booklets that have 40 microencapsulated odorants, each with a multiple-choice option for the response. The number of correct responses is summed to provide a total score.

Time frame:
Baseline, Weeks 8, 16, 24, 36, 52, 64, and 76
Reported as:
Mean · Score on a Scale
Change From Baseline in Sense of Smell, as Assessed by The University of Pennsylvania Smell Identification Test (UPSIT) Score
Score on a ScaleReceived Placebo in GA39688 or GA39855Received Omalizumab in GA39688 or GA39855
Week 80.49 (-0.69 to 1.67)5.04 (3.85 to 6.23)
Week 160.83 (-0.33 to 1.99)4.31 (3.14 to 5.48)
Week 240.46 (-0.71 to 1.64)4.24 (3.04 to 5.43)
Week 363.47 (2.10 to 4.84)4.27 (2.90 to 5.65)
Week 523.88 (2.57 to 5.20)4.13 (2.78 to 5.47)
Week 641.81 (0.56 to 3.06)2.77 (1.49 to 4.05)
Week 760.62 (-0.47 to 1.71)1.42 (0.32 to 2.52)
SecondaryPercentage of Participants With a Clinically Significant Change From Baseline in Laboratory Values

Investigators will assess the participants' clinical laboratory values (e.g., serum chemistry, hematology evaluations including complete blood count \[CBC\] with differential and platelet counts, and urinalysis values) at timepoints throughout this OLE study relative to the participants' values at baseline from studies GA39688/GA39855 and parameters with clinically significant changes from baseline will be reported.

Time frame:
Baseline, Weeks 36, 52, 64, and 76
Reported as:
Number · Percentage of Participants
Percentage of Participants With a Clinically Significant Change From Baseline in Laboratory Values
Percentage of ParticipantsReceived Placebo in GA39688 or GA39855Received Omalizumab in GA39688 or GA39855
Baseline OLE (Week 24)0.00.0
Week 360.00.0
Week 520.00.0
Week 640.00.0
Week 760.00.0
SecondaryMinimum Serum Concentrations (Ctrough) of Omalizumab at Specified Timepoints

Serum concentrations of omalizumab were quantified using an enzyme-linked immunoabsorbent assay (ELISA) with a lower limit of quantification (LLOQ) of 28.0 nanograms per millilitre (ng/mL). According to the analysis plan, values below the lower limit of quantification (BLQ) were set to 14 ng/mL (i.e. half of LLOQ value). We confirm that all 121 and 123 participants contributed data to the PK outcome measure. The reason why the numbers of participants analyzed per row are different from the overall number of participants is mainly because some PK concentrations at those time points are below LLOQ. Other reasons include: (1) Five participants received accidental dose of Omalizumab at the OLE Week52 thus are excluded for PK sample results for OLE Week64 and OLE Week76, and (2) One participant received omalizumab as concomitant medication in the follow-up period and is excluded from PK sample results for OLE Week76.

Time frame:
Predose at Weeks 36, 52, 64, and 76
Reported as:
Geometric mean · ng/mL
Minimum Serum Concentrations (Ctrough) of Omalizumab at Specified Timepoints
ng/mLReceived Placebo in GA39688 or GA39855Received Omalizumab in GA39688 or GA39855
Week 3633100 ± 83.834500 ± 95.7
Week 5229700 ± 133.427700 ± 158.5
Week 641650 ± 199.81780 ± 214.2
Week 7693.3 ± 352.7109 ± 246.4
SecondarySerum Concentration of Total Immunoglobulin E (IgE)

Serum concentrations of total immunoglobulin E (IgE) were measured throughout the study, as target engagement biomarkers of omalizumab, using validated quantitative immunoassays with lower limits of quantification of 2 International Units per millilitre (IU/mL), and upper limits of quantification (ULQ) of 5000 IU/mL.

Time frame:
Predose at Weeks 36, 52, 64, and 76
Reported as:
Mean · IU/mL
Serum Concentration of Total Immunoglobulin E (IgE)
IU/mLReceived Placebo in GA39688 or GA39855Received Omalizumab in GA39688 or GA39855
Week 36665 ± 530522 ± 367
Week 52635 ± 463532 ± 424
Week 64390 ± 366335 ± 342
Week 76231 ± 226196 ± 191
SecondarySerum Concentration of Free IgE

Serum concentrations of free IgE were measured throughout the study, as target engagement biomarkers of omalizumab, using validated quantitative immunoassays with LLOQ of 0.83 IU/mL, and ULQ of 62.5 IU/mL. The free IgE assay had limited range to measure circulating levels of free IgE in the presence of complexes of omalizumab-IgE. Results above ULQ were set to 62.5 IU/mL. If results for 1/3 or fewer of the participants were greater than the ULQ, then all summary statistics were reported. If the results for more than 1/3 of participants were greater than the ULQ, then only the median, interquartile range and minimum were calculated, and the mean, standard deviation, and maximum were non-reportable.The following are available for median and interquartile ranges (IQR; IQ1-IQ3): Placebo: OLE Week 64 median 55.4 (IQR 33.3 - 62.5), OLE Week 76 median 62.5 (IQR 31.1 - 62.5). Omalizumab: OLE Week 64 median 55.8 (IQR 37.5 - 62.5), OLE Week 76 median 62.5 (IQR 47.9 - 62.5)

Time frame:
Predose at Weeks 36, 52, 64, and 76
Reported as:
Mean · IU/mL
Serum Concentration of Free IgE
IU/mLReceived Placebo in GA39688 or GA39855Received Omalizumab in GA39688 or GA39855
Week 368.08 ± 4.737.73 ± 6.37
Week 529.09 ± 8.819.52 ± 10.8
Week 64NA ± NANA ± NA
Week 76NA ± NANA ± NA

Adverse events

Collected over From Start to End (Weeks 24 to 76) of OLE Study. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Received Placebo in GA39688 or GA398550/125 (0%)12/125 (9.6%)28/125 (22.4%)
Received Omalizumab in GA39688 or GA398550/124 (0%)8/124 (6.5%)19/124 (15.3%)
Most frequent serious events
Showing 10 of 18
Most frequent serious events
EventReceived Placebo in GA39688 or GA39855Received Omalizumab in GA39688 or GA39855
Femur fractureInjury, poisoning and procedural complications1/250/124
PneumoniaInfections and infestations2/1250/124
AsthmaRespiratory, thoracic and mediastinal disorders2/1251/124
Gastrointestinal inflammationGastrointestinal disorders0/1251/124
Ileus paralyticGastrointestinal disorders0/1251/124
Rectal abscessInfections and infestations0/1251/124
Testicular abscessInfections and infestations0/1251/124
Musculoskeletal painMusculoskeletal and connective tissue disorders0/1251/124
Prostate cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/1251/124
Bipolar disorderPsychiatric disorders0/1251/124
Most frequent other events
Most frequent other events
EventReceived Placebo in GA39688 or GA39855Received Omalizumab in GA39688 or GA39855
NasopharyngitisInfections and infestations13/12519/124
SinusitisInfections and infestations13/1259/124
Nasal polypsRespiratory, thoracic and mediastinal disorders13/1254/124

Baseline characteristics

Age, Continuous
Age, Continuous(years)Received Placebo in GA39688 or GA39855Received Omalizumab in GA39688 or GA39855Total
Mean51.6 ± 11.949.9 ± 13.150.8 ± 12.5
Sex: Female, Male
Sex: Female, Male(Participants)Received Placebo in GA39688 or GA39855Received Omalizumab in GA39688 or GA39855Total
Female444589
Male8278160
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Received Placebo in GA39688 or GA39855Received Omalizumab in GA39688 or GA39855Total
Hispanic or Latino81119
Not Hispanic or Latino117110227
Unknown or Not Reported123
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Received Placebo in GA39688 or GA39855Received Omalizumab in GA39688 or GA39855Total
American Indian or Alaska Native022
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American022
White126117243
More than one race000
Unknown or Not Reported022
08

Study locations

79 sites
  • Clinical Research Center of Alabama, LLC
    Birmingham, Alabama 35209, United States
  • Banner University of Arizona Medical Center
    Tucson, Arizona 85724, United States
  • Jonathan Corren MD, Inc.
    Los Angeles, California 90025, United States
  • The Allergy Station at Sacramento ENT
    Roseville, California 95661, United States
  • Bensch Clinical Research LLC
    Stockton, California 95207, United States
  • Colorado ENT & Allergy
    Colorado Springs, Colorado 80909, United States
  • Specialist Global Research
    Hialeah, Florida 33012, United States
  • Vitae Research Center
    Miami, Florida 33135, United States
  • University of South Florida
    Tampa, Florida 33613, United States
  • Asthma & Allergy of Idaho
    Twin Falls, Idaho 83301, United States
  • University of Kansas Medical Center
    Kansas City, Kansas 66160, United States
  • Tandem Clinical Research, LLC
    Marrero, Louisiana 70072, United States
  • Chesapeake Clinical Research Inc - CRN
    Baltimore, Maryland 21236, United States
  • Institute for Asthma & Allergy
    Chevy Chase, Maryland 20815, United States
  • Brigham and Womens Hospital
    Boston, Massachusetts 02115, United States
  • University of Missouri Health Care System
    Columbia, Missouri 65212, United States
  • Montefiore Medical Center
    Bronx, New York 10461, United States
  • Northwell Health
    Great Neck, New York 11021, United States
  • Vital Prospects Clinical Research Institute PC - CRN
    Tulsa, Oklahoma 74136, United States
  • Allergy Associates Research Center LLC - CRN
    Portland, Oregon 97202, United States
  • Medical University of South Carolina Hospital
    Charleston, South Carolina 29425, United States
  • TTS Research
    Boerne, Texas 78006, United States
  • Allergy & Asthma Res Ctr PA
    San Antonio, Texas 78251, United States
  • Chrysalis Clinical Research
    Saint George, Utah 84790, United States
  • Eastern Virginia Medical School
    Norfolk, Virginia 23507, United States
  • UZ Gent
    Gent, 9000, Belgium
  • UZ Leuven
    Leuven, 3000, Belgium
  • Yang Medicine
    Ottawa, Ontario K1G 6C6, Canada
  • Hopital du Saint Sacrement
    Quebec City, Quebec G1S 4L8, Canada
  • Fakultni nemocnice u sv. Anny v Brne
    Brno, 656 91, Czechia
  • Fakultni nemocnice Hradec Kralove, Chirurgicka klinika
    Hradec Kralove, 50005, Czechia
  • Stredomoravska nemocnicni a.s. - odstepny zavod Nemocnice Prostejov
    Prostejov, 796 04, Czechia
  • Centre Hospitalier Universitaire de Bordeaux Hopital Pellegrin
    Bordeaux, 33076, France
  • Hopital de Hautepierre
    Strasbourg, 67091, France
  • Nouvel Hopital Civil; Pole de Pathologie Thoracique
    Strasbourg, 67091, France
  • Charie Campus Mitte; Hals, Nasen, Ohrenheilkunde
    Berlin, 10117, Germany
  • Universitatsklinikum Leipzig
    Leipzig, 04103, Germany
  • Universitatsklinikum Schleswig-Holstein; Klinik fuer Innere Medizin I
    Lubeck, 23538, Germany
  • Bajcsy-Zsilinszky Hospital
    Budapest, 1106, Hungary
  • Szent Imre Egyetemi Oktatokorhaz
    Budapest, 1115, Hungary
  • Szent Janos Korhaz es Eszak-Budai Egyesitett Korhazak
    Budapest, 1122, Hungary
  • Pecsi Tudomanyegyetem Altalanos Orvostudomanyi Kar
    Pecs, 7602, Hungary
  • Unidad de Investigacion CIMA SC
    Chihuahua, 31200, Mexico
  • Instituto Jalisciense de Investigacion Clinica S.A. de C.V.
    Guadalajara, 44100, Mexico
  • Synexus Affiliate - Clinic Med s.j. Bialystok
    Bialystok, 15-879, Poland
  • Synexus - Gdynia
    Gdynia, 81-384, Poland
  • Synexus - Katowice
    Katowice, 40-040, Poland
  • Centrum Medyczne Angelius Provita
    Katowice, 40-611, Poland
  • Centrum Medyczne ALL-MED
    Krakow, 30-033, Poland
  • Centrum Medyczne Wos i Piwowarczyk
    Krakow, 31-572, Poland
  • Centrum Alergologii Specjalistyczna Przychodnia Alergologiczna
    Lublin, 20-552, Poland
  • Synexus - Poznan
    Poznan, 60-702, Poland
  • Synexus - Warsaw
    Warszawa, 01-192, Poland
  • Centrum Medyczne Biotamed
    Wieliczka, 32-020, Poland
  • Synexus - Wroclaw
    Wroclaw, 50-088, Poland
  • EMC Instytut Medyczny S.A.
    Wrocław, 50-220, Poland
  • Centro Hospitalar do Baixo Vouga E.P.E. - Hospital de Aveiro; Servicos Farmaceuticos
    Aveiro, 3814-501, Portugal
  • Hospital de Braga
    Braga, 4710-243, Portugal
  • Hospital Senhora da Oliveira - Guimarães, E.P.E
    Guimaraes, 4835-044, Portugal
  • Centro Hospitalar do Algarve - Hospital de Portimao
    Portimao, 8500-338, Portugal
  • Central Clinical Hospital With Polyclinic of President Administration of RF
    Moscow, Moskovskaja Oblast 121356, Russian Federation
  • Medical Center Uromed
    Smolensk, Moskovskaja Oblast 214031, Russian Federation
  • LLC Kurator
    Sankt-peterburg, Sankt Petersburg 196240, Russian Federation
  • Terapharm, Llc
    Stavropol, 355000, Russian Federation
  • Hospital de Jerez
    Jerez De La Frontera, Cadiz 11407, Spain
  • CHUS - H. Clinico U. de Santiago; Servicio de Farmacia
    Santiago de Compostela, LA Coruña 15706, Spain
  • Hospital Universitario Virgen Macarena
    Seville, Sevilla 41071, Spain
  • Hospital Clinic de Barcelona
    Barcelona, 08036, Spain
  • Hospital Universitario Fundacion Jimenez Diaz.
    Madrid, 28040, Spain
  • Hospital Universitari i Politecnic La Fe de Valencia
    Valencia, 46026, Spain
  • Municipal Health Care Institution Regional clinical specialized dispensary of radiation protection
    Kharkiv, Kharkiv Governorate 61166, Ukraine
  • State Institution Institute of Otolaryngology n.a. Prof. O.S.
    Kyiv, KIEV Governorate 3680, Ukraine
  • Ternopil Municipal City Hospital
    Ternopil, Podolia Governorate 46000, Ukraine
  • Municipal Institution "City Clinical Hospital #3"
    Zaporizhzhia, Polissya Okruha 69032, Ukraine
  • University Clinic
    Ivano-Frankivsk, Poltava Governorate 76000, Ukraine
  • Poltava Regional Clinical Hospital n.a. M.V. Skliphosovskyi
    Poltava, Poltava Governorate 36024, Ukraine
  • Ivano-Frankivsk Central City Clinical Hospital
    Ivano-Frankivsk, 76014, Ukraine
  • Kyiv City Clinical Hospital #9
    Kyiv, 04060, Ukraine
  • Wigan,Wrighington & Leigh NHS Trust
    Wigan, WN1 2NN, United Kingdom
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from May 2018 to primary completion in Mar 2020, 22 months.

Results were first posted in May 2021, 1 year 1 month after primary completion.

Of 30 industry-sponsored phase 3 interventional studies under Nasal Polyps, half reached primary completion within 22 months of starting (the median), counting those still running; a quarter within 15 and three quarters within 26. This study's 22 months is close to that.

Counting every sponsor, half of 34 studies reached it within 22 months; a quarter within 19 and three quarters within 27.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 12, 2018
First posted
Mar 27, 2018
StartActual
May 9, 2018
Primary completionActual
Mar 16, 2020
CompletionActual
Mar 16, 2020
Results first posted
May 11, 2021
Last update
Apr 4, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 4, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03478930
Lead sponsor
Hoffmann-La Roche
Responsible party
Sponsor
First posted
Mar 27, 2018
Start date
May 9, 2018
Primary completion
Mar 16, 2020
Completion
Mar 16, 2020
Results posted
May 11, 2021
Last update
Apr 4, 2022

Study contacts

Clinical Trials
study director · Hoffmann-La Roche

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2022. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Omalizumab

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