A Phase 3 interventional study of Dupilumab and Placebo in Chronic Rhinosinusitis With Nasal Polyps, sponsored by Sanofi. Completed at 18 sites in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-09-25.
Sponsored by Sanofi · Phase 3, Interventional, and Treatment
This is a parallel group, Phase 3, 2-arm study for treatment. The purpose of this study is to evaluate dupilumab subcutaneous (SC) injections compared to placebo in Chinese adult participants with CRSwNP, on a background therapy with intranasal corticosteroids (budesonide nasal spray).
Study details include:
up to 40 weeks
Sanofi is the lead sponsor of 1,508 studies on the registry; 90 are open to participants now.
Of its 198 completed or terminated interventional studies of FDA-regulated products, 118 (60%) have results posted.
Counted across the registry records on this site, refreshed daily.
Participants with bilateral sino-nasal polyposis that despite prior treatment with SCS anytime within the past 2 years; and/or who have a medical contraindication/intolerance to SCS; and/or had prior surgery for NP at Visit 1 have:
Ongoing symptoms (for at least 8 weeks before Visit 1) of:
Note: Plan to enroll at least 85% (approximately 52) participants with CRSwNP meeting following criterion:
Exclusion Criteria:
Biologic therapy/systemic immunosuppressant/immunomodulator within 4 weeks before Visit 1 or 5 half-lives, whichever is longer.
Any investigational monoclonal antibody (mAb) within 5 half-lives or within 6 months before Visit 1 if the half-life is unknown.
Anti-immunoglobulin E therapy (omalizumab) within 4 months prior to Visit 1.
Positive (or indeterminate) hepatitis B surface antigen (HBsAg) or, Positive total Hepatitis B core antibody (HBc Ab) confirmed by positive hepatitis B virus (HBV) DNA or, Positive HCV Ab confirmed by positive hepatitis C Virus (HCV) RNA.
Dupilumab every 2 weeks (Q2W) via SC injection
Drug: Dupilumab · Drug: Budesonide
Placebo matching dupilumab Q2W via SC injection
Drug: Placebo · Drug: Budesonide
solution for subcutaneous injection
solution for subcutaneous injection
nasal spray (suspension)
Change From Baseline in Nasal Polyps Score at Week 24
The NPS was the sum of the right and left nostril scores and assessed by central video recordings of bilateral nasal endoscopy. For each nostril, NPS was graded based on polyp size which ranged from 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, 3: large polyps reaching the lower border of the inferior turbinate or polyps medial to the middle turbinate, 4: large polyps causing complete obstruction of the inferior nasal cavity. Total NPS was the sum of right and left nostril scores; ranged from 0 (no polyps) to 8 (large polyps). Higher scores indicated more severe disease. Baseline was defined as the last available value before randomization.
Time frame: Baseline (Day 1) and Week 24
Change From Baseline in Nasal Congestion/Obstruction Score (NCS) at Week 24
The NCS was a patient reported outcome to evaluate nasal congestion/obstruction, a major clinical symptom in chronic rhinosinusitis phenotype with nasal polyps. The NCS was assessed by the participant on a daily basis from visit 1 and throughout the study. It consisted of a 0 to 3 categorical scale, where 0: no symptoms, 1: mild symptoms, 2: moderate symptoms and 3: severe symptoms. Higher scores indicated more severity. The Week 24 analysis score was calculated as the average of all scores during the 4 weeks before Week 24. Baseline was defined as the average of the scores in the 7 days prior to randomization.
Time frame: Baseline (Day -7 to Day -1) and Week 24
Change From Baseline in Total Symptoms Score (TSS) at Week 24
The TSS was a reflective score of the worst symptom severity over the past 24 hours by the participant. It was assessed by the participant on a daily basis from visit 1 and throughout the study. It consisted of the sum of the following rhinosinusitis symptom questions: nasal congestion, decreased/loss of sense of smell, rhinorrhea (average of anterior/posterior nasal discharge); each assessed on 0 to 3 categorical scale, where 0: no symptoms, 1: mild symptoms, 2: moderate symptoms and 3: severe symptoms. The TSS was a composite score by summing the above symptom scores and ranged from 0 (no symptoms) to 9 (severe symptoms). Higher scores indicated greater overall symptom severity. The Week 24 analysis score was calculated as the average of all scores during the 4 weeks before Week 24. Baseline was defined as the average of the scores in the 7 days prior to randomization.
Time frame: Baseline (Day -7 to Day -1) and Week 24
Change From Baseline in the Severity of Decreased/Loss of Smell at Week 24
The decreased/loss of sense of smell severity was a reflective score of the worst symptom severity over the past 24 hours. It was assessed by the participant on a daily basis from visit 1 and throughout the study, using an e-diary. It consisted of a 0 to 3 categorical scale, where 0: no symptoms, 1: mild symptoms, 2: moderate symptoms and 3: severe symptoms. Higher scores indicated more severe symptoms. The Week 24 analysis score was calculated as the average of all scores during the 4 weeks before Week 24. Baseline was defined as the average of the scores in the 7 days prior to randomization.
Time frame: Baseline (Day -7 to Day -1) and Week 24
Change From Baseline in Total Score of 22-Items Sinonasal Outcome Test (SNOT-22) at Week 24
The SNOT-22 was a validated 22-items questionnaire to assess the impact of chronic rhinosinusitis on health-related quality of life (HRQoL) with a recall period of 2 weeks. There were 5 domains that could be described within SNOT-22, including nasal, ear, sleep, general and practical, and emotional; each domain was scored on a 5-category scale which ranged from 0: no problem to 5: problem as bad as it can be. The total score was the sum of response to each of the 22 questions and ranged from 0 (no disease) to 110 (worst disease), higher scores indicated worse HRQoL. Baseline was defined as the last available value before randomization.
Time frame: Baseline (Day 1) and Week 24
Percentage of Participants Who Received Systemic Corticosteroid (SCS) or Underwent Nasal Polyposis (NP) Surgery During the Study Treatment
SCS for rescue treatment of nasal polyps or for another reason were prescribed to the participant by the site. For participants who had a surgery or had a scheduled date for surgery for NP, the reason (worsening signs and/or symptoms during the study), the expected or actual surgery date, the type and outcome of surgery was recorded in a specific e-case report form page. Percentage of participants who received SCS or underwent NP surgery during the study treatment are presented.
Time frame: From randomization (Day 1) up to last dose of study treatment + 14 days, a maximum of 168 days
Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs) and Treatment-Emergent Adverse Events Leading to Treatment Discontinuation
An AE was any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. An SAE was defined as any untoward medical occurrence that, at any dose: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect or was an important medical event. TEAEs were defined as AEs that developed, worsened or became serious during the TE period.
Time frame: From first dose of study treatment (Day 1) up to last dose of study treatment + 98 days, a maximum of 252 days
The study was conducted at 18 centers in China. A total of 151 participants were screened from 16 May 2023 to 27 February 2024, of which 88 were screen failures. Screen failures were mainly due to not meeting the eligibility criteria.
| Milestone | Placebo | Dupilumab 300 mg q2w |
|---|---|---|
| Started | 32 | 31 |
| Completed | 29 | 30 |
| Not completed | 3 | 1 |
| Withdrew: Withdrawal by subject | 3 | 1 |
The NPS was the sum of the right and left nostril scores and assessed by central video recordings of bilateral nasal endoscopy. For each nostril, NPS was graded based on polyp size which ranged from 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, 3: large polyps reaching the lower border of the inferior turbinate or polyps medial to the middle turbinate, 4: large polyps causing complete obstruction of the inferior nasal cavity. Total NPS was the sum of right and left nostril scores; ranged from 0 (no polyps) to 8 (large polyps). Higher scores indicated more severe disease. Baseline was defined as the last available value before randomization.
| score on a scale | Placebo | Dupilumab 300 mg q2w |
|---|---|---|
| Change From Baseline in Nasal Polyps Score at Week 24 | -0.50 ± 0.30 | -2.34 ± 0.30 |
The NCS was a patient reported outcome to evaluate nasal congestion/obstruction, a major clinical symptom in chronic rhinosinusitis phenotype with nasal polyps. The NCS was assessed by the participant on a daily basis from visit 1 and throughout the study. It consisted of a 0 to 3 categorical scale, where 0: no symptoms, 1: mild symptoms, 2: moderate symptoms and 3: severe symptoms. Higher scores indicated more severity. The Week 24 analysis score was calculated as the average of all scores during the 4 weeks before Week 24. Baseline was defined as the average of the scores in the 7 days prior to randomization.
| score on a scale | Placebo | Dupilumab 300 mg q2w |
|---|---|---|
| Change From Baseline in Nasal Congestion/Obstruction Score (NCS) at Week 24 | -0.52 ± 0.18 | -1.06 ± 0.18 |
The TSS was a reflective score of the worst symptom severity over the past 24 hours by the participant. It was assessed by the participant on a daily basis from visit 1 and throughout the study. It consisted of the sum of the following rhinosinusitis symptom questions: nasal congestion, decreased/loss of sense of smell, rhinorrhea (average of anterior/posterior nasal discharge); each assessed on 0 to 3 categorical scale, where 0: no symptoms, 1: mild symptoms, 2: moderate symptoms and 3: severe symptoms. The TSS was a composite score by summing the above symptom scores and ranged from 0 (no symptoms) to 9 (severe symptoms). Higher scores indicated greater overall symptom severity. The Week 24 analysis score was calculated as the average of all scores during the 4 weeks before Week 24. Baseline was defined as the average of the scores in the 7 days prior to randomization.
| score on a scale | Placebo | Dupilumab 300 mg q2w |
|---|---|---|
| Change From Baseline in Total Symptoms Score (TSS) at Week 24 | -1.07 ± 0.43 | -2.75 ± 0.43 |
The decreased/loss of sense of smell severity was a reflective score of the worst symptom severity over the past 24 hours. It was assessed by the participant on a daily basis from visit 1 and throughout the study, using an e-diary. It consisted of a 0 to 3 categorical scale, where 0: no symptoms, 1: mild symptoms, 2: moderate symptoms and 3: severe symptoms. Higher scores indicated more severe symptoms. The Week 24 analysis score was calculated as the average of all scores during the 4 weeks before Week 24. Baseline was defined as the average of the scores in the 7 days prior to randomization.
| score on a scale | Placebo | Dupilumab 300 mg q2w |
|---|---|---|
| Change From Baseline in the Severity of Decreased/Loss of Smell at Week 24 | -0.23 ± 0.20 | -0.86 ± 0.20 |
The SNOT-22 was a validated 22-items questionnaire to assess the impact of chronic rhinosinusitis on health-related quality of life (HRQoL) with a recall period of 2 weeks. There were 5 domains that could be described within SNOT-22, including nasal, ear, sleep, general and practical, and emotional; each domain was scored on a 5-category scale which ranged from 0: no problem to 5: problem as bad as it can be. The total score was the sum of response to each of the 22 questions and ranged from 0 (no disease) to 110 (worst disease), higher scores indicated worse HRQoL. Baseline was defined as the last available value before randomization.
| score on a scale | Placebo | Dupilumab 300 mg q2w |
|---|---|---|
| Change From Baseline in Total Score of 22-Items Sinonasal Outcome Test (SNOT-22) at Week 24 | -11.58 ± 3.14 | -21.10 ± 3.14 |
SCS for rescue treatment of nasal polyps or for another reason were prescribed to the participant by the site. For participants who had a surgery or had a scheduled date for surgery for NP, the reason (worsening signs and/or symptoms during the study), the expected or actual surgery date, the type and outcome of surgery was recorded in a specific e-case report form page. Percentage of participants who received SCS or underwent NP surgery during the study treatment are presented.
| percentage of participants | Placebo | Dupilumab 300 mg q2w |
|---|---|---|
| Percentage of Participants Who Received Systemic Corticosteroid (SCS) or Underwent Nasal Polyposis (NP) Surgery During the Study Treatment | 9.4 | 0 |
An AE was any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. An SAE was defined as any untoward medical occurrence that, at any dose: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect or was an important medical event. TEAEs were defined as AEs that developed, worsened or became serious during the TE period.
| Participants | Placebo | Dupilumab 300 mg q2w |
|---|---|---|
| TEAEs | 20 | 23 |
| TESAEs | 0 | 4 |
| TEAEs leading to treatment discontinuation | 0 | 0 |
Collected over AEs, SAEs and all-cause mortality (deaths) were collected from first dose of study treatment (Day 1) up to last dose of study treatment + 98 days, a maximum of 252 days. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Placebo | 0/32 (0%) | 0/32 (0%) | 11/32 (34.4%) |
| Dupilumab 300 mg q2w | 0/31 (0%) | 4/31 (12.9%) | 15/31 (48.4%) |
| Event | Placebo | Dupilumab 300 mg q2w |
|---|---|---|
| Helicobacter GastritisInfections and infestations | 0/32 | 1/31 |
| Endometrial CancerNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/32 | 1/31 |
| SyncopeNervous system disorders | 0/32 | 1/31 |
| Angina PectorisCardiac disorders | 0/32 | 1/31 |
| AsthmaRespiratory, thoracic and mediastinal disorders | 0/32 | 1/31 |
| Event | Placebo | Dupilumab 300 mg q2w |
|---|---|---|
| Upper Respiratory Tract InfectionInfections and infestations | 5/32 | 4/31 |
| Injection Site ReactionGeneral disorders | 0/32 | 3/31 |
| ConjunctivitisInfections and infestations | 0/32 | 2/31 |
| NasopharyngitisInfections and infestations | 2/32 | 2/31 |
| Hepatic SteatosisHepatobiliary disorders | 0/32 | 2/31 |
| ArthralgiaMusculoskeletal and connective tissue disorders | 0/32 | 2/31 |
| Influenza Like IllnessGeneral disorders | 1/32 | 2/31 |
| Alanine Aminotransferase IncreasedInvestigations | 0/32 | 2/31 |
| PneumoniaInfections and infestations | 2/32 | 1/31 |
| AsthmaRespiratory, thoracic and mediastinal disorders | 2/32 | 0/31 |
The randomized population included all participants with a treatment kit number allocated and recorded in the interactive response technology database, regardless of whether the treatment kit was used or not.
| Age, Continuous(years) | Placebo | Dupilumab 300 mg q2w | Total |
|---|---|---|---|
| Mean | 49.4 ± 11.3 | 47.1 ± 12.1 | 48.3 ± 11.6 |
| Sex: Female, Male(Participants) | Placebo | Dupilumab 300 mg q2w | Total |
|---|---|---|---|
| Female | 13 | 14 | 27 |
| Male | 19 | 17 | 36 |
| Race/Ethnicity, Customized(Participants) | Placebo | Dupilumab 300 mg q2w | Total |
|---|---|---|---|
| Asian | 32 | 31 | 63 |
| Nasal Polyps Score (NPS)(score on a scale) | Placebo | Dupilumab 300 mg q2w | Total |
|---|---|---|---|
| Mean | 5.84 ± 1.60 | 5.53 ± 1.41 | 5.69 ± 1.51 |
Documents are hosted by the registry — open the source record to download them.
Plan to share: Yes — Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org
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