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Not yet recruitingNCT06734884BENRADRESSUpdated May 15, 2026

Interest of a Targeted Therapy for the Treatment of a Severe Form of Hypersensitivity to Drug (DRESS Syndrome)

A Phase 2 interventional study of Benralizumab 30 MG/ML [Fasenra] and Placebo Comparator: Placebo-Control Arm 0.9% Sodium Chloride in DRESS Syndrome, sponsored by University Hospital, Lille. Not yet recruiting at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-15.

Sponsored by University Hospital, Lille · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
96
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Drug Reaction with eosinophilia and Systemic Symptoms (DRESS) is a rare and severe multiorgan drug reaction whose pathophysiological mechanisms underlying remain unclear, but may involve the role of several immune cells like eosinophils. iIndeed,the number of eosinophils is increased in blood and/or in organs tiisues in at least 50% of patients with DRESS. There is no specific treatment available. The standard of care is corticosteroids, but they may be inefficient or poorly tolerated. The aim of this research is to find out whether a specific treatment of the immunological response in DRESS syndrome would be useful in combination with corticosteroids to speed up the recovery from DRESS syndrome and therefore reduce the total length of your hospital stay when your illness is being managed. This a multicenter, international, prospective, interventional study, double-blinded, placebo-controlled, randomized, in two balanced parallel groups, one receiving the standard of care (topical or systemic corticosteroids, according to the severity of DRESS syndrome) and the other one corticsoteroids and a targeted therapy against eosinophils (benralizumab, already available in other eosinophilic diseases like asthma).

02

Conditions studied

  • DRESS Syndrome

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Keywords

  • DRESS syndrome
  • drug hypersensitivity
  • Eosinophil
  • Benralizumab
  • targeted therapy
03

In context

Drug Hypersensitivity

66 studies on the registry are indexed under Drug Hypersensitivity; 20 are open to participants now.

This study's planned enrollment of 96 is below the median of 135 across 37 interventional studies indexed under Drug Hypersensitivity.

Browse Drug Hypersensitivity studies →

Lead sponsor

University Hospital, Lille is the lead sponsor of 625 studies on the registry; 141 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Adult patients (minimum 18year-old)
  2. diagnosed at D0 (= baseline and inclusion) with DRESS defined by:

    1. with a REGIScar score at D0 calculated at at least 4 (4 or 5: probable DRESS; >5: definite case of DRESS), see Annex: REGIScar criteria
    2. Skin eruption with an onset considered as compatible with a DRESS syndrome according to the investigator's opinion after the uptake of one or several drug(s)
    3. AND Fever ≥ 38°C at the time of the examination or notion of a thermal peak ≥ 38°C in the preceding 72 hours.
    4. At least 1 organ disorder compatible with the diagnosis of DRESS syndrome among the following disorders:

      • Adenopathies present in at least 2 different sites and ≥ 1 cm in size
      • Acute hepatitis defined by :

        • Elevation of liver enzymes in serum: ALAT (Alanine Aminotransferase) and/or ASAT (Aspartate Aminotransferase)
        • AND/OR an increase in serum total bilirubin, according to the standards of the local analysis laboratory (in the absence of a history of liver disease: ASAT and/or ALAT ≥ 3N (=3 times normal)
        • AND/OR total bilirubin ≥ 2N
      • Acute renal failure defined by :

        • An increase in creatinine according to local laboratory standards
        • AND a sterile cytobacteriological examination (in the absence of a history of renal disease: creatininaemia ≥ 1.5N
        • AND/OR increase in creatinine ≥ 0.3 mg/dl (or ≥ 26.5 mol/L)
        • AND/OR urine output \< 0.3 ml/kg/h (over ≥ 24h).
      • Pulmonary impairment defined by:

        • Oxygen saturation (SpO2) measured by pulse oximetry ≤ 95% in room air
        • And/or the presence of an interstitial syndrome on a standard chest X-ray or a CT scan of the chest (in the absence of any other cause of lung damage).
  3. With eosinophilia (blood eosinophil count ≥ 500/mm3 or ≥0.5 G/L).
  4. Patient having given written informed consent
  5. patient with social insurance

Exclusion criteria

Exclusion Criteria:

  1. Patients \<18 year-old
  2. Patients with DRESS with REGIScar score \<4
  3. Patients without skin eruption at baseline
  4. Eosinophils blood count \<500/mm3 or \< 0.5 G/L at baseline
  5. Patients with contra-indication to blood samples dedicated to the biocollection, according to the investigator's opinion
  6. Patients with contra-indication to stop the culprit drug(s) involved in DRESS
  7. Past history of hypersensitivity to biological drugs
  8. Patients who received a previous anti-IL5 or anti-IL5 receptor therapy within 5 half lives (= 4 months) before inclusion
  9. Patients with a contra-indication of topical corticosteroids (mainly a past history of contact eczema with clobetasol propionate)
  10. Pregnancy and lactation
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
96 participants (estimated)

Study arms

  • Experimental
    Benralizumab

    Drug: Benralizumab 30 MG/ML [Fasenra]

  • Placebo comparator
    Placebo

    Drug: Placebo Comparator: Placebo-Control Arm 0.9% Sodium Chloride

Interventions

  • DrugBenralizumab 30 MG/ML [Fasenra]

    Subcutaneous injection 30 mg at day 2, week 4 and week 8.

  • DrugPlacebo Comparator: Placebo-Control Arm 0.9% Sodium Chloride

    Subcutaneous injection at day 2, week 4 and week 8

06

What researchers measure

Primary outcomes

  1. Efficacity of an add-on treatment with benralizumab to decrease the total hospitalization for DRESS duration within a 52 weeks (W52) period in patients diagnosed with DRESS syndrome and treated with corticosteroids (CS)

    Number of days spent in hospital for the management of DRESS syndrome

    Time frame: from inclusion to 52 weeks

Secondary outcomes

  1. Percentage of body surface with cutaneous lesions due to DRESS and severity grade of skin involvement observed within the 52 weeks period

    Percentage of body surface with cutaneous lesions recorded

    Time frame: at Day4, Day 7, Week 2, Week 4, Week 12, Week 24 and Week 52

  2. Number and severity grade of organ lesions due to DRESS observed within the 52 weeks period

    Time frame: Total number of organ lesions within 52 weeks. These organ lesions will be recorded at Day 4, Day7, Week 2, Week 4, Week 12, Week 24 and Week 52.

  3. Dosage of blood eosinophils during the 52 weeks after inclusion

    Time frame: number of cells per mm3 or per liter) performed at baseline (D0 = prior treatment), and at Day 2, Day 4, Day 7, Week 2, Week 4, Week 8, Week 12, Week 24, Week 52.

  4. Number of flares or relapses of DRESS during a 52 week-period after inclusion

    Time frame: Total number of exacerbation/worsening or occurrence/reappearance of DRESS signs identified within the Week 52 period and recorded at Day 2, Day 4, Day 7, Week 2, Week 4, Week 8, Week 12, Week 24, Week 52.

  5. Consumption of topical or systemic corticosteroids during a 52 week-period after inclusion

    expressed in weight in grammes

    Time frame: Total quantity of superpotent topical or systemic corticosteroids (CS) used at Day 7, Week 2, Week 4, Week 8, Week 12, Week 24, Week 52

07

Study locations

1 site
  • Delphine STAUMONT-SALLE
    Lille, Nord 59000, France
    • Delphine STAUMONT-SALLE, MD, Professor · Contact · DRC@chu-lille.fr · +33320444145
    • Delphine STAUMONT-SALLE, MD, Professor · Principal investigator
08

References and documents

Individual participant data

Plan to share: Yes

Supporting information: Study protocol, Sap, Icf

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 15, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06734884
Lead sponsor
University Hospital, Lille
Collaborators
AstraZeneca
Responsible party
Sponsor
First posted
Dec 16, 2024
Start date
Jan 6, 2027 (estimated)
Primary completion
Jan 5, 2029 (estimated)
Completion
Sep 1, 2029 (estimated)
Last update
May 15, 2026

Study contacts

Delphine STAUMONT-SALLE, Professor, MD
Contact
DRC@chu-lille.fr
+33320444145
Japhete ELENGA KOANGA
Contact
japhete.elengakoanga@chu-lille.fr
+33320444145 ext. 30939

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in May 2026. You cannot join it, but the record below documents what was studied.

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