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Not yet recruitingNCT06801353Updated Feb 6, 2025

A Cohort Study on Biomarkers to Predict the Efficacy of Biologics for Chronic Rhinosinusitis with Nasal Polyps

A Phase 4 interventional study of Stapokibart and Mometasone Furoate Nasal Spray (MFNS) in Chronic Rhinosinusitis with Nasal Polyps (CRSwNP), Biological Therapy and Biomarkers, sponsored by Beijing Tongren Hospital. Not yet recruiting at 1 site in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2025-02-06.

Sponsored by Beijing Tongren Hospital · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Dec 2025, 11 months ago, but the record still lists the study as not yet recruiting.
Phase
Phase 4
Study type
Interventional
Enrollment
90
Allocation
Not applicable
Ages
18 Years to 75 Years
Sex
All
01

Study summary

Recently, several biologic therapies have become available for treating chronic rhinosinusitis with nasal polyps (CRSwNP). However, not every patient responds to these treatments. This clinical trial aims to develop a non-invasive predictive model to help determine how effective IL-4Rα targeted monoclonal antibody therapy will be for individuals with CRSwNP.

02

Conditions studied

  • Chronic Rhinosinusitis with Nasal Polyps (CRSwNP)
  • Biological Therapy
  • Biomarkers
03

In context

Nasal Polyps

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

This study's planned enrollment of 90 is above the median of 60 across 181 interventional studies indexed under Nasal Polyps.

Browse Nasal Polyps studies →

Lead sponsor

Beijing Tongren Hospital is the lead sponsor of 164 studies on the registry; 54 are open to participants now.

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

  1. Age 18-75 years old.
  2. With bilateral chronic rhinosinusitis with nasal polyposis.
  3. Nasal Polyp Score ≥4 (minimum score of 2 per nasal cavity) at baseline.
  4. Nasal congestion score ≥2 at baseline.
  5. Patients who have received systemic (SCS) treatment within 2 years before screening, and/or have or intolerance to SCS treatment, and/or received surgical for nasal polyps more than 6 months before screening.
  6. Have been using intranasal corticosteroids (INCS) at a stable dose for at least 4 weeks before screening.
  7. Symptoms of nasal obstruction and additional symptoms such as loss of smell or rhinorrhea should be present for at least 4 weeks before screening.
  8. Good adherence.

Exclusion criteria

Exclusion Criteria:

  1. Not enough washing out period for prior biological therapy (within 10 weeks or 5 half-lives [whichever is longer] before baseline).
  2. Use of systemic for inflammatory diseases or diseases within 8 weeks or 5 half-lives before baseline (whichever is longer).
  3. Initiation of leukotriene receptor antagonist treatment, oral treatment, or traditional Chinese medicine treatment for chronic rhinosinusitis within 4 weeks before baseline.
  4. Subjects who have undergone surgery that changed the nasal structure and cannot be evaluated for Nasal Polyp Score.
  5. Participants with a (FEV1) ≤50% of predicted normal during screening/run-in period.
  6. to MFNS or anti-IL-4R monoclonal antibodies or stapokibart components.
  7. Concomitant with other poorly controlled serious diseases or recurrent chronic diseases.
  8. Women who are pregnant, breastfeeding, or planning either during the study.
Terms in these criteria, in plain language(6)

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.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

FEV1

From a breathing test (spirometry): how much air you can blow out in the first second. Often given as a percentage of what is expected for your age, height and sex.

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 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
90 participants (estimated)

Study arms

  • Experimental
    therapy group

    Stapokibart subcutaneously every two weeks plus mometasone furoate nasal spray 200 μg once daily

    Biological: Stapokibart · Drug: Mometasone Furoate Nasal Spray (MFNS)

Interventions

06

What researchers measure

Primary outcomes

  1. Nasal Polyps Score (NPS)

    NPS score ranges from 0-8 (sum of 0-4 for each nasal), higher score means a worse outcome.

    Time frame: week 16

  2. Nasal Congestion Score (NCS)

    Change from baseline in the Nasal Congestion Score (NCS) at week 16. NCS score range from 0 to 3, with higher score means worse nasal symptom.

    Time frame: week 16

Secondary outcomes

  1. Nasal Polyp Score (NPS)

    Changes from baseline in nasal polyp score (NPS) at each evaluation time point. NPS score ranges from 0-8 (sum of 0-4 for each nasal), higher score means a worse outcome.

    Time frame: Week 2,4,8,12,20,24,28,32,36,40

  2. Nasal Congestion Score (NCS)

    Changes from baseline in nasal congestion score (NCS) at each evaluation time point. NCS score range from 0 to 3, with higher score means worse nasal symptom.

    Time frame: Week 2,4,8,12,20,24,28,32,36,40

  3. sino-nasal outcome test-22 (SNOT-22)

    Changes from baseline in sino-nasal outcome test-22 (SNOT-22) score at each evaluation time point. The SNOT-22 score is the sum of the scores of 22 items, ranging from 0 to 110 (higher scores indicate worse outcomes).

    Time frame: Week 2,4,8,12,20,24,28,32,36,40

  4. nasal total symptom score (TSS)

    Changes from baseline in nasal total symptom score (TSS) at each evaluation timepoint. The evaluation content of TSS includes three aspects: nasal congestion, loss of smell and running nose. Each aspect has a score of 0-3 with a total score of 0-9. The higher score indicates the more severe overall symptom.

    Time frame: Week 2,4,8,12,20,24,28,32,36,40

  5. Asthma Control Questionnaire (ACQ-6)

    Changes from baseline in Asthma Control Questionnaire (ACQ-6) at each evaluation timepoint for participants with asthma. The ACQ-6 is a questionnaire used to evaluate the degree of asthma control. Each question is scored from 0 to 6 according to its severity. The higher the score, the less satisfactory symptom control is.

    Time frame: Week 2,4,8,12,20,24,28,32,36,40

  6. Lund-Mackay CT score

    Change from baseline in Lund-Mackay CT score evaluated by sinus computed tomography (CT) at each evaluation timepoint. The total Lund-Mackay score ranges from 0 to 24 points. The six parts of the nasal sinuses on both sides are evaluated separately. The higher the score, the more severe the CRS condition.

    Time frame: week 16

  7. Pulmonary function test

    Change from baseline in forced expiratory volume in 1 second (FEV1) at each evaluation timepoint for participants with asthma.

    Time frame: week 16

  8. Change of NPS

    Proportion of participants with ≥1 point improvement from baseline in NPS at each evaluation timepoint. Proportion of participants with ≥2 point improvement from baseline in NPS at each evaluation timepoint.

    Time frame: Week 2,4,8,12,16

  9. Change of NCS

    Proportion of participants with ≥1 point improvement from baseline in NCS at each evaluation timepoint. Proportion of participants with ≥2 point improvement from baseline in NCS at each evaluation timepoint.

    Time frame: Week 2,4,8,12,16

  10. Pharmacodynamics

    Change from baseline in serum biomarker level (eosinophil level).

    Time frame: Week 4,8,12,16,20,24,28,32,36,40

  11. Pharmacodynamics

    Change from baseline of eosinophil level in nasal polyps biospy tissue.

    Time frame: week 16

  12. The change of biomarkers

    Changes from baseline of expression levels of biomarker in nasal brush exfoliated cells, nasal secretions and nasal microbes.

    Time frame: Week 8,16,24,32,40

  13. Pulmonary function test

    Change from baseline in forced vital capacity (FVC) at each evaluation timepoint for participants with asthma.

    Time frame: week 16

  14. Pulmonary function test

    Change from baseline in mean flow with forced expiratory volume of 25% \~ 75% vital capacity (FEF25 \~ 75%) at each evaluation timepoint for participants with asthma.

    Time frame: week 16

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Feb 2025; primary completion for Dec 2025, 10 months later.

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

Registered
Jan 13, 2025
First posted
Jan 30, 2025
StartEst.
Feb 1, 2025
Primary completionEst.
Dec 1, 2025
CompletionEst.
Jul 1, 2026
Last update
Feb 6, 2025
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 Feb 6, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06801353
Responsible party
Sponsor
First posted
Jan 30, 2025
Start date
Feb 1, 2025 (estimated)
Primary completion
Dec 1, 2025 (estimated)
Completion
Jul 1, 2026 (estimated)
Last update
Feb 6, 2025

Study contacts

Chengshuo Wang
Contact
wangcs830@126.com
+86-13911623569

Oversight

Data monitoring committee
No
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 Dec 2024. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Stapokibart

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