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RecruitingNCT06824649CRSwNPUpdated Nov 10, 2026

Biologics in Chronic Rhinosinusitis With Nasal Polyposis

A Phase 4 interventional study of Biologic Agents in Chronic Sinusitis and Nasal Polyps, sponsored by Medical University of South Carolina. Recruiting at 5 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-10.

Sponsored by Medical University of South Carolina · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Started Jun 2026; still recruiting 5 months later.
Updated Nov 3, 20263 sites addedGo to Updates ↓
Phase
Phase 4
Study type
Interventional
Enrollment
504
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The prevalence of Chronic Sinusitis with Nasal Polyps (CRSwNP) in the United States is estimated at roughly 4%, which equates to over 13 million Americans. Until recently, the only medical treatment options available for patients with CRSwNP were corticosteroids, with surgery reserved for medical failure. The development of biologic medications over the last 5 years has revolutionized the treatment of CRSwNP. Three biologic medications have been FDA approved and available for the treatment of CRSwNP: dupilumab, omalizumab, and mepolizumab. However, data from the clinical trials for these drugs do not show universal improvement across all patients with CRSwNP. In fact, there is a wide range of outcomes for patients in these trials. The result is that clinicians have no way of knowing which specific biologic would be the best option for any given patient, nor do they know whether biomarkers can be used to predict response to biologics. It is hoped that findings from this study will inform whether any one biologic has superior outcomes to another and whether clinicians can identify patients at baseline who are most likely to improve on biologic therapy.

02

Conditions studied

  • Chronic Sinusitis
  • Nasal Polyps

Keywords

  • Sinusitis
  • Biologics
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 504 is above the median of 60 across 181 interventional studies indexed under Nasal Polyps.

Browse Nasal Polyps studies →

Lead sponsor

Medical University of South Carolina is the lead sponsor of 874 studies on the registry; 166 are open to participants now.

Of its 131 completed or terminated interventional studies of FDA-regulated products, 104 (79%) have results posted.

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

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

  • Age > 18 years
  • Confirmed diagnosis of chronic rhinosinusitis with nasal polyposis using ICAR-21 (International Consensus Statement 20215) criteria
  • Bilateral nasal polyposis visible on sinonasal endoscopy
  • Nasal polyp score > 5
  • Baseline SNOT-22 total score > 30
  • Patient elects biologic therapy for the management of CRSwNP
  • Capable of receiving all 3 biologic therapy medications.
  • Treatment with intranasal mometasone ≥200 μg. once daily (or equivalent of another intranasal ) for 1-month prior to baseline visit.

Exclusion criteria

Exclusion Criteria:

  • Inability or unwillingness of a participant to give written or comply with study protocol
  • Endoscopic sinus surgery within 6-months preceding enrollment / randomization.
  • Oral use within 30-days preceding enrollment / randomization.
  • Serum IgE level outside the dosing range for omalizumab (i.e., \<30 IU/ml. or a weight-based dose with insufficient data to determine dose as per FDA dosing chart)
  • Comorbid atopic dermatitis, urticaria, or any other condition that would require a specific biologic per the standard of care.
  • Currently pregnant or plan to become pregnant within the 6 months after enrollment / randomization.
  • Any previous treatment with any of the 3 biologic medications.
  • Comorbid cystic fibrosis, CVID, or ciliary dyskinesia.
  • Comorbid systemic inflammatory disorders (e.g., GPA, EGPA, Sarcoidosis, SLE)
  • Past or current medical problems or findings from physical examination or laboratory testing that are not listed above, which, in the opinion of the investigator, may pose additional risks for participation in the study, may interfere with the participant's ability to comply with study requirements, or that may impact the quality or interpretation of the data obtained from the study.
Terms in these criteria, in plain language(2)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
504 participants (estimated)

Study arms

  • Active comparator
    Dupilumab

    Biological: Biologic Agents

  • Active comparator
    Omalizumab

    Biological: Biologic Agents

  • Active comparator
    Mepolizumab

    Biological: Biologic Agents

Interventions

  • BiologicalBiologic Agents

    Evidence by way of phase III clinical trials has shown efficacy of dupilumab, omalizumab, and mepolizumab to placebo, leading to regulatory approval and widespread clinical use. However, data from these clinical trials does not show universal improvement and ideal control of disease across all patients with Chronic Sinusitis with Nasal Polyps (CRSwNP). Successful completion of this trial will help answer some of the most pressing clinical questions related to biologics and CRSwNP. Specifically, findings will inform whether any one biologic has superior outcomes to another and whether clinicians can identify patients at baseline who are most likely to improve on biologic therapy.

This study also gives Dupilumab, Omalizumab. No intervention listed here names it: that was found by reading the record.

06

What researchers measure

Primary outcomes

  1. Disease-Specific Quality of Life

    The 22-item SinoNasal Outcome Test (SNOT-22; ©2006, Washington University, St. Louis, MO) will serve as the primary outcome of interest for all study aims/objectives. The SNOT-22 survey is a CRS-specific QOL instrument containing 22 questions (total summarized score range: 0-110) with high internal consistency and high test-retest reliability. The SNOT-22 utilizes Likert scales numbering from 0 ("No problem") to 5 "Problem as bad as it can be"). The SNOT-22 has been shown to discriminate between subjects with CRS and healthy controls, as well as identify significant differences after both medical and surgical treatments.

    Time frame: 24 weeks

07

Study locations

5 of 5 sites recruiting
08

Updates

2 registry updates since Sep 25, 2026
Sites
3 sites added
Show 3 added (3 United States)
  • UF Health ENT and Allergy - The Oaks · Gainesville, United States
  • Mayo Clinic Arizona · Phoenix, United States
  • Vanderbilt University Medical Center · Nashville, United States
across 2 updates, Sep 28, 2026 – Nov 3, 2026
Show all 2 updates
  1. Nov 3, 2026
    2 sites added
    Show 2 added (2 United States)
    • Mayo Clinic Arizona · Phoenix, United States
    • Vanderbilt University Medical Center · Nashville, United States
    + 1 other change: verification date
  2. Sep 28, 2026
    1 site added
    Show site
    • UF Health ENT and Allergy - The Oaks · Gainesville, United States
    + 2 other changes: verification date and contact details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT06824649
Responsible party
Sponsor
First posted
Feb 13, 2025
Start date
Jun 3, 2026
Primary completion
Feb 2030 (estimated)
Completion
Feb 2030 (estimated)
Last update
Nov 10, 2026

Study contacts

Research Associate
Contact
ENTResearch@ohsu.edu
(503) 494-5886
Zachary Soler, MD
principal investigator · Medical University of South Carolina

Oversight

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

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Studies of the drugs tested here: Dupilumab · Omalizumab

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