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Not yet recruitingNCT07755371Updated Aug 10, 2026

A Study to Evaluate the Efficacy and Safety of AK139 in Participants With Chronic Rhinosinusitis With Nasal Polyps

A Phase 2 interventional study of AK139 and Placebo in Chronic Rhinosinusitis With Nasal Polyps (CRSwNP), sponsored by Akeso. Not yet recruiting at 1 site in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-08-10.

Sponsored by Akeso · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
75
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This is a multicenter, randomized, double-blind, placebo-controlled study designed to evaluate the efficacy, safety, pharmacokinetics (PK), pharmacodynamics (PD), and immunogenicity of AK139 injection compared with placebo in participants with chronic rhinosinusitis with nasal polyps (CRSwNP) receiving background treatment with mometasone furoate nasal spray (MFNS).

Read the detailed description

This is a multicenter, randomized, double-blind, placebo-controlled Phase II study designed to evaluate the efficacy, safety, pharmacokinetics (PK), pharmacodynamics (PD), and immunogenicity of AK139 in participants with chronic rhinosinusitis with nasal polyps (CRSwNP).

Eligible participants will be randomized to receive AK139 or placebo in addition to background treatment with mometasone furoate nasal spray (MFNS). The study will assess the effect of AK139 on nasal polyp burden, disease symptoms, health-related quality of life, safety, PK, PD, and immunogenicity throughout the study period.

02

Conditions studied

  • Chronic Rhinosinusitis With Nasal Polyps (CRSwNP)
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 75 is above the median of 60 across 181 interventional studies indexed under Nasal Polyps.

Browse Nasal Polyps studies →

Lead sponsor

Akeso is the lead sponsor of 156 studies on the registry; 66 are open to participants now.

Of its 8 completed or terminated interventional studies of FDA-regulated products, 0 (0%) 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

  1. Male or female participants aged 18 to 75 years (inclusive) at the time of signing the form (ICF).
  2. Bilateral CRSwNP with prior treatment with systemic (SCS), to or intolerance of SCS, and/or prior nasal polyp surgery.
  3. Nasal Polyp Score (NPS) ≥5, with a minimum score of 2 in each nasal cavity, at screening and baseline.
  4. Ongoing nasal congestion/obstruction, with a Nasal Congestion Score (NCS) of 2 or 3 at screening and baseline.
  5. Use of intranasal corticosteroids for at least 4 weeks prior to screening.

Exclusion criteria

Exclusion Criteria:

  1. History of sinonasal surgery (including nasal polypectomy) within 6 months prior to screening, or prior nasal surgery resulting in structural changes that preclude adequate assessment of Nasal Polyp Score (NPS).
  2. Presence of any of the following conditions:

    • Antrochoanal polyp;
    • Persistent rhinitis medicamentosa;
    • Allergic fungal rhinosinusitis with symptoms and/or CT findings.
  3. Nasal malignant or benign tumors.
  4. Severe nasal septal deviation causing obstruction of at least one nostril.
  5. Known eosinophilic granulomatosis with polyangiitis, granulomatosis with polyangiitis, cystic fibrosis, primary ciliary dyskinesia, or other systemic diseases associated with nasal polyposis.
  6. Participants with asthma and ≤50% of the predicted value at screening or baseline.
  7. Parasitic infection, active tuberculosis, recurrent or chronic infectious diseases, or diseases.
  8. Acute sinusitis, nasal infection, or upper respiratory tract infection within 2 weeks prior to screening or during the screening period.
  9. Chronic infection with virus, virus, (HIV), or syphilis.
  10. Treatment with anti-IL-4Rα monoclonal antibodies, anti-thymic stromal lymphopoietin (TSLP) monoclonal antibodies, anti-immunoglobulin E (IgE) monoclonal antibodies, or other biologic agents within 10 weeks or 5 half-lives (whichever is longer) before randomization, or prior treatment with AK139.
  11. Treatment with short- or intermediate-acting systemic within 4 weeks prior to screening, or long-acting systemic corticosteroids within 6 weeks prior to screening.
  12. Prior treatment with anti-IL-4Rα monoclonal antibodies with inadequate clinical response.
Terms in these criteria, in plain language(8)

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.

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.

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.

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.

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.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

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

Study arms

  • Experimental
    AK139 regimen 1

    AK139 regimen 1 will be administered by subcutaneous injection

    Biological: AK139

  • Experimental
    AK139 regime 2

    AK139 regime 2 will be administered by subcutaneous injection.

    Biological: AK139

  • Placebo comparator
    Placebo

    Placebo will be administered by subcutaneous injection.

    Biological: Placebo

Interventions

  • BiologicalAK139

    AK139 administered subcutaneously

  • BiologicalPlacebo

    Placebo administered subcutaneously

06

What researchers measure

Primary outcomes

  1. Nasal Polyp Score (NPS)

    Change from baseline in Nasal Polyp Score (NPS). NPS is a bilateral endoscopic assessment scale for nasal polyposis, where each nasal cavity is scored from 0 to 4. The total score is the sum of the left and right sides, ranging from 0 to 8, with higher scores indicating more severe nasal polyp disease.

    Time frame: Baseline and Week 16

  2. Nasal Congestion Score (NCS)

    Change from baseline in Nasal Congestion Score (NCS). NCS is a patient-reported outcome measure using a 4-point Verbal Rating Scale (VRS) ranging from 0 to 3. Higher scores indicate more severe nasal congestion.

    Time frame: Baseline and Week 16

Secondary outcomes

  1. Nasal Polyp Score (NPS)

    Change from baseline in Nasal Polyp Score (NPS) at each assessment visit.

    Time frame: From baseline to Week 20 (excluding Week 16)

  2. Nasal Congestion Score (NCS)

    Change from baseline in Nasal Congestion Score (NCS) at each assessment visit.

    Time frame: From baseline through Week 20 (excluding Week 16)

  3. Total Symptom Score (TSS)

    Change from baseline in Total Symptom Score (TSS) at each assessment visit. TSS ranged from 0 to 9, with higher scores indicating greater nasal symptom severity.

    Time frame: From baseline to Week 20

  4. Sino-Nasal Outcome Test-22 (SNOT-22)

    Change from baseline in Total Score of Sino-Nasal Outcome Test-22 (SNOT-22) at each assessment visit. SNOT-22 is a validated patient-reported questionnaire used to assess symptom severity and health-related quality of life (HRQoL) in patients with chronic rhinosinusitis (CRS). Scores range from 0 to 110, with higher scores indicating greater symptom burden and poorer HRQoL.

    Time frame: From baseline to Week 20

  5. Lund-Mackay Score

    Change from baseline in Lund-Mackay Score on CT scan. The Lund-Mackay score ranges from 0 to 24, with higher scores indicating more severe sinonasal disease.

    Time frame: Baseline and Week 16

  6. Safety parameters

    Assessment of safety, including treatment-emergent adverse events (TEAEs), serious adverse events (SAEs), and clinically significant findings from physical examinations, laboratory tests, vital signs, and 12-lead electrocardiograms (ECGs).

    Time frame: Up to Week 20

  7. Pharmacokinetics (PK)

    Serum concentrations of AK139 following administration.

    Time frame: Up to Week 20

  8. Pharmacodynamics (PD)

    Change from baseline in serum biomarker levels.

    Time frame: From baseline to Week 20

  9. Anti-drug Antibodies (ADA) and Neutralizing Antibodies (NAb)

    Incidence of Anti-drug antibodies(ADA) and Neutralizing antibody (Nab) after treatment.

    Time frame: Up to Week 20

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

Updates

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

Registry details

Key details

Study ID
NCT07755371
Lead sponsor
Akeso
Responsible party
Sponsor
First posted
Aug 10, 2026
Start date
Aug 10, 2026 (estimated)
Primary completion
Apr 30, 2027 (estimated)
Completion
Jul 31, 2027 (estimated)
Last update
Aug 10, 2026

Study contacts

Guoqin Wang
Contact
global.trials@akesobio.com
+86 (0760) 8987 399

Oversight

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 Aug 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: AK139

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