ACTIVE_NOT_RECRUITING

Mechanisms of Benefit of IL4RA Inhibition in Aspirin-Exacerbated Respiratory Disease

Conditions

Nasal Polyps Asthma, Aspirin-Induced Aspirin-Exacerbated Respiratory Disease Aspirin-Sensitive Asthma With Nasal Polyps

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Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

The overall aim of the study is to determine the clinical efficacy and mechanisms of action of anti-IL-4a (dupilumab) as treatment for patients with Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP) and Aspirin-Exacerbated Respiratory Disease (AERD).

Official Title

Mechanisms of Benefit of IL4RA Inhibition in Aspirin-Exacerbated Respiratory Disease: MARINER

Quick Facts

Study Start:2023-08-01

Study Completion:2026-04-30

Study Type:Not specified

Phase:Not Applicable

Enrollment:Not specified

Status:ACTIVE_NOT_RECRUITING

Study ID

NCT05575037

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years to 75 Years

Sexes Eligible for Study:ALL

Accepts Healthy Volunteers:No

Standard Ages:ADULT, OLDER_ADULT

Inclusion Criteria	Exclusion Criteria
1. History of AERD, defined as meeting the diagnostic triad with: 1. History of physician-diagnosed asthma and 2. History of physician-diagnosed nasal polyposis and 3. History of pathognomonic reactions to aspirin or other nonselective COX inhibitors. 2. Visible nasal polyps bilaterally on otoscope physical exam at the time of screening. 3. Evidence of sense of smell impairment, with a University of Pennsylvania Smell Identification Test (UPSIT) score of \<34. 4. Stable asthma (no glucocorticoid burst for at least 4 weeks prior to Visit 1, and no hospitalizations or ER visits for asthma for at least the prior 3 months). 5. Consistent (daily) use of an intranasal steroid for at least 4 weeks prior to Screening. 6. No current smoking (not more than one instance of smoking in the last 3 months). 7. For females: Practicing FDA-approved methods of birth control for the duration of the study. Female participants of childbearing potential must have a negative pregnancy test upon study entry.	1. Use of investigational drugs within 12 weeks of Screening. 2. Use of any biologic agent within 4 months prior to Screening. 3. Use of systemic (enteral or injected) glucocorticoids within 4 weeks prior to Screening. 4. History of any sinonasal surgery within 4 months prior to Screening 5. Current use of zileuton 6. Current use of high-dose aspirin therapy (no more than 325 mg aspirin per day will be allowed) 7. Pregnant, nursing, or planning to become pregnant

Inclusion Criteria

Exclusion Criteria

1. History of AERD, defined as meeting the diagnostic triad with:
1. History of physician-diagnosed asthma and
2. History of physician-diagnosed nasal polyposis and
3. History of pathognomonic reactions to aspirin or other nonselective COX inhibitors.
2. Visible nasal polyps bilaterally on otoscope physical exam at the time of screening.
3. Evidence of sense of smell impairment, with a University of Pennsylvania Smell Identification Test (UPSIT) score of \<34.
4. Stable asthma (no glucocorticoid burst for at least 4 weeks prior to Visit 1, and no hospitalizations or ER visits for asthma for at least the prior 3 months).
5. Consistent (daily) use of an intranasal steroid for at least 4 weeks prior to Screening.
6. No current smoking (not more than one instance of smoking in the last 3 months).
7. For females: Practicing FDA-approved methods of birth control for the duration of the study. Female participants of childbearing potential must have a negative pregnancy test upon study entry.

1. Use of investigational drugs within 12 weeks of Screening.
2. Use of any biologic agent within 4 months prior to Screening.
3. Use of systemic (enteral or injected) glucocorticoids within 4 weeks prior to Screening.
4. History of any sinonasal surgery within 4 months prior to Screening
5. Current use of zileuton
6. Current use of high-dose aspirin therapy (no more than 325 mg aspirin per day will be allowed)
7. Pregnant, nursing, or planning to become pregnant

Contacts and Locations

Principal Investigator

Tanya M Laidlaw, MD

PRINCIPAL_INVESTIGATOR

Brigham and Women's Hospital

Study Locations (Sites)

Brigham and Women's Hospital

Boston, Massachusetts, 02115

United States

Collaborators and Investigators

Sponsor: Brigham and Women's Hospital

Tanya M Laidlaw, MD, PRINCIPAL_INVESTIGATOR, Brigham and Women's Hospital

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2023-08-01

Study Completion Date2026-04-30

Study Record Updates

Study Start Date2023-08-01

Study Completion Date2026-04-30

Terms related to this study

Additional Relevant MeSH Terms

Nasal Polyps
Asthma, Aspirin-Induced
Aspirin-Exacerbated Respiratory Disease
Aspirin-Sensitive Asthma With Nasal Polyps