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Clinical Trials List

Protocol NumberD3252C00002
NCT Number(ClinicalTrials.gov Identfier)NCT04157335
Completed

2020-07-01 - 2026-06-30

Phase III

Recruiting6

ICD-10J32.0

Chronic maxillary sinusitis

ICD-9473.0

Chronic sinusitis of maxillary

A Multicentre, Randomised, Double-Blind, Parallel-Group, Placebo-Controlled Phase 3 Efficacy and Safety Study of Benralizumab in Patients With Eosinophilic Chronic Rhinosinusitis With Nasal Polyps (ORCHID)

  • Trial Applicant

  • Sponsor

    AstraZeneca

  • Trial scale

    Multi-Regional Multi-Center

  • Update

    2026/02/01

Investigators and Locations

Principal Investigator Ming-Ying Lan

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator 張伯宏 Division of Otolaryngology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator 林志峰 Division of Otolaryngology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator 李日清

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator Pai-Chien Chou Division of Thoracic Medicine

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

The Actual Total Number of Participants Enrolled

0 Recruiting

Condition/Disease

Eosinophilic Chronic Rhinosinusitis With Nasal Polyps

Objectives

This is a randomized, double-blind, placebo-controlled, parallel-group, international, multicenter, Phase 3 study to evaluate the efficacy and safety of repeat dosing of benralizumab 30 mg administered subcutaneously (SC) versus placebo in patients with severe nasal polyposis. Approximately 148 patients will be randomized to receive benralizumab 30 mg SC or matching placebo. After enrolment, eligible patients will enter a 5-week screening/run in period. Patients who meet eligibility criteria will be randomised 1:1 at Week 0 (Day 0) to receive either placebo or benralizumab 30 mg SC every 4 weeks for the first 3 doses (Weeks 0, 4 and 8) and every 8 weeks thereafter (Weeks 16, 24, 32, 40 and 48). An end of treatment visit will be conducted at Week 56.The first up to 74 patients that complete the 56-week treatment will have a 24-week follow-up (FU) period without dosing to assess durability of benefit. These patients will have the FU for the final safety assessment at week 80. The remaining patients will have a last FU visit 12 weeks after last dose for final safety assessments at week 60.

Test Drug

肺昇朗/Fasenra

Active Ingredient

benralizumab

Dosage Form

注射液劑

Dosage

30mg/ml

Endpoints

Primary Outcome Measures :
Endoscopic total nasal polyp score [ Time Frame: Baseline and Week 56 ]
Change in endoscopic total nasal polyp score (nasal polyp score range from 0 to 8, higher scores mean a worse outcome)

Nasal blockage score [ Time Frame: Baseline and week 56 ]
Change in mean nasal blockage score (The severity of nasal blockage can be rated as 0 - None; 1 - Mild; 2 - Moderate; 3 - Severe )

Inclution Criteria

Inclusion Criteria:

Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form and in this protocol.
Subject must be 18 to 75 years of age inclusive, at the time of signing the informed consent form.
Patients with bilateral sinonasal polyps that, despite treatment with standard of care including a history of treatment with Systemic corticosteroids (oral, parenteral) or prior surgery for Nasal polyps have severity consistent with a need for surgery as described by:

A minimum total Nasal polyp score of 5 out of a maximum score of 8 (with a unilateral score of at least 2 for each nostril) at Visit 1 and continuously maintained at Visit 2 to meet the randomisation criterion as determined by the study Imaging Core Lab
Ongoing symptoms for at least 12 weeks prior to Visit 1
Patient-reported moderate to severe nasal blockage (score 2 or 3) over the 2-weeks prior to Visit 1 (2-week recall assessment of symptoms, scores 0-none to 3-severe).
CT Lund Mackay score for ethmoid ≥ maxillary as determined by the study Imaging Core lab.
Patients meet one of the following criteria:

Blood eosinophil count > 5% as determined by central lab
Blood eosinophil count is >2% and ≤ 5% as determined by central lab with a diagnosis of asthma and/or Aspirin exacerbated respiratory disease or NSAID exacerbated respiratory disease
Patients who are on Intranasal corticosteroids or leukotriene receptor antagonists (LTRAs), need to be at stable dose for at least 30 days prior to Visit 1.
SNOT-22 total score ≥ 20 at enrolment (Visit 1).

Exclusion Criteria

Exclusion Criteria:

Patients who have undergone any nasal and/or sinus surgery within 3 months prior to Visit 1.
Patients with conditions or concomitant disease that makes them non evaluable for the co-primary efficacy endpoint such as:

Unilateral antrochoanal polyps;
Nasal septal deviation that occludes at least one nostril;
Acute sinusitis, nasal infection, or upper respiratory infection at screening or in the 2 weeks before screening;
Current rhinitis medicamentosa;
Allergic fungal rhinosinusitis or allergic fungal sinusitis;
Nasal cavity tumours.
Patients experiencing an asthma exacerbation requiring systemic (oral and/or parenteral) corticosteroids treatment or hospitalisation (>24hrs) for treatment of asthma within 4 weeks prior to Visit 1.
Known history of allergy or reaction to any component of the Investigational product formulation.
Prior/concomitant therapy: use of immunosuppressive medication (including but not limited to: methotrexate, troleandomycin, cyclosporine, azathioprine, or any experimental anti-inflammatory therapy) within 3 months prior to V1 and during the study period.
Alanine aminotransferase or aspartate aminotransferase level ≥ 3 times the upper limit of normal.

The Estimated Number of Participants

  • Taiwan

    30 participants

  • Global

    250 participants