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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04157335
Registration number
NCT04157335
Ethics application status
Date submitted
23/10/2019
Date registered
8/11/2019
Titles & IDs
Public title
Efficacy and Safety Study of Benralizumab in Patient With Eosinophilic Chronic Rhinosinusitis With Nasal Polyps (ORCHID)
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Scientific title
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)
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Secondary ID [1]
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2021-000267-72
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Secondary ID [2]
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D3252C00002
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Universal Trial Number (UTN)
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Trial acronym
ORCHID
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Nasal Polyposis
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Condition category
Condition code
Infection
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Other infectious diseases
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Respiratory
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Other respiratory disorders / diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - Benralizumab 30 mg
Treatment: Other - Matched placebo
Experimental: Benralizumab - Benralizumab administered subcutaneously
Placebo comparator: Placebo - Placebo administered subcutaneously
Treatment: Other: Benralizumab 30 mg
Benralizumab is 30 mg/ml solution for injection in accessorized pre-filled syringe, 1 ml fill volume.
Benralizumab 30 mg subcutaneously will be injected 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).
Treatment: Other: Matched placebo
Matching placebo solution for injection in accessorized pre-filled syringe. 1 ml fill volume.
Matching placebo subcutaneously will be injected 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).
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Intervention code [1]
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Treatment: Other
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Nasal Polyp Burden
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Assessment method [1]
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Change from baseline in endoscopic total nasal polyp score (NPS).
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Timepoint [1]
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Baseline and Week 56
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Primary outcome [2]
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Patient-reported Nasal Blockage (NB)
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Assessment method [2]
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Change from baseline in mean nasal blockage score (NBS).
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Timepoint [2]
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Baseline and week 56
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Secondary outcome [1]
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Sense of Smell
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Assessment method [1]
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Change from baseline in difficulty with sense of smell (DSS) score
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Timepoint [1]
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Week 56
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Secondary outcome [2]
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Sinus Opacification by CT Scan
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Assessment method [2]
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Change from baseline in Lund Mackay score
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Timepoint [2]
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Week 56
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Secondary outcome [3]
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Disease specific health-related quality of life (HRQoL)
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Assessment method [3]
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Change from baseline in SinoNasal Outcome Test (SNOT-22) score.
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Timepoint [3]
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Week 56
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Secondary outcome [4]
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Nasal Polyp Surgery
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Assessment method [4]
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Time to first nasal polyp surgery
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Timepoint [4]
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Week 56
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Secondary outcome [5]
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Systemic corticosteroid (SCS) use
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Assessment method [5]
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Time to first SCS course for NP
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Timepoint [5]
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Week 56
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Secondary outcome [6]
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Symptoms associated with CRSwNP
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Assessment method [6]
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Change from baseline in nasal symptom score(s)
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Timepoint [6]
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Week 56
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Eligibility
Key inclusion criteria
Inclusion criteria:
1. Female or male patients aged 18 to 75 years inclusive
2. Stable Intranasal corticosteroids (INCS) use for at least 4 weeks prior to enrolment and throughout screening
3. History of treatment with systemic corticosteroids (SCS) or prior surgery for CRSwNP
4. Bilateral sinonasal polyposis with a nasal polyp score (NPS) of 5 at enrolment and randomization (unilateral score of at least 2 for each nostril)
5. Ongoing symptoms for at least 12 weeks prior to enrolment
6. Patient-reported moderate to severe nasal blockage score (NBS) =2 at enrolment
7. Bi-weekly mean NBS = 1.5 at randomization
8. SNOT-22 total score = 20 at enrolment and randomization
9. Documented physician-diagnosed asthma
10. Blood eosinophil count of >2% or =150/µL at enrolment
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Minimum age
18
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Maximum age
75
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Exclusion criteria:
1. Any nasal and/or sinus surgery within 3 months prior to enrolment
2. Patients with conditions that makes them non evaluable for the co-primary efficacy endpoint including but not limited to:
* Unilateral antrochoanal polyps
* Nasal septal deviation that occludes at least one nostril
* Current rhinitis medicamentosa
* Allergic fungal rhinosinusitis or allergic fungal sinusitis;
3. Clinically important comorbidities that may put the patient at risk, or may confound interpretation of clinical efficacy and/or safety results
4. Receipt of SCS for within 4 weeks prior to screening, or a scheduled SCS treatment during the study period.
5. Receipt of any marketed or investigational biologic product within 6 months of enrolment
6. Currently pregnant or breastfeeding
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
25/11/2019
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
10/10/2025
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Actual
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Sample size
Target
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Accrual to date
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Final
296
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Research Site - Herston
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Research Site - Melbourne
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Research Site - Spearwood
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4029 - Herston
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3004 - Melbourne
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Recruitment postcode(s) [3]
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6163 - Spearwood
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Recruitment outside Australia
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
AstraZeneca
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Ethics approval
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Summary
Brief summary
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.
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Trial website
https://clinicaltrials.gov/study/NCT04157335
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Trial related presentations / publications
Chong LY, Piromchai P, Sharp S, Snidvongs K, Webster KE, Philpott C, Hopkins C, Burton MJ. Biologics for chronic rhinosinusitis. Cochrane Database Syst Rev. 2021 Mar 12;3(3):CD013513. doi: 10.1002/14651858.CD013513.pub3.
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Public notes
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Contacts
Principal investigator
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Luo Zhang, Prof. Dr.
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Beijing Tongren Hospital
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
Supporting document/s available: Study protocol, Statistical analysis plan (SAP)
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When will data be available (start and end dates)?
AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
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Available to whom?
When a request has been approved AstraZeneca will provide access to the de-identified individual patient-level data in an approved sponsored tool . Signed Data Sharing Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information. Additionally, all users will need to accept the terms and conditions of the SAS MSE to gain access. For additional details, please review the Disclosure Statements at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
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Available for what types of analyses?
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How or where can data be obtained?
IPD available at link: https://astrazenecagroup-dt.pharmacm.com/DT/Home
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04157335