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Effect of Dupilumab on nasal epithelial barrier function in patients with Chronic Rhinosinusitis with nasal polyps (CRSwNP) – an exploratory pilot study

Status
Recruiting
Phases
Phase 4
Study type
Interventional
Source
EU CTIS
Registry ID
CTIS2023-509815-10-00
Acronym
EpiBar
Enrollment
80
Registered
2024-05-06
Start date
2024-05-15
Completion date
Unknown
Last updated
2024-05-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Chronic rhinosinusitis with nasal polyps, Chronic rhinosinusitis without nasal polyps

Brief summary

Primary endpoint is the change in barrier sensitivity (Cell index) (1) at visit 1 (baseline) in stimulated versus unstimulated cells of patients suffering from CRSsNP or CRSwNP as compared to disease controls as well as in (2) CRSwNP patients at V1 and after 6 months of dupilumab treatment (V3).

Detailed description

Change in barrier sensitivity as described in primary endpoint in patients over time (0, 3 and 6 months), Expression levels of tight junction proteins (by mass cytometry imaging – percentage of positive cells and intensity of staining) in selected biopsies and fixed cultured primary cells in diseased patients and compared to disease controls, Cytokine levels (pg/ml) in nasal mucosal lining fluids of diseased patients and compared to disease controls, Association of barrier sensitivity and cytokine levels, Microbiome (Diversity, Shannon index) in diseased patients and compared to disease controls, Association of barrier sensitivity and microbiome composition, Transcriptome (differentially expressed genes and pathway analysis) and cytokine levels (pg/ml) in selected cultured cells derived from diseased patients and compared to disease controls, Association of experimental (change in barrier function, transcriptome, etc.) with clinical data (TPS, SNOT-22, etc.)

Interventions

Sponsors

Medical University Of Vienna
Lead SponsorOTHER

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Design outcomes

Primary

MeasureTime frame
Primary endpoint is the change in barrier sensitivity (Cell index) (1) at visit 1 (baseline) in stimulated versus unstimulated cells of patients suffering from CRSsNP or CRSwNP as compared to disease controls as well as in (2) CRSwNP patients at V1 and after 6 months of dupilumab treatment (V3).

Secondary

MeasureTime frame
Change in barrier sensitivity as described in primary endpoint in patients over time (0, 3 and 6 months), Expression levels of tight junction proteins (by mass cytometry imaging – percentage of positive cells and intensity of staining) in selected biopsies and fixed cultured primary cells in diseased patients and compared to disease controls, Cytokine levels (pg/ml) in nasal mucosal lining fluids of diseased patients and compared to disease controls, Association of barrier sensitivity and cytokine levels, Microbiome (Diversity, Shannon index) in diseased patients and compared to disease controls, Association of barrier sensitivity and microbiome composition, Transcriptome (differentially expressed genes and pathway analysis) and cytokine levels (pg/ml) in selected cultured cells derived from diseased patients and compared to disease controls, Association of experimental (change in barrier function, transcriptome, etc.) with clinical data (TPS, SNOT-22, etc.)

Countries

Austria

Outcome results

None listed

Source: EU CTIS · Data processed: Feb 4, 2026