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A Multicentre, Single-Arm, Phase 3b Study to Assess Changes in Symptoms in Participants With Chronic Rhinosinusitis With Nasal Polyposis Initiating Treatment with Tezepelumab (ESSENCE)

Status
Recruiting
Phases
Phase 3
Study type
Interventional
Source
EU CTIS
Registry ID
CTIS2024-513862-20-00
Acronym
D5242C00002
Enrollment
356
Registered
2025-02-24
Start date
2025-03-26
Completion date
Unknown
Last updated
2025-12-23

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

Conditions

Chronic Rhinosinusitis with Nasal Polyposis

Brief summary

Change from baseline in nasal congestion measured by the NCS at Week 24., Change from baseline in sino-nasal symptoms measured by SNOT-22 total score at Week 24.

Detailed description

Proportion of NCS responders (minimal clinically important difference [MCID] from baseline = 1.0) at each collected timepoint. • Description of time to first response for NCS by analysing data at all collected timepoints. • Change from baseline in NCS at each collected timepoint., Proportion of SNOT-22 responders (MCID from baseline = -8.9) at each collected timepoint. • Description of time to first response for SNOT-22 by analysing data at all collected timepoints. • Change from baseline in SNOT-22 at each collected timepoint., Change from baseline visit in NB measured by: 1. PNIF 2. VAS-NB 3. Proportion of PNIF, VAS-NB responders, 4. Description of time to first response for PNIF, VAS NB, Change from baseline in loss of smell score evaluated by: 1. UPSIT or Sniffin Sticks 2. VAS-Taste 3. VAS-Smell 4. Proportion of UPSIT, Sniffin sticks, VAS-Smell responders 5. Proportion of participants with a reduction in VAS-Taste score from baseline 6. Description of time to first response for UPSIT/Sniffin sticks, VAS Smell , improvement in VAS-Taste, Change from baseline in sleep as evaluated by: 1. PSQI total score 2. SNOT-22 Sleep domain score 3. VAS-Sleep 4. Proportion of PSQI, SNOT-22 Sleep domain responders 5. Proportion of participants with any improvement in VAS Sleep from baseline 6. Description of time to first response for PSQI, SNOT-22 Sleep domain, improvement for VAS-Sleep, Change from baseline in total NPS evaluated by nasal endoscopy. Summary measures: mean (SD) and distribution of NPS as assessed by above measures will be described at each visit. Other analysis: Proportion of responders 2. Proportion of NPS responders (MCID from baseline = 1.0) at Weeks 2 and 24., Change from baseline in NPQ score Summary measures: mean (SD) and distribution of NPQ scores will be described. Other analyses 3. Proportion of NPQ responders (MCID from baseline = 7.0) 4. Description of time to first response for NPQ by analysing data collected at each specified timepoint., Change from baseline in TSS Summary measures: mean (SD) and distribution of TSS will be described. Other analyses 3. Proportion of TSS responders (MCID from baseline = 4.0) 4. Description of time to first response for TSS by analysing data at all collected timepoints., Change from baseline in NP severity as measured by VAS Overall symptoms 3. Proportion of VAS Overall symptom responders (MCID from baseline = 2.5) 4. Description of time to first response for VAS-Overall symptom by analysing data at all collected timepoints, Proportion of participants who respond as ‘well controlled’ or ‘completely controlled’ NP symptoms to the NP control question Other analysis: time to first response • Description of time to first response for NP control by analysing data at all collected timepoints.

Interventions

Sponsors

AstraZeneca AB
Lead SponsorINDUSTRY

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Design outcomes

Primary

MeasureTime frame
Change from baseline in nasal congestion measured by the NCS at Week 24., Change from baseline in sino-nasal symptoms measured by SNOT-22 total score at Week 24.

Secondary

MeasureTime frame
Proportion of NCS responders (minimal clinically important difference [MCID] from baseline = 1.0) at each collected timepoint. • Description of time to first response for NCS by analysing data at all collected timepoints. • Change from baseline in NCS at each collected timepoint., Proportion of SNOT-22 responders (MCID from baseline = -8.9) at each collected timepoint. • Description of time to first response for SNOT-22 by analysing data at all collected timepoints. • Change from baseline in SNOT-22 at each collected timepoint., Change from baseline visit in NB measured by: 1. PNIF 2. VAS-NB 3. Proportion of PNIF, VAS-NB responders, 4. Description of time to first response for PNIF, VAS NB, Change from baseline in loss of smell score evaluated by: 1. UPSIT or Sniffin Sticks 2. VAS-Taste 3. VAS-Smell 4. Proportion of UPSIT, Sniffin sticks, VAS-Smell responders 5. Proportion of participants with a reduction in VAS-Taste score from baseline 6. Description of time to first respons

Countries

Bulgaria, France, Germany, Hungary, Italy, Poland, Spain

Outcome results

None listed

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