J33
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Recurrence of bilateral nasal polyps after one or more sinus surgeries despite current therapy with local and/or systemic cortisone therapy - Nasal polyp score = 4 out of 8 - SNOT-22 (sino-nasal outcome test-22) = 35 points - total symptom VAS (visual analog scale) = 5 out of 10 cm or 10 out of 20 cm - Evidence of type 2 inflammation [13]: Tissue eosinophils = 10/hpf17 or blood eosinophils = 250u/l or total IgE = 100IU/ml
Exclusion criteria
Exclusion criteria: - Infectious diseases such as HIV, hepatitis B and C - Tumor diseases - Autoimmune or non-type 2 inflammatory diseases - Alcohol consumption in the last 4 weeks and positive rapid test kit result of ethyl glucuronide in urine - Cigarette consumption in the last 4 weeks and positive rapid test kit result of cotinine in urine - Use of illegal drugs in the last 12 weeks and positive rapid test kit result - Therapy with other biologics in the last 12 weeks - Acute infection or elevation of both leukocytes and C-reactive protein in the blood - Use of systemic steroids in the last 4 weeks18 - pregnancy and breast-feeding
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Characterization and differentiation of chronic rhinosinusitis with nasal polyps (CRSwNP) through the interleukin-5 signaling pathway and prediction of response to therapy with mepolizumab (from nasal tissue, nasal secretions, whole blood, serum). | — |
Secondary
| Measure | Time frame |
|---|---|
| identification of IL-5/mepolizumab target cells | — |
Countries
Germany
Contacts
Klinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie, St. Josefs-Hospital Hagen der Kath. Krankenhaus Hagen GmbH