Chronic Rhinosinusitis With Nasal PolypsPhase 3CEREN-1NCT06834347
A Phase 3 Study to Assess the Efficacy, Safety, and Tolerability of Itepekimab (Anti-IL-33 mAb) in Participants With Inadequately-controlled Chronic Rhinosinusitis With Nasal Polyps
A Phase 3 study testing Itepekimab (SAR440340) and Mometasone furoate nasal spray (MFNS) in people with Chronic Rhinosinusitis With Nasal Polyps, run by Sanofi at 121 sites in 21 countries.
Trial summary
EFC18418 is a multinational, randomized, double-blind, placebo-controlled, parallel-group, Phase 3 study with 3 treatment groups. The purpose of the study is to evaluate the efficacy, safety and tolerability of 2 dosing regimens of itepekimab compared to placebo as add-on therapy to intranasal corticosteroids (INCS)… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Chronic Rhinosinusitis With Nasal Polyps
- What is being tested?
- Itepekimab (SAR440340) and Mometasone furoate nasal spray (MFNS)
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 231 participants
- Where
- 121 sitesin 21 countries
- Study dates
- 12 Feb 2025to 26 Mar 2027
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Participants must be 18 years of age or older.
- Participants with a history of chronic rhinosinusitis with nasal polyps (CRSwNP) for at least 1 year prior to screening
- Participants must have at least one of the following features:
- Prior sinonasal surgery for nasal polyps (NP).
- Worsening symptoms of chronic rhinosinusitis (CRS) requiring treatment with systemic corticosteroid(s) (SCS) within the prior 1 year before screening (Visit 1).
- An endoscopic bilateral Nasal Polyp Score (NPS) of at least 5 out of maximum score of 8 (with a minimum score of 2 in each nasal cavity) at screening and randomization.
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- Ongoing symptoms (for at least 12 weeks before Visit 1) of:
- Nasal congestion/blockade/obstruction with moderate or severe (symptom severity score 2 or 3) at Visit 1 and a weekly average severity of greater than 1 in the week before randomization (Visit 2), AND
- At least one of the following two symptoms: loss of smell or rhinorrhea (anterior/posterior).
- A female participant is eligible to participate if she is not pregnant or breastfeeding, and at least 1 of the following conditions applies:
- Is not a women of childbearing potential (WOCBP), OR
- Is a WOCBP and agrees to use a contraceptive method that is highly effective, with a failure rate of <1% during the study (at a minimum until 20 weeks after the last dose of study intervention).
Who cannot join
- Participants are excluded from the study if any of the following criteria apply:
- Participants with a history of clinically significant renal, hepatic, metabolic, neurologic, hematologic, ophthalmologic, respiratory (excluding those with asthma and aspirin-exacerbated respiratory disease (AERD) which may be included in the study), gastrointestinal, cardiovascular, cerebrovascular, or other significant medical illness or disorder, which, in the judgment of the Investigator, could interfere with the study or require treatment that might interfere with the study.
- Participants who are currently smoking tobacco and/or vaping, or participants in whom smoking/vaping cessation has occurred <6 months prior to Screening (Visit 1). Nicotine replacement therapy and/or noninhaled tobacco product use are not considered current smoking of tobacco.
- Participants meet any contraindications for mometasone furoate nasal spray (MFNS) such as hypersensitivity to MFNS or any of its components; or participants with uncontrolled opportunistic infections.
- Participants with a history of a severe systemic hypersensitivity reaction to a mAb.
- Participants with conditions/concomitant diseases making them non-evaluable at Visit 1 or for the primary efficacy endpoint.
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- Participants with nasal cavity malignant tumor and benign tumors (eg, papilloma, blood boil etc).
- Participants with severe uncontrolled asthma with history of 2 and/or more exacerbations, requiring SCS or 1 hospitalization requiring SCS in the past year.
- History of concomitant lung disease (other than asthma, eg, COPD, interstitial lung disease) which in the opinion of the Investigator could interfere with performance and interpretation of spirometry.
- Participants treated with intranasal corticosteroid(s) (INCS) (MFNS is permitted), intranasal emitting devices/stents, nasal spray using exhalation delivery system such as XhanceTM during the screening period. In Japan and China INCS other than MFNS are permitted.
- Participants who have undergone any sinus intranasal surgery (including polypectomy) within 6 months before Visit 1.
- Participants who received SCS 1 month prior to Screening (Visit 1) or during the screening period (between Visit 1 and Visit 2).
- Known allergy to itepekimab or its excipients, or any drug or other allergy that, in the opinion of the Investigator, contraindicates participation in this study.
- The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
Trial locations and contacts
121 sites in 21 countries.
121 sites in 21 countries
United States21 sites
University of Southern California (USC) / Keck Medicine of USC- Site Number : 8400037
Arcadia, California, 91006
Emory University School of Medicine- Grady Campus- Site Number : 8400047
Atlanta, Georgia, 30303
Treasure Valley Medical Research- Site Number : 8400063
Boise, Idaho, 83706
University of Chicago Medical Center- Site Number : 8400018
Chicago, Illinois, 60637
TEN20 Clinical Research - Dallas- Site Number : 8400015
Dallas, Texas, 75244
Deaconess Clinic Allergy East- Site Number : 8400056
Evansville, Indiana, 47715
Northwell Health Physician Partners Rheumatology at Great Neck- Site Number : 8400028
Great Neck, New York, 11021
Houston Methodist Hospital- Site Number : 8400054
Houston, Texas, 77030
Sensa Health- Site Number : 8400038
Los Angeles, California, 90006
ENT Associates of Texas - McKinne- Site Number : 8400062
McKinney, Texas, 75070
Advanced Research Associates (ARA) Professionals- Site Number : 8400011
Miami, Florida, 33176
Paradisus Med Research - Miami- Site Number : 8400009
Miami, Florida, 33185
Newport Native MD- Site Number : 8400031
Newport Beach, California, 92663
Eastern Virginia Medical School (EVMS) Medical Group- Site Number : 8400046
Norfolk, Virginia, 23510
Orlando ENT Associates - Orlando- Site Number : 8400008
Orlando, Florida, 32807
Sacramento Ear Nose & Throat - Roseville- Site Number : 8400064
Roseville, California, 95661
Alamo ENT Associates- Site Number : 8400065
San Antonio, Texas, 78258
SSM Health Saint Louis University Hospital- Site Number : 8400005
St Louis, Missouri, 63104
Breathe Clear Institute of Sinus and Allergy Relief- Site Number : 8400040
Torrance, California, 90503
Orso Health - Torrance - Hawthorne Boulevard- Site Number : 8400035
Torrance, California, 90505
Essential Medical Research- Site Number : 8400066
Tulsa, Oklahoma, 74137
Japan13 sites
Investigational Site Number : 3920006
Fukui, 910-1104
Investigational Site Number : 3920001
Fukuoka, 812-0053
Investigational Site Number : 3920011
Hiroshima, 734-0004
Investigational Site Number : 3920010
Ichikawa, Chiba, 272-0143
Investigational Site Number : 3920009
Isehara, Kanagawa, 259-1193
Investigational Site Number : 3920003
Kumamoto, 860-0814
Investigational Site Number : 3920012
Kusatsu, Shiga, 525-0066
Investigational Site Number : 3920004
Narita, Chiba, 286-8520
Investigational Site Number : 3920013
Niigata, 951-8520
Investigational Site Number : 3920002
Odawara, Kanagawa, 250-8558
Investigational Site Number : 3920005
Suwa, Nagano, 392-0027
Investigational Site Number : 3920008
Tokyo, 153-8515
Investigational Site Number : 3920014
Yokohama, Kanagawa, 236-0037
Spain9 sites
Investigational Site Number : 7240008
Barcelona, Barcelona [Barcelona], 08022
Investigational Site Number : 7240002
Barcelona, Catalunya [Cataluña], 08036
Investigational Site Number : 7240004
Jerez de la Frontera, Cádiz, 11407
Investigational Site Number : 7240001
Majadahonda, Madrid, 28222
Investigational Site Number : 7240009
Sabadell, 08208
Investigational Site Number : 7240007
Santiago de Compostela, A Coruña [La Coruña], 15702
Investigational Site Number : 7240003
Santiago de Compostela, A Coruña [La Coruña], 15706
Investigational Site Number : 7240006
Seville, Sevilla, 41009
Investigational Site Number : 7240005
Zaragoza, 50009
Germany8 sites
Investigational Site Number : 2760004
Berlin, 10117
Investigational Site Number : 2760007
Frankfurt, 60318
Investigational Site Number : 2760008
Hamburg, 22523
Investigational Site Number : 2760009
Landsberg, 06188
Investigational Site Number : 2760002
Münster, 48149
Investigational Site Number : 2760001
Tübingen, 72076
Investigational Site Number : 2760005
Wiesbaden, 65205
Investigational Site Number : 2760003
Würzburg, 97080
South Korea8 sites
Investigational Site Number : 4100005
Cheonan-Si, Chungcheongnam-do, 31116
Investigational Site Number : 4100008
Incheon, Incheon-gwangyeoksi, 21565
Investigational Site Number : 4100009
Seongnam-si, Gyeonggi-do, 13620
Investigational Site Number : 4100003
Seoul, Seoul-teukbyeolsi, 03080
Investigational Site Number : 4100004
Seoul, Seoul-teukbyeolsi, 03722
Investigational Site Number : 4100002
Seoul, Seoul-teukbyeolsi, 06351
Investigational Site Number : 4100001
Seoul, Seoul-teukbyeolsi, 07061
Investigational Site Number : 4100006
Seoul, 02841
Italy7 sites
Ospedale Bellaria-Site Number: 3800009
Bologna, 40139
Azienda Ospedaliero-Universitaria di Ferrara-Site Number: 3800004
Cona, Ferrara, 44124
Azienda Ospedaliera Universitaria Careggi-Site Number : 3800011
Florence, Firenze, 50134
IRCCS Ospedale Policlinico San Martino-Site Number : 3800013
Genoa, Genova, 16132
ASST Santi Paolo e Carlo-Presidio Ospedale San Paolo-Site Number : 3800006
Milan, Milano, 20142
Azienda Ospedale - Università Padova-Site Number : 3800008
Padua, Padova, 35128
Fondazione Policlinico Universitario Agostino Gemelli IRCCS-Site Number: 3800002
Rome, Roma, 00168
Chile6 sites
Investigational Site Number : 1520004
Lo Barnechea, Reg Metropolitana de Santiago, 7691236
Investigational Site Number : 1520002
Santiago, Reg Metropolitana de Santiago, 7500692
Investigational Site Number : 1520001
Santiago, Reg Metropolitana de Santiago, 8207257
Investigational Site Number : 1520003
Talca, Maule Region, 3465584
Investigational Site Number : 1520006
Valdivia, Los Ríos Region, 5110683
Investigational Site Number : 1520005
Viña del Mar, Valparaiso, 2540364
Poland6 sites
Investigational Site Number : 6160003
Bialystok, Podlaskie Voivodeship, 15-756
Investigational Site Number : 6160006
Krakow, Lesser Poland Voivodeship, 31-513
Investigational Site Number : 6160005
Lublin, Lublin Voivodeship, 20-363
Investigational Site Number : 6160002
Warsaw, Masovian Voivodeship, 00-909
Investigational Site Number : 6160001
Wroclaw, Lower Silesian Voivodeship, 53-149
Investigational Site Number : 6160004
Wroclaw, Lower Silesian Voivodeship, 53-301
Argentina5 sites
Investigational Site Number : 0320001
Buenos Aires, 1425
Investigational Site Number : 0320005
Buenos Aires, 1638
Investigational Site Number : 0320002
La Plata, Buenos Aires, 1900
Investigational Site Number : 0320003
Mendoza, 5500
Investigational Site Number : 0320004
Rosario, Santa Fe Province, 2000
Hungary4 sites
Investigational Site Number : 3480002
Budapest, 1046
Investigational Site Number : 3480004
Debrecen, 4032
Investigational Site Number : 3480003
Nyíregyháza, 4400
Investigational Site Number : 3480001
Pécs, 7621
Israel4 sites
Investigational Site Number : 3760007
Haifa, 3436212
Investigational Site Number : 3760004
Kefar Sava, 4428164
Investigational Site Number : 3760005
Petah Tikva, 4941492
Investigational Site Number : 3760009
Tel Aviv, 6423906
Portugal4 sites
Investigational Site Number : 6200003
Guimarães, 4800-055
Investigational Site Number : 6200004
Matosinhos Municipality, 4464-513
Investigational Site Number : 6200002
Porto, 3814-501
Investigational Site Number : 6200001
Santa Maria da Feira, 4520-211
United Kingdom4 sites
Investigational Site Number : 8260004
Bradford, BD9 6RJ
Investigational Site Number : 8260002
London, London, City of, NW1 2BU
Investigational Site Number : 8260001
Newcastle upon Tyne, NE7 7DN
Investigational Site Number : 8260006
Oxford, Oxfordshire, OX3 9DU
Austria3 sites
Investigational Site Number : 0400005
Graz, 8036
Investigational Site Number : 0400002
Linz, 4010
Investigational Site Number : 0400001
Vienna, 1090
Brazil3 sites
Hospital das Clinicas da Faculdade de Medicina de Ribeirao Preto- Site Number : 0760002
Ribeirão Preto, São Paulo, 14049-900
Centro Internacional de Pesquisa Clínica (CIPES)- Site Number : 0760005
São José dos Campos, São Paulo, 12230-001
Hospital Israelita Albert Einstein- Site Number : 0760001
São Paulo, 05651-901
Canada3 sites
Investigational Site Number : 1240005
London, Ontario, N6A 4V2
Investigational Site Number : 1240002
Montreal, Quebec, H4a 3j1
Investigational Site Number : 1240001
Québec, Quebec, G1V 4G5
Finland3 sites
Investigational Site Number : 2460004
Helsinki, 00029
Investigational Site Number : 2460003
Helsinki, 00130
Investigational Site Number : 2460002
Kuopio, 70210
Sweden3 sites
Investigational Site Number : 7520002
Lund, 221 85
Investigational Site Number : 7520001
Solna, 171 64
Investigational Site Number : 7520004
Stockholm, 114 86
Turkey (Türkiye)3 sites
Investigational Site Number : 7920003
Ankara, 06230
Investigational Site Number : 7920001
Istanbul, 34093
Investigational Site Number : 7920002
Istanbul, 34865
Mexico2 sites
Investigational Site Number : 4840004
Chihuahua City, 31000
Investigational Site Number : 4840003
Durango, 34000
Netherlands2 sites
Investigational Site Number : 5280004
Alkmaar, 1815 JD
Investigational Site Number : 5280002
Leiderdorp, 2353 GA
About this study
Official title: A Randomized, Double-blind, Placebo-controlled, Parallel-group, 52-week Phase 3 Trial to Investigate the Efficacy, Safety, and Tolerability of Itepekimab in Adult Participants With Inadequately-controlled Chronic Rhinosinusitis With Nasal Polyps
EFC18418 is a multinational, randomized, double-blind, placebo-controlled, parallel-group, Phase 3 study with 3 treatment groups. The purpose of the study is to evaluate the efficacy, safety and tolerability of 2 dosing regimens of itepekimab compared to placebo as add-on therapy to intranasal corticosteroids (INCS) in male and female participants with chronic rhinosinusitis with nasal polyps (CRSwNP) aged 18 years of age and older.
Study details include:
- The study duration per participant (4-week screening, 52-week treatment, 20-week safety follow-up) will be up to 76 weeks. For participants transitioning to the LTS18420 study, the study duration will be 56 weeks.
- The treatment duration will be up to 52 weeks.
- The number of visits will be 9 site visits and 20 phone/home visits.
- Conditions
- Chronic Rhinosinusitis With Nasal Polyps
- Being tested
- Itepekimab (SAR440340), Placebo, Mometasone furoate nasal spray (MFNS)
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Itepekimab (SAR440340)Drug
Also called REGN3500
Pharmaceutical form: Solution for injection in prefilled syringe. Route of administration: Subcutaneous
PlaceboDrug
Pharmaceutical form: Solution for injection in prefilled syringe. Route of administration: Subcutaneous
Mometasone furoate nasal spray (MFNS)Drug
Pharmaceutical form: Solution for administration via spray pump. Route of administration: Intranasal spray
| Study group | Role | What they receive |
|---|---|---|
| Itepekimab high dose | Experimental | Subcutaneous (SC) administration of Itepekimab high dose for 52 weeks Receives: Drug: Itepekimab (SAR440340); Drug: Mometasone furoate nasal spray (MFNS) |
| Itepekimab low dose | Experimental | SC administration of Itepekimab low dose for 52 weeks Receives: Drug: Itepekimab (SAR440340); Drug: Placebo; Drug: Mometasone furoate nasal spray (MFNS) |
| Placebo | Placebo comparator | SC administration of matching placebo for 52 weeks Receives: Drug: Placebo; Drug: Mometasone furoate nasal spray (MFNS) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change from baseline in the endoscopic NPS
The Nasal Polyp Score (NPS) is the sum of the right and left nostril scores, as evaluated by means of nasal endoscopy. Nasal polyp is graded based on polyp size from 0 to 4 with higher scores indicating larger polyps. The sum of right and left nostril scores ranges from 0 (no polyps) to 8 (large polyps).
Measured: Baseline to Week 24
Change from baseline in the NCS
The Nasal Congestion Score (NCS) is scored using a 0-3 categorical scale where 0 = no symptoms, 1 = mild symptoms, 2 = moderate symptoms and 3 = severe symptoms.
Outcome value is defined as the preceding 28-day average of morning scores recorded in eDiary.
Measured: Baseline to Week 24
Secondary outcomes (22)
Change from baseline in endoscopic NPS
The NPS is the sum of the right and left nostril scores, as evaluated by means of nasal endoscopy. Nasal polyp is graded based on polyp size from 0 to 4 with higher scores indicating larger polyps. The sum of right and left nostril scores ranges from 0 (no polyps) to 8 (large polyps).
Measured: Baseline to Week 52
Change from baseline in NCS
The NCS is scored using a 0-3 categorical scale where 0 = no symptoms, 1 = mild symptoms, 2 = moderate symptoms and 3 = severe symptoms.
Outcome value is defined as the preceding 28-day average of morning scores recorded in eDiary.
Measured: Baseline to Week 52
Change from baseline in opacification of sinuses assessed by Computed Tomography (CT) scan using the LMK score
The Lund-Mackay (LMK) system is based on localization with points given for degree of opacification: 0 = normal, 1 = partial opacification, 2 = total opacification. These points are then applied to the maxillary, anterior ethmoid, posterior ethmoid, sphenoid, frontal sinus on each side. The osteomeatal complex is graded as 0 = not occluded, or 2 = occluded, deriving a maximum score of 12 per side. The total score is the sum of scores from each side and ranges from 0 (normal) to 24 (total opacification).
Measured: Baseline to Week 24
Change from baseline in the TSS (nasal congestion/obstruction, anterior/posterior rhinorrhea, and loss of sense of smell)
The CRSwNP Total Symptom Score (TSS) is a composite score derived from nasal congestion (NC)/obstruction, anterior/posterior rhinorrhea, and loss of smell. The total score ranges from 0 to 9 with higher scores on TSS indicating greater overall symptom severity.
Measured: Baseline to Weeks 24 and 52
Change from baseline in loss of smell severity score using the daily CRSwNP sinonasal symptom eDiary, and UPSIT score
The CRSwNP sinonasal symptom diary is designed to assess the severity of chronic rhinosinusitis (CRS) sinonasal symptoms on daily basis. These symptoms include NC/obstruction, anterior rhinorrhea and posterior rhinorrhea, facial pain/pressure, loss of smell, and headache. Each of the individual items of the diary are scored from 0 ("No symptoms") to 3 ("Severe symptoms - symptoms that are hard to tolerate, cause interference with activities or daily living"). Higher scores on the items of the individual symptoms denote greater symptom severity.
The University of Pennsylvania Smell Identification Test (UPSIT) test is a rapid and easy-to-administer method to quantitatively assess human olfactory function. The total score ranges from 0 (anosmia) to 40 (normosmia).
Measured: Baseline to Weeks 24 and 52
Change from baseline in SNOT-22 total score
The Sino-Nasal Outcome Test-22-Items (SNOT-22) is a patient-reported outcome questionnaire designed to assess the impact of CRS on patient's Health-Related Quality of Life (HRQoL). It has 22 items covering five domains: Nasal, Ear/Facial, Sleep, Function, and Emotion. A global score ranging from 0 to 110 with higher score indicating greater rhinosinusitis related health burden.
Measured: Baseline to Weeks 24 and 52
Change from baseline in PROMIS SD-SF-8b scores
The Patient Reported Outcomes Measurement Information System (PROMIS) Sleep Disturbance - Short Form 8b (SD-SF-8b) is a generic 8-item sleep disturbance assessment that evaluates difficulties with falling asleep, staying asleep, and getting enough sleep; and perceptions on the quality and satisfaction of sleep. Scores are calculated with a conversion of the raw score (score range 8 to 40) into a standardized T-score with the mean of the 50 and SD of 10, where higher scores indicate more disturbed sleep.
Measured: Baseline to Weeks 24 and 52
Proportion of participants with CRSwNP requiring systemic corticosteroid(s) (SCS) or surgery for CRS
Measured: Baseline up to Week 52
Annualized rate of SCS course or surgery for CRS
Measured: Baseline up to Week 52
Time to first either SCS or surgery for CRS
Measured: Baseline through Week 52
Change from baseline in pre-BD FEV1 (in mL) in participants with co-morbid asthma
Pre-BD FEV1: pre-bronchodilator forced expiratory volume in 1 second
Measured: Baseline to Weeks 24 and 52
Change from baseline in ACQ-5 score in participants with co-morbid asthma
The Asthma Control Questionnaire (ACQ) is a questionnaire that measures the adequacy of asthma control and any changes in asthma control that may occur spontaneously or as a result of treatment. The ACQ-5 has 5 questions on the asthma symptoms. The global score is the mean of the item responses and ranges from 0 and 6 with higher score indicating lower asthma control.
Measured: Baseline to Weeks 24 and 52
Change from the baseline in NPS and NCS in the subgroup of patients with aspirin-exacerbated respiratory disease (AERD)
Measured: Baseline to Weeks 24 and 52
Proportion of participants with AERD requiring SCS or surgery for CRS
Measured: Baseline up to Week 52
Annualized rate of SCS course or surgery for CRS in participants with AERD
Measured: Baseline up to Week 52
Time to first either SCS or surgery for CRS in participants with AERD
Measured: Baseline through Week 52
Change from baseline in pre-BD FEV1 (in ml) in participants with AERD
Pre-BD FEV1: pre-bronchodilator forced expiratory volume in 1 second
Measured: Baseline to Weeks 24 and 52
Proportion of NPS responders (defined as participants with improvement by at least 1 point in NPS)
Measured: Weeks 24 and 52
Proportion of NPS responders (defined as participants with improvement by at least 2 points in NPS)
Measured: Weeks 24 and 52
Incidence of treatment-emergent adverse events (TEAEs), treatment-emergent serious adverse events (TESAEs), treatment-emergent adverse events of special interest (TEAESIs) and TEAEs leading to treatment discontinuation
Measured: Baseline to End of Study (EOS) (Week 72)
Itepekimab concentration in serum
Measured: Baseline to EOS (Week 72)
Incidence of treatment-emergent anti-itepekimab antibody (ADA) responses
Measured: Baseline to EOS (Week 72)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Feb 2025
- Study start12 Feb 2025
- Primary completion23 Sep 2026
- Study completion26 Mar 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Chronic Rhinosinusitis With Nasal PolypsStudies of the same condition, open and under way.
- More trials run by SanofiThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 231 participants (actual)
Sponsor and investigators
- Lead sponsor
- Sanofi
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Regeneron Pharmaceuticals
- Responsible party
- Sponsor
- Investigators
- Clinical Sciences & Operations, Study director, Sanofi
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06834347
- Sponsor's protocol ID
- EFC18418
- Other IDs
- 2024-516814-39, U1111-1306-4858
- Acronym
- CEREN-1
- Status last verified
- Oct 2026
- First submitted
- 14 Feb 2025
- Last updated
- 21 Oct 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org
Study at a glance
From the registry record, last updated by the sponsor on 21 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-blind, Placebo-controlled, Parallel-group, 52-week Phase 3 Trial to Investigate the Efficacy, Safety, and Tolerability of Itepekimab in Adult Participants With Inadequately-controlled Chronic Rhinosinusitis With Nasal Polyps
- ClinicalTrials.gov ID
- NCT06834347
- Acronym / sponsor ID
- CEREN-1 / EFC18418
- Conditions
- Chronic Rhinosinusitis With Nasal Polyps
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 231 participants (actual)
- Lead sponsor
- SanofiIndustry (pharma, biotech, devices)
- Collaborators
- Regeneron Pharmaceuticals
- Study start
- 12 Feb 2025 (actual)
- Primary completion
- 23 Sep 2026 (actual)
- Study completion
- 26 Mar 2027 (estimated)
- First posted
- 19 Feb 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
EFC18418 is a multinational, randomized, double-blind, placebo-controlled, parallel-group, Phase 3 study with 3 treatment groups. The purpose of the study is to evaluate the efficacy, safety and tolerability of 2 dosing regimens of itepekimab compared to placebo as add-on therapy to intranasal corticosteroids (INCS) in male and female participants with chronic rhinosinusitis with nasal polyps (CRSwNP) aged 18 years of age and older.
Study details include:
- The study duration per participant (4-week screening, 52-week treatment, 20-week safety follow-up) will be up to 76 weeks. For participants transitioning to the LTS18420 study, the study duration will be 56 weeks.
- The treatment duration will be up to 52 weeks.
- The number of visits will be 9 site visits and 20 phone/home visits.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Itepekimab high dose | Experimental | Drug: Itepekimab (SAR440340), Drug: Mometasone furoate nasal spray (MFNS)Subcutaneous (SC) administration of Itepekimab high dose for 52 weeks |
| Itepekimab low dose | Experimental | Drug: Itepekimab (SAR440340), Drug: Placebo, Drug: Mometasone furoate nasal spray (MFNS)SC administration of Itepekimab low dose for 52 weeks |
| Placebo | Placebo comparator | Drug: Placebo, Drug: Mometasone furoate nasal spray (MFNS)SC administration of matching placebo for 52 weeks |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (12 listed)
- Participants must be 18 years of age or older.
- Participants with a history of chronic rhinosinusitis with nasal polyps (CRSwNP) for at least 1 year prior to screening
- Participants must have at least one of the following features:
- An endoscopic bilateral Nasal Polyp Score (NPS) of at least 5 out of maximum score of 8 (with a minimum score of 2 in each nasal cavity) at screening and randomization.
- Ongoing symptoms (for at least 12 weeks before Visit 1) of:
Key exclusion criteria (14 listed)
- Participants with a history of clinically significant renal, hepatic, metabolic, neurologic, hematologic, ophthalmologic, respiratory (excluding those with asthma and aspirin-exacerbated respiratory disease (AERD) which may be included in the study), gastrointestinal, cardiovascular, cerebrovascular, or other significant medical illness or disorder, which, in the judgment of the Investigator, could interfere with the study or require treatment that might interfere with the study.
- Participants who are currently smoking tobacco and/or vaping, or participants in whom smoking/vaping cessation has occurred <6 months prior to Screening (Visit 1). Nicotine replacement therapy and/or noninhaled tobacco product use are not considered current smoking of tobacco.
- Participants meet any contraindications for mometasone furoate nasal spray (MFNS) such as hypersensitivity to MFNS or any of its components; or participants with uncontrolled opportunistic infections.
- Participants with a history of a severe systemic hypersensitivity reaction to a mAb.
- Participants with conditions/concomitant diseases making them non-evaluable at Visit 1 or for the primary efficacy endpoint.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Itepekimab (SAR440340)Also: REGN3500Pharmaceutical form: Solution for injection in prefilled syringe. Route of administration: Subcutaneous | Drug | Itepekimab high dose, Itepekimab low dose |
| PlaceboPharmaceutical form: Solution for injection in prefilled syringe. Route of administration: Subcutaneous | Drug | Itepekimab low dose, Placebo |
| Mometasone furoate nasal spray (MFNS)Pharmaceutical form: Solution for administration via spray pump. Route of administration: Intranasal spray | Drug | Itepekimab high dose, Itepekimab low dose, Placebo |
Primary outcome
Change from baseline in the endoscopic NPS
Time frame: Baseline to Week 24
The Nasal Polyp Score (NPS) is the sum of the right and left nostril scores, as evaluated by means of nasal endoscopy. Nasal polyp is graded based on polyp size from 0 to 4 with higher scores indicating larger polyps. The sum of right and left nostril scores ranges from 0 (no polyps) to 8 (large polyps).
Change from baseline in the NCS
Time frame: Baseline to Week 24
The Nasal Congestion Score (NCS) is scored using a 0-3 categorical scale where 0 = no symptoms, 1 = mild symptoms, 2 = moderate symptoms and 3 = severe symptoms. Outcome value is defined as the preceding 28-day average of morning scores recorded in eDiary.
22 secondary outcomes
Change from baseline in endoscopic NPS
Time frame: Baseline to Week 52
Change from baseline in NCS
Time frame: Baseline to Week 52
Change from baseline in opacification of sinuses assessed by Computed Tomography (CT) scan using the LMK score
Time frame: Baseline to Week 24
Change from baseline in the TSS (nasal congestion/obstruction, anterior/posterior rhinorrhea, and loss of sense of smell)
Time frame: Baseline to Weeks 24 and 52
Change from baseline in loss of smell severity score using the daily CRSwNP sinonasal symptom eDiary, and UPSIT score
Time frame: Baseline to Weeks 24 and 52
Change from baseline in SNOT-22 total score
Time frame: Baseline to Weeks 24 and 52
Change from baseline in PROMIS SD-SF-8b scores
Time frame: Baseline to Weeks 24 and 52
Proportion of participants with CRSwNP requiring systemic corticosteroid(s) (SCS) or surgery for CRS
Time frame: Baseline up to Week 52
Annualized rate of SCS course or surgery for CRS
Time frame: Baseline up to Week 52
Time to first either SCS or surgery for CRS
Time frame: Baseline through Week 52
Change from baseline in pre-BD FEV1 (in mL) in participants with co-morbid asthma
Time frame: Baseline to Weeks 24 and 52
Change from baseline in ACQ-5 score in participants with co-morbid asthma
Time frame: Baseline to Weeks 24 and 52
Change from the baseline in NPS and NCS in the subgroup of patients with aspirin-exacerbated respiratory disease (AERD)
Time frame: Baseline to Weeks 24 and 52
Proportion of participants with AERD requiring SCS or surgery for CRS
Time frame: Baseline up to Week 52
Annualized rate of SCS course or surgery for CRS in participants with AERD
Time frame: Baseline up to Week 52
Time to first either SCS or surgery for CRS in participants with AERD
Time frame: Baseline through Week 52
Change from baseline in pre-BD FEV1 (in ml) in participants with AERD
Time frame: Baseline to Weeks 24 and 52
Proportion of NPS responders (defined as participants with improvement by at least 1 point in NPS)
Time frame: Weeks 24 and 52
Proportion of NPS responders (defined as participants with improvement by at least 2 points in NPS)
Time frame: Weeks 24 and 52
Incidence of treatment-emergent adverse events (TEAEs), treatment-emergent serious adverse events (TESAEs), treatment-emergent adverse events of special interest (TEAESIs) and TEAEs leading to treatment discontinuation
Time frame: Baseline to End of Study (EOS) (Week 72)
Itepekimab concentration in serum
Time frame: Baseline to EOS (Week 72)
Incidence of treatment-emergent anti-itepekimab antibody (ADA) responses
Time frame: Baseline to EOS (Week 72)
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Oct 2026.
- EFC18418 Plain Language Results SummaryLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Sciences & Operations study director
Sanofi
121 sites in 21 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Itepekimab (SAR440340) and Mometasone furoate nasal spray (MFNS) in people with Chronic Rhinosinusitis With Nasal Polyps, run by Sanofi at 121 sites in 21 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 12 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 21 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 121 sites in United States, Japan, Spain, Germany, South Korea and 16 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change from baseline in the endoscopic NPS (time frame: Baseline to Week 24). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Oct 2026.