Chronic Rhinosinusitis With Nasal PolypsPhase 3CEREN-2NCT06834360
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 111 sites in 23 countries.
Trial summary
EFC18419 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
- 216 participants
- Where
- 111 sitesin 23 countries
- Study dates
- 6 Feb 2025to 17 Feb 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
111 sites in 23 countries.
111 sites in 23 countries
United States15 sites
Johns Hopkins Hospital- Site Number : 8400017
Baltimore, Maryland, 21287
Excel ENT of Alabama- Site Number : 8400052
Birmingham, Alabama, 35244
University of Illinois at Chicago- Site Number : 8400003
Chicago, Illinois, 60607
University of Cincinnati Medical Center- Site Number : 8400022
Cincinnati, Ohio, 45219
Ear and Sinus Institute- Site Number : 8400048
Fort Worth, Texas, 76104
Spartanburg-Greer ENT & Allergy- Site Number : 8400039
Greer, South Carolina, 29650
University of Florida - Jacksonville- Site Number : 8400053
Jacksonville, Florida, 32209
Velocity Clinical Research - San Diego- Site Number : 8400041
La Mesa, California, 91942
Velocity Clinical Research - Lafayette- Site Number : 8400026
Lafayette, Louisiana, 70508
Cedars-Sinai Medical Center- Site Number : 8400030
Los Angeles, California, 90048
Advanced ENT & Allergy - Louisville- Site Number : 8400007
Louisville, Kentucky, 40220
One Of A Kind Clinical Research Center- Site Number : 8400034
Napa, California, 94558
Advanced Research Institute - New Port Richey- Site Number : 8400014
New Port Richey, Florida, 34653
Allergy, Asthma and Clinical Research- Site Number : 8400002
Oklahoma City, Oklahoma, 73120
Thomas Jefferson University Hospital- Site Number : 8400044
Philadelphia, Pennsylvania, 19107
China15 sites
Investigational Site Number : 1560020
Baotou, 014040
Investigational Site Number : 1560001
Beijing, 100730
Investigational Site Number : 1560004
Chengdu, 610017
Investigational Site Number : 1560025
Chongqing, 400016
Investigational Site Number : 1560019
Hangzhou, 310003
Investigational Site Number : 1560002
Jinan, 250022
Investigational Site Number : 1560012
Jingzhou, 434020
Investigational Site Number : 1560021
Nanning, 530021
Investigational Site Number : 1560006
Shenyang, 110004
Investigational Site Number : 1560024
Suzhou, 215006
Investigational Site Number : 1560017
Taiyuan, 030001
Investigational Site Number : 1560023
Taiyuan, 030001
Investigational Site Number : 1560014
Wuhan, 430060
Investigational Site Number : 1560003
Yantai, 264001
Investigational Site Number : 1560009
Zibo, 255036
Canada6 sites
Investigational Site Number : 1240019
Burlington, Ontario, L7R 3P9
Investigational Site Number : 1240015
Cambridge, Ontario, N1R 8L4
Investigational Site Number : 1240014
Ottawa, Ontario, K1G 6C6
Investigational Site Number : 1240003
Québec, Quebec, G1V 4W2
Investigational Site Number : 1240012
Québec, Quebec, G2J 0C4
Investigational Site Number : 1240017
Vancouver, British Columbia, V6A 2W1
France6 sites
Investigational Site Number : 2500011
Bordeaux, 33076
Investigational Site Number : 2500004
Marseille, 13005
Investigational Site Number : 2500001
Nantes, 44093
Investigational Site Number : 2500010
Poitiers, 86021
Investigational Site Number : 2500014
Pontoise, 95300
Investigational Site Number : 2500007
Toulouse, 31059
Germany6 sites
Investigational Site Number : 2760006
Dresden, 01139
Investigational Site Number : 2760001
Dresden, 01307
Investigational Site Number : 2760005
Hamburg, 20246
Investigational Site Number : 2760002
Leipzig, 04103
Investigational Site Number : 2760007
Mainz, 55131
Investigational Site Number : 2760008
Villingen-Schwenningen, 78052
Spain6 sites
Investigational Site Number : 7240006
Barcelona, Barcelona [Barcelona], 08003
Investigational Site Number : 7240004
L'Hospitalet de Llobregat, Catalunya [Cataluña], 08907
Investigational Site Number : 7240010
Madrid, 28034
Investigational Site Number : 7240012
Madrid, 28040
Investigational Site Number : 7240008
Pamplona, Navarre, 31008
Investigational Site Number : 7240002
Santander, Cantabria, 39008
Argentina5 sites
Investigational Site Number : 0320002
Buenos Aires, 1121
Investigational Site Number : 0320001
Buenos Aires, 1414
Investigational Site Number : 0320004
Corrientes, 3400
Investigational Site Number : 0320003
Mendoza, 5500
Investigational Site Number : 0320005
San Miguel de Tucumán, Tucumán Province, 4000
Czechia5 sites
Investigational Site Number : 2030002
Hradec Králové, 500 05
Investigational Site Number : 2030003
Pardubice, 532 03
Investigational Site Number : 2030005
Pilsen, 305 99
Investigational Site Number : 2030004
Prague, 100 34
Investigational Site Number : 2030001
Prague, 150 06
Belgium4 sites
Investigational Site Number : 0560006
Alken, 3570
Investigational Site Number : 0560004
Gesves, Namur, 5340
Investigational Site Number : 0560002
Ghent, 9000
Investigational Site Number : 0560001
Leuven, 3000
Brazil4 sites
Private Practice - Dr. Nelson Rosário- Site Number : 0760001
Curitiba, Paraná, 80810-100
Centro de Pesquisa Clínica de Marília - CPCLIM- Site Number : 0760002
Marília, São Paulo, 17504-072
Fundação Faculdade Regional de Medicina de São José do Rio Preto- Site Number : 0760005
São José do Rio Preto, São Paulo, 15090-000
Clinica de Alergia Martti Antila- Site Number : 0760003
Sorocaba, São Paulo, 18040-425
Chile4 sites
Investigational Site Number : 1520001
Concepción, Biobio, 4070094
Investigational Site Number : 1520002
Quillota, Valparaiso, 2260877
Investigational Site Number : 1520003
Santiago, Reg Metropolitana de Santiago, 7500505
Investigational Site Number : 1520004
Talcahuano, Biobio, 2687000
Israel4 sites
Investigational Site Number : 3760003
Haifa, 3104802
Investigational Site Number : 3760004
Jerusalem, 9112001
Investigational Site Number : 3760001
Nahariya, 2210001
Investigational Site Number : 3760002
Rehovot, 7610001
Mexico4 sites
Investigational Site Number : 4840007
Chihuahua City, 31217
Investigational Site Number : 4840001
Guadalajara, Jalisco, 44100
Investigational Site Number : 4840008
Monterrey, Nuevo León, 64718
Investigational Site Number : 4840002
Veracruz, 91900
Poland4 sites
Investigational Site Number : 6160001
Bielsko-Biala, Silesian Voivodeship, 43-300
Investigational Site Number : 6160002
Lodz, Lódzkie, 90-302
Investigational Site Number : 6160004
Poznan, Greater Poland Voivodeship, 60-693
Investigational Site Number : 6160005
Wroclaw, Lower Silesian Voivodeship, 50-750
Australia3 sites
Investigational Site Number : 0360003
Bella Vista, New South Wales, 2153
Investigational Site Number : 0360002
Brisbane, Queensland, 4029
Investigational Site Number : 0360001
Spearwood, Western Australia, 6163
Denmark3 sites
Investigational Site Number : 2080001
Aarhus, 8200
Investigational Site Number : 2080004
Copenhagen, 2100
Investigational Site Number : 2080002
Køge, 4600
Italy3 sites
Investigational Site Number : 3800003
Catania, 95123
Investigational Site Number : 3800001
Milan, Milano, 20132
Investigational Site Number : 3800005
Naples, Napoli, 80131
Romania3 sites
Investigational Site Number : 6420003
Brasov, 500091
Investigational Site Number : 6420002
Brasov, 500283
Investigational Site Number : 6420001
Bucharest, 022328
Turkey (Türkiye)3 sites
Investigational Site Number : 7920003
Ankara, 06230
Investigational Site Number : 7920001
Bursa, 16059
Investigational Site Number : 7920002
Istanbul, 34360
United Kingdom3 sites
Investigational Site Number : 8260001
London, London, City of, W2 1NY
Investigational Site Number : 8260003
Taunton, Somerset, TA1 5DA
Investigational Site Number : 8260002
Wigan, Lancashire, Wn6 9ep
Hungary2 sites
Investigational Site Number : 3480005
Budapest, 1026
Investigational Site Number : 3480001
Szeged, 6720
Netherlands2 sites
Investigational Site Number : 5280002
Amsterdam, 1081 HV
Investigational Site Number : 5280001
Utrecht, 3584 CX
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
EFC18419 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 start6 Feb 2025
- Primary completion24 Sep 2026
- Study completion17 Feb 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
- 216 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
- NCT06834360
- Sponsor's protocol ID
- EFC18419
- Other IDs
- 2024-516815-26, U1111-1306-6544
- Acronym
- CEREN-2
- 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
- NCT06834360
- Acronym / sponsor ID
- CEREN-2 / EFC18419
- Conditions
- Chronic Rhinosinusitis With Nasal Polyps
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 216 participants (actual)
- Lead sponsor
- SanofiIndustry (pharma, biotech, devices)
- Collaborators
- Regeneron Pharmaceuticals
- Study start
- 6 Feb 2025 (actual)
- Primary completion
- 24 Sep 2026 (actual)
- Study completion
- 17 Feb 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.
EFC18419 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.
- EFC18419 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
111 sites in 23 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 111 sites in 23 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 111 sites in United States, China, Canada, France, Germany and 18 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; AzTrials last refreshed its copy on 1 Nov 2026.