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CRSwNP or CRSsNP PatientsDEBATENCT07663409

The DEBATE Study "DEvelopment of Endotype-based Biomarkers for the Monitoring of Greek pATiEnts With CRSwNP"

An observational study of CRSwNP or CRSsNP Patients, run by AstraZeneca at 4 sites in Greece.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Given the high variability in the inflammatory profiles of CRSwNP (Chronic rhinosinusitis with nasal polyps) patients that influence both disease phenotype and response to treatment, exploring further potential targets is crucial for advancing novel biologic treatment strategies. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
CRSwNP or CRSsNP Patients
What is being tested?
Not applicable - NIS study
How many people
230 participants
Where
4 sitesGreece
Study dates
29 Jun 2026to 31 Dec 2029
Phase
Observational
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

Study population: CRSwNP patients who are scheduled to undergo first ESS (prospective patients) will be recruited from approximately 6 Ear-Nose-Throat (ENT) and 1 pulmonology clinics. Moreover, CRSwNP and CRSsNP patients who have already performed their first ESS in the period between 2012 and enrolment and have stored nasal tissue samples (retrospective patients) will be recruited from 1 ENT clinic.

Who may be able to join

  • Age ≥ 18 years
  • If CRSwNP group:
  • Physician-diagnosed severe, uncontrolled CRSwNP according to the EUFOREA/EPOS 2020 and ICAR-RS 2021 guidelines with:
  • CRSwNP severity consistent with the need for surgery as defined by a total nasal polyp score (NPS) of ≥5 (≥2 for each nostril)
  • Nasal Congestion Score (NCS) of ≥2
  • Ongoing documented symptoms of CRSwNP for > 8 weeks before surgery
Show all 13Show fewer
  • If CRSsNP group:
  • Diagnosis of CRSsNP according to the EUFOREA/EPOS 2020 and ICAR-RS 2021 guidelines
  • Have performed in the period between 2012 and enrolment or are scheduled to perform endoscopic sinus surgery (ESS) for the first time at enrolment
  • Have available nasal polyp tissue sample from the first endoscopic sinus surgery (ESS)
  • Have provided signed and dated written informed consent
  • If CRSwNP group:
  • Patients receiving any standard of care treatment for CRSwNP, provided the participant is stable on that treatment for ≥30 days

Who cannot join

  • Patients with cystic fibrosis or immunodeficiency
  • Presence of acute exacerbation of CRS symptoms within 2 weeks prior to surgery
  • Use of systemic corticosteroids within 30 days prior to surgery, or antileukotrienes within 15 days prior to surgery, or biologic therapy prior to surgery
  • Not adequate amount (<0.15g) or quality (e.g. storage temperature, contamination) of tissue sample for analyses
  • Not available blood (serum) sample, only for patients scheduled to perform endoscopic sinus surgery (ESS) for the first time at the date of enrolment, for analyses.

Trial locations and contacts

4 sites in 1 country. Contact the study team or a site near you to ask about taking part.

AstraZeneca Clinical Study Information Center contact

1-877-240-9479

information.center@astrazeneca.com

Greece4 sites, 4 recruiting
  • Research Site

    Alexandroupoli

    Recruiting
  • Research Site

    Athens

    Not yet recruiting
  • Research Site

    Heraklion

    Not yet recruiting
  • Research Site

    Thessaloniki

    Not yet recruiting

Other trials in Greece

About this study

Given the high variability in the inflammatory profiles of CRSwNP (Chronic rhinosinusitis with nasal polyps) patients that influence both disease phenotype and response to treatment, exploring further potential targets is crucial for advancing novel biologic treatment strategies. By indicating the efficacy of targeted therapy, as well as determining clinical features, endotyping of CRSwNP may offer a useful tool to better tailor treatment approaches in this heterogenous patient population. This study is the first national effort to collect data on inflammatory markers and burden of CRSwNP patients in Greece aiming at identifying disease endotypes based on patients' inflammatory profile.

Read the detailed description

A participant may withdraw from the study at any time at the participant's own request for any reason (or without providing any reason) without any implication on participant's rights. Patients who discontinue should be asked about the reason(s) for their discontinuation. If the participant withdraws consent for disclosure of future information, AstraZeneca may retain and continue to use any data collected before such a withdrawal of consent

Being tested
Not applicable - NIS study
Keywords
CRSwNP, CRSsNP, endotypes, inflammatory pathways

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Not applicable - NIS studyOther

    Not applicable - NIS study

Study groups in NCT07663409
Study groupRoleWhat they receive
Prospective (CRSwNP)CRSwNP patients who are scheduled to undergo first ESS (Endoscopic sinus surgery)
Receives: Other: Not applicable - NIS study
Retrospective (CRSwNP)CRSwNP patients who have already performed their first ESS in the period between 2012 and enrolment and have stored nasal tissue samples
Receives: Other: Not applicable - NIS study
Retrospective (CRSsNP)CRSsNP (Chronic rhinosinusitis without nasal polyps) patients who have already performed their first ESS in the period between 2012 and enrolment and have stored nasal tissue samples
Receives: Other: Not applicable - NIS study

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Characterization of nasal tissue-secreted cytokines/chemokines in patients with CRSwNP

    Cytokine/chemokine analysis of the fresh extracted nasal tissue following first ESS will be performed by Luminex and ELISA analysis

    Measured: At Visit 1 (day 1)

  2. Characterization of nasal tissue immune cell populations in prospective patients with CRSwNP

    Immunophenotypic analysis by spectral flow cytometry of all main immune cell types, as well as detailed characterization of all T cell subsets will be performed in the fresh samples.

    Measured: At Visit 1 (day 1)

  3. Characterization of eosinophil and neutrophil cell counts in patients with CRSwNP

    Eosinophil and neutrophil cell counts will be recorded, as per the EPOS 2020, eosinophilia is defined as >10 eosinophils/hpf.

    Measured: At Visit 1 (day 1)

  4. Characterization of nasal histological alterations in retrospective patients with CRSwNP

    Tissue morphology and potential tissue destruction and nasal epithelium remodeling by standard histology staining (e.g. hematoxylin and eosin, Periodic Acid-Schiff (PAS), and Sirius Red staining) will be assessed in stored nasal polyp tissue paraffin sections or paraffin blocks.

    Measured: At Visit 1 (day 1)

Secondary outcomes (17)
  1. 1i. Description of demographics of CRSwNP patients before and during 24 months after first endoscopic sinus surgery (ESS)

    Demographics at study entry/screening (age, sex, ethnicity, smoking status, cigarettes/day/year, alcohol status (units/week), body measurements (BMI kg/m2), employment status, educational level, residence area) will be recorded

    Measured: Up to 24 ± 2 months (through study completion)

  2. 1i. Description of medical history of CRSwNP patients before and during 24 months after first endoscopic sinus surgery (ESS)

    Patients' medical history, including the date of first and severe CRSwNP diagnosis, comorbidities, and disease management [use (yes/no) of saline, systemic/local glucocorticoids, biologics, antibiotics], will be reported at the time of enrolment and during 24 months after first ESS.

    Measured: Up to 24 ± 2 months (through study completion)

  3. 1i. Description of first ESS characteristics in CRSwNP patients

    Time to first ESS from CRSwNP diagnosis and from severe CRSwNP diagnosis will be assessed

    Measured: At Visit 1 (day 1)

  4. 1ii. Assessment of 22-item Sinonasal Outcome Test (SNOT-22) score in CRSwNP patients

    The 22-item Sinonasal Outcome Test (SNOT-22), which is a health-related quality of life (HRQoL) evaluation with each item scored on a Likert scale ranging from 0 "No problem" to 5 "Problem as bad as it can be".

    Measured: Up to 24 ± 2 months (through study completion)

  5. 1ii. Assessment of The Nasal Polyposis Symptom Diary (NPSD) in CRSwNP patients

    The Nasal Polyposis Symptom Diary (NPSD), which is a short patient-reported outcome (PRO) tool comprising 11 items (8 symptom-specific, 2 symptom-impact, and 1 optional medication-compliance). The Total Symptom Score (TSS) is a summary of the first 8 symptom-specific items, scored on a 4-point scale [0-none, 1-mild, 2-moderate, 3-severe], with a resulting score from 0 to 24

    Measured: Up to 24 ± 2 months (through study completion)

  6. 1ii. Assessment of the Asthma Control Test (ACT) in CRSwNP patients (if comorbidity with asthma)

    The Asthma Control Test (ACT), a patient-based tool for identifying patients with poorly controlled asthma that includes 5 items assessing the frequency of shortness of breath and general asthma symptoms, use of rescue medications, the effect of asthma on daily functioning, and overall self-assessment of asthma control. The ACT responses for each of the items are summed to yield a score ranging from 5 (poor control of asthma) to 25 (complete control of asthma), with higher scores reflecting greater asthma control.

    Measured: Up to 24 ± 2 months (through study completion)

  7. 1iii. Assessment of Nasal Polyps Score (NPS) score in CRSwNP patients

    NPS is a physician-reported tool that grades the extent/severity of nasal polyps based on evaluation by nasal endoscopy. Each nostril is scored on a scale of 0 - "No nasal polyps" to 4 - "Large nasal polyps causing complete obstruction of the inferior nasal cavity", with the total score being the sum of left and right nostril scores (range: 0-8).

    Measured: Up to 6 months before Visit 1 (day 1) & at Visit 2 (24 ± 2 months)

  8. 1iii. Assessment of imaging results in CRSwNP patients

    The Lund-Mackay (LM) CT score that evaluates sinus opacification on CT scans. This score ranges from 0 -"complete lucency of all sinuses" to 24 - "complete opacity of all sinuses"

    Measured: Up to 6 months before Visit 1 (day 1) & at Visit 2 (24 ± 2 months)

  9. 2. Characterization of blood cytokines/chemokines in prospective patients with CRSwNP

    Cytokine/chemokine analysis of blood samples following first ESS will be performed by Luminex and ELISA analysis

    Measured: At Visit 1 (day 1)

  10. 2. Characterization of blood immune cell populations in prospective patients with CRSwNP

    Immunophenotypic analysis by spectral flow cytometry of all main immune cell types, as well as detailed characterization of all T cell subsets will be performed in the fresh samples.

    Measured: At Visit 1 (day 1)

  11. 2. Characterization of serum immunoglobulin levels in prospective patients with CRSwNP

    Serum immunoglobulin levels [total IgE, specific IgE to staphylococcal enterotoxins (SE-IgE)]

    Measured: At Visit 1 (day 1)

  12. 2. Characterization of WBC count in prospective patients with CRSwNP

    Differential WBC count (incl. absolute count) will be recorded

    Measured: At Visit 1 (day 1)

  13. 2. Characterization of RBC count in prospective patients with CRSwNP

    RBC count will be recorded

    Measured: At Visit 1 (day 1)

  14. 3. Association of time to CRSwNP recurrence and CRSwNP endotypes over 24 months following first ESS in CRSwNP patients

    The number of CRSwNP recurrences along with the date(s) of recurrence(s) will be recorded in the eCRF by the investigator at 24 months following first ESS for CRSwNP patients (including retrospective CRSwNP patients, if data are available). The time to relapse during the 24-month follow-up will be also estimated.

    Measured: Up to 24 ± 2 months (through study completion)

  15. 4. Differences in cytokine/chemokine levels between retrospective patients with CRSwNP and CRSsNP

    Endotypes of CRSsNP patients who have performed first ESS in the period between 2012 and enrolment (retrospective patients) will be determined based on cytokine/chemokine analysis of frozen extracted nasal tissue from ESS, including Fractalkine, GM-CSF, IFNγ, IL-1β, IL-2, IL-4, IL-5, IL-6, IL-7, IL-8, IL-10, IL-12, (p70), IL-13, IL-17A, IL-21, IL-23, ITAC, MIP-1α, MIP-1β, MIP-3α, TNF-α, TSLP, IL-9, IL-33, IL-17E/IL-25, TGFb1, IL-22

    Measured: At Visit 1 (day 1)

  16. 4. Differences in eosinophil and neutrophil cell counts between retrospective patients with CRSwNP and CRSsNP

    Eosinophil and neutrophil cell counts will be recorded. As per the EPOS 2020, eosinophilia is defined as >10 eosinophils/hpf

    Measured: At Visit 1 (day 1)

  17. 4. Differences in nasal tissue alterations between retrospective patients with CRSwNP and CRSsNP

    tissue morphology and potential nasal tissue destruction and remodeling by standard histology staining (e.g. Hematoxylin and eosin, Periodic acid-Schiff (PAS), and Sirius Red staining) will be assessed in stored nasal polyp tissue paraffin sections or paraffin blocks. Depending on the nature of tissue pathology, further immunohistochemical analysis will be performed with the use of specific antibodies, such as markers for epithelial barrier integrity (e.g. E-cadherin or Cytokeratin), tissue remodeling (e.g. MMP-9) or chronic damage monitored by fibrosis (e.g. α-SMA or collagen)

    Measured: At Visit 1 (day 1)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Jun 2026
  2. Study start29 Jun 2026
  3. Primary completion31 Dec 2029 (estimated)
  4. Study completion31 Dec 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Cross-sectional
Enrolment
230 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07663409
Sponsor's protocol ID
D5242R00007
Acronym
DEBATE
Status last verified
Apr 2026
First submitted
18 May 2026
Last updated
22 Jul 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

Questions about this trial

What is this clinical trial studying?

An observational study of CRSwNP or CRSsNP Patients, run by AstraZeneca at 4 sites in Greece.

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 13 inclusion and 5 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: looking for participants now, as of the sponsor's last update on 22 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in Greece. 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

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?

Contact AstraZeneca Clinical Study Information Center (1-877-240-9479, information.center@astrazeneca.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Characterization of nasal tissue-secreted cytokines/chemokines in patients with CRSwNP (time frame: At Visit 1 (day 1)). The study lists 4 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 22 Jul 2026.

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