Clinical Trial of TQC2731 Injection in Patients With Chronic Sinusitis and Nasal Polyps
Recruiting now · Phase 3 · Has a placebo group
Conditions studied: Chronic Rhinosinusitis With Nasal Polyps (CRSwNP)
In brief
TQC2731 injection is a humanized monoclonal antibody that targets Thymic Stromal Lymphopoietin (TSLP), blocks the TSLP pathway, and inhibits the production of downstream cytokines, thereby exerting anti-inflammatory effects. The purpose of this study is to evaluate the efficacy and safety of TQC2731 injection in patients with chronic rhinosinusitis with nasal polyps (CRSwNP).
Key facts
- Study ID
- NCT07107256
- Run by
- Shanghai Chia Tai Tianqing Pharmaceutical Technology Development Co., Ltd.
- People needed
- 246
- Starts
- 2025-09-25
- Expected to finish
- 2027-09-01
- Last updated by the study team
- 2025-12-16
Who can join
Age: 18 and older, up to 75. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Signed informed consent form prior to trial participation, demonstrating full understanding of trial objectives, procedures, and potential adverse reactions.
- Age between 18 and 75 years (inclusive) at the time of informed consent signing, regardless of gender.
- Diagnosis of bilateral chronic rhinosinusitis with nasal polyps (CRSwNP) meeting the diagnostic criteria of the "Chinese Guidelines for the Diagnosis and Treatment of Chronic Rhinosinusitis (2018)"
- At least one prior course of systemic corticosteroids (prednisone 0.5-1 mg/kg/day or 15-30 mg/day or equivalent for minimum 5 days) within 2 years before screening, with persistent bilateral CRSwNP; AND/OR contraindication/intolerance to systemic corticosteroids; AND/OR prior nasal polyp surgery performed more than 6 months before screening.
- Bilateral Nasal Polyp Score (NPS) ≥5 (maximum score 8) with ≥2 points per nostril, as assessed by nasal endoscopy during screening and randomization.
- Nasal Congestion Score (NCS) ≥2 at screening (daily average) and randomization (weekly average).
- Persistent symptoms of rhinorrhea and/or hyposmia/anosmia for over 8 weeks prior to screening.
- 22-item Sino-Nasal Outcome Test (SNOT-22) score ≥30 at screening and randomization.
- Stable dose of intranasal corticosteroids (INCS) for >4 weeks prior to screening (subjects using non-mometasone furoate nasal spray [MFNS] products must agree to switch to Mometasone Furoate Nasal Spray (MFNS) during the study).
- Subjects with comorbid asthma must have had stable asthma symptoms for ≥4 weeks prior to screening (if using medications, such as inhaled corticosteroids, the same dose must have been stably maintained for ≥4 weeks before screening, and the dose is assessed to remain stable during the first phase).
- The evaluation during the lead-in period showed that the medication adherence to intranasal mometasone furoate nasal spray (MFNS) was greater than 70%, and the adherence to daily symptom assessment records in the subjects' electronic logs was also greater than 70%. Note: Days with missing electronic log data were considered non-adherent to this criterion.
- Agreement to practice effective non-pharmacologic contraception from informed consent until 6 months post-final dose, for subjects/partners of childbearing potential.
You may not qualify if…
- Conditions/Diseases Affecting Efficacy Evaluation
- Nasal septum deviation causing ≥1 nostril obstruction;
- Perforation of the nasal septum
- Acute sinusitis, nasal infection, or upper respiratory infection within 2 weeks pre-screening or during screening/run-in periods;
- Rhinitis medicamentosa;
- Eosinophilic granulomatosis with polyangiitis (EGPA), granulomatosis with polyangiitis (GPA), Young's syndrome, Kartagener's syndrome, other ciliary dyskinesia syndromes, or cystic fibrosis;
- Suspected or confirmed fungal sinusitis by imaging;
- Prior nasal surgery altering lateral wall structure precluding NPS assessment;
- Nasal malignancies or benign tumors (e.g., papilloma, hemangioma);
- Any intranasal and/or sinus surgery (including polypectomy) within 6 months prior to screening.
- Uncontrolled epistaxis within 2 months prior to screening.
- Regular use of decongestants (topical or systemic) prior to screening, except for short-term use during endoscopic examinations.
- Patients who have received any of the following treatments prior to randomization:
- Treatment with immunosuppressants (including but not limited to: cyclophosphamide, cyclosporine, interferon gamma, azathioprine, methotrexate, mycophenolate, tacrolimus, Secukinumab) within 8 weeks or 5 half-lives prior to screening (whichever is longer);
- Treatment with any monoclonal antibodies (including but not limited to: benralizumab, mepolizumab, omalizumab, dupilumab, or other similar drugs [e.g., TSLP blockers]) within 8 weeks or 5 half-lives prior to screening (whichever is longer).
- Patients who used medium- or short-acting systemic corticosteroids (SCS, including oral, intravenous, or intramuscular administration), systemic traditional Chinese medicine preparations for treating CRS within 4 weeks prior to screening, or received long-acting SCS (e.g., triamcinolone acetonide injection) within 6 weeks prior to screening, or who plan to receive the aforementioned medications during the study period.
- Use of corticosteroid-eluting nasal stents within 6 months prior to screening;
- Treatment with immunoglobulins or blood products within 28 days prior to screening;
- Administration of live attenuated vaccines within 28 days prior to screening or planned during the study period;
- Allergen-specific immunotherapy within 6 months prior to screening (allowed only if: initiated >3 months before screening, maintained at a stable dose for ≥1 month before Visit 1, and no planned dose changes during the study);
- Participation in other drug/medical device clinical trials within 3 months prior to screening (based on last administration/use).
- Use nasal antihistamines (such as olopatadine nasal spray, azelastine nasal spray, levocabastine nasal spray, etc.) for the first 3 days.
- Screening for a history of active pulmonary tuberculosis within the past 12 months;
- Exclusion of infections within the last 14 days requiring systemic antibiotic, antiviral, antifungal, antiparasitic, or antiprotozoal therapy;
- Exclusion of subjects diagnosed with helminthic parasitic infection in the past 6 months who either did not receive standard treatment or had treatment failure;
Where it is running
- Eye&ENT Hospital of Fudan University — Shanghai, Shanghai Municipality, China (enrolling)
- Peking University People'S Hospital — Beijing, Beijing Municipality, China
- Henan Provincial People'S Hospital — Zhengzhou, Henan, China
- The First Affiliated Hospital of Chongqing Medical University — Chongqing, Chongqing Municipality, China
- The First Affiliated Hospital of Xiamen University — Xiamen, Fujian, China
- The 940th Hospital of Joint Logistics Support force of Chinese People 's Liberation Army — Lanzhou, Gansu, China
- The Second Affiliated Hospital of Guangzhou Medical University — Guangzhou, Guangdong, China
- Shenzhen Second People'S Hospital — Shenzhen, Guangdong, China
- Liuzhou People's Hospital — Liuzhou, Guangxi, China
- Cangzhou Central Hospital — Cangzhou, Hebei, China
- Hebei Petro China Central Hospital — Langfang, Hebei, China
- Hebei Medical University Third Hospital — Shijiazhuang, Hebei, China
- The First Affiliated Hospital of Hebei North University — Zhangjiakou, Hebei, China
- Daqing People's Hospital — Daqing, Heilongjiang, China
- Beijing youan hospital,capital medical university — Beijing, Beijing Municipality, China
- Jingzhou Central Hospital — Jingzhou, Hubei, China
- Union Hospital, Tongji Medical College, Huazhong University of Science and Technology — Wuhan, Hubei, China
- The First People's Hospital of Changde City — Changde, Hunan, China
- People's Hospital of Hunan Province — Changsha, Hunan, China
- The Third Xiangya Hospital of Central South University — Changsha, Hunan, China
- Chifeng Municipal Hospital — Chifeng, Inner Mongolia, China
- Affiliated Hospital of Inner Mongolia Medical University — Hohhot, Inner Mongolia, China
- The First People'S Hospital of Lianyungang — Lianyungang, Jiangsu, China
- Zhongda Hospital affiliated to Southeast University — Nanjing, Jiangsu, China
- The Second Affiliated Hospital of Anhui Medical University — Hefei, Anhui, China
Full record on ClinicalTrials.gov
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