Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Also known as QAW039, QAW39A, QAW39A2107
Fevipiprant · 12 trials · 6 indications
Nasal Polyp Score (NPS) is the sum of the right and left nostril scores, as evaluated by means of nasal endoscopy. Total score ranges from 0 to 8 (scored 0 \[no polyp\] to 4 \[large polyps\] for each nostril), with a lower score indicating smaller-sized polyps. Baseline NPS is defined as the last measurement performed on or before the date of randomization. A negative change from baseline in NPS is considered a favorable outcome.
Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. Baseline is defined as the last available FEV1 measurement taken prior to the first dose of randomized study drug.
Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. Baseline is defined as the last available FEV1 measurement taken prior to the first dose of randomized study drug.
A severe asthma exacerbation is defined as treatment with 'rescue' systemic corticosteroids for greater than or equal to 3 days and hospitalization; or treatment with 'rescue' systemic corticosteroids for greater than or equal to 3 days and emergency department visit (greater than 24 hours\*); or death due to asthma. A moderate asthma exacerbation is defined as treatment with 'rescue' systemic corticosteroids for greater than or equal to 3 days either as an outpatient or in emergency department visits (Emergency department visit less than or equal to 24 hours). The high eosinophils subpopulation consists of all patients with blood eosinophil count ≥ 250 cells/μL at baseline.
A severe asthma exacerbation is defined as treatment with 'rescue' systemic corticosteroids for greater than or equal to 3 days and hospitalization; or treatment with 'rescue' systemic corticosteroids for greater than or equal to 3 days and emergency department visit (greater than 24 hours\*); or death due to asthma. A moderate asthma exacerbation is defined as treatment with 'rescue' systemic corticosteroids for greater than or equal to 3 days either as an outpatient or in emergency department visits (Emergency department visit less than or equal to 24 hours).
Investigators assessed presence and severity of erythema, induration/papulation, excoriation, and lichenification in four body areas: head/neck (H), upper limbs (UL), trunk (T), and lower limbs (LL). Investigators assigned a severity score from 0 - 3 for each area (none=0, mild=1, moderate=2, and severe=3). Investigators could assign half-points. Investigators also assigned an area score from 0 (no atopic dermatitis lesion in the area) to 6 (entire area is affected) for each area. The weighting factor was 0.1 for head/neck, 0.2 for upper limbs, 0.3 for trunk, and 0.4 for lower limbs. The total body score for each body region was obtained by multiplying the sum of the severity scores of the four key signs by the area score, then multiplying the result by the constant weighted value assigned to that body region. The sum of these scores gave the EASI total, ranging from 0 to 72. A higher score represented greater disease severity. A negative change from baseline indicates improvement.
Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. Baseline is defined as the last available FEV1 measurement taken prior to the first dose of randomized study drug. Data within 6 hr of rescue medication use is excluded from this analysis. For subjects with missing trough FEV1 (L) at Week 12, the last post baseline observation were used (LOCF). Estimates are from a mixed effects model with treatment, subject population (non-atopic vs. atopic), treatment by subject population interaction, baseline trough FEV1 and region as fixed effects and center nested within region as random effects. Full analysis set included all randomized subjects who received at least one dose of study drug.
Total Nasal Symptom Score (TNSS) averaged over the last two hours (2-4h) of exposure following 14 days treatment with QAW039 and/or Montelukast or matched placebo
Sputum induction is performed through the inhalation of hypertonic saline. Sputum is collected and assessed for differential cellular content (absolute numbers and percentages). The primary variable will be summarized by treatment and analyzed using an ANCOVA model with treatment as the fixed effect and the respective baseline value as the covariate.
Forced Expiratory Volume in 1 second (FEV1) (measured in litters), and the trough measurement is taken 24 hours after morning dose on the previous day.
AUClast is the area under the plasma concentration-time curve from time zero to the time of the last quantifiable concentration
AUCinf is the area under the plasma concentration-time curve from time zero to infinity
Cmax is the observed maximum plasma concentration following drug administration
AUC0-68h is the area under the plasma concentration from time zero to time 68 hours of the last measured concentration above the limit of quantification after dosing
| Arm | Type | Description |
|---|---|---|
| Fevipiprant 150 mg | EXPERIMENTAL | Fevipiprant (QAW039) 150 mg once daily orally |
| Fevipiprant 450 mg | EXPERIMENTAL | Fevipiprant (QAW039) 450 mg once daily orally |
| Placebo | PLACEBO_COMPARATOR | Placebo once daily orally |
| QAW039 | ACTIVE_COMPARATOR | QAW039 once daily |
| QAW039 150 mg | EXPERIMENTAL | QAW039 150 mg once daily |
| QAW039 450 mg | EXPERIMENTAL | QAW039 450 mg once daily |
| QAW039 450 mg qd Non-atopic | EXPERIMENTAL | QAW039 450 mg (3 capsules of QAW039 150 mg) qd combined with background ICS (100 μg fluticasone, bid). Non-atopic patients randomized in ratio of approximately 1:1. |
| Placebo Non-atopic | PLACEBO_COMPARATOR | Placebo to QAW039 (3 capsules of Placebo of QAW039 150 mg) combined with background ICS (100 μg fluticasone, bid). Non-atopic randomized in ratio of approximately 1:1. |
| QAW039 450 mg qd Atopic | EXPERIMENTAL | QAW039 450 mg (3 capsules of QAW039 150 mg) qd combined with background ICS (100 μg fluticasone, bid). Atopic patients randomized in a ratio of approximate 1:1:1 |
| Fluticasone 150 mcg bid Atopic | ACTIVE_COMPARATOR | Placebo to QAW039 (3 capsules of Placebo of QAW039 150 mg) combined with 150 μg ICS and with background ICS (100 μg fluticasone, bid). As a consequence total ICS was 250 μg fluticasone bid. Atopic patients randomized in ratio of approximately 1:1:1 |
| Placebo Atopic | PLACEBO_COMPARATOR | Placebo to QAW039 (3 capsules of Placebo of QAW039 150 mg) combined with background ICS (100 μg fluticasone, bid). Atopic patients andomized in ratio of approximately 1:1:1 |
| QAW039 + Montelukast | EXPERIMENTAL | - |
| QAW039 Once a day (q.d.) | EXPERIMENTAL | - |
| QAW039 Twice a day (b.i.d.) | EXPERIMENTAL | - |
| Montelukast | ACTIVE_COMPARATOR | - |
| QAW039 po dose 1 | EXPERIMENTAL | - |
| QAW039 po dose 2 | EXPERIMENTAL | - |
| QAW039 po dose 3 | EXPERIMENTAL | - |
| QAW039 po dose 4 | EXPERIMENTAL | - |
| QAW039 po dose 5 | EXPERIMENTAL | - |
| QAW039 po dose 6 | EXPERIMENTAL | - |
| QAW039 po dose 7 | EXPERIMENTAL | - |
| QAW039 po dose 8 | EXPERIMENTAL | - |
| QAW039 po dose 9 | EXPERIMENTAL | - |
| QAW039 po dose 10 | EXPERIMENTAL | - |
| QAW039 po dose 11 | EXPERIMENTAL | - |
| QAW039 po dose 12 | EXPERIMENTAL | - |
| QAW039 po dose 13 | EXPERIMENTAL | - |
| Montelukast po 10 mg | ACTIVE_COMPARATOR | Comparator leukotriene receptor antagonist (LRTA) |
| Group 1 | EXPERIMENTAL | ESRD patients |
| Group 2 | EXPERIMENTAL | healthy volunteers |
| Group 3 | EXPERIMENTAL | severe and moderate renal impaired patients |
| Group 4 | EXPERIMENTAL | mild renal impaired patients |
| Fevipiprant 450mg | EXPERIMENTAL | 450mg Film Coated Tablet |
| Name | Type | Description |
|---|---|---|
| Fevipiprant 150 mg | DRUG | Fevipiprant (QAW039) 150 mg once daily administered orally as tablet |
| Fevipiprant 450 mg | DRUG | Fevipiprant (QAW039) 450 mg once daily administered orally as tablet |
| Placebo | DRUG | Placebo once daily administered orally as tablet |
| QAW039 | DRUG | QAW039 once daily |
| Placebo QAW039 | DRUG | Matching placebo for QAW039 supplied as hard gelatin capsule were identical in appearance to their active counterparts. Patients took 3 QAW039 matching placebo capsules once a day ( taken with food in the morning) for the approximate period of the study (12 weeks) |
| Fluticasone 250 mcg | DRUG | Fluticasone was supplied in inhalers with dose strength of 250 mcg. Patients took 250 mcg bid (morning and evening approximately 12 hours between doses) for a total dose of 500 mcg daily for the approximate period of the study (12 weeks). |
| Fluticasone 100 mcg | DRUG | Background therapy - fluticasone was supplied in inhalers with dose strength of 100 mcg. All patients in the study other than the Atopic Fluticasone 150 mcg arm were given the 100 mcg dose strength inhalers and took fluticasone 100 mcg bid (taken morning and evening with approximately 12 hours between doses) as background therapy for the approximate period of the study (12 weeks). |
| Montelukast | DRUG | - |
| QAW39A | DRUG | 450 mg |
| QAW39A2107 | DRUG | 450 mg |
| Fevipiprant | DRUG | Single 450mg dose |
Inclusion Criteria: * Patients aged 18 years or more with a diagnosis of nasal polyps with Nasal polyp score \>= 4 with minimum score of 2 in each nostril. * Concomitant diagnosis of asthma for a period of at least 6 months prior to screening. * Patients on stable asthma treatment of at least inhal...
Top 1 of 2 competitors
| Company | Ticker | Trials | Lead Phase | Drugs |
|---|---|---|---|---|
| GSK plc Sponsored ADR | GSK | 2 | PHASE3 | GSK5784283 |
Fevipiprant is an investigational small molecule developed by Novartis AG (ticker NVS). It has been studied in hepatic impairment and nasal polyps, with a Phase 1 pharmacokinetic study in hepatic impairment and a Phase 3 study in nasal polyposis and asthma. It is also known as Fevipiprant 150 mg.
Fevipiprant has been studied in patients with nasal polyposis and asthma. A completed Phase 3 trial, NCT03681093, evaluated its efficacy in 98 patients with nasal polyps across the United States, Argentina, Belgium, Canada, Czechia, Germany, Italy, Netherlands, and Poland. It is not approved for this use.
Fevipiprant targets PTGDR2, also known as the DP2 receptor, and acts as an antagonist. By blocking this receptor, the small molecule is designed to interfere with the prostaglandin D2 signaling pathway involved in allergic and inflammatory responses.
Fevipiprant is developed by Novartis AG, which trades under the ticker NVS. Novartis conducted the clinical development program for the drug, including the Phase 3 nasal polyposis study and the Phase 1 hepatic impairment pharmacokinetic study.
Fevipiprant is investigational and remains in clinical development. Its hepatic impairment program is Phase 1, and a Phase 3 study in nasal polyposis and asthma has been completed. No regulatory approval has been established for Fevipiprant in any indication.
Two completed trials are registered for Fevipiprant. NCT03681093 was a Phase 3 study of efficacy in patients with nasal polyposis and asthma, enrolling 98 participants. NCT03048448 was a Phase 1 pharmacokinetic study in patients with hepatic impairment compared to matched healthy subjects, enrolling 42 participants.