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Budesonide Orodispersible Tablet vs. Placebo in Active Eosinophilic Esophagitis

NCT02434029 — Phase 3, Completed, 88 participants, Dr. Falk Pharma GmbH

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Double-blind, Randomized, Placebo-controlled, Phase III Trial on the Efficacy and Tolerability of a 6-week Treatment With Budesonide Effervescent Tablets vs. Placebo for Induction of Clinico-pathological Remission in Adult Patients With Active Eosinophilic Esophagitis

RegistryNCT02434029, acronym EOS-1
StatusCompleted
PhasePhase 3
Study typeInterventional; randomized, parallel, masking: quadruple, treatment
Enrollment88 (Actual)
SponsorDr. Falk Pharma GmbH (Industry)
ConditionsEosinophilic Esophagitis
InterventionsBudesonide 1mg orodispersible tablet twice daily, Placebo orodispersible tablet twice daily (Drug)
Datesstart 2015-11-11, primary completion 2016-08-04, completion 2016-10-04, first posted 2015-05-05, last updated 2017-02-03
Locations1 site in Germany

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-Summary

The purpose of this study is to prove the superiority of a 6-weeks treatment with budesonide effervescent tablets versus placebo for the induction of clinico-pathological remission in patients with acute eosinophilic esophagitis.

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+Arms and interventions

ArmTypeInterventionsDescription
BudesonideExperimentalDrug: Budesonide 1mg orodispersible tablet twice dailyBudesonide 1mg orodispersible tablet twice daily
PlaceboPlacebo comparatorDrug: Placebo orodispersible tablet twice dailyPlacebo orodispersible tablet twice daily
  • Budesonide 1mg orodispersible tablet twice daily (Drug)
  • Placebo orodispersible tablet twice daily (Drug)

+Outcome measures

Primary outcomes

  • Rate of clinico-pathological remission [6 weeks]

Secondary outcomes

  • Rate of patients with histological remission [6 weeks]
  • Rate of patients with resolutions of symptoms measured by numerical rating score of symptoms [week 6]

+Eligibility

Sex: All, ages: 18 Years to 75 Years

Inclusion Criteria:

* Signed informed consent,
* Male or female patients, 18 to 75 years of age,
* Confirmed clinico-pathological diagnosis of eosinophilic esophagitis (EoE) according to established diagnostic criteria
* Active symptomatic and histological EoE,
* A documented trial with proton pump inhibitors (PPIs) in order to rule out PPI-responsive esophageal eosinophilia,
* Negative pregnancy test in females of childbearing potential at baseline visit.

Exclusion Criteria:

* Clinical and endoscopic signs of gastroesophageal reflux disease (GERD),
* History of abnormal results in case of an optionally performed pH-monitoring of the distal esophagus,
* Patients with PPI-responsive esophageal eosinophilia
* Achalasia, scleroderma esophagus, or systemic sclerosis,
* Other clinically evident causes than EoE for esophageal eosinophilia,
* Any concomitant esophageal disease and relevant gastro-intestinal disease (celiac disease, inflammatory bowel disease, oropharyngeal or esophageal bacterial, viral, or fungal infection \[candida esophagitis\]),
* Any relevant systemic disease (e.g., AIDS, active tuberculosis),
* If careful medical monitoring is not ensured: cardiovascular disease, diabetes mellitus, osteoporosis, active peptic ulcer disease, glaucoma, cataract, or infection,
* Liver cirrhosis or portal hypertension,
* History of cancer in the last five years,
* History of esophageal surgery at any time or of esophageal dilation procedures within the last 8 weeks prior to screening visit,
* Upper gastrointestinal bleeding within 8 weeks prior to screening visit,
* Existing or intended pregnancy or breast-feeding.

+Locations (1)

FacilityCityCountryStatus
Center for Digestive Diseases EppendorfHamburgGermany

+Publications

  • Results publication: Straumann A, Lucendo AJ, Miehlke S, Vieth M, Schlag C, Biedermann L, Vaquero CS, Ciriza de Los Rios C, Schmoecker C, Madisch A, Hruz P, Hayat J, von Arnim U, Bredenoord AJ, Schubert S, Mueller R, Greinwald R, Schoepfer A, Attwood S; International EOS-2 Study Group. Budesonide Orodispersible Tablets Maintain Remission in a Randomized, Placebo-Controlled Trial of Patients With Eosinophilic Esophagitis. Gastroenterology. 2020 Nov;159(5):1672-1685.e5. doi: 10.1053/j.gastro.2020.07.039. Epub 2020 Jul 25. PMID 32721437
  • Results publication: Lucendo AJ, Miehlke S, Schlag C, Vieth M, von Arnim U, Molina-Infante J, Hartmann D, Bredenoord AJ, Ciriza de Los Rios C, Schubert S, Bruckner S, Madisch A, Hayat J, Tack J, Attwood S, Mueller R, Greinwald R, Schoepfer A, Straumann A; International EOS-1 Study Group. Efficacy of Budesonide Orodispersible Tablets as Induction Therapy for Eosinophilic Esophagitis in a Randomized Placebo-Controlled Trial. Gastroenterology. 2019 Jul;157(1):74-86.e15. doi: 10.1053/j.gastro.2019.03.025. Epub 2019 Mar 26. PMID 30922997

+Investigators

+Funding

NIH grants: 2014

My Notes