Maintenance of Remission With Budesonide Orodispersible Tablets vs. Placebo in Eosinophilic Esophagitis (EOS-2)
Primary Purpose
Eosinophilic Esophagitis
Status
Completed
Phase
Phase 3
Locations
Germany
Study Type
Interventional
Intervention
Budesonide 0.5mg orodispersible tablet twice daily
Budesonide 1mg orodispersible tablet twice daily
Placebo orodispersible tablet twice daily
Sponsored by
About this trial
This is an interventional treatment trial for Eosinophilic Esophagitis
Eligibility Criteria
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
- Clinico-pathological remission of 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 baseline visit,
- Existing or intended pregnancy or breast-feeding.
Sites / Locations
- Center for Digestive Diseases Eppendorf
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Experimental
Placebo Comparator
Arm Label
Budesonide 0.5mg orodispersible tablet twice daily
Budesonide 1mg orodispersible tablet twice daily
Placebo orodispersible tablet twice daily
Arm Description
Budesonide 0.5mg orodispersible tablet twice daily
Budesonide 1mg orodispersible tablet twice daily
Placebo orodispersible tablet twice daily
Outcomes
Primary Outcome Measures
Rate of patients free of treatment failure after 48 weeks of treatment.
Secondary Outcome Measures
Rate of patients with histological relapse
Rate of patients with clinical relapse
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02493335
Brief Title
Maintenance of Remission With Budesonide Orodispersible Tablets vs. Placebo in Eosinophilic Esophagitis
Acronym
EOS-2
Official Title
Double-blind, Randomized, Placebo-controlled, Phase III Study on the Efficacy and Tolerability of a 48-week Treatment With Two Different Doses of Budesonide Effervescent Tablets vs. Placebo for Maintenance of Clinico-pathological Remission in Adult Patients With Eosinophilic Esophagitis
Study Type
Interventional
2. Study Status
Record Verification Date
October 2021
Overall Recruitment Status
Completed
Study Start Date
January 15, 2016 (Actual)
Primary Completion Date
November 28, 2018 (Actual)
Study Completion Date
December 11, 2020 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Dr. Falk Pharma GmbH
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The purpose of this study is to prove the superiority of a 48-weeks treatment with budesonide orodispersible tablets versus placebo for the maintenance of clinico-pathological remission in patients with eosinophilic esophagitis.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Eosinophilic Esophagitis
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
204 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Budesonide 0.5mg orodispersible tablet twice daily
Arm Type
Experimental
Arm Description
Budesonide 0.5mg orodispersible tablet twice daily
Arm Title
Budesonide 1mg orodispersible tablet twice daily
Arm Type
Experimental
Arm Description
Budesonide 1mg orodispersible tablet twice daily
Arm Title
Placebo orodispersible tablet twice daily
Arm Type
Placebo Comparator
Arm Description
Placebo orodispersible tablet twice daily
Intervention Type
Drug
Intervention Name(s)
Budesonide 0.5mg orodispersible tablet twice daily
Other Intervention Name(s)
BUL 0.5mg BID
Intervention Type
Drug
Intervention Name(s)
Budesonide 1mg orodispersible tablet twice daily
Other Intervention Name(s)
BUL 1mg BID
Intervention Type
Drug
Intervention Name(s)
Placebo orodispersible tablet twice daily
Other Intervention Name(s)
Placebo BID
Primary Outcome Measure Information:
Title
Rate of patients free of treatment failure after 48 weeks of treatment.
Time Frame
48 weeks
Secondary Outcome Measure Information:
Title
Rate of patients with histological relapse
Time Frame
48 weeks
Title
Rate of patients with clinical relapse
Time Frame
48 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
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
Clinico-pathological remission of 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 baseline visit,
Existing or intended pregnancy or breast-feeding.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ralph Mueller, PhD
Organizational Affiliation
Dr. Falk Pharma GmbH
Official's Role
Study Director
Facility Information:
Facility Name
Center for Digestive Diseases Eppendorf
City
Hamburg
ZIP/Postal Code
20249
Country
Germany
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Maintenance of Remission With Budesonide Orodispersible Tablets vs. Placebo in Eosinophilic Esophagitis
We'll reach out to this number within 24 hrs