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Efficacy and Safety of QAX576 in Patients With Eosinophilic Esophagitis

Primary Purpose

Eosinophilic Esophagitis

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
QAX576 placebo
QAX576
Sponsored by
Novartis Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Eosinophilic Esophagitis focused on measuring Esophagitis, Digestive System Diseases, Esophageal disorder, Eosinophilic esophagitis

Eligibility Criteria

18 Years - 50 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Males and females aged 18-50 with symptomatic eosinophilic esophagitis
  • Female subjects must be women of non child bearing potential.
  • Elimination diet must have been tried.
  • Treatment for at least two months prior to enrollment on a protocol pump inhibitor .
  • Appropriate contraception must be used by males, (e.g., spermicidal gel plus condom)
  • Must be able to communicate well with the investigator, to understand and comply with the requirements of the study.
  • Understand and sign the written informed consent.

Exclusion criteria:

  • Have received corticosteroids within 3 months before starting the study for any symptoms.
  • Any other eosinophilic disorders.
  • History of clinical schistosomiasis, or having travelled within the preceding 6 months to an area with endemic schistosomiasis, including but not limited to Southeast and Southwest Asia, South America and Africa. Travel to these areas must not be planned for at least 6 months after the last dose.
  • Donation or loss of 400 ml or more of blood within eight (8) weeks prior to initial dosing.
  • History of immunodeficiency diseases, including a positive HIV (ELISA and Western blot) test result.
  • History of drug or alcohol abuse within the 12 months prior to dosing, or evidence of such abuse as indicated by the laboratory assays conducted during the screening.

Other protocol-defined inclusion/exclusion criteria may apply

Sites / Locations

  • Stanford Medical Center and Lucile Packard Children's Hospital
  • Northwestern University Feinberg School of Medicine
  • Mayo Clinic
  • Cincinnati Children's Hospital Medical Center
  • Oral Alpan, 6210 Old Keene Mill Court,

Arms of the Study

Arm 1

Arm 2

Arm Type

Placebo Comparator

Active Comparator

Arm Label

Placebo

QAX576

Arm Description

Outcomes

Primary Outcome Measures

The primary endpoint in this study is the number of patients (responder) with a reduction of 75% or more in eosinophils per HPF (distal or proximal esophagus) from baseline to week 13.

Secondary Outcome Measures

To ascertain the effect of QAX576 in the frequency and severity of the symptoms of EoE.
To investigate the safety and tolerability of QAX576 in patients with EoE.
To establish the duration of clinical benefit after a 12 week course of therapy.
PK/PD relationship between blood levels of QAX576 and IL- 13 dependent gene expression in esophageal biopsies and soluble biomarkers, inflammatory and fibrotic markers within esophageal biopsies and activation markers expressed on peripheral

Full Information

First Posted
November 25, 2009
Last Updated
March 9, 2021
Sponsor
Novartis Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT01022970
Brief Title
Efficacy and Safety of QAX576 in Patients With Eosinophilic Esophagitis
Official Title
A Double Blinded Randomized Placebo-controlled Trial of Intravenous QAX576 in the Treatment of Eosinophilic Esophagitis (EoE)
Study Type
Interventional

2. Study Status

Record Verification Date
March 2021
Overall Recruitment Status
Completed
Study Start Date
November 2009 (undefined)
Primary Completion Date
February 2012 (Actual)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Novartis Pharmaceuticals

4. Oversight

5. Study Description

Brief Summary
This study is designed to investigate the effects of a 12 week course of intravenous QAX576 6mg/kg every 4 weeks in reducing the number of eosinophils in the esophagus of EoE patients by 75% or greater when compared with baseline.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Eosinophilic Esophagitis
Keywords
Esophagitis, Digestive System Diseases, Esophageal disorder, Eosinophilic esophagitis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
25 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Title
QAX576
Arm Type
Active Comparator
Intervention Type
Drug
Intervention Name(s)
QAX576 placebo
Intervention Type
Drug
Intervention Name(s)
QAX576
Primary Outcome Measure Information:
Title
The primary endpoint in this study is the number of patients (responder) with a reduction of 75% or more in eosinophils per HPF (distal or proximal esophagus) from baseline to week 13.
Time Frame
13 weeks
Secondary Outcome Measure Information:
Title
To ascertain the effect of QAX576 in the frequency and severity of the symptoms of EoE.
Time Frame
34 weeks
Title
To investigate the safety and tolerability of QAX576 in patients with EoE.
Time Frame
34 weeks
Title
To establish the duration of clinical benefit after a 12 week course of therapy.
Time Frame
34 weeks
Title
PK/PD relationship between blood levels of QAX576 and IL- 13 dependent gene expression in esophageal biopsies and soluble biomarkers, inflammatory and fibrotic markers within esophageal biopsies and activation markers expressed on peripheral
Time Frame
34 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Males and females aged 18-50 with symptomatic eosinophilic esophagitis Female subjects must be women of non child bearing potential. Elimination diet must have been tried. Treatment for at least two months prior to enrollment on a protocol pump inhibitor . Appropriate contraception must be used by males, (e.g., spermicidal gel plus condom) Must be able to communicate well with the investigator, to understand and comply with the requirements of the study. Understand and sign the written informed consent. Exclusion criteria: Have received corticosteroids within 3 months before starting the study for any symptoms. Any other eosinophilic disorders. History of clinical schistosomiasis, or having travelled within the preceding 6 months to an area with endemic schistosomiasis, including but not limited to Southeast and Southwest Asia, South America and Africa. Travel to these areas must not be planned for at least 6 months after the last dose. Donation or loss of 400 ml or more of blood within eight (8) weeks prior to initial dosing. History of immunodeficiency diseases, including a positive HIV (ELISA and Western blot) test result. History of drug or alcohol abuse within the 12 months prior to dosing, or evidence of such abuse as indicated by the laboratory assays conducted during the screening. Other protocol-defined inclusion/exclusion criteria may apply
Facility Information:
Facility Name
Stanford Medical Center and Lucile Packard Children's Hospital
City
Stanford
State/Province
California
ZIP/Postal Code
94305
Country
United States
Facility Name
Northwestern University Feinberg School of Medicine
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611
Country
United States
Facility Name
Mayo Clinic
City
Minnesota
State/Province
Minnesota
ZIP/Postal Code
55905
Country
United States
Facility Name
Cincinnati Children's Hospital Medical Center
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45229
Country
United States
Facility Name
Oral Alpan, 6210 Old Keene Mill Court,
City
Springfield
State/Province
Virginia
ZIP/Postal Code
22152
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
25226850
Citation
Rothenberg ME, Wen T, Greenberg A, Alpan O, Enav B, Hirano I, Nadeau K, Kaiser S, Peters T, Perez A, Jones I, Arm JP, Strieter RM, Sabo R, Gunawardena KA. Intravenous anti-IL-13 mAb QAX576 for the treatment of eosinophilic esophagitis. J Allergy Clin Immunol. 2015 Feb;135(2):500-7. doi: 10.1016/j.jaci.2014.07.049. Epub 2014 Sep 13.
Results Reference
derived
Links:
URL
https://www.novctrd.com/ctrdweb/trialresult/trialresults/pdf?trialResultId=8985
Description
Results for CQAX576A2205 from the Novartis Clinical Trials website

Learn more about this trial

Efficacy and Safety of QAX576 in Patients With Eosinophilic Esophagitis

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