Safety and Tolerability Study of Oral EUR-1100 to Treat Eosinophilic Esophagitis
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Purpose
Eosinophilic esophagitis (EoE) is an inflammatory disease of the esophagus, characterized by eosinophilic infiltration and gastrointestinal (GI) symptoms. There are no pharmacological treatments for EoE approved by the US Food and Drug Administration (FDA). Supported by published case series and controlled trials in children and adults, the most widely used drug treatment for EoE is off-label use of corticosteroids intended for local (esophageal mucosal) action.
This study will evaluate the safety and tolerability of orally administered EUR-1100 once or twice daily. Eligible subjects will be randomized into one of the 3 treatment groups. The Treatment Period will be 8 weeks during which subjects will visit the clinic at the screening visit, randomization, week 4, 8 and 1 week after end of treatment for clinical symptom assessment and safety evaluation. Additional phone visits will occur at week 2 and week 6.
| Condition | Intervention | Phase |
|---|---|---|
|
Eosinophilic Esophagitis |
Drug: EUR-1100 Drug: placebo |
Phase 1 Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | A Multicenter, Randomized, Double-blind, Placebo-controlled, Safety and Tolerability Phase 1/2a Study of Two Dosing Regimens of EUR-1100 for Oral Use, in Subjects With Eosinophilic Esophagitis (EoE) |
- Morning serum cortisol (change from baseline measure) [ Time Frame: Screening visit (up to 21 days), week 4, week 8 and follow-up ] [ Designated as safety issue: Yes ]
- Standard safety laboratory tests [ Time Frame: Screening visit (up to 21 days), week 4, week 8 and follow-up ] [ Designated as safety issue: No ]Hematology, serum chemistry and liver function tests, urinalysis, urine chemistry
- Treatment-emergent adverse events collection [ Time Frame: Screening visit (up to 21 days), Randomization day, week 2 and week 6(phone visit), week 4 and week 8 (office visit), follow-up (office visit, up to 11 days after week 8 visit) ] [ Designated as safety issue: No ]
- Physical examination and vital signs collection [ Time Frame: Screening (up to 21 days), week4, week 8 and follow-up ] [ Designated as safety issue: No ]
- Esophagoduodenoscopy with multiple biopsies [ Time Frame: Screening (up to 21 days) and week 8 ] [ Designated as safety issue: No ]
- Patient reported outcomes, and physician global assessment [ Time Frame: Screening (up to 21 days), week 4 and 8. ] [ Designated as safety issue: No ]
| Enrollment: | 24 |
| Study Start Date: | September 2011 |
| Study Completion Date: | October 2012 |
| Primary Completion Date: | October 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: EUR-1100 1.5 mg |
Drug: EUR-1100
Active oral medication
|
| Experimental: EUR-1100 3.0 mg |
Drug: EUR-1100
Active oral medication
|
| Placebo Comparator: placebo |
Drug: placebo
matching placebo
|
Eligibility| Ages Eligible for Study: | 12 Years to 55 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Key Inclusion Criteria:
- Male and female subjects aged ≥ 12 and ≤ 55 years;
- Written informed consent (parent or guardian must sign when applicable) and assent form, if required;
- Evidence of eosinophilic esophagitis defined by esophageal mucosal eosinophil count greater than or equal to 24 per HPF (400x magnification) in at least 1 of the esophageal sites biopsied (proximal/middle and/or distal);
- Lack of histological response to previously administered high dose proton pump inhibitor;
- Clinical symptoms of eosinophilic esophagitis with at least one of the following symptoms: chest pain or discomfort, dysphagia (difficulty swallowing) or food impaction.
Key Exclusion Criteria:
- Known contraindication, hypersensitivity or intolerance to corticosteroids;
- Any physical, mental, or social condition, history of illness or laboratory abnormality that, in the investigator's judgment, might interfere with study procedures or the ability of the subject to adhere to and complete the study;
- Oral or esophageal mucosal infection of any type;
- Any condition affecting the esophageal mucosa or altering esophageal motility other than EoE;
- Use of systemic (oral or parenteral) or inhaled, intranasal or high-potency dermal topical corticosteroids in the 30 days prior to the esophageal biopsy required for entrance to this study (or prior to EGD if done during the pre-Screening period) or at any time between the biopsy and the Randomization Visit;
- Adrenal suppression;
- Any medical condition in which the use of anti-inflammatory or immunosuppressant drugs are required or may be anticipated to be required during the study;
- Contraindication to EGD or esophageal biopsy or narrowing of the esophagus precluding EGD;
- History of esophageal or gastric surgery (history of esophageal dilatation is allowed);
- Gastrointestinal bleeding;
- Current chronic infection, immunosuppression, immunodeficiency;
- History or presence of Crohn's disease, celiac disease, or other inflammatory disease of the gastrointestinal tract;
- Alcohol or drug abuse;
- Female subjects who are pregnant or breastfeeding;
- Participation in a clinical study involving an investigational drug within 30 days of the Screening Visit.
Contacts and Locations| United States, Georgia | |
| Children's Center for Digestive Health | |
| Atlanta, Georgia, United States, 30342 | |
| United States, Illinois | |
| Northwestern University School of Medicine | |
| Chicago, Illinois, United States, 60611-2951 | |
| United States, Indiana | |
| Riley Hospital for Children | |
| Indianapolis, Indiana, United States, 46202 | |
| United States, Minnesota | |
| Mayo Clinic | |
| Rochester, Minnesota, United States, 55905 | |
| United States, New Jersey | |
| South Jersey Pediatric Gastroenterology | |
| Mays Landing, New Jersey, United States, 08330 | |
| United States, Pennsylvania | |
| University of Pennsylvania | |
| Philadelphia, Pennsylvania, United States, 19104 | |
| United States, Virginia | |
| O&O Alpan LLC Center for Clinical Trials | |
| Fairfax, Virginia, United States, 22030 | |
| Principal Investigator: | Ikuo Hirano, MD | Northwestern University School of Medicine |
More Information
No publications provided
| Responsible Party: | Aptalis Pharma |
| ClinicalTrials.gov Identifier: | NCT01386112 History of Changes |
| Other Study ID Numbers: | PR-021 |
| Study First Received: | June 28, 2011 |
| Last Updated: | October 31, 2012 |
| Health Authority: | United States: Food and Drug Administration |
Additional relevant MeSH terms:
|
Esophagitis Eosinophilic Esophagitis Esophageal Diseases Gastrointestinal Diseases Digestive System Diseases Gastroenteritis |
Eosinophilia Leukocyte Disorders Hematologic Diseases Hypersensitivity, Immediate Hypersensitivity Immune System Diseases |
ClinicalTrials.gov processed this record on May 21, 2013