Study to Determine the Efficacy and Safety of Dupilumab in Adult and Adolescent Patients With Eosinophilic Esophagitis (EoE)

Recruiting

Trial ID: NCT03633617

Purpose

The primary objectives of the study by study part are: Part A: To determine the treatment effect of dupilumab compared with placebo in adult and adolescent patients with EoE after 24 weeks of treatment as assessed by histological and clinical measures and to inform/confirm the final sample size determination for Part B. Part B: To demonstrate the efficacy of dupilumab treatment compared with placebo in adult and adolescent patients with EoE after 24 weeks of treatment as assessed by histological and clinical measures. Part C: To assess the safety and efficacy of dupilumab treatment in adult and adolescent patients with EoE after up to 52 weeks of treatment as assessed by histological and clinical measures. The secondary objectives of the study are: - To evaluate the safety, tolerability, and immunogenicity of dupilumab treatment for up to 52 weeks in adult and adolescent patients with EoE - To explore the relationship between dupilumab concentration and responses in adult and adolescent patients with EoE, using descriptive analyses - To evaluate the effects of dupilumab on transcriptomic signatures associated with EoE and type 2 inflammation - To demonstrate the efficacy of dupilumab treatment compared to placebo after 24 weeks and 52 weeks of treatment in adult and adolescent patients with EoE who have previously received swallowed topical corticosteroids

Official Title

A Phase 3, Randomized, 3-Part Study to Investigate the Efficacy and Safety of Dupilumab in Adult and Adolescent Patients With Eosinophilic Esophagitis (EoE)

Stanford Investigator(s)

Sayantani Sindher

Clinical Associate Professor, Medicine Clinical Associate Professor, Pediatrics - Allergy and Clinical Immunology

Eligibility


Key Inclusion Criteria (Parts A & B):

   - A documented diagnosis of EoE by endoscopic biopsy

   - Baseline endoscopic biopsies with a demonstration on central reading of
   intraepithelial eosinophilic infiltration

   - History (by patient report) of an average of at least 2 episodes of dysphagia (with
   intake of solids) per week in the 4 weeks prior to screening

Key Exclusion Criteria (Parts A & B):

   - Body weight ≤40 kg

   - Prior participation in a dupilumab clinical trial, or past or current treatment with
   dupilumab

   - Initiation or change of a food-elimination diet regimen or re-introduction of a
   previously eliminated food group in the 6 weeks prior to screening.

   - Other causes of esophageal eosinophilia or the following conditions: hypereosinophilic
   syndrome and eosinophilic granulomatosis with polyangiitis (Churg-Strauss syndrome)

   - Active Helicobacter pylori infection

   - History of achalasia, Crohn's disease, ulcerative colitis, celiac disease, and prior
   esophageal surgery

   - Any esophageal stricture unable to be passed with a standard, diagnostic, 9 to10 mm
   upper endoscope or any critical esophageal stricture that requires dilation at
   screening

   - History of bleeding disorders or esophageal varices

   - Pregnant or breastfeeding women, or women planning to become pregnant or breastfeed
   during the study

Key Exclusion Criteria (Part C):

   - Participants who, during Part A or Part B, developed a serious adverse event (SAE)
   and/or adverse event (AE) deemed related to study drug, which in the opinion of the
   investigator could indicate that continued treatment with study drug may present an
   unreasonable risk for the participant

   - Participants who became pregnant during Part A or Part B

   - Participants who are prematurely discontinued from study drug due to an AE (patients
   who are prematurely discontinued from study drug due to lack of efficacy are eligible
   to enter Part C)

   - Patients who did not undergo endoscopy with biopsies prior to receiving rescue
   treatment

Note: Other inclusion/ exclusion criteria apply

Intervention(s):

drug: Dupilumab

drug: Placebo

Recruiting

Contact Information

Stanford University
School of Medicine
300 Pasteur Drive
Stanford, CA 94305