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A Non-interventional Observational Study to Assess Long-term Efficacy and Safety of Dupilumab for the Treatment of Patients (>= 12 Years) With Eosinophilic Esophagitis Under Real-world-conditions in Germany

Recruiting
Conditions
Eosinophilic Esophagitis
Interventions
Registration Number
NCT06695897
Lead Sponsor
Sanofi
Brief Summary

This is a longitudinal, observational non-interventional study (NIS) designed to characterize the patient population who receives dupilumab for eosinophilic esophagitis (EoE) treatment in a real-world setting in Germany with respect to their medical history, socio-demographic and disease characteristics, comorbidities (including type 2 inflammatory and atopic conditions), concomitant therapies and prior EoE treatments. Furthermore, this NIS aims to describe the long-term effectiveness of dupilumab for the treatment of EoE as assessed by the treating physician and reported by the patient, and its effect on health-related quality of life (HRQoL) during an individual observational period of two years. In addition, data on real-world use patterns and long-term safety data of dupilumab treatment for EoE will be collected.

Detailed Description

The study duration for each participant is planned to be 2 years. Total study duration is approximately 4 years.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
150
Inclusion Criteria
  • Patients diagnosed with EoE who are inadequately controlled by, are intolerant to, or who are not candidates for conventional medicinal therapy
  • Patients for whom the treating physician has decided to initiate new treatment with dupilumab for EoE according to EU-SmPC independently from entry in study or for whom treatment with dupilumab for EoE according to EU-SmPC has been started within the last 7 days. The decision to initiate dupilumab treatment is made by the treating physician and the patient according to the patient´s medical need and to the standard of best medical practice. This decision is made independently and before inclusion in this NIS.
  • ≥ 12 years of age at baseline visit
  • ≥ 40 kg bodyweight
  • Voluntary study participation and signed written informed consent by patient and parent(s)/guardian(s), if applicable
Exclusion Criteria
  • Patients who have a contraindication to dupilumab according to the current EU-SmPC.
  • Patients who have been treated with dupilumab for more than 7 days
  • Any acute or chronic condition that, in the treating physician´s opinion, would limit the patient´s ability to complete questionnaires or to participate in this study or impact the interpretation of the results.
  • Participation in an ongoing interventional or observational study that might, in the treating physician´s opinion, influence the assessments for the current study (parallel inclusion in another Sanofi-independent registry might be possible if the patient gives consent)

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Dupilumab armDupilumabPatients who receive dupilumab for eosinophilic esophagitis (EoE) treatment in a real-world setting in Germany
Primary Outcome Measures
NameTimeMethod
Descriptive statistical analysis of medical history characteristicsAt baseline
Descriptive statistical analysis of socio-demographic characteristicsAt baseline
Descriptive statistical analysis of disease characteristicsAt baseline
Secondary Outcome Measures
NameTimeMethod
Absolut change from baseline in endoscopic reference score (EREFS)After 3, 6 (optional), 12 and 24 months of dupilumab treatment

Absolut change from baseline in EREFS (including inflammatory and fibrostenotic subscore)

Proportion of patients with eosinophils per high power field (EOS/hpf) < 15 in esophageal biopsiesAfter 3, 6 (optional), 12 and 24 months of dupilumab treatment
Change in clinical symptoms from baselineFrom baseline until 1, 3, 6, 9, 12, 18 and 24 months of dupilumab treatment

Change in clinical symptoms (as assessed in clinical practice) from baseline

Behavioral changes regarding food intake from baselineFrom baseline until 1, 3, 6, 9, 12, 18 and 24 months of dupilumab treatment

Behavioral changes regarding food intake (as reported by the patient)

Absolute change from baseline in Dysphagia Numerical Rating Scale (NRS)After 1, 3, 6, 9, 12, 18 and 24 months of dupilumab treatment

Scale from 0 (no trouble to swallow) - 10 (maximum trouble to swallow)

Absolute change from baseline in Hospital Anxiety and Depression Scale (HADS)After 1, 3, 6, 9, 12, 18 and 24 months of dupilumab treatment
Absolute change from baseline Pediatric Eosinophilic Esophagitis Symptom Scores (PEESS v2.0)After 1, 3, 6, 9, 12, 18 and 24 months of dupilumab treatment
Absolute change from baseline Pediatric Quality of Life Inventory (PEDS-QL)After 1, 3, 6, 9, 12, 18 and 24 months of dupilumab treatment
Number of hospitalizations due to EoEDuring the last 12 months before baseline and after 12 and 24 months of dupilumab treatment
Number of sick leave days at work due to EoEDuring the last 12 months before baseline and after 12 and 24 months of dupilumab treatment
Reason(s) for initiation of dupilumab treatmentAt baseline
Descriptive statistical analysis of details on dupilumab treatmentThroughout the study, for approximately 24 months after dupilumab treatment

Descriptive analysis: form of administration, location of administration

Analysis of treatment emergent adverse events (TEAEs)Throughout the study, for approximately 24 months after initiation of dupilumab treatment

Quantity of treatment emergent adverse events, quantity of TEAE that lead to ending of therapy, collection of type of TEAE

Trial Locations

Locations (1)

Investigational Site Number: 0000001

🇩🇪

Dachau, Bayern, Germany

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