A Phase I/II, Multicenter, Double-blind, Parallel, Randomized Trial to Assess Pharmacokinetics, Efficacy, Tolerability and Safety of Different Budesonide Oral Gel Doses in Adults Subjects of Both Genders With Eosinophilic Esophagitis (EoE)
Overview
- Phase
- Phase 2
- Intervention
- Budesonide Gel
- Conditions
- Eosinophilic Esophagitis
- Sponsor
- Bazell Pharma AG
- Primary Endpoint
- Improvement in dysphagia symptoms consistent with the disease
- Status
- Withdrawn
- Last Updated
- last year
Overview
Brief Summary
A phase I/II, multicenter, double-blind, parallel, randomized trial to assess pharmacokinetics, efficacy, tolerability and safety of different budesonide oral gel doses in adults subjects of both genders with eosinophilic esophagitis (EoE)
Investigators
Eligibility Criteria
Inclusion Criteria
- •Subjects able to read, understand and sign the Informed Consent Form (ICF) approved by Ethical Committee;
- •Male and female subjects aged between 18 and 75 years old;
- •Body weight between 60-100 kg;
- •Body mass index (BMI) ≥ 18.5 and ≤ 29.9 kg/m2;
- •Non-childbearing potential female subjects. Childbearing potential is defined as: post-menopausal women (defined as 12 months of amenorrhea or more), hysterectomized women, oophorectomized (bilateral) women and/or those who underwent tubal ligation;
- •Female participants of childbearing potential who test negative for the pregnancy test on the day of administration of the first dose of the drug (Visit 1), as well as throughout the clinical trial;
- •Female participants who practice adequate contraception or who abstain from all activities that could result in pregnancy for at least 28 days before administering the first dose of the drug (Visit 1);
- •Female participants who agree to continue adequate contraception for 1 month after administration of the last dose of the investigational drug;
- •Participants diagnosed with EoE, verified from a combination of symptoms compatible with EoE and histological finding greater than 15 eosinophils per high-power field in at least one esophageal mucosal biopsy;
- •Participants unresponsive to stable dose of proton-pump inhibitor (PPI).
Exclusion Criteria
- •Subjects with a malignancy history within the last 5 years, except from successfully treated basal cell carcinoma;
- •History of esophageal stenosis requiring dilation and/or stenosis at endoscopy not allowing to pass the endoscope;
- •Subjects with a eosinophilic gastroenteritis diagnosis (presence of eosinophilic infiltrate in gastric antrum and duodenum);
- •Subjects with a reflux esophagitis history;
- •Subject with a previous serious asthma diagnosis;
- •Subjects with a gastroesophageal tract disease that, at the investigator's discretion, is deemed as an obstacle to take part in the trial;
- •People with chronic diseases on regular drugs that, in the investigator's opinion, may interfere with the trial;
- •Medical conditions such as serious heart or lung diseases preventing the safe performance of endoscopy;
- •Subjects with conditions known to be related to esophageal eosinophilia, including Crohn's disease, Churg-Strauss, achalasia and hypereosinophilic syndrome;
- •Subjects who have been on oral, intranasal or systemic corticosteroid at least 15 days prior to trial start;
Arms & Interventions
Group 1
Low dose
Intervention: Budesonide Gel
Group 2
Middle dose
Intervention: Budesonide Gel
Group 3
High dose
Intervention: Budesonide Gel
Outcomes
Primary Outcomes
Improvement in dysphagia symptoms consistent with the disease
Time Frame: 8 weeks of treatment
EAT (Eating Assessment Tool) -10 questionnaire
Determination of Pharmacokinetic Profiles
Time Frame: First 24 hours after a single drug dose administration
Oral clearance (CL/F)
Proportion of subjects reaching a histological response
Time Frame: 8 weeks of treatment
≤ 6 eosinophils per high power field
Secondary Outcomes
- Assessment of non-serious and serious adverse events rate(Through 8 weeks)
- Quality of life assessment of subjects(Through 8 weeks)