Double-blind, Randomized, Non-inferiority Phase III Trial on the Efficacy and Tolerability of 2 mg Once Daily vs. 1 mg Twice Daily Budesonide Orodispersible Tablets in Adults With Eosinophilic Esophagitis
Overview
- Phase
- Phase 3
- Intervention
- Budesonide
- Conditions
- Eosinophilic Esophagitis
- Sponsor
- Dr. Falk Pharma GmbH
- Enrollment
- 308
- Locations
- 34
- Primary Endpoint
- Proportion of patients in histological remission
- Status
- Recruiting
- Last Updated
- 5 days ago
Overview
Brief Summary
The purpose of this study is to prove the non-inferiority of a 6-weeks treatment with 1 mg budesonide orodispersible tablets BID versus 2 mg budesonide orodispesible tabletss for the induction of clinico-pathological remission in adult patients with active eosinophilic esophagitis.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Signed informed consent,
- •Male or female patients, 18 to 75 years of age,
- •Confirmed clinico-pathological diagnosis of eosinophilic esophagitis (EoE) according to established diagnostic criteria
- •Active symptomatic and histological EoE
- •Negative pregnancy test in females of childbearing potential at baseline visit.
Exclusion Criteria
- •Clinical and endoscopic signs of gastroesophageal reflux disease (GERD),
- •Achalasia, scleroderma esophagus, or systemic sclerosis,
- •Other clinically evident causes than EoE for esophageal eosinophilia,
- •Any concomitant esophageal disease and relevant gastro-intestinal disease (celiac disease, inflammatory bowel disease, oropharyngeal or esophageal bacterial, viral, or fungal infection \[candida esophagitis\]),
- •Any relevant systemic disease (e.g., AIDS, active tuberculosis, hepatitis B or C),
- •If careful medical monitoring is not ensured: cardiovascular disease, diabetes mellitus, osteoporosis, active peptic ulcer disease, glaucoma, cataract, or infection,
- •Liver cirrhosis or portal hypertension,
- •History of cancer in the last five years,
- •History of esophageal surgery at any time or of esophageal dilation procedures within the last 4 weeks prior to screening visit, or need for an immediate endoscopic intervention due to a stricture
- •Upper gastrointestinal bleeding within 8 weeks prior to baseline visit,
Arms & Interventions
Arm B
Budesonide 1 mg orodispersible tablet twice daily
Intervention: Budesonide
OLE
Open label extension with Budesonide 0.5 mg or 1 mg orodispersible tablet twice daily
Intervention: Budesonide
Arm A
Budesonide 2 mg orodispersible tablet once daily
Intervention: Budesonide
Outcomes
Primary Outcomes
Proportion of patients in histological remission
Time Frame: 6 weeks
Histological assessment of biopsies taken at end of treatment visit
Secondary Outcomes
- Proportion of patients in clinical remission(6 weeks)