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clinical study to show equal clinical efficacy of two dosing regimen of budesonid orodispersible tablets (twice daily vs. once daily) for treatment of inflammation of the esophagus

Double-blind, double-dummy, randomized, parallel-group, non-inferiority phase III trial on the efficacy and tolerability of 2 mg once daily vs. 1 mg twice daily budesonide orodispersible tablets for induction of histological remission in adults with eosinophilic esophagitis

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2020-001314-37-DE
Enrollment
242
Registered
2020-11-27
Start date
2021-04-26
Completion date
Unknown
Last updated
2024-08-26

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

eosinophilic esophagitis MedDRA version: 20.1 Level: PT Classification code 10064212 Term: Eosinophilic oesophagitis System Organ Class: 10017947 - Gastrointestinal disorders

Interventions

Product Name: Budesonide 2 mg orodispersible tablets (BUL 2 mg) Pharmaceutical Form: Orodispersible tablet INN or Proposed INN: BUDESONIDE CAS Number: 51333-22-3 Concentration unit: mg milligram(s) Co

Sponsors

Dr. Falk Pharma GmbH
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: - Signed informed consent, - Man or woman 18 to 75 years of age, - Confirmed diagnosis of eosinophilic esophagitis (EoE) - Active symptomatic and histological EoE - At least 4 points in Patient’s Global Assessment (PatGA) concerning the severity of EoE symptoms at baseline visit, Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 196 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 46

Exclusion criteria

Exclusion criteria: - gastroesophageal reflux disease (GERD), - Achalasia, scleroderma esophagus, or systemic sclerosis, - clinically evident causes for esophageal eosinophilia other than EoE - Any concomitant esophageal disease and relevant active gastro-intestinal disease - abnormal laboratory values, presence of or suspected relevant concomitant disease(s), that could affect study-specific assessments and/or their evaluation, or might compromise patient's safety and/or compliance (e.g. severe organic or psychiatric diseases/disorders, infectious diseases associated with clinical signs, liver cirrhosis, portal hypertension, cardiovascular disease, diabetes mellitus, osteoporosis, active peptic ulcer disease - History of cancer, gastrointestinal bleeding, esophageal surgery, esophageal dilation procedures or need for an immediate endoscopic intervention due to a stricture - Diagnosis of chickenpox, herpes zoster, or measles within the last 3 months prior to baseline, - Treatment with medication, that could compromise/influence the effects of the study treatment, assessment of the endpoints and/or patients' safety, during or within too narrow timeframe of the clinical trial (e.g. immunosuppressants, CYP3A4 inhibitors, live vaccination, non-stable treatment with proton pump inhibitors) - exiting or intended pregnancy or breast-feeding

Design outcomes

Primary

MeasureTime frame
Main Objective: To prove the non-inferiority of 1 x 2 mg/d vs. 2 x 1 mg/d budesonide orodispersible tablets for the induction of histological remission in adult patients with active eosinophilic esophagitis (EoE);Secondary Objective: - To further assess EoE-associated clinical, endoscopic, and histological findings after 6 weeks treatment with budesonide orodispersible tablets, - To study safety and tolerability as assessed by adverse events and laboratory parameters, - To assess patients’ quality of life;Primary end point(s): Proportion of patients with histological remission ;Timepoint(s) of evaluation of this end point: week 6

Secondary

MeasureTime frame
Secondary end point(s): 1. Change in the peak eos/mm2 hpf from baseline to week 6 (LOCF), 2. Change in the severity of dysphagia 3. Change in the severity of odynophagia 4. Change of overall severity of EoE symptoms 5. Change in the total weekly Eosinophilic Esophagitis Activity Index;Timepoint(s) of evaluation of this end point: week 6 (for secondary endpoints 1 - 5)

Countries

Austria, Canada, Germany, Portugal, Russian Federation, Spain, Switzerland

Contacts

Public ContactDept. of Clinical R&D

Dr. Falk Pharma GmbH

sarah.burrack@drfalkpharma.de+497611514193

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026