Once Daily Versus Twice Daily Budesonide Orodispersible Tablets for Induction of Remission in EoE
EOS-4
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
3 other identifiers
interventional
308
2 countries
26
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3
Started May 2021
Longer than P75 for phase_3
26 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 21, 2021
CompletedFirst Submitted
Initial submission to the registry
September 11, 2024
CompletedFirst Posted
Study publicly available on registry
September 19, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
March 1, 2027
April 27, 2026
March 1, 2026
5.5 years
September 11, 2024
April 22, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
Proportion of patients in histological remission
Histological assessment of biopsies taken at end of treatment visit
6 weeks
Secondary Outcomes (1)
Proportion of patients in clinical remission
6 weeks
Study Arms (3)
Arm A
EXPERIMENTALBudesonide 2 mg orodispersible tablet once daily
Arm B
ACTIVE COMPARATORBudesonide 1 mg orodispersible tablet twice daily
OLE
EXPERIMENTALOpen label extension with Budesonide 0.5 mg or 1 mg orodispersible tablet twice daily
Interventions
Eligibility Criteria
You may qualify if:
- 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.
You may not qualify if:
- 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,
- Existing or intended pregnancy or breast-feeding.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (26)
Dr. Falk Investigational Site
Scottsdale, Arizona, 85259, United States
Dr. Falk Investigational Site
Little Rock, Arkansas, 72205, United States
Dr. Falk Investigational Site
La Jolla, California, 92037, United States
Dr. Falk Investigational Site
Lomita, California, 90717, United States
Dr. Falk Investigational Site
San Diego, California, 92193, United States
Dr. Falk Investigational Site
Doral, Florida, 83706, United States
Dr. Falk Investigational Site
New Port Richey, Florida, 34653, United States
Dr. Falk Investigational Site
Boise, Idaho, 83706, United States
Dr. Falk Investigational Site
Houma, Louisiana, 70363, United States
Dr. Falk Investigational Site
Marrero, Louisiana, 70072, United States
Dr. Falk Investigational Site
Boston, Massachusetts, 02111, United States
Wyoming
Ann Arbor, Michigan, 48109, United States
Dr. Falk Investigational Site
Wyoming, Michigan, 49519, United States
Dr. Falk Investigational Site
Rochester, Minnesota, 55905, United States
Dr. Falk Investigational Site
Freehold, New Jersey, 07728, United States
Dr. Falk Investigational Site
Jackson, New Jersey, 08527, United States
Dr. Falk Investigational Site
New York, New York, 10075, United States
Dr. Falk Investigational Site
Chapel Hill, North Carolina, 27599-7080, United States
Dr. Falk Investigational Site
Cleveland, Ohio, 44195, United States
Dr. Falk Investigational Site
Mentor, Ohio, 44060, United States
Wyoming
Philadelphia, Pennsylvania, 19104, United States
Dr. Falk Investigational Site
Harlingen, Texas, 78550, United States
Dr. Falk Investigational Site
Salt Lake City, Utah, 85259, United States
Dr. Falk Investigational Site
Charlottesville, Virginia, 22903, United States
Dr. Falk Investigational Site
Lynchburg, Virginia, 24502, United States
Department of Gastroenterology, Hospital General de Tomelloso
Tomelloso, 13700, Spain
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Alfredo J Lucendo, MD, PhD
Department of Gastroenterology, Hospital General de Tomelloso, Spain
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- SEQUENTIAL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 11, 2024
First Posted
September 19, 2024
Study Start
May 21, 2021
Primary Completion (Estimated)
December 1, 2026
Study Completion (Estimated)
March 1, 2027
Last Updated
April 27, 2026
Record last verified: 2026-03
Data Sharing
- IPD Sharing
- Will share
- Time Frame
- It is not yet decided which data will be made available. Neither a time frame can be indicated yet.
- Access Criteria
- Contact to Dr. Falk, issue of confidentiality agreement for any information not publicly available.
It is not yet decided which data will be made available. Neither a time frame can be indicated yet.