Trial Outcomes & Findings for Use of Topical Budesonide in the Treatment of Eosinophilic Esophagitis (NCT NCT00638456)

NCT ID: NCT00638456

Last Updated: 2019-08-14

Results Overview

Repeat endoscopy was undertaken using the Olympus P160 endoscope (by RD) at 3 months of treatment.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

32 participants

Primary outcome timeframe

3 Months

Results posted on

2019-08-14

Participant Flow

Participant milestones

Participant milestones
Measure
Oral Viscous Budesonide Plus Prevacid
Budesonide plus Prevacid: Budesonide is taken daily for three months. In addition, Prevacid is taken twice daily for three months.
Placebo Plus Prevacid
placebo plus Prevacid: Placebo is taken daily for three months. In addition, Prevacid is taken twice daily for three months.
Overall Study
STARTED
21
11
Overall Study
COMPLETED
15
9
Overall Study
NOT COMPLETED
6
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Oral Viscous Budesonide Plus Prevacid
Budesonide plus Prevacid: Budesonide is taken daily for three months. In addition, Prevacid is taken twice daily for three months.
Placebo Plus Prevacid
placebo plus Prevacid: Placebo is taken daily for three months. In addition, Prevacid is taken twice daily for three months.
Overall Study
Withdrawal by Subject
6
2

Baseline Characteristics

Use of Topical Budesonide in the Treatment of Eosinophilic Esophagitis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Oral Viscous Budesonide Plus Prevacid
n=21 Participants
Budesonide plus Prevacid: Budesonide is taken daily for three months. In addition, Prevacid is taken twice daily for three months.
Placebo Plus Prevacid
n=11 Participants
placebo plus Prevacid: Placebo is taken daily for three months. In addition, Prevacid is taken twice daily for three months.
Total
n=32 Participants
Total of all reporting groups
Age, Categorical
<=18 years
21 Participants
n=5 Participants
11 Participants
n=7 Participants
32 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
1 Participants
n=7 Participants
5 Participants
n=5 Participants
Sex: Female, Male
Male
17 Participants
n=5 Participants
10 Participants
n=7 Participants
27 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
6 Participants
n=5 Participants
2 Participants
n=7 Participants
8 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
9 Participants
n=5 Participants
9 Participants
n=7 Participants
18 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
6 Participants
n=5 Participants
0 Participants
n=7 Participants
6 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 3 Months

Population: 6 subjects withdrew from the oral viscous budesonide plus Prevacid group and 2 withdrew from the placebo plus Prevacid group, and so they were not included in the data analsyis.

Repeat endoscopy was undertaken using the Olympus P160 endoscope (by RD) at 3 months of treatment.

Outcome measures

Outcome measures
Measure
Oral Viscous Budesonide Plus Prevacid
n=15 Participants
Budesonide plus Prevacid: Budesonide is taken daily for three months. In addition, Prevacid is taken twice daily for three months.
Placebo Plus Prevacid
n=9 Participants
placebo plus Prevacid: Placebo is taken daily for three months. In addition, Prevacid is taken twice daily for three months.
Number of Participants With Improvement of Espohageal Eosinophilia
13 Participants
0 Participants

SECONDARY outcome

Timeframe: Baseline and 3 Months

Endoscopy scoring tool took into account the following categories: Mucosal pallor/reduced vasculature Linear furrows/mucosal thickening White plaques Concentric rings/stricture Friability/"tissue-paper" mucosa Histology scoring tools Epithelial histology score Peak eosinophil count Each category could score 0-3 for a total maximum score of 15. The higher the score the worse the disease.

Outcome measures

Outcome measures
Measure
Oral Viscous Budesonide Plus Prevacid
n=15 Participants
Budesonide plus Prevacid: Budesonide is taken daily for three months. In addition, Prevacid is taken twice daily for three months.
Placebo Plus Prevacid
n=9 Participants
placebo plus Prevacid: Placebo is taken daily for three months. In addition, Prevacid is taken twice daily for three months.
Upper Gastrointestinal Endoscopy Score
Baseline
4.6 units on a scale
Interval 0.0 to 9.0
7.8 units on a scale
Interval 4.0 to 9.0
Upper Gastrointestinal Endoscopy Score
3 months
1.5 units on a scale
Interval 0.0 to 7.0
5.4 units on a scale
Interval 1.0 to 9.0

SECONDARY outcome

Timeframe: Baseline and 3 Months

Total score was based on the following symptoms: Heartburn/regurgitation Abdominal pain Nausea/vomiting Anorexia/early satiety Dysphagia Symptom induced nocturnal wakening Gastrointestinal bleeding Each symptom could score 0-2 for a maximum score for 14 points. The lower the score the milder the symptoms and the higher the score the more severe symptoms.

Outcome measures

Outcome measures
Measure
Oral Viscous Budesonide Plus Prevacid
n=15 Participants
Budesonide plus Prevacid: Budesonide is taken daily for three months. In addition, Prevacid is taken twice daily for three months.
Placebo Plus Prevacid
n=9 Participants
placebo plus Prevacid: Placebo is taken daily for three months. In addition, Prevacid is taken twice daily for three months.
Symptom Score
Baseline
3.5 units on a scale
Interval 0.0 to 10.0
2.7 units on a scale
Interval 1.0 to 6.0
Symptom Score
3 months
1.2 units on a scale
Interval 0.0 to 7.0
1.8 units on a scale
Interval 0.0 to 7.0

Adverse Events

Oral Viscous Budesonide Plus Prevacid

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Placebo Plus Prevacid

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Oral Viscous Budesonide Plus Prevacid
n=21 participants at risk
Budesonide plus Prevacid: Budesonide is taken daily for three months. In addition, Prevacid is taken twice daily for three months.
Placebo Plus Prevacid
n=11 participants at risk
placebo plus Prevacid: Placebo is taken daily for three months. In addition, Prevacid is taken twice daily for three months.
Gastrointestinal disorders
Emesis
4.8%
1/21 • Number of events 1
0.00%
0/11
Gastrointestinal disorders
Oral Candida
4.8%
1/21 • Number of events 1
0.00%
0/11
Nervous system disorders
Trasient headache
4.8%
1/21 • Number of events 1
9.1%
1/11 • Number of events 1
General disorders
Worsening Eczema
0.00%
0/21
9.1%
1/11 • Number of events 1
Infections and infestations
Chest Infection
0.00%
0/21
9.1%
1/11 • Number of events 1
Gastrointestinal disorders
Mild Abdominal Pain
0.00%
0/21
9.1%
1/11 • Number of events 1
Gastrointestinal disorders
transient diarrehea
0.00%
0/21
9.1%
1/11 • Number of events 1

Additional Information

Dr. Ranjan Dohil

Univeristy of California, San Diego

Phone: (858) 966-4003

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place