A Study to Learn How Well Dupilumab Works in Adult and Adolescent Participants With Eosinophilic Gastritis With or Without Eosinophilic Duodenitis and the Side Effects it May Have

NCT ID: NCT05831176

Last Updated: 2025-10-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

22 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-05-03

Study Completion Date

2026-11-25

Brief Summary

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This study is researching an experimental drug called dupilumab. The study is focused on participants with active eosinophilic gastritis (EoG) with or without eosinophilic duodenitis (EoD). Participants with EoD only are not eligible for enrollment. EoG and EoD are uncommon, persistent, allergic/immune diseases in which eosinophils (a type of white blood cell) gather in large numbers in the stomach and small intestine and cause inflammation and damage.

The aim of the study is to evaluate the effect of dupilumab on relieving EoG (with or without EoD) symptoms and reducing inflammation in the stomach and, if applicable, small intestine in adults and adolescents aged 12 years and older after at least 24 weeks (about 6 months) and up to 52 weeks (1 year) of treatment.

The study is looking at several other research questions, including:

* What side effects may happen from taking the study drug
* How much study drug is in the blood at different times
* Whether the body makes antibodies against the study drug (which could make the drug less effective or could lead to side effects)

Detailed Description

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This study has 2 parts and a 12-week (about 3 months) Follow-up Period for all participants

* Part A is an open-label treatment period lasting up to 24 weeks (up to 6 months). "Open-label" means that you and the study doctors and the staff staff will know that you are taking the study drug
* Part C is an open-label extended treatment period lasting up to 28 weeks (about 7 months). "Extended Treatment Period" means that you will take the study drug for an additional 28 weeks after finishing Part A if you are eligible to take part in this part of the study

Conditions

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Eosinophilic Gastritis (EoG) Eosinophilic Duodenitis (EoD) Eosinophilic Gastrointestinal Disease (EGID) Eosinophilic Gastroenteritis

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Dupilumab

Part A: Treatment Period Part C: Extended Treatment Period

Eligible participants from Part A will enter Part C

Group Type EXPERIMENTAL

Dupilumab

Intervention Type DRUG

Administered as described in the protocol

Interventions

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Dupilumab

Administered as described in the protocol

Intervention Type DRUG

Other Intervention Names

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DUPIXENT® REGN668 SAR231893

Eligibility Criteria

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Inclusion Criteria

1. Adolescent participants will only be enrolled at study sites in countries/regions as permitted by local regulatory authorities and ethic committees (ECs)
2. Documented endoscopic biopsy supporting a pathologic diagnosis of Eosinophilic gastritis (EoG) at least 3 months prior to screening
3. Screening endoscopic biopsies with a demonstration of eosinophilic infiltration for a diagnosis of EoG, as defined in the protocol
4. Completed at least 11 of 14 days of EoG/EoD-SQ eDiary data entry in the 2 weeks prior to the baseline visit
5. History (by participant report) of at least 2 episodes of EoG (with or without EoD) symptoms per week in 8 weeks before screening, as defined in the protocol
6. An average TSS of ≥ 20 calculated using data collected via the EoG/EoD-SQ eDiary per week for the 2 weeks prior to baseline. An average severity score of ≥4 (on a scale of 0-10) per week for the 2 weeks prior to baseline for at least 2 of the 6 symptoms, as defined in the protocol.

Exclusion Criteria

1. Body weight less than 40 kg at screening
2. Prior participation in a dupilumab clinical trial, or past or current treatment with dupilumab
3. Helicobacter pylori infection
4. Any esophageal stricture unable to be passed with a standard, diagnostic, upper endoscope or any critical esophageal stricture that requires dilation at screening
5. History of achalasia, Crohn's disease, eosinophilic colitis, ulcerative colitis, celiac disease, and prior gastric or duodenal surgery, as defined in the protocol
6. Other causes of gastric and, if applicable, duodenal eosinophilia or the following conditions: eosinophilic granulomatosis with polyangiitis (Churg-Strauss syndrome) or hyper-eosinophilic syndrome
7. History of bleeding disorders, esophageal or gastric varices that, in the opinion of the investigator, would put the participant at undue risk for significant complications from an endoscopy procedure
8. Initiation or change of a food-elimination diet regimen or re-introduction of a previously eliminated food group in the 4 weeks prior to the screening visit. Participants on a food-elimination diet must remain on the same diet throughout the study
9. Planned or anticipated use of any prohibited medications and procedures during the study
10. Planned or anticipated major surgical procedure during the study
11. Receiving tube feeding or parenteral nutritional at screening
Minimum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sanofi

INDUSTRY

Sponsor Role collaborator

Regeneron Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trial Management

Role: STUDY_DIRECTOR

Regeneron Pharmaceuticals

Locations

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Phoenix Childrens Hospital

Phoenix, Arizona, United States

Site Status

Om Research LLC

Apple Valley, California, United States

Site Status

Scripps Clinic

La Jolla, California, United States

Site Status

Om Research LLC

Lancaster, California, United States

Site Status

University of California - Los Angeles (UCLA)

Los Angeles, California, United States

Site Status

University of Southern California Keck School of Medicine

Los Angeles, California, United States

Site Status

GastroIntestinal BioSciences

Los Angeles, California, United States

Site Status

United Medical Doctors

Murrieta, California, United States

Site Status

Ucsf Medical Center (Benioff Childrens Hospital)

San Francisco, California, United States

Site Status

University of Colorado Anschutz Health Science Building (AHSB) CU Research Pharmacy

Aurora, Colorado, United States

Site Status

Connecticut Clinical Research Institute

Bristol, Connecticut, United States

Site Status

UConn Health

Farmington, Connecticut, United States

Site Status

Encore Borland-Groover Clinical Research

Jacksonville, Florida, United States

Site Status

Northwestern University

Chicago, Illinois, United States

Site Status

University Of Kansas

Kansas City, Kansas, United States

Site Status

Beth Israel Deaconess Medical Center (BIDMC) Harvard Medical School

Boston, Massachusetts, United States

Site Status

University of Michigan

Ann Arbor, Michigan, United States

Site Status

MNGI Digestive Health P.A.

Plymouth, Minnesota, United States

Site Status

Mayo Clinic Hospital Rochester

Rochester, Minnesota, United States

Site Status

Advanced Research Institute

Reno, Nevada, United States

Site Status

Dartmouth Hitchcock Medical Center

Lebanon, New Hampshire, United States

Site Status

Northwell Health

Great Neck, New York, United States

Site Status

Icahn School of Medicine at Mount Sinai (ISMMS) - The Mount Sinai Hospital (MSH)

New York, New York, United States

Site Status

University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, United States

Site Status

Charlotte Gastroenterology & Hepatology, PLLC

Charlotte, North Carolina, United States

Site Status

Duke University

Durham, North Carolina, United States

Site Status

ESI Medical Research, PLLC

Kinston, North Carolina, United States

Site Status

University of Cincinnati Medical Center-Children's Hospital Medical Center

Cincinnati, Ohio, United States

Site Status

Ohio State University Medical Center

Columbus, Ohio, United States

Site Status

Allergy, Asthma and Clinical Research Center

Oklahoma City, Oklahoma, United States

Site Status

The Oregon Clinic - Gastroenterology East

Portland, Oregon, United States

Site Status

University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

TDDC dba GI Alliance Research

Mansfield, Texas, United States

Site Status

University of Utah

Salt Lake City, Utah, United States

Site Status

Seattle Children's Home Health Company

Seattle, Washington, United States

Site Status

Froedtert Hospital

Milwaukee, Wisconsin, United States

Site Status

Stollery Children's Hospital - University of Alberta

Edmonton, Alberta, Canada

Site Status

Humanitas Research Hospital

Rozzano, Milan, Italy

Site Status

AOOR Villa Sofia/Cervello

Palermo, Sicily, Italy

Site Status

U.O. Di Ematologia-Azienda Policlinico Consorziale, Ospedaliero-Universitaria, Ospedale

Bari, , Italy

Site Status

Fondazione Serena Onlus - Azienda Ospedaliera Niguarda Ca' Granda - Centro Clinico Nemo (Neuro Muscular Omnicentre)

Milan, , Italy

Site Status

Azienda Ospedaliero Universitaria Pisana

Pisa, , Italy

Site Status

Ospedale S Giovanni Calibita Fatebenefratelli Isola Tiberina

Roma, , Italy

Site Status

University of Rome - Pediatric Gastroenterology and Liver Unit

Rome, , Italy

Site Status

Iizuka Hospital

Iizuka, Fukuoka, Japan

Site Status

Ogaki Municipal Hospital

Ōgaki, Gifu, Japan

Site Status

Kure Kyosai Hospital

Kure, Hiroshima, Japan

Site Status

Hyogo Prefectural Harima-Himeji General Medical Center

Himeji, Hyōgo, Japan

Site Status

Kobe University Graduate School of Medicine

Kobe, Hyōgo, Japan

Site Status

Yokohama City University Hospital

Yokohama, Kanagawa, Japan

Site Status

Kawasaki Medical School Hospital

Kurashiki, Okayama-ken, Japan

Site Status

Toranomon Hospital

Minato-ku, Tokyo, Japan

Site Status

Yamagata University Hospital

Yamagata, , Japan

Site Status

Countries

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United States Canada Italy Japan

References

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Sia T, Bacchus L, Tanaka R, Khuda R, Mallik S, Leung J. Dupilumab Can Induce Remission of Eosinophilic Gastritis and Duodenitis: A Retrospective Case Series. Clin Transl Gastroenterol. 2024 Jan 1;15(1):e00646. doi: 10.14309/ctg.0000000000000646.

Reference Type DERIVED
PMID: 37753954 (View on PubMed)

Other Identifiers

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2022-500795-62-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

R668-EGE-2213

Identifier Type: -

Identifier Source: org_study_id

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