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A Trial to Evaluate EP-104IAR in Adults With Eosinophilic Esophagitis (EoE).

Study Purpose

An open-label, dose-escalation study to explore the safety, tolerability and pharmacokinetics of EP-104IAR in adults with eosinophilic esophagitis (EoE). Endoscopic and histologic assessments will also be evaluated to understand the local effects of EP-104IAR on eosinophilic EoE disease activity. The study will evaluate up to 8 doses of EP-104IAR (4 mg to 40 mg) in cohorts of 3 to 6 participants per cohort. If all planned cohorts are evaluated, or cohorts need to be repeated, up to 24 participants could be enrolled. The study involves 7 site visits spread over approximately 32 weeks. All participants will receive active study drug (EP-104IAR), The study drug will be administered by qualified personnel during an esophagogastroduodenoscopy (EGD) procedure at the Baseline/Dosing visit. Safety will be assessed throughout the study. Blood and urine samples will be collected at site visits for laboratory assessments and to measure plasma levels of EP-104IAR. Participants will complete questionnaires to assess symptoms of dysphagia and odynophagia and will undergo 3 EGDs with esophageal biopsies at the Baseline/Dosing Visit, and at 4 and 12 weeks post dose.

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

No
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Interventional
Eligible Ages 18 Years - 75 Years
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

  • - Symptomatic EoE; - For women of childbearing potential, a negative pregnancy test and willing to use a highly effective method of birth control until end of study; - Willing and able to adhere to study-related procedures and visit schedule; - Willing and able to provide informed consent.

Exclusion Criteria:

  • - Concomitant esophageal disease, relevant GI disease, or any condition, history, or laboratory abnormality that might interfere with the study; - Oral or esophageal mucosal infection of any type (bacterial, viral, or fungal); - Oropharyngeal or dental conditions that prevents normal eating; - Severe esophageal motility disorders other than EoE; - Contraindication to or factors that substantially increase risks associated with EGD or biopsy, or narrowing of the esophagus that precludes EGD with a standard 9-10 mm endoscope, stricture requiring dilation within 8 weeks prior to Screening, or the need for dilation prior to EGD at Baseline; - Any condition for which the use of corticosteroids is contraindicated (Participants with well controlled non-insulin dependent diabetes are permitted); - Active or quiescent systemic fungal, bacterial, viral, or parasitic infections, or ocular herpes simplex.
Or recent use of IV or oral antibiotics;
  • - Hypersensitivity, or intolerance to corticosteroids, or to any of the ingredients in the investigational medicinal product; - Recent use of disallowed medications, or unwillingness to not use disallowed medications during the study; - Recent initiation of a elimination or elemental diet (dietary therapy must remain stable throughout the study); - Morning serum cortisol level ≤ 5 μg/dL (138 nmol/L); - Clinically significant abnormal laboratory values; - Recent or currently planned participation in another interventional trial ; - Previous participation in this study and had received study treatment; - Females who are pregnant, breastfeeding, or planning to become pregnant during the study; - Malignancies or history of malignancy within prior 5 years, except for treated or excised non-metastatic BCC, SCC of the skin, or cervical carcinoma in situ; - History of alcohol or drug abuse; - Any other reason, that, in the Investigator's opinion, unfavorably alters participant risk, confounds results, or prevents the participant from complying with study requirements.

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT05608681
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Phase 1/Phase 2
Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

Eupraxia Pharmaceuticals Inc.
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

Amanda Malone, PhD
Principal Investigator Affiliation Eupraxia Pharmaceuticals
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Industry
Overall Status Recruiting
Countries Australia, Canada, Netherlands
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Eosinophilic Esophagitis
Arms & Interventions

Arms

Experimental: EP-104IAR 4 mg

4 submucosal injections of EP-104IAR administered during an EGD procedure at the Baseline/Dosing visit.

Experimental: EP-104IAR 8 mg

8 submucosal injections of EP-104IAR administered during an EGD procedure at the Baseline/Dosing visit.

Experimental: EP-104IAR 12 mg

12 submucosal injections of EP-104IAR administered during an EGD procedure at the Baseline/Dosing visit.

Experimental: EP-104IAR 16 mg

16 submucosal injections of EP-104IAR administered during an EGD procedure at the Baseline/Dosing visit.

Experimental: EP-104IAR 10 mg

4 submucosal injections of EP-104IAR administered during an EGD procedure at the Baseline/Dosing visit.

Experimental: EP-104IAR 20 mg

8 submucosal injections of EP-104IAR administered during an EGD procedure at the Baseline/Dosing visit.

Experimental: EP-104IAR 30 mg

12 submucosal injections of EP-104IAR administered during an EGD procedure at the Baseline/Dosing visit.

Experimental: EP-104IAR 40 mg

16 submucosal injections of EP-104IAR administered during an EGD procedure at the Baseline/Dosing visit.

Interventions

Drug: - EP-104IAR

Long-acting fluticasone propionate for injection

Contact a Trial Team

If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.

International Sites

Princess Alexandra Hospital, Brisbane, Queensland, Australia

Status

Recruiting

Address

Princess Alexandra Hospital

Brisbane, Queensland,

Site Contact

Teressa Hansen

[email protected]

778-873-8939

Royal Adelaide Hospital, Adelaide, South Australia, Australia

Status

Recruiting

Address

Royal Adelaide Hospital

Adelaide, South Australia,

Site Contact

Joshua Zobel

[email protected]

778-873-8939

G.I. Research Institute, Vancouver, British Columbia, Canada

Status

Recruiting

Address

G.I. Research Institute

Vancouver, British Columbia, V6Z 2K5

Site Contact

Leo Yamamoto

[email protected]

778-873-8939

McGill University Health Center, Montréal, Quebec, Canada

Status

Not yet recruiting

Address

McGill University Health Center

Montréal, Quebec,

Site Contact

Pascale Germain

[email protected]

778-873-8939

Amsterdam UMC, Amsterdam, Netherlands

Status

Recruiting

Address

Amsterdam UMC

Amsterdam, , 1105

Site Contact

Aaltje Lei

[email protected]

778-873-8939

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