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
Purpose
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)
Conditions
- Eosinophilic Gastritis (EoG)
- Eosinophilic Duodenitis (EoD)
- Eosinophilic Gastrointestinal Disease (EGID)
- Eosinophilic Gastroenteritis
Eligibility
- Eligible Ages
- Over 12 Years
- Eligible Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- 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
- 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 NOTE: Other Protocol Defined Inclusion / Exclusion Criteria Apply
Study Design
- Phase
- Phase 2
- Study Type
- Interventional
- Allocation
- N/A
- Intervention Model
- Single Group Assignment
- Primary Purpose
- Treatment
- Masking
- None (Open Label)
Arm Groups
Arm | Description | Assigned Intervention |
---|---|---|
Experimental Dupilumab |
Part A: Treatment Period Part C: Extended Treatment Period Eligible participants from Part A will enter Part C |
|
Recruiting Locations
Phoenix 5308655, Arizona 5551752 85016
Apple Valley 5324363, California 5332921 92307
La Jolla 5363943, California 5332921 92037
Lancaster 5364940, California 5332921 93534
Los Alamitos 5368304, California 5332921 90720
Los Angeles 5368361, California 5332921 90033
Los Angeles 5368361, California 5332921 90067
Los Angeles 5368361, California 5332921 90095
Murrieta 5375911, California 5332921 92563
San Francisco 5391959, California 5332921 94158
Bristol 5282835, Connecticut 4831725 06010
Farmington 4834272, Connecticut 4831725 06030
Jacksonville 4160021, Florida 4155751 32256
Chicago 4887398, Illinois 4896861 60611
Gurnee 4894861, Illinois 4896861 60031
Iowa City 4862034, Iowa 4862182 52242
Kansas City 4273837, Kansas 4273857 66103
Boston 4930956, Massachusetts 6254926 02111
Boston 4930956, Massachusetts 6254926 02114
Boston 4930956, Massachusetts 6254926 02215
Ann Arbor 4984247, Michigan 5001836 48109
Plymouth 5041926, Minnesota 5037779 55446
Rochester 5043473, Minnesota 5037779 55905
Reno 5511077, Nevada 5509151 89511
Lebanon 5088597, New Hampshire 5090174 03756
Great Neck 5119218, New York 5128638 11021
New York 5128581, New York 5128638 10029
Chapel Hill 4460162, North Carolina 4482348 275997080
Charlotte 4460243, North Carolina 4482348 28207
Durham 4464368, North Carolina 4482348 27710
Kinston 4474436, North Carolina 4482348 28513
Cincinnati 4508722, Ohio 5165418 45229
Columbus 4509177, Ohio 5165418 43210
Oklahoma City 4544349, Oklahoma 4544379 73120
Portland 5746545, Oregon 5744337 97220
Philadelphia 4560349, Pennsylvania 6254927 19104
Philadelphia 4560349, Pennsylvania 6254927 19104
Nashville 4644585, Tennessee 4662168 37232
Fort Worth 4691930, Texas 4736286 76104
Mansfield 4709013, Texas 4736286 76063
Salt Lake City 5780993, Utah 5549030 84132
Seattle 5809844, Washington 5815135 98105
Milwaukee 5263045, Wisconsin 5279468 53226
More Details
- NCT ID
- NCT05831176
- Status
- Recruiting
- Sponsor
- Regeneron Pharmaceuticals
Detailed Description
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