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Use of Topical Budesonide in the Treatment of Eosinophilic Esophagitis
This study has been completed.
First Received: March 12, 2008   Last Updated: September 9, 2009   History of Changes
Sponsors and Collaborators: University of California, San Diego
Meritage Pharma, Inc.
Information provided by: University of California, San Diego
ClinicalTrials.gov Identifier: NCT00638456
  Purpose

This study is designed to evaluate whether or not oral viscous budesonide is effective in treating children with Eosinophilic Esophagitis.


Condition Intervention Phase
Eosinophilic Esophagitis
Drug: Budesonide plus Prevacid
Drug: placebo plus Prevacid
Phase II

Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Placebo Control, Parallel Assignment, Safety/Efficacy Study
Official Title: Use of Topical Budesonide in the Treatment of Eosinophilic Esophagitis, a Randomized Clinical Trial

Resource links provided by NLM:


Further study details as provided by University of California, San Diego:

Primary Outcome Measures:
  • Histologic resolution of esophageal eosinophilia on repeat endoscopy. [ Time Frame: 3 Months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Endoscopic resolution of esophagitis and improvement in EE symptom score as assessed by a pediatric EE questionnaire. [ Time Frame: 3 Months ] [ Designated as safety issue: No ]
  • Open Label Budesonide given and measured through endoscopic resolution of esophagitis and improvement in EE symptoms [ Time Frame: 9 months ] [ Designated as safety issue: No ]

Enrollment: 33
Study Start Date: February 2008
Study Completion Date: September 2009
Primary Completion Date: September 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Active Comparator
oral viscous budesonide plus Prevacid
Drug: Budesonide plus Prevacid
Budesonide is taken daily for three months. In addition, Prevacid is taken twice daily for three months.
2: Placebo Comparator
placebo plus Prevacid
Drug: placebo plus Prevacid
Placebo is taken daily for three months. In addition, Prevacid is taken twice daily for three months.

  Eligibility

Ages Eligible for Study:   1 Year and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Histologic evidence of EE defined as greater than 20 eosinophils per hpf on esophageal biopsy
  • Ages 1 yrs and older
  • Ability to continue the same diet that the patient was on at the time of EGD with biopsy

Exclusion Criteria:

  • Adverse reaction or allergy to budesonide
  • Pregnancy
  • Chronic diseases requiring immunomodulatory therapy
  • Use of swallowed topical corticosteroids for EE within the past 3 months
  • Use of systemic steroids 2 months prior to study entry
  • Upper gastrointestinal bleed within 4 months of study entry
  • Chronic use of medications that predispose to upper gastrointestinal bleeding including non-steroidal anti-inflammatory medications or anticoagulants
  • Evidence of adrenal suppression prior to study entry
  • Evidence of concurrent eosinophilic gastritis, enteritis, colitis, or proctitis
  • Recent changes in asthma or allergic rhinitis therapy for 3 months
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00638456

Locations
United States, California
Rady Children's Hospital, San Diego
San Diego, California, United States, 92123
Sponsors and Collaborators
University of California, San Diego
Meritage Pharma, Inc.
Investigators
Principal Investigator: Ranjan Dohil, MD UCSD
  More Information

No publications provided

Responsible Party: UCSD ( Ranjan Dohil, MD )
Study ID Numbers: VPI-106-01
Study First Received: March 12, 2008
Last Updated: September 9, 2009
ClinicalTrials.gov Identifier: NCT00638456     History of Changes
Health Authority: United States: Food and Drug Administration

Keywords provided by University of California, San Diego:
Eosinophils
Esophagitis
Microscopy

Study placed in the following topic categories:
Anti-Inflammatory Agents
Anti-Infective Agents
Gastrointestinal Diseases
Hormone Antagonists
Hormones, Hormone Substitutes, and Hormone Antagonists
Budesonide
Anti-Asthmatic Agents
Hormones
Glucocorticoids
Eosinophilic Enteropathy
Esophagitis
Digestive System Diseases
Esophageal Disorder
Esophageal Diseases
Lansoprazole
Peripheral Nervous System Agents
Gastroenteritis
Bronchodilator Agents

Additional relevant MeSH terms:
Anti-Inflammatory Agents
Respiratory System Agents
Anti-Infective Agents
Molecular Mechanisms of Pharmacological Action
Gastrointestinal Diseases
Physiological Effects of Drugs
Hormones, Hormone Substitutes, and Hormone Antagonists
Budesonide
Gastrointestinal Agents
Anti-Asthmatic Agents
Enzyme Inhibitors
Hormones
Glucocorticoids
Pharmacologic Actions
Esophagitis
Digestive System Diseases
Autonomic Agents
Therapeutic Uses
Anti-Ulcer Agents
Peripheral Nervous System Agents
Esophageal Diseases
Lansoprazole
Gastroenteritis
Bronchodilator Agents

ClinicalTrials.gov processed this record on September 10, 2009