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Development, Validation and Evaluation of an Adult and Pediatric Eosinophilic Esophagitis Activity Index (EEsAI)
This study is not yet open for participant recruitment.
Verified by University Hospital Inselspital, Berne, July 2009
First Received: July 13, 2009   No Changes Posted
Sponsors and Collaborators: University Hospital Inselspital, Berne
Institute of Social and Preventive Medicine, University Bern
Dept. of Gastroenterology, Kantonsspital Olten, Olten
Institute for Pathology, Kantonsspital Lucerne, Lucerne
Mayo Clinic Rochester, Minnesota, USA
University of Cincinnati, Dpt of Pathology, USA
University of Cincinnati, Dpt of Gastroenterology, USA
University of Colorado Denver, School of Medicine, USA
Northwestern University of Chicago, Illinois, USA
Indiana University School of Medicine
University of Philadelphia, Pennsylvania, USA and more
Information provided by: University Hospital Inselspital, Berne
ClinicalTrials.gov Identifier: NCT00939263
  Purpose

Eosinophilic Esophagitis (EoE) is a chronic inflammatory disease of the esophagus affecting children and adults.

The most frequent symptoms are swallowing difficulties and thoracic pain. The disease has first been described in the 1980s and is found with rapidly increasing frequency mainly in industrialized countries. The factors that lead to EoE are until now incompletely understood, of importance, the disease is found more frequently in men and patients suffering from allergic diseases (e.g., Asthma). So far there exists no activity index to define the severity of EoE; such an index is urgently needed for future clinical trials to determine the efficacy of current and future therapies. The investigators' 3-year project, carried out in cooperation with international EoE experts, aims at the development of an activity index for adult and pediatric EoE patients that will be used in future clinical trials as well as observational studies.


Condition Intervention
Deglutition Disorders
Esophageal Diseases
Eosinophilia
Other: assessment of disease activity using the EEsAI

Study Type: Observational
Study Design: Cohort, Prospective
Official Title: Development, Validation and Evaluation of an Adult and Pediatric Eosinophilic Esophagitis Activity Index: A Prospective Multicenter Study

Resource links provided by NLM:


Further study details as provided by University Hospital Inselspital, Berne:

Primary Outcome Measures:
  • Development of an EE Activity Index [ Time Frame: 12 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Evaluation and validation of the activity index [ Time Frame: 2 years ] [ Designated as safety issue: No ]

Biospecimen Retention:   None Retained

Biospecimen Description:

Estimated Enrollment: 600
Study Start Date: August 2009
Estimated Study Completion Date: December 2011
Estimated Primary Completion Date: July 2011 (Final data collection date for primary outcome measure)
Groups/Cohorts Assigned Interventions
1
cohorts 1 (item weighting phase): 100 children with Eosinophilic Esophagitis, 100 adults with Eosinophilic Esophagitis
Other: assessment of disease activity using the EEsAI
disease activity index
2
cohorts 2 (evaluation phase): 200 children with Eosinophilic Esophagitis, 200 adults with Eosinophilic Esophagitis
Other: assessment of disease activity using the EEsAI
disease activity index

  Show Detailed Description

  Eligibility

Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population

Adult and pediatric patients with the diagnosis Eosinophilic Esophagitis, who are treated in the participating hospitals

Criteria

Inclusion Criteria:

  • every patient with the diagnosis Eosinophilic Esophagitis
  • pediatric and adult EoE patients
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00939263

Contacts
Contact: Elisabeth Maurer, Dr. 0041 631 35 25 emaurer@ispm.unibe.ch
Contact: Claudia Kuehni, MD MSc, FMH (Paediatrics) +41 31 631 35 07 kuehni@ispm.unibe.ch

Locations
United States, Minnesota
Mayo Clinic Rochester
Rochester, Minnesota, United States
Switzerland
Institute for Social and Preventive Medicine, University of Bern
Bern, Switzerland, 3012
Department of Gastroenterology, Inselspital/Bern University Hospital
Bern, Switzerland, 3010
Pädiatrische Gastroenterologie Medizinische Universitäts-Kinderklinik Bern
Bern, Switzerland, 3010
Institute for Pathology, Kantonsspital Lucerne
Lucerne, Switzerland, 6000
Ostschweizer Kinderspital
St. Gallen, Switzerland, 9006
Praxis Römerhof, Römerstr. 7, Olten
Olten, Switzerland, 4600
Sponsors and Collaborators
University Hospital Inselspital, Berne
Institute of Social and Preventive Medicine, University Bern
Dept. of Gastroenterology, Kantonsspital Olten, Olten
Institute for Pathology, Kantonsspital Lucerne, Lucerne
Mayo Clinic Rochester, Minnesota, USA
University of Cincinnati, Dpt of Pathology, USA
University of Cincinnati, Dpt of Gastroenterology, USA
University of Colorado Denver, School of Medicine, USA
Northwestern University of Chicago, Illinois, USA
Indiana University School of Medicine
University of Philadelphia, Pennsylvania, USA and more
Investigators
Principal Investigator: Alain Schoepfer, MD Department of Gastroenterology, Inselspital/Bern University Hospital
Study Chair: Alex Straumann, MD, Prof. Praxis Römerhof, Olten, Switzerland
Study Director: Marcel Zwahlen, PhD, Prof. Institute for Social and Preventive Medicine, University of Bern
Study Director: Claudia Kuehni, MD MSc, FMH (Paediatrics) Institute for Social and Preventive Medicine, University of Bern
Study Director: Christian Bussmann, MD Institute for Pathology, Kantonsspital Lucerne
  More Information

Publications:
U.S. Department of Health and Human Services FDA Center for Drug Evaluation and Research; U.S. Department of Health and Human Services FDA Center for Biologics Evaluation and Research; U.S. Department of Health and Human Services FDA Center for Devices and Radiological Health. Guidance for industry: patient-reported outcome measures: use in medical product development to support labeling claims: draft guidance. Health Qual Life Outcomes. 2006 Oct 11;4:79.
Patrick DL, Burke LB, Powers JH, Scott JA, Rock EP, Dawisha S, O'Neill R, Kennedy DL. Patient-reported outcomes to support medical product labeling claims: FDA perspective. Value Health. 2007 Nov-Dec;10 Suppl 2:S125-37. Review.
Furuta GT, Liacouras CA, Collins MH, Gupta SK, Justinich C, Putnam PE, Bonis P, Hassall E, Straumann A, Rothenberg ME; First International Gastrointestinal Eosinophil Research Symposium (FIGERS) Subcommittees. Eosinophilic esophagitis in children and adults: a systematic review and consensus recommendations for diagnosis and treatment. Gastroenterology. 2007 Oct;133(4):1342-63. Epub 2007 Aug 8. Review.
Straumann A, Simon HU. Eosinophilic esophagitis: escalating epidemiology? J Allergy Clin Immunol. 2005 Feb;115(2):418-9. No abstract available.
Noel RJ, Putnam PE, Rothenberg ME. Eosinophilic esophagitis. N Engl J Med. 2004 Aug 26;351(9):940-1. No abstract available.
Straumann A, Spichtin HP, Grize L, Bucher KA, Beglinger C, Simon HU. Natural history of primary eosinophilic esophagitis: a follow-up of 30 adult patients for up to 11.5 years. Gastroenterology. 2003 Dec;125(6):1660-9.
Liacouras CA, Spergel JM, Ruchelli E, Verma R, Mascarenhas M, Semeao E, Flick J, Kelly J, Brown-Whitehorn T, Mamula P, Markowitz JE. Eosinophilic esophagitis: a 10-year experience in 381 children. Clin Gastroenterol Hepatol. 2005 Dec;3(12):1198-206.
Guyatt GH, Deyo RA, Charlson M, Levine MN, Mitchell A. Responsiveness and validity in health status measurement: a clarification. J Clin Epidemiol. 1989;42(5):403-8.

Responsible Party: Dep. of Gastroenterology, Bern University Hospital, Bern; Farncombe Family Institute of Digestive Health Research McMaster University, Canada ( Alain Schoepfer MD )
Study ID Numbers: 231/08, 0901 (Ethikkommision KiKli BE)
Study First Received: July 13, 2009
Last Updated: July 13, 2009
ClinicalTrials.gov Identifier: NCT00939263     History of Changes
Health Authority: Switzerland: Ethikkommission

Keywords provided by University Hospital Inselspital, Berne:
deglutition disorders
esophageal diseases
eosinophilia

Study placed in the following topic categories:
Otorhinolaryngologic Diseases
Gastrointestinal Diseases
Hematologic Diseases
Leukocyte Disorders
Eosinophilia
Pharyngeal Diseases
Eosinophilic Enteropathy
Deglutition Disorders
Esophagitis
Digestive System Diseases
Esophageal Disorder
Esophageal Diseases
Gastroenteritis

Additional relevant MeSH terms:
Deglutition Disorders
Esophagitis
Otorhinolaryngologic Diseases
Digestive System Diseases
Hematologic Diseases
Gastrointestinal Diseases
Leukocyte Disorders
Esophageal Diseases
Gastroenteritis
Pharyngeal Diseases
Eosinophilia

ClinicalTrials.gov processed this record on September 11, 2009