A Trial of Upadacitinib for Non-responsive Eosinophilic Esophagitis

Trial statusNot yet recruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18-65
SponsorUniversity of North Carolina, Chapel Hill

About this trial

The goal of this study is to find out if a medication called upadacitinib can help treat a condition called Eosinophilic Esophagitis (EoE).

The main question it aims to answer are:

\- Does upadacitinib in addition to topical corticosteroids help reduce EoE disease activity?

Participants will:

* Take upadacitinib or placebo every day for 12 weeks, followed by 12 weeks of upadacitinib * Fill out surveys and answer health questions * Visit the clinic every 4 weeks for checkups and tests

Eligibility criteria

Qualifiers

Age 18-65 years.

Diagnosis of EoE per 2018 AGREE consensus guidelines.

Currently using topical corticosteroids (TCS) for EoE treatment (either swallowed budesonide, ≥2mg total daily dose or swallowed fluticasone, ≥1760 mcg total daily dose) for at least 8 weeks (prior to the screening endoscopy) and willing to remain on the same TCS treatment with no changes to regimen throughout the study.

Have active esophageal eosinophilia (peak eosinophil count ≥15 eos/hpf [eosinophils per high power field]) as measured during the screening endoscopy despite ongoing therapy with TCS.

Disqualifiers

Use of systemic corticosteroids (such as prednisone or methylprednisolone) within 4 weeks of the screening endoscopy.

Use of dupilumab (dupixent) within 3 months of the screening endoscopy.

Use of estrogen (including estrogen-containing contraceptives and other hormonal treatments) within 30 days of screening.

Previous esophageal resection.

Trial design

Treatments tested in this trial

  • Upadacitinib 30mg Dose
  • Upadacitinib Matching Placebo

Treatment groups

52 Participants
are divided into 2 treatment groups

Sponsors and collaborators

University of North Carolina, Chapel Hill

Lead sponsor

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Collaborator

AbbVie

Collaborator