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Trial · NCT02605837

A Study in Adolescents and Adults With Eosinophilic Esophagitis (EoE) Measuring Histologic Response and Determine if Reduction in Dysphagia is Achieved

NCT02605837, Phase 3, Completed, Shire; results first posted 2020-03-16

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study in Adolescents and Adults With Eosinophilic Esophagitis (EoE) Measuring Histologic Response and Determine if Reduction in Dysphagia is Achieved. Trials, record NCT02605837. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02605837

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Study in Adolescents and Adults With Eosinophilic Esophagitis (EoE) Measuring Histologic Response and Determine if Reduction in Dysphagia is Achieved
NCT number
NCT02605837
Status
Completed
Phases
Phase 3
Enrollment
318 participants, actual
Lead sponsor
Shire
Conditions
Eosinophilic Esophagitis (EoE)
Interventions
Oral Budesonide Suspension (OBS), Placebo
First posted
2015-11-16
Last updated
2025-02-19
Results first posted
2020-03-16

Source ClinicalTrials.gov

Registered outcomes20

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Participants With Histologic Response at the Final Treatment Period Evaluation (Week 16)Week 16
Histologic response was defined as a peak eosinophil count of less than or equal to (\<=) 6/ high-powered field (HPF) across all available esophageal levels at final treatment period evaluation (Week 16). Histologic response after 12 weeks of double blind treatment at Week 16 was reported.
PrimaryNumber of Participants With Dysphagia Symptom Response at the Final Treatment Period Evaluation (Week 16)Week 16
Dysphagia symptom response was defined as greater than or equal to (\>=) 30 percent (%) reduction in the Dysphagia Symptom Questionnaire (DSQ) combined score (questions 2+3). DSQ contained 4 questions, all participants used a diary, and responded to Questions 1 (did you eat solid food) and 2 (did food pass slowly or get stuck). If the participant's answer to Question 2 was 'No', the diary ended for that day. If a participant answered 'Yes', he/she advanced to Questions 3 (did you have to do anything to make the food go down or get relief) and 4 (extent to which the participant experienced pain while swallowing). DSQ score= (\[sum of points from questions 2+3 in the daily DSQ\]×14)/ Number of diaries reported with non-missing data. Dysphagia symptom response after 12 weeks of double blind treatment at Week 16 was reported.
SecondaryChange From Baseline in Dysphagia Symptom Questionnaire (DSQ) Combined Score at the Final Treatment Period Evaluation (Week 16)Baseline, Week 16
DSQ contained 4 questions, all participants used a diary, and responded to Questions 1 (did you eat solid food) and 2 (did food pass slowly or get stuck). If the participant's answer to Question 2 was 'No', the diary ended for that day. If a participant answered 'Yes', he/she advanced to Questions 3 (did you have to do anything to make the food go down or get relief) and 4 (extent to which the participant experienced pain while swallowing). DSQ combined score= (\[sum of points from questions 2+3 in the daily DSQ\]×14)/ Number of diaries reported with non-missing data. Scale range was 0 - 2 for question 2 and 0 - 4 for question 3, with higher values representing a worse outcome. Scale range for DSQ combined score was 0 - 84, with higher values representing a worse outcome. A negative change from baseline indicates that symptoms decreased. Change from baseline in DSQ after 12 weeks of double blind treatment at Week 16 was reported.
SecondaryChange From Baseline in Total Endoscopy Score at the Final Treatment Period Evaluation (Week 16)Baseline, Week 16
Endoscopic findings with separate evaluations of the proximal and distal esophagus were recorded with respect to 5 categories: 1) exudates or plaques (grade 0-2); 2) fixed esophageal rings (grade 0-3); 3) edema (grade 0-2); 4) furrows (grade 0-2); and 5) strictures (grade 0-1). An endoscopy score for each category was calculated and summed for each anatomic location (proximal and distal). The minimum and maximum endoscopy score was 0 and 10 points respectively for each location (proximal and distal) and the total endoscopy score was the sum of the scores for the proximal and distal locations (maximum total score of 20 points respectively). The higher score indicated worse appearance. A negative change from baseline indicates that appearance improved. Endoscopic findings after 12 weeks of double blind treatment at Week 16 were reported.
SecondaryNumber of Participants With Peak Eosinophil Count Less Than (<)15/High-Powered Field (HPF) or Less Than or Equal to (<=)1/High-Powered Field (HPF) at the Final Treatment Period Evaluation (Week 16)Week 16
Participant was considered as responder at Week 16 if he/she had peak eosinophil count of \<15/HPF or \<=1/HPF across all esophagus levels. Number of participants with peak eosinophil count \< 15/HPF or \<=1/HPF after 12 weeks of double blind treatment at Week 16 were reported.
SecondaryChange From Baseline in the Peak Eosinophil Count at the Final Treatment Period Evaluation (Week 16)Baseline, Week 16Change from baseline in the peak eosinophil count after 12 weeks of double blind treatment at week 16 for each available esophageal level (proximal, mid, distal, maximum) were reported.
SecondaryChange From Baseline in the Histopathologic Epithelial Features Combined Total Score Ratio (TSR) at the Final Treatment Period Evaluation (Week 16)Baseline, Week 16
Change from baseline in histopathologic epithelial features combined total score of grade and stage ratio after 12 weeks of double blind treatment at Week 16 were reported by measuring eight histopathologic epithelial features: basal layer hyperplasia, eosinophil density, eosinophil micro-abscesses, eosinophil surface layering, dilated intercellular spaces, surface epithelial alteration, dyskeratotic epithelial cells, lamina propria fibrosis were scored on a 4-point scale (0=normal, 3=worst) for both the severity of the abnormality (grade) and the amount of tissue affected by the abnormality (stage). Thus each of the 3 levels had a minimum score of 0 and maximum possible score of 24, and a possible total grade or stage score of 72 for a maximum combined score of 144. Combined total score ratio (TSR) =(proximal TSR + mid TSR + distal TSR)/N, where N is the number of non missing sections for TSR. A negative change from baseline indicates that epithelial inflammation decreased.
SecondaryNumber of Participants With Dysphagia Symptom Response (Binary Response) at the Final Treatment Period Evaluation (Week 16)Week 16
Dysphagia symptom response (binary response \[i.e, responders versus. non-responders\]) was defined as a \>=50% reduction in the DSQ combined score (questions 2+3), from baseline to the final treatment period evaluation (Week 16). DSQ contained 4 questions, all participants used a diary, and responded to Questions 1 (did you eat solid food) and 2 (did food pass slowly or get stuck). If the participant's answer to Question 2 was 'No', the diary ended for that day. If a participant answered 'Yes', he/she advanced to Questions 3 (did you have to do anything to make the food go down or get relief) and 4 (extent to which the participant experienced pain while swallowing). DSQ score= (\[sum of points from questions 2+3 in the daily DSQ\]×14)/ Number of diaries reported with non-missing data. Number of participants with binary response after 12 weeks of double blind treatment at Week 16 were reported.
SecondaryNumber of Participants With Overall Binary Response I at the Final Treatment Period Evaluation (Week 16)Week 16
Overall binary response I was defined as a reduction in the DSQ score of \>=30% from baseline to the final treatment period (week 16) evaluation and a peak eosinophil count of \<=6/HPF across all esophageal levels at the final treatment period evaluation. Participant was considered as responder at Week 16 if he/she achieved a minimum of 30% reduction in DSQ combined score between baseline and Week 16 and has peak eosinophil count of \<=6/HPF across all esophagus levels. Number of participants with overall binary response I after 12 weeks of double blind treatment at Week 16 were reported.
SecondaryNumber of Participants With Overall Binary Response II at the Final Treatment Period Evaluation (Week 16)Week 16
Overall binary response II was defined as a reduction in the DSQ score of \>=50% from baseline to the final treatment period evaluation and a peak eosinophil count of \<=6/HPF across all esophageal levels at the final treatment period evaluation. Participant was considered as responder at Week 16 if he/she achieved a minimum of 50% reduction in DSQ combined score between baseline and Week 16 and had peak eosinophil count of \<=6/HPF across all esophagus levels. Number of participants with overall binary response II after 12 weeks of double blind treatment at Week 16 were reported.

Outcomes20

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Participants With Histologic Response at the Final Treatment Period Evaluation (Week 16)Week 16FAS included all randomized participants who received at least one dose of a double-blind IP.ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYNumber of Participants With Dysphagia Symptom Response at the Final Treatment Period Evaluation (Week 16)Week 16FAS included all randomized participants who received at least one dose of a double-blind IP.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYChange From Baseline in Dysphagia Symptom Questionnaire (DSQ) Combined Score at the Final Treatment Period Evaluation (Week 16)Baseline, Week 16
FAS included all randomized participants who received at least one dose of a double-blind IP. Here the number of participants analyzed signifies participants who were evaluable for this outcome measure.
Score on scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in Total Endoscopy Score at the Final Treatment Period Evaluation (Week 16)Baseline, Week 16
FAS included all randomized participants who received at least one dose of a double-blind IP. Here the number of participants analyzed signifies participants who were evaluable for this outcome measure.
score on scaleLEAST_SQUARES_MEAN
SECONDARYNumber of Participants With Peak Eosinophil Count Less Than (<)15/High-Powered Field (HPF) or Less Than or Equal to (<=)1/High-Powered Field (HPF) at the Final Treatment Period Evaluation (Week 16)Week 16FAS included all randomized participants who received at least one dose of a double-blind IP.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYChange From Baseline in the Peak Eosinophil Count at the Final Treatment Period Evaluation (Week 16)Baseline, Week 16
FAS included all randomized participants who received at least one dose of a double-blind IP. Here the number of participants analyzed signifies participants who were evaluable for this outcome measure at each specific category.
eosinophil countLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in the Histopathologic Epithelial Features Combined Total Score Ratio (TSR) at the Final Treatment Period Evaluation (Week 16)Baseline, Week 16
FAS included all randomized participants who received at least one dose of a double-blind IP. Here the number of participants analyzed signifies participants who were evaluable for this outcome measure.
score on scaleLEAST_SQUARES_MEAN
SECONDARYNumber of Participants With Dysphagia Symptom Response (Binary Response) at the Final Treatment Period Evaluation (Week 16)Week 16FAS included all randomized participants who received at least one dose of a double-blind IP.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Overall Binary Response I at the Final Treatment Period Evaluation (Week 16)Week 16FAS included all randomized participants who received at least one dose of a double-blind IP.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Overall Binary Response II at the Final Treatment Period Evaluation (Week 16)Week 16FAS included all randomized participants who received at least one dose of a double-blind IP.ParticipantsCOUNT_OF_PARTICIPANTS

Results by group57

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Participants With Histologic Response at the Final Treatment Period Evaluation (Week 16)PlaceboHistology Response - Yes1Participants
Number of Participants With Histologic Response at the Final Treatment Period Evaluation (Week 16)Oral Budesonide Suspension (OBS)Histology Response - Yes113Participants
Number of Participants With Histologic Response at the Final Treatment Period Evaluation (Week 16)PlaceboHistology Response - No104Participants
Number of Participants With Histologic Response at the Final Treatment Period Evaluation (Week 16)Oral Budesonide Suspension (OBS)Histology Response - No100Participants
Number of Participants With Dysphagia Symptom Response at the Final Treatment Period Evaluation (Week 16)PlaceboDysphagia symptom response: Yes41Participants
Number of Participants With Dysphagia Symptom Response at the Final Treatment Period Evaluation (Week 16)Oral Budesonide Suspension (OBS)Dysphagia symptom response: Yes112Participants
Number of Participants With Dysphagia Symptom Response at the Final Treatment Period Evaluation (Week 16)PlaceboDysphagia symptom response: No64Participants
Number of Participants With Dysphagia Symptom Response at the Final Treatment Period Evaluation (Week 16)Oral Budesonide Suspension (OBS)Dysphagia symptom response: No101Participants
Change From Baseline in Dysphagia Symptom Questionnaire (DSQ) Combined Score at the Final Treatment Period Evaluation (Week 16)Placebo-9.07Standard Error 1.519Score on scale
Change From Baseline in Dysphagia Symptom Questionnaire (DSQ) Combined Score at the Final Treatment Period Evaluation (Week 16)Oral Budesonide Suspension (OBS)-12.99Standard Error 1.202Score on scale

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDPlacebo105
Overall StudySTARTEDOral Budesonide Suspension (OBS)213
Overall StudyCOMPLETEDPlacebo94
Overall StudyCOMPLETEDOral Budesonide Suspension (OBS)202
Overall StudyNOT COMPLETEDPlacebo11
Overall StudyNOT COMPLETEDOral Budesonide Suspension (OBS)11

Adverse events46

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherDiarrhoeaGastrointestinal disordersPlacebo51055
otherDiarrhoeaGastrointestinal disordersOral Budesonide Suspension (OBS)22132
otherNauseaGastrointestinal disordersPlacebo31053
otherNauseaGastrointestinal disordersOral Budesonide Suspension (OBS)62136
otherOesophagitisGastrointestinal disordersPlacebo01050
otherOesophagitisGastrointestinal disordersOral Budesonide Suspension (OBS)52135
otherVomitingGastrointestinal disordersPlacebo41056
otherVomitingGastrointestinal disordersOral Budesonide Suspension (OBS)42134
otherNasopharyngitisInfections and infestationsPlacebo41056
otherNasopharyngitisInfections and infestationsOral Budesonide Suspension (OBS)1121313

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPlacebo0105
Total, all-cause mortalityOral Budesonide Suspension (OBS)0213
Total, other adverse eventsPlacebo28105
Total, other adverse eventsOral Budesonide Suspension (OBS)63213
Total, serious adverse eventsPlacebo1105
Total, serious adverse eventsOral Budesonide Suspension (OBS)2213

Papers6

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
33887475DERIVEDPubMed
34182150DERIVEDPubMed
37718471DERIVEDPubMed
39631042DERIVEDPubMed
39735351DERIVEDPubMed
41711386DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons3

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Oral Budesonide Suspension (OBS) vs Placebo: deaths from any causeTrial comparisons
Oral Budesonide Suspension (OBS) vs Placebo: Number of Participants With Treatment-Emergent Adverse Events (AE)Trial comparisons
Oral Budesonide Suspension (OBS) vs Placebo: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02605837

GET https://conductscience.org/api/trials/v1/NCT02605837/results?page=2