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Trial · NCT04682639

A Study to Assess the Safety and Efficacy of Oral Etrasimod in Adult Participants With Eosinophilic Esophagitis

NCT04682639, Phase 2, Completed, Pfizer; results first posted 2023-10-26

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study to Assess the Safety and Efficacy of Oral Etrasimod in Adult Participants With Eosinophilic Esophagitis. Trials, record NCT04682639. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04682639

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Trial

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

Title
A Study to Assess the Safety and Efficacy of Oral Etrasimod in Adult Participants With Eosinophilic Esophagitis
NCT number
NCT04682639
Status
Completed
Phases
Phase 2
Enrollment
108 participants, actual
Lead sponsor
Pfizer
Conditions
Eosinophilic Esophagitis
Interventions
Etrasimod, Placebo, Etrasimod
First posted
2020-12-24
Last updated
2024-05-06
Other registries' IDs
eudract:2020-003226-23
Results first posted
2023-10-26

Source ClinicalTrials.gov

Registered outcomes7

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

ListOutcomeTime frameDescription
PrimaryPercent Change From Baseline in Esophageal Peak Eosinophil Count (PEC) at Week 16Baseline, Week 16
Eosinophils was counted in the areas of greatest eosinophil density. Counts were reported as the number of eosinophils/high power field (eos/hpf) and multiple hpfs analyzed until the PEC was clearly identified after taking into account all biopsies from all esophageal levels.
SecondaryAbsolute Change From Baseline in Dysphagia Symptom Questionnaire (DSQ) Score at Week 16Baseline, Week 16
The DSQ was used to measure the frequency and intensity of dysphagia to solid food. 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 days/(Number of diaries reported with non-missing data). DSQ scores can range from 0 to 84, with a higher score indicating worse dysphagia.
SecondaryAbsolute Change From Baseline in Esophageal Peak Eosinophil Count (PEC) at Week 16Baseline, Week 16
Eosinophils was counted in the areas of greatest eosinophil density. Counts were reported as the number of eosinophils/high power field (eos/hpf) and multiple hpfs analyzed until the PEC was clearly identified after taking into account all biopsies from all esophageal levels.
SecondaryPercentage Of Participants With Esophageal Peak Eosinophil Count (PEC) Less Than (<) 15 Eosinophils/High Power Field (Eos/Hpf) at Week 16Week 16
SecondaryPercentage of Participants With Esophageal Peak Eosinophil Count (PEC) Less Than or Equal to (<=) 6 Eosinophils/High Power Field (Eos/Hpf) at Week 16Week 16
OtherNumber of Participants With Treatment Emergent Adverse Events (TEAEs) by Maximum Severity During 24 Week Double Blind Treatment PeriodBaseline, up to Week 24
An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Treatment-emergent AE is defined as an AE that started or worsened in severity on or after the first dose of study treatment. Severity is classified as Grade 1: Mild, Grade 2: Moderate, Grade 3: Severe, Grade 4: Life-Threatening, Grade 5: Death Related to AE.
OtherNumber of Participants With Serious TEAEs, TEAEs Leading to Study Treatment Discontinuation, TEAEs Leading to Death and TEAEs of Special Interest During 24 Week Double Blind Treatment PeriodBaseline up to Week 24
An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; life-threatening experience (immediate risk of death); new or prolonged inpatient hospitalization; persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 24 weeks after last dose that were absent before treatment or that worsened relative to pretreatment state. Relatedness to etrasimod was assessed by the investigator (Yes/No). Participants with multiple occurrences of an AE within a category were counted once within the category.

Outcomes7

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercent Change From Baseline in Esophageal Peak Eosinophil Count (PEC) at Week 16Baseline, Week 16
The Full Analysis Set (FAS) will consist of all randomized participants in the Double-Blind Treatment Period who received at least 1 dose of study treatment. Here, Number of participants analyzed signifies number of participants evaluable for this outcome measure.
Percent changeMEDIAN
SECONDARYAbsolute Change From Baseline in Dysphagia Symptom Questionnaire (DSQ) Score at Week 16Baseline, Week 16
The FAS will consist of all randomized participants in the Double-Blind Treatment Period who received at least 1 dose of study treatment. Here, Number of participants analyzed signifies number of participants evaluable for this outcome measure.
Units on a scaleLEAST_SQUARES_MEAN
SECONDARYAbsolute Change From Baseline in Esophageal Peak Eosinophil Count (PEC) at Week 16Baseline, Week 16
The FAS will consist of all randomized participants in the Double-Blind Treatment Period who received at least 1 dose of study treatment. Here, Number of participants analyzed signifies number of participants evaluable for this outcome measure.
eos/hpfLEAST_SQUARES_MEAN
SECONDARYPercentage Of Participants With Esophageal Peak Eosinophil Count (PEC) Less Than (<) 15 Eosinophils/High Power Field (Eos/Hpf) at Week 16Week 16The FAS will consist of all randomized participants in the Double-Blind Treatment Period who received at least 1 dose of study treatment.Percentage of participantsNUMBER
SECONDARYPercentage of Participants With Esophageal Peak Eosinophil Count (PEC) Less Than or Equal to (<=) 6 Eosinophils/High Power Field (Eos/Hpf) at Week 16Week 16The FAS will consist of all randomized participants in the Double-Blind Treatment Period who received at least 1 dose of study treatment.Percentage of participantsNUMBER
OTHER_PRE_SPECIFIEDNumber of Participants With Treatment Emergent Adverse Events (TEAEs) by Maximum Severity During 24 Week Double Blind Treatment PeriodBaseline, up to Week 24
The safety population included all randomized participants who received at least 1 dose of study treatment during the specified treatment period. Here, Number of participants analyzed signifies number of participants evaluable for this outcome measure.
ParticipantsCOUNT_OF_PARTICIPANTS
OTHER_PRE_SPECIFIEDNumber of Participants With Serious TEAEs, TEAEs Leading to Study Treatment Discontinuation, TEAEs Leading to Death and TEAEs of Special Interest During 24 Week Double Blind Treatment PeriodBaseline up to Week 24The safety population included all randomized participants who received at least 1 dose of study treatment during the specified treatment period.ParticipantsCOUNT_OF_PARTICIPANTS

Results by group39

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

OutcomeGroupCategoryValueSpreadUnits
Percent Change From Baseline in Esophageal Peak Eosinophil Count (PEC) at Week 16Experimental: Etrasimod 2 mg-58.4Inter-Quartile Range -86.21 to -26.25Percent change
Percent Change From Baseline in Esophageal Peak Eosinophil Count (PEC) at Week 16Experimental: Etrasimod 1 mg-39.4Inter-Quartile Range -71.08 to 78.95Percent change
Percent Change From Baseline in Esophageal Peak Eosinophil Count (PEC) at Week 16Placebo Then Etrasimod Any Dose-21.5Inter-Quartile Range -57.20 to 55.42Percent change
Absolute Change From Baseline in Dysphagia Symptom Questionnaire (DSQ) Score at Week 16Experimental: Etrasimod 2 mg-17.11Standard Error 2.247Units on a scale
Absolute Change From Baseline in Dysphagia Symptom Questionnaire (DSQ) Score at Week 16Experimental: Etrasimod 1 mg-14.78Standard Error 2.166Units on a scale
Absolute Change From Baseline in Dysphagia Symptom Questionnaire (DSQ) Score at Week 16Placebo Then Etrasimod Any Dose-19.49Standard Error 2.602Units on a scale
Absolute Change From Baseline in Esophageal Peak Eosinophil Count (PEC) at Week 16Experimental: Etrasimod 2 mg-46.3Standard Error 17.46eos/hpf
Absolute Change From Baseline in Esophageal Peak Eosinophil Count (PEC) at Week 16Experimental: Etrasimod 1 mg-5.7Standard Error 16.99eos/hpf
Absolute Change From Baseline in Esophageal Peak Eosinophil Count (PEC) at Week 16Placebo Then Etrasimod Any Dose8.3Standard Error 22.37eos/hpf
Percentage Of Participants With Esophageal Peak Eosinophil Count (PEC) Less Than (<) 15 Eosinophils/High Power Field (Eos/Hpf) at Week 16Experimental: Etrasimod 2 mg22.0Percentage of participants

Participant flow30

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

PeriodMilestoneGroupParticipantsUnits counted
Double-Blind Treatment Period (24 Weeks)STARTEDExperimental: Etrasimod 2 mg41
Double-Blind Treatment Period (24 Weeks)STARTEDExperimental: Etrasimod 1 mg39
Double-Blind Treatment Period (24 Weeks)STARTEDPlacebo Then Etrasimod Any Dose28
Double-Blind Treatment Period (24 Weeks)STARTEDOLE: Placebo Then Etrasimod 2 mg0
Double-Blind Treatment Period (24 Weeks)STARTEDOLE: Placebo Then Etrasimod 1 mg0
Double-Blind Treatment Period (24 Weeks)COMPLETEDExperimental: Etrasimod 2 mg30
Double-Blind Treatment Period (24 Weeks)COMPLETEDExperimental: Etrasimod 1 mg31
Double-Blind Treatment Period (24 Weeks)COMPLETEDPlacebo Then Etrasimod Any Dose24
Double-Blind Treatment Period (24 Weeks)COMPLETEDOLE: Placebo Then Etrasimod 2 mg0
Double-Blind Treatment Period (24 Weeks)COMPLETEDOLE: Placebo Then Etrasimod 1 mg0

Adverse events1,155

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherNauseaGastrointestinal disordersExperimental: Etrasimod 2 mg641
otherNauseaGastrointestinal disordersExperimental: Etrasimod 1 mg339
otherNauseaGastrointestinal disordersPlacebo Then Etrasimod Any Dose328
otherNauseaGastrointestinal disordersOLE: Etrasimod 2 mg230
otherNauseaGastrointestinal disordersOLE: Etrasimod 1 mg131
otherNauseaGastrointestinal disordersOLE: Placebo Then Etrasimod 2 mg012
otherNauseaGastrointestinal disordersOLE: Placebo Then Etrasimod 1 mg012
otherAbdominal painGastrointestinal disordersExperimental: Etrasimod 2 mg241
otherAbdominal painGastrointestinal disordersExperimental: Etrasimod 1 mg139
otherAbdominal painGastrointestinal disordersPlacebo Then Etrasimod Any Dose128

Adverse event totals21

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityExperimental: Etrasimod 2 mg041
Total, all-cause mortalityExperimental: Etrasimod 1 mg039
Total, all-cause mortalityPlacebo Then Etrasimod Any Dose028
Total, all-cause mortalityOLE: Etrasimod 2 mg030
Total, all-cause mortalityOLE: Etrasimod 1 mg031
Total, all-cause mortalityOLE: Placebo Then Etrasimod 2 mg012
Total, all-cause mortalityOLE: Placebo Then Etrasimod 1 mg012
Total, other adverse eventsExperimental: Etrasimod 2 mg3041
Total, other adverse eventsExperimental: Etrasimod 1 mg2739
Total, other adverse eventsPlacebo Then Etrasimod Any Dose2328

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
39575597DERIVEDPubMed
40381637DERIVEDPubMed

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 comparisons0

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

None in this release.

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/NCT04682639

GET https://conductscience.org/api/trials/v1/NCT04682639/results?page=2