A Study to Evaluate the Effectiveness and Safety of CC-93538 to Treat Adults and Adolescents with Eosinophilic Esophagitis

Overview

About this study

The purposes of this study are to assess the effectiveness of CC-93538 versus placebo in reducing dysphagia symptoms at 24 weeks, and to assess the effectiveness of CC-93538 versus placebo in reducing esophageal eosinophil counts at 24 weeks.

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Inclusion Criteria:

Participants must satisfy the following criteria to be enrolled in the study:

1. Male or female patients aged ≥ 12 and ≤ 75 years, with a body weight of > 40 kg.

2. Histologic evidence of eosinophilic esophagitis, defined as a peak count of ≥ 15
eosinophils/high-power field at 2 levels of the esophagus.

3 Participant-reported history of 4 or more Dysphagia Days within 2 consecutive weeks prior
to end of screening.

4. Lack of complete response to an adequate trial of proton pump inhibitor (8 weeks).
Participants on a proton pump inhibitor must have been on a stable dose for at least 4
weeks prior to first Screening Visit and agree to continue the same dose throughout the
study.

5. Participants currently receiving inhaled corticosteroids, leukotriene receptor
antagonists, or mast cell stabilizers for indications other than EoE, or medium potency
topical corticosteroids for dermatologic conditions, must maintain stable doses for at
least 4 weeks prior to the first Screening Visit and throughout the duration of the study.

6. Participants must agree to maintain a stable diet (including any food elimination diet
for the treatment of food allergy or eosinophilic esophagitis) and not introduce any
changes in their diet from the first Screening Visit to the end of the study.

7. Females of childbearing potential must have 2 negative pregnancy tests as verified by
the Investigator prior to starting study therapy and agree to practice a highly effective
method of contraception until 5 months after the last dose.

Exclusion Criteria:

The presence of any of the following will exclude a participant from enrollment:

1. Clinical or endoscopic evidence of other diseases that may affect the histologic,
endoscopic, and clinical symptom evaluation for this study.

2. Other gastrointestinal disorders such as active Helicobacter pylori infection,
esophageal varices, gastritis, colitis, celiac disease, Mendelian disorder associated
with eosinophilic esophagitis, liver function impairment, or a known hereditary
fructose intolerance.

3. Evidence of a severe endoscopic structural abnormality in the esophagus.

4. Esophageal dilation for symptom relief within 8 weeks prior to first Screening Visit
or during the Screening Period, or if esophageal dilation is anticipated within 48
weeks of dosing during the study.

5. Evidence of immunosuppression, or of having received systemic immunosuppressive or
immunomodulating drugs within 5 drug half-lives prior to the first Screening Visit.

6. Treatment with a high potency topical corticosteroid for dermatologic use, or a
systemic corticosteroid within 8 weeks of the first Screening Visit.

7. Treatment with a swallowed topical corticosteroid, leukotriene receptor antagonist, or
mast cell stabilizer for EoE, within 4 weeks of the first Screening Visit.

8. Treatment with oral or sublingual immunotherapy within 6 months of the first Screening
Visit (any use will be prohibited during the study). Subcutaneous immunotherapy may be
allowed if on stable doses for at least 3 months prior to the first Screening Visit
and during the study.

9. Actively successful dietary modification adherence (e.g. food elimination diet),
resulting in a complete response to EoE.

10. Prior treatment with CC-93538 during a Phase 1 or 2 clinical study.

11. Receipt of a live attenuated vaccine within 4 weeks of the first Screening Visit.

12. Any disease that would affect the conduct of the protocol or interpretation of the
study results, or would put a patient at risk by participating in the study (e.g.
severe uncontrolled asthma, infection causing eosinophilia, hypereosinophilic
syndrome, or cardiovascular condition, or neurologic disorder or psychiatric illness
that compromises the Participant's ability to accurately document symptoms of
eosinophilic esophagitis).

13. Active or ongoing infections including parasitic/helminthic, hepatitis, tuberculosis,
or human immunodeficiency virus.

14. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection within 4 weeks
of the first Screening Visit.

15. Females who are pregnant or lactating.

Note: Other protocol defined Inclusion/Exclusion Criteria may apply.

Eligibility last updated 2/6/2024. Questions regarding updates should be directed to the study team contact.

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location Status Contact

Rochester, Minn.

Mayo Clinic principal investigator

Diana Snyder, M.D.

Closed for enrollment

Contact information:

Crystal Lavey CCRP

(507) 538-1361

Lavey.Crystal@mayo.edu

Scottsdale/Phoenix, Ariz.

Mayo Clinic principal investigator

Jennifer Horsley-Silva, M.D.

Closed for enrollment

Contact information:

Karalyn Folmes Ph.D.

(480) 301-4298

Folmes.Karalyn@mayo.edu

More information

Publications

Publications are currently not available