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Eosinophilic EsophagitisPhase 3NCT00635089

Open-Label Extension Study of Reslizumab in Pediatric Subjects With Eosinophilic Esophagitis

A Phase 3 study testing reslizumab in people with Eosinophilic Esophagitis, run by Ception Therapeutics at 36 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study is an open-label study where all subjects will receive active drug, reslizumab. Subjects are able to enter this trial only through completion of study Res-05-0002 (NCT00538434). The goal of the study is to show longer term safety and efficacy in pediatric subjects who have eosinophilic esophagitis. Read more about this study

Who is it for?
Ages 5 years and older
Conditions the study is for
Eosinophilic Esophagitis
What is being tested?
reslizumab
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
190 participants
Where
36 sitesin 2 countries
Study dates
Jul 2008to Jan 2012
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 5 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Informed consent
  • Received at least two doses of study drug in Study Res-05-0002 (NCT00538434)
  • Did not withdraw from Study Res-05-0002 due to drug related adverse event
  • Completed End of Treatment Visit for Study Res-05-0002

Who cannot join

  • Pregnant or nursing females
  • Concurrent Immunodeficiency
  • Current use of immunosuppressive drugs
  • Did not tolerate study drug in Study Res-05-0002

Trial locations and contacts

36 sites in 2 countries.

36 sites in 2 countries

United States34 sites
  • Children's Center for Digestive Health Care

    Atlanta, Georgia, 30342

  • Denver Childrens At Aurora, Colorado

    Aurora, Colorado, 80045

  • Sinai Hospital of Baltimore

    Baltimore, Maryland, 21215

  • The Children's Hospital of Alabama

    Birmingham, Alabama, 35233

  • Tuft's Floating Hospital

    Boston, Massachusetts, 02111

  • 1st Allergy and Clinical Research Center

    Centennial, Colorado, 80112

  • University of Chicago

    Chicago, Illinois, 60637

  • Children'S Memorial Hospital Division of Gastroenterology Hepatology & Nutrition

    Chicago, Illinois, 66014

  • Cincinnati Children's

    Cincinnati, Ohio, 45229

  • Nationwide Children's Hospital

    Columbus, Ohio, 43205

  • University of Texas Southwest Medical Center

    Dallas, Texas, 75390

  • Pediatric Allergy and Immunology of Duke Medical Center

    Durham, North Carolina, 27720

  • Greenville Health System

    Greenville, South Carolina, 29615

  • Kaiser Permanente Hospital- Pediatric Gastroenterology

    Hayward, California, 94545

  • Riley Hospital for Children

    Indianapolis, Indiana, 46202

  • Las Vegas Pediatric Gastroenterology Associates

    Las Vegas, Nevada, 89109

  • Arkansas Children's Hospital/University of Arkansas for Medical Sciences

    Little Rock, Arkansas, 72202

  • South Jersey Pediatric Gastroenterology

    Mays Landing, New Jersey, 08330

  • Medical College of Wisconsin

    Milwaukee, Wisconsin, 53226

  • Mount Sinai School of Medicine, Pediatrics

    New York, New York, 10029

  • Creighton University Medical Center

    Omaha, Nebraska, 68131

  • Children'S Hospital of Orange County Pediatric Subspecialty Faculty Division of Allergy and Asthma

    Orange, California, 92868

  • Pediatric Allergy/Immunology

    Palo Alto, California, 94305

  • Children's Hospital of Philadelphia

    Philadelphia, Pennsylvania, 19104

  • Minnesota Gastroenterology

    Plymouth, Minnesota, 55446

  • Children's Pavilion

    Richmond, Virginia, 23298-0264

  • Carilion Medical Center for Children

    Roanoke, Virginia, 24013

  • University of Utah School of Medicine

    Salt Lake City, Utah, 84113

  • Children's Hospital of San Diego

    San Diego, California, 92123

  • Saint Louis University

    St Louis, Missouri, 63104

  • State University of New York (SUNY)

    Syracuse, New York, 13210

  • University of Arizona Dept. of Pediatrics

    Tucson, Arizona, 85724

  • Center for Digestive Allergic and Immunologic Diseases

    Williamsville, New York, 14221

  • Thomas Jefferson University Medical College

    Wilmington, Delaware, 19803

Other trials in United States

Canada2 sites
  • Pediatric Allergy and Immunology

    Edmonton, Alberta, T6G 2C8

  • University of Montreal

    Montreal, Quebec, H3T 1C5

Other trials in Canada

About this study

Official title: An Open-Label Safety and Efficacy Study of Reslizumab (CTx55700) for the Treatment of Pediatric Subjects With Eosinophilic Esophagitis Who Completed Study Res-5-0002

This study is an open-label study where all subjects will receive active drug, reslizumab. Subjects are able to enter this trial only through completion of study Res-05-0002 (NCT00538434).

The goal of the study is to show longer term safety and efficacy in pediatric subjects who have eosinophilic esophagitis.

Read the detailed description

Subjects will enter this open-label extension study after completing the placebo-controlled, double-blind study Res-5-0002 (NCT00538434). The end of study visit for Res-05-0002 will serve as the screening visit for this trial.

All subjects will receive reslizumab and be followed by their principal investigators in an unblinded fashion. Visits and administration of reslizumab will be monthly.

Being tested
reslizumab
Keywords
Eosinophilic Esophagitis, Cinquil
Medical subject headings
Eosinophilic Esophagitis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • reslizumabDrug

    Also called Cinquil™, CEP-38072, CTx55700

Study groups in NCT00635089
Study groupRoleWhat they receive
Open-Label ReslizumabOtherOpen-label reslizumab intravenous (IV) infusion at an initial dose of 1 mg/kg monthly
Receives: Drug: reslizumab

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Treatment-emergent Adverse Events (AEs), Serious AEs, or Discontinuation Due to AEs

    An AE was defined as any adverse experience, including side effect, injury, toxicity, sensitivity reaction, intercurrent illness, or sudden death, whether or not it was considered related to the use of study drug. Treatment emergent adverse events were those that started any time after the administration of the first dose of study drug (at baseline of this study) and before the cessation of study drug. Serious adverse events that occurred any time after the administration of the first dose of study drug until 30 days after administration of the last dose of study drug were reported as treatment emergent serious adverse events.

    Measured: From start of study drug until end of treatment (mean [standard deviation {SD}] duration of treatment was 30.0 [5.89] months)

  2. Number of Participants With at Least 1 Potentially Clinically Significant Abnormal Hematology Value

    Hematology laboratory tests performed include: hemoglobin, hematocrit, red blood cell count, mean cell volume, mean cell hemoglobin, mean cell hemoglobin concentration, platelet count, white blood cell count, and differential count and percentage (polymorphonuclear leukocytes [neutrophils], lymphocytes, eosinophils, monocytes, basophils, platelets).

    Measured: From start of study drug until end of treatment (mean [SD] duration of treatment was 30.0 [5.89] months)

  3. Number of Participants With at Least 1 Potentially Clinically Significant Abnormal Serum Chemistry Laboratory Test Results or Urinalysis Abnormality

    Serum chemistry laboratory tests performed include: calcium, phosphorus, magnesium, sodium, potassium, chloride, creatinine, glucose [nonfasting], blood urea nitrogen, total cholesterol, uric acid, alanine aminotransferase, aspartate aminotransferase, lactate dehydrogenase, gamma glutamyl transpeptidase, alkaline phosphatase, bicarbonate, creatine kinase, total protein, albumin, total bilirubin, direct bilirubin, indirect bilirubin. Urinalysis tests performed include: protein, glucose, ketones, bilirubin, urobilinogen, nitrite content, pH, specific gravity, white blood cells, microscopic (red blood cells, white blood cells, casts, crystals).

    Measured: From start of study drug until end of treatment (mean [SD] duration of treatment was 30.0 [5.89] months)

  4. Number of Participants With at Least 1 Potentially Clinically Significant Abnormal Vital Signs Value

    Low systolic blood pressure: < 90 and decrease (↓) of 30 mm Hg from baseline (BL) (ages 5-18); high systolic blood pressure: > 160 and increase (↑) of 30 mm Hg from BL (age 5-12), > 130 and ↑ of 30 mm Hg from BL (age 13-18). Low diastolic blood pressure: < 45 and ↓ of 12 mm Hg from BL (age 5-12), < 55 and ↓ of 12 mm Hg from BL (age 13-18), < 50 and ↓ of 15 mm Hg from BL; high diastolic blood pressure: > 85 and ↑ of 12 mm Hg from BL (ages 5-18). Low heart rate: < 80 and and ↓ of 30 beats per minute (bpm) from BL (age 5-12), < 60 and and ↓ of 30 bpm from BL (age 13-18), < 50 and and ↓ of 15 bpm from BL (age > 18); high heart rate: > 120 and ↑ of 30 bpm from BL (age 5-12), > 100 and ↑ of 30 bpm from BL (age 13-18), > 100 and ↑ of 15 bpm from BL (age > 18). Low oral body temperature: < 35.8° Celsius (age 5 to >18); high oral body temperature: > 38.1° C and ↑ 2° Celsius from BL (age 5-18).

    Measured: From start of study drug until end of treatment (mean [SD] duration of treatment was 30.0 [5.89] months)

  5. Number of Participants With Newly Diagnosed Physical Examination Abnormalities at Endpoint

    HEENT=head, eyes, ears, nose and throat.

    Measured: From start of study drug until end of treatment (mean [SD] duration of treatment was 30.0 [5.89] months)

  6. Infusion Site Evaluations

    The infusion site was assessed before treatment and within 30 minutes after the end of the infusion at each monthly treatment visit (or at early withdrawal if before Week 16). The infusion site was graded according to a 5-point scale as follows: 0=no tenderness at IV site, no erythema, no swelling, no induration, no purulence, no palpable venous cord; 1=tender IV site, no erythema, no swelling, no induration, no purulence, no palpable venous cord; 2=tender IV site with erythema, some degree of swelling, no induration, no purulence, no palpable venous cord; 3=tender IV site with erythema and swelling, with induration or palpable venous cord, no purulence; 4=frank vein thrombosis, along with all signs of grade 3 with purulence; IV may stop running because of thrombosis. After the 16-week visit, formal infusion site evaluations were not continued. However, any infusion site reactions were recorded as adverse events and graded as other adverse events.

    Measured: Day 0, Weeks 4, 8, 12, 16, endpoint (last visit), any time during study (mean [SD] duration of treatment was 30.0 [5.89] months)

  7. Therapeutic Classification of Concomitant Medications in at Least 10% of Participants

    Number of participants receiving therapeutic classes of concomitant medications.

    Measured: From start of study drug until end of treatment (mean [SD] duration of treatment was 30.0 [5.89] months)

Secondary outcomes (7)
  1. Mean Change From Baseline to Endpoint in Peak Esophageal Eosinophil Counts

    The mean change from baseline in esophageal eosinophil levels was described at week 16 or early withdrawal (if before week 16), using descriptive statistics. Baseline was defined as the last assessment before the first dose of reslizumab, which was the baseline of the double-blind study (NCT00538434) for patients who received reslizumab in the double blind study or the baseline of the open-label study for patients who received placebo during the double-blind study.

    Measured: Baseline, Week 16 or early withdrawal (if before Week 16)

  2. Participant's EoE Predominant Symptoms Over Time

    The data from the patient's/parent's eosinophilic esophagitis (EoE) Symptom Assessment were used to assess the shift from baseline in Predominant Symptom Assessment. The predominant symptom of the participant's/parent's EoE Symptom Assessment was selected at the double-blind baseline visit and remained the same throughout this study. Using the EoE Symptom Assessment, the participant/parent or legal guardian rated the severity of the previous week's EoE symptoms as none, mild, moderate, severe, or very severe on a 5-point scale. Only the predominant symptom selected for each participant contributed to the overall analysis of the Predominant Symptom Assessment and the subgroup analyses of individual symptoms. Thus, for the Predominant Symptom Analysis, some patients had dysphagia assessed, while others had either abdominal/chest pain or vomiting/regurgitation assessed.

    Measured: Every 3 weeks from Day 0 up to Week 42 (mean [SD] duration of treatment was 30.0 [5.89] months)

  3. Physician's EoE Global Assessment Over Time

    The data from the participant's/parent's EoE Symptom Assessment, in combination with other observations, were used by physicians to determine the Physician's EoE Global Assessment. All components of the patient's EoE Symptom Assessment were used by physicians to determine the Physician's EoE Global Assessment.

    Measured: Every 3 weeks from Day 0 up to Week 42 (mean [SD] duration of treatment was 30.0 [5.89] months)

  4. Mean Change From Baseline to Endpoint in Selected Child Health Questionnaire (CHQ) Scores

    The Child Health Questionnaire comprises 50 items. Specific items are recoded and/or recalibrated. Raw scores for scales (domains calculated over one or more items) are then calculated following set algorithms. The raw scales are then transformed to 0 to 100 scores, except for Change in Health which remains a 1-5 score. Finally two summary measures are calculated based on weighted combinations of selected scales. The Global Health, Physical Summary Score and Psychosocial Summary Score were summarized. For each, scores range from 0 (higher disease activity) to 100 (lower disease activity); higher scores indicate better health.

    Measured: Baseline through Endpoint (last visit; mean [SD] duration of treatment was 30.0 [5.89] months)

  5. Dietary Question Responses at Endpoint

    Number of participants answering that they either maintained or changed their diet from the beginning of the double-blind study (ie, NCT00538434). Additionally, for those participants who answered that they changed their diet from the beginning of the double-blind study (column 2), the number of participants in that group who changed by increasing the consistency of their food ('Increased consistency') and the percentage that changed by eating foods that previously worsened EoE ('Added foods'). (Note that these 2 categories are not mutually exclusive, so that someone could have both increased the consistency of the food they were eating AND also eaten foods that previously worsened their EoE symptoms.)

    Measured: Study endpoint (mean [SD] duration of treatment was 30.0 [5.89] months)

  6. Reslizumab Serum Concentrations

    Reslizumab serum concentrations obtained in this study were included in ongoing and separate population pharmacokinetic analyses. The Number of Participants Analyzed reflects the number of participants who had concentrations measured following that dose level. Since some participants started on 1 mg/kg and later increased to 2 mg/kg (and are therefore represented in more than one column), the number of participants in each column add up to a greater number than the total in the overall column, which reflects the total number of participants with measurable concentration data in this study. The number of concentrations summarized for that dose level represents more than one concentration per participant in most cases.

    Measured: Before treatment (within 3 hours) and after treatment (within 3 hours after end of infusion) for doses at Weeks 8 and 12; within 6 days after either dose at Weeks 8 or 12; 2 to 4 weeks after dose at Weeks 8 or 12; and at premature withdrawal.

  7. Number of Participants With >/= 1 Confirmed Positive Value for Anti-drug Antibodies (ADA)

    Using a validated enzyme-linked immunosorbent assay (ELISA), the number of participants who had at least 1 confirmed positive value for ADA, either on day 0 after having received reslizumab in the double-blind study Res-05-0002 (NCT00538434) or during the course of the open-label study.

    Measured: From start of study drug until end of treatment (mean [SD] duration of treatment was 30.0 [5.89] months)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 Mar 2008 (estimated)
  2. Study startJul 2008
  3. Primary completionJan 2012
  4. Study completionJan 2012

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
190 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00635089
Sponsor's protocol ID
Res-5-0004
Status last verified
Feb 2017
First submitted
6 Mar 2008
Last updated
23 Mar 2017
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing reslizumab in people with Eosinophilic Esophagitis, run by Ception Therapeutics at 36 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 23 Mar 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 36 sites in United States, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 23 Mar 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With Treatment-emergent Adverse Events (AEs), Serious AEs, or Discontinuation Due to AEs (time frame: From start of study drug until end of treatment (mean [standard deviation {SD}] duration of treatment was 30.0 [5.89] months)). The study lists 7 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Mar 2017.

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