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Eosinophilic Esophagitis (EoE)Phase 3NCT03245840

Continuation Study With Budesonide Oral Suspension (BOS) for Adolescent and Adult Participants With Eosinophilic Esophagitis (EoE)

A Phase 3 study testing Budesonide oral suspension in people with Eosinophilic Esophagitis (EoE), run by Shire at 45 sites in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This is a continuation study of Budesonide Oral Suspension (BOS) in adults and adolescents with Eosinophilic Esophagitis (EoE) who have completed participation in the SHP621-302 extension study. The purpose of this study is to see if BOS is safe and well tolerated over the long-term in adolescents and adults with EoE. Read more about this study

Who is it for?
Ages 11 to 55 years
Conditions the study is for
Eosinophilic Esophagitis (EoE)
What is being tested?
Budesonide oral suspension
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
133 participants
Where
45 sitesUnited States
Study dates
5 Oct 2017to 26 Apr 2022
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 11 to 55 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Participant completed the SHP621-302 (NCT02736409) extension study and is considered by the investigator to potentially benefit from continued BOS investigational treatment.
  • Participant is able to provide written informed consent (participant, parent or legal guardian and, as appropriate, participant assent) to participate in the study before completing any study-related procedures.
  • Females of childbearing potential must agree to continue acceptable birth control measures (example (e.g.): abstinence, surgically sterile male partner, stable oral contraceptives, or double-barrier methods) throughout study participation.
  • Participant is willing and has an understanding and ability to fully comply with study procedures and restrictions as defined in protocol.

Who cannot join

  • Participant has changes in medications or diet during the SHP621-302 (NCT02736409) study that could affect participation in this continuation study.
  • Participant anticipates using swallowed topical corticosteroid for EoE or systemic corticosteroid for any condition during the treatment period; any temporary use (less than or equal to [≤] 7 days) or initiation of new steroid treatment during the study should be documented and discussed with the medical monitor prospectively but should be avoided within 4 weeks of the scheduled esophagogastroduodenoscopy (EGDs).
  • Participant anticipates use of Cytochrome P450 3A4 inhibitors (e.g., ketoconazole, grapefruit juice) during the continuation study.
  • Participant has an appearance at the EGD at the final treatment evaluation visit of SHP621-302 (NCT02736409) (Visit 8) of an esophageal stricture (high grade), as defined by the presence of a lesion that does not allow passage of a diagnostic adult upper endoscope (e.g., with an insertion tube diameter of greater than (>) 9 millimeter [mm]).
  • Participant has presence of esophageal varices at the EGD at the final treatment evaluation visit (Visit 8) of the SHP621-302 (NCT02736409) study.
  • Participant has any current disease of the gastrointestinal tract, aside from EoE, including eosinophilic gastritis, enteritis, colitis, or proctitis, inflammatory bowel disease, or celiac disease.
Show all 15Show fewer
  • Participant has other diseases causing or associated with esophageal eosinophilia, including hypereosinophilic syndrome, collagen vascular disease, vasculitis, achalasia, or parasitic infection.
  • Participant has oropharyngeal or esophageal candidiasis that failed to respond to previous treatment. Diagnosis with oropharyngeal or esophageal candidiasis at or since the final treatment evaluation visit (Visit 8) of the SHP621-302 (NCT02736409) study is not an exclusion as long as the participant is expected to respond to treatment.
  • Participant has a potentially serious acute or chronic infection or immunodeficiency condition, including tuberculosis, fungal, bacterial, viral/parasite infection, ocular herpes simplex, or chicken pox/measles.
  • Participant has upper gastrointestinal bleeding identified at the EGD at the final treatment evaluation visit (Visit 8) of the SHP621-302 (NCT02736409) study.
  • Participant has evidence of active infection with Helicobacter pylori.
  • Participant has evidence of unstable asthma.
  • Participant is female and pregnant or nursing.
  • Participant has a history of intolerance, hypersensitivity, or idiosyncratic reaction to budesonide (or any other corticosteroids), or to any other ingredients of the study medication.
  • Participant has a history or high risk of noncompliance with treatment or regular clinic visits.

Trial locations and contacts

45 sites in 1 country.

45 sites in 1 country

United States45 sites
  • Mount Sinai Hospital, Icahn School of Medicine

    Astoria, New York, 11102

  • Childrens Center For Digestive Healthcare

    Atlanta, Georgia, 30342

  • Colorado Children's Hospital

    Aurora, Colorado, 80045

  • Gastroenterology Associates, LLC

    Baton Rouge, Louisiana, 70809

  • Children's Hospital

    Birmingham, Alabama, 35233

  • Tufts Medical Center

    Boston, Massachusetts, 00211

  • Boston Children's Hospital

    Boston, Massachusetts, 02115

  • Connecticut Clinical Research Foundation

    Bristol, Connecticut, 06010

  • University of North Carolina at Chapel Hill

    Chapel Hill, North Carolina, 27514

  • Clinical Research of Charlotte

    Charlotte, North Carolina, 28277

  • Brigham and Womens Hospital

    Chestnut Hill, Massachusetts, 02467

  • Northwestern University

    Chicago, Illinois, 60611

  • Cincinnati Children's Hospital Medical Center

    Cincinnati, Ohio, 45229

  • University of Cincinnati

    Cincinnati, Ohio, 45267

  • Cleveland Clinic

    Cleveland, Ohio, 44195

  • Asthma and Allergy Associates PC

    Colorado Springs, Colorado, 80907

  • Gastrointestinal and Liver Diseases Consultants PC

    Dayton, Ohio, 45440

  • Rocky Mountain Pediatric Gastroenterology

    Denver, Colorado, 80218

  • Gastro One

    Germantown, Tennessee, 38138

  • Long Island Gastrointestinal Research Group LLP

    Great Neck, New York, 11023

  • Greenville Hospital

    Greenville, South Carolina, 29615

  • Connecticut Children's Medical Center

    Hartford, Connecticut, 06106

  • Connecticut GI

    Hartford, Connecticut, 06106

  • Houston Endoscopy and Research Center

    Houston, Texas, 77024

  • Grand Teton Research Group

    Idaho Falls, Idaho, 83404

  • Nature Coast Clinical Research LLC

    Inverness, Florida, 34452

  • University of Iowa Hospitals and Clinics

    Iowa City, Iowa, 52242

  • Emeritas Research Group

    Lansdowne Town Center, Virginia, 20176

  • Indiana University

    Louisville, Kentucky, 40202

  • Blue Ridge Medical Research

    Lynchburg, Virginia, 24502

  • Gastroenterology Associates of Central Georgia

    Macon, Georgia, 31201

  • Great Lakes Gastroenterology

    Mentor, Ohio, 44060

  • Clinical Trials Management LLC

    Metairie, Louisiana, 70006

  • Vanderbilt University Medical Center

    Nashville, Tennessee, 37212

  • Gastroenterology of Southern Indiana

    New Albany, Indiana, 47150

  • Arkansas Gastroenterology

    North Little Rock, Arkansas, 72117

  • Advanced Research Institute

    Ogden, Utah, 84405

  • Digestive Disease Specialists, Inc.

    Oklahoma City, Oklahoma, 73112

  • Arnold Palmer Hospital for Children

    Orlando, Florida, 32806

  • Phoenix Childrens Hospital

    Phoenix, Arizona, 85016

  • Minnesota Gastroenterology PA

    Plymouth, Minnesota, 55446

  • Primary Children's Hospital, University of Utah

    Salt Lake City, Utah, 84132

  • Rady Children's Hospital San Diego

    San Diego, California, 92123

  • Cotton O'Neil Clinical Research Center

    Topeka, Kansas, 66606

  • Del Sol Research Management

    Tucson, Arizona, 85712

Other trials in United States

About this study

Official title: A Phase 3, Multicenter, Open-label Continuation Study With Budesonide Oral Suspension (BOS) for Adolescent and Adult Subjects With Eosinophilic Esophagitis (EoE)

This is a continuation study of Budesonide Oral Suspension (BOS) in adults and adolescents with Eosinophilic Esophagitis (EoE) who have completed participation in the SHP621-302 extension study. The purpose of this study is to see if BOS is safe and well tolerated over the long-term in adolescents and adults with EoE.

Being tested
Budesonide oral suspension
Medical subject headings
Eosinophilic Esophagitis

What participants receive

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

  • Budesonide oral suspensionDrug

    BOS 10 mL twice daily.

Study groups in NCT03245840
Study groupRoleWhat they receive
Budesonide Oral SuspensionExperimentalParticipants received 10 milliliters (mL) of budesonide oral suspension at a concentration of 0.2 milligram per milliliter (mg/mL), twice daily, for up to 4 years 5 months.
Receives: Drug: Budesonide oral suspension

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 (TEAEs) and Serious TEAEs

    An adverse event (AE) was any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. A Serious Adverse Event (SAE) was any untoward medical occurrence (whether considered to be related to investigational product or not) that at any dose: results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital abnormality/birth defect, and is an important medical event. Both serious and Non-serious TEAEs were reported in this outcome measure. TEAEs were defined as AEs with a start date on or after the first dose of investigational product or a start date before the date of the first dose of investigational product that increased in severity or after the date of the first dose.

    Measured: From start of study drug administration up to End of study (EOS) (Up to Month 53)

  2. Number of Participants With Clinically Significant Physical Examination Findings

    Number of participants with clinically significant physical examination findings were reported. Clinical significance was determined by investigator.

    Measured: From start of study drug administration up to EOS (Up to Month 53)

  3. Number of Participants With Clinically Significant Change From Baseline in Vital Signs

    Participants were assessed by investigator for any clinically significant changes in vital parameters like temperature, systolic and diastolic blood pressure, pulse, respiratory rate, BMI, and weight. Vital signs were assessed after the participant had been in a supine position for at least 5 minutes immediately prior to the assessment. The criteria for clinically significant change was as per the investigators discretion.

    Measured: From start of study drug administration up to EOS (Up to Month 53)

  4. Change From Baseline in Bone Mineral Density (BMD) For Adolescents Assessed by Dual-Energy X-ray Absorptiometry (DXA) Scan at Month 12

    The sites for DXA measurement were the lumbar spine at lumbar vertebrae 1 to 4 (L1-L4) and whole body. DXA scans for determination of BMD and body composition was performed in participants aged 11-17 years. Z-score indicates the number of standard deviations away from a reference population in the same age range and with the same sex. In this study, the BMD Z-score is considered abnormal when the z-score is less than (<) -2, suggesting a worse outcome (i.e., osteoporosis). Change from baseline in BMD for adolescents assessed by DXA Scan at Month 12 was reported.

    Measured: Baseline, Month 12

  5. Change From Baseline in BMD For Adolescents Assessed by DXA Scan at Month 24

    The sites for DXA measurement were the lumbar spine at lumbar vertebrae 1 to 4 (L1-L4) and whole body. DXA scans for determination of BMD and body composition was performed in participants aged 11-17 years. Z-score indicates the number of standard deviations away from a reference population in the same age range and with the same sex. In this study, the BMD Z-score is considered abnormal when the z-score is <-2, suggesting a worse outcome (i.e., osteoporosis) and vice versa. Change from baseline in BMD for adolescents assessed by DXA Scan at Month 24 was reported.

    Measured: Baseline, Month 24

  6. Change From Baseline in BMD For Adolescents Assessed by DXA Scan at Month 36

    The sites for DXA measurement were the lumbar spine at lumbar vertebrae 1 to 4 (L1-L4) and whole body. DXA scans for determination of BMD and body composition was performed in participants aged 11-17 years. Z-score indicates the number of standard deviations away from a reference population in the same age range and with the same sex. In this study, the BMD Z-score is considered abnormal when the z-score is < -2, suggesting a worse outcome (i.e., osteoporosis) and vice versa. Change from baseline in BMD for adolescents assessed by DXA Scan at Month 36 was reported.

    Measured: Baseline, Month 36

  7. Change From Baseline in BMD For Adolescents Assessed by DXA Scan at Month 48

    The sites for DXA measurement were the lumbar spine at lumbar vertebrae 1 to 4 (L1-L4) and whole body. DXA scans for determination of BMD and body composition was performed in participants aged 11-17 years. Z-score indicates the number of standard deviations away from a reference population in the same age range and with the same sex. In this study, the BMD Z-score is considered abnormal when the z-score is < -2, suggesting a worse outcome (i.e., osteoporosis) and vice versa. Change from baseline in BMD for adolescents assessed by DXA Scan at Month 48 was reported.

    Measured: Baseline, Month 48

  8. Change From Baseline in BMD For Adolescents Assessed by DXA Scan at EOS (Up to Month 53)

    The sites for DXA measurement were the lumbar spine at lumbar vertebrae 1 to 4 (L1-L4) and whole body. DXA scans for determination of BMD and body composition was performed in participants aged 11-17 years. Z-score indicates the number of standard deviations away from a reference population in the same age range and with the same sex. In this study, the BMD Z-score is considered abnormal when the z-score is < -2, suggesting a worse outcome (i.e., osteoporosis) and vice versa. Change from baseline in BMD for adolescents assessed by DXA Scan at EOS (up to Month 53) was reported.

    Measured: Baseline, EOS (Up to Month 53)

  9. Change From Baseline in Cortisol Level After Adrenocorticotropic Hormone (ACTH) Stimulation at Month 12

    ACTH testing was a standard procedure to measure the levels of cortisol in the blood following the injection of a synthetic form of ACTH (250 microgram [mcg]). The type of synthetic and route of administration was per investigator discretion. The change from baseline in cortisol levels was calculated at Month 12 and reported in this outcome measure.

    Measured: Baseline, Month 12

  10. Change From Baseline in Cortisol Level After ACTH Stimulation at Month 24

    ACTH testing was a standard procedure to measure the levels of cortisol in the blood following the injection of a synthetic form of ACTH (250 microgram [mcg]). The type of synthetic and route of administration was per investigator discretion. The change from baseline in cortisol levels was calculated at Month 24 and reported in this outcome measure.

    Measured: Baseline, Month 24

  11. Change From Baseline in Cortisol Level After ACTH Stimulation at Month 36

    ACTH testing was a standard procedure to measure the levels of cortisol in the blood following the injection of a synthetic form of ACTH (250 microgram [mcg]). The type of synthetic and route of administration was per investigator discretion. The change from baseline in cortisol levels was calculated at Month 36 and reported in this outcome measure.

    Measured: Baseline, Month 36

  12. Change From Baseline in Cortisol Level After ACTH Stimulation at Month 48

    ACTH testing was a standard procedure to measure the levels of cortisol in the blood following the injection of a synthetic form of ACTH (250 microgram [mcg]). The type of synthetic and route of administration was per investigator discretion. The change from baseline in cortisol levels was calculated at Month 48 and reported in this outcome measure.

    Measured: Baseline, Month 48

  13. Change From Baseline in Cortisol Level After ACTH Stimulation at EOS (Up to Month 53)

    ACTH testing was a standard procedure to measure the levels of cortisol in the blood following the injection of a synthetic form of ACTH (250 microgram [mcg]). The type of synthetic and route of administration was per investigator discretion. The change from baseline in cortisol levels was calculated at EOS (up to Month 53) and reported in this outcome measure.

    Measured: Baseline, EOS (Up to Month 53)

  14. Number of Participants With Clinically Significant Changes in Clinical Laboratory Assessments

    Clinical laboratory parameters included hematology, chemistry, urinalysis; urine pregnancy test. Number of participants with potential clinically significant changes in laboratory parameters which were deemed clinically meaningful by the investigator were reported.

    Measured: From start of study drug administration up to EOS (Up to Month 53)

Timeline

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

  1. First posted10 Aug 2017
  2. Study start5 Oct 2017
  3. Primary completion26 Apr 2022
  4. Study completion26 Apr 2022

Why it stopped: Sponsor decision

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
133 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03245840
Sponsor's protocol ID
SHP621-303
Status last verified
Nov 2022
First submitted
8 Aug 2017
Last updated
19 Feb 2025
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No: De-identified individual participant data from this particular study will not be shared as the data are subject to contractual (or consent) provisions that prohibit transfer to third parties.

Publications

  • Dellon ES, Katzka DA, Mukkada VA, Collins MH, Falk GW, Richmond CA, Terreri B, Thakur M, Boules M, Goodwin B, Hirano I. Long-term Safety and Efficacy of Budesonide Oral Suspension for Eosinophilic Esophagitis: A 4-Year, Phase 3, Open-Label Study. Clin Gastroenterol Hepatol. 2025 Nov;23(12):2155-2166.e5. doi: 10.1016/j.cgh.2024.12.024. Epub 2025 Feb 13.

    PubMed 39954913

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Budesonide oral suspension in people with Eosinophilic Esophagitis (EoE), run by Shire at 45 sites in United States.

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 15 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: stopped early, as of the sponsor's last update on 19 Feb 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 45 sites in United States. 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 7 Dec 2022). 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 (TEAEs) and Serious TEAEs (time frame: From start of study drug administration up to End of study (EOS) (Up to Month 53)). The study lists 14 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03245840, which also lists 1 linked publication.

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 19 Feb 2025.

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