AzTrials
AzTrials

Eosinophilic OesophagitisPhase 4NCT06101095

A Study Assessing Esophageal Function and Remodeling With Dupilumab Compared With Placebo for 24 Weeks Followed by 104 Weeks Open Label in Adult Participants With EoE (REMOdeling With Dupilumab in Eosinophilic Esophagitis Long-term Trial)

A Phase 4 study testing Dupilumab in people with Eosinophilic Oesophagitis, run by Sanofi at 30 sites in 5 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

This is parallel, Phase 4 study which consists of a 24 week (0.5 years) randomized, double blind, placebo controlled, 2-arm treatment period followed by an open label segment of 104 weeks (2 years) for a total of 128 weeks (2.5 years) to evaluate the effect of dupilumab treatment on esophageal function, and remodeling… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Eosinophilic Oesophagitis
What is being tested?
Dupilumab
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
69 participants
Where
30 sitesin 5 countries
Study dates
29 Nov 2023to 1 Feb 2028
Phase
Phase 4
Are there results?
Not yet: the study is under way

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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • A documented diagnosis of EoE by endoscopic biopsy.
  • Baseline endoscopic biopsies with a demonstration on central reading of intraepithelial eosinophilic infiltration.
  • History (by participant report) of an average of at least 2 episodes of dysphagia (with intake of solids) per week in the 4 weeks prior to screening.
  • Body weight ≥40 kg.

Who cannot join

  • Participants are excluded from the study if any of the following criteria apply:
  • Other causes of esophageal eosinophilia or the following conditions: hypereosinophilic syndrome or eosinophilic granulomatosis with polyangiitis (Churg Strauss syndrome).
  • Active Helicobacter pylori infection.
  • History of achalasia, Crohn's disease, ulcerative colitis, celiac disease, and prior esophageal surgery.
  • Any esophageal stricture unable to be passed with a standard, diagnostic, 9 to10 mm upper endoscope or any critical esophageal stricture that requires dilation at screening.
  • History of bleeding disorders or esophageal varices.
Show all 10Show fewer
  • Treatment with swallowed topical corticosteroids within 8 weeks prior to baseline.
  • Initiation or change of a food elimination diet regimen or reintroduction of a previously eliminated food group in the 6 weeks prior to screening.
  • Participation in prior dupilumab clinical study or participants currently treated or have been treated with commercially available dupilumab or contraindicated to dupilumab per local labelling.
  • The above information is not intended to contain all considerations relevant to a potential participation in a clinical trial

Trial locations and contacts

30 sites in 5 countries.

30 sites in 5 countries

United States15 sites
  • Treasure Valley Medical Research- Site Number : 8400018

    Boise, Idaho, 83706

  • University of North Carolina at Chapel Hill- Site Number : 8400007

    Chapel Hill, North Carolina, 27514

  • Northwestern University- Site Number : 8400003

    Chicago, Illinois, 60611

  • Cleveland Clinic - Cleveland- Site Number : 8400009

    Cleveland, Ohio, 44195

  • GI Alliance - Glenview- Site Number : 8400012

    Glenview, Illinois, 60026

  • Illinois Gastroenterology Group- Site Number : 8400004

    Gurnee, Illinois, 60031

  • Private Practice - Dr. Martin Yudovich- Site Number : 8400015

    Houston, Texas, 77087

  • University of Iowa- Site Number : 8400006

    Iowa City, Iowa, 52242

  • Borland Groover Clinic- Site Number : 8400016

    Jacksonville, Florida, 32256

  • GI Alliance - Mansfield- Site Number : 8400017

    Mansfield, Texas, 76063

  • United Gastroenterologists - Murrieta- Site Number : 8400001

    Murrieta, California, 92563

  • Penn Medicine: University of Pennsylvania Health System- Site Number : 8400010

    Philadelphia, Pennsylvania, 19104

  • Mayo Clinic Hospital Rochester- Site Number : 8400008

    Rochester, Minnesota, 55905

  • University of California San Francisco - Parnassus Heights- Site Number : 8400020

    San Francisco, California, 94143

  • University of Massachusetts Chan Medical School- Site Number : 8400019

    Worcester, Massachusetts, 01655

Other trials in United States

Brazil5 sites
  • Clínica Loema - Unidade I- Site Number : 0760007

    Campinas, São Paulo, 13010-001

  • Hospital São Lucas da PUCRS - Porto Alegre - Avenida Ipiranga- Site Number : 0760006

    Porto Alegre, Rio Grande do Sul, 90610-000

  • Itaigara Memorial - Hospital Dia- Site Number : 0760005

    Salvador, Estado de Bahia, 41825-010

  • Hospital Alemao Oswaldo Cruz - São Paulo- Site Number : 0760003

    São Paulo, 01323-020

  • Clinica de Alergia Martti Antila- Site Number : 0760001

    Sorocaba, São Paulo, 18040-425

Other trials in Brazil

Israel5 sites
  • Investigational Site Number : 3760006

    Haifa, 3104802

  • Investigational Site Number : 3760002

    Haifa, 3109601

  • Investigational Site Number : 3760005

    Jerusalem, 9103102

  • Investigational Site Number : 3760004

    Jerusalem, 9112001

  • Investigational Site Number : 3760003

    Tel Aviv, 6423906

Other trials in Israel

Canada3 sites
  • Investigational Site Number : 1240002

    Montreal, Quebec, H4A 3T2

  • Investigational Site Number : 1240006

    Vancouver, British Columbia, V5Z 1M9

  • Investigational Site Number : 1240004

    Vancouver, British Columbia, V6Z 2K5

Other trials in Canada

Switzerland2 sites
  • Investigational Site Number : 7560001

    Wetzikon, 8620

  • Investigational Site Number : 7560002

    Zurich, 8091

Other trials in Switzerland

About this study

Official title: A Phase 4, Randomized, Multicenter, Double-blind, Parallel-group, 24 Weeks, Placebo-controlled Study Followed by 104 Weeks Open-label to Assess Dupilumab Efficacy on Esophageal Function and Remodeling in Adult Participants With Eosinophilic Esophagitis (EoE)

This is parallel, Phase 4 study which consists of a 24 week (0.5 years) randomized, double blind, placebo controlled, 2-arm treatment period followed by an open label segment of 104 weeks (2 years) for a total of 128 weeks (2.5 years) to evaluate the effect of dupilumab treatment on esophageal function, and remodeling in adults with eosinophilic esophagitis.

Duration of study period (per participant)

Read more
  • Screening period: Up to 12 weeks before Week 0
  • Randomized double-blind period: 24 weeks
  • Open label period: 104 weeks
  • Post Investigational Medicinal Product (IMP) intervention follow-up period: up to 12 weeks or until the participants switch to commercialized dupilumab, whatever comes first.

There will be ten (10) site visits, and five (5) direct-to-participant IMP delivery visits (except if prohibited by local regulatory authorities or if participant is not willing. In this case, IMP will be dispensed at the study site).

Read the detailed description

The duration per participant will be up to 152 weeks.

Being tested
Dupilumab, Placebo
Medical subject headings
Eosinophilic Esophagitis

What participants receive

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

  • DupilumabDrug

    Subcutaneous injection (SC) as per protocol

  • PlaceboDrug

    SC injection as per protocol

Study groups in NCT06101095
Study groupRoleWhat they receive
DupilumabExperimentalSubcutaneous injection (SC) as per protocol
Receives: Drug: Dupilumab
PlaceboPlacebo comparatorSC injection as per protocol
Receives: Drug: Placebo

What is being measured

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

  1. Change from baseline in esophageal distensibility plateau as measured by Functional Lumen Imaging Probe (EndoFLIP)

    Distensibility plateau provides an assessment of esophageal function. An increase in distensibility plateau indicates an improvement in esophageal function and a decrease in distensibility plateau indicates a worsening of esophageal function.

    Measured: From baseline to Week 24

Secondary outcomes (13)
  1. Percent change from baseline in esophageal distensibility plateau as measured by Functional Lumen Imaging Probe

    Distensibility plateau provides an assessment of esophageal function. An increase in distensibility plateau indicates an improvement in esophageal function and a decrease in distensibility plateau indicates a worsening of esophageal function.

    Measured: From baseline up to Week 24

  2. Absolute change from baseline in esophageal distensibility plateau as measured by Functional Lumen Imaging Probe

    Distensibility plateau provides an assessment of esophageal function. An increase in distensibility plateau indicates an improvement in esophageal function and a decrease in distensibility plateau indicates a worsening of esophageal function.

    Measured: From baseline up to Week128

  3. Percent change from baseline in esophageal distensibility plateau as measured by Functional Lumen Imaging Probe

    Distensibility plateau provides an assessment of esophageal function. An increase in distensibility plateau indicates an improvement in esophageal function and a decrease in distensibility plateau indicates a worsening of esophageal function.

    Measured: From Baseline up to Week 128

  4. Change from baseline in eosinophilic esophagitis-endoscopic reference score (EoE-EREFS)

    EoE-EREFS, a scoring system for inflammatory and remodeling features of disease. The overall total score ranges from 0 to 18 with higher number indicating worse disease.

    Measured: From baseline up to Week 128

  5. Change from baseline in eosinophilic esophagitis (EoE-HSS) Grade

    Severity (grade) and extent (stage) of esophageal abnormalities are scored using a 4-point scale (0 normal; 3 maximum change). Higher score indicates greater severity and extent of histological abnormalities.

    Measured: From Baseline up to Week 128

  6. Change from baseline in EoE-HSS Stage

    Severity (grade) and extent (stage) of esophageal abnormalities are scored using a 4-point scale (0 normal; 3 maximum change). Higher score indicates greater severity and extent of histological abnormalities.

    Measured: From Baseline up to Week 128

  7. Proportion of participants who achieved peak Esophageal Intraepithelial Eosinophil Count of ≤6 eosinophils/high power field (Eos/HPF)

    Esophageal intraepithelial eosinophil count obtained by esophageal endoscopy with biopsies (all 3 esophageal regions: proximal, mid, and distal).

    Measured: At Weeks 24, 76 and 128

  8. Proportion of participants who achieved peak Esophageal Intraepithelial Eosinophil Count of ≤15 Eos/HPF

    Esophageal intraepithelial eosinophil count obtained by esophageal endoscopy with biopsies (all 3 esophageal regions: proximal, mid, and distal).

    Measured: At Week 24

  9. Proportion of participants who achieved peak Esophageal Intraepithelial Eosinophil Count of <15 Eos/HPF

    Esophageal intraepithelial eosinophil count obtained by esophageal endoscopy with biopsies (all 3 esophageal regions: proximal, mid, and distal).

    Measured: At Weeks 24, 76 and 128

  10. Change from baseline in normalized enrichment score (NES) for EoE diagnostic panel (EDP) transcriptome signature

    NES reflects the degree to which the activity level of a set of disease transcripts is overrepresented at the extremes (top or bottom) of the entire ranked list of transcripts within a sample and is normalized by accounting for the number of transcripts in the set. An NES of 0 indicates no change from baseline, a negative score reflects a reduction in the disease score (more like normal) and a positive score reflects worsening (more active disease).

    Measured: From baseline up to Week 128 (EOT)

  11. Change from baseline in normalized enrichment score (NES) for type 2 inflammation transcriptome signature

    NES reflects the degree to which the activity level of a set of disease transcripts is overrepresented at the extremes (top or bottom) of the entire ranked list of transcripts within a sample and is normalized by accounting for the number of transcripts in the set. An NES of 0 indicates no change from baseline, a negative score reflects a reduction in the disease score (more like normal) and a positive score reflects worsening (more active disease).

    Measured: From Baseline up to Week 128 (EOT)

  12. Incidence of treatment-emergent adverse events (TEAEs), and serious adverse events (SAEs)

    Measured: From the first IMP administration up to end of post treatment follow up period (week139)

  13. Incidence of adverse events of special interest (AESIs)

    Measured: From the first IMP administration up to end of post treatment follow up period (week139)

Timeline

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

  1. First posted25 Oct 2023
  2. Study start29 Nov 2023
  3. Primary completion5 Nov 2025
  4. Study completion1 Feb 2028 (estimated)

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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
69 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06101095
Sponsor's protocol ID
LPS17558
Other IDs
U1111-1280-5266, 2022-502491-23
Status last verified
Sep 2026
First submitted
19 Oct 2023
Last updated
30 Sep 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

Publications

  • Dellon ES, Carlson DA, Greuter T, Collins MH, Lankarani A, Talreja N, Ravi K, Simoes Neto J, Afif W, Gonsalves NP, Lynch KL, Zaghloul S, Cunoosamy D, Durrani SR, Zhang M, Raphael BP, Angello JT, Radwan A, Almansa C, Biedermann L. Dupilumab Improves Esophageal Distensibility in EoE: 24-Week Results From the REMODEL Randomized Trial. Am J Gastroenterol. 2026 Oct 12. doi: 10.14309/ajg.0000000000004227. Online ahead of print.

    PubMed 42861971
  • Dellon ES, Savarino EV, Zaghloul S, Angello JT, Zhang M, Raphael BP, Radwan A, Bredenoord AJ. Study design of the phase IV, randomized, placebo-controlled REMOdeling with Dupilumab in Eosinophilic esophagitis Long-term (REMODEL) trial. Ther Adv Gastroenterol. 2025 Oct 9;18:17562848251383782. doi: 10.1177/17562848251383782. eCollection 2025.

    PubMed 41084592

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Dupilumab in people with Eosinophilic Oesophagitis, run by Sanofi at 30 sites in 5 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 10 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: under way, not looking for participants, as of the sponsor's last update on 30 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 30 sites in United States, Brazil, Israel, Canada, Switzerland. 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. Some participants in this study may receive a placebo. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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?

Change from baseline in esophageal distensibility plateau as measured by Functional Lumen Imaging Probe (EndoFLIP) (time frame: From baseline to Week 24). 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 NCT06101095, which also lists 2 linked publications.

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 30 Sep 2026.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in