Study to Investigate the Efficacy and Safety of Dupilumab in Pediatric Patients With Active Eosinophilic Esophagitis (EoE)
Key facts
- Who runs it
- Regeneron Pharmaceuticals
- Where
- Atlanta, Aurora, Boston, Chapel Hill, Chicago, Cincinnati, Cleveland, Dallas, Fort Worth, Houston, Indianapolis, Iowa City, Lincoln, Little Rock, Los Angeles, Milwaukee, New York, Philadelphia, Phoenix, San Francisco, and St. Petersburg, United StatesSee the 21 sitesAlso in 1 other country, 1 site
- Trial code
- Status
- Completed
- Phase
- Phase 3
- People taking part
- 102 people enrolled
- Started
- 1 Sept 2020
- Ended
- 14 May 2024
- Type of study
- Interventional, 5 groups
- Treatments tested
- Dupilumab
- Matching Placebo
- Record updated
- 27 October 2025
Who can take part
- Age
- 1 year to 11 years
- Sex
- Women and men
- Healthy volunteers
- Cannot take part
The registry criteria, word for word
Show all 16 criteriaShow less
Who can take part
- A documented diagnosis of eosinophilic esophagitis (EoE)
- Baseline endoscopic biopsies with a demonstration on central reading of intraepithelial eosinophilic infiltration
Who cannot take part
- History of Crohn's disease, ulcerative colitis, celiac disease, or prior esophageal surgery
- Treatment with swallowed topical corticosteroids within 8 weeks prior to baseline standard of care endoscopy
- Patients who, during their previous participation in this clinical trial, developed an SAE and/or AE deemed related to dupilumab, which in the opinion of the investigator or of the medical monitor could indicate that continued treatment with dupilumab may present an unreasonable risk for the patient
- Patients who did not undergo endoscopy with biopsies at week 16 and/or week 52 or prior to receiving rescue treatment Note: If the endoscopy with biopsies could not occur due to COVID-19 restrictions and rescue treatment was needed to be initiated without delay, these patients will be eligible to participate in Part C
- Patients who became pregnant during their previous participation in this dupilumab clinical trial
- Patients who, during their previous participation in this trial, were prematurely withdrawn because of a protocol violation, poor compliance, or inability to complete required study assessments; NOTE: Other protocol defined inclusion/exclusion criteria apply
- History of bleeding disorders or esophageal varices that, in the opinion of the investigator, would put the patient at undue risk for significant complications from an endoscopy procedure
- Active parasitic infection or suspected parasitic infection
- Known or suspected immunodeficiency disorder; Key Exclusion for Patients Re-Entering the Study (for Entry into Part C, as defined in protocol):
- Patients who are ≥12 years old, weigh ≥40 kg (or minimum weight for which dupilumab is approved for EoE), and dupilumab is commercially available for the treatment of EoE in their country
- Body weight <5 kg or ≥60 kg at screening
- Other causes of esophageal eosinophilia
- Active Helicobacter pylori
- Any esophageal stricture unable to be passed with a standard, diagnostic, upper endoscope or any critical esophageal stricture that requires dilation at screening
Where in United States
Also in 1 other country, 1 site
- Atlanta, GeorgiaHospital not named in the registry
- Aurora, ColoradoHospital not named in the registry
- Boston, MassachusettsHospital not named in the registry
- Chapel Hill, North CarolinaHospital not named in the registry
- Chicago, IllinoisHospital not named in the registry
- Cincinnati, OhioHospital not named in the registry
- Cleveland, OhioHospital not named in the registry
- Dallas, TexasHospital not named in the registry
- Fort Worth, TexasHospital not named in the registry
- Houston, TexasHospital not named in the registry
- Indianapolis, IndianaHospital not named in the registry
- Iowa City, IowaHospital not named in the registry
- Lincoln, NebraskaHospital not named in the registry
- Little Rock, ArkansasHospital not named in the registry
- Los Angeles, CaliforniaHospital not named in the registry
- Milwaukee, WisconsinHospital not named in the registry
- New YorkHospital not named in the registry
- Philadelphia, PennsylvaniaHospital not named in the registry
- Phoenix, ArizonaHospital not named in the registry
- San Francisco, CaliforniaHospital not named in the registry
- St. Petersburg, FloridaHospital not named in the registry
About the trial
What the trial wants to find out
The Primary objective is to demonstrate the efficacy of dupilumab treatment compared with placebo in pediatric patients with active eosinophilic esophagitis (EoE) based on histologic improvement meeting validated histologic criteria.
Read full original descriptionShow less
The Secondary objectives are:
* To demonstrate the efficacy of dupilumab compared to placebo in pediatric patients with active EoE after 16 weeks of treatment as assessed by endoscopic visual measurements of disease activity using the Eosinophilic Esophagitis-Endoscopic Reference Score (EoE-EREFS) and histologic abnormalities as measured by the EoE Histology Scoring System (EoE-HSS) * To evaluate the safety, tolerability, and immunogenicity of dupilumab treatment for up to 16 weeks in pediatric patients with active EoE * To evaluate the effects of dupilumab on transcriptomic signatures associated with EoE and type 2 inflammation * To study the effects of dupilumab on the type 2 inflammation gene expression signature * To evaluate the concentration-time profile of functional dupilumab in serum in this population * To assess efficacy of long-term (up to 160 weeks) dupilumab treatment * To assess the impact of dupilumab treatment on changes in weight and growth during the extended active period and open-label extension period of the study * To assess safety, tolerability, and immunogenicity of long-term (up to 160 weeks) dupilumab treatment * To evaluate the impact of dupilumab treatment on EoE signs and symptoms
The 5 groups in the trial
- Part A - High DoseTreatment being tested
Part A consists of a 16-week double-blind treatment period. Patients will be randomized to receive dupilumab or placebo subcutaneous (SC) administration at tiered dosing regimens based on body weight
Treatment: Dupilumab and Matching Placebo
- Part A - Low DoseTreatment being tested
Part A consists of a 16-week double-blind treatment period. Patients will be randomized to receive dupilumab or placebo subcutaneous (SC) administration at tiered dosing regimens based on body weight
Treatment: Dupilumab and Matching Placebo
- Part B - High DoseTreatment being tested
Part B consists of a 36-week extended active treatment period. All patients to receive subcutaneous (SC) administration at tiered dosing regimens based on body weight
Treatment: Dupilumab and Matching Placebo
- Part B - Low DoseTreatment being tested
Part B consists of a 36-week extended active treatment period. All patients to receive subcutaneous (SC) administration at tiered dosing regimens based on body weight
Treatment: Dupilumab and Matching Placebo
- Part C - High DoseTreatment being tested
Part C consists of up to 108-week open-label extension period. All patients will receive higher exposure dupilumab subcutaneous (SC) administration at tiered dosing regimens based on body weight. No matching placebo administered in Part C.
Treatment: Dupilumab
Results explained
Papers that name this trial, each explained in plain words.
- Dupilumab improves clinical outcome assessments in children with eosinophilic esophagitis in a randomized phase 3 study.Published 2026
- Dupilumab normalizes the eosinophilic esophagitis disease transcriptome.Published 2026
- Population Pharmacokinetics of Dupilumab in Adults, Adolescents, and Children With Eosinophilic Esophagitis.Published 2026
Data and sources
- Registry record
- Listed on ClinicalTrials.gov.
- Official title
- A Randomized, Double-Blind, Placebo-Controlled Study to Investigate the Efficacy and Safety of Dupilumab in Pediatric Patients With Active Eosinophilic Esophagitis
- Publications
- Dupilumab improves clinical outcome assessments in children with eosinophilic esophagitis in a randomized phase 3 study.BMC gastroenterology, 2026
- Dupilumab normalizes the eosinophilic esophagitis disease transcriptome.The Journal of allergy and clinical immunology, 2026
- Population Pharmacokinetics of Dupilumab in Adults, Adolescents, and Children With Eosinophilic Esophagitis.Clinical pharmacology and therapeutics, 2026
- Validation of the Novel Pediatric Eosinophilic Esophagitis Sign/Symptom Questionnaire-Caregiver Version in EoE KIDS.The journal of allergy and clinical immunology. In practice, 2026
- Record updated
- 27 October 2025