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Active, not recruitingPhase 3

Efficacy and Safety of Tezepelumab in Patients With Eosinophilic Esophagitis

Key facts

Who runs it
AstraZeneca
Where
Aurora, Boston, Brooklyn, Chapel Hill, Chesterfield, Cincinnati, Houston, Inverness, Iowa City, Jacksonville, Lincoln, Little Rock, Los Angeles, Nashville, Normal, Ocean City, Philadelphia, Phoenix, Saint Augustine, Salt Lake City, Topeka, Uniontown, and White Marsh, United StatesSee the 23 sitesAlso in 21 other countries, 96 sites
Status
Active, not recruiting
Phase
Phase 3
People taking part
368 people enrolled
Started
10 Nov 2022
Expected to end
23 Mar 2027
Type of study
Interventional, 3 groupsOne group gets a placebo (a dummy treatment), for comparison.
Treatments tested
  • Tezepelumab
  • Placebo
Record updated
30 October 2026

Who can take part

Age
12 years to 80 years
Sex
Women and men
Healthy volunteers
Cannot take part

The registry criteria, word for word

Show all 15 criteriaShow less

Who can take part

  • Participant must be 12 to 80 years of age inclusive, at the time of signing the informed consent/assent
  • Weight ≥ 40 kg at Visit 1
  • Established diagnosis of EoE with a previous EGD and esophageal biopsy confirming a diagnosis of EoE
  • Participants who have symptomatic EoE as defined by a history of on average at least 2 episodes of dysphagia (any severity of food going down slowly or being stuck in the throat) per week in the 4 weeks prior to Visit 1
  • Must remain on a stabilized diet for at least 8 weeks prior to Visit 1 and during the course of the study (stable diet is defined as no initiation of single or multiple elimination diets or reintroduction of previously eliminated food groups)
  • May be on any background PPI and/or STC, during the course of the study, as long as background medications have been stable for at least 8 weeks prior to the screening/run-in period (Visit 1) and there is agreement not to change background medication or dosage unless medically indicated, during the screening/run-in and treatment period
  • Participants currently on leukotriene inhibitors and/or steroid treatments for asthma or allergies that are inhaled or administered intranasally, must report a stable dose for at least 4 weeks prior to the screening/run-in period (Visit 1)
  • If a medication for EoE (for example PPI and/or STC) is discontinued prior to the screening/run-in, there should be a washout period of at least 8 weeks prior to Visit 1. Discontinuation of any marketed biologic (monoclonal or polyclonal antibody) should have a washout period of 4 months or 5 half-lives prior to Visit 1, whichever is longer
  • Participants should have previously documented standard of care treatment, which could include PPI and/or STC and/or diet

Who cannot take part

  • Esophageal dilation performed within 8 weeks prior to screening
  • Other gastrointestinal disorders such as active Helicobacter pylori infection, history of achalasia, esophageal varices, Crohn's disease, ulcerative colitis, inflammatory bowel disease, celiac disease, eosinophilic enteritis, colitis, diverticulitis, irritable bowel syndrome, or other clinically significant gastrointestinal conditions as per Investigator discretion
  • Hypereosinophilic syndrome
  • Esophageal stricture that prevents the easy passage of a standard endoscope or any critical esophageal stricture that requires dilation at screening
  • Use of a feeding tube, or having a pattern of not eating solid food >3 days of week. Solid food is defined as food that requires chewing before swallowing
  • EGPA vasculitis

Where in United States

Also in 21 other countries, 96 sites

  • Aurora, ColoradoHospital not named in the registry
  • Boston, MassachusettsHospital not named in the registry
  • Brooklyn, New YorkHospital not named in the registry
  • Chapel Hill, North CarolinaHospital not named in the registry
  • Chesterfield, MissouriHospital not named in the registry
  • Cincinnati, OhioHospital not named in the registry
  • Houston, TexasHospital not named in the registry
  • Inverness, FloridaHospital not named in the registry
  • Iowa City, IowaHospital not named in the registry
  • Jacksonville, FloridaHospital 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
  • Nashville, TennesseeHospital not named in the registry
  • Normal, IllinoisHospital not named in the registry
  • Ocean City, New JerseyHospital not named in the registry
  • Philadelphia, PennsylvaniaHospital not named in the registry
  • Phoenix, ArizonaHospital not named in the registry
  • Saint Augustine, FloridaHospital not named in the registry
  • Salt Lake City, UtahHospital not named in the registry
  • Topeka, KansasHospital not named in the registry
  • Uniontown, PennsylvaniaHospital not named in the registry
  • White Marsh, MarylandHospital not named in the registry

About the trial

What the trial wants to find out

A randomized, double-blind, placebo-controlled multicenter, phase 3 study to evaluate the efficacy and safety of tezepelumab administered subcutaneously (SC) using an accessorized pre-filled syringe (APFS) versus placebo in adult and adolescent patients with eosinophilic esophagitis (EoE).

The 3 groups in the trial

  • Tezepelumab Low DoseTreatment being tested

    Tezepelumab subcutaneous injections, in accessorised pre-filled syringes

    Treatment: Tezepelumab

  • Tezepelumab High DoseTreatment being tested

    Tezepelumab subcutaneous injections, in accessorised pre-filled syringes

    Treatment: Tezepelumab

  • PlaceboPlacebo, for comparison

    Placebo subcutaneous injections, in accessorised pre-filled syringes

Data and sources

Registry record
Listed on ClinicalTrials.gov and on the EU's official list of trials (CTIS).
Official title
A Randomized, Double-Blind, Parallel-Group, Placebo-Controlled Phase 3 Efficacy and Safety Study of Tezepelumab in Patients With Eosinophilic Esophagitis (CROSSING).
Record updated
30 October 2026
Efficacy and Safety of Tezepelumab in Patients With Eosinophilic Esophagitis (NCT05583227) – Frontlight Research