New shot could ease swallowing for eosinophilic esophagitis patients
NCT ID NCT05774184
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This phase 2 trial tested a biologic drug called barzolvolimab in 86 adults with active eosinophilic esophagitis, a condition that causes trouble swallowing due to inflammation in the esophagus. Participants received either the drug or a placebo as a shot under the skin. The study measured changes in mast cell counts in the esophagus and symptom scores to see if the drug can reduce inflammation and improve swallowing.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- barzolvolimab (a biologic drug given as a shot under the skin)
- What this could lead to
- If it works, this could point toward a new treatment option for eosinophilic esophagitis that reduces inflammation and improves swallowing.
- What could go wrong
- This is a small, early phase 2 trial with only 86 participants. The results may not apply to everyone, and the drug might not work better than placebo or could have side effects.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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86 people
The number who actually took part.
- Started
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Jun 2023
- Finished
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Jan 2026
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Key Inclusion Criteria 1. ≥ 18 years of age 2. Documented diagnosis of eosinophilic esophagitis (EoE) by endoscopy 3. Peak esophageal intraepithelial eosinophil count (PEC) of ≥ 15 per high power field (hpf) from at least 2 of 3 levels (proximal, mid, and distal) of the esophagus 4. Symptomatic, defined as • Average of ≥ 2 days per week with dysphagia with solid food intake in the 1 month prior to Screening, and • ≥ 4 days with dysphagia within the last 2 weeks prior to randomization 5. On a stable diet which includes solid foods for ≥ 2 months prior to Screening (and throughout the study) 6. Inadequate response to or is inappropriate for and/or intolerant to a standard-of-care treatment for EoE (e.g., PPI, swallowed topical corticosteroids, or dietary elimination) 7. Willing to be compliant with completion of daily questionnaire Key Exclusion Criteria 1. Diagnosed with hypereosinophilic syndrome or Churg-Strauss syndrome (eosinophilic granulomatosis with polyangiitis) 2. History of clinicopathologic diagnosis of eosinophilic gastritis or eosinophilic duodenitis 3. Known active Helicobacter pylori infection 4. History of coagulation disorders, esophageal varices, achalasia, Crohn's disease, ulcerative colitis, or celiac disease 5. Esophageal dilation within 3 months prior to Screening 6. Prior esophageal or gastric surgery that would confound the assessments of EoE 7. Esophageal stricture that is difficult to pass with a standard adult upper endoscope (9 to 10 mm) or stricture that requires dilation at the Screening EGD 8. Avoiding solid foods or using a feeding tube 9. Regular use of antiplatelet and/or anticoagulant therapy 10. Non-biologic systemic agents within 2 months prior to Screening, including but not limited to corticosteroid (oral, swallowed topical or parenteral), non-steroidal immunosuppressants (e.g., methotrexate, cyclosporin, tacrolimus, mycophenolate mofetil, azathioprine), other immunomodulators (e.g., Jak inhibitors, tyrosine kinase inhibitors), and investigational agents 11. Biologic therapy within 5 half-lives (or detectable serum level) prior to Screening, including but not limited to interleukin (IL)-4 receptor inhibitor (dupilumab), IL-5 inhibitors (e.g., mepolizumab, benralizumab), IL-13 inhibitors (e.g., tralokinumab, lebrikizumab), anti-IgE (e.g., omalizumab), IFN-γ inhibitors, or other approved or investigational biologics 12. Oral immunotherapy (OIT) within 6 months prior to Screening 13. Sublingual immunotherapy (SLIT) and/or subcutaneous immunotherapy (SCIT) Note: Not exclusionary if patient has been on a stable maintenance dose for at least 6 months prior to Screening 14. Receipt of a live vaccine within 2 months prior to the Baseline (Day 1) Visit (patients must agree to avoid live vaccination during study treatment and within 3 months thereafter). 15. Diagnosis of idiopathic anaphylaxis or other severe allergic reactions that in the opinion of the investigator, could increase the patient's risk for systemic hypersensitivity reactions 16. Prior receipt of barzolvolimab There may be additional criteria your study doctor will review with you to confirm eligibility
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Advanced Research Institute - Ogden
Ogden, Utah, 84405, United States
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AllerVie Clinical Research
Birmingham, Alabama, 35209, United States
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Azienda Ospedaliera - Universitaria Integrata di Verona - Ospedale Borgo Roma
Verona, Italy
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Azienda Ospedaliera Universitaria OO.RR. San Giovanni di Dio Ruggi d'Aragona-Plesso "Ruggi"
Salerno, Italy
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Boston Specialists - Boston Food Allergy Center
Boston, Massachusetts, 02111, United States
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Care Access Research
Salt Lake City, Utah, 84124, United States
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Centrum Medyczne Med-Gastr Sp. z o.o.
Lodz, Poland
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Connecticut Clinical Research Institute, LLC
Bristol, Connecticut, 06416, United States
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Del Sol Research Management, LLC
Tucson, Arizona, 85715, United States
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Duke University Medical Center
Durham, North Carolina, 27710, United States
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ENCORE Borland Groover Clinical Research
Jacksonville, Florida, 32256, United States
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Fondazione Policlinico Universitario A. Gemelli IRCCS - Universita Cattolica del Sacro Cuore
Rome, Italy
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GI Alliance- Arizona Digestive Health- Sun City
Sun City, Arizona, 85351, United States
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GW Research Inc.
Chula Vista, California, 91910, United States
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Gastroenterology of Greater Orlando
Orange City, Florida, 32763, United States
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Hospital Clinico San Carlos
Madrid, Spain
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Hospital General Universitario de Alicante Dr. Balmis
Alicante, Spain
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IRCCS Ospedale San Raffaele
Milan, Italy
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Istituto Clinico Humanitas
Rozzano, Italy
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Klinikum Region Hannover GmbH Burgwedel
Hanover, Germany
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NYU Langone Health
New York, New York, 10016, United States
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Norfolk and Norwich University Hospital
Norwich, United Kingdom
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Northwestern University
Chicago, Illinois, 60208, United States
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One of a Kind Clinical Research Center
Scottsdale, Arizona, 85258, United States
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PerCuro Clinical Research Ltd.
Victoria, British Columbia, Canada
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Royal Adelaide Hospital
Adelaide, South Australia, Australia
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St George's Hospital
London, United Kingdom
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St Vincent's Hospital Melbourne
Melbourne, Australia
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St. Thomas' Hospital
London, United Kingdom
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Tandem Clinical Research
Marrero, Louisiana, 70072, United States
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The Alfred Hospital
Melbourne, Victoria, Australia
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The Clinical Trials Network, LLC
Willoughby, Ohio, 44096, United States
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The Pennsylvania State University (Penn State) Milton S. Hershey Medical Center
Hershey, Pennsylvania, 17033, United States
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Treasure Valley Medical Research
Boise, Idaho, 83706, United States
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Universitaetsklinikum Augsburg
Augsburg, Germany
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Universitaetsklinikum Magdeburg A.oe.R.
Magdeburg, Germany
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University of Calgary
Calgary, Alberta, Canada
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University of Iowa
Iowa City, Iowa, 52242, United States
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University of Kansas Medical Center (KUMC)
Kansas City, Kansas, 66160, United States
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University of North Carolina (UNC) Hospitals
Chapel Hill, North Carolina, 27514, United States
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University of Pennsylvania
Philadelphia, Pennsylvania, 19104, United States
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University of Utah
Salt Lake City, Utah, 84132, United States
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Vanderbilt University Medical Center-GI Clinical Research Program
Nashville, Tennessee, 37232, United States
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WIP Warsaw IBD Point Profesor Kierkus
Warsaw, Poland
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Wojskowy Instytut Medyczny - Panstwowy Instytut Badawczy, Klinika Gastroenterologii i Chorob
Warsaw, Poland
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