New injection could ease swallowing for eosinophilic esophagitis patients
NCT ID NCT05608681
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a new injectable steroid called EP-104GI for adults with eosinophilic esophagitis, a condition where the esophagus becomes inflamed and makes swallowing difficult. The drug is given during an endoscopy and is designed to release medication slowly over time. The trial involves about 160 participants and will check for safety, side effects, and whether it improves symptoms and reduces inflammation in the esophagus.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- EP-104GI (extended-release fluticasone propionate injection)
- What this could lead to
- If successful, this could provide a longer-lasting treatment option for eosinophilic esophagitis, reducing the need for daily medication.
- What could go wrong
- This is an early-phase trial with a small number of participants, so results may not apply to everyone. The drug is a steroid, which can have side effects like adrenal suppression.
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 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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About 117 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2023
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- 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 to 75 years
- 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.
Inclusion Criteria: * Symptomatic EoE; * For women of childbearing potential, a negative pregnancy test and willing to use a highly effective method of birth control until end of study; * Willing and able to adhere to study-related procedures and visit schedule; * Willing and able to provide informed consent. Criteria for crossover to EP 104GI from vehicle control (randomized dose optimization portion): 1. Has completed the randomized dose optimization portion of the trial to Week 24, inclusive 2. Without safety concerns for receiving EP 104GI ie, does not meet exclusion criteria or have other safety issue Exclusion Criteria: * Concomitant esophageal disease, relevant GI disease, or any condition, history, or laboratory abnormality that might interfere with the study; * Oral or esophageal mucosal infection of any type (bacterial, viral, or fungal); * Oropharyngeal or dental conditions that prevents normal eating; * Severe esophageal motility disorders other than EoE; * Contraindication to or factors that substantially increase risks associated with EGD or biopsy, or narrowing of the esophagus that precludes EGD with a standard 9-10 mm endoscope, stricture requiring dilation within 8 weeks prior to Screening, or the need for dilation prior to EGD at Baseline; * Any condition for which the use of corticosteroids is contraindicated (Participants with well controlled non-insulin dependent diabetes are permitted); * Active or quiescent systemic fungal, bacterial, viral, or parasitic infections, or ocular herpes simplex. Or recent use of IV or oral antibiotics; * Hypersensitivity, or intolerance to corticosteroids, or to any of the ingredients in the investigational medicinal product, including carboxymethyl cellulose, and polysorbate 80, or to the ingredients in Synacthen / cosyntropin (used in the ACTH stimulation test); * Recent use of disallowed medications, or unwillingness to not use disallowed medications during the study; * Recent initiation of a elimination or elemental diet (dietary therapy must remain stable throughout the study); * Morning serum cortisol level ≤ 5 μg/dL (138 nmol/L); * Clinically significant abnormal laboratory values; * Recent or currently planned participation in another interventional trial ; * Previous participation in this study and had received study treatment; * Females who are pregnant, breastfeeding, or planning to become pregnant during the study; * Malignancies or history of malignancy within prior 5 years, except for treated or excised non-metastatic BCC, SCC of the skin, or cervical carcinoma in situ; * History of alcohol or drug abuse; * Any other reason, that, in the Investigator's opinion, unfavorably alters participant risk, confounds results, or prevents the participant from complying with study requirements.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
22 sites in 6 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Amsterdam UMC
ACTIVE_NOT_RECRUITINGAmsterdam, 1105, Netherlands
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Aotearoa Clinical Trials
RECRUITINGPapatoetoe, Auckland, New Zealand
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Campbelltown Private Hospital
RECRUITINGSydney, New South Wales, Australia
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Capital Coast and Hutt
RECRUITINGLower Hutt, New Zealand
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Cardiff and Vale University Health Board-Wales
RECRUITINGCardiff, United Kingdom
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Coastal Digestive Health
RECRUITINGMaroochydore, Queensland, Australia
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Eastern Health Box Hill
RECRUITINGBox Hill, Victoria, 3128, Australia
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Erasmus University Medical Center
RECRUITINGHolland, Netherlands
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G.I. Research Institute
RECRUITINGVancouver, British Columbia, V6Z 2K5, Canada
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Mater Hospital Brisbane
RECRUITINGBrisbane, Queensland, Australia
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McGill University Health Center
RECRUITINGMontreal, Quebec, Canada
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Norfolk and Norwich University Hospital
RECRUITINGNorwich, Norfolk, United Kingdom
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Northern Hospital Epping
RECRUITINGEpping, Victoria, Australia
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Princess Alexandra Hospital
RECRUITINGBrisbane, Queensland, Australia
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Royal Adelaide Hospital
RECRUITINGAdelaide, South Australia, Australia
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Royal Liverpool University Hospital
RECRUITINGLiverpool, United Kingdom
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Royal Melbourne Hospital
RECRUITINGParkville, Victoria, Australia
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St George's University of London
RECRUITINGLondon, United Kingdom
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The Alfred Hospital
RECRUITINGMelbourne, Victoria, Australia
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University of Calgary
RECRUITINGCalgary, Alberta, Canada
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Universitätsspital Zürich
RECRUITINGZurich, Switzerland
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UoA - South Edmonton Gastroenterology Research Clinic
RECRUITINGEdmonton, Alberta, Canada
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Waikato Hospital
RECRUITINGHamilton, New Zealand
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- Swallowable sponge could replace endoscopy for esophagitis monitoring
- Blood tests may replace scopes for EoE diagnosis
- Massive new registry aims to crack the code on mysterious gut disorders
- 300 kids with EoE enrolled in landmark database study
- Could ditching milk soothe a painful esophagus? new trial tests Diet-Only approach