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NCT Number: NCT07112378

A Study of Dupilumab in Small Children With an Allergic Condition of the Esophagus (Food Pipe): Eosinophilic Esophagitis

This study is researching an experimental drug called dupilumab (called "study drug"). The study is focused on children with active eosinophilic esophagitis (EoE; an inflammatory disease of the esophagus) which impacts feeding and nourishment.

The aim of the study is to see how safe, tolerable, and effective the study drug is when given for 24 weeks to children with active EoE.

The study is looking at several other research questions, including:

* What side effects may happen from taking the study drug * How much study drug is in the blood at different times * Whether the body makes antibodies against the study drug (which could make the drug less effective or could lead to side effects)

Recruiting

Interested in participating?

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Key information

Age range

6 month–6 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Phoenix Childrens Hospital, Phoenix, Arizona, United States

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Key Inclusion Criteria:

  • Pediatric patients aged ≥6 months and weighing ≥5 kg and <15 kg at screening with active EoE
  • History of symptom(s) determined by the investigator to be the result of EoE in the month prior to screening, as defined in the protocol
  • Baseline endoscopic biopsies, performed during the screening period, with a demonstration on central reading of intraepithelial eosinophilic infiltration in at least 2 of the 3 biopsied esophageal regions, as defined in the protocol

Key Exclusion Criteria:

  • Prior participation in a dupilumab clinical trial or past or current treatment with dupilumab
  • Initiation or change of a food-elimination diet regimen or re-introduction of a previously eliminated food group in the 6 weeks prior to screening. Patients on a food-elimination diet must remain on the same diet throughout the study
  • Other causes of esophageal eosinophilia or the following conditions: eosinophilic gastroenteritis, hypereosinophilic syndrome, and eosinophilic granulomatosis with polyangiitis (Churg-Strauss syndrome)
  • Active Helicobacter pylori infection
  • History of Crohn's disease, ulcerative colitis, celiac disease, or prior esophageal surgery
  • Any esophageal stricture unable to be passed with a standard, diagnostic, upper endoscope or any critical esophageal stricture that requires dilation at screening
  • 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 endoscopic procedure
  • Treatment with swallowed topical corticosteroids within 8 weeks prior to baseline standard of care endoscopy

NOTE: Other Protocol-Defined Inclusion/Exclusion Criteria Apply

Treatment and study plan

Dupilumab

Drug

Administered as defined in the protocol

Other names: DUPIXENT®, REGN668, SAR231893

Primary outcomes

  1. Incidence of treatment-emergent Serious Adverse Events (SAEs)

    Time frame: Up to 24 Weeks

Secondary outcomes

  1. Incidence of Treatment-Emergent Adverse Events (TEAEs) leading to permanent discontinuation of study treatment

    Time frame: Up to 24 Weeks

  2. Incidence of treatment-emergent Adverse Event of Special Interest (AESIs)

    Time frame: Up to 24 Weeks

  3. Incidence of TEAEs

    Time frame: Up to 24 Weeks

  4. Proportion of patients achieving peak esophageal intraepithelial eosinophil count of ≤6 eosinophils per high power field (eos/hpf) (400×)

    Time frame: At Week 24

  5. Proportion of patients achieving peak esophageal intraepithelial eosinophil count of <15 eos/hpf (400×)

    Time frame: At Week 24

  6. Percent change in peak esophageal intraepithelial eosinophil count (eos/hpf)

    Time frame: Baseline to Week 24

  7. Change in body weight for age percentile

    Time frame: Baseline up to Week 24

  8. Concentrations of functional dupilumab in serum

    Time frame: Baseline up to Week 24

  9. Incidence of Anti-Drug Antibody (ADA) to dupilumab

    Time frame: Up to Week 36

  10. Titer of ADA to dupilumab

    Time frame: Up to Week 36

  11. Incidence of Neutralizing Antibody (NAb) to dupilumab

    Time frame: Up to Week 36

Study contacts

Contact information is provided by the study sponsor or research team.

Clinical Trials Administrator

CONTACT

[email protected]

844-734-6643

Sponsors and collaborators

Lead sponsor

Regeneron Pharmaceuticals

Industry

Collaborators

  • Sanofi

Registry information

Official study title

A Randomized Study Evaluating 2 Dose Regimens of Dupilumab in Children ≥6 Months of Age Weighing ≥5 to <15 kg With Active Eosinophilic Esophagitis

Acronym: EoE-TOTs

Important dates

Study start
2025
Primary completion
2028
Study completion
2028
First posted
Aug 8, 2025
Registry last updated
Jul 6, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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