Trial Outcomes & Findings for Oral Cromolyn Sodium for the Treatment of Eosinophilic Esophagitis (NCT NCT02371941)

NCT ID: NCT02371941

Last Updated: 2023-10-26

Results Overview

Measure of the peak esophageal eosinophil count on esophageal biopsy specimens after 2 months of therapy

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

16 participants

Primary outcome timeframe

2 months

Results posted on

2023-10-26

Participant Flow

Participant milestones

Participant milestones
Measure
Oral Cromolyn
Subjects randomized to the experimental arm will receive oral cromolyn sodium. The dose will be per current package insert for oral cromolyn: Subjects 2-12 years of age - 100 mg (1 ampule) 4 times daily Subjects 13-18 years of age - 200 mg (2 ampules) 4 times daily oral cromolyn sodium: Oral cromolyn sodium
Placebo
Subjects randomized to placebo will receive normal saline ampules Subjects 2-12 years of age - 1 ampule 4 times daily Subjects 13-18 years of age - 2 ampules 4 times daily Placebo: Saline
Overall Study
STARTED
9
7
Overall Study
COMPLETED
9
6
Overall Study
NOT COMPLETED
0
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Oral Cromolyn Sodium for the Treatment of Eosinophilic Esophagitis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Oral Cromolyn
n=9 Participants
Subjects randomized to the experimental arm will receive oral cromolyn sodium. The dose will be per current package insert for oral cromolyn: Subjects 2-12 years of age - 100 mg (1 ampule) 4 times daily Subjects 13-18 years of age - 200 mg (2 ampules) 4 times daily oral cromolyn sodium: Oral cromolyn sodium
Placebo
n=7 Participants
Subjects randomized to placebo will receive normal saline ampules Subjects 2-12 years of age - 1 ampule 4 times daily Subjects 13-18 years of age - 2 ampules 4 times daily Placebo: Saline
Total
n=16 Participants
Total of all reporting groups
Age, Categorical
<=18 years
9 Participants
n=99 Participants
7 Participants
n=107 Participants
16 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Continuous
10.4 years
STANDARD_DEVIATION 4.1 • n=99 Participants
12.8 years
STANDARD_DEVIATION 4 • n=107 Participants
11.5 years
STANDARD_DEVIATION 4 • n=206 Participants
Sex: Female, Male
Female
5 Participants
n=99 Participants
3 Participants
n=107 Participants
8 Participants
n=206 Participants
Sex: Female, Male
Male
4 Participants
n=99 Participants
4 Participants
n=107 Participants
8 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
White
8 Participants
n=99 Participants
7 Participants
n=107 Participants
15 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Region of Enrollment
United States
9 participants
n=99 Participants
7 participants
n=107 Participants
16 participants
n=206 Participants

PRIMARY outcome

Timeframe: 2 months

Measure of the peak esophageal eosinophil count on esophageal biopsy specimens after 2 months of therapy

Outcome measures

Outcome measures
Measure
Oral Cromolyn
n=9 Participants
Subjects randomized to the experimental arm will receive oral cromolyn sodium. The dose will be per current package insert for oral cromolyn: Subjects 2-12 years of age - 100 mg (1 ampule) 4 times daily Subjects 13-18 years of age - 200 mg (2 ampules) 4 times daily oral cromolyn sodium: Oral cromolyn sodium
Placebo
n=6 Participants
Subjects randomized to placebo will receive normal saline ampules Subjects 2-12 years of age - 1 ampule 4 times daily Subjects 13-18 years of age - 2 ampules 4 times daily Placebo: Saline
Peak Esophageal Eosinophil Count
57.3 Peak # of eosinophils counted per field
Standard Deviation 44.02
71.3 Peak # of eosinophils counted per field
Standard Deviation 52.7

SECONDARY outcome

Timeframe: Baseline as compared to 2 months

Symptom scores will be measures at baseline, 1 month, and 2 months using a symptom scoring assessment tool known as the Pediatric Eosinophilic Esophagitis Symptom Score (PEESS). The PEESS is a validated symptom score that is completed by the parent of the patient. It encompasses frequency and severity of EoE related symptoms over the past month. The minimum score = 0. The max score = 98 The higher the score/value, the more severe and/or frequent the symptoms and therefore a worse outcome.

Outcome measures

Outcome measures
Measure
Oral Cromolyn
n=9 Participants
Subjects randomized to the experimental arm will receive oral cromolyn sodium. The dose will be per current package insert for oral cromolyn: Subjects 2-12 years of age - 100 mg (1 ampule) 4 times daily Subjects 13-18 years of age - 200 mg (2 ampules) 4 times daily oral cromolyn sodium: Oral cromolyn sodium
Placebo
n=6 Participants
Subjects randomized to placebo will receive normal saline ampules Subjects 2-12 years of age - 1 ampule 4 times daily Subjects 13-18 years of age - 2 ampules 4 times daily Placebo: Saline
Symptoms as Measured by Pediatric Eosinophilic Esophagitis Symptom Score
Baseline PEES score
37.89 units on a scale
Standard Deviation 12.2
30.3 units on a scale
Standard Deviation 13.7
Symptoms as Measured by Pediatric Eosinophilic Esophagitis Symptom Score
2 month PEES score
17.5 units on a scale
Standard Deviation 12.8
22.3 units on a scale
Standard Deviation 19.1

Adverse Events

Oral Cromolyn

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Oral Cromolyn
n=9 participants at risk
Subjects randomized to the experimental arm will receive oral cromolyn sodium. The dose will be per current package insert for oral cromolyn: Subjects 2-12 years of age - 100 mg (1 ampule) 4 times daily Subjects 13-18 years of age - 200 mg (2 ampules) 4 times daily oral cromolyn sodium: Oral cromolyn sodium
Placebo
n=7 participants at risk
Subjects randomized to placebo will receive normal saline ampules Subjects 2-12 years of age - 1 ampule 4 times daily Subjects 13-18 years of age - 2 ampules 4 times daily Placebo: Saline
Gastrointestinal disorders
nausea
55.6%
5/9 • Number of events 5 • 2 months
14.3%
1/7 • Number of events 1 • 2 months
Gastrointestinal disorders
abdominal pain
44.4%
4/9 • Number of events 4 • 2 months
28.6%
2/7 • Number of events 2 • 2 months
Nervous system disorders
headache
44.4%
4/9 • Number of events 4 • 2 months
14.3%
1/7 • Number of events 1 • 2 months

Additional Information

Dr. Jay Lieberman

The University of Tennessee Health Science Center

Phone: 901-287-7337

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place