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TerminatedNCT02113267Updated Oct 17, 2018

Mometasone-furoate for Treatment of Eosinophilic Esophagitis - a Randomized Placebo Controlled Study.

A Phase 2 interventional study of Mometasone furoate and Placebo in Eosinophilic Esophagitis, sponsored by Mogens Bove. Terminated at 1 site in Sweden. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-10-17.

Sponsored by Mogens Bove · Phase 2, Interventional, and Treatment

Why this study was terminated
Combination slow recruitment, short shelf life for placebo and insufficient funding for further drug production (probably anyway sufficient number included).
Phase
Phase 2
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

Background:

Eosinophilic esophagitis ( EoE ) is a disease entity which has been properly recognized only within the past two decades.(1) A prevalence of nearly 1% means that almost 20,000 people in the Region of Western Sweden may be affected.(2 ) The main symptom is swallowing difficulty and food may be stuck, which typically require acute hospital care with operational action under general anesthesia.( 3,4 ) The standard treatment today is local treatment with steroids by mouth several times a day for a few weeks.( 5 ) In adults and large teenagers, there is only one randomized study which has shown that budesonide has a significant effect exaggerating that of placebo. However, the main end-point in this study was the degree of tissue inflammation.(6) In a separate study using validated questionnaires , we have shown that patients with EoE have distinct organ-specific symptoms and a lowered quality of life . These symptoms nearly disappeared, after treatment with mometasone furoate. However, as that study was not randomized or placebo controlled no causal conclusions could be drawn regarding the treatment effect, but the method of validated questionnaires proved sensitive to changes in symptomatology.(7) Purpose The primary purpose of this study is to evaluate the effect of local steroid treatment with mometasone furoate on swallowing problems in patients with EoE . Secondarily, to evaluate the effect on patient quality of life and the presence of side effects.

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Conditions studied

  • Eosinophilic Esophagitis

Keywords

  • esophagitis
  • eosinophils
  • allergy
  • inflammation
  • corticosteroids
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In context

Esophagitis

322 studies on the registry are indexed under Esophagitis; 37 are open to participants now.

This study's enrollment of 40 is below the median of 66 across 215 interventional studies indexed under Esophagitis.

Browse Esophagitis studies →

Lead sponsor

This is the only study on the registry with Mogens Bove as lead sponsor.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age over 18 years
  • Newly diagnosed cases with diagnostic criteria for EoE (ie at least 15 eosinophils per high power field (Magnification 10 times 40 = x400) in any field of view in any esophageal biopsy and concurrent symptoms of esophageal dysfunction mainly dysphagia.
  • Women of childbearing age may participate provided that the pregnancy is not planned , and that contraceptive use during therapy. The investigator will arrange a free pregnancy test must be performed within 1 week before treatment and be negative.
  • Participation requires oral and written informed and signed consent form (see patient information and consent forms).

Exclusion criteria

Exclusion Criteria:

  • Local infection of the pharynx or esophagus , such as fungal, bacterial or viral infection
  • Active or latent tuberculosis in respiratory tract
  • Recent history of major trauma or major surgery
  • Recent significant infection or other physical stress
  • Signs or suspicion of dehydration
  • History of injury, illness or surgery in the adrenals or pituitary
  • Pharynx or esophagussurgery or other trauma in the esophagus (incl. foreign body with a sharp object ) where healing has not taken place. (in case of doubt to be assessed by esophago - gastroscopy.
  • Planned elective surgery during treatment
  • Pregnancy, ongoing or planned
  • Women of childbearing potential not using preventives during the study period
  • Glaucoma
  • Hypersensitivity to any component in the treatments
  • Systemic or local steroid treatment last 4 months
  • Contraindication to steroid therapy ( immune deficiency or suppression , stomach ulcers, diabetes)
  • Medications that affect oesophageal motility (cisapride, erythromycin ) during the treatment period .
  • PPIs during or up to 2 weeks before the treatment period
  • Other cause of dysphagia (cancer, connective tissue disease , neurological disease )
  • Volunteer who can not consent to the study or complete a questionnaire
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
40 participants (actual)

Study arms

  • Experimental
    Mometasone furoat

    Mometasone furoate monohydrate. 4 spray doses à 50 micrograms by mouth to be swallowed 4 times daily after meals (9) with no eating or drinking allowed 30 minutes after intake. Duration of treatment is 8 weeks.

    Drug: Mometasone furoate

  • Placebo comparator
    Placebo spray

    Placebo. 4 spray doses à 50 micrograms by mouth to be swallowed 4 times daily after meals (9) with no eating or drinking allowed 30 minutes after intake. Duration of treatment is 8 weeks.

    Drug: Placebo

Interventions

  • DrugMometasone furoate

    4 spray doses à 50 micrograms by mouth to be swallowed 4 times daily after meals with no eating or drinking allowed 30 minutes after intake. Duration of treatment is 8 weeks.

    Also known as: Nasonex

  • DrugPlacebo

    4 spray doses à 50 micrograms by mouth to be swallowed 4 times daily after meals (9) with no eating or drinking allowed 30 minutes after intake. Duration of treatment is 8 weeks.

    Also known as: Nasonex comparator spray (APL)

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What researchers measure

Primary outcomes

  1. Watson Dysphagia Scale Score (WDS)

    Difference in WDS score during treatment in active as compared to placebo group.

    Time frame: Two months

Secondary outcomes

  1. The EORTC QLQ-OES18 dysphagia scale, the eating scale and choking item

    Difference in score in active- as compared to placebo- group

    Time frame: Two months

Other outcomes

  1. "global health and social functioning dimensions" of SF-36

    Difference in global health during treatment in active- as compared to placebo group.

    Time frame: Two months

07

Study locations

1 site
  • ENT dept, NÄL Hospital
    Trollhättan, SE46185, Sweden
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References and documents

Publications

  • Bergquist H, Bove M. Eosinophilic esophagitis in adults: An ear, nose, and throat perspective. Laryngoscope. 2009 Aug;119(8):1467-71. doi: 10.1002/lary.20255. PubMed 19504557 ↗
  • Ronkainen J, Talley NJ, Aro P, Storskrubb T, Johansson SE, Lind T, Bolling-Sternevald E, Vieth M, Stolte M, Walker MM, Agreus L. Prevalence of oesophageal eosinophils and eosinophilic oesophagitis in adults: the population-based Kalixanda study. Gut. 2007 May;56(5):615-20. doi: 10.1136/gut.2006.107714. Epub 2006 Nov 29. PubMed 17135307 ↗
  • Larsson H, Bergquist H, Bove M. The incidence of esophageal bolus impaction: is there a seasonal variation? Otolaryngol Head Neck Surg. 2011 Feb;144(2):186-90. doi: 10.1177/0194599810392655. PubMed 21493413 ↗
  • Kerlin P, Jones D, Remedios M, Campbell C. Prevalence of eosinophilic esophagitis in adults with food bolus obstruction of the esophagus. J Clin Gastroenterol. 2007 Apr;41(4):356-61. doi: 10.1097/01.mcg.0000225590.08825.77. PubMed 17413601 ↗
  • Liacouras CA, Furuta GT, Hirano I, Atkins D, Attwood SE, Bonis PA, Burks AW, Chehade M, Collins MH, Dellon ES, Dohil R, Falk GW, Gonsalves N, Gupta SK, Katzka DA, Lucendo AJ, Markowitz JE, Noel RJ, Odze RD, Putnam PE, Richter JE, Romero Y, Ruchelli E, Sampson HA, Schoepfer A, Shaheen NJ, Sicherer SH, Spechler S, Spergel JM, Straumann A, Wershil BK, Rothenberg ME, Aceves SS. Eosinophilic esophagitis: updated consensus recommendations for children and adults. J Allergy Clin Immunol. 2011 Jul;128(1):3-20.e6; quiz 21-2. doi: 10.1016/j.jaci.2011.02.040. Epub 2011 Apr 7. PubMed 21477849 ↗
  • Straumann A, Conus S, Degen L, Felder S, Kummer M, Engel H, Bussmann C, Beglinger C, Schoepfer A, Simon HU. Budesonide is effective in adolescent and adult patients with active eosinophilic esophagitis. Gastroenterology. 2010 Nov;139(5):1526-37, 1537.e1. doi: 10.1053/j.gastro.2010.07.048. Epub 2010 Aug 1. PubMed 20682320 ↗
  • Bergquist H, Larsson H, Johansson L, Bove M. Dysphagia and quality of life may improve with mometasone treatment in patients with eosinophilic esophagitis: a pilot study. Otolaryngol Head Neck Surg. 2011 Oct;145(4):551-6. doi: 10.1177/0194599811409857. Epub 2011 May 18. PubMed 21593463 ↗
  • Tytor J, Larsson H, Bove M, Johansson L, Bergquist H. Topically applied mometasone furoate improves dysphagia in adult eosinophilic esophagitis - results from a double-blind, randomized, placebo-controlled trial. Scand J Gastroenterol. 2021 Jun;56(6):629-634. doi: 10.1080/00365521.2021.1906314. Epub 2021 Apr 8. PubMed 33831327 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 17, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02113267
Lead sponsor
Mogens Bove
Collaborators
Vastra Gotaland Region
Responsible party
Mogens Bove (Associate Professor, Vastra Gotaland Region) — Sponsor-investigator
First posted
Apr 14, 2014
Start date
Apr 2014
Primary completion
Sep 2018
Completion
Sep 2018
Last update
Oct 17, 2018

Study contacts

Mogens Bove, MD,PhD
principal investigator · Dept of ENT, Head&Neck Surgery, NÄL Hospital, Trollhättan, Sweden

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Oct 2018. You cannot join it, but the record below documents what was studied.

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