ClinicalTrials.gg
TerminatedNCT05251909HUDSON GIUpdated Jul 14, 2025Results posted

Efficacy and Safety of Benralizumab in Patients With Eosinophilic Gastritis and/or Gastroenteritis (The HUDSON GI Study)

A Phase 3 interventional study of Benralizumab and Placebo in Eosinophilic Gastritis and Eosinophilic Gastroenteritis, sponsored by AstraZeneca. Terminated at 20 sites in 9 countries. Open to participants aged 12 Years to 130 Years. Per ClinicalTrials.gov, last updated 2025-07-14.

Sponsored by AstraZeneca · Phase 3, Interventional, and Treatment

Why this study was terminated
The study was terminated by the Sponsor based on emerging evidence in the pathology of eosinophilic upper gastrointestinal diseases. Recruitment for the study was terminated and only a small number of patients were recruited.
Phase
Phase 3
Study type
Interventional
Enrollment
12
Allocation
Randomized
Ages
12 Years to 130 Years
Sex
All
01

Study summary

This is a 3-part study. Part A is randomized, double-blinded, placebo-controlled and includes patients with eosinophilic gastritis and/or duodenal-only disease. After completing Part A, participants can continue to Part C - open-label benralizumab treatment period. Following the decision to close enrollment, patients in both Part A and Part C will be given the option to proceed to 6-months of open-label benralizumab treatment in Part D.

02

Conditions studied

  • Eosinophilic Gastritis
  • Eosinophilic Gastroenteritis

Keywords

  • Benralizumab
  • Eosinophilic Gastritis
  • Gastroenteritis
  • Intestinal Diseases
  • Stomach Diseases
  • Gastrointestinal Diseases
  • Digestive System Diseases
03

In context

Eosinophilic enteropathy

28 studies on the registry are indexed under Eosinophilic enteropathy; 5 are open to participants now.

This study's enrollment of 12 is below the median of 36 across 16 interventional studies indexed under Eosinophilic enteropathy.

Browse Eosinophilic enteropathy studies →

Lead sponsor

AstraZeneca is the lead sponsor of 3,499 studies on the registry; 270 are open to participants now.

Of its 368 completed or terminated interventional studies of FDA-regulated products, 178 (48%) have results posted.

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

04

Who can participate

Ages eligible
12 Years to 130 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Aged >= 12 years of age at the time of signing the ICF or or assent form.
  • Confirmed diagnosis of EG/EGE for at least 3 months prior to screening.
  • Baseline Eosinophilic gastritis, with or without duodenitis, or eosinophilic duodenitis alone confirmed by with a gastric count of ≥30 eosinophils/hpf in at least 5 hpfs and/or duodenal eosinophil count ≥30 eosinophils/hpf in at least 3 hpfs without any other cause for the gastrointestinal eosinophilia.
  • Symptoms including at least moderate abdominal pain, nausea, bloating, early satiety, and/or loss of appetite
  • Must be adherent to daily PRO assessments including at least 8 of 14 symptom assessments in the 14 days prior to randomization
  • If on background medications for EG/EGE, the medications should be stable at least 4 weeks prior to the run-in period.
  • Willing and able to comply with all study procedures and visit schedule including follow-up visits
  • Women of must agree to use a highly effective form of (confirmed by the Investigator) from randomization throughout the study duration and within 12 weeks after last dose if IP.

Exclusion criteria

Exclusion criteria:

  • Other gastrointestinal disorders such as active Helicobacter pylori infection, history of achalasia, esophageal varices, Crohn's disease, ulcerative colitis, inflammatory bowel disease, or celiac disease.
  • Hypereosinophilic syndrome or eosinophilic granulomatosis with polyangiitis.
  • Current , or history of malignancy, except for patients who have had basal cell, localized squamous cell carcinoma of the skin, or in situ carcinoma of the cervix are eligible provided that the patient is in remission and curative therapy was completed at least 12 months prior to the date of .
  • History of anaphylaxis to any biologic therapy or vaccine.
  • Current active liver disease.
  • Helminth parasitic infection diagnosed within 24 weeks prior to the date informed that has not been treated with or has failed to respond to standard of care therapy.
  • Known immunodeficiency disorder including testing positive for .
  • Concomitant use of medication.
  • Receipt of 30 days prior to date of informed consent or assent.
  • Receipt of inactive vaccines within 7 days of informed consent or assent.
  • Initiation or change of a food-elimination diet regimen or re-introduction of a previously eliminated food group from 6 weeks prior to start of the run-in period and unable or unwilling to remain on a stable diet until the completion of Part A and C.
  • Currently pregnant or breast-feeding.
Terms in these criteria, in plain language(8)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
12 participants (actual)

Study arms

  • Experimental
    Benralizumab

    This arm is a subcutaneous dose of Benralizumab

    Biological: Benralizumab

  • Placebo comparator
    Placebo

    This arm is a subcutaneous dose of Placebo

    Biological: Placebo

Interventions

  • BiologicalBenralizumab

    Benralizumab is a humanized, afucosylated, monoclonal antibody that binds specifically to the IL-5Rα on the target cell and thus directly depletes eosinophils through antibody-dependent cell-mediated cytotoxicity. Benralizumab has been widely approved for treatment of asthma.

    Also known as: Fasenra

  • BiologicalPlacebo

    Placebo will be injected as a comparator to injection with Benralizumab to examine effect on both the signs and symptoms of EG/EGE and the underlying eosinophilic inflammation, with dual primary outcome variables

06

What researchers measure

Primary outcomes

  1. Proportion of Patients With a Histologic Response at Week 24

    the proportion of patients achieving a histological response at Week 24, is defined as below: * 6 eosinophils/hpf in the stomach for the patients with only gastric disease at baseline. * 6 eosinophils/hpf in the stomach and ≤15 eosinophils/hpf in the duodenum for the patients with gastric + duodenal disease at baseline. * 15 eosinophils/hpf in the duodenum for the patients with only duodenal disease at baseline.

    Time frame: at week 24

  2. Change From Baseline in SAGED Score at Week 24

    The Symptom Assessment for Gastrointestinal Eosinophilic Diseases (SAGED) instrument was developed to measure gastrointestinal symptoms in participants diagnosed with EG/EGE. It is a daily diary completed by participants each evening from screening until week 76 to record symptoms during the past 24 hours. Severity for each concept is assessed using an 11-point numerical rating scale (0 = 'none' and 10 = 'worst imaginable'). The total SAGED score (range 0-50) is calculated as a 14-day mean of the sum of individual severity items of abdominal pain, nausea, bloating, early satiety and loss of appetite daily. Higher scores indicate greater symptom severity. Three additional items are collected that aren't part of the total SAGED score and are considered separately: severity of vomiting, severity of diarrhoea and frequency of vomiting. Change in SAGED score at week 24 is the week 24 score (study days 155 to 168) minus the baseline score (study days -14 to -1).

    Time frame: at week 24

07

Results

Posted Jul 14, 2025
Limitations and caveats
Due to early termination of study limited numbers of patients was randomized and thus data not analysed on group level.

Participant flow

A total of 34 participants were screened. Of those, 12 participants were randomised to either the treatment (6 participants) or placebo (participants) arms of the double-blinded treatment period.

Double Blind Period
Participant flow — Double Blind Period
MilestoneBenralizumabPlacebo
Started66
Completed63
Not completed03
Open Label Extension
Participant flow — Open Label Extension
MilestoneBenralizumabPlacebo
Started63
Completed52
Not completed11
Withdrew: Subjects who discontinued treatment with study drug in ole but completed study follow-up11

Outcome measures

PrimaryProportion of Patients With a Histologic Response at Week 24

the proportion of patients achieving a histological response at Week 24, is defined as below: * 6 eosinophils/hpf in the stomach for the patients with only gastric disease at baseline. * 6 eosinophils/hpf in the stomach and ≤15 eosinophils/hpf in the duodenum for the patients with gastric + duodenal disease at baseline. * 15 eosinophils/hpf in the duodenum for the patients with only duodenal disease at baseline.

Time frame:
at week 24
Reported as:
Count of participants · Participants
Proportion of Patients With a Histologic Response at Week 24
ParticipantsBenralizumabPlacebo
Proportion of Patients With a Histologic Response at Week 2450
PrimaryChange From Baseline in SAGED Score at Week 24

The Symptom Assessment for Gastrointestinal Eosinophilic Diseases (SAGED) instrument was developed to measure gastrointestinal symptoms in participants diagnosed with EG/EGE. It is a daily diary completed by participants each evening from screening until week 76 to record symptoms during the past 24 hours. Severity for each concept is assessed using an 11-point numerical rating scale (0 = 'none' and 10 = 'worst imaginable'). The total SAGED score (range 0-50) is calculated as a 14-day mean of the sum of individual severity items of abdominal pain, nausea, bloating, early satiety and loss of appetite daily. Higher scores indicate greater symptom severity. Three additional items are collected that aren't part of the total SAGED score and are considered separately: severity of vomiting, severity of diarrhoea and frequency of vomiting. Change in SAGED score at week 24 is the week 24 score (study days 155 to 168) minus the baseline score (study days -14 to -1).

Time frame:
at week 24
Reported as:
Mean · score
Change From Baseline in SAGED Score at Week 24
scoreBenralizumabPlacebo
Change From Baseline in SAGED Score at Week 24-9.59 ± 7.26-13.69 ± 4.37

Adverse events

Collected over AEs in the on-study period are defined as those with onset between day of first dose of study treatment and the day of the scheduled follow-up visit, inclusive, approximately up to Week 88.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Benralizumab0/6 (0%)0/6 (0%)6/6 (100%)
Placebo0/6 (0%)0/6 (0%)3/6 (50%)
Open Label Benralizumab0/9 (0%)0/9 (0%)6/9 (66.7%)
Most frequent other events
Showing 10 of 40
Most frequent other events
EventBenralizumabPlaceboOpen Label Benralizumab
NauseaGastrointestinal disorders2/61/60/9
PyrexiaGeneral disorders2/60/60/9
COVID-19Infections and infestations0/61/62/9
Abdominal pain upperGastrointestinal disorders1/60/62/9
ToothacheGastrointestinal disorders1/60/60/9
Injection site reactionGeneral disorders1/60/60/9
BronchitisInfections and infestations1/60/60/9
Genitourinary tract infectionInfections and infestations1/60/60/9
AnaemiaBlood and lymphatic system disorders1/60/60/9
Herpes zosterInfections and infestations1/60/60/9

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)BenralizumabPlaceboTotal
<=18 years011
Between 18 and 65 years549
>=65 years112
Sex: Female, Male
Sex: Female, Male(Participants)BenralizumabPlaceboTotal
Female516
Male156
Race (NIH/OMB)
Race (NIH/OMB)(Participants)BenralizumabPlaceboTotal
American Indian or Alaska Native000
Asian101
Native Hawaiian or Other Pacific Islander000
Black or African American011
White549
More than one race000
Unknown or Not Reported011
08

Study locations

20 sites
  • Research Site
    Chicago, Illinois 60611, United States
  • Research Site
    Boston, Massachusetts 02111, United States
  • Research Site
    Rochester, Minnesota 55905, United States
  • Research Site
    Chapel Hill, North Carolina 27599, United States
  • Research Site
    Philadelphia, Pennsylvania 19104, United States
  • Research Site
    Salt Lake City, Utah 84107, United States
  • Research Site
    Salt Lake City, Utah 84132, United States
  • Research Site
    São Paulo, 01327-001, Brazil
  • Research Site
    Milan, 20122, Italy
  • Research Site
    Padova, 35128, Italy
  • Research Site
    Pisa, 56124, Italy
  • Research Site
    Bunkyō City, 113-8603, Japan
  • Research Site
    Maebashi, 371-8511, Japan
  • Research Site
    Ogaki-shi, 503-8502, Japan
  • Research Site
    Shinjuku-ku, 162-8655, Japan
  • Research Site
    Amsterdam, 1105 AZ, Netherlands
  • Research Site
    Staszów, 28-200, Poland
  • Research Site
    Seville, 41009, Spain
  • Research Site
    Kyiv, 04050, Ukraine
  • Research Site
    Hanoi, 100000, Vietnam
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — Qualified researchers can request access to anonymised individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

Supporting information: Study protocol, Statistical analysis plan

Time frame: AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles. For details of our timelines, please refer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure

Access criteria: When a request has been approved AstraZeneca will provide access to the de- identified individual patient-level data in an approved sponsor tool. Signed Data Sharing Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information. Additionally, all users will need to accept the terms and conditions of the SAS MSE to gain access. For additional details, please review the Disclosure Statements at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure

Data sharing details ↗ · astrazenecagroup-dt.pharmacm.com

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 14, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05251909
Lead sponsor
AstraZeneca
Responsible party
Sponsor
First posted
Feb 23, 2022
Start date
Jan 18, 2022
Primary completion
Feb 13, 2024
Completion
Feb 13, 2024
Results posted
Jul 14, 2025
Last update
Jul 14, 2025

Study contacts

Marc E. Rothenberg, MD, PhD
principal investigator · Cincinnati Children's Hospital Medical Center 3333 Burnet Ave, Cincinnati Ohio 45229, United States

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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