Upadacitinib for Non-responsive Eosinophilic Esophagitis

This study is testing if a medication called upadacitinib can help people with Eosinophilic Esophagitis (EoE), a condition where a type of white blood cell called eosinophils build up in the esophagus. The main goal is to see if adding upadacitinib to your current topical corticosteroid treatment reduces EoE activity. You would take upadacitinib or a placebo (a pill with no medicine) daily for 12 weeks, followed by 12 weeks where everyone receives upadacitinib. You'll also complete surveys and have regular check-ups and tests at the clinic every four weeks. This study is looking for participants aged 18 to 65 who have been diagnosed with EoE and are currently using topical corticosteroids.

Study design
This is an interventional study with a planned enrollment of 52 participants. It involves a 12-week blinded period where you might receive upadacitinib or a placebo, followed by a 12-week open-label period where all participants receive upadacitinib.
What's involved
You will take daily medication for 24 weeks, visit the clinic every 4 weeks for checkups and tests, and complete surveys. You will also have an upper endoscopy after each 12-week period.
Compensation
Not stated in the trial record.
Follow-up
You will have a final checkup 30 days after your last endoscopy.

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NCT07588568

A Trial of Upadacitinib for Non-responsive Eosinophilic Esophagitis

Not Yet Recruiting
PHASE2Ages 18–65InterventionalTreatment
University of North Carolina, Chapel Hill
~52 participants
Updated 2026-08-21 on ClinicalTrials.gov
What's tested:Upadacitinib 30mg DoseUpadacitinib Matching Placebo

At a glance

Recruiting sites
0 of 2 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Peak eosinophil count (measured in eos/hpf) after 12-weeks of treatment
Measured over At 12-weeks post-treatment
EoE
Eosinophilic Esophagitis
Eosinophilic Esophagitis (EoE)
2 sites across 1 states
North Carolina2
  • Evan S Dellon, MD, MPH · PRINCIPAL_INVESTIGATOR · University of North Carolina, Chapel Hill

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Do you actually qualify for this trial?

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Eligibility criteria

Exclusion

cerebrovascular accident (stroke),
myocardial infarction (heart attack),
coronary stenting,
coronary bypass surgery (heart bypass surgery),
or thrombotic events including deep venous thrombosis (DVT) and pulmonary embolism (PE);
High-density lipoprotein (HDL) cholesterol level of \<40mg per deciliter,
Diabetes mellitus,
Family history of premature coronary heart disease,
Extraarticular rheumatoid arthritis.
  • Peak eosinophil count (measured in eos/hpf) after 12-weeks of treatmentAt 12-weeks post-treatment

    Peak eosinophil count (number of eosinophils per high power field (eos/hpf)) will be measured at 12-weeks post-treatment via esophageal biopsy during the study endoscopy. Eosinophil counts will be determined centrally by the study pathologist using a validated protocol.