Evidence map›Paper›PMID 39676687›Full record

Trial reportAlimentary pharmacology & therapeutics2025

Clinical Trial: Safety and Efficacy of a Novel Oesophageal Delivery System for Topical Corticosteroids Versus Placebo in the Treatment of Eosinophilic Oesophagitis.

Alfredo J Lucendo, Óscar Nantes-Castillejo, Alex Straumann, Luc Biedermann, Albert J Bredenoord, Danila Guagnozzi, Leonardo Blas-Jhon, Anna Wiechowska-Kozlowska, Simon Weidlich, Ulrike von Arnim and 7 more

Registry-linked trialAbstract readRandomized Controlled TrialClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Alimentary pharmacology & therapeutics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04849390 (A Randomized, Placebo-controlled, Double-blind Trial Evaluating the Efficacy, Tolerability and Safety of ESO-101 in Adult Patients With Active Eosinophilic Esophagitis), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04849390 phase2completednot on this map

A Randomized, Placebo-controlled, Double-blind Trial Evaluating the Efficacy, Tolerability and Safety of ESO-101 in Adult Patients With Active Eosinophilic Esophagitis

TypeinterventionalSponsorEsoCap AGRan2021 to 2023Enrolled43ConditionsEosinophilic EsophagitisArmsESO-101, Placebo
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Eosinophilic gastrointestinal diseases.Nature reviews. Disease primers · 2026
    Review
  2. Review
  3. Article
  4. Review
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  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Alfredo J LucendoDepartment of Gastroenterology, Hospital General de Tomelloso, Tomelloso, Spain.ORCID https://orcid.org/0000-0003-1183-1072
Óscar Nantes-CastillejoDepartment of Gastroenterology, Complejo Hospitalario de Navarra, Pamplona, Spain.ORCID https://orcid.org/0000-0002-3587-1039
Alex StraumannDepartment of Gastroenterology & Hepatology, Universitäty Hospital Zurich, Zurich, Switzerland.ORCID https://orcid.org/0000-0002-1428-6404
Luc BiedermannDepartment of Gastroenterology & Hepatology, Universitäty Hospital Zurich, Zurich, Switzerland.ORCID https://orcid.org/0000-0003-0824-4125
Albert J BredenoordDepartment of Gastroenterology, Amsterdam University Medical Center, Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0001-5918-2062
Danila GuagnozziCentro de Investigación Biomédica en Red Enfermedades Hepáticas y Digestivas (CIBEREHD), Madrid, Spain.ORCID https://orcid.org/0000-0002-6171-1901
Leonardo Blas-JhonDepartment of Gastroenterology, Fundación Jiménez Díaz, Madrid, Spain.ORCID https://orcid.org/0000-0001-9673-345X
Anna Wiechowska-KozlowskaEndoscopy Unit, Sonomed Medical Centre, Szczecin, Poland.ORCID https://orcid.org/0000-0003-0826-9197
Simon WeidlichDepartment of Internal Medicine II, School of Medicine and Health, University Hospital Rechts der Isar, Technical University of Munich, Munich, Germany.ORCID https://orcid.org/0000-0001-7193-2778
Ulrike von ArnimDepartment of Gastroenterology, Hepatology and Infectious Diseases, Universitätsklinikum Magdeburg AöR, Magdeburg, Germany.ORCID https://orcid.org/0000-0003-3214-0166
Cecilio Santander-VaqueroCentro de Investigación Biomédica en Red Enfermedades Hepáticas y Digestivas (CIBEREHD), Madrid, Spain.
Antonia PerellóDepartment of Gastroenterology, Hospital de Viladecans, Viladecans, Spain.ORCID https://orcid.org/0000-0003-4137-8790
Isabel Pérez-MartínezDepartment of Gastroenterology, Hospital Universitario Central de Asturias, Oviedo, Spain.ORCID https://orcid.org/0000-0002-2535-1929
Jesús BarrioDepartment of Gastroenterology, Hospital Universitario Río Hortega. Gerencia Regional de Salud de Castilla y León (SACYL), Valladolid, Spain.ORCID https://orcid.org/0000-0001-7087-3921
Michael ViethInstitut für Pathologie, Friedrich-Alexander-Universität Erlangen-Nürnberg, Klinikum Bayreuth, Bayreuth, Germany.ORCID https://orcid.org/0000-0002-4336-7721
Ghazaleh GouyaGouya Insights, Vienna, Austria.ORCID https://orcid.org/0000-0002-6320-8015
Evan S DellonDepartment of Medicine, Division of Gastroenterology and Hepatology, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, USA.ORCID https://orcid.org/0000-0003-1167-1101

Funding

EsoCap Biotech AG
6 · The paper itself

Abstract

backgroundEsoCap is a thin mucoadhesive film designed to target the oesophageal mucosa. The device loaded with mometasone furoate (ESO-101) is under investigation for the treatment of eosinophilic oesophagitis (EoE).

aimsTo evaluate the efficacy, safety and tolerability of ESO-101 in patients with active EoE.

methodsWe conducted a randomised, placebo-controlled, phase 2, proof-of-concept trial at 14 European sites in adults with EoE. Participants received placebo, uncoated EsoCap (n = 15), or EsoCap loaded with 800 μg of mometasone furoate (n = 28) once daily during 28 days. The primary outcome was the absolute change in the peak eosinophil count; secondary outcomes were histologic, clinical and endoscopic measures.

resultsTreatment with ESO-101 resulted in reduction (mean ± SD) of 49.1 ± 88.4 eosinophils/high-power field from baseline, compared with 6.6 ± 65.1 with placebo (p = 0.03). With ESO-101, 48% and 44% of patients achieved < 15 and < 6 eosinophils/high-power field, respectively; these were 0% with placebo. EoE Endoscopic Reference Score reduced significantly in patients treated with ESO-101. In contrast, dysphagia and odynophagia severity decreased similarly in both groups. There were no serious treatment-emergent adverse events. Mean serum cortisol did not change significantly throughout the trial. Notably, no oropharyngeal or oesophageal candidiasis was documented. The device was well tolerated.

conclusionsESO-101 was superior to placebo in reducing oesophageal eosinophilia. The device was safe and well tolerated in adults with EoE, supporting the continued development of ESO-101 for the treatment of EoE (Trials.gov No.: NCT04849390; Eu-CT No.: 2020-000082-16).

Indexed as

Adrenal Cortex HormonesDrug Delivery SystemsEosinophilic EsophagitisAdministration, TopicalAdultAgedDouble-Blind MethodEsophagusFemaleHumansMaleMiddle AgedMometasone FuroatePlacebosTreatment OutcomeYoung AdultAdrenal Cortex HormonesMometasone FuroatePlaceboscorticosteroiddrug deliveryeosinophilic oesophagitishistopathologytopical therapy

Identifiers

PMID39676687
PMCPMC11707640

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.