Eosinophilic Esophagitis Clinical Trial
Official title:
Evaluation of the Clinical, Endoscopic and Histologic Effects of Environmental Allergy Immunotherapy in the Treatment of Eosinophilic Esophagitis
Eosinophilic esophagitis (EoE) is a disease that has increased in incidence over the past
decade that affects males predominantly, and in adults, is characterized by heartburn,
dysphagia, strictures and food impactions. These symptoms may require emergent endoscopic
removal of foods and esophageal dilations due to remodeling causing significant impairment
in quality of life. Treatment options are limited and often not well tolerated or effective.
There is poor understanding of the natural history and long term prognosis. It has been
associated with allergic sensitization; a high percentage of affected individuals having
associated atopy and current literature demonstrates a seasonal distribution of incidence
and severity of symptoms. Allergy immunotherapy (AIT) is a well established and effective
treatment for allergic rhinitis and asthma which can induce tolerance to environmental
allergens.
Given the efficacy of AIT and the association of aeroallergen sensitization and even
seasonal variation of EoE symptoms, we hypothesized that AIT may be a treatment option for
patients with EoE.
Purpose: To evaluate the role of allergy AIT in the management of EoE.
Research design: Patients with EoE and aeroallergen sensitization will be offered AIT as a
treatment modality for EoE. They will be evaluated by questionnaire, laboratory tests,
endoscopy and biopsy before and after treatment to determine if there is clinical,
laboratory, endoscopic and histologic changes in their EoE.
;
Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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