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- Title
Safety of an investigational formulation of budesonide (budesonide oral suspension) for eosinophilic oesophagitis: an integrated safety analysis of six phase 1-3 clinical trials.
- Authors
Ikuo Hirano; Dellon, Evan S.; Gupta, Sandeep K.; Katzka, David A.; Collins, Margaret H.; Wojtowicz, Abigail M.; Terreri, Brian; Zhang, Wenwen; Boules, Mena; Bhatia, Siddharth; Desai, Nirav K.
- Abstract
Background: Questions remain regarding the safety of swallowed topical corticosteroids in eosinophilic oesophagitis (EoE). Aim: To assess the safety of an investigational formulation of budesonide (budesonide oral suspension; BOS) from six trials. Methods: Safety data were integrated from six trials (healthy adults: SHP621-101 [phase 1]; patients with EoE: MPI 101-01 and MPI 101-06 [phase 2]; SHP621-301, SHP621-302 and SHP621-303 [phase 3]) for participants who received =1 dose of study drug (BOS 2.0 mg twice daily [b.i.d.], BOS any dose [including BOS 2.0 mg b.i.d.] and placebo). Adverse events (AEs), laboratory testing, bone density and adrenal AEs were assessed. Exposure-adjusted incidence rates were calculated for AEs and AEs of special interest (AESIs). Results: Overall, 514 unique participants were included (BOS 2.0 mg b.i.d., n = 292; BOS any dose, n = 448; placebo, n = 168). The BOS 2.0 mg b.i.d., BOS any dose and placebo groups totalled 93.7, 122.4 and 25.0 participant-years of exposure (PY), respectively. Proportions of treatment-emergent AEs (TEAEs) and AESIs (any) reported were higher for BOS than placebo; however, most were mild/moderate in severity. The most commonly reported AESIs (exposure-adjusted incidence rates [per 100 PY]) in the BOS 2.0 mg b.i.d., BOS any dose and placebo groups were infections (133.5, 154.4 and 136.2, respectively) and gastrointestinal AEs (84.3, 80.9 and 92.1, respectively). Adrenal AEs were more frequent with BOS 2.0 mg b.i.d. and BOS any dose than placebo (44.8, 34.3 and 24.0, respectively). TEAEs and AESIs related to study drug or leading to discontinuation were infrequent. Conclusions: BOS was well-tolerated; most TEAEs with BOS were mild/moderate in severity.
- Subjects
EOSINOPHILIC esophagitis; CLINICAL trials; BUDESONIDE; BONE density; ORAL health; FLUTICASONE; CANAGLIFLOZIN
- Publication
Alimentary Pharmacology & Therapeutics, 2023, Vol 57, Issue 10, p1117
- ISSN
0269-2813
- Publication type
Article
- DOI
10.1111/apt.17430