Last reviewed · How we verify

NCT04620811

An Extension Study of Lirentelimab in Eosinophilic Gastritis and/or Eosinophilic Duodenitis (Formerly Referred to as Eosinophilic Gastroenteritis)

Completed Phase 3 Results posted Last updated 22 April 2024
What this trial tests

Phase 3 trial testing lirentelimab in Eosinophilic Gastritis in 159 participants. Completed in 7 July 2023.

Timeline
3 December 2020
Primary endpoint
15 May 2023
7 July 2023

Quick facts

Lead sponsorAllakos Inc.
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment159
Start date3 December 2020
Primary completion15 May 2023
Estimated completion7 July 2023
Sites38 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Allakos Inc. — full company profile →

Who can join

Adults 18 to 80, any sex, with Eosinophilic Gastritis or Eosinophilic Duodenitis. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

The Safety and Tolerability of Lirentelimab by Evaluating Adverse Events Assessed Using the CTCAE Version 5.0 Primary · Through study completion, up to 21 months

Adverse events assessed using the CTCAE version 5.0.

No. of Subjects with >=1 Adverse Events
GroupValue95% CI
Main Study Placebo to Extension Study 3.0 mg/kg of Lirentelimab (AK002)66
Main Study Active to Extension Study 3.0 mg/kg of Lirentelimab (AK002)75
No. of Subjects with >=1 Treatment-Related Adverse Events
GroupValue95% CI
Main Study Placebo to Extension Study 3.0 mg/kg of Lirentelimab (AK002)33
Main Study Active to Extension Study 3.0 mg/kg of Lirentelimab (AK002)29
No. of Subjects with >=1 Serious Adverse Events
GroupValue95% CI
Main Study Placebo to Extension Study 3.0 mg/kg of Lirentelimab (AK002)6
Main Study Active to Extension Study 3.0 mg/kg of Lirentelimab (AK002)14
No. of Subjects with an Adverse Event Leading to Study Drug Discontinuation
GroupValue95% CI
Main Study Placebo to Extension Study 3.0 mg/kg of Lirentelimab (AK002)6
Main Study Active to Extension Study 3.0 mg/kg of Lirentelimab (AK002)10
No. of Subjects with >=1 Treatment-Related Serious Adverse Events
GroupValue95% CI
Main Study Placebo to Extension Study 3.0 mg/kg of Lirentelimab (AK002)1
Main Study Active to Extension Study 3.0 mg/kg of Lirentelimab (AK002)1
Proportion of Tissue Eosinophil Responders Secondary · At Follow-up EGD (Esophago-Gastro-Duodenoscopy) (Day 505 or 28 days after last dose if ET)

A tissue eosinophil responder is defined as mean eosinophil count ≤4 cells/HPF in 5 gastric HPFs for EG only patients, ≤15 cells/HPF in 3 duodenal HPFs for EoD only patients, and ≤4 cells/HPF in 5 gastric HPFs and ≤15 cells/HPF in 3 duodenal HPFs for EG+EoD patients.

GroupValue95% CI
Main Study Placebo to Extension Study 3.0 mg/kg of Lirentelimab (AK002)52
Main Study Active to Extension Study 3.0 mg/kg of Lirentelimab (AK002)48
Change in PRO Total System Score (TSS) From AK002-016/AK002-012 Baseline Secondary · Main Study Baseline to Extension Weeks 71-72

The PRO Total Symptom Score (TSS) is a patient reported outcome (PRO) questionnaire comprises the following 6 symptoms: Abdominal pain intensity, Nausea intensity, Fullness before meal intensity, Loss of appetite intensity, Bloating intensity, and Abdominal cramping intensity. TSS scores can range from 0 to 60, with a lower score indicating less-severe symptoms.

GroupValue95% CI
Main Study Placebo to Extension Study 3.0 mg/kg of Lirentelimab (AK002)-14.4± 11.0
Main Study Active to Extension Study 3.0 mg/kg of Lirentelimab (AK002)-17.0± 12.1

Adverse events — posted to ClinicalTrials.gov

Time frame: Through study completion, up to 21 months. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Main Study Placebo to Extension Study 3.0 mg/kg of Lirentelimab (AK002)
Serious: 6/75 (8%)
Deaths: 0/75
Main Study Active to Extension Study 3.0 mg/kg of Lirentelimab (AK002)
Serious: 14/84 (17%)
Deaths: 1/84

Serious adverse events (23 terms)

ReactionSystemMain Study Placebo to Exte…Main Study Active to Exten…
AppendicitisInfections and infestations
CellulitisInfections and infestations
AnaemiaBlood and lymphatic system disorders
LeukopeniaBlood and lymphatic system disorders
Abdominal painGastrointestinal disorders
Gastrointestinal haemorrhageGastrointestinal disorders
Hiatus herniaGastrointestinal disorders
NauseaGastrointestinal disorders
VolvulusGastrointestinal disorders
VomitingGastrointestinal disorders
DeathGeneral disorders
PyrexiaGeneral disorders
HypersensitivityImmune system disorders
Meningitis viralInfections and infestations
Pelvic abscessInfections and infestations
Diabetic ketoacidosisMetabolism and nutrition disorders
Cerebrovascular accidentNervous system disorders
Radial nerve palsyNervous system disorders
SyncopeNervous system disorders
EndometriosisReproductive system and breast disorders
Pelvic painReproductive system and breast disorders
AsthmaRespiratory, thoracic and mediastinal disorders
Aortic thrombosisVascular disorders
Other adverse events (18 terms — click to expand)

ReactionSystemMain Study Placebo to Exte…Main Study Active to Exten…
Infusion related reactionInjury, poisoning and procedural complications
Corona virus infectionInfections and infestations
DiarrhoeaGastrointestinal disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
Abdominal painGastrointestinal disorders
Urinary tract infectionInfections and infestations
ArthralgiaMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
AnaemiaBlood and lymphatic system disorders
NasopharyngitisInfections and infestations
Coronavirus test positiveInvestigations
DepressionPsychiatric disorders
Upper respiratory tract infectionInfections and infestations
Gastroenteritis eosinophilicGastrointestinal disorders
HypersensitivityImmune system disorders
SinusitisInfections and infestations
Rhinitis allergicRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: Appendicitis, Cellulitis, Anaemia, Leukopenia, Abdominal pain, Gastrointestinal haemorrhage, Hiatus hernia, Nausea.

Data from ClinicalTrials.gov NCT04620811 adverse events section.

Sponsor's own description

This is a Phase 3, open-label, extension study to assess the long term efficacy and safety of lirentelimab given monthly.

Publications & conference data

5 peer-reviewed publications reference this trial (live from Europe PMC):

  1. The role of biologics in pediatric food allergy and eosinophilic gastrointestinal disorders.
    Sindher SB, Barshow S, Tirumalasetty J, Arasi S, et al · · 2023 · cited 24× · PMID 36872039 · DOI 10.1016/j.jaci.2023.01.007
  2. Eosinophilic gastroenteritis: Pathogenesis, diagnosis, and treatment.
    Li K, Ruan G, Liu S, Xu T, et al · · 2023 · cited 23× · PMID 37022943 · DOI 10.1097/cm9.0000000000002511
  3. Regulation of Eosinophilia in Asthma-New Therapeutic Approaches for Asthma Treatment.
    Cusack RP, Whetstone CE, Xie Y, Ranjbar M, et al · · 2021 · cited 22× · PMID 33917396 · DOI 10.3390/cells10040817
  4. Primary eosinophilic gastrointestinal disorders and allergy: Clinical and therapeutic implications.
    Rossi CM, Lenti MV, Merli S, Licari A, et al · · 2022 · cited 20× · PMID 35620572 · DOI 10.1002/clt2.12146
  5. Advances in Biologic Therapies for Allergic Diseases: Current Trends, Emerging Agents, and Future Perspectives.
    Alska E, Łaszczych D, Napiórkowska-Baran K, Szymczak B, et al · · 2025 · cited 13× · PMID 40004611 · DOI 10.3390/jcm14041079

Verify or expand the search:

Other recruiting trials for Eosinophilic Gastritis

Currently open trials in the same condition.

Other Allakos Inc. trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04620811.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing