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Eosinophilic EsophagitisPhase 3CROSSINGNCT05583227

Efficacy and Safety of Tezepelumab in Patients With Eosinophilic Esophagitis

A Phase 3 study testing Tezepelumab in people with Eosinophilic Esophagitis, run by AstraZeneca at 124 sites in 22 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

A randomized, double-blind, placebo-controlled multicenter, phase 3 study to evaluate the efficacy and safety of tezepelumab administered subcutaneously (SC) using an accessorized pre-filled syringe (APFS) versus placebo in adult and adolescent patients with eosinophilic esophagitis (EoE). Read more about this study

Who is it for?
Ages 12 to 80 years
Conditions the study is for
Eosinophilic Esophagitis
What is being tested?
Tezepelumab
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
368 participants
Where
124 sitesin 22 countries
Study dates
10 Nov 2022to 23 Mar 2027
Phase
Phase 3
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 12 to 80 years
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Participant must be 12 to 80 years of age inclusive, at the time of signing the informed consent/assent.
  • Weight ≥ 40 kg at Visit 1
  • Established diagnosis of EoE with a previous EGD and esophageal biopsy confirming a diagnosis of EoE.
  • Participants who have symptomatic EoE as defined by a history of on average at least 2 episodes of dysphagia (any severity of food going down slowly or being stuck in the throat) per week in the 4 weeks prior to Visit 1.
  • Must remain on a stabilized diet for at least 8 weeks prior to Visit 1 and during the course of the study (stable diet is defined as no initiation of single or multiple elimination diets or reintroduction of previously eliminated food groups).
  • May be on any background PPI and/or STC, during the course of the study, as long as background medications have been stable for at least 8 weeks prior to the screening/run-in period (Visit 1) and there is agreement not to change background medication or dosage unless medically indicated, during the screening/run-in and treatment period.
Show all 9Show fewer
  • Participants currently on leukotriene inhibitors and/or steroid treatments for asthma or allergies that are inhaled or administered intranasally, must report a stable dose for at least 4 weeks prior to the screening/run-in period (Visit 1).
  • If a medication for EoE (for example PPI and/or STC) is discontinued prior to the screening/run-in, there should be a washout period of at least 8 weeks prior to Visit 1. Discontinuation of any marketed biologic (monoclonal or polyclonal antibody) should have a washout period of 4 months or 5 half-lives prior to Visit 1, whichever is longer.
  • Participants should have previously documented standard of care treatment, which could include PPI and/or STC and/or diet.

Who cannot join

  • Other gastrointestinal disorders such as active Helicobacter pylori infection, history of achalasia, esophageal varices, Crohn's disease, ulcerative colitis, inflammatory bowel disease, celiac disease, eosinophilic enteritis, colitis, diverticulitis, irritable bowel syndrome, or other clinically significant gastrointestinal conditions as per Investigator discretion.
  • Esophageal stricture that prevents the easy passage of a standard endoscope or any critical esophageal stricture that requires dilation at screening.
  • Use of a feeding tube, or having a pattern of not eating solid food >3 days of week. Solid food is defined as food that requires chewing before swallowing.
  • Hypereosinophilic syndrome
  • EGPA vasculitis
  • Esophageal dilation performed within 8 weeks prior to screening.

Trial locations and contacts

124 sites in 22 countries.

124 sites in 22 countries

United States24 sites
  • Research Site

    Aurora, Colorado, 80045

  • Research Site

    Boston, Massachusetts, 02111

  • Research Site

    Brooklyn, New York, 11235

  • Research Site

    Chapel Hill, North Carolina, 27599

  • Research Site

    Chesterfield, Michigan, 48047

  • Research Site

    Cincinnati, Ohio, 45229

  • Research Site

    Houston, Texas, 77030

  • Research Site

    Inverness, Florida, 34452

  • Research Site

    Iowa City, Iowa, 52242

  • Research Site

    Jacksonville, Florida, 32256

  • Research Site

    Lincoln, Nebraska, 68503

  • Research Site

    Little Rock, Arkansas, 72202

  • Research Site

    Los Angeles, California, 90033

  • Research Site

    Nashville, Tennessee, 37232

  • Research Site

    Normal, Illinois, 61761

  • Research Site

    Ocean City, New Jersey, 07712

  • Research Site

    Philadelphia, Pennsylvania, 19104

  • Research Site

    Phoenix, Arizona, 85016

  • Research Site

    Saint Augustine, Florida, 32086

  • Research Site

    Salt Lake City, Utah, 84107

  • Research Site

    Salt Lake City, Utah, 84132

  • Research Site

    Topeka, Kansas, 66606

  • Research Site

    Uniontown, Pennsylvania, 15401

  • Research Site

    White Marsh, Maryland, 21162

Other trials in United States

Japan12 sites
  • Research Site

    Akita, 010-8543

  • Research Site

    Fukuoka, 812-8582

  • Research Site

    Himeji, 670-8560

  • Research Site

    Hiroshima, 734-8551

  • Research Site

    Isehara-shi, 259-1193

  • Research Site

    Kawasaki-shi, 211-0063

  • Research Site

    Maebashi, 371-8511

  • Research Site

    Minatoku, 108-8329

  • Research Site

    Osaka, 545-8586

  • Research Site

    Shinjuku-ku, 160-8582

  • Research Site

    Shinjuku-ku, 162-8655

  • Research Site

    Yamagata, 990-9585

Other trials in Japan

China9 sites
  • Research Site

    Beijing, 100020

  • Research Site

    Beijing, 100050

  • Research Site

    Guangzhou, 510080

  • Research Site

    Hangzhou, 310052

  • Research Site

    Nanjing, 2100008

  • Research Site

    Shanghai, 200000

  • Research Site

    Shenyang, 110004

  • Research Site

    Tianjin, 300050

  • Research Site

    Wuhan, 430022

Other trials in China

Italy9 sites
  • Research Site

    Bologna, 40138

  • Research Site

    Milan, 20162

  • Research Site

    Naples, 80131

  • Research Site

    Padova, 35128

  • Research Site

    Pisa, 56124

  • Research Site

    Roma, 00161

  • Research Site

    Roma, 00168

  • Research Site

    Rozzano, 20089

  • Research Site

    Verona, 37134

Other trials in Italy

Spain9 sites
  • Research Site

    Barcelona, 08035

  • Research Site

    Barcelona, 08036

  • Research Site

    Madrid, 28006

  • Research Site

    Madrid, 28007

  • Research Site

    Madrid, 28031

  • Research Site

    Pamplona, 31008

  • Research Site

    Seville, 41009

  • Research Site

    Seville, 41013

  • Research Site

    Tomelloso, 13700

Other trials in Spain

Brazil8 sites
  • Research Site

    Botucatu, 18618-687

  • Research Site

    Brasília, 71681-603

  • Research Site

    Caxias do Sul, 95070-560

  • Research Site

    Curitiba, 80250-060

  • Research Site

    Curitiba, 80440-220

  • Research Site

    Porto Alegre, 90035-903

  • Research Site

    São José do Rio Preto, 15090-000

  • Research Site

    São Paulo, 05403-000

Other trials in Brazil

Israel7 sites
  • Research Site

    Holon, 58100

  • Research Site

    Jerusalem, 91120

  • Research Site

    Petah Tikva, 4920235

  • Research Site

    Petah Tikva, 4941492

  • Research Site

    Tel Aviv, 62748

  • Research Site

    Tel Aviv, 6423906

  • Research Site

    Tel HaShomer, 52620

Other trials in Israel

Canada5 sites
  • Research Site

    Hamilton, Ontario, L8S 1G5

  • Research Site

    London, Ontario, N6A 5W9

  • Research Site

    Niagara Falls, Ontario, L2H 1H5

  • Research Site

    Ottawa, Ontario, K1H 1E4

  • Research Site

    Windsor, Ontario, N8X 2G1

Other trials in Canada

Greece5 sites
  • Research Site

    Athens, 11521

  • Research Site

    Athens, 11527, GR

  • Research Site

    Athens, 11527

  • Research Site

    Athens, 12462

  • Research Site

    Thessaloniki, 56429

Other trials in Greece

Norway5 sites
  • Research Site

    Ålesund, 6026

  • Research Site

    Lørenskog, 1478

  • Research Site

    Lørenskog, N-1478

  • Research Site

    Oslo, 0450

  • Research Site

    Tromsø, N-9038

Other trials in Norway

Australia4 sites
  • Research Site

    Elizabeth Vale, 5112

  • Research Site

    Kogarah, 2217

  • Research Site

    South Brisbane, QL 4101

  • Research Site

    Woolloongabba, 4102

Other trials in Australia

Belgium4 sites
  • Research Site

    Bruges, 8310

  • Research Site

    Edegem, 2650

  • Research Site

    Ghent, 9000

  • Research Site

    Leuven, 3000

Other trials in Belgium

New Zealand4 sites
  • Research Site

    Christchurch, 8011

  • Research Site

    Hamilton, 3240

  • Research Site

    Otahuhu, 2025

  • Research Site

    Wellington, 6021

Other trials in New Zealand

Czechia3 sites
  • Research Site

    Brno, 625 00

  • Research Site

    Hradec Králové, 500 12

  • Research Site

    Prague, 190 00

Other trials in Czechia

Denmark3 sites
  • Research Site

    Gistrup, 9260

  • Research Site

    Køge, 4600

  • Research Site

    Odense, 5000

Other trials in Denmark

Netherlands3 sites
  • Research Site

    Amsterdam, 1081 HV

  • Research Site

    Nijmegen, 6525 GA

  • Research Site

    Rotterdam, 3015 GD

Other trials in Netherlands

Sweden3 sites
  • Research Site

    Stockholm, 171 76

  • Research Site

    Trollhättan, 461 73

  • Research Site

    Uppsala, 751 85

Other trials in Sweden

Austria2 sites
  • Research Site

    Vienna, 1090

  • Research Site

    Wels, 4600

Other trials in Austria

United Kingdom2 sites
  • Research Site

    London, SW17 0QT

  • Research Site

    London, WC1N 3JH

Other trials in United Kingdom

Finland1 site
  • Research Site

    Helsinki, 00290

Other trials in Finland

Germany1 site
  • Research Site

    München, 81675

Other trials in Germany

Slovakia1 site
  • Research Site

    Košice, 04013

Other trials in Slovakia

About this study

Official title: A Randomized, Double-Blind, Parallel-Group, Placebo-Controlled Phase 3 Efficacy and Safety Study of Tezepelumab in Patients With Eosinophilic Esophagitis (CROSSING).

A randomized, double-blind, placebo-controlled multicenter, phase 3 study to evaluate the efficacy and safety of tezepelumab administered subcutaneously (SC) using an accessorized pre-filled syringe (APFS) versus placebo in adult and adolescent patients with eosinophilic esophagitis (EoE).

Read the detailed description

The study consists of a screening period of 2 to 8 weeks and a 52-week randomized double-blind placebo-controlled treatment period. After completion of the treatment period, participants will be eligible to participate in an optional active treatment extension period (lasting for 24 weeks), followed by a 12-week off-treatment safety follow-up period. Participants who will not participate in the extension period will participate in a 12-week off-treatment safety follow-up period following completion of the 52-week treatment period.

This study will randomize approximately 360 participants. The participants will be randomized at 1:1:1 ratio to the 3 treatment arms.

Being tested
Tezepelumab, Placebo
Keywords
Chronic Esophagitis, Eosinophilic Esophagitis, Eosinophilic
Medical subject headings
Eosinophilic Esophagitis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • TezepelumabBiological

    Tezepelumab subcutaneous injection

  • TezepelumabBiological

    Tezepelumab subcutaneous injection

  • PlaceboOther

    Placebo subcutaneous injection

Study groups in NCT05583227
Study groupRoleWhat they receive
Tezepelumab Low DoseExperimentalTezepelumab subcutaneous injections, in accessorised pre-filled syringes
Receives: Biological: Tezepelumab
Tezepelumab High DoseExperimentalTezepelumab subcutaneous injections, in accessorised pre-filled syringes
Receives: Biological: Tezepelumab
PlaceboPlacebo comparatorPlacebo subcutaneous injections, in accessorised pre-filled syringes
Receives: Other: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Histologic response of peak esophageal eosinophil per HPF count of ≤ 6 across all available esophageal levels

    Peak esophageal eosinophil count per HPF determined by histological analysis of 2-4 biopsies from each of the proximal, mid, and distal esophagus.

    Measured: Week 24

  2. Change from baseline in DSQ (Dysphagia Symptom Questionnaire) score

    The Dysphagia Symptom Questionnaire (DSQ) captures the presence and severity of dysphagia symptoms in the past day in a 4-item questionnaire. The DSQ score is calculated over 14-day periods and ranges from 0 to 84, with a lower score indicating less severe dysphagia.

    Measured: Week 24

Secondary outcomes (8)
  1. Change from baseline in EoE EREFS (Endoscopic reference score )

    The EoE EREFS is a scoring system for assessing the presence and severity of the major endoscopic signs of EoE, including esophageal edema, rings, exudates, furrows, and stricture.

    EoE endoscopic appearances will be analyzed by the EoE-EREFS, a scoring system for inflammatory and fibrostenotic features of the disease. Proximal and distal esophageal areas will be scored, with the score for each region ranging from 0 to 9, and the overall score ranging from 0 to 18. Higher scores indicate more extensive disease.

    Measured: Week 24, Week 52

  2. Change from baseline in EoE-HSS (Histologic scoring system) grade score

    EoE HSS is a histology scoring system for esophageal biopsies that evaluates 8 features: eosinophil density, basal zone hyperplasia, eosinophil abscesses, eosinophil surface layering, dilated intercellular spaces, surface epithelial alteration, dyskeratotic epithelial cells, and lamina propria fibrosis. Severity (grade) and extent (stage) of abnormalities are scored using a 4-point scale (0 normal; 3 maximum change).

    Measured: Week 24

  3. Change from baseline in EoE-HSS (Histologic scoring system) stage score

    EoE HSS is a histology scoring system for esophageal biopsies that evaluates 8 features: eosinophil density, basal zone hyperplasia, eosinophil abscesses, eosinophil surface layering, dilated intercellular spaces, surface epithelial alteration, dyskeratotic epithelial cells, and lamina propria fibrosis. Severity (grade) and extent (stage) of abnormalities are scored using a 4-point scale (0 normal; 3 maximum change).

    Measured: Week 24

  4. Histologic response of peak esophageal eosinophil per HPF count of ≤ 6 across all available esophageal levels

    The peak esophageal eosinophil count is based on 2-4 esophageal biopsies from 2-3 locations.

    Measured: Week 52

  5. Change from baseline in DSQ (Dysphagia Symptom Questionnaire) score

    The Dysphagia Symptom Questionnaire (DSQ) captures the presence and severity of dysphagia symptoms in the past day in a 4-item questionnaire. The DSQ score is calculated over 14-day periods and ranges from 0 to 84, with a lower score indicating less severe dysphagia.

    Measured: Week 52

  6. Endoscopic response of total EREFS score of 0 to ≤2 with no score > 1 for any of the components and no worsening in any individual component from baseline accross all esophageal levels

    EoE endoscopic appearances will be analyzed by the EoE-EREFS, a scoring system for inflammatory and fibrostenotic features of the disease. For each of the EREFS compontents a maximum score across proximal, mid and distal esophageal areas will be selected, with the scores for edema and stricture ranging from 0 to 1, exudates and furrows ranging from 0 to 2, fixed rings ranging from 0 to 3, and overall maximum score ranging from 0 to 9.

    Measured: Week 52

  7. Endoscopic inflammatory remission of EREFS inflammatory subscore (including edema, exudate, and furrows components) of 0 with no worsening in rings or stricture from baseline across all esophageal levels)

    EoE endoscopic appearances will be analyzed by the EoE-EREFS, a scoring system for inflammatory and fibrostenotic features of the disease. For each of the EREFS compontents a maximum score across proximal, mid and distal esophageal areas will be selected, with the scores for edema and stricture ranging from 0 to 1, exudates and furrows ranging from 0 to 2, fixed rings ranging from 0 to 3, and overall maximum score ranging from 0 to 9.

    Measured: Week 52

  8. Total endoscopic remission of total EREFS score of 0 across all esophageal levels

    EoE endoscopic appearances will be analyzed by the EoE-EREFS, a scoring system for inflammatory and fibrostenotic features of the disease. For each of the EREFS compontents a maximum score across proximal, mid and distal esophageal areas will be selected, with the scores for edema and stricture ranging from 0 to 1, exudates and furrows ranging from 0 to 2, fixed rings ranging from 0 to 3, and overall maximum score ranging from 0 to 9.

    Measured: Week 52

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Oct 2022
  2. Study start10 Nov 2022
  3. Primary completion14 Jul 2026
  4. Study completion23 Mar 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Subjects will be randomized in a 1:1:1 ratio to receive either low dose of tezepelumab, high dose of tezepelumab, or placebo.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
368 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05583227
Sponsor's protocol ID
D5244C00001
Other IDs
2022-001294-31
Acronym
CROSSING
Status last verified
Oct 2026
First submitted
13 Oct 2022
Last updated
30 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Tezepelumab in people with Eosinophilic Esophagitis, run by AstraZeneca at 124 sites in 22 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 30 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 124 sites in United States, Japan, China, Italy, Spain and 17 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Histologic response of peak esophageal eosinophil per HPF count of ≤ 6 across all available esophageal levels (time frame: Week 24). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Oct 2026.

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