Eupraxia Advances EP-104GI into Phase 2b Study for EoE Treatment

Eupraxia's Exciting Milestone in EoE Treatment

The recent dosing of the first patient in the Phase 2b segment of the RESOLVE trial underscores a significant transition for Eupraxia Pharmaceuticals Inc. This phase propels the study from an open-label trial to a placebo-controlled format, an essential step towards pivotal trials needed for gaining regulatory approval. The advancement reflects Eupraxia's commitment to improving treatment outcomes for patients suffering from eosinophilic esophagitis (EoE).

Comprehensive Enrollment Strategy

Eupraxia aims to include a minimum of 60 participants across approximately 25 sites globally during this Phase 2b study. The focus will be on evaluating tissue health through biopsies using EoEHSS and PEC scores alongside safety and symptom scores (SDI and DSQ) over a twelve-month period. This thorough approach aims to yield crucial data on the efficacy and safety of EP-104GI.

Three Dose Arms for In-depth Analysis

The Phase 2b trial will encompass three distinct dosing arms: one placebo arm and two arms with separate active doses of EP-104GI. This structure allows for a comprehensive assessment of the drug's performance and safety profile, helping researchers derive meaningful insights.

Data-Informed Dosing Selections

The selection of doses for the Phase 2b study was carefully established after reviewing extensive safety, pharmacokinetic, and efficacy data from the ongoing Phase 2a trial. Such diligence ensures that the chosen dosages will be the most beneficial for patients.

Looking Forward: Expected Results

The anticipated topline data from the Phase 2b segment will be revealed by the third quarter of 2026, marking a pivotal point in Eupraxia's strategic timeline. Additionally, new data from the open-label Phase 2a trial will continue to be reported during this phase, allowing for more immediate insights into treatment efficacy.

Continuous Monitoring and Reporting

Eupraxia is committed to ongoing transparency and will share additional findings from the cohorts in the Phase 2a trial as they become available. Significant updates are expected, with details on cohorts five through eight slated for release in early September and November.

Innovative Treatment Approach

EP-104GI represents a novel investigational treatment aimed at reducing inflammation in EoE patients. Its efficacy hinges on injecting the drug directly into the esophagus's affected tissues, promoting localized and long-lasting effects that minimize side effects typically seen with systemic treatments.

Commitment to Patient Welfare

James Helliwell, CEO of Eupraxia Pharmaceuticals, emphasizes the importance of this milestone. He stated that progressing into the Phase 2b stage is a crucial event that sets the groundwork for pivotal trials and regulatory submission. The optimism surrounding EP-104GI stems from its potential to reshape treatment paradigms for individuals living with EoE.

Collaborative Safety Review

The RESOLVE Safety Review Committee has rigorously analyzed the safety and efficacy data from earlier cohorts, ensuring confidence in the planned dosing strategy for the next phase. The committee's thorough evaluation, particularly of cohort eight, gives reassurances about the treatment's safety and potential clinical benefits.

The Need for EoE Treatments

EoE is an inflammatory disease characterized by the accumulation of white blood cells in the esophagus, which can lead to painful swallowing and other distressing symptoms. Research estimates that EoE affects over 450,000 individuals in the United States, with increasing prevalence. The burden of this condition often extends beyond physical discomfort, contributing to mental health challenges for patients.

Eupraxia's Vision and Future Directions

Eupraxia's mission focuses on the development of advanced, locally delivered treatments, particularly through its proprietary DiffuSphere™ technology. This innovative platform aims to enhance drug delivery, efficiency, and reduced side effects for various therapeutic indications, beyond just pain and inflammatory gastrointestinal diseases.

Commitment Towards Outcomes

The ongoing development of EP-104GI illustrates Eupraxia's dedication to addressing substantial therapeutic gaps. Following the successful Phase 2b clinical trial of EP-104IAR for knee osteoarthritis pain, the company is further expanding its treatment offerings to meet significant patient needs.

Frequently Asked Questions

What is the primary goal of the Phase 2b RESOLVE trial?

The primary goal is to evaluate the efficacy of EP-104GI in enhancing tissue health in patients with eosinophilic esophagitis.

How many participants will be enrolled in the study?

The study will enroll a minimum of 60 patients across multiple sites globally.

What data is expected from the Phase 2b trial?

Topline data, including safety and efficacy results, are expected by the third quarter of 2026.

What makes EP-104GI unique?

EP-104GI utilizes a localized injection approach to minimize systemic side effects, offering a novel treatment avenue for EoE patients.

How does Eupraxia plan to share trial results?

Eupraxia will report findings from the trial regularly, including updates on earlier cohorts participating in the open-label study.

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