OUR SCIENCE

Eupraxia’s proprietary Diffusphere™ technology is designed to deliver medications directly to targeted tissues, aiming to provide sustained therapeutic levels while minimizing systemic exposure*.

Our Diffusphere™ Technology

Imprecise drug delivery often limits a drug’s safety and efficacy. Conventional delivery exposes both healthy and disease tissues, increasing side effects and reducing efficacy. Frequent dosing is often required to manage this issue, increasing patient burden.

Eupraxia’s proprietary Diffusphere™ technology aims to improve therapies by delivering the right dose of drug, in the right place and for the right duration.

Diffusphere coats an active compound with a micron-thin polymer membrane designed to release this drug core at a defined, constant rate as it dissolves.

Other extended-release approaches mix a small amount of drug in a large polymer matrix. The drug then often releases unevenly as the polymer dissolves, potentially reducing tolerability and efficacy.

With a more controlled, local release, Diffusphere aims to improve therapies duration, efficacy and side effects profile.

Eupraxia is developing EP-104GI for the treatment of Eosinophilic Esophagitis

What is Eosinophilic Esophagitis (EoE)?*

In EoE, inflammatory white blood cells infiltrate the esophagus, leading to:

Pain and difficulty swallowing

Food stuck in the esophagus, necessitating emergency visits

Anxiety and depression

Long-term risk of esophageal remodeling of the esophagus and strictures, if left untreated or incompletely treated

EoE has seen a significant Increase In prevalence:*

Global cases have seen a sharp rise in recent years

US prevalence: 1 in 700 individuals (142.5 per 100,000)

Estimated healthcare cost (US, 2024): $1.3 billion

Projected emergency visits by 2030: Over 15,000 annually

Treatment challenges in EoE*

Swallowed corticosteroids used in the treatment of EoE lead to a short contact with the esophagus

Current standards of care in EoE overall result in poor adherence, with over 40% of patients non-compliant with their treatment

EP-104GI in EoE

EP-104GI, as a long-acting submucosal corticosteroid formulation to be injected within esophageal tissues has the potential to increase patient adherence by requiring fewer interventions, while addressing local inflammation.

EP-104GI is currently studied in the RESOLVE Phase 1b/2 clinical trial.

Eupraxia is developing EP-104IAR for the treatment of pain in Knee Osteoarthritis

Osteoarthritis is the leading cause of disability in older adults* and knee OA alone affects more than 30 million people in the US *. This includes 18 million who suffer from knee pain or some form of disability. Knee OA can severely impact quality of life through reduced mobility, depression and loss of sleep*.

The American College of Rheumatology strongly recommends corticosteroids for the treatment of knee OA pain*.

Although they reduce pain for a short duration, current corticosteroids can result in systemic side effects, such as glucose levels increase or adrenal suppression*. This especially limits their use in patients with diabetes or who require treatment in more than one joint.

EP-104IAR is designed to release corticosteroids locally, over an extended period, reducing systemic exposure and potentially limiting side effects. This may result in pain relief over an increased duration, with an improved safety profile over current options, including in at-risk populations.

EP-104IAR has completed the Phase 2 SPRINGBOARD clinical trial.

Scientific Publications

Digestive Disease Week 2025, May 3 San Diego
Results From Dose Escalation From RESOLVE, an Ongoing Phase 1b/2a Study of EP-104GI (Long-acting Fluticasone Propionate Injectable Suspension) For Eosinophilic Esophagitis
Amanda Malone, James Helliwell, Mark M. Kowalski, Nahm Nguyen, Hin Hin Ko, Christine Dobek, Vik Peck, Evan S. Dellon
Digestive Disease Week 2025, May 3 San Diego
Prevalence and Causes of Severe Esophageal Strictures Requiring Multiple Dilations in the United States

Catherine Byrne, Chelsea Anderson, Paul Brennan, Amanda Malone, Christina Roberts-Smith, Mark M. Kowalski, Vick Peck, Evan S. Dellon
American College of Rheumatology Convergence 2024, November 14 Washington, D.C.
EP-104IAR (Long-Acting Intra-Articular Injection of Fluticasone Propionate) Shows Sustained Improvement in Pain for Subjects with Moderate Baseline Pain and BMI Less Than 30 in SPRINGBOARD, a Phase 2, Randomized, 24-Week Study of Osteoarthritis of the Knee
Amanda Malone,James Helliwell, Mark Kowalski, Helene Rovsing, Sidsel Lynggaard Boll, Asger Reinstrup Bihlet, Claire P. Miller, Alejandro Castillo Mondragon, Yanqi Li, Kathrine Moriat, Christine Dobek, Vik Peck, Andrew Dye, Mike Wilmink, Lee S. Simon, Philip Conaghan
American College of Gastroenterology Annual Scientific Meeting 2024, October 25 Philadelphia
Efficacy and Pharmacokinetic Results From Ongoing Dose Escalation in RESOLVE, a Phase 1b/2a Study of EP-104GI (Extended-Release Fluticasone Propionate Intra-Esophageal Injection) for Eosinophilic Esophagitis
Amanada Malone, James Helliwell, Mark M. Kowalski Albert J. Bredenoord, Nahm Nguyen, Hin Hin Ko, Christine Dobek, Vick Peck, Evan S. Dellon
American College of Gastroenterology Annual Scientific Meeting 2024, October 25 Philadelphia
Pharmacokinetics and Local Tolerability of EP-104GI, an Extended-Release Formulation of Fluticasone for Treatment of Eosinophilic Esophagitis, after Intra-Esophageal Injection in Mini-Pigs
Murray Webb, Ana Litke, Catherine Byrne, Liam MacFarlane, Amanda Malone
United European Gastroenterology Week 2024, October 12 Vienna, Austria
Results from dose escalation in RESOLVE, an ongoing Phase 1b/2a dose-escalation study of EP-104GI (extended-release fluticasone propionate intra-esophageal injection) for eosinophilic esophagitis.
James Helliwell, Amanada Malone, Mark M. Kowalski, Albert J. Bredenoord, Nahm Nguyen, Hin Hin Ko, Christine Dobek, Ana Litke, Vick Peck, Murray Webb, Evan S. Dellon
ISDE 2024, September 22 Edinburgh, Scotland
Initial Results from RESOLVE, a Phase 1b/2a Dose-Escalation Study of EP-104GI (Extended-Release Fluticasone Propionate Intra-Esophageal Injection) for Eosinophilic Esophagitis
James Helliwell, Amanada Malone, Mark M. Kowalski, Albert J. Bredenoord, Nahm Nguyen, Hin Hin Ko, Christine Dobek, Vick Peck, Evan S. Dellon
Digestive Disease Week 2024, May 18 Washington, D.C.
Initial Results From RESOLVE, an Ongoing Phase 1b/2a Dose-escalation Study of EP-104GI (Long-acting Fluticasone Propionate Injectable Suspension) For Eosinophilic Esophagitis
James Helliwell, Amanada Malone, Mark M. Kowalski, Albert J. Bredenoord, Nahm Nguyen, Hin Hin Ko, Christine Dobek, Vick Peck, Evan S. Dellon
Osteoarthritis Research Society International World Congress 2024, April 18 Vienna, Austria
EP-104IAR (extended-release intra-articular injection of fluticasone propionate) shows sustained pain response for subjects with moderate baseline pain and BMI less than 30 in SPRINGBOARD, a Phase 2, randomized, 24-week study of osteoarthritis of the knee
Amanda Malone, James Helliwell, Mark Kowalski, Helene Rovsing, Sidsel Lynggaard Boll, Asger Reinstrup Bihlet, Claire P. Miller, Alejandro Castillo Mondragon, Yanqi Li, Kathrine Moriat, Christine Dobek, Vik Peck, Andrew Dye, Mike Wilmink, Lee S. Simon, Philip Conaghan
PAINWeek 2023, September 5 Las Vegas
EP-104IAR (Long-Acting Intra-Articular Injection of Fluticasone Propionate): Results from a Phase 2 Randomized, Double-blind, Vehicle-Controlled Trial in 318 Subjects with Knee Osteoarthritis
James Helliwell, Amanda Malone, Mark Kowalski, Christine Dobek