Crohn's DiseasePhase 3NCT02038920
Phase III Study of MLN0002 (300 mg) in Treatment of Crohn's Disease
A Phase 3 study testing Vedolizumab in people with Crohn's Disease, run by Takeda at 56 sites in Japan.
Trial summary
This study is a phase 3, multicenter, randomized, double-blinded, placebo-controlled, parallel-group study to examine the efficacy, safety, and pharmacokinetics of vedolizumab (MLN0002) in induction and maintenance therapy in Japanese participants with moderately or severely active Crohn's disease. Read more about this study
- Who is it for?
- Ages 15 to 80 years
- Conditions the study is for
- Crohn's Disease
- What is being tested?
- Vedolizumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 157 participants
- Where
- 56 sitesJapan
- Study dates
- 28 Jan 2014to 21 May 2019
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
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 15 to 80 years
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- In the opinion of the investigator, participants were capable of understanding and complying with protocol requirements
- Participants or, when applicable, participants legally acceptable representative sign and date the informed consent form prior to initiation of any study procedures
- Participants aged 15 to 80 years (inclusive) at the time of consent
- A nonsterilized male participant who has a female partner of child-bearing potential has to agree to use adequate contraception during the period from the signing of informed consent to 6 months after the last dose of the study drug
- A female participant of child-bearing potential (i.e., nonsterilized or whose last regular menses was within previous 2 years) who has a nonsterilized male partner has to agree to use adequate contraception during the period from the signing of informed consent to 6 months after the last dose of the study drug
- Participants with a diagnosis of small-intestinal, large-intestinal, or small-/large-intestinal Crohn's disease (CD) established based on the Revised Diagnostic Criteria for Crohn's disease issued by Research Group for Intractable Inflammatory Bowel Disease Designated as Specified Disease by the Ministry of Health, Labor and Welfare of Japan (2012) at least 3 months before the start of administration of study drug
Show all 23Show fewer
- Participants with baseline CDAI score of 220 to 450(inclusive) and meeting at least one of the followings:
- C-reactive protein (CRP) at screening test is above 0.30 mg/dL
- Participants with irregular or semicircular ulcers or multiple aphthae (10 or more) observed over an extensive area of the small or large intestine on endoscopy or imaging test within the 4 months before the start of administration of study drugs
- Participants with longitudinal ulcers or a cobblestone appearance observed in the small or large intestine on endoscopy or imaging test within 4 months before the start of administration of study drugs
- In case of the participants who meet any of the following criteria; participants with ≥ 8-year history of extensive or limited colitis, participants aged ≥ 50 years, or participants with a first-degree family history of colon cancer, those whom the complication of colon cancer or dysplasia was ruled out by total colonoscopy at the start of study drug administration (or the results from total colonoscopy performed within 1 year before giving consent are available)
- Participants meeting the criteria for treatment failure below with at least one of the following agents received within previous 5 year period before giving consent
- Corticosteroids
- Resistance
- Dependence
- Intolerance
- Immunomodulators (azathioprine, 6-mercaptopurine or methotrexate)
- Refractory
- Intolerance
- Anti-tumor necrosis factor alpha (TNFα) antibodies
- Inadequate response
- Loss of response
- Intolerance
Who cannot join
- Participants with an evidence of or suspected abdominal abscess
- Participants with a history of subtotal or total colectomy
- Participants who have had a resection of the small intestine in at least 3 locations or have a diagnosis of short bowel syndrome
- Participants with ileostomy, colostomy, or internal fistula, or severe intestinal stenosis
- Participants who have a treatment history with natalizumab, efalizumab or rituximab
- Participants who started 5-aminosalicylic acid oral drug or probiotics treatment, antimicrobials to treat Crohn's disease, or 30 mg/day or less of oral corticosteroids within 13 days before initiation of study drug administration. If these drugs were used within 14 days before initiation of study drug administration, the dosage must have been changed or their use discontinued within 13 days before the initiation of study drug administration
Show all 44Show fewer
- Participants who had received 5-aminosalicylic acid or corticosteroid enemas/suppositories, intravenous corticosteroid injections, or more than 30 mg/day of oral corticosteroids, medications for diarrhea-predominant irritable bowel syndrome, or Chinese herbal medicine for the treatment of Crohn's disease (e.g., Daikenchuto) within 13 days before initiation of study drug administration
- Participants who had received azathioprine, 6-mercaptopurine, or methotrexate within 27 days before initiation of study drug administration. However, this shall not apply to participants who have received these drugs for 83 or more days before initiation of the study drug administration and continued the steady dose administration of the drugs for 27 or more days before initiation of the study drug administration
- Participants who had received cyclosporin, tacrolimus, tofacitinib or any study drugs for treatment of ulcerative colitis within 27 days before initiation of the study drug administration
- Participants who had received adalimumab within 27 days before initiation of study drug administration or any biological drugs other than adalimumab within 55 days before initiation of study drug administration. Topical administration (such as intraocular implantation for treatment of age-related maculopacy) is allowed
- Participants who had received any live vaccinations within 27 days before initiation of study drug administration
- Participants who had undergone intestinal resection within 27 days before initiation of study drug administration or those anticipated to require intestinal resection during the study
- Participants who had received leukocytapheresis or granulocyte apheresis within 27 days before initiation of the study drug administration
- Participants who had received intravenous hyperalimentation or total enteral nutrition within the 20 days before initiation of the study drug administration or participants who are fasted
- Participants who had received enteral nutrition at > 900 kcal/day or started enteral nutrition at <= 900 kcal/day within the 20 days before initiation of the study drug administration. Participants receiving 900 kcal/day or less of enteral nutrition for at least 21 days before initiation of the study drug administration whom these dosage was changed or the medications were discontinued within 20 days before initiation of the study drug administration
- Participants who had been infected with Clostridium difficile, cytomegalovirus, or any other intestinal pathogen within 27 days before the first dose of the study drug
- Participants with evidence of adenomatous colonic polyps that need to be removed at the start of study drug administration
- Participants with a history or an complication of dysplasia of the small or large intestine
- Participants who were suspected to have enteritis other than CD
- Participants who were hepatitis B surface (HBs) antigen-positive or hepatitis C virus (HCV) antibody-positive at the screening. Or participants who are hepatitis B core (HBc) antibodypositive or HBs antibody positive, even though HBs antigen-negative. However, this does not apply to participants who are only HBs antibody-positive due to hepatitis B virus (HBV) vaccination, HBV-DNA-negative, HCV antigen-negative, or HCV-RNA-negative
- Participants who had an evidence of history of tuberculosis or a suspected history of tuberculosis (including those who have findings suggesting previous tuberculosis on chest imaging procedure at the screening). However, this does not apply to participants who had completed prophylactic isoniazid, or participants who had been receiving prophylactic isoniazid for more than 21 days before the first dose of the study drug (in the latter case, the screening period are allowed to extend up to 28 days to ensure at least 21-day prophylactic isoniazid and then the study treatment is allowed to start)
- Participants who had positive T-SPOT test or QuantiFERON test at the screening
- Participants who had a history or complication of identified congenital or acquire immunodeficiency syndrome (eg, not-classifiable immunodeficiency, human immunodeficiency virus [HIV] infection or organ transplantation)
- Participants who had been affected by extraintestinal infection (eg, pneumonia, sepsis, active hepatitis or pyelonephritis) within 27 days before the first dose of the study drug
- Participants who had a treatment history with MLN0002
- Female participants who are lactating at the screening, or have positive urine pregnancy test either at the screening or baseline
- Participants who had serious complications in the heart, lung, liver, kidney, metabolism, gastrointestinal system, urinary system, endocrine system or blood
- Participants who had a history of a surgery requiring general anesthesia within 27 days before the first dose of the study drug, or with a schedule of a surgery requiring hospitalization during the study period
- Participants who had a complication or a history of malignancy. However, this does not apply to the following participants:
- Participants who had a curative resection of localized skin basal cell carcinoma or have completed curative radiotherapy
- Participants who had not experienced recurrence for more than 1 year since completion of a curative resection or curative radiotherapy for skin squamous cell carcinoma
- Participants who had not experienced recurrence for more than 3 years since completion of a curative resection or curative radiotherapy for intraepithelial carcinoma of uterine cervix For participants who had a substantially distant history of malignancy (eg, 10 years or longer without recurrence since treatment completion), the investigator and the sponsor had a discussion to decide eligibility on the basis of type of malignancy and treatment applied
- Participants who had a history or a complication of the central nervous disorder, including stroke, multiple sclerosis, brain tumor, or neurodegenerative disease.
- Participants who had any subjective symptoms in the subjective PML checklist at the screening or baseline
- Participants who had any of the following laboratory abnormalities at the screening;
- Hemoglobin ≤8 g/dL
- White blood cells ≤3,000/μL
- Lymphocytes ≤500/μL
- Platelets ≤100,000/μL or ≥1,200,000/μL
- Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) ≥3×upper limit of normal (ULN)
- Alkaline phosphatase (ALP) ≥3×ULN
- Creatinine ≥2×ULN
- Participants who had a history or a complication of alcohol dependence or illicit drug use within one year before the first dose of the study drug
- Participants who had a history or a complication of psychotic disorder that could obstruct compliance with the study procedures
Trial locations and contacts
56 sites in 1 country.
56 sites in 1 country
Japan56 sites
Study site
Abiko, Chiba
Study site
Adachi-ku, Tokyo
Study site
Akashi, Hyōgo
Study site
Asahikawa, Hokkaido
Study site
Bunkyo-ku, Tokyo
Study site
Chiba
Study site
Chikushino-shi, Fukuoka
Study site
Chiyoda-ku, Tokyo
Study site
Fukui
Study site
Fukuoka
Study site
Fukuyama, Hiroshima
Study site
Hamamatsu, Shizuoka
Study site
Hatsukaichi, Hiroshima
Study site
Hirosaki, Aomori
Study site
Hiroshima
Study site
Kagoshima
Study site
Kamakura, Kanagawa
Study site
Kashiwa, Chiba
Study site
Kasuga, Fukuoka
Study site
Kawasaki, Kanagawa
Study site
Kitakyushu, Fukuoka
Study site
Kochi, Kochi
Study site
Kofu, Yamanashi
Study site
Kumamoto
Study site
Kurashiki, Okayama-ken
Study site
Kyoto
Study site
Matsuyama, Ehime
Study site
Minato-ku, Tokyo
Study site
Moriguchi, Osaka
Study site
Nagasaki
Study site
Nagoya, Aichi-ken
Study site
Niigata
Study site
Nishinomiya, Hyōgo
Study site
Ōita
Study site
Okayama
Study site
Okinawa
Study site
Osaka
Study site
Ōtsu, Shiga
Study site
Saga
Study site
Sagamihara, Kanagawa
Study site
Saitama
Study site
Sakura, Chiba
Study site
Sapporo, Hokkaido
Study site
Sendai, Miyagi
Study site
Shimotsuke, Tochigi
Study site
Shinagawa-ku, Tokyo
Study site
Shinjuku-ku, Tokyo
Study site
Shūnan, Yamaguchi
Study site
Suita, Osaka
Study site
Takamatsu, Kagawa-ken
Study site
Takasaki, Gunma
Study site
Tokorozawa, Saitama
Study site
Tomakomai, Hokkaido
Study site
Toyota, Aichi-ken
Study site
Wakayama
Study site
Yokohama, Kanagawa
About this study
Official title: Phase III, Multicenter, Randomized, Double-blinded, Placebo-controlled, Parallel-group Study to Evaluate the Efficacy, Safety, and Pharmacokinetics of Intravenous MLN0002 (300 mg) Infusion in Induction and Maintenance Therapy in Japanese Subjects With Moderate or Severe Crohn's Disease
This study is a phase 3, multicenter, randomized, double-blinded, placebo-controlled, parallel-group study to examine the efficacy, safety, and pharmacokinetics of vedolizumab (MLN0002) in induction and maintenance therapy in Japanese participants with moderately or severely active Crohn's disease.
Read the detailed description
This is a phase 3, multicenter, randomized, double-blinded, placebo-controlled, parallel-group study to examine the efficacy, safety, and pharmacokinetics of intravenous vedolizumab (300 mg) infusion in induction and maintenance therapy in Japanese participants with moderately or severely active Crohn's disease.
- Conditions
- Crohn's Disease
- Being tested
- Vedolizumab, Vedolizumab placebo
- Keywords
- Drug Therapy
- Medical subject headings
- Crohn Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
VedolizumabDrug
Also called MLN0002
Vedolizumab IV injection
Vedolizumab placeboDrug
Vedolizumab placebo-matching IV infusion
| Study group | Role | What they receive |
|---|---|---|
| Induction Phase: Vedolizumab, 300 mg | Experimental | Vedolizumab 300 mg, intravenous (IV) infusion, once at Weeks 0, 2 and 6 in the induction phase. Receives: Drug: Vedolizumab |
| Induction Phase: Placebo | Placebo comparator | Vedolizumab placebo-matching IV infusion once at Weeks 0, 2 and 6 in the induction phase. Receives: Drug: Vedolizumab placebo |
| Maintenance Phase: Vedolizumab 300 mg | Experimental | Vedolizumab placebo-matching, IV infusion, once at Weeks 14, 22, 30, 38, 46 and 54 in maintenance phase. Participants received vedolizumab in induction phase and achieved Crohn's Disease Activity Index (CDAI)-70 response at Week 10 and were randomized to receive vedolizumab in maintenance phase. Receives: Drug: Vedolizumab |
| Maintenance Phase: Placebo | Placebo comparator | Vedolizumab placebo-matching, IV infusion, once at Weeks 14, 22, 30, 38, 46 and 54 in maintenance phase. Participants received vedolizumab in induction phase and achieved CDAI-70 response at Week 10 and were randomized to receive placebo in maintenance phase. Receives: Drug: Vedolizumab placebo |
| Maintenance Phase: Placebo Continuation | Placebo comparator | Vedolizumab placebo-matching, IV infusion, once at Weeks 14, 22, 30, 38, 46 and 54 in maintenance phase. Participants received vedolizumab placebo-matching in induction phase and achieved CDAI-70 response at Week 10 received placebo in maintenance phase without randomization. Receives: Drug: Vedolizumab placebo |
| Open-Label: Vedolizumab 300 mg | Experimental | Vedolizumab 300 mg, IV infusion, once at Weeks 0, 2 and 6 and then every 8 weeks thereafter up to Week 94 as a maximum duration in open-label phase. Receives: Drug: Vedolizumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Induction Phase: Percentage of Participants With Crohn's Disease Activity Index (CDAI)-100 Response
A response to therapy is considered a decrease from baseline of at least 100 points in the CDAI score at Week 10. CDAI is scoring system for the assessment of Crohn's disease activity. The total CDAI score ranges from 0 to approximately 600, where higher scores indicate more severe disease. Index values of 150 and below are associated with quiescent disease; values above that indicate active disease.
Measured: Week 10
Maintenance Phase: Percentage of Participants With Clinical Remission
Clinical remission is defined as the CDAI score ≤150. CDAI is scoring system for the assessment of Crohn's disease activity. Index values of 150 and below are associated with quiescent disease; values above that indicate active disease.
Measured: Week 60
Number of Participants Who Experienced at Least One or More Treatment-Emergent Adverse Events (TEAEs)
An Adverse event (AE) is defined as any untoward medical occurrence in a study participant who received a drug (including a study drug); it does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (e.g., a clinically significant abnormal laboratory finding), symptom, or disease temporally associated with the use of a drug whether or not it is considered related to the drug. A TEAE is defined as an adverse event with an onset that occurs after receiving study drug.
Measured: From Baseline up to 16 weeks after the last dose of study drug (Up to approximately 170 weeks)
Number of Participants With TEAE Related to Body Weight (Weight Decreased)
Reported events on this outcome measure were "Weight Decreased".
Measured: From Baseline up to 16 weeks after the last dose of study drug (Up to approximately 170 weeks)
Number of Participants With TEAE Related to Vital Signs
Vital signs included body temperature (axilla), sitting blood pressure (after the participant has rested for at least 5 minutes), and pulse (bpm). Reported events on this outcome measure were "Pyrexia", "Body temperature increased", "Hypertension", and "Orthostatic hypotension".
Measured: From Baseline up to 16 weeks after the last dose of study drug (Up to approximately 170 weeks)
Number of Participants With TEAE Related to Electrocardiogram (ECG) [Bundle Branch Block Right]
Reported events on this outcome measure were "Bundle Branch Block Right".
Measured: From Baseline up to 16 weeks after the last dose of study drug (Up to approximately 170 weeks)
Number of Participants With Markedly Abnormal Values of Laboratory Parameters Values
The laboratory values outside the range (Hemoglobin <=7 g/dL, Lymphocytes <500 /microL, White Blood Cell (WBC) <2000 /microL, Platelets <7.5 10^4/microL, Neutrophils <1000 /microL, Alanine Aminotransferase (ALT) (Glutamic Pyruvic Transaminase; GPT) >3.0 U/L x upper limit of normal (ULN), Aspartate Aminotransferase (AST) (Glutamic Oxaloacetic Transaminase; GOT) >3.0 U/L x ULN, Total Bilirubin >2.0 mg/dL x ULN, Amylase >2.0 (U/L) x ULN are considered markedly abnormal.
Measured: From Baseline up to 16 weeks after the last dose of study drug (Up to approximately 170 weeks)
Secondary outcomes (13)
Induction Phase: Percentage of Participants With Clinical Remission
Clinical remission is defined as the CDAI score ≤150. CDAI is scoring system for the assessment of Crohn's disease activity. Index values of 150 and below are associated with quiescent disease; values above that indicate active disease.
Measured: Week 10
Induction Phase: Change From Baseline in C-reactive Protein (CRP) Values
Measured: Baseline to Week 10
Maintenance Phase: Percentage of Participants With Crohn's Disease Activity Index (CDAI)-100 Response
A response to therapy is considered a decrease from baseline of at least 100 points in the CDAI score at Week 10. CDAI is scoring system for the assessment of Crohn's disease activity. The total CDAI score ranges from 0 to approximately 600, where higher scores indicate more severe disease. Index values of 150 and below are associated with quiescent disease; values above that indicate active disease.
Measured: Week 60
Maintenance Phase: Percentage of Participants With Durable Clinical Remission
Durable clinical remission is defined as participants with CDAI score ≤ 150 at both Weeks 14 and 60. CDAI is scoring system for the assessment of Crohn's disease activity. The total CDAI score ranges from 0 to approximately 600, where higher scores indicate more severe disease. Index values of 150 and below are associated with quiescent disease; values above that indicate active disease.
Measured: From Week 14 and Week 60
Maintenance Phase: Percentage of Participants With Corticosteroid-free Clinical Remission
Corticosteroid-free clinical remission is defined as participants using oral corticosteroids at baseline (Week 0) who discontinued corticosteroids and were in clinical remission (CDAI score ≤ 150) at Week 60. CDAI is scoring system for the assessment of Crohn's disease activity. The total CDAI score ranges from 0 to approximately 600, where higher scores indicate more severe disease. Index values of 150 and below are associated with quiescent disease; values above that indicate active disease.
Measured: Week 60
Serum Vedolizumab Concentration in Induction Phase
Measured: Weeks 2, 6, 10 and 14
Serum Vedolizumab Concentration in Maintenance Phase
Measured: Weeks 2, 6, 10, 14, 22, 30 and 60
Number of Participants With Anti-vedolizumab Antibodies (AVA) in Induction Phase
Measured: Weeks 0, 10 and 16 weeks after the last dose of study drug in induction phase
Number of Participants With Anti-vedolizumab Antibodies (AVA) in Maintenance Phase
Measured: Weeks 0, 10, 30, 60 and 16 weeks after the last dose of study drug in maintenance phase
Number of Participants With Anti-vedolizumab Antibodies (AVA) in Open Label Cohort
Measured: Weeks 0, 10, 30, 62, 94 and 16 weeks after the last dose of study drug in open-label cohort
Number of Participants With Neutralizing Anti-vedolizumab Antibodies (AVA) in Induction Phase
Measured: Weeks 0, 10 and 16 weeks after the last dose of study drug in induction phase
Number of Participants With Neutralizing Anti-vedolizumab Antibodies (AVA) in Maintenance Phase
Measured: Weeks 0, 10, 30, 60 and 16 weeks after the last dose of study drug in maintenance phase
Number of Participants With Neutralizing Anti-vedolizumab Antibodies (AVA) in Open Label Cohort
Measured: Weeks 0, 10, 30, 62, 94 and 16 weeks after the last dose of study drug in open-label cohort
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Jan 2014 (estimated)
- Study start28 Jan 2014
- Primary completion25 Jan 2019
- Study completion21 May 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Crohn's DiseaseStudies of the same condition, open and under way.
- More trials run by TakedaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 157 participants (actual)
Sponsor and investigators
- Lead sponsor
- Takeda
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Study Director Clinical Science, Study director, Takeda
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02038920
- Sponsor's protocol ID
- MLN0002/CCT-001
- Other IDs
- U1111-1150-2688, JapicCTI-142402
- Status last verified
- Nov 2019
- First submitted
- 15 Jan 2014
- Last updated
- 9 Dec 2019
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Takeda makes patient-level, de-identified data sets and associated documents available for all interventional studies after applicable marketing approvals and commercial availability have been received (or program is completely terminated), an opportunity for the primary publication of the research and final report development has been allowed, and other criteria have been met as set forth in Takeda's Data Sharing Policy (see www.TakedaClinicalTrials.com for details). To obtain access, researchers must submit a legitimate academic research proposal for adjudication by an independent review panel, who will review the scientific merit of the research and the requestor's qualifications and conflict of interest that can result in potential bias. Once approved, qualified researchers who sign a data sharing agreement are provided access to these data in a secure research environment.
Publications
Okamoto H, Dirks NL, Rosario M, Hori T, Hibi T. Population pharmacokinetics of vedolizumab in Asian and non-Asian patients with ulcerative colitis and Crohn's disease. Intest Res. 2021 Jan;19(1):95-105. doi: 10.5217/ir.2019.09167. Epub 2020 Jul 10.
PubMed 32635680
Study at a glance
From the registry record, last updated by the sponsor on 9 Dec 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phase III, Multicenter, Randomized, Double-blinded, Placebo-controlled, Parallel-group Study to Evaluate the Efficacy, Safety, and Pharmacokinetics of Intravenous MLN0002 (300 mg) Infusion in Induction and Maintenance Therapy in Japanese Subjects With Moderate or Severe Crohn's Disease
- ClinicalTrials.gov ID
- NCT02038920
- Acronym / sponsor ID
- MLN0002/CCT-001
- Conditions
- Crohn's Disease
- Keywords
- Drug Therapy
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 157 participants (actual)
- Lead sponsor
- TakedaIndustry (pharma, biotech, devices)
- Study start
- 28 Jan 2014 (actual)
- Primary completion
- 25 Jan 2019 (actual)
- Study completion
- 21 May 2019 (actual)
- First posted
- 17 Jan 2014 (estimated)
- Results
- Posted 9 Dec 2019
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is a phase 3, multicenter, randomized, double-blinded, placebo-controlled, parallel-group study to examine the efficacy, safety, and pharmacokinetics of vedolizumab (MLN0002) in induction and maintenance therapy in Japanese participants with moderately or severely active Crohn's disease.
Detailed description
This is a phase 3, multicenter, randomized, double-blinded, placebo-controlled, parallel-group study to examine the efficacy, safety, and pharmacokinetics of intravenous vedolizumab (300 mg) infusion in induction and maintenance therapy in Japanese participants with moderately or severely active Crohn's disease.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 6
| Arm | Type | Receives |
|---|---|---|
| Induction Phase: Vedolizumab, 300 mg | Experimental | Drug: VedolizumabVedolizumab 300 mg, intravenous (IV) infusion, once at Weeks 0, 2 and 6 in the induction phase. |
| Induction Phase: Placebo | Placebo comparator | Drug: Vedolizumab placeboVedolizumab placebo-matching IV infusion once at Weeks 0, 2 and 6 in the induction phase. |
| Maintenance Phase: Vedolizumab 300 mg | Experimental | Drug: VedolizumabVedolizumab placebo-matching, IV infusion, once at Weeks 14, 22, 30, 38, 46 and 54 in maintenance phase. Participants received vedolizumab in induction phase and achieved Crohn's Disease Activity Index (CDAI)-70 response at Week 10 and were randomized to receive vedolizumab in maintenance phase. |
| Maintenance Phase: Placebo | Placebo comparator | Drug: Vedolizumab placeboVedolizumab placebo-matching, IV infusion, once at Weeks 14, 22, 30, 38, 46 and 54 in maintenance phase. Participants received vedolizumab in induction phase and achieved CDAI-70 response at Week 10 and were randomized to receive placebo in maintenance phase. |
| Maintenance Phase: Placebo Continuation | Placebo comparator | Drug: Vedolizumab placeboVedolizumab placebo-matching, IV infusion, once at Weeks 14, 22, 30, 38, 46 and 54 in maintenance phase. Participants received vedolizumab placebo-matching in induction phase and achieved CDAI-70 response at Week 10 received placebo in maintenance phase without randomization. |
| Open-Label: Vedolizumab 300 mg | Experimental | Drug: VedolizumabVedolizumab 300 mg, IV infusion, once at Weeks 0, 2 and 6 and then every 8 weeks thereafter up to Week 94 as a maximum duration in open-label phase. |
Who may qualify
- Ages
- 15 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (23 listed)
- In the opinion of the investigator, participants were capable of understanding and complying with protocol requirements
- Participants or, when applicable, participants legally acceptable representative sign and date the informed consent form prior to initiation of any study procedures
- Participants aged 15 to 80 years (inclusive) at the time of consent
- A nonsterilized male participant who has a female partner of child-bearing potential has to agree to use adequate contraception during the period from the signing of informed consent to 6 months after the last dose of the study drug
- A female participant of child-bearing potential (i.e., nonsterilized or whose last regular menses was within previous 2 years) who has a nonsterilized male partner has to agree to use adequate contraception during the period from the signing of informed consent to 6 months after the last dose of the study drug
Key exclusion criteria (44 listed)
- Participants with an evidence of or suspected abdominal abscess
- Participants with a history of subtotal or total colectomy
- Participants who have had a resection of the small intestine in at least 3 locations or have a diagnosis of short bowel syndrome
- Participants with ileostomy, colostomy, or internal fistula, or severe intestinal stenosis
- Participants who have a treatment history with natalizumab, efalizumab or rituximab
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| VedolizumabAlso: MLN0002Vedolizumab IV injection | Drug | Induction Phase: Vedolizumab, 300 mg, Maintenance Phase: Vedolizumab 300 mg, Open-Label: Vedolizumab 300 mg |
| Vedolizumab placeboVedolizumab placebo-matching IV infusion | Drug | Induction Phase: Placebo, Maintenance Phase: Placebo, Maintenance Phase: Placebo Continuation |
Primary outcome
Induction Phase: Percentage of Participants With Crohn's Disease Activity Index (CDAI)-100 Response
Time frame: Week 10
A response to therapy is considered a decrease from baseline of at least 100 points in the CDAI score at Week 10. CDAI is scoring system for the assessment of Crohn's disease activity. The total CDAI score ranges from 0 to approximately 600, where higher scores indicate more severe disease. Index values of 150 and below are associated with quiescent disease; values above that indicate active disease.
Maintenance Phase: Percentage of Participants With Clinical Remission
Time frame: Week 60
Clinical remission is defined as the CDAI score ≤150. CDAI is scoring system for the assessment of Crohn's disease activity. Index values of 150 and below are associated with quiescent disease; values above that indicate active disease.
Number of Participants Who Experienced at Least One or More Treatment-Emergent Adverse Events (TEAEs)
Time frame: From Baseline up to 16 weeks after the last dose of study drug (Up to approximately 170 weeks)
An Adverse event (AE) is defined as any untoward medical occurrence in a study participant who received a drug (including a study drug); it does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (e.g., a clinically significant abnormal laboratory finding), symptom, or disease temporally associated with the use of a drug whether or not it is considered related to the drug. A TEAE is defined as an adverse event with an onset that occurs after receiving study drug.
Number of Participants With TEAE Related to Body Weight (Weight Decreased)
Time frame: From Baseline up to 16 weeks after the last dose of study drug (Up to approximately 170 weeks)
Reported events on this outcome measure were "Weight Decreased".
Number of Participants With TEAE Related to Vital Signs
Time frame: From Baseline up to 16 weeks after the last dose of study drug (Up to approximately 170 weeks)
Vital signs included body temperature (axilla), sitting blood pressure (after the participant has rested for at least 5 minutes), and pulse (bpm). Reported events on this outcome measure were "Pyrexia", "Body temperature increased", "Hypertension", and "Orthostatic hypotension".
Number of Participants With TEAE Related to Electrocardiogram (ECG) [Bundle Branch Block Right]
Time frame: From Baseline up to 16 weeks after the last dose of study drug (Up to approximately 170 weeks)
Reported events on this outcome measure were "Bundle Branch Block Right".
Number of Participants With Markedly Abnormal Values of Laboratory Parameters Values
Time frame: From Baseline up to 16 weeks after the last dose of study drug (Up to approximately 170 weeks)
The laboratory values outside the range (Hemoglobin <=7 g/dL, Lymphocytes <500 /microL, White Blood Cell (WBC) <2000 /microL, Platelets <7.5 10^4/microL, Neutrophils <1000 /microL, Alanine Aminotransferase (ALT) (Glutamic Pyruvic Transaminase; GPT) >3.0 U/L x upper limit of normal (ULN), Aspartate Aminotransferase (AST) (Glutamic Oxaloacetic Transaminase; GOT) >3.0 U/L x ULN, Total Bilirubin >2.0 mg/dL x ULN, Amylase >2.0 (U/L) x ULN are considered markedly abnormal.
13 secondary outcomes
Induction Phase: Percentage of Participants With Clinical Remission
Time frame: Week 10
Induction Phase: Change From Baseline in C-reactive Protein (CRP) Values
Time frame: Baseline to Week 10
Maintenance Phase: Percentage of Participants With Crohn's Disease Activity Index (CDAI)-100 Response
Time frame: Week 60
Maintenance Phase: Percentage of Participants With Durable Clinical Remission
Time frame: From Week 14 and Week 60
Maintenance Phase: Percentage of Participants With Corticosteroid-free Clinical Remission
Time frame: Week 60
Serum Vedolizumab Concentration in Induction Phase
Time frame: Weeks 2, 6, 10 and 14
Serum Vedolizumab Concentration in Maintenance Phase
Time frame: Weeks 2, 6, 10, 14, 22, 30 and 60
Number of Participants With Anti-vedolizumab Antibodies (AVA) in Induction Phase
Time frame: Weeks 0, 10 and 16 weeks after the last dose of study drug in induction phase
Number of Participants With Anti-vedolizumab Antibodies (AVA) in Maintenance Phase
Time frame: Weeks 0, 10, 30, 60 and 16 weeks after the last dose of study drug in maintenance phase
Number of Participants With Anti-vedolizumab Antibodies (AVA) in Open Label Cohort
Time frame: Weeks 0, 10, 30, 62, 94 and 16 weeks after the last dose of study drug in open-label cohort
Number of Participants With Neutralizing Anti-vedolizumab Antibodies (AVA) in Induction Phase
Time frame: Weeks 0, 10 and 16 weeks after the last dose of study drug in induction phase
Number of Participants With Neutralizing Anti-vedolizumab Antibodies (AVA) in Maintenance Phase
Time frame: Weeks 0, 10, 30, 60 and 16 weeks after the last dose of study drug in maintenance phase
Number of Participants With Neutralizing Anti-vedolizumab Antibodies (AVA) in Open Label Cohort
Time frame: Weeks 0, 10, 30, 62, 94 and 16 weeks after the last dose of study drug in open-label cohort
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Dec 2019.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 32635680Okamoto H, Dirks NL, Rosario M, Hori T, Hibi T. Population pharmacokinetics of vedolizumab in Asian and non-Asian patients with ulcerative colitis and Crohn's disease. Intest Res. 2021 Jan;19(1):95-105. doi: 10.5217/ir.2019.09167. Epub 2020 Jul 10.
- Individual participant dataSharing planned: Yes. Takeda makes patient-level, de-identified data sets and associated documents available for all interventional studies after applicable marketing approvals and commercial availability have been received (or program is completely terminated), an opportunity for the primary publication of the research and final report development has been allowed, and other criteria have been met as set forth in Takeda's Data Sharing Policy (see www.TakedaClinicalTrials.com for details). To obtain access, researchers must submit a legitimate academic research proposal for adjudication by an independent review panel, who will review the scientific merit of the research and the requestor's qualifications and conflict of interest that can result in potential bias. Once approved, qualified researchers who sign a data sharing agreement are provided access to these data in a secure research environment.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Study Director Clinical Science study director
Takeda
56 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Vedolizumab in people with Crohn's Disease, run by Takeda at 56 sites in Japan.
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 23 inclusion and 44 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: finished, as of the sponsor's last update on 9 Dec 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 56 sites in Japan. 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?
Yes. Results are posted in the registry (first posted 9 Dec 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
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?
Induction Phase: Percentage of Participants With Crohn's Disease Activity Index (CDAI)-100 Response (time frame: Week 10). The study lists 7 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02038920, which also lists 1 linked publication.
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 9 Dec 2019.