Crohn's DiseasePhase 3NCT02425111
Effect of Intravenous (IV) Vedolizumab on Mucosal Healing in Crohn's Disease
A Phase 3 study testing Vedolizumab in people with Crohn's Disease, run by Takeda at 79 sites in 8 countries.
Trial summary
The purpose of this study is to evaluate endoscopic remission at Week 26 as assessed by ileocolonoscopy. Read more about this study
- Who is it for?
- Ages 18 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?
- No, everyone receives an active treatment
- How many people
- 101 participants
- Where
- 79 sitesin 8 countries
- Study dates
- 30 Mar 2015to 21 Feb 2018
- 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 18 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- In the opinion of the investigator, the participant is capable of understanding and complying with protocol requirements.
- Signs and dates a written, informed consent form and any required privacy authorization prior to the initiation of any study procedures.
- Has a diagnosis of moderately to severely active Crohn's disease (CD) at least 3 months prior to enrollment, with a Crohn's Disease Activity Index (CDAI) score of 220-450 during the Screening Period, a simple endoscopic score for Crohn's Disease (SES-CD) score of ≥7 and presence of at least one mucosal ulceration documented by recorded ileocolonoscopy at Screening assessed by the central reader.
- Has CD with involvement of the ileum and/or colon that can be assessed by ileocolonoscopy.
- Is male or female and aged 18 to 80 years, inclusive.
- A male participant who is nonsterilized and sexually active with a female partner of childbearing potential agrees to use adequate contraception from signing of informed consent throughout the duration of the study and for 18 weeks after last dose.
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- A female participant of childbearing potential who is sexually active with a nonsterilized male partner agrees to use routinely adequate contraception from signing of informed consent throughout the duration of the study and for 18 weeks after last dose.
- Has demonstrated an inadequate response to, loss of response to, or intolerance of at least 1 of the following agents as defined below:
- Immunomodulators:
- Has signs and symptoms of persistently active disease despite a history of at least one 12-week regimen of oral azathioprine (≥1.5 mg/kg) or 6-mercaptopurine (≥0.75 mg/kg), OR ii. Has a history of intolerance (including but not limited to nausea/vomiting, abdominal pain, pancreatitis, liver function test abnormalities, lymphopenia, thiopurine S-methyltransferase non wild type [where wild type is defined as thiopurine S-methyltransferase (TPMT)*1/*1], infection) to at least 1 immunomodulator.
- Tumor necrosis factor- alpha (TNF-α) antagonists:
- Has signs and symptoms of persistently active disease despite a history of at least 1 induction with:
- Infliximab: 4-week regimen of 5 mg/kg, 2 doses at 2 weeks apart, OR
- Adalimumab: 2-week regimen of 160 mg on Day 1 and 80 mg on Day 15, OR
- Certolizumab: 4-week regimen of 400 mg initially at Weeks 0, 2, 4 OR ii. Has recurrence of symptoms during maintenance dosing following prior clinical benefit (discontinuation despite clinical benefit does not qualify), OR iii. Has a history of intolerance of infliximab, adalimumab, or certolizumab, including but not limited to, infusion-related reaction, demyelination, congestive heart failure, or infection.
- Corticosteroids i. Signs and symptoms of persistently active disease despite a history of at least one 4-week induction regimen that included a dose equivalent to prednisone 30 mg daily orally for 2 weeks or intravenous(ly) (IV) for 1 week, OR ii. Signs and symptoms of persistently active disease despite treatment with budesonide 9 mg daily or 6 mg daily for maintenance, OR iii. At least one failed attempt to taper corticosteroids to below a dose equivalent to prednisone 10 mg daily orally, OR iv. History of intolerance to corticosteroids (including, but not limited to, Cushing's syndrome, osteopenia/osteoporosis, hyperglycemia, insomnia, and infection).
- May be receiving a stable therapeutic dose of conventional therapies for CD (excluding other biologic agents 60 days before enrollment).
- Has a family history of colorectal cancer, personal history of increased colorectal cancer risk, age >50 years, or other known risk factors must be up-to-date on colorectal cancer surveillance (may be performed during Screening).
Who cannot join
- Has received a diagnosis of ulcerative colitis or indeterminate colitis.
- Has clinical evidence of abdominal abscess.
- Has a history of >3 small bowel resections or diagnosis of short bowel syndrome.
- Has extensive colonic resection, ie, subtotal or total colectomy with <15 cm colon remaining.
- Has ileostomy, colostomy, or known fixed symptomatic stenosis of the intestine.
- Has a history or evidence of adenomatous colonic polyps that have not been removed.
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- Has a history or evidence of colonic mucosal dysplasia.
- Has intolerance or contraindication to undergo ileocolonoscopy.
- Has active or latent tuberculosis, regardless of treatment history, as evidenced by any of the following:
- History of tuberculosis (TB). b. A diagnostic TB test performed during screening that is positive, as defined by: i. A positive QuantiFERON® test or 2 successive indeterminate QuantiFERON tests OR ii. A tuberculin skin test reaction ≥10 mm (≥5 mm in participants receiving the equivalent of >15 mg/day prednisone).
- Has chronic hepatitis B (HBV) or hepatitis C (HCV) infection.
- Has any identified congenital or acquired immunodeficiency (eg, common variable immunodeficiency, human immunodeficiency virus [HIV] infection, organ transplantation).
- Has evidence of active C. difficile infection or is having treatment for C. difficile infection or other intestinal pathogens during Screening.
- Has evidence of an active infection during Screening.
- Currently requires or has a planned surgical intervention for CD during the study.
- Has received any investigational compound within 60 days of enrollment.
- Has received any biologics within 60 days of enrollment.
- Has received any live vaccinations within 30 days prior to enrollment.
- Has conditions which, in the opinion of the investigator, may interfere with the participant's ability to comply with the study procedures.
- Has any unstable or uncontrolled cardiovascular, pulmonary, hepatic, renal, gastrointestinal (GI), genitourinary, hematological, coagulation, immunological, endocrine/metabolic, or other medical disorder that, in the opinion of the investigator, would confound the study results or compromise participant safety.
- Has a history of hypersensitivity or allergies to vedolizumab or its components.
- Has had prior exposure to vedolizumab, natalizumab, efalizumab, or rituximab.
- Had a surgical procedure requiring general anesthesia within 30 days prior to screening or is planning to undergo major surgery during the study period.
- Has a history of malignancy, except for the following: adequately-treated nonmetastatic basal cell skin cancer; squamous cell skin cancer that has been adequately treated and that has not recurred for at least 1 year prior to Screening; and history of cervical carcinoma in situ that has been adequately treated and that has not recurred for at least 3 years prior to screening. Participants with a remote history of malignancy (eg, >10 years since completion of curative therapy without recurrence) will be considered based on the nature of the malignancy and the therapy received and must be discussed with the sponsor on a case-by-case basis prior to enrollment.
- Has a history of any major neurological disorders, including stroke, multiple sclerosis, brain tumor, or neurodegenerative disease.
- Has a positive progressive multifocal leukoencephalopathy (PML) subjective symptom checklist during Screening or prior to the administration of study drug.
- Has any of the following laboratory abnormalities during the Screening Period:
- Hemoglobin level <8 g/dL. ii. White blood cell (WBC) count <3*10^9/L. iii. Lymphocyte count <0.5*10^9/L. iv. Platelet count <100*10^9/L or >1200*10^9/L. v. Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) >3*the upper limit of normal (ULN).
- Alkaline phosphatase >3*ULN. vii. Serum creatinine >2*ULN.
- Has a history of drug abuse (defined as any illicit drug use) or a history of alcohol abuse within 1 year prior to enrollment.
- Has an active psychiatric problem that, in the investigator's opinion, may interfere with compliance with study procedures.
- Is unable to attend all the study visits or comply with study procedures.
- If female, the participant is pregnant or lactating or intending to become pregnant before, during, or within 18 weeks after participating in this study; or intending to donate ova during such time period.
- If male, the participant intends to donate sperm during the course of this study or for 18 weeks thereafter.
- Is an immediate family member, study site employee, or is in a dependent relationship with a study site employee who is involved in conduct of this study (eg, spouse, parent, child, sibling) or may consent under duress.
- Participants who are at sites participating in the magnetic resonance enterography (MREn) substudy may not participate if they have intolerance or contraindication to the procedure or if any of the following exclusions apply:
- Has certain implanted medical devices, such as pacemakers or implantable cardioverter defibrillators (ICDs), or ferromagnetic metallic foreign bodies, such as shrapnel or certain tattoos.
- Has allergy to gadolinium-based magnetic resonance (MR) IV contrast agents.
- Has known claustrophobia.
- Has estimated glomerular filtration rate (eGFR) <30 mL/min/1.73 m^2 at Screening.
Trial locations and contacts
79 sites in 8 countries.
79 sites in 8 countries
United States22 sites
Study site
Ann Arbor, Michigan
Study site
Baton Rouge, Louisiana
Study site
Boston, Massachusetts
Study site
Cleveland, Ohio
Study site
Columbia, Maryland
Study site
Gainesville, Florida
Study site
Germantown, Tennessee
Study site
Hamden, Connecticut
Study site
Inverness, Florida
Study site
La Jolla, California
Study site
Macon, Georgia
Study site
Maitland, Florida
Study site
Manhasset, New York
Study site
Miami, Florida
Study site
Portland, Oregon
Study site
Poughkeepsie, New York
Study site
St Louis, Missouri
Study site
Suwanee, Georgia
Study site
Topeka, Kansas
Study site
Tulsa, Oklahoma
Study site
Winston-Salem, North Carolina
Study site
Winter Park, Florida
Hungary14 sites
Study site
Békéscsaba
Study site
Budapest
Study site
Debrecen
Study site
Gyöngyös
Study site
Gyula
Study site
Jászberény
Study site
Kistarcsa
Study site
Miskolc
Study site
Mosonmagyaróvár
Study site
Pécs
Study site
Szeged
Study site
Székesfehérvár
Study site
Szekszárd
Study site
Vác
France12 sites
Study site
Lille, Nord
Study site
Lille
Study site
Nantes
Study site
Nice, Alpes Maritimes
Study site
Nice
Study site
Pessac, Gironde
Study site
Pessac
Study site
Reims, Marne
Study site
Reims
Study site
Saint-Etienne
Study site
Saint-Étienne-de-Montluc, Pays de la Loire Region
Study site
Toulouse
Italy11 sites
Study site
Bologna
Study site
Florence
Study site
Naples
Study site
Padova
Study site
Roma
Study site
Rozzano, Milano
Study site
Rozzano
Study site
San Donato Milanese, Milano
Study site
San Donato Milanese
Study site
San Giovanni Rotondo, Foggia
Study site
San Giovanni Rotondo
Belgium6 sites
Study site
Bonheiden
Study site
Brussels
Study site
Herentals
Study site
Kortrijk
Study site
Leuven
Study site
Roeselare
Canada5 sites
Study site
Halifax, Nova Scotia
Study site
London, Ontario
Study site
Vancouver, British Columbia
Study site
Vaughan, Ontario
Study site
Victoria, British Columbia
Poland5 sites
Study site
Bialystok
Study site
Elblag
Study site
Poznan
Study site
Warsaw
Study site
Wroclaw
Czechia4 sites
Study site
Hradec Králové
Study site
Kladno
Study site
Pardubice
Study site
Prague
About this study
Official title: An Open-Label Phase 3b Study to Assess Mucosal Healing in Subjects With Moderately to Severely Active Crohn's Disease Treated With Vedolizumab IV
The purpose of this study is to evaluate endoscopic remission at Week 26 as assessed by ileocolonoscopy.
Read the detailed description
The drug being tested in this study is called vedolizumab. Vedolizumab is being tested to treat people who have Crohn's disease. This study will look at mucosal healing in people who take vedolizumab.
The study will enroll approximately 100 patients and will be conducted in 2 Parts. Part A will consist of a 26-week treatment period and all participants will receive vedolizumab 300 mg intravenously (IV) on Day 1 and at Weeks 2, 6, 14 and 22. Part B will consist of a 26-week extension treatment period and all participants will receive vedolizumab 300 mg IV at Weeks 30, 38, and 46.
This multi-center trial will be conducted worldwide. The overall time to participate in this study is approximately 70 weeks for Parts A, B and 18-Week Follow-up combined. Participants will make multiple visits to the clinic. All participants included in the study will also have a 6 month safety follow-up telephone call following his/her last dose of study drug.
- Conditions
- Crohn's Disease
- Being tested
- Vedolizumab
- 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 intravenous injection
| Study group | Role | What they receive |
|---|---|---|
| Vedolizumab 300 mg | Experimental | Part A: Vedolizumab 300 mg, intravenously (IV), once on Day 1 and Weeks 2, 6, 14 and 22, followed by Part B: Vedolizumab 300 mg, intravenously (IV), once at Weeks 30, 38, and 46. Receives: Drug: Vedolizumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Part A: Percentage of Participants Achieving Endoscopic Remission at Week 26
Endoscopic remission is defined as a simple endoscopic score for Crohn's Disease (SES-CD) score of ≤4. The SES-CD evaluates 4 endoscopic variables (ulcer size, proportion of the surface area that is ulcerated, proportion of the surface area affected, and stenosis in 5 segments evaluated during ileocolonoscopy (ileum, right colon, transverse colon, left colon, and rectum). The score for each endoscopic variable is the sum of values obtained for each segment. The SES-CD total is the sum of the 4 endoscopic variable scores from 0 to 56, where higher scores indicate more severe disease.
Measured: Week 26
Secondary outcomes (14)
Part A: Percentage of Participants Achieving Complete Mucosal Healing at Week 26
Complete mucosal healing is defined as absence of ulceration.
Measured: Week 26
Part B: Percentage of Participants Achieving Complete Mucosal Healing at Week 52
Complete mucosal healing is defined as absence of ulceration.
Measured: Week 52
Part A: Percentage of Participants Achieving Endoscopic Remission at Week 14
Endoscopic remission is defined as a SES-CD score of ≤4. The SES-CD evaluates 4 endoscopic variables (ulcer size, proportion of the surface area that is ulcerated, proportion of the surface area affected, and stenosis in 5 segments evaluated during ileocolonoscopy (ileum, right colon, transverse colon, left colon, and rectum). The score for each endoscopic variable is the sum of values obtained for each segment. The SES-CD total is the sum of the 4 endoscopic variable scores from 0 to 56, where higher scores indicate more severe disease.
Measured: Week 14
Part B: Percentage of Participants Achieving Endoscopic Remission at Week 52
Endoscopic remission is defined as a SES-CD score of ≤4. The SES-CD evaluates 4 endoscopic variables (ulcer size, proportion of the surface area that is ulcerated, proportion of the surface area affected, and stenosis in 5 segments evaluated during ileocolonoscopy (ileum, right colon, transverse colon, left colon, and rectum). The score for each endoscopic variable is the sum of values obtained for each segment. The SES-CD total is the sum of the 4 endoscopic variable scores from 0 to 56, where higher scores indicate more severe disease.
Measured: Week 52
Part A: Percentage of Participants With Endoscopic Response at Week 14
Endoscopic response is defined as a reduction in SES-CD from Baseline by ≥50%. The SES-CD evaluates 4 endoscopic variables (ulcer size, proportion of the surface area that is ulcerated, proportion of the surface area affected, and stenosis in 5 segments evaluated during ileocolonoscopy (ileum, right colon, transverse colon, left colon, and rectum). The score for each endoscopic variable is the sum of values obtained for each segment. The SES-CD total is the sum of the 4 endoscopic variable scores from 0 to 56, where higher scores indicate more severe disease.
Measured: Baseline and Week 14
Part A: Percentage of Participants With Endoscopic Response at Week 26
Endoscopic response is defined as a reduction in SES-CD from Baseline by ≥50%. The SES-CD evaluates 4 endoscopic variables (ulcer size, proportion of the surface area that is ulcerated, proportion of the surface area affected, and stenosis in 5 segments evaluated during ileocolonoscopy (ileum, right colon, transverse colon, left colon, and rectum). The score for each endoscopic variable is the sum of values obtained for each segment. The SES-CD total is the sum of the 4 endoscopic variable scores from 0 to 56, where higher scores indicate more severe disease.
Measured: Baseline and Week 26
Part B: Percentage of Participants With Endoscopic Response at Week 52
Endoscopic response is defined as a reduction in SES-CD from Baseline by ≥50%. The SES-CD evaluates 4 endoscopic variables (ulcer size, proportion of the surface area that is ulcerated, proportion of the surface area affected, and stenosis in 5 segments evaluated during ileocolonoscopy (ileum, right colon, transverse colon, left colon, and rectum). The score for each endoscopic variable is the sum of values obtained for each segment. The SES-CD total is the sum of the 4 endoscopic variable scores from 0 to 56, where higher scores indicate more severe disease.
Measured: Baseline and Week 52
Part A: Percentage of Participants Achieving Clinical Response at Week 10
Clinical response is defined as Crohn's Disease Activity Index (CDAI) decrease from Baseline of ≥100 points. CDAI is a 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 and values above 450 are seen with extremely severe disease.
Measured: Baseline and Week 10
Part A: Percentage of Participants Achieving Clinical Response at Week 26
Clinical response is defined as CDAI decrease from Baseline of ≥100 points. CDAI is a 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 and values above 450 are seen with extremely severe disease.
Measured: Baseline and Week 26
Part B: Percentage of Participants Achieving Clinical Response at Week 52
Clinical response is defined as CDAI decrease from Baseline of ≥100 points. CDAI is a 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 and values above 450 are seen with extremely severe disease.
Measured: Baseline and Week 52
Part A: Percentage of Participants Achieving Clinical Remission at Week 10
Clinical remission is defined as CDAI score of ≤150 points. CDAI is a 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 and values above 450 are seen with extremely severe disease.
Measured: Week 10
Part A: Percentage of Participants Achieving Clinical Remission at Week 26
Clinical remission is defined as CDAI score of ≤150 points. CDAI is a 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 and values above 450 are seen with extremely severe disease.
Measured: Week 26
Part B: Percentage of Participants Achieving Clinical Remission at Week 52
Clinical remission is defined as CDAI score of ≤150 points. CDAI is a 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 and values above 450 are seen with extremely severe disease.
Measured: Week 52
Part B: Percentage of Participants With Durable Clinical Remission
Durable clinical remission is defined as clinical remission at both Week 26 and Week 52. Clinical remission is defined as CDAI score of ≤150 points. CDAI is a 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 and values above 450 are seen with extremely severe disease. The percentage of participants assessed at Week 52 who had clinical remission at Week 26 of Part A and also had clinical remission at Week 52 is reported.
Measured: Weeks 26 and 52
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Apr 2015 (estimated)
- Study start30 Mar 2015
- Primary completion2 Jun 2017
- Study completion21 Feb 2018
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 (3)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
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 101 participants (actual)
Sponsor and investigators
- Lead sponsor
- Takeda
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Director Clinical Science, Study director, Takeda
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02425111
- Sponsor's protocol ID
- MLN0002-3028
- Other IDs
- U1111-1159-5806, 2014-003509-13, 183974, 2014
- Status last verified
- Aug 2018
- First submitted
- 26 Mar 2015
- Last updated
- 14 Sep 2018
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Rimola J, Colombel JF, Bressler B, Adsul S, Siegelman J, Cole PE, Lindner D, Danese S. Magnetic Resonance Enterography Assessment of Transmural Healing with Vedolizumab in Moderate to Severe Crohn's Disease: Feasibility in the VERSIFY Phase 3 Clinical Trial. Clin Exp Gastroenterol. 2024 Jan 27;17:9-23. doi: 10.2147/CEG.S429039. eCollection 2024.
PubMed 38298861Narula N, Wong ECL, Dulai PS, Marshall JK, Jairath V, Reinisch W. Comparative Effectiveness of Biologics for Endoscopic Healing of the Ileum and Colon in Crohn's Disease. Am J Gastroenterol. 2022 Jul 1;117(7):1106-1117. doi: 10.14309/ajg.0000000000001795. Epub 2022 Apr 15.
PubMed 35435862Danese S, Sandborn WJ, Colombel JF, Vermeire S, Glover SC, Rimola J, Siegelman J, Jones S, Bornstein JD, Feagan BG. Endoscopic, Radiologic, and Histologic Healing With Vedolizumab in Patients With Active Crohn's Disease. Gastroenterology. 2019 Oct;157(4):1007-1018.e7. doi: 10.1053/j.gastro.2019.06.038. Epub 2019 Jul 4.
PubMed 31279871
Study at a glance
From the registry record, last updated by the sponsor on 14 Sep 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open-Label Phase 3b Study to Assess Mucosal Healing in Subjects With Moderately to Severely Active Crohn's Disease Treated With Vedolizumab IV
- ClinicalTrials.gov ID
- NCT02425111
- Acronym / sponsor ID
- MLN0002-3028
- Conditions
- Crohn's Disease
- Keywords
- Drug therapy
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 101 participants (actual)
- Lead sponsor
- TakedaIndustry (pharma, biotech, devices)
- Study start
- 30 Mar 2015 (actual)
- Primary completion
- 2 Jun 2017 (actual)
- Study completion
- 21 Feb 2018 (actual)
- First posted
- 23 Apr 2015 (estimated)
- Results
- Posted 14 Sep 2018
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate endoscopic remission at Week 26 as assessed by ileocolonoscopy.
Detailed description
The drug being tested in this study is called vedolizumab. Vedolizumab is being tested to treat people who have Crohn's disease. This study will look at mucosal healing in people who take vedolizumab.
The study will enroll approximately 100 patients and will be conducted in 2 Parts. Part A will consist of a 26-week treatment period and all participants will receive vedolizumab 300 mg intravenously (IV) on Day 1 and at Weeks 2, 6, 14 and 22. Part B will consist of a 26-week extension treatment period and all participants will receive vedolizumab 300 mg IV at Weeks 30, 38, and 46.
This multi-center trial will be conducted worldwide. The overall time to participate in this study is approximately 70 weeks for Parts A, B and 18-Week Follow-up combined. Participants will make multiple visits to the clinic. All participants included in the study will also have a 6 month safety follow-up telephone call following his/her last dose of study drug.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Vedolizumab 300 mg | Experimental | Drug: VedolizumabPart A: Vedolizumab 300 mg, intravenously (IV), once on Day 1 and Weeks 2, 6, 14 and 22, followed by Part B: Vedolizumab 300 mg, intravenously (IV), once at Weeks 30, 38, and 46. |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (18 listed)
- In the opinion of the investigator, the participant is capable of understanding and complying with protocol requirements.
- Signs and dates a written, informed consent form and any required privacy authorization prior to the initiation of any study procedures.
- Has a diagnosis of moderately to severely active Crohn's disease (CD) at least 3 months prior to enrollment, with a Crohn's Disease Activity Index (CDAI) score of 220-450 during the Screening Period, a simple endoscopic score for Crohn's Disease (SES-CD) score of ≥7 and presence of at least one mucosal ulceration documented by recorded ileocolonoscopy at Screening assessed by the central reader.
- Has CD with involvement of the ileum and/or colon that can be assessed by ileocolonoscopy.
- Is male or female and aged 18 to 80 years, inclusive.
Key exclusion criteria (40 listed)
- Has received a diagnosis of ulcerative colitis or indeterminate colitis.
- Has clinical evidence of abdominal abscess.
- Has a history of >3 small bowel resections or diagnosis of short bowel syndrome.
- Has extensive colonic resection, ie, subtotal or total colectomy with <15 cm colon remaining.
- Has ileostomy, colostomy, or known fixed symptomatic stenosis of the intestine.
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 intravenous injection | Drug | Vedolizumab 300 mg |
Primary outcome
Part A: Percentage of Participants Achieving Endoscopic Remission at Week 26
Time frame: Week 26
Endoscopic remission is defined as a simple endoscopic score for Crohn's Disease (SES-CD) score of ≤4. The SES-CD evaluates 4 endoscopic variables (ulcer size, proportion of the surface area that is ulcerated, proportion of the surface area affected, and stenosis in 5 segments evaluated during ileocolonoscopy (ileum, right colon, transverse colon, left colon, and rectum). The score for each endoscopic variable is the sum of values obtained for each segment. The SES-CD total is the sum of the 4 endoscopic variable scores from 0 to 56, where higher scores indicate more severe disease.
14 secondary outcomes
Part A: Percentage of Participants Achieving Complete Mucosal Healing at Week 26
Time frame: Week 26
Part B: Percentage of Participants Achieving Complete Mucosal Healing at Week 52
Time frame: Week 52
Part A: Percentage of Participants Achieving Endoscopic Remission at Week 14
Time frame: Week 14
Part B: Percentage of Participants Achieving Endoscopic Remission at Week 52
Time frame: Week 52
Part A: Percentage of Participants With Endoscopic Response at Week 14
Time frame: Baseline and Week 14
Part A: Percentage of Participants With Endoscopic Response at Week 26
Time frame: Baseline and Week 26
Part B: Percentage of Participants With Endoscopic Response at Week 52
Time frame: Baseline and Week 52
Part A: Percentage of Participants Achieving Clinical Response at Week 10
Time frame: Baseline and Week 10
Part A: Percentage of Participants Achieving Clinical Response at Week 26
Time frame: Baseline and Week 26
Part B: Percentage of Participants Achieving Clinical Response at Week 52
Time frame: Baseline and Week 52
Part A: Percentage of Participants Achieving Clinical Remission at Week 10
Time frame: Week 10
Part A: Percentage of Participants Achieving Clinical Remission at Week 26
Time frame: Week 26
Part B: Percentage of Participants Achieving Clinical Remission at Week 52
Time frame: Week 52
Part B: Percentage of Participants With Durable Clinical Remission
Time frame: Weeks 26 and 52
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Sep 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 38298861Rimola J, Colombel JF, Bressler B, Adsul S, Siegelman J, Cole PE, Lindner D, Danese S. Magnetic Resonance Enterography Assessment of Transmural Healing with Vedolizumab in Moderate to Severe Crohn's Disease: Feasibility in the VERSIFY Phase 3 Clinical Trial. Clin Exp Gastroenterol. 2024 Jan 27;17:9-23. doi: 10.2147/CEG.S429039. eCollection 2024.
- Derived from this study: PubMed 35435862Narula N, Wong ECL, Dulai PS, Marshall JK, Jairath V, Reinisch W. Comparative Effectiveness of Biologics for Endoscopic Healing of the Ileum and Colon in Crohn's Disease. Am J Gastroenterol. 2022 Jul 1;117(7):1106-1117. doi: 10.14309/ajg.0000000000001795. Epub 2022 Apr 15.
- Derived from this study: PubMed 31279871Danese S, Sandborn WJ, Colombel JF, Vermeire S, Glover SC, Rimola J, Siegelman J, Jones S, Bornstein JD, Feagan BG. Endoscopic, Radiologic, and Histologic Healing With Vedolizumab in Patients With Active Crohn's Disease. Gastroenterology. 2019 Oct;157(4):1007-1018.e7. doi: 10.1053/j.gastro.2019.06.038. Epub 2019 Jul 4.
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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.
Medical Director Clinical Science study director
Takeda
79 sites in 8 countries: 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 79 sites in 8 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 18 inclusion and 40 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 14 Sep 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 79 sites in United States, Hungary, France, Italy, Belgium and 3 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. 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 14 Sep 2018). 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?
Part A: Percentage of Participants Achieving Endoscopic Remission at Week 26 (time frame: Week 26). 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 NCT02425111, which also lists 3 linked publications.
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 14 Sep 2018; AzTrials last refreshed its copy on 8 Nov 2026.