Crohn's DiseasePhase 3NCT02611817
Efficacy and Safety of Vedolizumab Subcutaneous (SC) as Maintenance Therapy in Crohn's Disease (CD)
A Phase 3 study testing Vedolizumab SC 108 mg and Vedolizumab IV 300 mg in people with Crohn's Disease, run by Takeda at 194 sites in 30 countries.
Trial summary
The purpose of this study is to assess the effect of vedolizumab subcutaneous (vedolizumab SC) as maintenance treatment in participants with moderately to severely active CD who achieved clinical response following administration of vedolizumab intravenous (vedolizumab IV) induction therapy. 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 SC 108 mg and Vedolizumab IV 300 mg
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 644 participants
- Where
- 194 sitesin 30 countries
- Study dates
- 4 Jan 2016to 6 Aug 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 18 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Diagnosis of CD established at least 3 months prior to screening by clinical and endoscopic evidence corroborated by a histopathology report.
- Moderately to severely active CD as determined by a CDAI score of 220 to 450 and 1 of the following:
- C-reactive protein (CRP) level greater than (>) 2.87 milligram per liter (mg/L) OR
- Ileocolonoscopy with photographic documentation of a minimum of 3 nonanastomotic ulcerations (each >0.5 centimeter [cm] in diameter) or 10 aphthous ulcerations (involving a minimum of 10 contiguous cm of intestine) consistent with CD OR
- Fecal calprotectin >250 microgram per gram (mcg/g) stool during the screening period in conjunction with computed tomography enterography (CTE), magnetic resonance enterography (MRE), contrast-enhanced small bowel radiography, or wireless capsule endoscopy revealing CD ulcerations (aphthae not sufficient).
- CD involvement of the ileum and/or colon, at a minimum.
- Inadequate response with, loss of response to, or intolerance to corticosteroids, immunomodulators, or Tumor necrosis factor-alpha (TNF-α) antagonists.
Who cannot join
- Evidence of abdominal abscess at Screening.
- Extensive colonic resection, subtotal or total colectomy.
- History of >3 small bowel resections or diagnosis of short bowel syndrome.
- Ileostomy, colostomy, or known fixed symptomatic stenosis of the intestine.
- Prior exposure to investigational or approved non-biologic therapies (example, cyclosporine, tacrolimus, thalidomide, or tofacitinib) for the treatment of underlying disease within 30 days or 5 half-lives of screening (whichever is longer).
- Prior exposure to any investigational or approved biologic or biosimilar agent within 60 days or 5 half-lives of screening (whichever is longer).
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- Prior exposure to vedolizumab.
- Surgical intervention for CD required at any time during the study.
- History or evidence of adenomatous colonic polyps that have not been removed, or of colonic mucosal dysplasia.
- Suspected or confirmed diagnosis of ulcerative colitis, indeterminate colitis, ischaemic colitis, radiation colitis, diverticular disease associated with colitis, or microscopic colitis.
- Active infections.
- Chronic hepatitis B virus (HBV) or C (HCV) infection, tuberculosis (TB) (active or latent), or congenital or acquired immunodeficiency. HBV immune participants (that is, being hepatitis B surface antigen [HBsAg] negative and hepatitis B antibody positive) may, however, be included.
- History of any major neurological disorders, including stroke, multiple sclerosis, brain tumor, or neurodegenerative disease.
Trial locations and contacts
194 sites in 30 countries.
194 sites in 30 countries
United States30 sites
Atlanta Gastroenterology Associates
Atlanta, Georgia, 33176
Gastroenterology Associates, LLC
Baton Rouge, Louisiana, 85307
Ehrhardt Clinical Research, LLC
Belton, Missouri, 60612
University of North Carolina at Chapel Hill
Chapel Hill, North Carolina, 41017
Clinical Research Institute of Michigan, LLC
Chesterfield, Michigan, 49519
Metropolitan Gastroenterology Group, PC, Chevy Chase Clinical Research
Chevy Chase, Maryland
Rush University Medical Center
Chicago, Illinois, 33028
Tri-State Gastroenterology Associates
Crestview Hills, Kentucky, 06457
Gastroenterology Center of the MidSouth PC
Germantown, Tennessee, 78212
Long Island Clinical Research Associates
Great Neck, New York, 71105
Medical Research Center of Connecticut, LLC
Hamden, Connecticut, 11021
Grand Teton Research Group, PLL
Idaho Falls, Idaho
Nature Coast Clinical Research, LLC
Inverness, Florida, 55905
Gastro-Enterology Research of Lima
Lima, Ohio, 39581
Gastroenterology Associates of Central Georgia
Macon, Georgia, 53226
L & L Research Choices, Inc.
Miami, Florida
Middlesex Gastroenterology Associates
Middletown, Connecticut
Allegiance Research Specialists, LLC
Milwaukee, Wisconsin, 64012
Gastroenterology Group of Naples
Naples, Florida, 30342
Vanderbilt University Medical Center
Nashville, Tennessee, 61801
Arizona Arthritis & Rheumatology Research, PLLC
Phoenix, Arizona, 45806
Mayo Clinic - Rochester
Rochester, Minnesota, 30024
San Antonio Gastroenterology
San Antonio, Texas
Louisiana Research Center, LLC
Shreveport, Louisiana, 32789
Atlanta Gastroenterology Specialists, PC
Suwanee, Georgia, 48047
Cotton-O'Neil Clinical Research Center, Digestive Health
Topeka, Kansas, 06518
Options Health Research
Tulsa, Oklahoma, 83404
Carle Foundation Hospital
Urbana, Illinois, 74104
Shafran Gastroenterology Center
Winter Park, Florida, 70809
Gastroenterology Associates of Western Michigan, P.L.C.
Wyoming, Michigan, 34102
Japan14 sites
Fukuoka University Chikushi Hospital
Chikushino-shi, Fukuoka, 818-8502
Hamamatsu South Hospital
Hamamatsu, Shizuoka, 430-0846
Gokeikai Ofuna Chuo Hospital
Kamakura-shi, Kanagawa, 247-0056
Kitasato University Kitasato Institute Hospital
Minatoku, Tokyo-To, 108-8642
Iwate Medical University Hospital
Morioka, Iwate, 020-8505
Hyogo College of Medicine Hospital
Nishinomiya-shi, Hyōgo, 663-8501
Kinshukai Infusion Clinic
Osaka, Osaka, 530-0011
Saga University Hospital
Saga, Saga-ken, 849-8501
Toho University Sakura Medical Center
Sakura-shi, Chiba, 285-8741
Tokushukai Sapporo Tokushukai Hospital
Sapporo, Hokkaido, 004-0041
Sapporo-Kosei General Hospital
Sapporo, Hokkaido, 060-0033
Tokushukai Sapporo Higashi Tokushukai Hospital
Sapporo, Hokkaido, 065-0033
JCHO Tokyo Yamate Medical Center
Shinjuku-ku, Tokyo-To, 169-0073
Wakayama Medical University Hospital
Wakayama, Wakayama, 641-8510
Ukraine14 sites
RCI Chernivtsi RCH Dep of Surgery HSEI of Ukr Bukovinian SMU
Chernivtsi, 21005
SI Institute of Gastroenterology of NAMSU Dept of Stomach & Duodenum Diseases, D&ThN SI DMA of MoHU
Dnipro, 69104
CNE Prof. O.O. Shalimov Kharkiv City Clinical Hospital #2 of KCC
Kharkiv, 58002
CI A.and O. Tropiny City Clinical Hospital
Kherson, 79059
Kyiv CCH #12 Dept of Therapy O.O.Bogomolets NMU
Kyiv, 46002
CI of Kyiv RC Kyiv Regional Clinical Hospital
Kyiv, 49074
MI of Healthcare Kyiv RCH P.L. Shupyk NMA of PGE
Kyiv, 65025
Communal City Clinical Hospital of Ambulance, Dept of Therapy #1 D.Halytskyi Lviv NMU
Lviv, 01103
CI Odesa Regional Clinical Hospital
Odesa, 21009
Ternopil University Hospital
Ternopil, CV2 2DX
Private Small Enterprise Medical Center Pulse
Vinnytsia, 01023
Vinnytsia RCH of Veterans of War Dept of Therapy#1 Vinnytsia M.I.Pyrogov NMU
Vinnytsia, 21001
MCIC MC LLC Health Clinic
Vinnytsia, 73000
CI City Hospital #1
Zaporizhzhya, EX2 5DW
Poland12 sites
NZOZ Vitamed
Bydgoszcz, 85-079
Gabinet Endoskopii Przewodu Pokarmowego
Krakow, 31-009
SPZOZ Uniwersytecki Szpital Klin. nr 1 im.N.Barlickiego UM
Lodz, 90-153
Santa Familia Centrum Badan, Profilaktyki i Leczenia
Lodz, 90-302
GASTROMED Sp. z o.o.
Lublin, 20-582
Twoja Przychodnia-Szczecinskie Centrum Medyczne
Szczecin, 71-270
Centrum Zdrowia MDM
Warsaw, 00-635
Centralny Szpital Kliniczny MSW w Warszawie
Warsaw, 02-507
Centrum Onkologii-Instytut im. M. Sklodowskiej Curie
Warsaw, 02-781
Nzoz Vivamed
Warsaw, 03-580
LexMedica Osrodek Badan Klinicznych
Wroclaw, 53-114
Ars-Medica S.C Rybak Maria, Rybak Zbigniew
Wroclaw, 53-333
Russia11 sites
Kazan State Medical University
Kazan', 420012
TSBIH "Territorial Clinical Hospital"
Krasnoyarsk, 660022
SBEIHPE Novosibirsk State Medical University
Novosibirsk, 630091
FSBSI "Scientific and Research Institute of Physiology and Basic Medicine"
Novosibirsk, 630117
BHI of Omsk region Clinical Oncology Dispensary
Omsk, 644013
SBEI of HPE "Omsk SMA" SBEI HPE "Omsk State Medical University" of the MoH of the RF
Omsk, 644099
SBEI HPE "Rostov State Medical University" of the MoH of the RF
Rostov-on-Don, 344022
SPb SBIH "City Hospital of Saint Martyr Elizaveta"
Saint Petersburg, 195257
LLC "RIAT SPb"
Saint Petersburg, 197373
SPb SBIH "City Hospital # 40 of Kurortnyi region"
Sestroretsk, 197706
SBIH of Yaroslavl region " Regional Clinical Hospital "
Yaroslavl, 150062
Italy10 sites
Azienda Ospedaliera Universitaria Policlinico Sant'Orsola Malpighi
Bologna, 40138
Azienda Ospedaliera Ospedale Cannizzaro
Catania, 95100
Azienda Socio Sanitaria Territoriale Fatebenefratelli (Presidio Ospedale Sacco)
Milan, 20157
A.O.U. Policlinico di Modena
Modena, 41124
Azienda Ospedaliera di Padova
Padova, 35128
Azienda Ospedaliera Vincenzo Cervello
Palermo, 90146
Azienda Ospedaliera San Camillo Forlanini
Roma, 00152
Policlinico Universitario Agostino Gemelli
Roma, 00168
I.R.C.C.S Policlinico San Donato
San Donato Milanese (MI), Milano, 20097
IRCCS Ospedale Casa Sollievo della Sofferenza
San Giovanni Rotondo, Foggia, 71013
Australia9 sites
Royal Adelaide Hospital
Adelaide, South Australia, 5000
Ballarat Base Hospital
Ballarat, Victoria, 3350
Tennyson Centre Day Hospital
Bedford Park, South Australia, 5042
Concord Repatriation General Hospital
Concord, New South Wales, 2139
Nepean Hospital
Kingswood, New South Wales, 2747
Royal Melbourne Hospital
Melbourne, Victoria, 3000
The Alfred Hospital
Melbourne, Victoria, 3181
Fiona Stanley Hospital
Murdoch, Western Australia, 6150
St John of God Subiaco Hospital
Subiaco, Western Australia, 6008
Hungary9 sites
Obudai Egeszsegugyi Centrum Kft.
Budapest, 1036
Semmelweis Egyetem
Budapest, 1088
Szent Janos Korhaz es Eszak-budai Egyesitett Korhazak
Budapest, 1125
Pannonia Maganorvosi Centrum
Budapest, 1136
Pest Megyei Flor Ferenc Korhaz
Kistarcsa, 2143
Borsod-Abauj-Zemplen Megyei Kozponti Korhaz es Egyetemi Oktatokorhaz
Miskolc, 3526
Karolina Korhaz-Rendelointezet
Mosonmagyaróvár, H-9200
Fejer Megyei Szent Gyorgy Egyetemi Oktato Korhaz
Székesfehérvár, 8000
Tolna Megyei Balassa Janos Korhaz
Szekszárd, 7100
Brazil8 sites
UNESP - Faculdade de Medicina da Universidade Estadual Paulista - Campus Botucatu
Botucatu, São Paulo, 18618-970
Instituto Goiano de Gastroenterologia e Endoscopia Digestiva Ltda
Goiânia, Goiás, 74535-170
Hospital de Clinicas de Porto Alegre
Porto Alegre, Rio Grande do Sul, 90035-903
HUGG - Hospital Universitario Gaffree e Guinle
Rio de Janeiro, Rio Do Janeiro, 20270-004
HUCFF-UFRJ - Hospital Universitario Clementino Fraga Filho - Universidade Federal do Rio de Janeiro
Rio de Janeiro, Rio Do Janeiro, 21941-913
Faculdade de Medicina do ABC
Santo André, São Paulo, 09060-650
Irmandade da Santa Casa da Misericordia de Santos
Santos, São Paulo, 11075-900
Fundacao Faculdade Regional de Medicina de Sao Jose do Rio Preto
São José do Rio Preto, São Paulo, 15090-000
South Korea8 sites
Kyungpook National University Hospital
Daegu, 41944
Yeungnam University Hospital
Daegu, 42415
Kyung Hee University Hospital
Seoul, 02447
Seoul National University Hospital
Seoul, 03080
Kangbuk Samsung Hospital
Seoul, 03181
Severance Hospital, Yonsei University
Seoul, 03722
Asan Medical Center
Seoul, 05505
Samsung Medical Center
Seoul, 06351
Israel6 sites
HaEmek Medical Center
Afula, 18101
Soroka University Medical Center
Beersheba, 8410101
Shaare Zedek Medical Center
Jerusalem, 91031
Chaim Sheba Medical Center
Ramat Gan, 5265601
Kaplan Medical Center
Rehovot, 7610001
Tel Aviv Sourasky Medical Center
Tel Aviv, 6423906
Belgium5 sites
Imeldaziekenhuis
Bonheiden, 2820
Universitair Ziekenhuis Gent
Ghent, 9000
AZ Groeninge - Kennedylaan
Kortrijk, 8500
ZNA Jan Palfijn
Merksem, 2170
AZ Delta
Roeselare, 8800
Bulgaria5 sites
MHAT "Hadzhi Dimitar", OOD
Sliven, 8800
"City Clinic UMHAC" EOOD
Sofia, 1407
UMHAT "Sv. Ivan Rilski", EAD
Sofia, 1431
UMHAT 'Tsaritsa Yoanna - ISUL', EAD
Sofia, 1527
Fourth MHAT - Sofia EAD
Sofia, 1606
Canada5 sites
Zeidler Ledcor Centre - University of Alberta
Edmonton, Alberta, T6G 2X8
LHSC - University Hospital
London, Ontario, N6A 5A5
LHSC - Victoria Hospital
London, Ontario, N6A 5W9
Toronto Digestive Disease Associates, Inc.
Vaughan, Ontario, L4L 4Y7
PerCuro Clinical Research Ltd.
Victoria, British Columbia, V8V 3M9
Czechia5 sites
CCBR - Czech Brno, s.r.o..
Brno, 60200
Hepato-Gastroenterologie HK s.r.o.
Hradec Králové, 500 12
A-SHINE s.r.o.
Pilsen, 31200
CCBR Czech Prague, s.r.o.
Prague, 13000
Axon Clinical s.r.o.
Prague, 15000
Germany5 sites
DRK Kliniken Berlin Westend
Berlin, 14050
Krankenhaus Waldfriede e. V.
Berlin, 14163
Medizinische Hochschule Hannover
Hanover, Lower Saxony, 30625
EUGASTRO GmbH
Leipzig, Saxony, 04103
Universitaetsmedizin der Johannes Gutenberg-Universitaet Mainz
Mainz, Rhineland-Palatinate, 55131
Serbia5 sites
Clinical Helth Centre Zvezdara
Belgrade, 11000
Military Medical Academy
Belgrade, 11000
Clinical Center Bezanijska kosa
Belgrade, 11080
Clinical Center Kragujevac
Kragujevac, 34000
Clinical Center of Vojvodina
Novi Sad, 21000
Turkey (Türkiye)5 sites
Ankara University Medical Faculty
Ankara, 41380
Haydarpasa Numune Training and Research Hospital
Istanbul, 01023
Marmara University Pendik Research and Training Hospital
Istanbul, 33343
Kocaeli Derince Training and Research Hospital
Kocaeli, 34668
Mersin University Medical Faculty
Mersin, 34098
United Kingdom5 sites
University Hospital Coventry
Coventry, West Midlands, NW3 2QG
Royal Devon and Exeter Hospital (Wonford)
Exeter, Devon, SY3 8XQ
St George's Hospital
London, Greater London, 31201
Whipps Cross University Hospital
London, Greater London, SW170QT
Royal Shrewsbury Hospital
Shrewsbury, Shropshire, 34452
Mexico4 sites
Instituto de Investigaciones Aplicadas a la Neurociencia A.C.
Durango, 34000
Morales Vargas Centro de Investigacion, S.C.
León, Guanajuato, 37000
Centro de Investigacion Farmacologica del Bajio, S.C.
León, Guanajuato, 37520
Sociedad de Metabolismo y Corazon S.C
Veracruz, 91910
Netherlands3 sites
Academisch Medisch Centrum
Amsterdam, 1105 AZ
Albert Schweitzer Ziekenhuis, Dordwijk
Dordrecht, 3318 AT
Erasmus Medisch Centrum
Rotterdam, 3015 CE
Romania3 sites
Spitalul Clinic Colentina
Bucharest, 020125
Institutul Clinic Fundeni
Bucharest, 022328
S.C Centrul de Gastroenterologie Dr. Goldis S.R.L
Timișoara, 300002
Bosnia and Herzegovina2 sites
University Clinical Centre of the Republic of Srpska
Banja Luka, 78000
University Clinical Hospital Mostar
Mostar, 88000
Denmark2 sites
Odense Universitetshospital
Odense C, 5000
Regionshospitalet Silkeborg
Silkeborg, 8600
Lithuania2 sites
Hospital of Lithuanian University of Health Sciences Kaunas Clinics
Kaunas, 50009
Vilnius University Hospital Santariskiu Clinic, Public Institution
Vilnius, LT-08661
Slovakia2 sites
Fakultna nemocnica s poliklinikou F.D. Roosevelta
Banská Bystrica, 97517
Univerzitna nemocnica Bratislava, Nemocnica Ruzinov
Bratislava, 82606
South Africa2 sites
Dr JP Wright Practice
Cape Town, Western Cape, 7708
Dr CCM Ziady Practice
Pretoria, Gauteng, 0181
About this study
Official title: A Phase 3 Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of Vedolizumab Subcutaneous as Maintenance Therapy in Subjects With Moderately to Severely Active Crohn's Disease Who Achieved Clinical Response Following Open-Label Vedolizumab Intravenous Therapy
The purpose of this study is to assess the effect of vedolizumab subcutaneous (vedolizumab SC) as maintenance treatment in participants with moderately to severely active CD who achieved clinical response following administration of vedolizumab intravenous (vedolizumab IV) induction therapy.
Read the detailed description
The drug being tested in this study is called vedolizumab SC. Vedolizumab SC is being tested to treat people who have moderate to severely active CD. This study will look at clinical remission, as well as enhanced clinical response and corticosteroid-free remission in participants with CD who receive vedolizumab SC maintenance therapy after having achieved a clinical response to vedolizumab IV induction therapy.
The study will enroll approximately 824 participants. All participants will enter a 6 week Induction Phase where they will be administered open-label vedolizumab IV 300 mg via IV infusion at Week 0 (Day 1) and Week 2 (Day 15), and will then be assessed for a clinical response at Week 6. Participants who achieve a clinical response at Week 6 will be randomly assigned to one of the two treatment groups:
- Vedolizumab SC 108 mg Maintenance Arm
- Placebo SC Maintenance Arm
Participants who do not achieve a clinical response will not be randomized into the Maintenance Period, and instead will receive a third infusion of vedolizumab IV 300 mg at Week 6.
This multi-center trial will be conducted worldwide. The overall time to participate in this study is up to 71 weeks. Participants will make multiple visits to the clinic, plus a final visit 18 weeks after last dose of study drug for a follow-up assessment. Participants will also participate in a long-term safety follow-up, by phone, at 6 months after the last dose of study drug.
- Conditions
- Crohn's Disease
- Being tested
- Vedolizumab SC 108 mg, Placebo, Vedolizumab IV 300 mg
- 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.
Vedolizumab SC 108 mgDrug
Vedolizumab SC Injection.
PlaceboDrug
Vedolizumab placebo-matching SC injection.
Vedolizumab IV 300 mgDrug
Vedolizumab IV Injection.
| Study group | Role | What they receive |
|---|---|---|
| Vedolizumab SC 108 mg Maintenance Arm | Experimental | Open-label Induction: vedolizumab IV 300 milligram (mg), infusion at Week 0 (Day 1) and Week 2 (Day 15)
Double-blind Maintenance: vedolizumab SC 108 mg injection once every 2 weeks (Q2W) starting at Week 6 up to Week 50 Receives: Drug: Vedolizumab SC 108 mg; Drug: Vedolizumab IV 300 mg |
| Placebo SC Maintenance Arm | Placebo comparator | Open-label Induction: vedolizumab IV 300 mg, infusion at Week 0 (Day 1) and Week 2 (Day 15)
Double-blind Maintenance: matching placebo to vedolizumab SC injection Q2W starting at Week 6 up to Week 50 Receives: Drug: Placebo; Drug: Vedolizumab IV 300 mg |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants Achieving Clinical Remission at Week 52
Clinical remission is defined as a Crohn's Disease Activity Index (CDAI) score less than or equal to (<=) 150 at Week 52. A CDAI is a multi-item instrument which measures severity of active Crohn's Disease monitored over 7 days includes participant reported symptoms, physician-assessed signs, and laboratory markers. CDAI score is equal to (=) sum of weighted scores for subjective items (number of liquid/soft stools, degree of abdominal pain, general well-being); and objective items (use of anti-diarrhoeal medication, abdominal mass, haematocrit, presence of extraintestinal manifestation, body weight). CDAI scores range approximately from 0 to 600, higher scores indicating greater disease activity.
Measured: Week 52
Secondary outcomes (3)
Percentage of Participants Achieving Enhanced Clinical Response at Week 52
Enhanced clinical response is defined as a decrease from Baseline of greater than or equal to (>=) 100 points in the CDAI score at Week 52. A CDAI is a multi-item instrument which measures severity of active CD monitored over 7 days includes participant reported symptoms, physician-assessed signs, and laboratory markers. CDAI score = Sum of weighted scores for subjective items (number of liquid/soft stools, degree of abdominal pain, general well-being); and objective items (use of anti-diarrhoeal medication, abdominal mass, haematocrit, presence of extraintestinal manifestation, body weight). CDAI scores range approximately from 0 to 600, higher scores indicating greater disease activity.
Measured: Week 52
Percentage of Participants Achieving Corticosteroid-free Remission at Week 52
Corticosteroid-free remission is defined as participants using oral corticosteroids at Baseline (Week 0) who have discontinued oral corticosteroids and are in clinical remission at Week 52. Clinical remission is defined as a CDAI score <=150 at Week 52. CDAI score = Sum of weighted scores for subjective items (number of liquid/soft stools, degree of abdominal pain, general well-being); and objective items (use of anti-diarrhoeal medication, abdominal mass, haematocrit, presence of extraintestinal manifestation, body weight). CDAI scores range approximately from 0 to 600, higher scores indicating greater disease activity.
Measured: Week 52
Percentage of TNF-alpha Antagonist Naive Participants Achieving Clinical Remission at Week 52
Clinical remission is defined as CDAI score <=150 at Week 52. CDAI score = Sum of weighted scores for subjective items (number of liquid/soft stools, degree of abdominal pain, general well-being); and objective items (use of anti-diarrhoeal medication, abdominal mass, haematocrit, presence of extraintestinal manifestation, body weight). CDAI scores range approximately from 0 to 600, higher scores indicating greater disease activity.
Measured: Week 52
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Nov 2015 (estimated)
- Study start4 Jan 2016
- Primary completion6 May 2019
- Study completion6 Aug 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
- 644 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
- NCT02611817
- Sponsor's protocol ID
- MLN0002SC-3031
- Other IDs
- U1111-1168-0845, 2015-000481-58, NL55774.056.16, 16/LO/0090, MLN0002SC-3031CTID, 163300410A0045, 189748, MOH_2017-01-05_000039
- Status last verified
- May 2022
- First submitted
- 19 Nov 2015
- Last updated
- 25 May 2022
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.
Publications
D'Haens G, Baert F, Danese S, Kobayashi T, Loftus EV Jr, Sandborn WJ, Dornic Q, Lindner D, Kisfalvi K, Marins EG, Vermeire S. Efficacy of vedolizumab during intravenous induction therapy in ulcerative colitis and Crohn's disease: post hoc analysis of patient-reported outcomes from the VISIBLE 1 and 2 studies. Eur J Gastroenterol Hepatol. 2024 Apr 1;36(4):404-415. doi: 10.1097/MEG.0000000000002728. Epub 2024 Feb 21.
PubMed 38417060
Study at a glance
From the registry record, last updated by the sponsor on 25 May 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3 Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of Vedolizumab Subcutaneous as Maintenance Therapy in Subjects With Moderately to Severely Active Crohn's Disease Who Achieved Clinical Response Following Open-Label Vedolizumab Intravenous Therapy
- ClinicalTrials.gov ID
- NCT02611817
- Acronym / sponsor ID
- MLN0002SC-3031
- Conditions
- Crohn's Disease
- Keywords
- Drug Therapy
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 644 participants (actual)
- Lead sponsor
- TakedaIndustry (pharma, biotech, devices)
- Study start
- 4 Jan 2016 (actual)
- Primary completion
- 6 May 2019 (actual)
- Study completion
- 6 Aug 2019 (actual)
- First posted
- 23 Nov 2015 (estimated)
- Results
- Posted 23 Jun 2020
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 assess the effect of vedolizumab subcutaneous (vedolizumab SC) as maintenance treatment in participants with moderately to severely active CD who achieved clinical response following administration of vedolizumab intravenous (vedolizumab IV) induction therapy.
Detailed description
The drug being tested in this study is called vedolizumab SC. Vedolizumab SC is being tested to treat people who have moderate to severely active CD. This study will look at clinical remission, as well as enhanced clinical response and corticosteroid-free remission in participants with CD who receive vedolizumab SC maintenance therapy after having achieved a clinical response to vedolizumab IV induction therapy.
The study will enroll approximately 824 participants. All participants will enter a 6 week Induction Phase where they will be administered open-label vedolizumab IV 300 mg via IV infusion at Week 0 (Day 1) and Week 2 (Day 15), and will then be assessed for a clinical response at Week 6. Participants who achieve a clinical response at Week 6 will be randomly assigned to one of the two treatment groups:
- Vedolizumab SC 108 mg Maintenance Arm
- Placebo SC Maintenance Arm
Participants who do not achieve a clinical response will not be randomized into the Maintenance Period, and instead will receive a third infusion of vedolizumab IV 300 mg at Week 6.
This multi-center trial will be conducted worldwide. The overall time to participate in this study is up to 71 weeks. Participants will make multiple visits to the clinic, plus a final visit 18 weeks after last dose of study drug for a follow-up assessment. Participants will also participate in a long-term safety follow-up, by phone, at 6 months after the last dose of study drug.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Vedolizumab SC 108 mg Maintenance Arm | Experimental | Drug: Vedolizumab SC 108 mg, Drug: Vedolizumab IV 300 mgOpen-label Induction: vedolizumab IV 300 milligram (mg), infusion at Week 0 (Day 1) and Week 2 (Day 15) Double-blind Maintenance: vedolizumab SC 108 mg injection once every 2 weeks (Q2W) starting at Week 6 up to Week 50 |
| Placebo SC Maintenance Arm | Placebo comparator | Drug: Placebo, Drug: Vedolizumab IV 300 mgOpen-label Induction: vedolizumab IV 300 mg, infusion at Week 0 (Day 1) and Week 2 (Day 15) Double-blind Maintenance: matching placebo to vedolizumab SC injection Q2W starting at Week 6 up to Week 50 |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Diagnosis of CD established at least 3 months prior to screening by clinical and endoscopic evidence corroborated by a histopathology report.
- Moderately to severely active CD as determined by a CDAI score of 220 to 450 and 1 of the following:
- CD involvement of the ileum and/or colon, at a minimum.
- Inadequate response with, loss of response to, or intolerance to corticosteroids, immunomodulators, or Tumor necrosis factor-alpha (TNF-α) antagonists.
Key exclusion criteria (13 listed)
- Evidence of abdominal abscess at Screening.
- Extensive colonic resection, subtotal or total colectomy.
- History of >3 small bowel resections or diagnosis of short bowel syndrome.
- Ileostomy, colostomy, or known fixed symptomatic stenosis of the intestine.
- Prior exposure to investigational or approved non-biologic therapies (example, cyclosporine, tacrolimus, thalidomide, or tofacitinib) for the treatment of underlying disease within 30 days or 5 half-lives of screening (whichever is longer).
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 |
|---|---|---|
| Vedolizumab SC 108 mgVedolizumab SC Injection. | Drug | Vedolizumab SC 108 mg Maintenance Arm |
| PlaceboVedolizumab placebo-matching SC injection. | Drug | Placebo SC Maintenance Arm |
| Vedolizumab IV 300 mgVedolizumab IV Injection. | Drug | Placebo SC Maintenance Arm, Vedolizumab SC 108 mg Maintenance Arm |
Primary outcome
Percentage of Participants Achieving Clinical Remission at Week 52
Time frame: Week 52
Clinical remission is defined as a Crohn's Disease Activity Index (CDAI) score less than or equal to (<=) 150 at Week 52. A CDAI is a multi-item instrument which measures severity of active Crohn's Disease monitored over 7 days includes participant reported symptoms, physician-assessed signs, and laboratory markers. CDAI score is equal to (=) sum of weighted scores for subjective items (number of liquid/soft stools, degree of abdominal pain, general well-being); and objective items (use of anti-diarrhoeal medication, abdominal mass, haematocrit, presence of extraintestinal manifestation, body weight). CDAI scores range approximately from 0 to 600, higher scores indicating greater disease activity.
3 secondary outcomes
Percentage of Participants Achieving Enhanced Clinical Response at Week 52
Time frame: Week 52
Percentage of Participants Achieving Corticosteroid-free Remission at Week 52
Time frame: Week 52
Percentage of TNF-alpha Antagonist Naive Participants Achieving Clinical Remission at Week 52
Time frame: Week 52
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 May 2022.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 38417060D'Haens G, Baert F, Danese S, Kobayashi T, Loftus EV Jr, Sandborn WJ, Dornic Q, Lindner D, Kisfalvi K, Marins EG, Vermeire S. Efficacy of vedolizumab during intravenous induction therapy in ulcerative colitis and Crohn's disease: post hoc analysis of patient-reported outcomes from the VISIBLE 1 and 2 studies. Eur J Gastroenterol Hepatol. 2024 Apr 1;36(4):404-415. doi: 10.1097/MEG.0000000000002728. Epub 2024 Feb 21.
- Individual participant dataSharing planned: Yes. Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.
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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
194 sites in 30 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Vedolizumab SC 108 mg and Vedolizumab IV 300 mg in people with Crohn's Disease, run by Takeda at 194 sites in 30 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 7 inclusion and 13 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 25 May 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 194 sites in United States, Japan, Ukraine, Poland, Russia and 25 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?
Yes. Results are posted in the registry (first posted 23 Jun 2020). 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?
Percentage of Participants Achieving Clinical Remission at Week 52 (time frame: Week 52). 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 NCT02611817, 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 25 May 2022.