A Study of Vedolizumab in People With Ulcerative Colitis and Crohn's Disease

Ulcerative Colitis Clinical Trial

Official title:

A Multicenter, Single-arm, Open-label, Phase 4 Study to Evaluate the Safety and Efficacy of Vedolizumab in Indian Patients With Ulcerative Colitis and Crohn's Disease

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04804540
• Other study ID #: Vedolizumab-4020
• Secondary ID: EUPAS23702
• Status: Completed
• Phase: Phase 4
• Start date: December 29, 2021
• Est. completion date: February 2, 2024

Study information

• Verified date: March 2024
• Source: Takeda
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Vedolizumab is a medicine that helps to reduce inflammation and pain in the digestive system. In this study, people with ulcerative colitis or Crohn's disease will be treated with vedolizumab. The main aim of the study is to check for side effects from vedolizumab.

At the first visit, the study doctor will check who can take part. Participants will receive vedolizumab slowly through a vein (infusion). Participants will regularly visit the clinic for up to 46 weeks for more infusions of Vedolizumab. During these visits, the study doctor will check if there are any side effects from this treatment.

Participants will visit the clinic for a final check-up up to 16 weeks after their final infusion of Vedolizumab. Clinic staff will arrange a phone call 6 months after their final infusion of Vedolizumab for a further check-up.

Description:

The drug being tested in this study is called vedolizumab. Vedolizumab is being tested to treat people who have active UC or CD.

The study will enroll approximately 150 patients. Participants will be assigned to the vedolizumab treatment group.

•Vedolizumab 300 mg

Vedolizumab 300 mg IV infusion will be administered once in Weeks 0, 2, 6 and 10 (CD-participants who have not shown a response can receive a dose at Week 10) during induction phase and in Weeks 14, 22, 30, 38 and 46 during maintenance phase.

This multicentre trial will be conducted in India. The overall time to participate in this study is 74 weeks. Participants will make multiple visits to the clinic, and will be contacted by telephone plus a final visit after receiving their last dose of drug for a follow-up assessment.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 150
• Est. completion date: February 2, 2024
• Est. primary completion date: February 2, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

1. Has a diagnosis of moderately to severely active ulcerative colitis (UC) or Crohn's disease (CD) at least 3 months prior to screening, with a Full Mayo Score of 6-12 for UC and a Harvey Bradshaw Index (HBI) score of >=8 for CD at the time of enrolment.

2. Has demonstrated, an inadequate response to, loss of response to, or intolerance to at least 1 of the following agents:

1. Conventional therapy

2. TNF-a alpha antagonist

Exclusion Criteria:

1. Has undergone an ileostomy, colostomy, or has known fixed symptomatic stenosis of the intestine.

2. Has active or latent tuberculosis (TB).

3. Has had a prior exposure to vedolizumab or a history of hypersensitivity or allergies to vedolizumab, natalizumab, efalizumab, or rituximab.

4. Has a positive progressive multifocal leukoencephalopathy (PML) subjective symptom checklist during screening or prior to the administration of study drug on Day 1.

Related Conditions & MeSH terms

• Colitis
• Colitis, Ulcerative
• Crohn Disease
• Ulcer
• Ulcerative Colitis

Intervention

Drug:
• Vedolizumab IV
Vedolizumab IV infusion

Locations

Country	Name	City	State
India	Gastroplus Digestive Disease Centre Pvt.Ltd	Ahmedabad	Gujarat
India	Banglore Medical College & Research Institute	Bangalore	Karnatka
India	VGM Hospital- Institute of Gastroenterology	Coimbatore	Tamilnadu
India	Government General Hospital	Guntur	Andhra Pradesh
India	Institute of Gastroenterology and Liver Disease Dispur Hospitals	Guwahati	Assam
India	Asian Institute of Gastroenterology	Hyderabad	Telangana
India	Deccan College of Medical Sciences	Hyderabad
India	Osmania General Hospital	Hyderabad
India	King George's Medical University	Lucknow	Uttar Pradesh
India	Dayanand Medical College and Hospital	Ludhiana	Punjab
India	Midas Multispeciality Hospital	Nagpur	Maharashtra
India	All India Institute of Medical Sciences	New Delhi	Delhi
India	Dr. Ram Manohar Lohia Hospita Hospital	New Delhi	Delhi
India	Maulana Azad Medical college & Associated G B Pant Hospital	New Delhi	Delhi
India	Indira Gandhi Institute of Medical Sciences	Patna	Bihar
India	Yashoda Hospitals	Secunderabad	Telangana
India	Surat Institute of Digestive Sciences	Surat	Gujarat

Sponsors (1)

Lead Sponsor	Collaborator
Takeda

Country where clinical trial is conducted

India, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Number of Participants with Adverse Events (AEs), Serious Adverse events (SAEs), Adverse Events of Special Interest (AESIs), Adverse Drug Reactions (ADRs) and Unexpected ADRs	An AE is defined as any untoward medical occurrence in a clinical investigation patient administered a drug; it does not necessarily have to have a causal relationship with the treatment. A SAE is any AE that results in death, is life-threatening, requires inpatient hospitalization or prolongation of an existing hospitalization, results in significant disability or incapacity, is a congenital anomaly/birth defect or is a medically important event. AESIs occurs during the treatment or follow-up period, are recorded in the special interest such as opportunistic infections, gastrointestinal infections, respiratory infections, other clinically significant infections, malignancies, infusion-related reactions and hypersensitivity, and hepatic injury. ADRs are defined as AEs which are in the investigator's opinion of causal relationship to the study treatment. An Unexpected ADR is an ADR with the nature, severity, or outcome which is not consistent with summary of product characteristics.	From first dose of study drug up to 6 months after the last dose of study drug (Up to approximately 70 weeks)
Secondary	Percentage of Participants with Ulcerative Colitis (UC) and Crohn's Disease (CD) Who Achieved Clinical Response	Clinical response is defined as decrease in Simple Clinical Colitis Activity Index (SCCAI) of =3 from baseline or by physician assessment of clinical response (UC participants) or decrease in Harvey Bradshaw Index (HBI) of =3 points from baseline (CD participants). SCCAI is composed of six domains: bowel frequency (during day) ranges 0 to >9; bowel frequency (during night) ranges 0 to 6; urgency of defecation ranges none to incontinence; blood in stool ranges none to usually frank (>50% of defecation); general well-being ranges very well to terrible (0-10); and a number of defined extracolonic features of UC (i.e. arthritis, erythema nodosum, pyoderma gangrenosum, and uveitis). The score of <5 is considered as inactive and =5 is active disease. HBI is composed of five clinical parameters: general well-being, abdominal pain, number of liquid stools/day, abdominal mass, and complications. The score <5 is considered as clinical remission, 5-7 mild, 8-16 moderate, and >16 severe disease.	Weeks 14, 30 and 46
Secondary	Percentage of Participants with UC and CD Who Achieved Clinical Remission	Clinical remission is defined as SCCAI of =2 from baseline (UC participants) or a HBI =4 (CD participants). SCCAI is composed of six domains: bowel frequency (during day) ranges 0 to >9; bowel frequency (during night) ranges 0 to 6; urgency of defecation ranges none to incontinence; blood in stool ranges none to usually frank (>50% of defecation); general well-being ranges very well to terrible (0-10); and a number of defined extracolonic features of UC (i.e. arthritis, erythema nodosum, pyoderma gangrenosum, and uveitis). The score of <5 is considered as inactive and =5 is active disease. HBI is composed of five clinical parameters: general well-being, abdominal pain, number of liquid stools/day, abdominal mass, and complications. The score <5 is considered as clinical remission, 5-7 mild, 8-16 moderate, and >16 severe disease.	Weeks 14, 30 and 46
Secondary	Percentage of Participants with UC and CD Who Had Vedolizumab Discontinuation	Vedolizumab discontinuation is defined as ceasing vedolizumab, or a treatment gap =90 days between consecutive doses.	Up to 46 weeks
Secondary	Percentage of Participants with UC and CD Who Achieved Mucosal Healing	Mucosal healing is based on endoscopic evidence of no inflammation and healing of the mucosa as defined by a Mayo endoscopic subscore of =1 point or Simple Endoscopic Score for Crohn Disease (SES-CD) 0-2 or SES-CD =4 and at least a 2 point reduction from baseline with no sub-score >1. Full Mayo Score evaluates ulcerative colitis stage, based on four parameters: stool frequency, rectal bleeding, endoscopic evaluation, and Physician's global assessment. Each parameter of the score (including Mayo endoscopic subscore) ranges from 0 (normal or inactive disease) to 3 (severe activity) yielding a total score of 0-12. The scores 0-2 are considered as clinical remission, 3-5 mild, 6-10 moderate, and 11-12 severe. SES-CD assesses the size of mucosal ulcers, ulcerated surface, endoscopic extension, and the presence and type of narrowings. Each of the four SES-CD variables is scored from 0 to 3, with the sum of scores for each variable ranging from 0 to 15 yielding a total SES-CD score of 0-60.	Week 46
Secondary	Percentage of Participants with UC and CD Who Achieved Endoscopic Response	Endoscopic response is defined as decrease in Mayo endoscopic subscore of =1 point in UC and >50% decrease in SES-CD in CD. Full Mayo Score evaluates ulcerative colitis stage, based on four parameters: stool frequency, rectal bleeding, endoscopic evaluation, and Physician's global assessment. Each parameter of the score (including Mayo endoscopic subscore) ranges from 0 (normal or inactive disease) to 3 (severe activity) yielding a total score of 0-12. The scores 0-2 are considered as clinical remission, 3-5 mild, 6-10 moderate, and 11-12 severe. SES-CD assesses the size of mucosal ulcers, ulcerated surface, endoscopic extension, and the presence and type of narrowings. Each of the four SES-CD variables is scored from 0 to 3, with the sum of scores for each variable ranging from 0 to 15 yielding a total SES-CD score of 0-60.	Week 46
Secondary	Change From Baseline in Patient-reported Quality of Life (Short Inflammatory Bowel Disease Questionnaire [SIBDQ])	The SIBDQ is a valid and reliable instrument used to assess quality of life in adult participants with Inflammatory Bowel Disease (IBD). It is a 10-item questionnaire that includes questions on 4 domains of health-related quality of life (HRQoL): bowel systems, emotional function, social function, and systemic function and is scored on a 7-point Likert scale from 1 (severe problem) to 7 (no problems at all). A total SIBDQ score is calculated by summing the scores from each domain; the total SIBDQ score ranges from 10 (poor HRQoL) to 70 (optimum HRQoL).	From Baseline and Weeks 14, 30 and 46

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