Study of Vedolizumab (MLN0002) in Patients With Moderate to Severe Crohn's Disease (GEMINI II)
Crohn's Disease
About this trial
This is an interventional treatment trial for Crohn's Disease
Eligibility Criteria
Inclusion Criteria:
- Age 18 to 80
- Diagnosis of moderately to severely active Crohn's disease (CD)
- CD involvement of the ileum and/or colon
Demonstrated, over the previous 5 year period, an inadequate response to, loss of response to, or intolerance of at least 1 of the following agents, within protocol-specified parameters:
- Immunomodulators
- Tumor necrosis factor-alpha (TNFα) antagonists
- Corticosteroids
- May be receiving a therapeutic dose of conventional therapies for irritable bowel disease (IBD) defined by the protocol
Exclusion Criteria
- Evidence of abdominal abscess at the initial screening visit, other than a minimum of 10 aphthous ulcerations involving a minimum of 10 contiguous cm of intestine
- 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
- Have received non permitted IBD therapies within either 30 or 60 days, depending on the medication, as stated in the protocol
- Chronic hepatitis B or C infection
- Active or latent tuberculosis
Sites / Locations
- University of Alabama at Birmingham
- Apex Clinical Trials
- Gastrointestinal Bioscience
- Paramount Medical Specialty
- Capital Gastroenterology Consultants Medical Group
- Clinical Applications Laboratories Inc.
- Desta Digestive Disease Medical Center
- University of Colorado Health Sciences Center
- Rocky Mountain Clinical Research, LLC
- Gastroenterology of the Rockies
- Arapahoe Gastroenterology Associates P.C.
- South Denver Gastroenterology
- Lynn Institute of Pueblo
- Connecticut Gastroenterology Institute
- Gastroenterology Center of Connecticut, P.C.
- University of Florida
- University of Florida, Jacksonville
- East Coast Institute for Research
- Borland-Groover Clinic
- Center for Advanced Gastroenterology
- Osler Clinical Research
- University of Miami Miller School of Medicine
- United Medical Research Institute
- Compass Research LLC
- Internal Medicine Specialists
- University of South Florida
- West Wind'r Research & Development, LLC
- Shafran Gastroenterology Center
- Atlanta Gastroenterology Associates
- Southeast Regional Research Group
- Atlanta Center for Gastroenterology, P.C.
- Gastroenterology Associates of Central Georgia
- Digestive Research Associates
- St. Joseph's/Candler Health System
- DLW Research System
- Rush University Medical Center
- University of Chicago Medical Center
- Carle Clinic Association P.C.
- Indianapolis Gastroenterology & Hepatology, Inc.- ARC
- Digestive & Liver Consultants
- Iowa Digestive Disease Center
- University Of Kansas
- Cotton O'Neil Digestive Health Center
- University of Kentucky Medical Center
- University Of Louisville
- Gastroenterology Associates
- Metropolitan Gastroenterology Group, P.C.
- Shah Associates
- Massachusetts General Hospital
- Boston Medical Center
- The Center for Clinical Studies
- Center for Digestive Health
- Gastroenterology Associates of Western Michigan, P.L.C.
- Minnesota Gastroenterology, P.A.
- Mayo Clinic
- Digestive Health Specialists
- Truman Medical Center
- Center for Digestive and Liver Diseases, Inc.
- Washington University
- St. Louis Center for Clinical Research
- Dartmouth-Hitchcock Medical Center
- Affiliates in Gastroenterology PA
- University of Medicine and Dentistry of New Jersey-NJMS
- The Gastroenterology Group of South Jersey
- Hepatobiliary Associates of New York
- Digestive Health Physician
- Long Island Clinical Research Associates
- Long Island Gastroenterology Group, P.C.
- New York Presbyterian Hospital
- Present Chapman Marion Steinlauf MD PC
- Kim, Chung MD (Private Practice)
- University of Rochester
- Long Island Digestive Disease Consultants
- SUNY Stony Brook University Medical Center
- Syracuse Gastroenterological Associates
- Asheville Gastroenterology Associates, P.A.
- University of North Carolina at Chapel Hill
- Charlotte Gastroentology and Hepatology, P.L.L.C
- Northwest Piedmont Clinical Research, Inc.
- Burke Research Associates
- Wake Forest University Baptist Medical Center
- Consultants for Clinical Research Inc.
- Cleveland Clinic Foundation
- Dayton Science Institute
- Options Health Research
- The Oregon Clinic-West Hills Gastroenterology
- University of Pittsburgh Medical Center - Cancer Centers
- Medical University Of SC CAR
- Consultants in Gastroenterology
- Gastroenterology Center of the MidSouth, PC
- Vanderbilt University Medical Center
- Austin Gastroenterology, PA
- Bayou City Research, Ltd.
- Gastroenterology Consultants
- Jacon Medical Research Associates
- Digestive Health Center
- Alamo Medical Research
- Gastroenterology Clinic of San Antonio
- Stone Oak Research Foundation
- Digestive Health Specialists of Tyler
- Granite Peaks Gastroenterology
- University of Virginia Health System
- Gastroenterology Associates of Northern Virginia
- Digestive and Liver Disease Specialist Ltd.
- Hunter Holmes McGuire VA Medical Center
- Northwest Gastroenterology Associates
- Puget Sound Medical Research
- Pharmaseek, LLC
- Wisconsin Center for Advanced Research
- Medical College Of Wisconsin
- GI Research
- Zeidler Ledcor Center-Univerisity of Alberta
- Royal University Hospital
- Pharmaseek, LLC
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
Vedolizumab
Placebo
In the Induction Phase participants received vedolizumab 300 mg, administered by intravenous infusion at Week 0 and Week 2 (Days 1 and 15). In the Maintenance Phase, participants who demonstrated a clinical response at Week 6 according to protocol-specified criteria were randomized in a 1:1:1 ratio to double-blind treatment with vedolizumab administered every 4 weeks, vedolizumab administered every 8 weeks, or placebo for up to Week 50. Participants who did not demonstrate response at Week 6 of the Induction Phase continued treatment with vedolizumab, administered every 4 weeks during the Maintenance Phase.
In the Induction Phase participants received placebo intravenous infusion at Week 0 and Week 2 (Days 1 and 15). Participants continued to receive placebo during the Maintenance Phase, regardless of treatment response during Induction.