An Efficacy and Safety Study of Vedolizumab Intravenous (IV) Compared to Adalimumab Subcutaneous (SC) in Participants With Ulcerative Colitis
Colitis, Ulcerative
About this trial
This is an interventional treatment trial for Colitis, Ulcerative focused on measuring Drug Therapy
Eligibility Criteria
Inclusion Criteria:
- Has a diagnosis of ulcerative colitis established at least 3 months prior to screening by clinical and endoscopic evidence and corroborated by a histopathology report.
- Has moderately to severely active ulcerative colitis as determined by a Mayo score of 6 to 12 with an endoscopic subscore greater than or equal to >=2 within 14 days prior to the randomization.
- Has evidence of ulcerative colitis proximal to the rectum (>=15 centimeter [cm] of involved colon).
- With extensive colitis (up to the hepatic flexure) or pancolitis of >8 years duration or left-sided colitis of >12 years duration must have documented evidence that a surveillance colonoscopy was performed within 12 months of the initial screening visit (may be performed during the Screening Period).
The participant:
- Has had previous treatment with tumor necrosis factor- alpha (TNF-alpha) antagonists without documented clinical response to treatment (example, due to lack of response [primary nonresponders], loss of response, or intolerance [secondary nonresponders]), or
- Has previously used a TNF-alpha antagonists (except adalimumab), and discontinued its use due to reasons other than safety, or
- Is naïve to TNF-alpha antagonist therapy but is failing current treatment (example, corticosteroids, 5-aminosalicylate [5-ASA], or immunomodulators).
Exclusion Criteria:
- Clinical evidence of abdominal abscess or toxic megacolon at Screening.
- Has had an extensive colonic resection, subtotal or total colectomy.
- Has had ileostomy, colostomy, or known fixed symptomatic stenosis of the intestine.
- Has a diagnosis of Crohn's colitis or indeterminate colitis, ischemic colitis, radiation colitis, diverticular disease associated with colitis, or microscopic colitis.
Has received any of the following for the treatment of underlying disease within 30 days of randomization:
- Non-biologic therapies (example, cyclosporine, tacrolimus, thalidomide) other than those specifically listed in Section Permitted Medications For Treatment of UC.
- An approved non-biologic therapy in an investigational protocol.
- Has received any investigational or approved biologic or biosimilar agent within 60 days or 5 half lives prior to the screening (whichever is longer).
- Has previously received natalizumab, efalizumab, adalimumab, AMG-181, anti-mucosal addressin cell adhesion molecule-1 antibodies, or rituximab.
- Has previously received vedolizumab.
- Has history or evidence of adenomatous colonic polyps that have not been removed, or colonic mucosal dysplasia.
- Evidence of an active infection during Screening.
- Evidence of, or treatment for, Clostridium difficile (C. difficile) or other intestinal pathogen within 28 days prior to the 1st dose of study drug.
- Has chronic hepatitis B virus (HBV) infection* or chronic hepatitis C virus (HCV) infection (* HBV immune participants, ie, being hepatitis B surface antigen [HBsAg], may participate).
- Has active or latent TB, regardless of treatment history.
- Has used a topical (rectal) treatment with (5-ASA) or corticosteroid enemas/suppositories within 2 weeks of the administration of the 1st dose of study drug.
- Has a positive progressive multifocal leukoencephalopathy (PML) subjective symptom checklist prior to the administration of the first dose of study drug.
Sites / Locations
- IMC - Diagnostic and Medical Clinic
- Arizona Arthritis & Rheumatology Research, PLLC
- Arkansas Primary Care Clinic, PA
- WCCT Global (PH 1 Unit)
- California Medical Research Associates Inc.
- Sutter Institute for Medical Research
- Rocky Mountain Gastroenterology
- Medical Research Center of Connecticut, LLC
- Innovative Medical Research of South Florida, Inc.
- Advanced Clinical Research of Miami
- Wellness Clinical Research
- Nature Coast Clinical Research, LLC
- Florida Center for Gastroenterology
- South Florida Research Phase I-IV
- Gastro Health
- Medical Professional Clinical Research
- Tellus Clinical Research, Inc.
- Gastroenterology Group of Naples
- Internal Medicine Specialists
- BRCR Medical Center, Inc.
- Clinical Research Center of Florida
- Shafran Gastroenterology Center
- Emory University Hospital
- Gastroenterology Associates of Central Georgia
- Northwestern University Feinberg School of Medicine
- Rush University Medical Center
- Carle Foundation Hospital
- Gastroenterology of Southern Associates
- Iowa Digestive Disease Center
- Cotton-O'Neil Clinical Research Center, Digestive Health
- University of Louisville
- Research Concierge, LLC
- Gastroenterology Associates, LLC
- Lafayette General Medical Center
- Clinical Trials Management, LLC
- Louisiana Research Center, LLC
- Digestive Disease Associates
- Chevy Chase Clinical Research
- Clinical Research Institute of Michigan, LLC
- Center for Digestive Health and Nutritional Excellence
- Gastroenterology Associates of Western Michigan, P.L.C.
- Mayo Clinic - Rochester
- Digestive Health Center PA
- Ehrhardt Clinical Research, LLC
- Truman Medical Centers, Inc.
- Alegent Creighton Clinic Gastroenterology
- AGA Clinical Research Associates, LLC
- Long Island Clinical Research Associates
- Mount Sinai - PRIME
- Digestive Disease Care
- Premier Medical Group of the Hudson Valley, PC
- University of North Carolina at Chapel Hill
- Consultants for Clinical Research Inc.
- Ohio State University Clinical Trials Management Office
- Dayton Gastroenterology, Inc
- Gastro-Enterology Research of Lima
- Options Health Research
- The Oregon Clinic-West Hills Gastroenterology
- Main Line Gastroenterology Associates
- Medical University of South Carolina (MUSC)
- Invocare Clinical Research Center
- Vanderbilt University Medical Center
- Texas Digestive Disease Consultants - Dallas
- Baylor University Hospital
- MedResearch, Inc
- Gastroenterology Consultants of South Texas, PA
- Gulf Coast Research Group LLC
- Texas Digestive Disease Consultants - Irving
- Advanced Clinical Research Associates
- Gastroenterology Research of San Antonio, LLC
- Texas Digestive Disease Consultants - Southlake
- Digestive Health Specialists of Tyler
- Gastroenterology Associates of Tidewater
- Virginia Mason Seattle Main Clinic
- Wenatchee Valley Hospital & Clinics
- University of Wisconsin
- Allegiance Research Specialists, LLC
- Instituto de Investigaciones Clinicas-Mar del Plata
- Instituto Medico CER
- Expertia S.A- Mautalen Salud e Investigacion
- Centro de Investigaciones Clinicas Instituto del Corazon
- Concord Repatriation General Hospital
- Mater Adult Hospital
- Princess Alexandra Hospital
- Royal Adelaide Hospital
- Tennyson Centre Day Hospital
- Ballarat Base Hospital
- Monash Medical Centre Moorabbin
- St Frances Xavier Cabrini Hospital
- Universitair Ziekenhuis Gent
- University Clinical Centre of the Republic of Srpska
- University Clinical Hospital Mostar
- University Clinic Centre Sarajevo
- MHAT - Pazardzhik AD
- MHAT 'Avis Medica' OOD
- UMHAT 'Dr. Georgi Stranski', EAD
- MHAT "Hadzhi Dimitar", OOD
- "City Clinic UMHAC" EOOD
- Medical Center "Excelsior", OOD
- UMHAT "Sv. Ivan Rilski", EAD
- UMHAT 'Tsaritsa Yoanna - ISUL', EAD
- Fourth MHAT - Sofia EAD
- Military Medical Academy - MHAT - Sofia
- UMHAT 'Sveta Anna' AD
- Medical Center "Nov Rehabilitatsionen Tsentar", EOOD
- MHAT 'Sv. Marina', EAD
- University of Alberta
- McMaster University Health Sciences Center
- Hotel Dieu Hospital
- LHSC - University Hospital
- LHSC - Victoria Hospital
- Toronto Digestive Disease Associates, Inc.
- Royal University Hospital
- Fundacion Oftalmologica de Santander - FOSCAL
- Instituto de Coloproctologia ICO S.A.S.
- Clinical Hospital Centre Osijek
- General Hospital Pula
- Polyclinic Medico
- Clinical Hospital Center "Sestre Milosrdnice"
- Clinical Hospital Centre Zagreb
- Clinical Hospital Dubrava
- Clinical Hospital Merkur
- CCBR - Brno - CZ
- Fakultni nemocnice u sv. Anny v Brne
- Hepato-Gastroenterologie HK, s.r.o.
- CCBR Czech, a.s
- A-Shine
- CCBR - Prague - CZ
- Thomayerova nemocnice
- Klinicke centrum ISCARE Lighthouse
- Axon Clinical, s.r.o.
- Nordsjallands Hospital, Frederikssund
- Hvidovre_Hospital
- Koge Sygehus
- Odense Universitetshospital
- West Tallinn Central Hospital
- North Estonia Medical Centre Foundation
- Tartu University Hospital
- CHU Nice - Hopital de l'Archet 2
- Hopital Nord - CHU Marseille
- Hopital Saint Joseph
- Groupe Hospitalier Sud - Hopital Haut-Leveque
- CHU de Toulouse - Hopital Rangueil
- Hopital Beaujon
- CHU Saint Etienne - Hopital Nord
- Hopital de Brabois Adultes
- Hopital Claude Huriez - CHU Lille
- CHU Amiens - Hopital Sud
- Centre Hospitalier Departemental Les Oudairies
- Universitaetsklinikum Heidelberg
- Universitaetsklinikum Tuebingen
- Klinikum der Johann Wolfgang Goethe-Universitaet
- Universitaetsklinikum Koeln
- Universitaetsmedizin der Johannes Gutenberg-Universitaet Mainz
- Universitaetsklinikum Magdeburg A.oe.R
- EUGASTRO GmbH
- Universitaetsklinikum Schleswig-Holstein - Campus Kiel
- Universitaetsklinikum Schleswig-Holstein - Campus Luebeck
- Charite - Campus Virchow-Klinikum
- Krankenhaus Waldfriede e. V.
- Asklepios Klinik Hamburg
- The University of Hong Kong
- Tuen Mun Hospital
- The Chinese University of Hong Kong
- Bekes Megyei Kozponti Korhaz Dr. Rethy Pal Tagkorhaza
- Peterfy Sandor utcai Korhaz-Rendelointezet es Baleseti Kozpont
- Semmelweis Egyetem
- Semmelweis Egyetem
- Pannonia Maganorvosi Centrum
- Debreceni Egyetem Klinikai Kozpont
- Markhot Ferenc Oktatokorhaz es Rendelointezet
- Pecsi Tudomanyegyetem
- Szegedi Tudomanyegyetem Szent-Gyorgyi Albert Klinikai Kozpont
- Tolna Megyei Balassa Janos Korhaz
- HaEmek Medical Center
- Barzilai Medical Center
- Hillel Yaffe Medical
- Wolfson Medical Center
- Shaare Zedek Medical Center
- Clalit Health Services-Lev Talpiyot
- Meir Medical Center
- Galilee Medical Center
- Chaim Sheba Medical Center
- Kaplan Medical Center
- Tel Aviv Sourasky Medical Center
- IRCCS Ospedale Casa Sollievo della Sofferenza
- Istituto Clinico Humanitas
- I.R.C.C.S Policlinico San Donato
- Azienda Ospedaliera Universitaria Policlinico Sant'Orsola Malpighi
- Azienda Ospedaliera Ospedale Cannizzaro
- Azienda Ospedaliero Universitaria San Martino
- Azienda Ospedaliera Universitaria Policlinico G. Martino
- Azienda Socio Sanitaria Territoriale Fatebenefratelli (Presidio Ospedale Sacco)
- A.O.U. Policlinico di Modena
- Azienda Ospedaliera Universitaria "Federico II"
- Seconda Universita degli Studi di Napoli
- Azienda Ospedaliera di Padova
- Azienda Ospedaliero Universitaria Policlinico Paolo Giaccone
- Azienda Ospedaliera Vincenzo Cervello
- Azienda Ospedaliero Universitaria Pisana
- Azienda Ospedaliera San Camillo Forlanini
- Hanyang Univerisy Guri Hospital
- Seoul National University Bundang Hospital
- The Catholic University of Korea, St. Vincent's Hospital
- Kyungpook National University Hospital
- Pusan National University Hospital
- Yeungnam University Hospital
- Kyung Hee University Hospital
- Korea University Anam Hospital
- Seoul National University Hospital
- Kangbuk Samsung Hospital
- Severance Hospital, Yonsei University
- Asan Medical Center
- Samsung Medical Center
- The Catholic University of Korea, Seoul St. Marys Hospital
- Digestive Diseases Center "Gastro"
- Pauls Stradins Clinical University Hospital SLLC
- Hospital of Lithuanian University of Health Sciences Kaunas Clinics
- Klaipeda Republican Hospital, Public Institution
- Klaipeda University Hospital, Public Institution
- Vilnius University Hospital Santariskiu Clinic, Public Institution
- Morales Vargas Centro de Investigacion, S.C.
- Centro de Investigacion Farmacologica del Bajio, S.C.
- Christus Muguerza Sur S.A. de C.V.
- Instituto de Investigaciones Aplicadas a la Neurociencia A.C.
- Sociedad de Metabolismo y Corazon S.C
- Onze Lieve Vrouwe Gasthuis, Locatie Oost
- Academisch Medisch Centrum
- Universitair Medisch Centrum Groningen (UMCG)
- Maastricht University Medical Center
- Erasmus Medisch Centrum
- SP ZOZ Wojewodzki Szpital Zespolony im. J. Sniadeckiego
- NZOZ Vitamed
- Uniwersyteckie Centrum Kliniczne
- SP CSK im. prof. K. Gibinskiego SUM
- Gabinet Endoskopii Przewodu Pokarmowego
- SPZOZ Uniwersytecki Szpital Klin. nr 1 im.N.Barlickiego UM
- Santa Familia Centrum Badan, Profilaktyki i Leczenia
- GASTROMED Sp. z o.o.
- SOLUMED Centrum Medyczne
- Twoja Przychodnia-Szczecinskie Centrum Medyczne
- Centrum Zdrowia Matki, Dziecka i Mlodziezy
- Centralny Szpital Kliniczny MSW w Warszawie
- Centrum Onkologii-Instytut im. M. Sklodowskiej Curie
- Nzoz Vivamed
- LexMedica Osrodek Badan Klinicznych
- Ars-Medica S.C Rybak Maria, Rybak Zbigniew
- EuroMediCare Szpital Specjalistyczny z Przychodni we Wroclawiu
- Hospital de Braga
- Centro Hospitalar e Universitario de Coimbra E.P.E
- Centro Hospitalar Cova da Beira
- Hospital da Senhora da Oliveira Guimaraes
- Centro Hospitalar do Alto Minho - Unidade Local de Saude do Alto Minho, EPE
- Centro Hospitalar Vila Nova de Gaia/Espinho, E.P.E
- Spitalul Clinic Colentina
- Institutul Clinic Fundeni
- S.C Centrul de Gastroenterologie Dr. Goldis S.R.L
- SBEI HPE "Kazan State Medical University" of the MoH of the RF
- TSBIH "Territorial Clinical Hospital"
- Research Institute of Gastroenterology
- FSBIH "Central Clinical Hospital of Russian Academy of Sciences"
- FSBI State Scientific Centre of Coloproctology" of the MoH of RF
- SBIH of Nizhniy Novgorod region " Nizhniy Novgorod Regional Clinical Hospital n.a. N.A. Semashko"
- SBEIHPE Novosibirsk State Medical University
- FSBI "Scientific Research Institute of Physyology and Basic Medicine" under the SB of RAMS
- BHI of Omsk region Clinical Oncology Dispensary
- SBEI of HPE "Omsk SMA" SBEI HPE "Omsk State Medical University" of the MoH of the RF
- SBEI HPE "Rostov State Medical University" of the MoH of the RF
- FSMEI HPE Military Medical Academy n.a. S.M.Kirov"of Ministry of Defense of Russia
- SPb SBIH "City Hospital # 26"
- SPb SBIH "City Hospital # 9"
- Private Educational Institution of Higher Education "Medical University "REAVIZ"
- SIH "Regional Clinical Hospital "
- SPb SBIH "City Hospital # 40 of Kurortnyi region"
- RSBIH "Smolensk Regional Clinical Hospital"
- SPb SBIH "City Hospital of Saint Martyr Elizaveta"
- SBIH of Yaroslavl region " Regional Clinical Hospital "
- Clinical Center of Serbia
- Clinical Center Zvezdara
- Clinical Center Bezanijska kosa
- Clinical Center Zemun
- Clinical Center Kragujevac
- Clinical Center Nis
- Clinical Center of Vojvodina
- IBDcentrum s.r.o.
- Univerzitna nemocnica Bratislava, Nemocnica Ruzinov
- Gastroped s.r.o.
- KM Management spol. s r.o.
- Gastro I, s.r.o.
- Frantisek Horvath- GEA
- Hospital Universitari Germans Trias i Pujol
- Hospital Universitario Puerta de Hierro Majadahonda
- Hospital General Universitario de Alicante
- Hospital Universitario Ramon y Cajal
- Kaohsiung Medical University Chung-Ho Memorial Hospital
- Chung Shan Medical University Hospital
- National Taiwan University Hospital
- Mackay Memorial Hospital
- Ankara University Medical Faculty
- Acibadem Fulya Hospital
- Haydarpasa Numune Training and Research Hospital
- Marmara University Pendik Research and Training Hospital
- Kocaeli Derince Training and Research Hospital
- Mersin University Medical Faculty
- RCI Chernivtsi RCH Dep of Surgery Bukovinian SMU
- SI Institute of Gastroenterology of NAMSU Dept of Stomach & Duodenum Diseases, D&ThN SI DMA of MoHU
- Regional CH Dep of Gastroenterology SHEI Ivano-Frankivsk NMU
- CI of PH Kharkiv CCH #2
- CI A.and O. Tropiny City Clinical Hospital
- Treatment-Diagnostic Center of Private Enterprise of PPC Atsynus
- CI of Kyiv RC Kyiv Regional Clinical Hospital
- MI of Healthcare Kyiv RCH P.L. Shupyk NMA of PGE
- Kyiv CCH #12 Dept of Therapy O.O.Bogomolets NMU
- Kyiv CCH #8 Dept of Gastroenterology P.L. Shupyk NMA of PGE
- CI of TRC Ternopil University Hospital
- Communal City Clinical Hospital of Ambulance, Dept of Therapy #1 D.Halytskyi Lviv NMU
- CI Odesa Regional Clinical Hospital
- SI Divisional Clinical Hospital of Uzhgorod Station of ST&BA LZ Dep of Therapy SHEI Uzhgorod NU
- Private Small Enterprise Medical Center Pulse
- Vinnytsya RCH for Patriotic War Invalides Therapeutic Dept # 1 Vinnytsia M.I.Pyrogov NMU
- MCIC MC LLC Health Clinic
- SRI of Invalid Rehabilitation (EST Complex) of Vinnytsia M.I.Pyrogov NMU MOHU
- CI City Clinical Hospital #6 Dept of Gastroenterology
- SI Branch CH of Zaporizhzhia Station-2 of SE Prydniprovska Railway Dept of Surgery Zaporizhzhia SMU
- Derriford Hospital
- Salford Royal
- Norfolk and Norwich University Hospital
- Glasgow Royal Infirmary
- University Hospital Coventry
- Royal Wolverhampton hospital
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Vedolizumab IV 300 mg
Adalimumab SC 160/80/40 mg
Vedolizumab 300 milligram (mg), infusion, intravenously over 30 minutes on Day 1 and Weeks 2, 6, 14, 22, 30, 38, and 46. Adalimumab placebo-matching injection, subcutaneously on Day 1, Week 2, and every 2 weeks thereafter up to Week 50.
Adalimumab 160 mg, injection, subcutaneously on Day 1, adalimumab 80 mg, injection, subcutaneously at Week 2, then adalimumab 40 mg, injection, subcutaneously every 2 weeks thereafter up to Week 50. Vedolizumab placebo-matching infusion, intravenously on Day 1 and Weeks 2, 6, 14, 22, 30, 38, and 46.