Efficacy and Safety of Vedolizumab Subcutaneously (SC) as Maintenance Therapy in 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:
- Diagnosis of ulcerative colitis (UC) established at least 6 months prior to screening, by clinical and endoscopic evidence and corroborated by a histopathology report.
- Moderately to severely active UC as determined by a complete Mayo score of 6-12 (with an endoscopic subscore ≥2)
- Evidence of UC extending proximal to the rectum (≥15 cm of involved colon).
- Inadequate response with, loss of response to, or intolerance to corticosteroids, immunomodulators, or Tumor Necrosis Factor-alpha (TNF-α) antagonists
Exclusion Criteria:
- Evidence of abdominal abscess or toxic megacolon at the initial Screening Visit.
- Extensive colonic resection, subtotal or total colectomy.
- Ileostomy, colostomy, or known fixed symptomatic stenosis of the intestine.
- Prior exposure to investigational or approved non-biologic therapies (eg, cyclosporine, tacrolimus, thalidomide, methotrexate 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).
- Prior exposure to vedolizumab
- Surgical intervention for UC required at any time during the study.
- History or evidence of adenomatous colonic polyps that have not been removed or has a history or evidence of colonic mucosal dysplasia.
- Suspected or confirmed diagnosis of Crohn's entercolitis, indeterminate colitis, ischaemic colitis, radiation colitis, diverticular disease associated with colitis, or microscopic colitis.
- Active infections
- Chronic hepatitis B virus (HBV) infection or chronic hepatitis C virus (HCV) infection, HIV or tuberculosis (active or latent), identified congenital or acquired immunodeficiency. HBV immune participants (ie, 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, demyelinating or neurodegenerative disease.
Sites / Locations
- Arkansas Primary Care Clinic, PA
- Rocky Mountain Clinical Research, LLC
- Middlesex Gastroenterology Associates
- Nature Coast Clinical Research, LLC
- Florida Center for Gastroenterology
- L & L Research Choices, Inc.
- Gastroenterology Group of Naples
- Shafran Gastroenterology Center
- Atlanta Gastroenterology Associates
- Gastroenterology Associates of Central Georgia
- Atlanta Gastroenterology Specialists, PC
- Cotton-O'Neil Clinical Research Center, Digestive Health
- Tri-State Gastroenterology Associates
- Research Concierge, LLC
- Gastroenterology Associates, LLC
- Metropolitan Gastroenterology Group, PC, Chevy Chase Clinical Research
- Clinical Research Institute of Michigan, LLC
- Gastroenterology Associates of Western Michigan, P.L.C.
- Ehrhardt Clinical Research, LLC
- Long Island Clinical Research Associates
- Premier Medical Group of the Hudson Valley, PC
- Dayton Gastroenterology, Inc
- Options Health Research
- Gastro One
- Vanderbilt University Medical Center
- Tyler Research Institute, LLC
- Gastroenterology Associates of Tidewater
- Virginia Mason Seattle Main Clinic
- Expertia S.A- Mautalen Salud e Investigacion
- Concord Repatriation General Hospital
- Nepean Hospital
- Princess Alexandra Hospital
- Royal Adelaide Hospital
- The Alfred Hospital
- Clinique Saint-Pierre
- AZ Delta
- University Clinical Centre of the Republic of Srpska
- Instituto Goiano de Gastroenterologia e Endoscopia Digestiva Ltda
- HUCFF-UFRJ - Hospital Universitario Clementino Fraga Filho - Universidade Federal do Rio de Janeiro
- UNESP - Faculdade de Medicina da Universidade Estadual Paulista - Campus Botucatu
- Faculdade de Medicina do ABC
- MHAT 'Avis Medica' OOD
- MHAT - Silistra AD
- MHAT "Hadzhi Dimitar", OOD
- Second MHAT - Sofia AD
- "City Clinic UMHAC" EOOD
- UMHAT "Sv. Ivan Rilski", EAD
- UMHAT 'Tsaritsa Yoanna - ISUL', EAD
- Medical Center "Nov Rehabilitatsionen Tsentar", EOOD
- London Health Science Centre
- LHSC - Victoria Hospital
- Toronto Digestive Disease Associates, Inc.
- Clinical Hospital Centre Osijek
- Clinical Hospital Centre Rijeka
- Clinical Hospital Centre Zagreb
- Clinical Hospital Dubrava
- Ccbr-Synarc A/S
- Hepato-Gastroenterologie HK, s.r.o.
- A-SHINE s.r.o.
- Ccbr-Synarc A/S
- Axon Clinical, s.r.o.
- Odense Universitetshospital
- West Tallinn Central Hospital
- Medizinische Hochschule Hannover
- EUGASTRO GmbH
- Krankenhaus Waldfriede e. V.
- Obudai Egeszsegugyi Centrum Kft.
- Szent Janos Korhaz es Eszak-budai Egyesitett Korhazak
- Pest Megyei Flor Ferenc Korhaz
- Karolina Korhaz-Rendelointezet
- Fejer Megyei Szent Gyorgy Egyetemi Oktato Korhaz
- Tolna Megyei Balassa Janos Korhaz
- Wolfson Medical Center
- Chaim Sheba Medical Center
- IRCCS Ospedale Casa Sollievo della Sofferenza
- Istituto Clinico Humanitas
- I.R.C.C.S Policlinico San Donato
- Azienda Socio Sanitaria Territoriale Fatebenefratelli (Presidio Ospedale Sacco)
- Azienda Ospedaliera di Padova
- Azienda Ospedaliera San Camillo Forlanini
- Policlinico Universitario Agostino Gemelli
- Kyungpook National University Hospital
- Yeungnam University Hospital
- Kyung Hee University Hospital
- Seoul National University Hospital
- Kangbuk Samsung Hospital
- Hospital of Lithuanian University of Health Sciences Kaunas Clinics
- Klaipeda Republican Hospital, Public Institution
- Vilnius University Hospital Santariskiu Clinic, Public Institution
- Morales Vargas Centro de Investigacion, S.C.
- iBiomed Guadalajara
- Universidad Autonoma de Nuevo Leon, Hospital Universitario Dr. Jose Eleuterio Gonzalez
- Christus Muguerza Sur S.A. de C.V.
- Instituto de Investigaciones Aplicadas a la Neurociencia A.C.
- Sociedad de Metabolismo y Corazon S.C
- Academisch Medisch Centrum
- Albert Schweitzer Ziekenhuis, Dordwijk
- Maastricht University Medical Center
- SP ZOZ Wojewodzki Szpital Zespolony im. J. Sniadeckiego
- NZOZ Vitamed
- 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.
- 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
- Spitalul Clinic Colentina
- Institutul Clinic Fundeni
- S.C Centrul de Gastroenterologie Dr. Goldis S.R.L
- TSBIH "Territorial Clinical Hospital"
- FSBIH "Central Clinical Hospital of Russian Academy of Sciences"
- 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 HPE "Rostov State Medical University" of the MoH of the RF
- LLC "RIAT SPb"
- SPb SBIH "City Hospital of Saint Martyr Elizaveta"
- SBIH of Yaroslavl region " Regional Clinical Hospital "
- Clinical Center Zvezdara
- Clinical Center Bezanijska kosa
- Clinical Center Zemun
- Clinical Center Kragujevac
- Clinical Center of Vojvodina
- Univerzitna nemocnica Bratislava, Nemocnica Ruzinov
- KM Management spol. s r.o.
- Gastro I, s.r.o.
- Hospital Universitario Puerta de Hierro Majadahonda
- Complejo Hospitalario de Pontevedra
- Karolinska Universitetssjukhuset - Solna
- Danderyds Sjukhus AB
- Ankara University Medical Faculty
- Acibadem Fulya Hospital
- Marmara University Pendik Research and Training Hospital
- 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
- CHI Prof.O.O.Shalimov Kharkiv City Clinical Hospital #2
- GI L.T.Malaya Therapy National Institute of the NAMS of Ukraine
- CI A.and O. Tropiny City Clinical Hospital
- Kyiv CCH #12 Dept of Therapy O.O.Bogomolets NMU
- MI of Healthcare Kyiv RCH P.L. Shupyk NMA of PGE
- 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
- MCIC MC LLC Health Clinic
- SI Branch CH of Zaporizhzhia Station-2 of SE Prydniprovska Railway Dept of Surgery Zaporizhzhia SMU
- Royal Devon and Exeter Hospital (Wonford)
- Whipps Cross University Hospital
- Royal Free Hospital
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Experimental
Maintenance Phase: Induction IV + Vedolizumab 108 mg SC
Maintenance Phase: Induction IV + Vedolizumab 300 mg IV
Maintenance Phase: Induction IV + Placebo
Participants received vedolizumab 300 mg IV infusion in open-label induction phase and achieved clinical response at Week 6 were randomized to receive vedolizumab SC in maintenance phase. Vedolizumab SC, 108 mg, injection, Q2W and placebo-matching IV infusions, Q8W, starting at Week 6 up to approximately Week 50.
Participants received vedolizumab 300 mg IV infusion in open-label induction phase and achieved clinical response at Week 6 were randomized to receive vedolizumab IV in maintenance phase. Vedolizumab 300 mg, IV infusion, Q8W and placebo-matching SC injection, Q2W starting at Week 6 up to approximately Week 50.
Participants received vedolizumab 300 mg IV infusion in open-label induction phase and achieved clinical response at Week 6 were randomized to receive placebo in maintenance phase. Placebo-matching subcutaneous (SC) injections, once every 2 weeks (Q2W) and placebo-matching IV infusions, once every 8 weeks (Q8W) starting at Week 6 up to approximately Week 50.