A Study of Vedolizumab in Children and Teenagers With Moderate to Severe Ulcerative Colitis (UC)
Colitis, Ulcerative
About this trial
This is an interventional treatment trial for Colitis, Ulcerative focused on measuring Drug Therapy
Eligibility Criteria
Inclusion Criteria:
- Has moderately to severely active UC, unresponsive or intolerant to their current standard of care (SOC).
- Weighs ≥10 kg at the time of screening and enrollment into the study.
- Has moderately to severely active UC diagnosed at least 1 month before screening, defined by a modified Mayo score of 5 to 9 (sum of Mayo endoscopic subscore, stool frequency subscore, and rectal bleeding subscore) with a Mayo endoscopic subscore of ≥2 (with the presence of mucosal friability excluding an endoscopic subscore 1 and mandating a score of at least 2).
- Has failed, lost response to, or been intolerant to treatment with at least 1 of the following agents: corticosteroids (eg, azathioprine [AZA], 6-mercaptopurine [6-MP], methotrexate [MTX]), immunomodulators, and/or tumor necrosis factor alpha (TNF-α) antagonist therapy (eg, infliximab, adalimumab). This includes participants who are dependent on corticosteroids to control symptoms and who are experiencing worsening of disease in the moderate-to-severe range when attempting to wean off corticosteroids.
- Has evidence of UC extending proximal to the rectum (i.e., not limited to proctitis), at a minimum.
- Has extensive colitis or pancolitis of >8 years' duration or left-sided colitis of >12 years' duration must have documented evidence of a negative surveillance colonoscopy within 12 months before screening.
- Participants with vaccinations that are up-to-date based on the countrywide, accepted schedule of childhood vaccines.
Exclusion Criteria:
- Has previous exposure to approved or investigational anti-integrins including, but not limited to natalizumab, efalizumab, etrolizumab, or Abrilumab (AMG 181), or mucosal addressin cell adhesion molecule-1 (MAdCAM-1) antagonists or rituximab.
- Has received an investigational biologic within 60 days or 5 half-lives before screening (whichever is longer); or an approved biologic or biosimilar agent within 2 weeks before the first dose of study drug or at any time during the screening period.
- Has active cerebral/meningeal disease, signs/symptoms or history of progressive multifocal leukoencephalopathy (PML) or any other major neurological disorders including stroke, multiple sclerosis, brain tumor or neurodegenerative disease.
- Has had clinically significant infection (eg, pneumonia, pyelonephritis, coronavirus disease 2019 [COVID-19]) within 30 days prior to first dose of study drug.
- Has received any live vaccinations within 30 days prior to first dose of study drug.
- Participants who currently require surgical intervention or are anticipated to require surgical intervention for UC during this study.
- Has had subtotal or total colectomy or have a jejunostomy, ileostomy, colostomy, ileo-anal pouch, or known fixed stenosis of the intestine.
- Participants with a current diagnosis of indeterminate colitis.
- Participants with clinical features suggesting monogenic very early onset inflammatory bowel disease.
Participant with active or latent tuberculosis (TB), as evidenced by a diagnostic TB test performed within 30 days of screening or during the screening period that is positive, defined as:
- Positive QuantiFERON test or 2 successive indeterminate QuantiFERON tests, OR
- A TB skin test reaction ≥5 mm. NOTE: If participants have received Bacillus Calmette-Guérin vaccine then a QuantiFERON TB Gold test should be performed instead of the TB skin test.
Has chronic hepatitis B virus (HBV) infection* or chronic hepatitis C virus infection.
- HBV immune participants (ie, being hepatitis B surface antigen negative and hepatitis B antibody positive) may be included, however.
- The participant has evidence of dysplasia or history of malignancy other than a successfully treated nonmetastatic cutaneous squamous cell or basal cell carcinoma or localized carcinoma in situ of the cervix.
- Has positive stool studies for ova and/or parasites or stool culture at screening visit.
- Has positive Clostridium difficile stool test at screening visit.
Sites / Locations
- Phoenix Childrens Hospital
- Cedars Sinai Medical Center
- Rady Childrens Hospital San Diego - PIN
- University of California San FranciscoRecruiting
- I.H.S Health LLCRecruiting
- Childrens Center For Digestive HealthcareRecruiting
- Advocate Children's Hospital Park RidgeRecruiting
- Riley Hospital For ChildrenRecruiting
- Johns Hopkins UniversityRecruiting
- Boston Children's Hospital
- MNGI Digestive Health, PARecruiting
- Mayo Clinic - PINRecruiting
- Goryeb Children's HospitalRecruiting
- The Steven and Alexandra Cohen Childrens Medical Center of New York - BRANY - PPDSRecruiting
- University of Rochester Medical Center PPDSRecruiting
- Stony Brook University Medical CenterRecruiting
- SUNY Upstate Medical CenterRecruiting
- University Hospitals Cleveland Medical CenterRecruiting
- Children's Hospital of Pittsburgh
- Hasbro Children's Hospital
- Texas Children's HospitalRecruiting
- Carilion Children's Tanglewood CenterRecruiting
- Children's Hospital at Westmead
- Queensland Childrens HospitalRecruiting
- Monash Health, Monash Medical CentreRecruiting
- Royal Children's Hospital Melbourne - PINRecruiting
- UZ Antwerpen
- Universitair Ziekenhuis Brussel - PIN
- UZ Leuven
- University of Alberta Hospital
- British Columbia Children's Hospital
- London Health Sciences Centre
- Centre Hospitalier Universitaire Sainte-Justine
- Beijing Children Hospital,Capital Medical UniversityRecruiting
- Henan Children's Hospital(Zhengzhou Children's Hospital)
- Children's Hospital of Fudan UniversityRecruiting
- The Children's Hospital Zhejiang UniversitySchool of MedicineRecruiting
- Klinika Za Djecje Bolesti ZagrebRecruiting
- University Hospital Center ZagrebRecruiting
- University Hospital Centre SplitRecruiting
- Fakultni nemocnice Kralovske VinohradyRecruiting
- Fakultni Thomayerova NemocniceRecruiting
- Fakultni nemocnice OstravaRecruiting
- Attikon University General HospitalRecruiting
- Children's Hospital "Agia Sofia"Recruiting
- Ippokratio General Hospital of ThessalonikiRecruiting
- Ippokratio General Hospital of ThessalonikiRecruiting
- Borsod-Abauj-Zemplen Megyei Kozponti Korhaz es Egyetemi Oktato KorhazRecruiting
- Szegedi Tudomanyegyetem Szent-Gyorgyi Albert Klinikai KozpontRecruiting
- Semmelweis Egyetem
- Soroka University Medical CentreRecruiting
- Rambam Medical Center - PPDSRecruiting
- Carmel Medical CenterRecruiting
- Shaare Zedek Medical CenterRecruiting
- Hadassah Medical Center - PPDSRecruiting
- Schneider Childrens Medical Center of Israel Petah Tikvah PINRecruiting
- Tel Aviv Sourasky Medical Center PPDSRecruiting
- AOU dell'Universita degli Studi della Campania Luigi Vanvitelli
- Azienda Ospedaliera Universitaria Federico II
- Azienda USL di Bologna
- ASST di Monza - Azienda Ospedaliera San Gerardo
- Azienda Ospedaliera Universita degli Studi di Padova
- Sapienza University of RomeRecruiting
- Kurume University HospitalRecruiting
- Japanese Red Cross Kumamoto HospitalRecruiting
- Juntendo University HospitalRecruiting
- National Center for Child Health and DevelopmentRecruiting
- Seoul National University HospitalRecruiting
- Kyungpook National University Chilgok hospitalRecruiting
- Gachon University Gil Medical CenterRecruiting
- Samsung Medical Center - PPDSRecruiting
- Hospital of Lithuanian University of Health Sciences Kaunas ClinicsRecruiting
- Vilnius University Hospital Santaros KlinikosRecruiting
- Uniwersytecki Szpital Kliniczny im. Jana Mikulicza Radeckiego we Wroclawiu
- Instytut Centrum Zdrowia Matki PolkiRecruiting
- Instytut Centrum Zdrowia Matki PolkiRecruiting
- Uniwersytecki Szpital Dzieciecy
- WIP Warsaw IBD Point Profesor Kierkus
- Instytut Pomnik Centrum Zdrowia DzieckaRecruiting
- Copernicus Podmiot Leczniczy Sp. z o.o.Recruiting
- Gornoslaskie Centrum Zdrowia Dziecka Im. Sw. Jana Pawla II Spsk Nr 6 Sum W Katowicach
- Twoja Przychodnia SCMRecruiting
- Copernicus Podmiot Leczniczy Sp. z o.o.Recruiting
- SPZOZ Centralny Szpital Kliniczny UM w Lodzi
- Korczowski Bartosz, Gabinet LekarskiRecruiting
- Kazan State Medical University
- Krasnoyarsk State Medical University n.a. V.F. Voyno-Ysenetskiy
- Privolzhsky Research Medical University
- Medical Company Hepatolog, LLC
- Detska fakultna nemocnica s poliklinikou Banska BystricaRecruiting
- Narodny ustav detskych chorob
- Hospital Sant Joan de Deu - PINRecruiting
- Hospital de SaguntoRecruiting
- Hospital Infantil Universitario Nino Jesus - PINRecruiting
- Hospital Regional Universitario de Malaga - Hospital Materno InfantilRecruiting
- Hospital Universitario Virgen del Rocio - PPDSRecruiting
- Municipal Non-profit Enterprise of Kharkiv Regional Council Regional Childrens Clinical Hospital
- Clinic of SI National Scientific Center of Radiological Medicine of NAMS of Ukraine
- State Institution Institute of Pediatrics, Obstetrics and Gynecology of NAMS Ukraine
- Great Ormond Street Hospital (GOSH)
- Noahs Ark Childrens Hospital for Wales - PPDS - PIN
- Birmingham Children's Hospital NHS Foundation Trust
- Kings College Hospital
- Royal Manchester Children's Hospital - PPDS
- Barts Health NHS Trust
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm 7
Arm 8
Arm 9
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Induction Period: Participants ≥30 kg, Vedolizumab 300 mg
Induction Period: Participants >15 to <30 kg, Vedolizumab 200 mg
Induction Period: Participants 10 to 15 kg, Vedolizumab 150 mg
Maintenance Period: Participants ≥30 kg, Vedolizumab 300 mg
Maintenance Period: Participants ≥30 kg, Vedolizumab 150 mg
Maintenance Period: Participants >15 to <30 kg, Vedolizumab 200 mg
Maintenance Period: Participants >15 to <30 kg, Vedolizumab 100 mg
Maintenance Period: Participants 10 to 15 kg, Vedolizumab 150 mg
Maintenance Period: Participants 10 to 15 kg, Vedolizumab 100 mg
Vedolizumab 300 mg, intravenous (IV) infusion, at Day 1, Weeks 2 and 6 in the Induction Period. Participants with UC having Baseline weight of ≥30 kg are included in this arm.
Vedolizumab 200 mg, IV infusion, at Day 1, Weeks 2 and 6 in the Induction Period. Participants with UC having Baseline weight of >15 to <30 kg are included in this arm.
Vedolizumab 150 mg, IV infusion, at Day 1, Weeks 2 and 6 in the Induction Period. Participants with UC having Baseline weight of 10 to 15 kg are included in this arm.
Vedolizumab 300 mg, IV infusion, once every 8 weeks (Q8W) from Week 14 up to Week 46 in the Maintenance Period. Participants with Week 14 weight of ≥30 kg who achieved clinical response at Week 14 randomized to this high dose arm group will receive vedolizumab 300 mg.
Vedolizumab 150 mg, IV infusion, Q8W from Week 14 up to Week 46 in the Maintenance Period. Participants with Week 14 weight of ≥30 kg who achieved clinical response at Week 14 randomized to this low dose arm group will receive vedolizumab 150 mg.
Vedolizumab 200 mg, IV infusion, Q8W from Week 14 up to Week 46 in the Maintenance Period. Participants with Week 14 weight of >15 to <30 kg who achieved clinical response at Week 14 randomized to this high dose arm group will receive vedolizumab 200 mg.
Vedolizumab 100 mg, IV infusion, Q8W from Week 14 up to Week 46 in the Maintenance Period. Participants with Week 14 weight of >15 to <30 kg who achieved clinical response at Week 14 randomized to this low dose arm group will receive vedolizumab 100 mg.
Vedolizumab 150 mg, IV infusion, Q8W from Week 14 up to Week 46 in the Maintenance Period. Participants with Week 14 weight of 10 to 15 kg who achieved clinical response at Week 14 randomized to this high dose arm group will receive vedolizumab 150 mg.
Vedolizumab 100 mg, IV infusion, Q8W from Week 14 up to Week 46 in the Maintenance Period. Participants with Week 14 weight of 10 to 15 kg who achieved clinical response at Week 14 randomized to this low dose arm group will receive vedolizumab 100 mg.