Colitis, UlcerativePhase 3NCT02611830
Efficacy and Safety of Vedolizumab Subcutaneously (SC) as Maintenance Therapy in Ulcerative Colitis
A Phase 3 study testing Vedolizumab 300 mg IV and Vedolizumab 108 mg SC in people with Colitis, Ulcerative, run by Takeda at 174 sites in 31 countries.
Trial summary
The purpose of this study is to assess the effect of vedolizumab subcutaneous (vedolizumab SC) maintenance treatment on clinical remission at Week 52 in participants with moderately to severely active ulcerative colitis (UC) who achieved clinical response following administration of vedolizumab intravenous… Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Colitis, Ulcerative
- What is being tested?
- Vedolizumab 300 mg IV and Vedolizumab 108 mg SC
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 383 participants
- Where
- 174 sitesin 31 countries
- Study dates
- 18 Dec 2015to 21 Aug 2018
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- 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
Who cannot join
- 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
Show all 12Show fewer
- 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.
Trial locations and contacts
174 sites in 31 countries.
174 sites in 31 countries
United States28 sites
Atlanta Gastroenterology Associates
Atlanta, Georgia, 30342
Gastroenterology Associates, LLC
Baton Rouge, Louisiana, 70809
Ehrhardt Clinical Research, LLC
Belton, Missouri, 64012
Gastroenterology Associates of Tidewater
Chesapeake, Virginia, 23320
Clinical Research Institute of Michigan, LLC
Chesterfield, Michigan, 48047
Metropolitan Gastroenterology Group, PC, Chevy Chase Clinical Research
Chevy Chase, Maryland, 20815
Tri-State Gastroenterology Associates
Crestview Hills, Kentucky, 41017
Dayton Gastroenterology, Inc
Dayton, Ohio, 45415
Gastro One
Germantown, Tennessee, 38138
Long Island Clinical Research Associates
Great Neck, New York, 11021
Nature Coast Clinical Research, LLC
Inverness, Florida, 34452
Florida Center for Gastroenterology
Largo, Florida, 33777
Arkansas Primary Care Clinic, PA
Little Rock, Arkansas, 72204
Gastroenterology Associates of Central Georgia
Macon, Georgia, 31201
L & L Research Choices, Inc.
Miami, Florida, 33176
Middlesex Gastroenterology Associates
Middletown, Connecticut, 06457
Gastroenterology Group of Naples
Naples, Florida, 34102
Vanderbilt University Medical Center
Nashville, Tennessee, 37232
Research Concierge, LLC
Owensboro, Kentucky, 42303
Premier Medical Group of the Hudson Valley, PC
Poughkeepsie, New York, 12601
Virginia Mason Seattle Main Clinic
Seattle, Washington, 98101
Atlanta Gastroenterology Specialists, PC
Suwanee, Georgia, 30024
Cotton-O'Neil Clinical Research Center, Digestive Health
Topeka, Kansas, 66606
Options Health Research
Tulsa, Oklahoma, 74104
Tyler Research Institute, LLC
Tyler, Texas, 75701
Rocky Mountain Clinical Research, LLC
Wheat Ridge, Colorado, 80033
Shafran Gastroenterology Center
Winter Park, Florida, 32789
Gastroenterology Associates of Western Michigan, P.L.C.
Wyoming, Michigan, 49519
Japan19 sites
Study site
Bunkyō City, Tokyo-To
Study site
Chikushino-shi, Fukuoka
Study site
Hamamatsu, Shizuoka
Study site
Hiroshima, Hiroshima
Study site
Kamakura-shi, Kanagawa
Study site
Matsuyama, Ehime
Study site
Minatoku, Tokyo-To
Study site
Mitaka-shi, Tokyo-To
Study site
Nagoya, Aichi-ken
Study site
Nishinomiya-shi, Hyōgo
Study site
Okayama, Okayama-ken
Study site
Osaka, Osaka
Study site
Ōtsu, Shiga
Study site
Saga, Saga-ken
Study site
Sakura-shi, Chiba
Study site
Sapporo, Hokkaido
Study site
Shinjuku-ku, Tokyo-To
Study site
Takamatsu, Kagawa-ken
Study site
Wakayama, Wakayama
Poland14 sites
SP ZOZ Wojewodzki Szpital Zespolony im. J. Sniadeckiego
Bialystok, 15-275
NZOZ Vitamed
Bydgoszcz, 85-079
SP CSK im. prof. K. Gibinskiego SUM
Katowice, 40-752
Gabinet Endoskopii Przewodu Pokarmowego
Krakow, 31-009
SPZOZ Uniwersytecki Szpital Klin. nr 1 im.N.Barlickiego UM
Lodz, 90-153
Santa Familia Centrum Badan, Profilaktyki i Leczenia
Lodz, 90-302
GASTROMED Sp. z o.o.
Lublin, 20-582
Twoja Przychodnia-Szczecinskie Centrum Medyczne
Szczecin, 71-270
Centrum Zdrowia Matki, Dziecka i Mlodziezy
Warsaw, 00-632
Centralny Szpital Kliniczny MSW w Warszawie
Warsaw, 02-507
Centrum Onkologii-Instytut im. M. Sklodowskiej Curie
Warsaw, 02-781
Nzoz Vivamed
Warsaw, 03-580
LexMedica Osrodek Badan Klinicznych
Wroclaw, 53-114
Ars-Medica S.C Rybak Maria, Rybak Zbigniew
Wroclaw, 53-333
Ukraine13 sites
RCI Chernivtsi RCH Dep of Surgery Bukovinian SMU
Chernivtsi, 58002
SI Institute of Gastroenterology of NAMSU Dept of Stomach & Duodenum Diseases, D&ThN SI DMA of MoHU
Dnipro, 49074
Regional CH Dep of Gastroenterology SHEI Ivano-Frankivsk NMU
Ivano-Frankivsk, 76008
CHI Prof.O.O.Shalimov Kharkiv City Clinical Hospital #2
Kharkiv, 61037
GI L.T.Malaya Therapy National Institute of the NAMS of Ukraine
Kharkiv, 61039
CI A.and O. Tropiny City Clinical Hospital
Kherson, 73000
Kyiv CCH #12 Dept of Therapy O.O.Bogomolets NMU
Kyiv, 01103
MI of Healthcare Kyiv RCH P.L. Shupyk NMA of PGE
Kyiv, 01601
CI Odesa Regional Clinical Hospital
Odesa, 65025
SI Divisional Clinical Hospital of Uzhgorod Station of ST&BA LZ Dep of Therapy SHEI Uzhgorod NU
Uzhhorod, 88009
Private Small Enterprise Medical Center Pulse
Vinnytsia, 21001
MCIC MC LLC Health Clinic
Vinnytsia, 21029
SI Branch CH of Zaporizhzhia Station-2 of SE Prydniprovska Railway Dept of Surgery Zaporizhzhia SMU
Zaporizhzhya, 69104
Russia9 sites
TSBIH "Territorial Clinical Hospital"
Krasnoyarsk, 660022
FSBIH "Central Clinical Hospital of Russian Academy of Sciences"
Moscow, 119333
SBEIHPE Novosibirsk State Medical University
Novosibirsk, 630091
FSBI "Scientific Research Institute of Physyology and Basic Medicine" under the SB of RAMS
Novosibirsk, 630117
BHI of Omsk region Clinical Oncology Dispensary
Omsk, 644013
SBEI HPE "Rostov State Medical University" of the MoH of the RF
Rostov-on-Don, 344022
SPb SBIH "City Hospital of Saint Martyr Elizaveta"
Saint Petersburg, 195257
LLC "RIAT SPb"
Saint Petersburg, 197373
SBIH of Yaroslavl region " Regional Clinical Hospital "
Yaroslavl, 150062
Bulgaria8 sites
MHAT 'Avis Medica' OOD
Pleven, 5800
MHAT - Silistra AD
Silistra, 7500
MHAT "Hadzhi Dimitar", OOD
Sliven, 8800
Second MHAT - Sofia AD
Sofia, 1202
"City Clinic UMHAC" EOOD
Sofia, 1407
UMHAT "Sv. Ivan Rilski", EAD
Sofia, 1431
UMHAT 'Tsaritsa Yoanna - ISUL', EAD
Sofia, 1527
Medical Center "Nov Rehabilitatsionen Tsentar", EOOD
Stara Zagora, 6000
Italy7 sites
Azienda Socio Sanitaria Territoriale Fatebenefratelli (Presidio Ospedale Sacco)
Milan, 20157
Azienda Ospedaliera di Padova
Padova, 35128
Azienda Ospedaliera San Camillo Forlanini
Roma, 00152
Policlinico Universitario Agostino Gemelli
Roma, 00168
Istituto Clinico Humanitas
Rozzano, Milano, 20089
I.R.C.C.S Policlinico San Donato
San Donato Milanese, Milano, 20097
IRCCS Ospedale Casa Sollievo della Sofferenza
San Giovanni Rotondo, Foggia, 71013
Hungary6 sites
Obudai Egeszsegugyi Centrum Kft.
Budapest, 1036
Szent Janos Korhaz es Eszak-budai Egyesitett Korhazak
Budapest, 1125
Pest Megyei Flor Ferenc Korhaz
Kistarcsa, 2143
Karolina Korhaz-Rendelointezet
Mosonmagyaróvár, H-9200
Fejer Megyei Szent Gyorgy Egyetemi Oktato Korhaz
Székesfehérvár, 8000
Tolna Megyei Balassa Janos Korhaz
Szekszárd, 7100
Mexico6 sites
Instituto de Investigaciones Aplicadas a la Neurociencia A.C.
Durango, 34000
Morales Vargas Centro de Investigacion, S.C.
León, Guanajuato, 37000
Universidad Autonoma de Nuevo Leon, Hospital Universitario Dr. Jose Eleuterio Gonzalez
Monterrey, Nuevo León, 64460
Christus Muguerza Sur S.A. de C.V.
Monterrey, Nuevo León, 64908
Sociedad de Metabolismo y Corazon S.C
Veracruz, 91910
iBiomed Guadalajara
Zapopan, Jalisco, 45030
Australia5 sites
Royal Adelaide Hospital
Adelaide, South Australia, 5000
Concord Repatriation General Hospital
Concord, New South Wales, 2139
Nepean Hospital
Kingswood, New South Wales, 2747
The Alfred Hospital
Melbourne, Victoria, 3181
Princess Alexandra Hospital
Woolloongabba, Queensland, 4102
Czechia5 sites
Ccbr-Synarc A/S
Brno, 60200
Hepato-Gastroenterologie HK, s.r.o.
Hradec Králové, 500 12
A-SHINE s.r.o.
Pilsen, 31200
Ccbr-Synarc A/S
Prague, 13000
Axon Clinical, s.r.o.
Prague, 182 00
Serbia5 sites
Clinical Center Zvezdara
Belgrade, 11000
Clinical Center Bezanijska kosa
Belgrade, 11080
Clinical Center Zemun
Belgrade, 11080
Clinical Center Kragujevac
Kragujevac, 34000
Clinical Center of Vojvodina
Novi Sad, 21000
South Korea5 sites
Kyungpook National University Hospital
Daegu, 41944
Yeungnam University Hospital
Daegu, 42415
Kyung Hee University Hospital
Seoul, 02447
Seoul National University Hospital
Seoul, 03080
Kangbuk Samsung Hospital
Seoul, 03181
Brazil4 sites
UNESP - Faculdade de Medicina da Universidade Estadual Paulista - Campus Botucatu
Botucatu, São Paulo, 18618-970
Instituto Goiano de Gastroenterologia e Endoscopia Digestiva Ltda
Goiânia, Goiás, 74535-170
HUCFF-UFRJ - Hospital Universitario Clementino Fraga Filho - Universidade Federal do Rio de Janeiro
Rio de Janeiro, Rio Do Janeiro, 21941-913
Faculdade de Medicina do ABC
Santo André, São Paulo, 09060-650
Croatia4 sites
Clinical Hospital Centre Osijek
Osijek, 31000
Clinical Hospital Centre Rijeka
Rijeka, 51000
Clinical Hospital Centre Zagreb
Zagreb, 10000
Clinical Hospital Dubrava
Zagreb, 10000
Canada3 sites
London Health Science Centre
London, Ontario, N6A 5A5
LHSC - Victoria Hospital
London, Ontario, N6A 5W9
Toronto Digestive Disease Associates, Inc.
Vaughan, Ontario, L4L 4Y7
Germany3 sites
Krankenhaus Waldfriede e. V.
Berlin, 14163
Medizinische Hochschule Hannover
Hanover, Lower Saxony, 30625
EUGASTRO GmbH
Leipzig, Saxony, 04103
Lithuania3 sites
Hospital of Lithuanian University of Health Sciences Kaunas Clinics
Kaunas, 50009
Klaipeda Republican Hospital, Public Institution
Klaipėda, 92231
Vilnius University Hospital Santariskiu Clinic, Public Institution
Vilnius, LT-08661
Netherlands3 sites
Academisch Medisch Centrum
Amsterdam, 1105 AZ
Albert Schweitzer Ziekenhuis, Dordwijk
Dordrecht, 3318 AT
Maastricht University Medical Center
Maastricht, 6229 HX
Romania3 sites
Spitalul Clinic Colentina
Bucharest, 020125
Institutul Clinic Fundeni
Bucharest, 022328
S.C Centrul de Gastroenterologie Dr. Goldis S.R.L
Timișoara, 300002
Slovakia3 sites
Univerzitna nemocnica Bratislava, Nemocnica Ruzinov
Bratislava, 82606
KM Management spol. s r.o.
Nitra, 949 01
Gastro I, s.r.o.
Prešov, 080 01
Turkey (Türkiye)3 sites
Ankara University Medical Faculty
Ankara, 06100
Acibadem Fulya Hospital
Istanbul, 34349
Marmara University Pendik Research and Training Hospital
Istanbul, 34899
United Kingdom3 sites
Royal Devon and Exeter Hospital (Wonford)
Exeter, Devon, EX2 5DW
Whipps Cross University Hospital
London, Greater London, E11 1NR
Royal Free Hospital
London, Greater London, NW3 2QG
Israel2 sites
Wolfson Medical Center
Holon, 58100
Chaim Sheba Medical Center
Ramat Gan, 52621
Spain2 sites
Hospital Universitario Puerta de Hierro Majadahonda
Majadahonda, Madrid, 28222
Complejo Hospitalario de Pontevedra
Pontevedra, 36164
Sweden2 sites
Karolinska Universitetssjukhuset - Solna
Stockholm, 17176
Danderyds Sjukhus AB
Stockholm, 18288
Argentina1 site
Expertia S.A- Mautalen Salud e Investigacion
Ciudad Autonoma Buenos Aires, C1128AAE
Bosnia and Herzegovina1 site
University Clinical Centre of the Republic of Srpska
Banja Luka, 78000
About this study
Official title: A Phase 3 Randomized, Double-Blind, Placebo-Controlled Study, With a Vedolizumab IV Reference Arm, to Evaluate the Efficacy and Safety of Vedolizumab Subcutaneous as Maintenance Therapy in Subjects With Moderately to Severely Active Ulcerative Colitis Who Achieved Clinical Response Following Open-Label Vedolizumab Intravenous Therapy
The purpose of this study is to assess the effect of vedolizumab subcutaneous (vedolizumab SC) maintenance treatment on clinical remission at Week 52 in participants with moderately to severely active ulcerative colitis (UC) who achieved clinical response following administration of vedolizumab intravenous (vedolizumab IV) induction therapy.
Read the detailed description
The drug being tested in this study is called vedolizumab subcutaneous (vedolizumab SC). Vedolizumab SC is being tested to treat people who have moderate to severely active ulcerative colitis. This study will look at clinical remission as well as mucosal healing, durable clinical response, durable clinical remission, and corticosteroid free remission in participants with UC who receive vedolizumab SC maintenance therapy after having achieved a clinical response to vedolizumab IV induction therapy.
The study enrolled 383 patients. All participants will enter into a 6-week Induction Phase where they will be administered open-label vedolizumab IV 300 mg via intravenous infusion (IV) at Week 0 (Day 1) and Week 2 (Day 15), and will then be assessed for a clinical response at Week 6. Participants who achieve a clinical response at Week 6 will be randomly assigned to one of the three treatment groups:
Vedolizumab SC 108 mg Q2W and Placebo IV Q8W Vedolizumab IV 300 mg Q8W and Placebo SC Q2W Placebo SC Q2W and Placebo IV Q8W
Participants who do not achieve a clinical response at Week 6 will not be randomized in to the Maintenance Period, and will receive a third infusion of vedolizumab IV 300 mg at Week 6.
This multi-center trial will be conducted worldwide. The overall time to participate in this study is up to 71 weeks (up to 4 weeks of screening, 52 weeks of treatment and 18 weeks of safety follow-up). Participants will make multiple visits to the clinic, plus a final visit 18 weeks after last dose of study drug for a follow-up assessment. Participants will also participate in a long-term safety follow-up, by phone, at 6 months after the last dose of study drug.
After the Week 52 assessments, participants meeting protocol-defined criteria were eligible to enroll in Study MLN0002SC-3030 (NCT02620046; Long-term Safety) to receive open-label vedolizumab treatment. Participants who withdrew early (prior to Week 52) due to sustained nonresponse, disease worsening, or the need for rescue medications may also have been eligible for Study MLN0002SC-3030. Participants who did not enroll into Study MLN0002SC-3030 were to complete a final on-study safety assessment at Week 68 (or final safety visit 18 weeks after the last dose) in the Maintenance Phase of Study MLN0002SC-3027.
- Conditions
- Colitis, Ulcerative
- Being tested
- Vedolizumab 300 mg IV, Placebo IV, Vedolizumab 108 mg SC, Placebo SC
- Keywords
- Drug therapy
- Medical subject headings
- Colitis, Ulcerative
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Vedolizumab 300 mg IVDrug
Vedolizumab intravenous infusion
Placebo IVDrug
Vedolizumab intravenous infusion placebo
Vedolizumab 108 mg SCDrug
Vedolizumab subcutaneous injection
Placebo SCDrug
Vedolizumab subcutaneous injection placebo
| Study group | Role | What they receive |
|---|---|---|
| Maintenance Phase: Induction IV + Vedolizumab 108 mg SC | Experimental | 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. Receives: Drug: Vedolizumab 300 mg IV; Drug: Placebo IV; Drug: Vedolizumab 108 mg SC |
| Maintenance Phase: Induction IV + Vedolizumab 300 mg IV | Experimental | 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. Receives: Drug: Vedolizumab 300 mg IV; Drug: Placebo SC |
| Maintenance Phase: Induction IV + Placebo | Experimental | 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. Receives: Drug: Vedolizumab 300 mg IV; Drug: Placebo IV; Drug: Placebo SC |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants Achieving Clinical Remission at Week 52
Clinical remission is defined as a complete Mayo score ≤ 2 points and no individual subscore > 1 point. The Mayo score is a standard assessment tool to measure ulcerative colitis disease activity in clinical trials. The index consists of 4 subscores: rectal bleeding, stool frequency, findings on endoscopy, and physician's global assessment. Each subscore is scored on a scale from 0 to 3 and the complete Mayo score ranges from 0 to 12 (higher scores indicate greater disease activity).
Measured: Week 52
Secondary outcomes (4)
Percentage of Participants Achieving Mucosal Healing at Week 52
Mucosal healing is defined as Mayo endoscopic subscore ≤1 point. The findings on endoscopy scale ranges from 0 to 3, where 0=normal or inactive disease 1=mild disease (erythema, decreased vascular pattern, mild friability) 2=moderate disease (marked erythema, lack of vascular pattern, friability, erosions) 3=severe disease (spontaneous bleeding, ulceration).
Measured: Week 52
Percentage of Participants Achieving Durable Clinical Response at Week 6 and Week 52
Durable clinical response is defined as clinical response at both Weeks 6 and 52, where clinical response is defined as a reduction in complete Mayo score of ≥3 points and ≥30% from Baseline (Week 0) with an accompanying decrease in rectal bleeding subscore of ≥1 point or absolute rectal bleeding subscore of ≤1 point. The Mayo score is a standard assessment tool to measure ulcerative colitis disease activity in clinical trials. The index consists of 4 subscores: rectal bleeding, stool frequency, findings on endoscopy, and physician's global assessment. Each subscore is scored on a scale from 0 to 3 and the complete Mayo score ranges from 0 to 12 (higher scores indicate greater disease activity).
Measured: Baseline, Weeks 6 and 52
Percentage of Participants Achieving Durable Clinical Remission at Week 6 and Week 52
Durable clinical remission is defined as clinical remission at both Weeks 6 and 52. Clinical remission is defined as a complete Mayo score of less than or equal to (≤) 2 points and no individual subscore greater than (>) 1 point. The Mayo score is a standard assessment tool to measure ulcerative colitis disease activity in clinical trials. The index consists of 4 subscores: rectal bleeding, stool frequency, findings on endoscopy, and physician's global assessment. Each subscore is scored on a scale from 0 to 3 and the complete Mayo score ranges from 0 to 12 (higher scores indicate greater disease activity).
Measured: Weeks 6 and 52
Percentage of Participants Achieving Corticosteroid-free Remission at Week 52
Corticosteroid-free remission is defined as participants using oral corticosteroids at Baseline (Week 0) who have discontinued oral corticosteroids and are in clinical remission at Week 52. Clinical remission is defined as a complete Mayo score of ≤ 2 points and no individual subscore > 1 point. The Mayo score is a standard assessment tool to measure ulcerative colitis disease activity in clinical trials. The index consists of 4 subscores: rectal bleeding, stool frequency, findings on endoscopy, and physician's global assessment. Each subscore is scored on a scale from 0 to 3 and the complete Mayo score ranges from 0 to 12 (higher scores indicate greater disease activity).
Measured: Week 52
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Nov 2015 (estimated)
- Study start18 Dec 2015
- Primary completion30 May 2018
- Study completion21 Aug 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Colitis, UlcerativeStudies of the same condition, open and under way.
- More trials run by TakedaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 383 participants (actual)
Sponsor and investigators
- Lead sponsor
- Takeda
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Director Clinical Science, Study director, Takeda
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02611830
- Sponsor's protocol ID
- MLN0002SC-3027
- Other IDs
- 2015-000480-14, U1111-1168-0813, 16/LO/0089, NL55501.056.15, JapicCTI-163222, 189732, 163300410A0046, 2015
- Status last verified
- May 2022
- First submitted
- 19 Nov 2015
- Last updated
- 25 May 2022
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.
Publications
D'Haens G, Baert F, Danese S, Kobayashi T, Loftus EV Jr, Sandborn WJ, Dornic Q, Lindner D, Kisfalvi K, Marins EG, Vermeire S. Efficacy of vedolizumab during intravenous induction therapy in ulcerative colitis and Crohn's disease: post hoc analysis of patient-reported outcomes from the VISIBLE 1 and 2 studies. Eur J Gastroenterol Hepatol. 2024 Apr 1;36(4):404-415. doi: 10.1097/MEG.0000000000002728. Epub 2024 Feb 21.
PubMed 38417060Kobayashi T, Ito H, Ashida T, Yokoyama T, Nagahori M, Inaba T, Shikamura M, Yamaguchi T, Hori T, Pinton P, Watanabe M, Hibi T. Efficacy and safety of a new vedolizumab subcutaneous formulation in Japanese patients with moderately to severely active ulcerative colitis. Intest Res. 2021 Oct;19(4):448-460. doi: 10.5217/ir.2020.00026. Epub 2020 Aug 18.
PubMed 32806876Sandborn WJ, Baert F, Danese S, Krznaric Z, Kobayashi T, Yao X, Chen J, Rosario M, Bhatia S, Kisfalvi K, D'Haens G, Vermeire S. Efficacy and Safety of Vedolizumab Subcutaneous Formulation in a Randomized Trial of Patients With Ulcerative Colitis. Gastroenterology. 2020 Feb;158(3):562-572.e12. doi: 10.1053/j.gastro.2019.08.027. Epub 2019 Aug 28.
PubMed 31470005
Study at a glance
From the registry record, last updated by the sponsor on 25 May 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3 Randomized, Double-Blind, Placebo-Controlled Study, With a Vedolizumab IV Reference Arm, to Evaluate the Efficacy and Safety of Vedolizumab Subcutaneous as Maintenance Therapy in Subjects With Moderately to Severely Active Ulcerative Colitis Who Achieved Clinical Response Following Open-Label Vedolizumab Intravenous Therapy
- ClinicalTrials.gov ID
- NCT02611830
- Acronym / sponsor ID
- MLN0002SC-3027
- Conditions
- Colitis, Ulcerative
- Keywords
- Drug therapy
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 383 participants (actual)
- Lead sponsor
- TakedaIndustry (pharma, biotech, devices)
- Study start
- 18 Dec 2015 (actual)
- Primary completion
- 30 May 2018 (actual)
- Study completion
- 21 Aug 2018 (actual)
- First posted
- 23 Nov 2015 (estimated)
- Results
- Posted 23 Jan 2020
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to assess the effect of vedolizumab subcutaneous (vedolizumab SC) maintenance treatment on clinical remission at Week 52 in participants with moderately to severely active ulcerative colitis (UC) who achieved clinical response following administration of vedolizumab intravenous (vedolizumab IV) induction therapy.
Detailed description
The drug being tested in this study is called vedolizumab subcutaneous (vedolizumab SC). Vedolizumab SC is being tested to treat people who have moderate to severely active ulcerative colitis. This study will look at clinical remission as well as mucosal healing, durable clinical response, durable clinical remission, and corticosteroid free remission in participants with UC who receive vedolizumab SC maintenance therapy after having achieved a clinical response to vedolizumab IV induction therapy.
The study enrolled 383 patients. All participants will enter into a 6-week Induction Phase where they will be administered open-label vedolizumab IV 300 mg via intravenous infusion (IV) at Week 0 (Day 1) and Week 2 (Day 15), and will then be assessed for a clinical response at Week 6. Participants who achieve a clinical response at Week 6 will be randomly assigned to one of the three treatment groups:
Vedolizumab SC 108 mg Q2W and Placebo IV Q8W Vedolizumab IV 300 mg Q8W and Placebo SC Q2W Placebo SC Q2W and Placebo IV Q8W
Participants who do not achieve a clinical response at Week 6 will not be randomized in to the Maintenance Period, and will receive a third infusion of vedolizumab IV 300 mg at Week 6.
This multi-center trial will be conducted worldwide. The overall time to participate in this study is up to 71 weeks (up to 4 weeks of screening, 52 weeks of treatment and 18 weeks of safety follow-up). Participants will make multiple visits to the clinic, plus a final visit 18 weeks after last dose of study drug for a follow-up assessment. Participants will also participate in a long-term safety follow-up, by phone, at 6 months after the last dose of study drug.
After the Week 52 assessments, participants meeting protocol-defined criteria were eligible to enroll in Study MLN0002SC-3030 (NCT02620046; Long-term Safety) to receive open-label vedolizumab treatment. Participants who withdrew early (prior to Week 52) due to sustained nonresponse, disease worsening, or the need for rescue medications may also have been eligible for Study MLN0002SC-3030. Participants who did not enroll into Study MLN0002SC-3030 were to complete a final on-study safety assessment at Week 68 (or final safety visit 18 weeks after the last dose) in the Maintenance Phase of Study MLN0002SC-3027.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Maintenance Phase: Induction IV + Vedolizumab 108 mg SC | Experimental | Drug: Vedolizumab 300 mg IV, Drug: Placebo IV, Drug: Vedolizumab 108 mg SCParticipants 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. |
| Maintenance Phase: Induction IV + Vedolizumab 300 mg IV | Experimental | Drug: Vedolizumab 300 mg IV, Drug: Placebo SCParticipants 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. |
| Maintenance Phase: Induction IV + Placebo | Experimental | Drug: Vedolizumab 300 mg IV, Drug: Placebo IV, Drug: Placebo SCParticipants 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. |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- 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
Key exclusion criteria (12 listed)
- 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).
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Vedolizumab 300 mg IVVedolizumab intravenous infusion | Drug | Maintenance Phase: Induction IV + Placebo, Maintenance Phase: Induction IV + Vedolizumab 108 mg SC, Maintenance Phase: Induction IV + Vedolizumab 300 mg IV |
| Placebo IVVedolizumab intravenous infusion placebo | Drug | Maintenance Phase: Induction IV + Placebo, Maintenance Phase: Induction IV + Vedolizumab 108 mg SC |
| Vedolizumab 108 mg SCVedolizumab subcutaneous injection | Drug | Maintenance Phase: Induction IV + Vedolizumab 108 mg SC |
| Placebo SCVedolizumab subcutaneous injection placebo | Drug | Maintenance Phase: Induction IV + Placebo, Maintenance Phase: Induction IV + Vedolizumab 300 mg IV |
Primary outcome
Percentage of Participants Achieving Clinical Remission at Week 52
Time frame: Week 52
Clinical remission is defined as a complete Mayo score ≤ 2 points and no individual subscore > 1 point. The Mayo score is a standard assessment tool to measure ulcerative colitis disease activity in clinical trials. The index consists of 4 subscores: rectal bleeding, stool frequency, findings on endoscopy, and physician's global assessment. Each subscore is scored on a scale from 0 to 3 and the complete Mayo score ranges from 0 to 12 (higher scores indicate greater disease activity).
4 secondary outcomes
Percentage of Participants Achieving Mucosal Healing at Week 52
Time frame: Week 52
Percentage of Participants Achieving Durable Clinical Response at Week 6 and Week 52
Time frame: Baseline, Weeks 6 and 52
Percentage of Participants Achieving Durable Clinical Remission at Week 6 and Week 52
Time frame: Weeks 6 and 52
Percentage of Participants Achieving Corticosteroid-free Remission at Week 52
Time frame: Week 52
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 May 2022.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 38417060D'Haens G, Baert F, Danese S, Kobayashi T, Loftus EV Jr, Sandborn WJ, Dornic Q, Lindner D, Kisfalvi K, Marins EG, Vermeire S. Efficacy of vedolizumab during intravenous induction therapy in ulcerative colitis and Crohn's disease: post hoc analysis of patient-reported outcomes from the VISIBLE 1 and 2 studies. Eur J Gastroenterol Hepatol. 2024 Apr 1;36(4):404-415. doi: 10.1097/MEG.0000000000002728. Epub 2024 Feb 21.
- Derived from this study: PubMed 32806876Kobayashi T, Ito H, Ashida T, Yokoyama T, Nagahori M, Inaba T, Shikamura M, Yamaguchi T, Hori T, Pinton P, Watanabe M, Hibi T. Efficacy and safety of a new vedolizumab subcutaneous formulation in Japanese patients with moderately to severely active ulcerative colitis. Intest Res. 2021 Oct;19(4):448-460. doi: 10.5217/ir.2020.00026. Epub 2020 Aug 18.
- Derived from this study: PubMed 31470005Sandborn WJ, Baert F, Danese S, Krznaric Z, Kobayashi T, Yao X, Chen J, Rosario M, Bhatia S, Kisfalvi K, D'Haens G, Vermeire S. Efficacy and Safety of Vedolizumab Subcutaneous Formulation in a Randomized Trial of Patients With Ulcerative Colitis. Gastroenterology. 2020 Feb;158(3):562-572.e12. doi: 10.1053/j.gastro.2019.08.027. Epub 2019 Aug 28.
- Individual participant dataSharing planned: Yes. Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Medical Director Clinical Science study director
Takeda
174 sites in 31 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Vedolizumab 300 mg IV and Vedolizumab 108 mg SC in people with Colitis, Ulcerative, run by Takeda at 174 sites in 31 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 25 May 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 174 sites in United States, Japan, Poland, Ukraine, Russia and 26 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 23 Jan 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage of Participants Achieving Clinical Remission at Week 52 (time frame: Week 52). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02611830, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 May 2022.