Ulcerative ColitisPhase 2NCT03138655
Vedolizumab IV in Pediatric Participants With Ulcerative Colitis (UC) or Crohn's Disease (CD)
A Phase 2 study testing Vedolizumab in people with Ulcerative Colitis and Crohn's Disease, run by Takeda at 88 sites in 11 countries.
Trial summary
The purpose of this study is to evaluate vedolizumab pharmacokinetics (PK), safety and tolerability in pediatric participants with moderately to severely active UC or CD. Read more about this study
- Who is it for?
- Ages 2 to 17 years
- Conditions the study is for
- Ulcerative Colitis, Crohn's Disease
- What is being tested?
- Vedolizumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 89 participants
- Where
- 88 sitesin 11 countries
- Study dates
- 8 Nov 2017to 26 May 2020
- Phase
- Phase 2
- 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 2 to 17 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- Participants weighs >=10 kg at the time of randomization.
- Has a medical history of moderately to severely active UC during Screening defined as complete Mayo score of 6 to 12, and a total Mayo subscores of stool frequency and rectal bleeding >=4 and Mayo endoscopy subscore >=2, or has moderately to severely active CD defined as simple endoscopic score for Crohn's disease (SES-CD) >=7, and the CDAI components of average daily abdominal pain score of greater than (>) 1 for the 7 days prior, and total number of liquid/very soft stools >10 within 7 days prior to first dose of study drug.
- Has evidence of UC extending proximal to the rectum (that is, not limited to proctitis) or evidence of CD involving the ileum and/or colon, at a minimum.
- Has extensive colitis 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 prior to their first dose of study drug.
- Has a family history of colorectal cancer (that is, first-degree relative), personal history of increased colorectal cancer risk, or other known risk factor must be up-to-date on colorectal cancer surveillance.
- The participant's vaccinations are up to date.
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- Has demonstrated an inadequate response to, loss of response to, or intolerance of at least 1 of the following agents as defined below:
- Corticosteroids:
- Signs and/or symptoms of persistently active disease despite a history of at least one 4-week induction regimen that included a dose equivalent to or more than prednisone 1 milligram per kilogram (mg/kg) daily orally for 2 weeks or IV for 1 week.
- OR
- Two failed attempts to taper corticosteroids to below a dose equivalent to prednisone 10 mg daily orally on 2 separate occasions.
- OR
- History of significant intolerance to corticosteroids (including, but not limited to, Cushing's syndrome, osteopenia/osteoporosis, hyperglycemia, insomnia, and infection).
- Immunomodulators:
- Signs and symptoms of persistently active disease despite a history of at least one 8-week regimen of oral azathioprine (AZA) (>=1.5 milligram per kilogram per day [mg/kg/day]) or 6-mercaptopurine (6-MP) mg/kg (>=1.0 mg/kg/day) or methotrexate (MTX) (>=10 milligram per square meter [mg/m^2] once a week).
- OR
- History of intolerance of at least 1 immunomodulator (including, but not limited to, nausea/vomiting, abdominal pain, pancreatitis, liver function test (LFT) abnormalities, lymphopenia, thiopurine methyltransferase genetic mutation, infection).
- Tumor necrosis factor-alpha (TNF-α) antagonists:
- Signs and symptoms of persistently active disease despite a history of at least 1 induction regimen of infliximab 5 mg/kg IV at Week 0 and Weeks 2 and 6 or adalimumab 2-week regimen of 160 mg on Day 1 and 80 mg on Day 15 if >=40 kg or 80 mg on Day 1 and 40 mg on Day 15 if <40 kg. For any other TNF-α antagonist, the participant must demonstrate signs and symptoms of persistently active disease despite a history of at least 1 induction regimen, as determined by the investigator.
- OR
- Recurrence of symptoms during maintenance dosing following prior clinical benefit, that is, fitting clinically with secondary loss of response (discontinuation despite clinical benefit does not qualify).
- OR
- History of intolerance of infliximab or adalimumab (including, but not limited to, infusion-related reaction, demyelination, congestive heart failure, infection).
- The participant may be receiving a therapeutic dose of the following drugs:
- Oral 5-aminosalicylic acid (5-ASA) compounds, providing the dose has been stable for the 2 weeks prior to first dose of study drug.
- Oral corticosteroid therapy (prednisolone at a stable dose <=50 mg/day, or equivalent steroid), provided that the dose has been stable for the 4 weeks prior to first dose of study drug if corticosteroids have been initiated, or for the 2 weeks prior to first dose of study drug if corticosteroids are being tapered.
- Probiotics (example, Saccharomyces boulardii), provided the dose has been stable for the 2 weeks prior to first dose of study drug.
- Antidiarrheals (example, loperamide, diphenoxylate with atropine) for control of chronic diarrhea.
- Antibiotics used for the treatment of CD (example, ciprofloxacin, metronidazole), providing the dose has been stable for the 2 weeks prior to first dose of study drug.
- Azathioprine or 6-MP, provided the dose has been stable for the 8 weeks prior to first dose of study drug.
- Methotrexate (MTX), provided the dose has been stable for the 8 weeks prior to first dose of study drug.
Who cannot join
- Has had previous exposure to approved or investigational anti-integrins (example, natalizumab, efalizumab, etrolizumab, or AMG 181) or MAdCAM-1 antagonists, or rituximab.
- Has had prior exposure to vedolizumab.
- Has a positive progressive multifocal leukoencephalopathy (PML) subjective symptom checklist prior to the administration of the first dose of study drug.
- Requires surgical intervention for UC or CD, or is anticipated to require surgical intervention for UC or CD during this study.
- Use of topical (rectal) treatment with 5-ASA or corticosteroid enemas/suppositories within 2 weeks of the administration of the first dose of study drug.
- Has any unstable or uncontrolled cardiovascular, heart failure moderate to severe (New York Class Association III or IV), pulmonary, hepatic, renal, gastrointestinal (GI), genitourinary, hematological, coagulation, immunological, endocrine/metabolic, neurological, or other medical disorder that, in the opinion of the investigator, would confound the study results or compromise participant safety.
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- 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 millimeter (mm). Participants with documented previously treated TB with a negative QuantiFERON test can be included in the study.
- Clinically significant current or recent history (within 1 year prior to enrollment) of alcohol dependence or illicit drug use.
- Has a current diagnosis of indeterminate colitis (Inflammatory bowel disease unclassified [IBDU]). For participants less than 6 years of age, any findings that suggest monogenic very early onset inflammatory bowel disease should be excluded.
- Has evidence of abdominal abscess or toxic megacolon at the initial Screening Visit.
- Has ileostomy, colostomy, ileo-anal pouch, or known fixed symptomatic stenosis of the intestine.
- Has extensive colonic resection, example, subtotal or total colectomy.
- Has a history or evidence of adenomatous colonic polyps that have not been removed.
- Has a history or evidence of colonic mucosal dysplasia.
- Has chronic hepatitis B virus (HBV) infection* or chronic hepatitis C virus (HCV) infection. * HBV immune participants (that is, being hepatitis B surface antigen [HBsAg] negative and hepatitis B antibody positive) may be included, however.
- Has any identified congenital or acquired immunodeficiency (example, common variable immunodeficiency, human immunodeficiency virus [HIV] infection, organ transplantation).
- Has evidence of or treatment for Clostridium difficile (C difficile) infection within 60 days or other intestinal pathogen within 30 days prior to first dose of study drug.
- Has any history of malignancy, except for the following: (a) adequately treated nonmetastatic basal cell skin cancer; (b) squamous cell skin cancer that has been adequately treated and that has not recurred for at least 1 year prior to enrollment; and (c) history of cervical carcinoma in situ that has been adequately treated and that has not recurred for at least 3 years prior to first dose of study drug. Participants with remote history of malignancy (example, >10 years since completion of curative therapy without recurrence) will be considered based on the nature of the malignancy and the therapy received, and inclusion must be discussed with the sponsor on a case-by-case basis prior to enrollment.
- Has a history of any major neurological disorders, including stroke, multiple sclerosis, brain tumor, or neurodegenerative disease.
- Has history of lupus.
- Has had a surgical procedure requiring general anesthesia within 30 days prior to screening or is planning to undergo major surgery during the study period.
Trial locations and contacts
88 sites in 11 countries.
88 sites in 11 countries
United States27 sites
Children's Center for Digestive Healthcare
Atlanta, Georgia, 30342
Massachusetts General Hospital
Boston, Massachusetts, 02114
Boston Children's Hospital
Boston, Massachusetts, 02115
Medical University of South Carolina
Charleston, South Carolina, 29425
Ann & Robert H. Lurie Children's Hospital of Chicago
Chicago, Illinois, 60614
University Hospitals Rainbow Babies & Children's Hospital
Cleveland, Ohio, 44106
Childrens Medical Center of Dallas
Dallas, Texas, 75235
Connecticut Children's Medical Center
Hartford, Connecticut, 06106-3322
Texas Children's Hospital
Houston, Texas, 77030
Indiana University School of Medicine - Indianapolis
Indianapolis, Indiana, 46202
Nemours Childrens Specialty Care - Jacksonville
Jacksonville, Florida, 32207
Northwell Health
Lake Success, New York, 11042
Cedars-Sinai Medical Center
Los Angeles, California, 90048
Nicklaus Children's Hospital
Miami, Florida, 33155
Mount Sinai Medical Center
New York, New York, 10029
Columbia University Medical Center
New York, New York, 10031
Children's Specialty Group - Medical Center Location
Norfolk, Virginia, 23507
Children's Hospital of Orange County
Orange, California, 92868
The Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, 19104
Children's Hospital of Pittsburgh
Pittsburgh, Pennsylvania, 15224
Mayo Clinic - Rochester
Rochester, Minnesota, 55905-0001
University of Utah
Salt Lake City, Utah, 84113
University of California San Francisco
San Francisco, California, 94143-0135
Seattle Children's Hospital
Seattle, Washington, 98105
Washington University in St. Louis
St Louis, Missouri, 63110
The Children's Hospital at Montefiore
The Bronx, New York, 10467
Nemours Children's Clinic
Wilmington, Delaware, 19803
Canada10 sites
Alberta Children's Hospital
Calgary, Alberta, T3B 6A8
University of Alberta
Edmonton, Alberta, T6G 1C9
IWK Health Centre
Halifax, Nova Scotia, B3K 6R8
McMaster Children's Hospital
Hamilton, Ontario, L8N 3Z5
London Health Sciences Centre University Hospital
London, Ontario, N6A 5W9
Centre Hospitalier Universitaire Sainte-Justine
Montreal, Quebec, H3T 1C5
McGill University Health Centre Glen Site
Montreal, Quebec, H4A 3J1
Toronto Hospital for Sick Children
Toronto, Ontario, M5G 1X8
Children's and Women's Health Centre of British Columbia
Vancouver, British Columbia, V6H 3V4
Children's Hospital of Winnipeg
Winnipeg, Manitoba, R3A 1S1
United Kingdom10 sites
Birmingham Women's and Children's NHS Foundation Trust
Birmingham, England, B4 6NH
Cambridge University Hospitals NHS Foundation Trust
Cambridge, England, CB2 0QQ
NHS Greater Glasgow and Clyde
Glasgow, Scotland, G51 4TF
Barts and The London NHS Trust
London, England, E1 1BB
King's College Hospital
London, England, SE5 9RS
Great Ormond Street Hospital for Children NHS Trust
London, England, WC1N 3JH
Central Manchester University Hospitals NHS Foundation Trust
Manchester, England, M13 9WL
Nottingham University Hospitals NHS Trust
Nottingham, England, NG7 2UH
Oxford University Hospitals NHS Foundation Trust
Oxford, England, OX3 9DU
Sheffield Children's NHS Foundation Trust
Sheffield, England, S10 2TH
Poland9 sites
Uniwersytecki Dzieciecy Szpital Kliniczny im. L. Zamenhofa w Bialymstoku
Bialystok, Podlaskie Voivodeship, 15-274
Copernicus Podmiot Leczniczy
Gdansk, Pomeranian Voivodeship, 80-803
Uniwersytecki Szpital Dzieciecy w Krakowie
Krakow, Lesser Poland Voivodeship, 30-663
Centralny Szpital Kliniczny Uniwersytetu Medycznego w Lodzi Osrodek Pediatryczny im Marii Konopnic
Lodz, Łódź Voivodeship, 91-738
Instytut Centrum Zdrowia Matki Polki
Lodz, Łódź Voivodeship, 93-338
Gabinet Lekarski Dr. Hab. N. Med. Bartosz Korczowski
Rzeszów, Podkarpackie Voivodeship, 35-302
Samodzielny Publiczny Specjalistyczny Zaklad Opieki Zdrowotnej ZDROJE
Szczecin, West Pomeranian Voivodeship, 70-780
Warszawski Uniwersytet Medyczny
Warsaw, Masovian Voivodeship, 01-184
Uniwersytecki Szpital Kliniczny im. Jana Mikulicza-Radeckiego we Wroclawiu
Wroclaw, Lower Silesian Voivodeship, 50-369
Israel8 sites
Soroka University Medical Center
Beersheba, Beersheba, 8410101
Rambam Health Care Campus - Rambam Medical Center
Haifa, 3109601
Carmel Medical Center
Haifa, 34362
Shaare Zedek Medical Center
Jerusalem, 9103102
Schneider Children's Medical Center of Israel
Petach Tikvah, Petah Tiqwa, 4920235
The Edmond and Lily Safra Children's Hospital - Sheba Medical Center
Ramat Gan, Tel Aviv, 52621
Tel Aviv Sourasky Medical Center
Tel Aviv, 6423906
Assaf Harofeh Medical Center
Tsrifin, Rehoboth, 7030000
Germany5 sites
Universitatsklinikum Aachen
Aachen, North Rhine-Westphalia, 52074
Universitaetsklinikum Leipzig AoeR
Leipzig, Saxony, 04103
Ludwig-Maximillians-Universitat Munchen
München, Bavaria, 80337
Universitatsmedizin Rostock - Kinder und Jugendklinik
Rostock, Mecklenburg-Vorpommern, 18057
Universitatsklinikum Ulm
Ulm, Baden-Wurttemberg, 89075
Hungary5 sites
Semmelweis Egyetem
Budapest, 1083
Debreceni Egyetem Klinikai Kozpont
Debrecen, Hajdú-Bihar, 4032
BAZ Megyei Korhaz es Egyetemi Oktatokorhaz
Miskolc, Borsod-Abauj Zemplen county, 3526
Soproni Erzsebet Oktato Korhaz es Rehabilitacios Intezet
Sopron, Győr-Moson-Sopron, 9400
Szegedi Tudomanyegyetem Szent-Gyorgyi Albert Klinikai Kozpont
Szeged, Csongrád megye, 6720
Belgium4 sites
Hopital Universitaire des Enfants Reine Fabiola
Brussels, Brussels Capital, 1020
Universitair Ziekenhuis Brussel
Brussels, Brussels Capital, 1090
Cliniques Universitaires Saint-Luc
Brussels, 1200
Universitair Ziekenhuis Leuven
Leuven, Flemish Brabant, 3000
France4 sites
Hopital Jeanne de Flandre
Lille, Hauts-de-France, 59037
Hopital de la Timone
Marseille, Provence-Alpes-Côte d'Azur Region, 13385
Hopital Necker-Enfants Malades
Paris, Île-de-France Region, 75015
Hopital Robert Debre
Paris, Île-de-France Region, 75935
Netherlands4 sites
Emma Kinderziekenhuis AMC
Amsterdam, North Holland, 1105AZ
Radboud Universitair Medisch Centrum
Nijmegen, GA, 6525
Erasmus University Medical Center
Rotterdam, South Holland, 3015 GJ
Isala Klinieken
Zwolle, Overijssel, 8025 AB
Ukraine2 sites
Kharkiv Regional Clinical Children's Hospital
Kharkiv, 61093
National Scientific Center of Radiological Medicine of NAMS of Ukraine
Kyiv, KIEV CITY, 03115
About this study
Official title: A Phase 2, Randomized, Double-Blind, Dose-Ranging Study to Determine the Pharmacokinetics, Safety and Tolerability of Vedolizumab IV in Pediatric Subjects With Ulcerative Colitis or Crohn's Disease
The purpose of this study is to evaluate vedolizumab pharmacokinetics (PK), safety and tolerability in pediatric participants with moderately to severely active UC or CD.
Read the detailed description
The drug being tested in this study is called vedolizumab. Vedolizumab is being tested to treat pediatric participants who have moderately to severely active UC or CD. This study will look at the PK, efficacy, immunogenicity, safety, and tolerability in participants who take vedolizumab.
The study will enroll approximately 80 participants. Participants will be randomly assigned (by chance, like flipping a coin) to one of the two dose regimens (high or low) per weight group >=30 kg and 10 kg to <30 kg in ratio 1:1-which will remain undisclosed to the participant and study doctor during the study (unless there is an urgent medical need):
- Vedolizumab high dose group - Vedolizumab 300 mg or 200 mg
- Vedolizumab low dose group - Vedolizumab 150 mg or 100 mg
All participants will be administered vedolizumab via IV infusion. Participants assigned to the low dose group who do not achieve clinical response (based on pediatric UC/CDAI) at Week 14 will receive the high dose (that is, 300 mg for participants >=30 kg baseline weight and 200 mg for participants 10 kg to <30 kg baseline weight) of vedolizumab IV at Week 14. Participants assigned to the high dose group who had not achieved clinical response continued on the same blinded high dose at Week 14.
This multi-center trial will be conducted worldwide. The overall time to participate in this study is up to 36 weeks. After completing the Week 22 Visit procedures, eligible participants may enter a blinded extension study. Participants will make multiple visits to the clinic, and those who do not enter extension study will have a final visit 18 weeks after last dose of study drug for a follow-up assessment. Participants who do not enter the extension study will also participate in a long-term safety follow-up, by telephone, 6 months after the last dose of study drug.
- Conditions
- Ulcerative Colitis, Crohn's Disease
- Being tested
- Vedolizumab
- Keywords
- Drug therapy
- Medical subject headings
- Colitis, Ulcerative, Crohn Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
VedolizumabDrug
Also called MLN0002, ENTYVIO, KYNTELES
Vedolizumab IV infusion.
| Study group | Role | What they receive |
|---|---|---|
| UC: <30 kg Participants, Vedolizumab 100 mg | Experimental | Participants with UC having baseline weight of <30 kg were randomized to this low dose group and received vedolizumab 100 mg IV infusion on Day 1 and at Weeks 2, 6 and 14. Receives: Drug: Vedolizumab |
| UC: <30 kg Participants, Vedolizumab 200 mg | Experimental | Participants with UC having baseline weight of <30 kg were randomized to this high dose group and received vedolizumab 200 mg IV infusion on Day 1 and at Weeks 2, 6 and 14. Receives: Drug: Vedolizumab |
| CD: <30 kg Participants, Vedolizumab 100 mg | Experimental | Participants with CD having baseline weight of <30 kg were randomized to this low dose group and received vedolizumab 100 mg IV infusion on Day 1 and at Weeks 2, 6 and 14. Receives: Drug: Vedolizumab |
| CD: <30 kg Participants, Vedolizumab 200 mg | Experimental | Participants with CD having baseline weight of <30 kg were randomized to this high dose group and received vedolizumab 200 mg IV infusion on Day 1 and at Weeks 2, 6 and 14. Receives: Drug: Vedolizumab |
| UC: >=30 kg Participants, Vedolizumab 150 mg | Experimental | Participants with UC having baseline weight of >=30 kg were randomized to this low dose group and received vedolizumab 150 mg IV infusion on Day 1 and at Weeks 2, 6 and 14. Receives: Drug: Vedolizumab |
| UC: >=30 kg Participants, Vedolizumab 300 mg | Experimental | Participants with UC having baseline weight of >=30 kg were randomized to this high dose group and received vedolizumab 300 mg IV infusion on Day 1 and at Weeks 2, 6 and 14. Receives: Drug: Vedolizumab |
| CD: >=30 kg Participants, Vedolizumab 150 mg | Experimental | Participants with CD having baseline weight of >=30 kg were randomized to this low dose group and received vedolizumab 150 mg IV infusion on Day 1 and at Weeks 2, 6 and 14. Receives: Drug: Vedolizumab |
| CD: >=30 kg Participants, Vedolizumab 300 mg | Experimental | Participants with CD having baseline weight of >=30 kg were randomized to this low dose group and received vedolizumab 300 mg IV infusion on Day 1 and at Weeks 2, 6 and 14. Receives: Drug: Vedolizumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
AUCWeek 14: Area Under the Serum Concentration-time Curve at Week 14
Measured: From Day 43 (Week 6) post-dose up to pre-dose Day 99 (Week 14)
Cav,Week 14: Average Serum Concentration During a Dosing Interval at Week 14
Measured: From Day 43 (week 6) post-dose up to pre-dose Day 99 (Week 14)
Ctrough,Week 14: Observed Serum Concentration at the End of a Dosing Interval at Week 14
Measured: At the end of a dosing interval at Week 14
Secondary outcomes (2)
Percentage of UC Participants Who Achieve Clinical Response Based on Complete Mayo Score
Clinical response was defined as a reduction in complete Mayo score of >= 3 points and >=30 % from Baseline with an accompanying decrease in rectal bleeding sub-score of >=1 point(s) or absolute rectal bleeding sub-score of <= 1 point. Mayo score was used in to assess UC disease activity. It consisted of 4 subscales: stool frequency, rectal bleeding, findings on endoscopy and physician's global assessment. Each subscale was scored on a scale of 0 to 3, where 0= normal condition and 3 = severe disease condition. The total Mayo score ranged from 0 to 12, with higher scores indicating more severe disease.
Measured: Baseline (Day 1) and Week 14
Percentage of CD Participants Who Achieve Clinical Response Based on Crohn's Disease Activity Index (CDAI)
Clinical response was defined as >=70 points decrease from Baseline in CDAI score at Week 14. The CDAI evaluated severity of signs and symptoms of CD. Information was collected on number of liquid stools, intensity of abdominal pain, general well-being, presence of comorbid conditions, use of medications for diarrhea, physical examination, and laboratory, yielding 8 items that were combined with data from a 7-day diary to obtain total CDAI score. Index values of 150 and below were associated with quiescent disease; values above that indicated active disease, values >=220 indicated moderate to severe disease, and values above 450 were seen with extremely severe disease.
Measured: Baseline (Day 1) and Week 14
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 May 2017
- Study start8 Nov 2017
- Primary completion31 Mar 2020
- Study completion26 May 2020
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.
- Other trials for Ulcerative ColitisStudies 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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 89 participants (actual)
Sponsor and investigators
- Lead sponsor
- Takeda
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Takeda Development Center Americas, Inc.
- Responsible party
- Sponsor
- Investigators
- Medical Monitor Clinical Science, Study director, Takeda
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03138655
- Sponsor's protocol ID
- MLN0002-2003
- Other IDs
- 2017-002231-41, U1111-1174-2041, MLN0002-2003CTIL, 17/NE/0257, MOH_2017-09-18_000675, 2017
- Status last verified
- Nov 2020
- First submitted
- 19 Apr 2017
- Last updated
- 21 Dec 2020
- 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.
Study at a glance
From the registry record, last updated by the sponsor on 21 Dec 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2, Randomized, Double-Blind, Dose-Ranging Study to Determine the Pharmacokinetics, Safety and Tolerability of Vedolizumab IV in Pediatric Subjects With Ulcerative Colitis or Crohn's Disease
- ClinicalTrials.gov ID
- NCT03138655
- Acronym / sponsor ID
- MLN0002-2003
- Conditions
- Ulcerative Colitis, Crohn's Disease
- Keywords
- Drug therapy
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 89 participants (actual)
- Lead sponsor
- TakedaIndustry (pharma, biotech, devices)
- Collaborators
- Takeda Development Center Americas, Inc.
- Study start
- 8 Nov 2017 (actual)
- Primary completion
- 31 Mar 2020 (actual)
- Study completion
- 26 May 2020 (actual)
- First posted
- 3 May 2017 (actual)
- Results
- Posted 21 Dec 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 evaluate vedolizumab pharmacokinetics (PK), safety and tolerability in pediatric participants with moderately to severely active UC or CD.
Detailed description
The drug being tested in this study is called vedolizumab. Vedolizumab is being tested to treat pediatric participants who have moderately to severely active UC or CD. This study will look at the PK, efficacy, immunogenicity, safety, and tolerability in participants who take vedolizumab.
The study will enroll approximately 80 participants. Participants will be randomly assigned (by chance, like flipping a coin) to one of the two dose regimens (high or low) per weight group >=30 kg and 10 kg to <30 kg in ratio 1:1-which will remain undisclosed to the participant and study doctor during the study (unless there is an urgent medical need):
- Vedolizumab high dose group - Vedolizumab 300 mg or 200 mg
- Vedolizumab low dose group - Vedolizumab 150 mg or 100 mg
All participants will be administered vedolizumab via IV infusion. Participants assigned to the low dose group who do not achieve clinical response (based on pediatric UC/CDAI) at Week 14 will receive the high dose (that is, 300 mg for participants >=30 kg baseline weight and 200 mg for participants 10 kg to <30 kg baseline weight) of vedolizumab IV at Week 14. Participants assigned to the high dose group who had not achieved clinical response continued on the same blinded high dose at Week 14.
This multi-center trial will be conducted worldwide. The overall time to participate in this study is up to 36 weeks. After completing the Week 22 Visit procedures, eligible participants may enter a blinded extension study. Participants will make multiple visits to the clinic, and those who do not enter extension study will have a final visit 18 weeks after last dose of study drug for a follow-up assessment. Participants who do not enter the extension study will also participate in a long-term safety follow-up, by telephone, 6 months after the last dose of study drug.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 8
| Arm | Type | Receives |
|---|---|---|
| UC: <30 kg Participants, Vedolizumab 100 mg | Experimental | Drug: VedolizumabParticipants with UC having baseline weight of <30 kg were randomized to this low dose group and received vedolizumab 100 mg IV infusion on Day 1 and at Weeks 2, 6 and 14. |
| UC: <30 kg Participants, Vedolizumab 200 mg | Experimental | Drug: VedolizumabParticipants with UC having baseline weight of <30 kg were randomized to this high dose group and received vedolizumab 200 mg IV infusion on Day 1 and at Weeks 2, 6 and 14. |
| CD: <30 kg Participants, Vedolizumab 100 mg | Experimental | Drug: VedolizumabParticipants with CD having baseline weight of <30 kg were randomized to this low dose group and received vedolizumab 100 mg IV infusion on Day 1 and at Weeks 2, 6 and 14. |
| CD: <30 kg Participants, Vedolizumab 200 mg | Experimental | Drug: VedolizumabParticipants with CD having baseline weight of <30 kg were randomized to this high dose group and received vedolizumab 200 mg IV infusion on Day 1 and at Weeks 2, 6 and 14. |
| UC: >=30 kg Participants, Vedolizumab 150 mg | Experimental | Drug: VedolizumabParticipants with UC having baseline weight of >=30 kg were randomized to this low dose group and received vedolizumab 150 mg IV infusion on Day 1 and at Weeks 2, 6 and 14. |
| UC: >=30 kg Participants, Vedolizumab 300 mg | Experimental | Drug: VedolizumabParticipants with UC having baseline weight of >=30 kg were randomized to this high dose group and received vedolizumab 300 mg IV infusion on Day 1 and at Weeks 2, 6 and 14. |
| CD: >=30 kg Participants, Vedolizumab 150 mg | Experimental | Drug: VedolizumabParticipants with CD having baseline weight of >=30 kg were randomized to this low dose group and received vedolizumab 150 mg IV infusion on Day 1 and at Weeks 2, 6 and 14. |
| CD: >=30 kg Participants, Vedolizumab 300 mg | Experimental | Drug: VedolizumabParticipants with CD having baseline weight of >=30 kg were randomized to this low dose group and received vedolizumab 300 mg IV infusion on Day 1 and at Weeks 2, 6 and 14. |
Who may qualify
- Ages
- 2 to 17 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (31 listed)
- Participants weighs >=10 kg at the time of randomization.
- Has a medical history of moderately to severely active UC during Screening defined as complete Mayo score of 6 to 12, and a total Mayo subscores of stool frequency and rectal bleeding >=4 and Mayo endoscopy subscore >=2, or has moderately to severely active CD defined as simple endoscopic score for Crohn's disease (SES-CD) >=7, and the CDAI components of average daily abdominal pain score of greater than (>) 1 for the 7 days prior, and total number of liquid/very soft stools >10 within 7 days prior to first dose of study drug.
- Has evidence of UC extending proximal to the rectum (that is, not limited to proctitis) or evidence of CD involving the ileum and/or colon, at a minimum.
- Has extensive colitis 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 prior to their first dose of study drug.
- Has a family history of colorectal cancer (that is, first-degree relative), personal history of increased colorectal cancer risk, or other known risk factor must be up-to-date on colorectal cancer surveillance.
Key exclusion criteria (23 listed)
- Has had previous exposure to approved or investigational anti-integrins (example, natalizumab, efalizumab, etrolizumab, or AMG 181) or MAdCAM-1 antagonists, or rituximab.
- Has had prior exposure to vedolizumab.
- Has a positive progressive multifocal leukoencephalopathy (PML) subjective symptom checklist prior to the administration of the first dose of study drug.
- Requires surgical intervention for UC or CD, or is anticipated to require surgical intervention for UC or CD during this study.
- Use of topical (rectal) treatment with 5-ASA or corticosteroid enemas/suppositories within 2 weeks of the administration of the first dose of study drug.
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 |
|---|---|---|
| VedolizumabAlso: MLN0002, ENTYVIO, KYNTELESVedolizumab IV infusion. | Drug | CD: <30 kg Participants, Vedolizumab 100 mg, CD: <30 kg Participants, Vedolizumab 200 mg, CD: >=30 kg Participants, Vedolizumab 150 mg, CD: >=30 kg Participants, Vedolizumab 300 mg, UC: <30 kg Participants, Vedolizumab 100 mg, UC: <30 kg Participants, Vedolizumab 200 mg, UC: >=30 kg Participants, Vedolizumab 150 mg, UC: >=30 kg Participants, Vedolizumab 300 mg |
Primary outcome
AUCWeek 14: Area Under the Serum Concentration-time Curve at Week 14
Time frame: From Day 43 (Week 6) post-dose up to pre-dose Day 99 (Week 14)
Cav,Week 14: Average Serum Concentration During a Dosing Interval at Week 14
Time frame: From Day 43 (week 6) post-dose up to pre-dose Day 99 (Week 14)
Ctrough,Week 14: Observed Serum Concentration at the End of a Dosing Interval at Week 14
Time frame: At the end of a dosing interval at Week 14
2 secondary outcomes
Percentage of UC Participants Who Achieve Clinical Response Based on Complete Mayo Score
Time frame: Baseline (Day 1) and Week 14
Percentage of CD Participants Who Achieve Clinical Response Based on Crohn's Disease Activity Index (CDAI)
Time frame: Baseline (Day 1) and Week 14
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Dec 2020.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- 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 Monitor Clinical Science study director
Takeda
88 sites in 11 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Vedolizumab in people with Ulcerative Colitis and Crohn's Disease, run by Takeda at 88 sites in 11 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 31 inclusion and 23 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 21 Dec 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 88 sites in United States, Canada, United Kingdom, Poland, Israel and 6 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
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 21 Dec 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?
AUCWeek 14: Area Under the Serum Concentration-time Curve at Week 14 (time frame: From Day 43 (Week 6) post-dose up to pre-dose Day 99 (Week 14)). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 21 Dec 2020.