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Crohn's DiseasePhase 3NCT03234907

Vedolizumab Intravenous (IV) Compared to Placebo in Chinese Participants With Crohn's Disease.

A Phase 3 study testing Vedolizumab IV in people with Crohn's Disease, run by Takeda at 29 sites in China.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to assess the safety and efficacy of vedolizumab intravenous (IV) infusion as induction treatment in Chinese participants with moderately to severely active Crohn's disease (CD) at Week 10. Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Crohn's Disease
What is being tested?
Vedolizumab IV
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
215 participants
Where
29 sitesChina
Study dates
3 Aug 2017to 14 Aug 2020
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

  • Has a diagnosis of Crohn's disease (CD) established at least 3 months prior to Screening by clinical and endoscopic evidence corroborated by a histopathology report. Cases of CD established at least 6 months prior to randomization for which a histopathology report is not available will be considered based on the weight of evidence supporting the diagnosis and excluding other potential diagnosis, and must be discussed with the sponsor on a case-by-case basis prior to randomization.
  • Has moderately to severely active CD as determined by a Crohn's Disease Activity Index (CDAI) score of 220 to 400 within 7 days prior to the first dose of study drug and 1 of the following:
  • C-reactive protein (CRP) level >2.87 mg/L during the Screening Phase, OR
  • Ileocolonoscopy with photographic documentation of a minimum of 3 nonanastomotic ulcerations (each >0.5 cm in diameter) or 10 aphtous ulcerations (involving a minimum of 10 contiguous cm of intestine) consistent with CD, within 4 months prior to randomization, OR
  • Fecal calprotectin >250 μg/g stool during the Screening Phase in conjunction with computed tomography enterography (CTE), magnetic resonance enterography (MRE), contrast enhanced small bowel radiography, or wireless capsule endoscopy revealing CD ulcerations (aphthae not sufficient), within 4 months prior to Screening
  • Has CD involvement of the ileum and/or colon, at a minimum.
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  • Has extensive colitis or pancolitis of >8 years duration or limited colitis of >12 years duration must have documented evidence that a surveillance colonoscopy was performed within 12 months prior to initial screening (may be performed during Screening if not performed in previous 12 months).
  • Has a family history of colorectal cancer, personal history of increased colorectal cancer risk, age >50 years, or other known risk factor must be up-to-date on colorectal cancer surveillance (may be performed during Screening).
  • Has demonstrated an inadequate response to, loss of response to, or intolerance of at least 1 of the following agents as defined below:
  • Corticosteroids.
  • Immunomodulators.
  • Tumor necrosis factor-alpha (TNF-α) antagonists.

Who cannot join

  • Has evidence of abdominal abscess at the initial Screening Visit.
  • Has had extensive colonic resection, subtotal or total colectomy.
  • Has a history of >3 small bowel resections or diagnosis of short bowel syndrome.
  • Has had ileostomy, colostomy, known fixed symptomatic stenosis of the intestine, or evidence of fixed stenosis, or small bowel stenosis with prestenotic dilation.
  • Has had previous exposure to approved or investigational anti-integrins (e.g., natalizumab, efalizumab, etrolizumab, or AMG-181), or MAdCAM-1 antagonists, or rituximab.
  • Has used topical (rectal) treatment with 5-ASA, corticosteroid enemas/suppositories or traditional Chinese medications for CD treatment within 2 weeks of the administration of the first dose of study drug.
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  • Requires currently or is anticipated to require surgical intervention for CD during the study.
  • Has a history or evidence of adenomatous colonic polyps that have not been removed.
  • Has a history or evidence of colonic mucosal dysplasia including low or high-grade dysplasia, as well as indeterminate for dysplasia.
  • Has a suspected or confirmed diagnosis of ulcerative colitis, indeterminate colitis, ischemic colitis, and radiation colitis.
  • Has evidence of treatment for C.difficile infection or other intestinal pathogen with 28 days prior to first dose of study drug.
  • Has chronic hepatitis B virus (HBV) infection or chronic hepatitis C virus (HCV) infection.
  • Has active or latent tuberculosis.
  • Has any identified congenital or acquired immunodeficiency (e.g., common variable immunodeficiency, human immunodeficiency virus [HIV] infection, organ transplantation).
  • 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 randomization; 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 randomization. Participants with remote history of malignancy (e.g., >10 years since completion of curative therapy without recurrence) will be considered based on the nature of the malignancy and the therapy received and must be discussed with the sponsor on a case-by-case basis prior to randomization.
  • Has a history of any major neurological disorders, including stroke, multiple sclerosis, brain tumor, or neurodegenerative disease.
  • Has a positive progressive multifocal leukoencephalopathy (PML) subjective symptom checklist at Screening or prior to the administration of the first dose of study drug at Week 0.

Trial locations and contacts

29 sites in 1 country.

29 sites in 1 country

China29 sites
  • Gastroenterology

    Beijing, Beijing Municipality, 100050

  • Gastroenterology

    Beijing, Beijing Municipality, 100730

  • Gastroenterology

    Changchun, Jilin, 130000

  • Gastroenterology

    Changsha, Hunan, 410008

  • Gastroenterology

    Changsha, Hunan, 410011

  • Gastroenterology

    Changsha, Hunan, 410013

  • Gastroenterology

    Chengdu, Sichuan, 610041

  • Gastroenterology

    Chongqing, Chongqing Municipality, 400037

  • Gastroenterology

    Fuzhou, Fujian, 350025

  • Gastroenterology

    Guangzhou, Guangdong, 510080

  • Gastroenterology

    Guangzhou, Guangdong, 510515

  • Gastroenterology

    Guangzhou, Guangdong, 510655

  • Gastroenterology

    Hangzhou, Zhejiang, 310009

  • Gastroenterology

    Hangzhou, Zhejiang, 310016

  • Gastroenterology

    Hefei, Anhui, 230024

  • Gastroenterology

    Kunming, Yunnan, 650032

  • Gastroenterology

    Nanchang, Jiangxi, 330006

  • Gastroenterology

    Nanjing, Jiangsu, 210008

  • Gastroenterology

    Nanjing, Jiangsu, 210029

  • Gastroenterology

    Shanghai, Shanghai Municipality, 200025

  • Gastroenterology

    Shanghai, Shanghai Municipality, 200032

  • Gastroenterology

    Shanghai, Shanghai Municipality, 200072

  • Gastroenterology

    Shanghai, Shanghai Municipality, 200092

  • Gastroenterology

    Shenyang, Liaoning, 110022

  • Gastroenterology

    Wuhan, Hubei, 430000

  • Gastroenterology

    Wuhan, Hubei, 430030

  • Gastroenterology

    Wuhan, Hubei, 430060

  • Gastroenterology

    Wuxi, Jiangsu, 241023

  • Gastroenterology

    Xiamen, Fujian, 361004

Other trials in China

About this study

Official title: A Phase 3, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study to Examine the Efficacy and Safety of Intravenous Vedolizumab (300 mg) Infusion Treatment in Chinese Subjects With Moderately to Severely Active Crohn's Disease

The purpose of this study is to assess the safety and efficacy of vedolizumab intravenous (IV) infusion as induction treatment in Chinese participants with moderately to severely active Crohn's disease (CD) at Week 10.

Read the detailed description

The drug being tested in this study is called vedolizumab. Vedolizumab will be administered as an intravenous (IV) infusion in Chinese participants. This study will investigate the efficacy and safety of vedolizumab IV as induction and maintenance therapy in participants with moderately to severely active Crohn's Disease (CD).

The study will enroll approximately 300 moderately to severely active Chinese patients with CD.

Induction Phase: participants will be randomized 2:1 to receive:

  • Vedolizumab IV 300 mg
  • Placebo IV

Participants will receive vedolizumab 300 mg or matching placebo, intravenous (IV) infusion at Weeks 0, 2, and 6 in the induction phase. At Week 10, participants will be assessed for clinical response. Results of Week 10 clinical response will determine the treatment pathway in the maintenance phase.

Maintenance Phase: participants who achieved clinical response at Week 10 will continue to receive the same treatment as they received in Induction Phase; every 8 weeks (Q8W) starting at Week 14. Participants who received vedolizumab IV or placebo in the Induction Phase and did not achieve clinical response at Week 10 will receive vedolizumab every 4 weeks (Q4W) starting at Week 14.

This multi-center trial will be conducted in China. The overall time to participate in this study is 60 weeks. Participants will make multiple visits to the clinic, and will be contacted by telephone, 6 months after last dose of study drug for a long-term follow-up safety survey.

Conditions
Crohn's Disease
Being tested
Vedolizumab IV, Placebo
Keywords
Drug therapy
Medical subject headings
Crohn Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Vedolizumab IVDrug

    Vedolizumab IV infusion

  • PlaceboDrug

    Vedolizumab placebo-matching

Study groups in NCT03234907
Study groupRoleWhat they receive
Induction Phase: PlaceboPlacebo comparatorPlacebo, IV, infusion, once at Weeks 0, 2, and 6 in the Induction Phase.
Receives: Drug: Vedolizumab IV
Induction Phase: Vedolizumab 300 mgExperimentalVedolizumab 300 milligram (mg), IV infusion, once at Weeks 0, 2, and 6 in the Induction Phase.
Receives: Drug: Placebo
Maintenance Phase: Induction Placebo to Placebo Q4WPlacebo comparatorParticipants who received placebo in the Induction Phase and achieved clinical response at Week 10 continued to receive placebo in the Maintenance Phase. Vedolizumab placebo-matching, IV infusion, once every 4 weeks (Q4W), from Week 14 to Week 58.
Receives: Drug: Vedolizumab IV; Drug: Placebo
Maintenance Phase: Induction Placebo to Vedolizumab 300 mg Q4WExperimentalParticipants who received placebo in the Induction Phase and did not achieve clinical response at Week 10 received vedolizumab in the Maintenance Phase. Vedolizumab 300 mg, IV infusion, Q4W, from Week 14 to Week 58.
Receives: Drug: Vedolizumab IV
Maintenance Phase: Induction Vedolizumab 300 mg to Vedolizumab 300 mg Q8WExperimentalParticipants who received vedolizumab in the Induction Phase and achieved clinical response at Week 10 continued to receive vedolizumab in the Maintenance Phase. Vedolizumab 300 mg, IV infusion, once every 8 weeks (Q8W), at Weeks 14, 22, 30, 38, 46 and 54 and vedolizumab placebo-matching, IV infusion, Q8W, at Weeks 18, 26, 34, 42, 50 and 58 to maintain double-blind.
Receives: Drug: Placebo
Maintenance Phase: Induction Vedolizumab 300 mg to Vedolizumab 300 mg Q4WExperimentalParticipants who received vedolizumab in the Induction Phase and did not achieve clinical response at Week 10 received vedolizumab in the Maintenance Phase. Vedolizumab 300 mg, IV infusion, Q4W, from Week 14 to Week 58.
Receives: Drug: Vedolizumab IV

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants With Enhanced Clinical Response in the Induction Phase at Week 10

    Enhanced clinical response was defined as ≥100-point decrease from Baseline in the Crohn's Disease Activity Index (CDAI) score at Week 10. A CDAI is a multi-item instrument which measures severity of active Crohn's Disease monitored over 7 days includes participant reported symptoms, physician-assessed signs, and laboratory markers. CDAI score is equal to sum of weighted scores for subjective items (number of liquid/soft stools, degree of abdominal pain, general well-being); and objective items (use of anti-diarrhoeal medication, abdominal mass, haematocrit, presence of extraintestinal manifestation, body weight). CDAI scores range approximately from 0 to 600, higher scores indicating greater disease activity.

    Measured: Week 10

Secondary outcomes (1)
  1. Percentage of Participants With Clinical Remission in the Induction Phase at Week 10

    Clinical remission was defined as CDAI score of ≤150 points at Week 10. A CDAI is a multi-item instrument which measures severity of active Crohn's Disease monitored over 7 days includes participant reported symptoms, physician-assessed signs, and laboratory markers. CDAI score is equal to sum of weighted scores for subjective items (number of liquid/soft stools, degree of abdominal pain, general well-being); and objective items (use of anti-diarrhoeal medication, abdominal mass, haematocrit, presence of extraintestinal manifestation, body weight). CDAI scores range approximately from 0 to 600, higher scores indicating greater disease activity

    Measured: Week 10

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted31 Jul 2017
  2. Study start3 Aug 2017
  3. Primary completion14 Aug 2020
  4. Study completion14 Aug 2020

Resources

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
215 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03234907
Sponsor's protocol ID
Vedolizumab-3034
Other IDs
U1111-1195-3932
Status last verified
Feb 2023
First submitted
26 Jul 2017
Last updated
1 Mar 2023
Data monitoring committee
No
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.

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Vedolizumab IV in people with Crohn's Disease, run by Takeda at 29 sites in China.

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 12 inclusion and 17 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 1 Mar 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 29 sites in China. 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. Some participants in this study may receive a placebo. 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 21 Sep 2022). 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 With Enhanced Clinical Response in the Induction Phase at Week 10 (time frame: Week 10). 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 1 Mar 2023.

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