Hematopoietic Stem CellsPhase 3NCT03657160
Vedolizumab in the Prophylaxis of Intestinal Acute Graft Versus Host Disease (aGVHD) in Participants Undergoing Allogeneic Hematopoietic Stem Cell (Allo-HSCT) Transplantation
A Phase 3 study testing Vedolizumab in people with Hematopoietic Stem Cells, run by Millennium Pharmaceuticals, Inc. at 139 sites in 27 countries.
Trial summary
The purpose of this study is to evaluate the efficacy of vedolizumab when added to background aGvHD prophylaxis regimen compared to placebo and background aGvHD prophylaxis regimen on intestinal aGvHD-free survival by Day +180 in participants who receive allo-HSCT as treatment for a hematologic malignancy or… Read more about this study
- Who is it for?
- Ages 12 years and older
- Conditions the study is for
- Hematopoietic Stem Cells
- What is being tested?
- Vedolizumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 343 participants
- Where
- 139 sitesin 27 countries
- Study dates
- 6 Feb 2019to 9 May 2022
- 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 12 years and older
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Must be >= 18 years of age and, in selected countries, adolescents aged 12 years and greater and weighing >=30 kilogram (kg) at time of randomization.
- Must undergo deoxyribose nucleic acid (DNA)-based human leukocyte antigen (HLA) matching and be 8 of 8 or 7 of 8 HLA-matched (singe allele or antigen mismatch at HLA-A, -B, and -C, and HLA-DRB1 is allowable) unrelated hematopoietic stem cell transplantation (HSCT) from either peripheral blood or bone marrow stem cells for a hematologic malignancy or myeloproliferative disorder.
- For whom a myeloablative conditioning or reduced intensity conditioning (RIC) is planned.
- Allo-HSCT eligible (meeting institutional criteria)-participants planned medical care should include aGvHD prophylaxis with a combination of calcineurin inhibitor (CNI) (cyclosporine [CYS] or tacrolimus [TAC]) and methotrexate (MTX) or CNI and mycophenolate mofetil (MMF). With the exception of antithymocyte globulin (ATG) (antithymocyte globulin-Fresenius [ATG-F] or thymoglobulin), all other therapies, approved or investigational, for GvHD prophylaxis are excluded.
- Eastern Cooperative Oncology Group (ECOG) performance status of <= 2 for participants aged >=18 years at randomization or >=60 % using the Karnofsky performance status for adolescent participants aged >=16 years at randomization or the Lansky performance status for adolescent participants aged 12 to < 16 years at randomization.
Who cannot join
- Had prior allo- HSCT.
- Planned umbilical cord blood transplant or planned to receive posttransplant cyclophosphamide, in vivo or ex vivo T cell-depleted hematopoietic stem cells (HSCs) with the exception of ATG (ATG-F or thymoglobulin).
- Planned allo-HSCT for nonmalignant hematological disorders (example, aplastic anemia, sickle cell anemia, thalassemias, Fanconi anemia or immunodeficiency).
Trial locations and contacts
139 sites in 27 countries.
139 sites in 27 countries
United States27 sites
Children's Healthcare of Atlanta
Atlanta, Georgia, 30322
Emory University - Winship Cancer Institute
Atlanta, Georgia, 30322
Augusta University Georgia Cancer Center
Augusta, Georgia, 30912
Marlene and Stewart Greenebaum Cancer Center
Baltimore, Maryland, 21201
University of Alabama at Birmingham Comprehensive Cancer Center
Birmingham, Alabama, 35294
Massachusetts General Hospital
Boston, Massachusetts, 02114
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215
Boston Children's Hospital
Boston, Massachusetts, 02215
Dana Farber Cancer Institute
Boston, Massachusetts, 02215
Roswell Park Cancer Institute
Buffalo, New York, 14263
Roswell Park Comprehensive Cancer Center
Buffalo, New York, 14263
University of North Carolina Hospitals
Chapel Hill, North Carolina, 27514
Medical University of South Carolina
Charleston, South Carolina, 29425
University of Virginia Health System
Charlottesville, Virginia, 22908
Robert H. Lurie Comprehensive Cancer Center of Northwestern University
Chicago, Illinois, 60611
Texas Oncology - Baylor Charles A. Sammons Cancer Center
Dallas, Texas, 75246
Barbara Ann Karmanos Cancer Institute
Detroit, Michigan, 48201
Indiana University Melvin and Bren Simon Cancer Center
Indianapolis, Indiana, 46202
University of Kentucky Chandler Medical Center
Lexington, Kentucky, 40536
David Geffen School of Medicine at University of California Los Angeles
Los Angeles, California, 90095
Loyola University Medical Center
Maywood, Illinois, 60153
Cohen Children's Medical Center
New Hyde Park, New York, 11040
Weill Cornell Medical College
New York, New York, 10021
Columbia University Medical Center - The Columbia Center for Translational Immunology
New York, New York, 10032
Oregon Health and Science University
Portland, Oregon, 97239
Massey Cancer Center
Richmond, Virginia, 23298
Mayo Clinic - Rochester
Rochester, Minnesota, 55905
South Korea11 sites
Kyungpook National University Hospital
Daegu, Gyeongsangbuk-do, 41944
Keimyung University Dongsan Hospital
Daegu, Gyeongsangbuk-do, 42601
Daegu Catholic University Medical Center
Daegu, 42472
Chungnam National University Hospital
Daejeon, 35015
Pusan National University Hospital
Pusan, Gyeongsangnam-do, 49241
Seoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, 13620
Seoul National University Hospital
Seoul, Gyeonggi-do, 03080
Korea University Anam Hospital
Seoul, 02841
Severance Hospital
Seoul, 03722
Samsung Medical Center
Seoul, 06351
The Catholic University of Korea - Seoul St. Mary's Hospital
Seoul, 06591
Italy10 sites
Azienda Ospedaliero Universitaria Ospedali Riuniti di Ancona
Ancona, 60126
Ospedale Mazzoni
Ascoli Piceno, The Marches, 63100
Azienda Ospedaliera Policlinico di Bari
Bari, 70124
Policlinico Universitario di Catania
Catania, 95124
Ospedale dell'Angelo
Mestre, Venezia, 30174
Istituto Clinico Humanitas Humanitas Cancer Center
Milan, 20089'
Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda
Milan, 20162
Presidio Ospedaliero di Pescara
Pescara, 65125
Azienda Grande Ospedale Metropolitano Bianchi Melacrino Morelli
Reggio Calabria, Calabria, 89122
Azienda Ospedaliera Cardinale G. Panico
Tricase, Lecce, 73039
Spain10 sites
Hospital Universitari Germans Trias i Pujol
Badalona, Barcelona, 08916
Hospital Universitario de Gran Canaria Doctor Negrin
Las Palmas de Gran Canaria, LAS Palmas, 35010
Hospital Universitario Ramon Y Cajal
Madrid, 28034
Hospital Universitario Fundacion Jimenez Diaz
Madrid, 28040
Hospital General Universitario Morales Meseguer
Murcia, 30008
Hospital Universitario Virgen de la Arrixaca
Murcia, 30120
Clinica Universidad de Navarra
Pamplona, Navarre, 31008
Hospital Universitario de Salamanca
Salamanca, 37007
Hospital Universitario Virgen del Rocio
Seville, 41013
Hospital Clinico Universitario de Valencia
Valencia, 46010
Japan9 sites
Tokyo Metropolitan Cancer and Infectious diseases Center Komagome Hospital
Bunkyo-Ku, Tokyo, 113-8677
Kyushu University Hospital
Fukuoka, Fukuoka, 812-8582
Hiroshima Red Cross Hospital and Atomic-bomb Survivors Hospital
Hiroshima, Hiroshima, 730-8619
Japanese Red Cross Aichi Medical Center Nagoya Daiichi Hospital
Nagoya, Aichi-ken, 453-8511
Shizuoka Cancer Center
Nakatogari, Shizuoka, 411-8777
Okayama University Hospital
Okayama, Okayama-ken, 700-8558
Osaka City University Hospital
Osaka, 545-8586
Hokkaido University Hospital
Sapporo, Hokkaido, 060-8648
Jichi Medical University Hospital
Shimotsuke, Tochigi, 329-0498
France8 sites
Centre Hospitalier Universitaire Amiens-Picardie
Amiens, Picardie, 80054 CEDEX 1
Centre Hospitalier Universitaire de Limoges
Limoges, Limousin, Lorraine, 87042
Centre Hospitalier Universitaire Nantes - Hotel Dieu
Nantes, Pays de la Loire Region, 44093
Hopital Saint-Antoine
Paris, Île-de-France Region, 75012
Groupe Hospitalier Pitie-Salpetriere
Paris, Île-de-France Region, 75013
Hopital Necker-Enfants Malades
Paris, Île-de-France Region, 75473 cedex 15
Hopital Saint Louis
Paris, Île-de-France Region, 75475
Hopital Pontchaillou
Rennes, Brittany Region, 35033
Brazil7 sites
Hospital de Cancer de Barretos
Barretos, São Paulo, 14784-400
Instituto do Cancer e Transplante de Curitiba
Curitiba, Paraná, 80510-130
Hospital Universitario Walter Cantidio - Universidade Federal do Ceara
Fortaleza, Ceará, 60430-380
Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo
São Paulo, 01246-000
Fundacao Antonio Prudente - A.C.Camargo Cancer Center
São Paulo, 01509-010
Instituto Brasileiro de Controle do Cancer - Sao Camilo Oncolgia
São Paulo, 03102-006
Hospital Santa Marcelina
São Paulo, 08270-070
Germany7 sites
Universitatsklinikum Carl Gustav Carus Dresden
Dresden, Saxony, 01307
Universitatsklinikum Frankfurt
Frankfurt am Main, Hesse, 60590
Universitatsklinikum Halle
Halle, Saxony-Anhalt, 06120
Universitaetsklinikum Schleswig-Holstein - Campus Kiel
Kiel, Schleswig-Holstein, 24105
Universitatsmedizin der Johannes Gutenberg Universitat Mainz
Mainz, Rhineland-Palatinate, 55131
Universitatsmedizin Mannheim
Mannheim, Baden-Wurttemberg, 68167
Diakonie-Klinikum Stuttgart
Stuttgart, Baden-Wurttemberg, 70176
Taiwan7 sites
Buddhist Tzu Chi General Hospital
Hualien City, Hualien, 970
Kaohsiung Medical University Hospital
Kaohsiung City, 807
China Medical University Hospital
Taichung, 404
Taichung Veterans General Hospital
Taichung, 40705
National Taiwan University Hospital
Taipei, 100
Koo Foundation Sun Yat-Sen Cancer Center
Taipei, 11259
Chang Gung Memorial Hospital
Taoyuan, 333
Australia5 sites
Saint Vincent's Hospital Sydney
Darlinghurst, New South Wales, 2010
Austin Health
Heidelberg, Victoria, 3084
Royal Brisbane and Women's Hospital
Herston, Queensland, 4006
Fiona Stanley Hospital
Murdoch, Western Australia, 6150
The Royal Melbourne Hospital
Parkville, Victoria, 3050
Israel5 sites
Soroka University Medical Center
Beersheba, Beersheba, 84101
Rambam Health Care Campus - Rambam Medical Center
Haifa, 3109601
Hadassah Medical Center
Jerusalem, 9112001
The Chaim Sheba Medical Center
Ramat Gan, 5265601
Tel Aviv Sourasky Medical Center
Tel Aviv, 6423906
United Kingdom5 sites
Cardiff and Vale University Health Board
Cardiff, Wales, CF14 4XW
The Clatterbridge Cancer Centre NHS Foundation Trust
Liverpool, England, L7 8XP
Barts Health NHS Trust
London, England, EC1M 6BQ
Imperial College Healthcare NHS Trust
London, England, W12 0HS
Sheffield Teaching Hospitals NHS Foundation Trust
Sheffield, England, S10 2JF
Argentina3 sites
Hospital Italiano de Buenos Aires
Buenos Aires, C1199ABB
Fundacion Favaloro Hospital Universitario
Ciudad Autonoma de Buenos Aires, Buenos Aires, C1093AAS
Hospital Privado Centro Medico de Cordoba
Córdoba, X5014KEH
Portugal3 sites
Instituto Portugues de Oncologia de Lisboa Francisco Gentil
Lisbon, 1099-023
Centro Hospitalar de Lisboa Norte EPE- Hospital Santa Maria
Lisbon, 1649-035
Instituto Portugues de Oncologia do Porto Francisco Gentil
Porto, 4200-072
Singapore3 sites
National University Hospital
Singapore, 119228
Singapore General Hospital
Singapore, 169608
Raffles Hospital
Singapore, 188770
Belgium2 sites
Ziekenhuisnetwerk Stuivenberg
Antwerp, 2060
Universitair Ziekenhuis Leuven
Leuven, Flemish Brabant, 3000
Canada2 sites
Saskatchewan Cancer Agency
Saskatoon, Saskatchewan, S7N 4H4
CancerCare Manitoba
Winnipeg, Manitoba, R3E 0V9
Greece2 sites
University General Hospital of Athens Attikon
Athens, Attica, 12462
University Regional General Hospital of Patras
Patras, Peloponnese, 26504
Romania2 sites
Institutul Clinic Fundeni
Bucharest, 022328
Spitalul Clinic Judetean de Urgenta Targu Mure
Târgu Mureş, Mureș County, 540042
Russia2 sites
National Research Center for Hematology
Moscow, 125167
Sverdlovsk Regional Clinical Hospital #1
Yekaterinburg, Sverdlovsk Oblast, 620102
Sweden2 sites
Skanes Universitetssjukhus i Lund
Lund, Skåne County, 221 85
Karolinska Universitetssjukhuset
Stockholm, 141 86
Switzerland2 sites
Universitatsspital Basel
Basel, 4031
Universitatsspital Zurich
Zurich, 8091
Mexico1 site
Hospital Universitario "Dr. Jose Eleuterio Gonzalez"
Monterrey, Nuevo León, 64460
Poland1 site
Uniwersyteckie Centrum Kliniczne
Gdansk, Pomeranian Voivodeship, 80-214
About this study
Official title: A Randomized, Double-Blind, Placebo-Controlled, Multicenter Study to Evaluate the Efficacy and Safety of Vedolizumab in the Prophylaxis of Intestinal Acute Graft Versus-Host Disease in Subjects Undergoing Allogeneic Hematopoietic Stem Cell Transplantation
The purpose of this study is to evaluate the efficacy of vedolizumab when added to background aGvHD prophylaxis regimen compared to placebo and background aGvHD prophylaxis regimen on intestinal aGvHD-free survival by Day +180 in participants who receive allo-HSCT as treatment for a hematologic malignancy or myeloproliferative disorder.
Read the detailed description
The drug being tested in this study is called vedolizumab. Vedolizumab is being tested to treat people who are undergoing allo-HSCT transplantation. This study will look at the efficacy and safety of vedolizumab in the prophylaxis of intestinal aGvHD in participants undergoing allo-HSCT transplantation.
The study will enroll approximately 558 participants. Participants will be randomly assigned (by chance, like flipping a coin) in 1:1 ratio to one of the two treatment groups-which will remain undisclosed to the participant and study doctor during the study (unless there is an urgent medical need) along with background GvHD prophylaxis regimen:
- Vedolizumab 300 mg
- Placebo (dummy inactive intravenous infusion)
This multi-center trial will be conducted Worldwide. The overall time to participate in this study is 12 months.
- Conditions
- Hematopoietic Stem Cells
- Being tested
- Vedolizumab Placebo, Vedolizumab
- Keywords
- Drug Therapy
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Vedolizumab PlaceboDrug
Vedolizumab placebo-matching IV infusion.
VedolizumabDrug
Also called MLN0002
Vedolizumab IV infusion.
| Study group | Role | What they receive |
|---|---|---|
| Placebo | Placebo comparator | Vedolizumab placebo-matching, intravenous (IV) infusion, once on Day -1 along with background graft-versus-host disease (GvHD) prophylaxis regimen prior to Allo-HSCT and once on Days +13, +41, +69, +97, +125, and +153 post Allo-HSCT up to the end of study treatment (up to 182 days). Receives: Drug: Vedolizumab Placebo |
| Vedolizumab 300 mg | Experimental | Vedolizumab 300 mg, IV infusion, once on Day -1 along with background GvHD prophylaxis regimen prior to Allo-HSCT and once on Days +13, +41, +69, +97, +125, and +153 post Allo-HSCT up to the end of study treatment (up to 182 days). Receives: Drug: Vedolizumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Intestinal aGvHD-Free Survival After Allo-HSCT by +180 Days
Intestinal aGvHD Free Survival is the time from the date of first study drug administration (Day-1) to intestinal aGvHD event/death, where an event is defined as death due to any cause or Stage 1-4 intestinal involvement per Acute Graft versus-Host Disease Clinical Stage criteria. Data was censored for participants who have not had the intestinal aGvHD event or died or have had the event after pre-specified timing, e.g., last contact or Day +180 after allo HSCT whichever occurs first.
Measured: From the date of first dose of study drug to first documented intestinal aGvHD or death, whichever occurs first up to +180 days
Secondary outcomes (5)
Intestinal aGvHD-Free and Relapse-Free Survival
Intestinal aGvHD and Relapse Free Survival is the time from the date of first study drug administration (Day-1) to intestinal aGvHD event/death/relapse, where an event is defined as death or Stage 1-4 intestinal involvement per Acute Graft versus-Host Disease Clinical Stage criteria, or relapse. It will be censored for participants who have not had the event or have had the event after pre-specified timing, e.g., last contact or Day +180 after allo-HSCT whichever occurs first.
Measured: From the date of first dose of study drug to first documented intestinal aGvHD, death or relapse, whichever occurs first up to Day +180
Grade C-D aGvHD-Free Survival
Grade C-D aGvHD Free Survival is the time from the date of first study drug administration (Day-1) to GvHD event/death, where an event is defined as Grade C-D aGvHD any organ involvement per International Bone Marrow Transplant Registry Database (IBMTR) Severity Index for aGvHD or death. It will be censored for participants who have not had the event or have had the event after pre-specified timing, eg, last contact or Day +180 after allo-HSCT whichever occurs first.
Measured: From the date of first dose of study drug to first documented Grade C-D aGvHD or death, whichever occurs first up to Day +180
Nonrelapse Mortality (NRM)
Non-relapse mortality is the time from the date of first study drug administration (Day-1) to death without occurrence of a relapse. Data was censored for participants who have not had the event or have had the event after pre-specified timing, e.g., last contact or Day +180 after allo HSCT whichever occurs first.
Measured: From the date of first dose of study drug to first documented death without relapse, up to Day +180
Overall Survival (OS)
Overall Survival by Days +180 is the time from the date of first study drug administration (Day-1) to death from any cause.
Measured: From the date of first dose of study drug to first documented death up to Day +180
Grade B-D aGvHD-Free Survival
Grade B-D aGvHD Free Survival is the time from the date of first study drug administration (Day-1) to aGvHD event or death, where an event is defined as death or grade B-D any organ involvement per IBMTR Severity Index for aGvHD.
Measured: From the date of first dose of study drug to first documented grade B-D aGvHD or death, whichever occurs first up to Day +180
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Sep 2018
- Study start6 Feb 2019
- Primary completion7 Feb 2022
- Study completion9 May 2022
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 (1)Papers the sponsor has linked to this study.
- Other trials for Hematopoietic Stem CellsStudies of the same condition, open and under way.
- 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
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 343 participants (actual)
Sponsor and investigators
- Lead sponsor
- Millennium Pharmaceuticals, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, Takeda
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03657160
- Sponsor's protocol ID
- Vedolizumab-3035
- Other IDs
- 2018-002141-11, JapicCTI-184221, U1111-1216-2319, 2018
- Status last verified
- May 2023
- First submitted
- 30 Aug 2018
- Last updated
- 6 Jun 2023
- 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
Chen YB, Mohty M, Zeiser R, Teshima T, Jamy O, Maertens J, Purtill D, Chen J, Cao H, Rossiter G, Jansson J, Floisand Y. Vedolizumab for the prevention of intestinal acute GVHD after allogeneic hematopoietic stem cell transplantation: a randomized phase 3 trial. Nat Med. 2024 Aug;30(8):2277-2287. doi: 10.1038/s41591-024-03016-4. Epub 2024 Jun 6.
PubMed 38844797
Study at a glance
From the registry record, last updated by the sponsor on 6 Jun 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-Blind, Placebo-Controlled, Multicenter Study to Evaluate the Efficacy and Safety of Vedolizumab in the Prophylaxis of Intestinal Acute Graft Versus-Host Disease in Subjects Undergoing Allogeneic Hematopoietic Stem Cell Transplantation
- ClinicalTrials.gov ID
- NCT03657160
- Acronym / sponsor ID
- Vedolizumab-3035
- Conditions
- Hematopoietic Stem Cells
- Keywords
- Drug Therapy
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 343 participants (actual)
- Lead sponsor
- Millennium Pharmaceuticals, Inc.Industry (pharma, biotech, devices)
- Study start
- 6 Feb 2019 (actual)
- Primary completion
- 7 Feb 2022 (actual)
- Study completion
- 9 May 2022 (actual)
- First posted
- 4 Sep 2018 (actual)
- Results
- Posted 14 Apr 2023
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 the efficacy of vedolizumab when added to background aGvHD prophylaxis regimen compared to placebo and background aGvHD prophylaxis regimen on intestinal aGvHD-free survival by Day +180 in participants who receive allo-HSCT as treatment for a hematologic malignancy or myeloproliferative disorder.
Detailed description
The drug being tested in this study is called vedolizumab. Vedolizumab is being tested to treat people who are undergoing allo-HSCT transplantation. This study will look at the efficacy and safety of vedolizumab in the prophylaxis of intestinal aGvHD in participants undergoing allo-HSCT transplantation.
The study will enroll approximately 558 participants. Participants will be randomly assigned (by chance, like flipping a coin) in 1:1 ratio to one of the two treatment groups-which will remain undisclosed to the participant and study doctor during the study (unless there is an urgent medical need) along with background GvHD prophylaxis regimen:
- Vedolizumab 300 mg
- Placebo (dummy inactive intravenous infusion)
This multi-center trial will be conducted Worldwide. The overall time to participate in this study is 12 months.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Placebo | Placebo comparator | Drug: Vedolizumab PlaceboVedolizumab placebo-matching, intravenous (IV) infusion, once on Day -1 along with background graft-versus-host disease (GvHD) prophylaxis regimen prior to Allo-HSCT and once on Days +13, +41, +69, +97, +125, and +153 post Allo-HSCT up to the end of study treatment (up to 182 days). |
| Vedolizumab 300 mg | Experimental | Drug: VedolizumabVedolizumab 300 mg, IV infusion, once on Day -1 along with background GvHD prophylaxis regimen prior to Allo-HSCT and once on Days +13, +41, +69, +97, +125, and +153 post Allo-HSCT up to the end of study treatment (up to 182 days). |
Who may qualify
- Ages
- 12 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (5 listed)
- Must be >= 18 years of age and, in selected countries, adolescents aged 12 years and greater and weighing >=30 kilogram (kg) at time of randomization.
- Must undergo deoxyribose nucleic acid (DNA)-based human leukocyte antigen (HLA) matching and be 8 of 8 or 7 of 8 HLA-matched (singe allele or antigen mismatch at HLA-A, -B, and -C, and HLA-DRB1 is allowable) unrelated hematopoietic stem cell transplantation (HSCT) from either peripheral blood or bone marrow stem cells for a hematologic malignancy or myeloproliferative disorder.
- For whom a myeloablative conditioning or reduced intensity conditioning (RIC) is planned.
- Allo-HSCT eligible (meeting institutional criteria)-participants planned medical care should include aGvHD prophylaxis with a combination of calcineurin inhibitor (CNI) (cyclosporine [CYS] or tacrolimus [TAC]) and methotrexate (MTX) or CNI and mycophenolate mofetil (MMF). With the exception of antithymocyte globulin (ATG) (antithymocyte globulin-Fresenius [ATG-F] or thymoglobulin), all other therapies, approved or investigational, for GvHD prophylaxis are excluded.
- Eastern Cooperative Oncology Group (ECOG) performance status of <= 2 for participants aged >=18 years at randomization or >=60 % using the Karnofsky performance status for adolescent participants aged >=16 years at randomization or the Lansky performance status for adolescent participants aged 12 to < 16 years at randomization.
Key exclusion criteria (3 listed)
- Had prior allo- HSCT.
- Planned umbilical cord blood transplant or planned to receive posttransplant cyclophosphamide, in vivo or ex vivo T cell-depleted hematopoietic stem cells (HSCs) with the exception of ATG (ATG-F or thymoglobulin).
- Planned allo-HSCT for nonmalignant hematological disorders (example, aplastic anemia, sickle cell anemia, thalassemias, Fanconi anemia or immunodeficiency).
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 PlaceboVedolizumab placebo-matching IV infusion. | Drug | Placebo |
| VedolizumabAlso: MLN0002Vedolizumab IV infusion. | Drug | Vedolizumab 300 mg |
Primary outcome
Intestinal aGvHD-Free Survival After Allo-HSCT by +180 Days
Time frame: From the date of first dose of study drug to first documented intestinal aGvHD or death, whichever occurs first up to +180 days
Intestinal aGvHD Free Survival is the time from the date of first study drug administration (Day-1) to intestinal aGvHD event/death, where an event is defined as death due to any cause or Stage 1-4 intestinal involvement per Acute Graft versus-Host Disease Clinical Stage criteria. Data was censored for participants who have not had the intestinal aGvHD event or died or have had the event after pre-specified timing, e.g., last contact or Day +180 after allo HSCT whichever occurs first.
5 secondary outcomes
Intestinal aGvHD-Free and Relapse-Free Survival
Time frame: From the date of first dose of study drug to first documented intestinal aGvHD, death or relapse, whichever occurs first up to Day +180
Grade C-D aGvHD-Free Survival
Time frame: From the date of first dose of study drug to first documented Grade C-D aGvHD or death, whichever occurs first up to Day +180
Nonrelapse Mortality (NRM)
Time frame: From the date of first dose of study drug to first documented death without relapse, up to Day +180
Overall Survival (OS)
Time frame: From the date of first dose of study drug to first documented death up to Day +180
Grade B-D aGvHD-Free Survival
Time frame: From the date of first dose of study drug to first documented grade B-D aGvHD or death, whichever occurs first up to Day +180
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Jun 2023.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 38844797Chen YB, Mohty M, Zeiser R, Teshima T, Jamy O, Maertens J, Purtill D, Chen J, Cao H, Rossiter G, Jansson J, Floisand Y. Vedolizumab for the prevention of intestinal acute GVHD after allogeneic hematopoietic stem cell transplantation: a randomized phase 3 trial. Nat Med. 2024 Aug;30(8):2277-2287. doi: 10.1038/s41591-024-03016-4. Epub 2024 Jun 6.
- 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 study director
Takeda
139 sites in 27 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Vedolizumab in people with Hematopoietic Stem Cells, run by Millennium Pharmaceuticals, Inc. at 139 sites in 27 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 5 inclusion and 3 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 6 Jun 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 139 sites in United States, South Korea, Italy, Spain, Japan and 22 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. 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 14 Apr 2023). 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?
Intestinal aGvHD-Free Survival After Allo-HSCT by +180 Days (time frame: From the date of first dose of study drug to first documented intestinal aGvHD or death, whichever occurs first up to +180 days). 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 NCT03657160, which also lists 1 linked publication.
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 6 Jun 2023.