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NCT02611817

Efficacy and Safety of Vedolizumab Subcutaneous (SC) as Maintenance Therapy in Crohn's Disease (CD)

Completed Phase 3 Results posted Last updated 25 May 2022
What this trial tests

Phase 3 trial testing Vedolizumab SC 108 mg in Crohn's Disease in 644 participants. Completed in 6 August 2019.

Timeline
4 January 2016
Primary endpoint
6 May 2019
6 August 2019

Quick facts

Lead sponsorTakeda
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment644
Start date4 January 2016
Primary completion6 May 2019
Estimated completion6 August 2019
Sites194 locations across Italy, Japan, Taiwan, Poland, South Korea, Denmark, Netherlands, Russia

Drugs / interventions tested

Conditions studied

Sponsor

Takeda — full company profile →

Who can join

Adults 18 to 80, any sex, with Crohn's Disease. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Percentage of Participants Achieving Clinical Remission at Week 52 Primary · Week 52

Clinical remission is defined as a Crohn's Disease Activity Index (CDAI) score less than or equal to (\<=) 150 at Week 52. 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

GroupValue95% CI
Maintenance Phase: Induction IV + Placebo34.326.3 – 43.0
Maintenance Phase: Induction IV + Vedolizumab 108 mg SC48.042.0 – 54.1
Percentage of Participants Achieving Enhanced Clinical Response at Week 52 Secondary · Week 52

Enhanced clinical response is defined as a decrease from Baseline of greater than or equal to (\>=) 100 points in the CDAI score at Week 52. A CDAI is a multi-item instrument which measures severity of active CD monitored over 7 days includes participant reported symptoms, physician-assessed signs, and laboratory markers. CDAI score = 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).

GroupValue95% CI
Maintenance Phase: Induction IV + Placebo44.836.2 – 53.6
Maintenance Phase: Induction IV + Vedolizumab 108 mg SC52.045.9 – 58.0
Percentage of Participants Achieving Corticosteroid-free Remission at Week 52 Secondary · 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 CDAI score \<=150 at Week 52. CDAI score = 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 indicat

GroupValue95% CI
Maintenance Phase: Induction IV + Placebo18.28.2 – 32.7
Maintenance Phase: Induction IV + Vedolizumab 108 mg SC45.335.0 – 55.8
Percentage of TNF-alpha Antagonist Naive Participants Achieving Clinical Remission at Week 52 Secondary · Week 52

Clinical remission is defined as CDAI score \<=150 at Week 52. CDAI score = 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.

GroupValue95% CI
Maintenance Phase: Induction IV + Placebo42.930.5 – 56.0
Maintenance Phase: Induction IV + Vedolizumab 108 mg SC48.638.8 – 58.5

Adverse events — posted to ClinicalTrials.gov

Time frame: Treatment-emergent adverse events are adverse events that started after the first dose of study drug up to 18 weeks after the last dose of study drug (up to Week 68). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Induction Phase Only: Vedolizumab 300 mg IV
Serious: 39/235 (17%)
Deaths: 0/235
Maintenance Phase: Induction IV + Placebo
Serious: 14/134 (10%)
Deaths: 0/134
Maintenance Phase: Induction IV + Vedolizumab 108 mg SC
Serious: 23/275 (8%)
Deaths: 0/275

Serious adverse events (51 terms)

ReactionSystemInduction Phase Only: Vedo…Maintenance Phase: Inducti…Maintenance Phase: Inducti…
Crohn's diseaseGastrointestinal disorders
Abdominal abscessInfections and infestations
Atrial fibrillationCardiac disorders
Small intestinal obstructionGastrointestinal disorders
Intestinal obstructionGastrointestinal disorders
Anal abscessInfections and infestations
Abdominal painGastrointestinal disorders
AnaemiasBlood and lymphatic system disorders
LeukocytosisBlood and lymphatic system disorders
Angina pectorisCardiac disorders
PancreatitisGastrointestinal disorders
Ileal stenosisGastrointestinal disorders
Anal fistulaGastrointestinal disorders
Enterovesical fistulaGastrointestinal disorders
SubileusGastrointestinal disorders
General physical health deteriorationGeneral disorders
Abdominal wall abscessInfections and infestations
Abscess intestinalInfections and infestations
AppendicitisInfections and infestations
GastroenteritisInfections and infestations
Rectal abscessInfections and infestations
Dengue feverInfections and infestations
BronchitisInfections and infestations
PneumoniaInfections and infestations
Gastrointestinal anastomotic complicationInjury, poisoning and procedural complications
Other adverse events (8 terms — click to expand)

ReactionSystemInduction Phase Only: Vedo…Maintenance Phase: Inducti…Maintenance Phase: Inducti…
Crohn's diseaseGastrointestinal disorders
NasopharyngitisInfections and infestations
Abdominal painGastrointestinal disorders
Upper respiratory tract infectionInfections and infestations
ArthralgiaMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders

Most-reported serious reactions: Crohn's disease, Abdominal abscess, Atrial fibrillation, Small intestinal obstruction, Intestinal obstruction, Anal abscess, Abdominal pain, Anaemias.

Data from ClinicalTrials.gov NCT02611817 adverse events section.

Sponsor's own description

The purpose of this study is to assess the effect of vedolizumab subcutaneous (vedolizumab SC) as maintenance treatment in participants with moderately to severely active CD who achieved clinical response following administration of vedolizumab intravenous (vedolizumab IV) induction therapy.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Efficacy and Safety of Subcutaneous Vedolizumab in Patients With Moderately to Severely Active Crohn's Disease: Results From the VISIBLE 2 Randomised Trial.
    Vermeire S, D'Haens G, Baert F, Danese S, et al · · 2022 · cited 130× · PMID 34402887 · DOI 10.1093/ecco-jcc/jjab133
  2. Update on TDM (Therapeutic Drug Monitoring) with Ustekinumab, Vedolizumab and Tofacitinib in Inflammatory Bowel Disease.
    Restellini S, Afif W. · · 2021 · cited 36× · PMID 33802816 · DOI 10.3390/jcm10061242
  3. Comparative Efficacy of Subcutaneous and Intravenous Infliximab and Vedolizumab for Maintenance Treatment of TNF-naive Adult Patients with Inflammatory Bowel Disease: A Systematic Literature Review and Network Meta-analysis.
    Peyrin-Biroulet L, Bossuyt P, Bettenworth D, Loftus EV, et al · · 2024 · cited 10× · PMID 38499736 · DOI 10.1007/s10620-023-08252-1
  4. Impact of Concomitant 5-Aminosalicylic Acid Therapy on Vedolizumab Efficacy and Safety in Inflammatory Bowel Disease: Post Hoc Analyses of Clinical Trial Data.
    Ungaro RC, Kadali H, Zhang W, Adsul S, et al · · 2023 · cited 10× · PMID 37492976 · DOI 10.1093/ecco-jcc/jjad113
  5. Vedolizumab for induction and maintenance of remission in Crohn's disease.
    Hui S, Sinopoulou V, Gordon M, Aali G, et al · · 2023 · cited 9× · PMID 37458279 · DOI 10.1002/14651858.cd013611.pub2
  6. A SPECIAL MEETING REVIEW EDITION: Highlights in Inflammatory Bowel Disease From the 14th Congress of ECCO: A Review of Selected Presentations From the 14th Congress of the European Crohn's and Colitis Organisation (ECCO) • March 6-9, 2019 • Copenhagen, Denmark<b>Special Reporting
    · 2019 · cited 8× · PMID 31632213
  7. Assessment of Vedolizumab Disease-Drug-Drug Interaction Potential in Patients With Inflammatory Bowel Diseases.
    Sun W, Lirio RA, Schneider J, Aubrecht J, et al · · 2021 · cited 7× · PMID 33331142 · DOI 10.1002/cpdd.891
  8. Practical Primer Addressing Real-World Use Scenarios of Subcutaneous Vedolizumab in Ulcerative Colitis and Crohn's Disease: Post Hoc Analyses of VISIBLE Studies.
    Sandborn WJ, Chen J, Kisfalvi K, Loftus EV, et al · · 2023 · cited 6× · PMID 37636008 · DOI 10.1093/crocol/otad034

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