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NCT02611830

Efficacy and Safety of Vedolizumab Subcutaneously (SC) as Maintenance Therapy in Ulcerative Colitis

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

Phase 3 trial testing Vedolizumab 300 mg IV in Colitis, Ulcerative in 383 participants. Completed in 21 August 2018.

Timeline
18 December 2015
Primary endpoint
30 May 2018
21 August 2018

Quick facts

Lead sponsorTakeda
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment383
Start date18 December 2015
Primary completion30 May 2018
Estimated completion21 August 2018
Sites174 locations across Italy, Japan, Poland, South Korea, Croatia, Denmark, Netherlands, Russia

Drugs / interventions tested

Conditions studied

Sponsor

Takeda — full company profile →

Who can join

Adults 18 to 80, any sex, with Colitis, Ulcerative. 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 complete Mayo score ≤ 2 points and no individual subscore \> 1 point. The Mayo score is a standard assessment tool to measure ulcerative colitis disease activity in clinical trials. The index consists of 4 subscores: rectal bleeding, stool frequency, findings on endoscopy, and physician's global assessment. Each subscore is scored on a scale from 0 to 3 and the complete Mayo score ranges from 0 to 12 (higher scores indicate greater disease activity).

GroupValue95% CI
Maintenance Phase: Induction IV + Placebo14.36.4 – 26.2
Maintenance Phase: Induction IV + Vedolizumab 108 mg SC46.236.5 – 56.2
Maintenance Phase: Induction IV + Vedolizumab 300 mg IV42.629.2 – 56.8
Percentage of Participants Achieving Mucosal Healing at Week 52 Secondary · Week 52

Mucosal healing is defined as Mayo endoscopic subscore ≤1 point. The findings on endoscopy scale ranges from 0 to 3, where 0=normal or inactive disease 1=mild disease (erythema, decreased vascular pattern, mild friability) 2=moderate disease (marked erythema, lack of vascular pattern, friability, erosions) 3=severe disease (spontaneous bleeding, ulceration).

GroupValue95% CI
Maintenance Phase: Induction IV + Placebo21.411.6 – 34.4
Maintenance Phase: Induction IV + Vedolizumab 108 mg SC56.646.6 – 66.2
Maintenance Phase: Induction IV + Vedolizumab 300 mg IV53.739.6 – 67.4
Percentage of Participants Achieving Durable Clinical Response at Week 6 and Week 52 Secondary · Baseline, Weeks 6 and 52

Durable clinical response is defined as clinical response at both Weeks 6 and 52, where clinical response is defined as a reduction in complete Mayo score of ≥3 points and ≥30% from Baseline (Week 0) with an accompanying decrease in rectal bleeding subscore of ≥1 point or absolute rectal bleeding subscore of ≤1 point. The Mayo score is a standard assessment tool to measure ulcerative colitis disease activity in clinical trials. The index consists of 4 subscores: rectal bleeding, stool frequency, findings on endoscopy, and physician's global assessment. Each subscore is scored on a scale from 0

GroupValue95% CI
Maintenance Phase: Induction IV + Placebo28.617.3 – 42.2
Maintenance Phase: Induction IV + Vedolizumab 108 mg SC64.254.3 – 73.2
Maintenance Phase: Induction IV + Vedolizumab 300 mg IV72.258.4 – 83.5
Percentage of Participants Achieving Durable Clinical Remission at Week 6 and Week 52 Secondary · Weeks 6 and 52

Durable clinical remission is defined as clinical remission at both Weeks 6 and 52. Clinical remission is defined as a complete Mayo score of less than or equal to (≤) 2 points and no individual subscore greater than (\>) 1 point. The Mayo score is a standard assessment tool to measure ulcerative colitis disease activity in clinical trials. The index consists of 4 subscores: rectal bleeding, stool frequency, findings on endoscopy, and physician's global assessment. Each subscore is scored on a scale from 0 to 3 and the complete Mayo score ranges from 0 to 12 (higher scores indicate greater dis

GroupValue95% CI
Maintenance Phase: Induction IV + Placebo5.41.1 – 14.9
Maintenance Phase: Induction IV + Vedolizumab 108 mg SC15.18.9 – 23.4
Maintenance Phase: Induction IV + Vedolizumab 300 mg IV16.77.9 – 29.3
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 complete Mayo score of ≤ 2 points and no individual subscore \> 1 point. The Mayo score is a standard assessment tool to measure ulcerative colitis disease activity in clinical trials. The index consists of 4 subscores: rectal bleeding, stool frequency, findings on endoscopy, and physician's global assessment. Each subscore is scored on a scale from 0 to 3 and the complete

GroupValue95% CI
Maintenance Phase: Induction IV + Placebo8.31.0 – 27.0
Maintenance Phase: Induction IV + Vedolizumab 108 mg SC28.916.4 – 44.3
Maintenance Phase: Induction IV + Vedolizumab 300 mg IV28.611.3 – 52.2

Adverse events — posted to ClinicalTrials.gov

Time frame: From first dose up to 18 weeks post last dose of study drug (Up to approximately 68 weeks). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Vedolizumab IV 300 mg, Induction Phase Only
Serious: 17/167 (10%)
Deaths: 0/167
Maintenance Phase: Induction IV + Placebo
Serious: 6/56 (11%)
Deaths: 0/56
Maintenance Phase: Induction IV + Vedolizumab 108 mg SC
Serious: 10/106 (9%)
Deaths: 0/106
Maintenance Phase: Induction IV + Vedolizumab 300 mg IV
Serious: 7/54 (13%)
Deaths: 0/54

Serious adverse events (29 terms)

ReactionSystemVedolizumab IV 300 mg, Ind…Maintenance Phase: Inducti…Maintenance Phase: Inducti…Maintenance Phase: Inducti…
Colitis ulcerativeGastrointestinal disorders
AnaemiaBlood and lymphatic system disorders
TachycardiaCardiac disorders
Acute abdomenGastrointestinal disorders
Large intestine perforationGastrointestinal disorders
CholelithiasisHepatobiliary disorders
Anal abscessInfections and infestations
PeritonitisInfections and infestations
TonsillitisInfections and infestations
Craniocerebral injuryInjury, poisoning and procedural complications
Clavicle fractureInjury, poisoning and procedural complications
Scapula fractureInjury, poisoning and procedural complications
Ligament ruptureInjury, poisoning and procedural complications
Road traffic accidentInjury, poisoning and procedural complications
Facial bones fractureInjury, poisoning and procedural complications
Jaw fractureInjury, poisoning and procedural complications
Lumbar vertebral fractureInjury, poisoning and procedural complications
Rib fractureInjury, poisoning and procedural complications
Blood creatine phosphokinase increasedInvestigations
Major depressionPsychiatric disorders
Pulmonary sarcoidosisRespiratory, thoracic and mediastinal disorders
PneumothoraxRespiratory, thoracic and mediastinal disorders
Abdominal pain lowerGastrointestinal disorders
ColitisGastrointestinal disorders
Clostridium difficile infectionInfections and infestations
Other adverse events (12 terms — click to expand)

ReactionSystemVedolizumab IV 300 mg, Ind…Maintenance Phase: Inducti…Maintenance Phase: Inducti…Maintenance Phase: Inducti…
Colitis ulcerativeGastrointestinal disorders
NasopharyngitisInfections and infestations
Upper respiratory tract infectionInfections and infestations
AnaemiaBlood and lymphatic system disorders
HeadacheNervous system disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Urinary tract infectionInfections and infestations
SinusitisInfections and infestations
Alanine aminotransferase increasedInvestigations
Blood creatine phosphokinase increasedInvestigations
InsomniaPsychiatric disorders
RashSkin and subcutaneous tissue disorders

Most-reported serious reactions: Colitis ulcerative, Anaemia, Tachycardia, Acute abdomen, Large intestine perforation, Cholelithiasis, Anal abscess, Peritonitis.

Data from ClinicalTrials.gov NCT02611830 adverse events section.

Sponsor's own description

The purpose of this study is to assess the effect of vedolizumab subcutaneous (vedolizumab SC) maintenance treatment on clinical remission at Week 52 in participants with moderately to severely active ulcerative colitis (UC) who achieved clinical response following administration of vedolizumab intravenous (vedolizumab IV) induction therapy.

Publications & conference data

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

  1. Efficacy and Safety of Vedolizumab Subcutaneous Formulation in a Randomized Trial of Patients With Ulcerative Colitis.
    Sandborn WJ, Baert F, Danese S, Krznarić Ž, et al · · 2020 · cited 224× · PMID 31470005 · DOI 10.1053/j.gastro.2019.08.027
  2. Comparative efficacy and safety of infliximab and vedolizumab therapy in patients with inflammatory bowel disease: a systematic review and meta-analysis.
    Peyrin-Biroulet L, Arkkila P, Armuzzi A, Danese S, et al · · 2022 · cited 37× · PMID 35676620 · DOI 10.1186/s12876-022-02347-1
  3. Efficacy and safety of a new vedolizumab subcutaneous formulation in Japanese patients with moderately to severely active ulcerative colitis.
    Kobayashi T, Ito H, Ashida T, Yokoyama T, et al · · 2021 · cited 12× · PMID 32806876 · DOI 10.5217/ir.2020.00026
  4. Immunological synapse: structures, molecular mechanisms and therapeutic implications in disease.
    Chao Z, Mei Q, Yang C, Luo J, et al · · 2025 · cited 10× · PMID 40784895 · DOI 10.1038/s41392-025-02332-6
  5. 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
  6. 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
  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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