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NCT04064697: CYTOVEDO

Impact of Anti-cytomegalovirus Treatment in the Management of Relapsing Ulcerative Colitis Requiring Vedolizumab Therapy

Terminated Phase 3 Last updated 10 April 2024
What this trial tests

Phase 3 trial testing Valganciclovir in Ulcerative Colitis, Unspecified in 6 participants. Terminated before completion.

Timeline
22 April 2021
Primary endpoint
23 November 2023
8 February 2024

Quick facts

Lead sponsorCentre Hospitalier Universitaire de Saint Etienne
PhasePhase 3
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment6
Start date22 April 2021
Primary completion23 November 2023
Estimated completion8 February 2024
Sites8 locations across France

Drugs / interventions tested

Conditions studied

Sponsor

Centre Hospitalier Universitaire de Saint Etienne

Who can join

18 and older, any sex, with Ulcerative Colitis, Unspecified. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Ulcerative Colitis (UC) is an inflammatory bowel disease that can require the use of anti-TNF alpha therapy. When anti-TNF alpha failed to obtain a clinical response, the use of a new anti-integrin therapy, vedolizumab, can be proposed. The efficacy of vedolizumab has been assessed in a phase 3 study (GEMINI I), with response rates of 41.1% with vedolizumab vs 25.5% with placebo. CytoMegaloVirus (CMV) reactivation has been associated with resistance to steroid and to several lines of immunosuppressive therapy. Antiviral therapy was proven to decrease the tissue viral load and to restore the response to immunosuppressive therapies (up to 80% in small group of patients). A recent meta-analysis supports the use of valganciclovir in case of CytoMegaloVirus (CMV) reactivation in active Ulcerative Colitis (UC). Moreover, a study showed that the risk of CMV reactivation seems to be more important with vedolizumab than with anti TNF, and the risk of colectomy is higher in case of CytoMegaloVirus (CMV) reactivation (p\<0.05).

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Integrins as Drug Targets in Vascular and Related Diseases.
    Meredith E, Schwartz MA. · · 2024 · cited 2× · PMID 39703402 · DOI 10.53941/ijddp.2024.100010

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