A Randomized, Double-Blind, Phase 3 Study to Evaluate the Efficacy and Safety of Vedolizumab Intravenous as Maintenance Therapy in Pediatric Subjects With Moderately to Severely Active Crohn's Disease Who Achieved Clinical Response Following Open-Label Vedolizumab Intravenous Therapy

Who is this study for? Pediatric patients with moderately to severely active Crohn's disease
What treatments are being studied? Vedolizumab
Status: Recruiting
Location: See all (93) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 3
SUMMARY

Vedolizumab is a medicine that helps to reduce inflammation and pain in the digestive system. In this study, children and teenagers with moderate to severe Crohn's disease will be treated with vedolizumab. The main aim of the study is to check if participants achieve remission after treatment with the vedolizumab. Remission means symptoms improve or disappear and an endoscopy shows no signs of inflammation. Participants will receive 3 infusions of vedolizumab over 6 weeks. Then, those who have a clinical response will receive either a high dose or low dose of vedolizumab once every 8 weeks. They will receive the same dose every time.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 2
Maximum Age: 17
Healthy Volunteers: f
View:

• The participants has moderately to severely active CD, unresponsive or intolerant to their current standard of care (SOC).

• The participants weigh ≥10 kg at the time of screening and enrollment into the study.

• Participants with Crohn's disease (CD) diagnosed at least 1 month before screening. Participants with moderately to severely active CD defined by a Pediatric Crohn's Disease Activity Index (PCDAI) \>30 and an simple endoscopic score for Crohn's Disease (SES-CD) \>6 (or an SES-CD ≥4 if disease is confined to terminal ileum) at screening endoscopy.

• Participants who have failed, lost response to, or been intolerant to treatment with at least 1 of the following agents: corticosteroids, immunomodulators (eg, azathioprine (AZA), 6-mercaptopurine (6-MP), methotrexate \[MTX\]), and/or tumor necrosis factor (TNF)-α antagonist therapy (eg, infliximab, adalimumab). This includes participants who are dependent on corticosteroids or exclusive or partial enteral nutrition to control symptoms and who are experiencing worsening of disease in the moderate-to-severe range when attempting to wean off corticosteroids or discontinue exclusive enteral nutrition.

• Participants with extensive colitis or pancolitis of \>8 years' duration or left-sided colitis of \>12 years' duration must have documented evidence of a negative surveillance colonoscopy within 12 months before screening.

• Participants with vaccinations that are up-to-date based on the countrywide accepted schedule of childhood vaccines.

Locations
United States
Arizona
Phoenix Childrens Hospital
NOT_YET_RECRUITING
Phoenix
California
Cedars Sinai Medical Center
WITHDRAWN
Los Angeles
Rady Childrens Hospital San Diego - PIN
NOT_YET_RECRUITING
San Diego
University of California San Francisco
WITHDRAWN
San Francisco
Florida
I.H.S Health LLC
WITHDRAWN
Kissimmee
Georgia
Childrens Center For Digestive Healthcare
RECRUITING
Atlanta
Illinois
Advocate Children's Hospital Park Ridge
RECRUITING
Park Ridge
Indiana
Riley Hospital For Children
WITHDRAWN
Indianapolis
Massachusetts
Boston Children's Hospital
NOT_YET_RECRUITING
Boston
Maryland
Johns Hopkins University
NOT_YET_RECRUITING
Baltimore
Minnesota
MNGI Digestive Health, PA
RECRUITING
Minneapolis
Mayo Clinic - PIN
NOT_YET_RECRUITING
Rochester
New Jersey
Goryeb Children's Hospital
RECRUITING
Morristown
New York
The Steven and Alexandra Cohen Childrens Medical Center of New York - BRANY - PPDS
RECRUITING
New Hyde Park
University of Rochester Medical Center PPDS
WITHDRAWN
Rochester
Stony Brook University Medical Center
RECRUITING
Stony Brook
SUNY Upstate Medical Center
WITHDRAWN
Syracuse
Ohio
University Hospitals Cleveland Medical Center
NOT_YET_RECRUITING
Cleveland
Pennsylvania
Children's Hospital of Pittsburgh
NOT_YET_RECRUITING
Pittsburgh
Rhode Island
Hasbro Children's Hospital
WITHDRAWN
Providence
Texas
Texas Children's Hospital
RECRUITING
Houston
Virginia
Carilion Children's Tanglewood Center
RECRUITING
Roanoke
Other Locations
Australia
Monash Health, Monash Medical Centre
NOT_YET_RECRUITING
Clayton
Royal Children's Hospital Melbourne - PIN
NOT_YET_RECRUITING
Parkville
Queensland Childrens Hospital
RECRUITING
South Brisbane
Children's Hospital at Westmead
NOT_YET_RECRUITING
Westmead
Belgium
UZ Antwerpen
NOT_YET_RECRUITING
Edegem
Universitair Ziekenhuis Brussel - PIN
NOT_YET_RECRUITING
Jette
UZ Leuven
NOT_YET_RECRUITING
Leuven
Canada
University of Alberta Hospital
NOT_YET_RECRUITING
Edmonton
London Health Sciences Centre
NOT_YET_RECRUITING
London
Centre Hospitalier Universitaire Sainte-Justine
NOT_YET_RECRUITING
Montreal
British Columbia Children's Hospital
NOT_YET_RECRUITING
Vancouver
China
Beijing Children Hospital,Capital Medical University
NOT_YET_RECRUITING
Beijing
The Children's Hospital Zhejiang UniversitySchool of Medicine
NOT_YET_RECRUITING
Hangzhou
Children's Hospital of Fudan University
NOT_YET_RECRUITING
Shanghai
Henan Children's Hospital(Zhengzhou Children's Hospital)
NOT_YET_RECRUITING
Zhengzhou
Croatia
University Hospital Centre Split
RECRUITING
Split
Klinika Za Djecje Bolesti Zagreb
RECRUITING
Zagreb
University Hospital Center Zagreb
RECRUITING
Zagreb
Greece
Attikon University General Hospital
RECRUITING
Athens
Children's Hospital Agia Sofia
RECRUITING
Athens
Ippokratio General Hospital of Thessaloniki
NOT_YET_RECRUITING
Thessaloniki
Ippokratio General Hospital of Thessaloniki
RECRUITING
Thessaloniki
Hungary
Semmelweis Egyetem
NOT_YET_RECRUITING
Budapest
Borsod-Abauj-Zemplen Megyei Kozponti Korhaz es Egyetemi Oktato Korhaz
RECRUITING
Miskolc
Szegedi Tudomanyegyetem Szent-Gyorgyi Albert Klinikai Kozpont
RECRUITING
Szeged
Israel
Soroka University Medical Centre
NOT_YET_RECRUITING
Beersheba
Carmel Medical Center
NOT_YET_RECRUITING
Haifa
Rambam Medical Center - PPDS
NOT_YET_RECRUITING
Haifa
Hadassah Medical Center - PPDS
NOT_YET_RECRUITING
Jerusalem
Shaare Zedek Medical Center
NOT_YET_RECRUITING
Jerusalem
Tel Aviv Sourasky Medical Center PPDS
NOT_YET_RECRUITING
Jerusalem
Schneider Childrens Medical Center of Israel Petah Tikvah PIN
NOT_YET_RECRUITING
Petah Tikva
Italy
Azienda USL di Bologna
NOT_YET_RECRUITING
Bologna
ASST di Monza - Azienda Ospedaliera San Gerardo
NOT_YET_RECRUITING
Monza
AOU dell'Universita degli Studi della Campania Luigi Vanvitelli
NOT_YET_RECRUITING
Napoli
Azienda Ospedaliera Universitaria Federico II
NOT_YET_RECRUITING
Napoli
Universita degli Studi di Padova
NOT_YET_RECRUITING
Padua
Sapienza University of Rome
RECRUITING
Rome
Japan
Juntendo University Hospital
RECRUITING
Bunkyo-ku
Japanese Red Cross Kumamoto Hospital
RECRUITING
Kumamoto
Kurume University Hospital
RECRUITING
Kurume-shi
National Center for Child Health and Development
RECRUITING
Setagaya-ku
Lithuania
Hospital of Lithuanian University of Health Sciences Kaunas Clinics
WITHDRAWN
Kaunas
Vilnius University Hospital Santaros Klinikos
WITHDRAWN
Vilnius
Poland
Copernicus Podmiot Leczniczy Sp. z o.o.
NOT_YET_RECRUITING
Gdansk
Gornoslaskie Centrum Zdrowia Dziecka Im. Sw. Jana Pawla II Spsk Nr 6 Sum W Katowicach
NOT_YET_RECRUITING
Katowice
Uniwersytecki Szpital Dzieciecy
NOT_YET_RECRUITING
Krakow
Instytut Centrum Zdrowia Matki Polki
NOT_YET_RECRUITING
Lodz
SPZOZ Centralny Szpital Kliniczny UM w Lodzi
NOT_YET_RECRUITING
Lodz
Korczowski Bartosz, Gabinet Lekarski
RECRUITING
Rzeszów
Twoja Przychodnia SCM
RECRUITING
Szczecin
Instytut Pomnik Centrum Zdrowia Dziecka
RECRUITING
Warsaw
WIP Warsaw IBD Point Profesor Kierkus
NOT_YET_RECRUITING
Warsaw
Uniwersytecki Szpital Kliniczny im. Jana Mikulicza Radeckiego we Wroclawiu
NOT_YET_RECRUITING
Wroclaw
Republic of Korea
Kyungpook National University Chilgok hospital
RECRUITING
Daegu
Gachon University Gil Medical Center
RECRUITING
Incheon
Seoul National University Hospital
RECRUITING
Seongnam
Samsung Medical Center - PPDS
RECRUITING
Seoul
Slovakia
Detska fakultna nemocnica s poliklinikou Banska Bystrica
TERMINATED
Banská Bystrica
Narodny ustav detskych chorob
TERMINATED
Bratislava
Spain
Hospital Sant Joan de Deu - PIN
WITHDRAWN
Esplugues De Llobregat
Hospital Infantil Universitario Nino Jesus - PIN
WITHDRAWN
Madrid
Hospital Regional Universitario de Malaga - Hospital Materno Infantil
WITHDRAWN
Málaga
Hospital de Sagunto
WITHDRAWN
Sagunto
Hospital Universitario Virgen del Rocio - PPDS
WITHDRAWN
Seville
United Kingdom
Birmingham Children's Hospital NHS Foundation Trust
NOT_YET_RECRUITING
Birmingham
Noahs Ark Childrens Hospital for Wales - PPDS - PIN
NOT_YET_RECRUITING
Cardiff
Barts Health NHS Trust
NOT_YET_RECRUITING
London
Great Ormond Street Hospital (GOSH)
NOT_YET_RECRUITING
London
Kings College Hospital
NOT_YET_RECRUITING
London
Royal Manchester Children's Hospital - PPDS
NOT_YET_RECRUITING
Manchester
Contact Information
Primary
Takeda Contact
medinfoUS@takeda.com
+1-877-825-3327
Time Frame
Start Date: 2022-04-30
Estimated Completion Date: 2026-05-22
Participants
Target number of participants: 120
Treatments
Experimental: Induction Period: 10 to 15 kg, Vedolizumab 150 mg
Vedolizumab 150 mg, intravenous (IV) infusion, at Day 1, Weeks 2 and 6 in Induction Period. Participants with CD having Baseline weight of 10 to 15 kg will be included in this arm group.
Experimental: Induction Period: >15 to <30 kg, Vedolizumab 200 mg
Vedolizumab 200 mg, IV infusion, at Day 1, Weeks 2 and 6 in Induction Period. Participants with CD having Baseline weight of \>15 to \<30 kg will be included in this arm group.
Experimental: Induction Period: ≥30 kg, Vedolizumab 300 mg
Vedolizumab 300 mg, IV infusion, at Day 1, Weeks 2 and 6 in Induction Period. Participants with CD having Baseline weight of ≥30 kg will be included in this arm group.
Experimental: Maintenance Period: 10 to 15 kg Vedolizumab 150 mg
Vedolizumab 150 mg, IV infusion, once every 8 weeks (Q8W) from Week 14 up to Week 46 in the Maintenance Period. Participants with Week 14 weight of 10 to 15 kg who achieved clinical response at Week 14 randomized to this high dose arm group will receive vedolizumab 150 mg.
Experimental: Maintenance Period: 10 to 15 kg Vedolizumab 100 mg
Vedolizumab 100 mg, IV infusion, Q8W from Week 14 up to Week 46 in the Maintenance Period. Participants with Week 14 weight of 10 to 15 kg who achieved clinical response at Week 14 randomized to this low dose arm group will receive vedolizumab 100 mg.
Experimental: Maintenance Period: >15 to <30 kg, Vedolizumab 200 mg
Vedolizumab 200 mg, IV infusion, Q8W from Week 14 up to Week 46 in the Maintenance Period. Participants with Week 14 weight of \>15 to \<30 kg who achieved clinical response at Week 14 randomized to this high dose arm group will receive vedolizumab 200 mg.
Experimental: Maintenance Period: >15 to <30 kg Vedolizumab 100 mg
Vedolizumab 100 mg, IV infusion, Q8W from Week 14 up to Week 46 in the Maintenance Period. Participants with Week 14 weight of \>15 to \<30 kg who achieved clinical response at Week 14 randomized to this low dose arm group will receive vedolizumab 100 mg.
Experimental: Maintenance Period: ≥30 kg, Vedolizumab 300 mg
Vedolizumab 300 mg, IV infusion, Q8W from Week 14 up to Week 46 in the Maintenance Period. Participants with Week 14 weight of ≥30 kg who achieved clinical response at Week 14 randomized to this high dose arm group will receive vedolizumab 300 mg.
Experimental: Maintenance Period: ≥30 kg: Vedolizumab 150 mg
Vedolizumab 150 mg, IV infusion, Q8W from Week 14 up to Week 46 in the Maintenance Period. Participants with Week 14 weight of ≥30 kg who achieved clinical response at Week 14 randomized to this low dose arm group will receive vedolizumab 150 mg.
Related Therapeutic Areas
Sponsors
Leads: Takeda

This content was sourced from clinicaltrials.gov

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