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A Study of Vedolizumab With and Without Upadacitinib in Adults With Crohn's Disease
NCT06227910 · Takeda
In plain English
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Official title
A Randomized, Double-Blind, Phase 3b Study to Evaluate the Short- and Long-Term Efficacy and Safety of Dual Targeted Therapy With Intravenous Vedolizumab and Oral Upadacitinib Compared With Intravenous Vedolizumab and Oral Placebo for Induction Followed by Intravenous Vedolizumab Monotherapy for Maintenance in the Treatment of Adults With Moderately to Severely Active Crohn's Disease
About this study
The drug being tested in this study is vedolizumab. Vedolizumab is being tested to treat people with moderately to severely active CD. The study will look at the efficacy and safety of vedolizumab with and without upadacitinib. The study will enroll approximately 396 patients. Participants will be assigned in a 1:1 ratio to one of the two treatment groups in the 12-weeks Induction Phase:
* Induction Phase: Vedolizumab + Upadacitinib
* Induction Phase: Vedolizumab + Placebo
Participants who achieve a Crohn's disease activity index (CDAI) reduction of greater than or equal to (\>=)70 points from baseline at Week 12 will enter the main study Maintenance Phase (40 weeks) of the study to receive vedolizumab monotherapy. Participants will be followed for a further 18-week safety follow-up period up to Week 70.
This multi-center trial will be conducted worldwide. The overall time to participate in this study is approximately 70 weeks.
Eligibility criteria
Inclusion Criteria:
1. The participant has a diagnosis of CD established at least 3 months before screening by clinical and endoscopic evidence and corroborated by a histopathology report.
2. The participant has a confirmed diagnosis of moderately to severely active CD as assessed by CDAI of 220-450.
3. The participant has evidence of mucosal inflammation based on the SES-CD: SES-CD score (excluding the presence of narrowing component) of \>=6 (or \>=4 for participants with isolated ileal disease), as confirmed by a central reader.
4. The participant has demonstrated an inadequate response to, loss of response to, or intolerance to corticosteroids, immunomodulators, or biologic therapy.
Exclusion Criteria:
1. The participant has a current diagnosis of ulcerative colitis or indeterminate colitis.
2. The participant has infection(s) requiring treatment with IV anti-infectives within 30 days prior to baseline or oral/intramuscular anti-infectives within 14 days prior to baseline.
3. The participant has evidence of an active infection during the screening period, or clinically significant infection within 30 days prior to screening, or ongoing chronic infection.
4. The participant has a history of recurrent or disseminated (including a single episode) herpes zoster, or disseminated (including a single episode) herpes simplex.
5. The participant has any of the following ongoing known complications of CD: abscess (abdominal or peri-anal); symptomatic bowel strictures; 2 entire missing segments of the following 5 segments: terminal ileum, right colon, transverse colon, sigmoid and left colon, and rectum; fulminant colitis; toxic megacolon; or any other manifestation that might require surgery while enrolled in the study.
6. The participant has an ostomy or ileoanal pouch.
7. The participant has severe renal impairment, defined as an estimated glomerular filtration rate of \<30 milliliters per minute per 1.73 square meters (mL/min/1.73 m\^2).
8. The participant has severe (Child-Pugh C) hepatic impairment.
Study design
Enrollment target: 396 participants
Allocation: randomized
Masking: quadruple
Age groups: adult, older_adult
Timeline
Starts: 2025-01-02
Estimated completion: 2028-08-01
Last updated: 2025-06-03
Interventions
Drug: VedolizumabDrug: UpadacitinibDrug: Placebo
Primary outcomes
- • Percentage of Participants Achieving Clinical Remission Based on the CDAI at Week 12 (Week 12)
- • Percentage of Participants Exhibiting an Endoscopic Response Based on Simple Endoscopic Score for CD (SES-CD) at Week 12 (Week 12)
Sponsor
Takeda · industry
Contacts & investigators
ContactTakeda Contact · contact · medinfoUS@takeda.com · +1-877-825-3327
InvestigatorStudy Director · study_director, Takeda
All locations (138)
UCSD Medical CenterNot Yet Recruiting
La Jolla, California, United States
Keck Medicine Of USC - USC Healthcare Center 1Not Yet Recruiting
Los Angeles, California, United States
Peak Gastroenterology AssociatesRecruiting
Colorado Springs, Colorado, United States
GI PROS, Inc.Active Not Recruiting
Naples, Florida, United States
Orlando Health Ambulatory Care CenterActive Not Recruiting
Orlando, Florida, United States
USF Health Morsani Center for Advanced HealthcareActive Not Recruiting
Tampa, Florida, United States
Indiana University (IU) Health University HospitalActive Not Recruiting
Indianapolis, Indiana, United States
University of KentuckyActive Not Recruiting
Lexington, Kentucky, United States
Mount Sinai Hospital - The Susan and Leonard Feinstein Inflammatory Bowel Disease (IBD) Clinical CenterActive Not Recruiting
New York, New York, United States
Columbia University Medical Center, New York-Presbyterian HospitalNot Yet Recruiting
New York, New York, United States
Lenox Hill Hospital Northwell HealthActive Not Recruiting
New York, New York, United States
Gastroenterology AssociatesActive Not Recruiting
Greenville, South Carolina, United States
Rapid City Medical CenterActive Not Recruiting
Rapid City, South Dakota, United States
Southern Star Research Institute, LLCRecruiting
San Antonio, Texas, United States
Tyler Research Institute, LLCRecruiting
Tyler, Texas, United States
Virginia Mason Medical CenterActive Not Recruiting
Seattle, Washington, United States
Swedish Cancer InstituteNot Yet Recruiting
Seattle, Washington, United States
University of Washington Medical Center - MontlakeNot Yet Recruiting
Seattle, Washington, United States
Medical College of Wisconsin Cancer Center - Froedtert HospitalNot Yet Recruiting
Milwaukee, Wisconsin, United States
Medizinische Universitaet Wien - Allgemeines Krankenhaus der Stadt Wien (AKH) - Universitaetsklinik fuer Innere Medizin IIINot Yet Recruiting
Vienna, State of Vienna, Austria
Medical University InnsbruckNot Yet Recruiting
Innsbruck, Tyrol, Austria
Johannes Kepler Universitat Linz (JKU)Not Yet Recruiting
Linz, Austria
Landeskrankenhaus Salzburg, Innere Medizin I, Labor im ErdgeschossNot Yet Recruiting
Salzburg, Austria
Krankenhaus der Barmherzigen Brueder WienNot Yet Recruiting
Vienna, Austria
Hopital Universitaire de Bruxelles/ Academisch Ziekenhuis BrusselNot Yet Recruiting
Brussels, Anderlecht, Belgium
Imelda GI Clinical Research CenterActive Not Recruiting
Bonheiden, Belgium
Universitair Ziekenhuis GentNot Yet Recruiting
Ghent, Belgium
University Hospitals LeuvenNot Yet Recruiting
Leuven, Belgium
Centre Hospitalier Chretien MontLegiaNot Yet Recruiting
Liège, Belgium
Hospital Universitario CajuruNot Yet Recruiting
Curitiba, Paraná, Brazil
Faculdade de Medicina de BotucatuNot Yet Recruiting
Botucatu, São Paulo, Brazil
Centro de Estudos Clinico do Interior Paulista - CECIPNot Yet Recruiting
Jaú, São Paulo, Brazil
Pesquisare SaudeNot Yet Recruiting
Santo André, São Paulo, Brazil
Universidade Federal do Rio de Janeiro (UFRJ)-Hospital Universitario Clementino Fraga Filho (HUCFF)Not Yet Recruiting
Rio de Janeiro, Brazil
Hospital das Clinicas of the University of Sao Paulo (Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo (HC/FMUSP))Not Yet Recruiting
São Paulo, Brazil
Unidade de Pesquisa Clinica UPC Hospital das Clinicas da Faculdade de Medicina de Ribeirao Preto da Universidade de Sao PauloNot Yet Recruiting
São Paulo, Brazil
Heritage Medical Research Clinic - University Of CalgaryActive Not Recruiting
Calgary, Alberta, Canada
University of Manitoba-Winnipeg Regional Health Authority-Health Sciences CentreNot Yet Recruiting
Winnipeg, Manitoba, Canada
Dalhousie UniversityNot Yet Recruiting
Halifax, Nova Scotia, Canada
Barrie GI AssociatesRecruiting
Barrie, Ontario, Canada
McMaster University - Farncombe Family Digestive Health Research Institute (FFDHRI)Active Not Recruiting
Hamilton, Ontario, Canada
Taunton Surgical Centre-Oshawa ClinicRecruiting
Oshawa, Ontario, Canada
Toronto Immune and Digestive Health Institute (TIDHI)Recruiting
Toronto, Ontario, Canada
Toronto Digestive Disease AssociatesNot Yet Recruiting
Vaughan, Ontario, Canada
Centre Hospitalier de l'Universite de MontrealNot Yet Recruiting
Montreal, Quebec, Canada
Poliklinika Borzan d.o.o.Not Yet Recruiting
Osijek, Croatia
Clinical Hospital Center RijekaActive Not Recruiting
Rijeka, Croatia
University Hospital Centre Sestre MilosrdniceNot Yet Recruiting
Zagreb, Croatia
Nemocnice Ceske Budejovice, a.s.Not Yet Recruiting
České Budějovice, Czechia
Fakultni Nemocnice Hradec KraloveNot Yet Recruiting
Hradec Králové, Czechia
Hepato-Gastroenterologie HK, s.r.o.Not Yet Recruiting
Hradec Králové, Czechia
IBD Clinical and Research centreNot Yet Recruiting
Prague, Czechia
Aalborg HospitalNot Yet Recruiting
Aalborg, Denmark
Hvidovre Hospital Medicinsk Gastroenterologisk AfdelingNot Yet Recruiting
Hvidovre, Denmark
CHU d'Amiens-Picardie - Hopital SUDNot Yet Recruiting
Amiens, France
Hopital Huriez - CHRU de LilleNot Yet Recruiting
Lille, France
Chu - Hopital NordNot Yet Recruiting
Marseille, France
Centre Hospitalier Universitaire de Nantes (CHU de Nantes) - Hopital Hotel DieuActive Not Recruiting
Nantes, France
Centre Hospitalier Universitaire de Bordeaux - Hopital Haut-LevequeActive Not Recruiting
Pessac, France
CHU St Etienne Hopital NordNot Yet Recruiting
Saint-Etienne, France
Centre Hospitalier Universitaire (CHU) de Toulouse - Hopital RangueilActive Not Recruiting
Toulouse, France
Centre Hospitalier Regional Universitaire de Nancy, Hopital BraboisNot Yet Recruiting
Vandœuvre-lès-Nancy, France
Krankenhaus Waldfriede e.V.Not Yet Recruiting
Berlin, Germany
Agaplesion Markus KrankenhausNot Yet Recruiting
Frankfurt am Main, Germany
Studiengesellschaft BSFNot Yet Recruiting
Halle, Germany
Universitaetsklinikum JenaNot Yet Recruiting
Jena, Germany
Universitaetsklinikum Schleswig-Holstein, UKSH-Campus KielNot Yet Recruiting
Kiel, Germany
St. Marien- und St. AnnastiftskrankenhausNot Yet Recruiting
Ludwigshafen, Germany
Universitaetsklinikum Mannheim (Umm) - Ii Medizinische KlinikNot Yet Recruiting
Mannheim, Germany
University of Athens School of Medicine, Alexandra General HospitalNot Yet Recruiting
Athens, Attica, Greece
Metaxa Cancer HospitalNot Yet Recruiting
Piraeus, Attica, Greece
University Hospital of HeraklionNot Yet Recruiting
Heraklion, Crete, Greece
Central Hospital of Northern Pest - Military HospitalNot Yet Recruiting
Budapest, Hungary
Semmelweis EgyetemNot Yet Recruiting
Budapest, Hungary
Szegedi Tudomanyegyetem Altalanos Orvostudomanyi Kar Szent-Gyorgyi Albert Klinikai Kozpont, I.Sz. Belogyaszati KlinikaNot Yet Recruiting
Szeged, Hungary
Adelaide, Meath and National Children's HospitalNot Yet Recruiting
Dublin, Ireland
University College Dublin (UCD) - St. Vincent's University Hospital (SVUH)Not Yet Recruiting
Dublin, Ireland
Beaumont HospitalNot Yet Recruiting
Dublin, Ireland
Soroka Medical CenterNot Yet Recruiting
Beersheba, Israel
Rambam Health Care Campus (RHCC)Not Yet Recruiting
Haifa, Israel
Meir Medical CenterNot Yet Recruiting
Kfar Saba, Israel
Rabin Medical Center - Beilinson Campus (Beilinson and Hasharon Hospital)Not Yet Recruiting
Petah Tikva, Israel
The Tel Aviv Sourasky Medical CenterNot Yet Recruiting
Tel Aviv, Israel
Ospedale San Raffaele (HSR) Instituto Scientifico Universitario San RaffaeleNot Yet Recruiting
Milan, Italy
Azienda Ospedaliero Universitaria Federico II di NapoliNot Yet Recruiting
Naples, Italy
A. Gemelli University Hospital, Catholic University of the Sacred HeartNot Yet Recruiting
Roma, Italy
Humanitas Clinical And Research InstituteNot Yet Recruiting
Rozzano, Italy
Fondazione IRCSS Casa Sollievo Della SofferenzaNot Yet Recruiting
San Giovanni Rotondo, Italy
AO Ordine Mauriziano di TorinoNot Yet Recruiting
Torino, Italy
Amsterdam UMC Research BVNot Yet Recruiting
Amsterdam, Netherlands
Radboud University Medical CenterNot Yet Recruiting
Nijmegen, Netherlands
Erasmus Medisch CentrumNot Yet Recruiting
Rotterdam, Netherlands
Elisabeth TweeSteden Ziekenhuis (ETZ)Not Yet Recruiting
Tilburg, Netherlands
Vestre Viken HF - Baerum SykehusNot Yet Recruiting
Drammen, Gjettum, Norway
Haukeland Universitetssjukehus (Haukeland University Hospital)Not Yet Recruiting
Bergen, Norway
Akershus University HospitalNot Yet Recruiting
Lorenskog, Norway
Oslo Universitetssykehus HF, UllevalNot Yet Recruiting
Oslo, Norway
Oddzial Kliniczny Gastroenterologii Ogolnej i Onkologicznej SPZOZ Uniwersytecki Szpital Kliniczny Nr 1 im. Barlickiego Uniwersytetu Medycznego w LodziNot Yet Recruiting
Lodz, Poland
Samodzielny Publiczny Szpital Kliniczny Im. H. Swiecickiego UmNot Yet Recruiting
Poznan, Poland
H-T. Centrum Medyczne Sp. z o.o. Sp.k.Not Yet Recruiting
Tychy, Poland
Panstwowy Instytut Medyczny MSWiANot Yet Recruiting
Warsaw, Poland
WIP Warsaw IBD Point Profesor KierkusNot Yet Recruiting
Warsaw, Poland
Unidade Local de Saude CoimbraNot Yet Recruiting
Coimbra, Portugal
Centro Hospitalar de Lisboa ocidental (CHLO), Hospital Egas MonizNot Yet Recruiting
Lisbon, Portugal
Centro Hospitalar Universitario Lisboa Norte EPENot Yet Recruiting
Lisbon, Portugal
University Clinical Centre - LjubljanaNot Yet Recruiting
Ljubljana, Slovenia
Inje University Haeundae Paik HospitalRecruiting
Busan, South Korea
Yeungnam University Medical CenterActive Not Recruiting
Daegu, South Korea
The Catholic University of Korea, Daejeon St.Mary's HospitalActive Not Recruiting
Daejeon, South Korea
Kyung Hee University HospitalRecruiting
Seoul, South Korea
Severance Hospital, Yonsei University Health SystemActive Not Recruiting
Seoul, South Korea
The Catholic University of Korea, Seoul St. Mary's HospitalActive Not Recruiting
Seoul, South Korea
Chung-Ang University HospitalActive Not Recruiting
Seoul, South Korea
The Catholic University Of Korea, St. Vincent's HospitalActive Not Recruiting
Suwon, South Korea
Hospital General Universitario Gregorio Maranon (HGUGM)Active Not Recruiting
Madrid, Spain
Hospital Universitario La PazActive Not Recruiting
Madrid, Spain
Hospital Universitari Son EspasesNot Yet Recruiting
Palma, Spain
Complejo Hospitalario de Navarra (CHN)Active Not Recruiting
Pamplona, Spain
Complejo Hospitalario Universitario De Santiago De CompostelaNot Yet Recruiting
Santiago de Compostela, Spain
Hospital Universitari I Politecnic La FeNot Yet Recruiting
Valencia, Spain
Universitetssjukhuset i Linkoping, Endokrin- och magtarmmedicinska Kliniken (EM-Kliniken)Not Yet Recruiting
Linköping, Sweden
Ersta sjukhusNot Yet Recruiting
Stockholm, Sweden
Karolinska Universitetssjukhuset - Hjartkliniken i Solna - Karolinska University HospitalNot Yet Recruiting
Stockholm, Sweden
Danderyds Sjukhus ABNot Yet Recruiting
Stockholm, Sweden
University Hospital BaselNot Yet Recruiting
Basel, Switzerland
University Hospital Bern (Inselspital)Not Yet Recruiting
Bern, Switzerland
Zentrum fur GastroenterologieNot Yet Recruiting
Zurich, Switzerland
Universitatsspital ZurichNot Yet Recruiting
Zurich, Switzerland
Changhua Christian HospitalNot Yet Recruiting
Changhua, Taiwan
Chung Shan Medical University HospitalNot Yet Recruiting
Taichung, Taiwan
Taichung Veterans General HospitalNot Yet Recruiting
Taichung, Taiwan
National Cheng Kung University HospitalNot Yet Recruiting
Tainan, Taiwan
National Defense Medical Center (NDMC) (Tri-Service General Hospital (TSGH)) - NeihuNot Yet Recruiting
Taipei, Taiwan
Chang Gung Memorial Foundation Linkou Chang Gung Memorial HospitalNot Yet Recruiting
Taoyuan, Taiwan
St Thomas' Hospital - Guy's & St Thomas' NHS Foundation TrustNot Yet Recruiting
London, England, United Kingdom
The Royal London Hospital - Barts Health NHS TrustNot Yet Recruiting
London, Greater London, United Kingdom
Western General HospitalNot Yet Recruiting
Edinburgh, Lothian, United Kingdom
Queen Elizabeth University Hospital - NHS Greater Glasgow & Clyde - South Glasgow University Hospital DivisionNot Yet Recruiting
Glasgow, Scotland, United Kingdom