RECRUITING

A Study of Vedolizumab in Children and Teenagers With Moderate to Severe Crohn's Disease (CD)

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

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.

Official Title

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

Quick Facts

Study Start:2022-04-30
Study Completion:2024-11-30
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT04779320

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:2 Years to 17 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:CHILD
Inclusion CriteriaExclusion Criteria
  1. 1. The participants has moderately to severely active CD, unresponsive or intolerant to their current standard of care (SOC).
  2. 2. The participants weigh ≥10 kg at the time of screening and enrollment into the study.
  3. 3. 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.
  4. 4. 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.
  5. 5. 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.
  6. 6. Participants with vaccinations that are up-to-date based on the countrywide accepted schedule of childhood vaccines.
  1. 1. Participants who have received either (1) an investigational biologic (other than those listed in Exclusion Criterion #1) within 60 days or 5 half-lives before screening (whichever is longer); or (2) an approved biologic or biosimilar agent within 2 weeks before the first dose of study drug or at any time during the screening period.
  2. 2. Participants with active cerebral/meningeal disease, signs/symptoms or history of progressive multifocal leukoencephalopathy (PML) or any other major neurological disorders including stroke, multiple sclerosis, brain tumor or neurodegenerative disease.
  3. 3. The participants had a clinically significant infection (eg, pneumonia, pyelonephritis, coronavirus disease 2019 \[COVID-19\]) within 30 days prior to first dose of study drug.
  4. 4. The participants has received any live vaccinations within 30 days prior to first dose.
  5. 5. Participants who currently require surgical intervention or are anticipated to require surgical intervention for CD during this study.
  6. 6. Participants who have had subtotal or total colectomy or have a jejunostomy, ileostomy, colostomy, ileo-anal pouch, known fixed stenosis of the intestine, short bowel syndrome, or \>3 small intestine resections.
  7. 7. Participants with a current diagnosis of indeterminate colitis.
  8. 8. Participants with clinical features suggesting monogenic very early-onset inflammatory bowel disease.
  9. 9. Active or latent tuberculosis (TB), as evidenced by a diagnostic TB test performed within 30 days of screening or during the screening Period that is positive, defined as:
  10. * Positive QuantiFERON test or 2 successive indeterminate QuantiFERON tests, OR
  11. * A TB skin test reaction ≥5 mm.
  12. 10. Participants with evidence of positive hepatitis B surface antigen (HBsAg) or hepatitis B core antibody (HBcAb). Hepatitis B virus (HBV) immune participants(i.e., hepatitis B surface antigen \[HBsAg\]-negative and hepatitis B antibody-positive) may, however, be included.
  13. 11. Participants with chronic hepatitis C virus (HCV) (ie, positive HCV antibody \[HCVAb\] and HCV RNA).
  14. 12. The participants has any identified congenital or acquired immunodeficiency (eg, common variable immunodeficiency, human immunodeficiency virus \[HIV\] infection, organ transplantation).
  15. 13. The participant has evidence of dysplasia or history of malignancy other than a successfully treated non-metastatic cutaneous squamous cell or basal cell carcinoma or localized carcinoma in situ of the cervix.
  16. 14. Participants with positive stool studies for ova and/or parasites or stool culture at screening visit.
  17. 15. Participants with positive Clostridioides difficile (C difficile) stool test at screening visit.

Contacts and Locations

Study Contact

Takeda Contact
CONTACT
+1-877-825-3327
medinfoUS@takeda.com

Study Locations (Sites)

Phoenix Childrens Hospital
Phoenix, Arizona, 85016
United States
Cedars Sinai Medical Center
Los Angeles, California, 90048
United States
Rady Childrens Hospital San Diego - PIN
San Diego, California, 92123
United States
University of California San Francisco
San Francisco, California, 94143
United States
I.H.S Health LLC
Kissimmee, Florida, 34741
United States
Childrens Center For Digestive Healthcare
Atlanta, Georgia, 30342
United States
Advocate Children's Hospital Park Ridge
Park Ridge, Illinois, 60068
United States
Riley Hospital For Children
Indianapolis, Indiana, 46202
United States
Johns Hopkins University
Baltimore, Maryland, 21287
United States
Boston Children's Hospital
Boston, Massachusetts, 02115
United States
MNGI Digestive Health, PA
Minneapolis, Minnesota, 55413
United States
Mayo Clinic - PIN
Rochester, Minnesota, 55905
United States
Goryeb Children's Hospital
Morristown, New Jersey, 07960
United States
The Steven and Alexandra Cohen Childrens Medical Center of New York - BRANY - PPDS
New Hyde Park, New York, 11042
United States
University of Rochester Medical Center PPDS
Rochester, New York, 14642
United States
Stony Brook University Medical Center
Stony Brook, New York, 11794
United States
SUNY Upstate Medical Center
Syracuse, New York, 13202
United States
University Hospitals Cleveland Medical Center
Cleveland, Ohio, 44106
United States
Children's Hospital of Pittsburgh
Pittsburgh, Pennsylvania, 15201
United States
Hasbro Children's Hospital
Providence, Rhode Island, 02903
United States
Texas Children's Hospital
Houston, Texas, 77030
United States
Carilion Children's Tanglewood Center
Roanoke, Virginia, 24018
United States

Collaborators and Investigators

Sponsor: Takeda

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2022-04-30
Study Completion Date2024-11-30

Study Record Updates

Study Start Date2022-04-30
Study Completion Date2024-11-30

Terms related to this study

Keywords Provided by Researchers

  • Drug Therapy

Additional Relevant MeSH Terms

  • Crohn's Disease (CD)