Long Term Safety of Vedolizumab (MLN0002) in Patients With Ulcerative Colitis and Crohn's Disease

Millennium Pharmaceuticals

Status and phase: Completed; Phase 2

Conditions: Ulcerative Colitis; Crohn's Disease

Treatments: Drug: vedolizumab

Study type: Interventional

Funder types: Industry

Identifiers

NCT00619489

C13004

U1111-1156-8608 (Registry Identifier)

Details and patient eligibility

About

This was an open-label study to provide an opportunity for participants with Ulcerative Colitis (UC) who previously completed Study C13002 (NCT01177228), and for treatment-naïve participants with UC or Crohn's Disease (CD) to receive treatment with vedolizumab, and to determine the long term safety of vedolizumab in patients afflicted with these diseases.

Full description

This was a phase 2, multiple-dose, open-label study of vedolizumab administered intravenously (IV) every 8 weeks. The study population included treatment-naïve ulcerative colitis (UC) or Crohn's Disease (CD) participants, as well as 38 UC participants who had tolerated vedolizumab well during Study C13002 (NCT01177228).

In the original study protocol, all participants were randomized to receive vedolizumab at doses of either 6 mg/kg or 10 mg/kg. With the implementation of Amendment 1, the assigned doses of vedolizumab were decreased to 2.0 mg/kg and 6.0 mg/kg. To implement the dose changes, instead of randomizing all participants across both doses, those who rolled over from Study C13002 were reassigned to receive the 2.0 mg/kg dose and all participants who entered C13004 naïve to treatment were to receive the 6.0 mg/kg dose, starting on the next scheduled dosing day. Also, if participants assigned to the 2 mg/kg dose experienced flare, they were to receive the higher 6 mg/kg dose.

In the results analyses for this study, participants are grouped according to the lowest dose received, i.e., 2.0 mg/kg or 6.0 mg/kg vedolizumab.

Enrollment: 72 patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Confirmed and active ulcerative colitis (UC) or Crohn's Disease (CD)

  • Crohn's Disease Activity Index (CDAI) Score of 220 - 450 for participants with CD
  • Partial Mayo score of 2 - 7 for participants with UC

• Patient should be appropriate candidate for biologic therapy per guidelines

• Up-to-date on cancer screening

• No severe systemic disease

• Patients with evidence of abscess

• Agree to comply with study procedures including contraception

Exclusion criteria

• Low lymphocyte counts
• History of imaging abnormalities, multiple sclerosis (MS), brain tumor or other neurological illness
• Active or recent serious infections
• Recent treatment with biologic (i.e., Remicade) or investigational drug
• Impending surgery
• Any participants with vedolizumab human anti-human antibody (HAHA) titers ≥1:125 or with a previous immediate hypersensitivity reaction during or shortly after vedolizumab infusion

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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72 participants in 2 patient groups

Vedolizumab 2 mg/kg

Experimental group

Description:

Participants received vedolizumab, 2 mg/kg, intravenously (IV), on Days 1, 15 and 43, and thereafter once every 8 weeks for up to 78 weeks.

Treatment:

Drug: vedolizumab

Vedolizumab 6 mg/kg

Experimental group

Description:

Participants received vedolizumab, 6 mg/kg, IV, on Days 1, 15 and 43, and thereafter once every 8 weeks for up to 78 weeks.

Treatment:

Drug: vedolizumab