Trial Outcomes & Findings for Study of Vedolizumab Following Multiple Intravenous Doses in Patients With Ulcerative Colitis (NCT NCT01177228)

NCT ID: NCT01177228

Last Updated: 2014-07-18

Results Overview

An adverse event (AE) is any untoward medical occurrence in a patient administered a pharmaceutical product, which does not necessarily have a causal relationship with the treatment. The investigator systematically collected information adequate to determine both the outcome and severity of the AE, and whether or not it was drug-related or met the criteria for classification as a serious adverse event (SAE). An SAE was defined as an AE that resulted in (or posed risk for) death, inpatient hospitalization (or prolonging hospitalization), or congenital, persistent or significant disability/incapacity. The intensity for each AE was defined according to the following criteria: Mild: Awareness of sign or symptom, but easily tolerated Moderate: Discomfort enough to cause interference with normal daily activities Severe: Inability to perform normal daily activities.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

47 participants

Primary outcome timeframe

From the first date of study drug administration through Day 253

Results posted on

2014-07-18

Participant Flow

Participants took part in the study at 2 study centers in Canada and 9 study centers in Russia, from 02 May 2007 to 16 June 2008.

Participants with active ulcerative colitis were randomized in a 4:1 ratio of vedolizumab to placebo.

Participant milestones

Participant milestones
Measure
Placebo
Vedolizumab-matching placebo, intravenous (IV) infusion on Days 1, 15, 29 and 85.
Vedolizumab 2 mg/kg
Vedolizumab 2 mg/kg, IV infusion on Days 1, 15, 29 and 85.
Vedolizumab 6 mg/kg
Vedolizumab 6 mg/kg IV infusion on Days 1, 15, 29 and 85.
Vedolizumab 10 mg/kg
Vedolizumab 10 mg/kg, IV infusion on Days 1, 15, 29 and 85.
Overall Study
STARTED
9
13
14
11
Overall Study
Received Treatment
9
12
14
11
Overall Study
COMPLETED
8
11
14
11
Overall Study
NOT COMPLETED
1
2
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo
Vedolizumab-matching placebo, intravenous (IV) infusion on Days 1, 15, 29 and 85.
Vedolizumab 2 mg/kg
Vedolizumab 2 mg/kg, IV infusion on Days 1, 15, 29 and 85.
Vedolizumab 6 mg/kg
Vedolizumab 6 mg/kg IV infusion on Days 1, 15, 29 and 85.
Vedolizumab 10 mg/kg
Vedolizumab 10 mg/kg, IV infusion on Days 1, 15, 29 and 85.
Overall Study
Positive tuberculosis test
0
1
0
0
Overall Study
Worsening disease activity
1
0
0
0
Overall Study
Withdrawal by Subject
0
1
0
0

Baseline Characteristics

Study of Vedolizumab Following Multiple Intravenous Doses in Patients With Ulcerative Colitis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=9 Participants
Vedolizumab-matching placebo, intravenous (IV), one 30-minute infusion on Days 1, 15, 29 and 85.
Vedolizumab 2 mg/kg
n=12 Participants
Vedolizumab 2 mg/kg IV infusion on Days 1, 15, 29 and 85.
Vedolizumab 6 mg/kg
n=14 Participants
Vedolizumab 6 mg/kg, IV infusion on Days 1, 15, 29 and 85.
Vedolizumab 10 mg/kg
n=11 Participants
Vedolizumab 10 mg/kg IV infusion on Days 1, 15, 29 and 85.
Total
n=46 Participants
Total of all reporting groups
Age, Continuous
34.2 years
STANDARD_DEVIATION 8.11 • n=5 Participants
39.0 years
STANDARD_DEVIATION 6.06 • n=7 Participants
44.4 years
STANDARD_DEVIATION 12.37 • n=5 Participants
44.3 years
STANDARD_DEVIATION 14.99 • n=4 Participants
41.0 years
STANDARD_DEVIATION 11.46 • n=21 Participants
Sex: Female, Male
Female
6 Participants
n=5 Participants
8 Participants
n=7 Participants
7 Participants
n=5 Participants
6 Participants
n=4 Participants
27 Participants
n=21 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
4 Participants
n=7 Participants
7 Participants
n=5 Participants
5 Participants
n=4 Participants
19 Participants
n=21 Participants
Race/Ethnicity, Customized
White, Not Hispanic or Latino
9 participants
n=5 Participants
12 participants
n=7 Participants
14 participants
n=5 Participants
11 participants
n=4 Participants
46 participants
n=21 Participants
Height
168.0 cm
STANDARD_DEVIATION 7.33 • n=5 Participants
169.8 cm
STANDARD_DEVIATION 10.52 • n=7 Participants
167.9 cm
STANDARD_DEVIATION 9.87 • n=5 Participants
170.7 cm
STANDARD_DEVIATION 8.15 • n=4 Participants
169.1 cm
STANDARD_DEVIATION 9.00 • n=21 Participants
Weight
74.01 kg
STANDARD_DEVIATION 24.04 • n=5 Participants
75.76 kg
STANDARD_DEVIATION 20.98 • n=7 Participants
79.61 kg
STANDARD_DEVIATION 16.65 • n=5 Participants
73.46 kg
STANDARD_DEVIATION 13.60 • n=4 Participants
76.04 kg
STANDARD_DEVIATION 18.38 • n=21 Participants
Body Mass Index (BMI)
26.22 kg/m²
STANDARD_DEVIATION 8.46 • n=5 Participants
26.03 kg/m²
STANDARD_DEVIATION 5.58 • n=7 Participants
28.51 kg/m²
STANDARD_DEVIATION 6.66 • n=5 Participants
25.29 kg/m²
STANDARD_DEVIATION 5.07 • n=4 Participants
26.64 kg/m²
STANDARD_DEVIATION 6.37 • n=21 Participants
Body Surface Area (BSA)
1.84 m²
STANDARD_DEVIATION 0.31 • n=5 Participants
1.88 m²
STANDARD_DEVIATION 0.30 • n=7 Participants
1.92 m²
STANDARD_DEVIATION 0.21 • n=5 Participants
1.86 m²
STANDARD_DEVIATION 0.20 • n=4 Participants
1.88 m²
STANDARD_DEVIATION 0.25 • n=21 Participants
Time Since Onset of Symptoms
3.92 years
STANDARD_DEVIATION 2.79 • n=5 Participants
6.25 years
STANDARD_DEVIATION 5.00 • n=7 Participants
6.85 years
STANDARD_DEVIATION 4.31 • n=5 Participants
7.03 years
STANDARD_DEVIATION 10.13 • n=4 Participants
6.16 years
STANDARD_DEVIATION 6.08 • n=21 Participants
Time Since Diagnosis
2.29 years
STANDARD_DEVIATION 2.43 • n=5 Participants
5.26 years
STANDARD_DEVIATION 4.92 • n=7 Participants
5.38 years
STANDARD_DEVIATION 4.79 • n=5 Participants
5.46 years
STANDARD_DEVIATION 9.72 • n=4 Participants
4.76 years
STANDARD_DEVIATION 6.01 • n=21 Participants
Participants with Acute Exacerbations in Past 12 Months
Yes
9 participants
n=5 Participants
12 participants
n=7 Participants
13 participants
n=5 Participants
9 participants
n=4 Participants
43 participants
n=21 Participants
Participants with Acute Exacerbations in Past 12 Months
No
0 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
2 participants
n=4 Participants
3 participants
n=21 Participants
Participants Hospitalized for UC in Past 12 Months
Yes
5 participants
n=5 Participants
3 participants
n=7 Participants
2 participants
n=5 Participants
4 participants
n=4 Participants
14 participants
n=21 Participants
Participants Hospitalized for UC in Past 12 Months
No
4 participants
n=5 Participants
9 participants
n=7 Participants
12 participants
n=5 Participants
7 participants
n=4 Participants
32 participants
n=21 Participants
Participants with Ongoing Therapy for UC at Enrollment
Yes
9 participants
n=5 Participants
11 participants
n=7 Participants
13 participants
n=5 Participants
9 participants
n=4 Participants
42 participants
n=21 Participants
Participants with Ongoing Therapy for UC at Enrollment
No
0 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants
2 participants
n=4 Participants
4 participants
n=21 Participants
Participants with Significant Medical Conditions in Past 6 Months
Yes
5 participants
n=5 Participants
11 participants
n=7 Participants
12 participants
n=5 Participants
9 participants
n=4 Participants
37 participants
n=21 Participants
Participants with Significant Medical Conditions in Past 6 Months
No
4 participants
n=5 Participants
1 participants
n=7 Participants
2 participants
n=5 Participants
2 participants
n=4 Participants
9 participants
n=21 Participants

PRIMARY outcome

Timeframe: From the first date of study drug administration through Day 253

Population: Safety Analysis Set, defined as all enrolled participants who received at least 1 dose of study treatment. One participant was randomized but not dosed and is not included in this population.

An adverse event (AE) is any untoward medical occurrence in a patient administered a pharmaceutical product, which does not necessarily have a causal relationship with the treatment. The investigator systematically collected information adequate to determine both the outcome and severity of the AE, and whether or not it was drug-related or met the criteria for classification as a serious adverse event (SAE). An SAE was defined as an AE that resulted in (or posed risk for) death, inpatient hospitalization (or prolonging hospitalization), or congenital, persistent or significant disability/incapacity. The intensity for each AE was defined according to the following criteria: Mild: Awareness of sign or symptom, but easily tolerated Moderate: Discomfort enough to cause interference with normal daily activities Severe: Inability to perform normal daily activities.

Outcome measures

Outcome measures
Measure
Placebo
n=9 Participants
Vedolizumab-matching placebo, intravenous (IV), one 30-minute infusion on Days 1, 15, 29 and 85.
Vedolizumab 2 mg/kg
n=12 Participants
Vedolizumab 2 mg/kg IV infusion on Days 1, 15, 29 and 85.
Vedolizumab 6 mg/kg
n=14 Participants
Vedolizumab 6 mg/kg IV infusion on Days 1, 15, 29 and 85.
Vedolizumab 10 mg/kg
n=11 Participants
Vedolizumab 10 mg/kg IV infusion on Days 1, 15, 29 and 85.
Number of Participants With Adverse Events
On-study Deaths
0 participants
0 participants
0 participants
0 participants
Number of Participants With Adverse Events
Any Adverse Event
7 participants
9 participants
9 participants
6 participants
Number of Participants With Adverse Events
Severe Adverse Event
0 participants
0 participants
1 participants
1 participants
Number of Participants With Adverse Events
Drug-related Adverse Event
3 participants
2 participants
1 participants
1 participants
Number of Participants With Adverse Events
Serious Adverse Event
0 participants
1 participants
0 participants
1 participants
Number of Participants With Adverse Events
Drug-related Serious Adverse Event
0 participants
0 participants
0 participants
0 participants
Number of Participants With Adverse Events
Serious Adverse Event Resulting in Discontinuation
0 participants
0 participants
0 participants
0 participants

PRIMARY outcome

Timeframe: Days 1 and 85, prior to and 2, 12, 24, 48, and 72 hours after dosing.

Population: Pharmacokinetic (PK) Analysis Set, defined as all vedolizumab participants for whom there were sufficient data to estimate PK. Analyses only include participants with available data at each time point (indicated by "n").

Maximum observed plasma concentration (Cmax) is the peak plasma concentration of a drug after administration, obtained directly from the plasma concentration-time curve.

Outcome measures

Outcome measures
Measure
Placebo
n=10 Participants
Vedolizumab-matching placebo, intravenous (IV), one 30-minute infusion on Days 1, 15, 29 and 85.
Vedolizumab 2 mg/kg
n=14 Participants
Vedolizumab 2 mg/kg IV infusion on Days 1, 15, 29 and 85.
Vedolizumab 6 mg/kg
n=11 Participants
Vedolizumab 6 mg/kg IV infusion on Days 1, 15, 29 and 85.
Vedolizumab 10 mg/kg
Vedolizumab 10 mg/kg IV infusion on Days 1, 15, 29 and 85.
Cmax: Maximum Observed Plasma Concentration of Vedolizumab on Days 1 and 85
Cmax, Day 1 (n=10, 14, 11)
54.0 µg/mL
Standard Deviation 8.9
154.3 µg/mL
Standard Deviation 41.5
279.0 µg/mL
Standard Deviation 167.9
Cmax: Maximum Observed Plasma Concentration of Vedolizumab on Days 1 and 85
Cmax, Day 85 (n=9, 14, 11)
60.4 µg/mL
Standard Deviation 12.5
191.9 µg/mL
Standard Deviation 42.6
291.9 µg/mL
Standard Deviation 95.0

PRIMARY outcome

Timeframe: Day 85, prior to and 2, 12, 24, 48, and 72 hours after dosing.

Population: PK Analysis Set; participants with available data.

Minimum observed plasma concentration (Cmin) is the lowest plasma concentration of a drug after administration, obtained directly from the plasma concentration-time curve.

Outcome measures

Outcome measures
Measure
Placebo
n=9 Participants
Vedolizumab-matching placebo, intravenous (IV), one 30-minute infusion on Days 1, 15, 29 and 85.
Vedolizumab 2 mg/kg
n=14 Participants
Vedolizumab 2 mg/kg IV infusion on Days 1, 15, 29 and 85.
Vedolizumab 6 mg/kg
n=11 Participants
Vedolizumab 6 mg/kg IV infusion on Days 1, 15, 29 and 85.
Vedolizumab 10 mg/kg
Vedolizumab 10 mg/kg IV infusion on Days 1, 15, 29 and 85.
Cmin: Minimum Observed Plasma Concentration of Vedolizumab
7.25 μg/mL
Standard Deviation 2.41
29.33 μg/mL
Standard Deviation 13.36
44.74 μg/mL
Standard Deviation 19.80

PRIMARY outcome

Timeframe: Days 0-14, Days 85-99, Days 85-141

Population: PK Analysis Set; participants with available data at each time point (indicated by "n").

AUC was calculated for 3 time intervals during the study: 1. AUC (Day 0-14): from administration on Day 0 to last quantifiable concentration on Day 14, selected to capture the AUC following the first dose of vedolizumab until administration of the second dose 2. AUC(Day 85-99): from administration on Day 85 to last quantifiable concentration on Day 99, selected to assess the amount of drug accumulation with the planned loading regimen by comparing it to AUC(Day 0-14) 3. AUC(Day 85-141): from the first quantifiable concentration on Day 85 to the last quantifiable concentration on Day 141, selected to assess the drug exposure over an 8-week period

Outcome measures

Outcome measures
Measure
Placebo
n=10 Participants
Vedolizumab-matching placebo, intravenous (IV), one 30-minute infusion on Days 1, 15, 29 and 85.
Vedolizumab 2 mg/kg
n=14 Participants
Vedolizumab 2 mg/kg IV infusion on Days 1, 15, 29 and 85.
Vedolizumab 6 mg/kg
n=11 Participants
Vedolizumab 6 mg/kg IV infusion on Days 1, 15, 29 and 85.
Vedolizumab 10 mg/kg
Vedolizumab 10 mg/kg IV infusion on Days 1, 15, 29 and 85.
Area Under the Plasma Concentration-Time Curve (AUC) for Vedolizumab
AUC (Day 0-14) (n=10, 14, 11)
375 day*μg/mL
Standard Deviation 59
1058 day*μg/mL
Standard Deviation 270
1765 day*μg/mL
Standard Deviation 822
Area Under the Plasma Concentration-Time Curve (AUC) for Vedolizumab
AUC(Day 85-99) (n=9, 14, 11)
473 day*μg/mL
Standard Deviation 92
1532 day*μg/mL
Standard Deviation 227
2608 day*μg/mL
Standard Deviation 795
Area Under the Plasma Concentration-Time Curve (AUC) for Vedolizumab
AUC(Day 85-141) (n=9, 14, 11)
1082 day*μg/mL
Standard Deviation 243
3318 day*μg/mL
Standard Deviation 698
5633 day*μg/mL
Standard Deviation 1927

PRIMARY outcome

Timeframe: Pre-dose through Day 253

Population: PK Analysis Set; participants with available data

Terminal phase elimination half-life (t½) is the time required for half of the drug to be eliminated from the plasma.

Outcome measures

Outcome measures
Measure
Placebo
n=9 Participants
Vedolizumab-matching placebo, intravenous (IV), one 30-minute infusion on Days 1, 15, 29 and 85.
Vedolizumab 2 mg/kg
n=14 Participants
Vedolizumab 2 mg/kg IV infusion on Days 1, 15, 29 and 85.
Vedolizumab 6 mg/kg
n=11 Participants
Vedolizumab 6 mg/kg IV infusion on Days 1, 15, 29 and 85.
Vedolizumab 10 mg/kg
Vedolizumab 10 mg/kg IV infusion on Days 1, 15, 29 and 85.
Terminal Phase Elimination Half-life (t½) of Vedolizumab
15.1 days
Standard Deviation 2.0
22.0 days
Standard Deviation 6.7
20.6 days
Standard Deviation 7.2

PRIMARY outcome

Timeframe: Days 1, 2, 3, 4, 8, 15, 29, 43, 57, 71, 85, 86, 87, 89, 92, 99, 113, 127, 141, 155, 169, 183, 197, 211, 225, 239, and 253

Population: Pharmacodynamic (PD) Analysis Set, defined as all participants for whom there were sufficient data to estimate PD. Analyses only include participants with available data (indicated by "n").

The target of vedolizumab is α4β7 integrin, a receptor found on inflammatory immune cells that guides these inflammatory cells to the gut and binds to the Mucosal Addressin Cell Adhesion Molecule-1 (MAdCAM-1) on gut endothelial cells. The extent of the α4β7 receptor saturation by vedolizumab was assessed using the Act-1 binding interference assay. Act-1 is a mouse antibody similar to vedolizumab that also binds α4β7 integrin. The assay measures the percent inhibition of the Act-1 due to the presence of vedolizumab binding. Emax was calculated on Day 1, Day 85 and based on all available data.

Outcome measures

Outcome measures
Measure
Placebo
n=8 Participants
Vedolizumab-matching placebo, intravenous (IV), one 30-minute infusion on Days 1, 15, 29 and 85.
Vedolizumab 2 mg/kg
n=10 Participants
Vedolizumab 2 mg/kg IV infusion on Days 1, 15, 29 and 85.
Vedolizumab 6 mg/kg
n=12 Participants
Vedolizumab 6 mg/kg IV infusion on Days 1, 15, 29 and 85.
Vedolizumab 10 mg/kg
n=11 Participants
Vedolizumab 10 mg/kg IV infusion on Days 1, 15, 29 and 85.
Maximum Drug Effect (Emax) of Vedolizumab as Measured by Percent Inhibition of the Act-1 Marker
Day 1 (n=8, 10, 12, 11)
18.4 percent inhibition
Standard Deviation 19.3
98.0 percent inhibition
Standard Deviation 1.1
99.0 percent inhibition
Standard Deviation 0.8
98.3 percent inhibition
Standard Deviation 1.3
Maximum Drug Effect (Emax) of Vedolizumab as Measured by Percent Inhibition of the Act-1 Marker
Day 85 (n=8, 9, 12, 11)
22.8 percent inhibition
Standard Deviation 15.3
98.7 percent inhibition
Standard Deviation 1.2
99.1 percent inhibition
Standard Deviation 0.7
98.6 percent inhibition
Standard Deviation 0.8
Maximum Drug Effect (Emax) of Vedolizumab as Measured by Percent Inhibition of the Act-1 Marker
All available (n=8, 10, 12, 11)
56.3 percent inhibition
Standard Deviation 29.4
99.5 percent inhibition
Standard Deviation 0.6
99.8 percent inhibition
Standard Deviation 0.3
99.8 percent inhibition
Standard Deviation 0.3

PRIMARY outcome

Timeframe: Days 1, 2, 3, 4, 8, 15, 29, 43, 57, 71, 85, 86, 87, 89, 92, 99, 113, 127, 141, 155, 169, 183, 197, 211, 225, 239, and 253

Population: PD Analysis Set; participants with available data (indicated by "n")

The target of vedolizumab is α4β7 integrin, a receptor found on inflammatory immune cells that guides these inflammatory cells to the gut and binds to the mucosal addressin cell adhesion molecule-1 (MAdCAM-1) on gut endothelial cells. The extent of the α4β7 receptor saturation by vedolizumab was assessed using the MAdCAM-1-Fc binding interference assay. MAdCAM-1-Fc is a fusion of human MAdCAM-1 with parts of a mouse monoclonal antibody. The assay measures the percent inhibition of the MAdCAM-1-Fc binding to α4β7 integrin due to the presence of vedolizumab binding. Emax was calculated on Day 1, Day 85, and based on all available data.

Outcome measures

Outcome measures
Measure
Placebo
n=8 Participants
Vedolizumab-matching placebo, intravenous (IV), one 30-minute infusion on Days 1, 15, 29 and 85.
Vedolizumab 2 mg/kg
n=10 Participants
Vedolizumab 2 mg/kg IV infusion on Days 1, 15, 29 and 85.
Vedolizumab 6 mg/kg
n=11 Participants
Vedolizumab 6 mg/kg IV infusion on Days 1, 15, 29 and 85.
Vedolizumab 10 mg/kg
n=10 Participants
Vedolizumab 10 mg/kg IV infusion on Days 1, 15, 29 and 85.
Maximum Drug Effect (Emax) as Measured by Inhibition of the MAdCAM-1-Fc Marker
Day 1 (n=8, 10, 11, 10)
11.9 percent inhibition
Standard Deviation 15.3
96.4 percent inhibition
Standard Deviation 1.8
89.8 percent inhibition
Standard Deviation 29.8
96.8 percent inhibition
Standard Deviation 2.9
Maximum Drug Effect (Emax) as Measured by Inhibition of the MAdCAM-1-Fc Marker
Day 85 (n=8, 9, 11, 10)
8.5 percent inhibition
Standard Deviation 7.9
98.3 percent inhibition
Standard Deviation 1.1
98.3 percent inhibition
Standard Deviation 2.3
96.2 percent inhibition
Standard Deviation 2.6
Maximum Drug Effect (Emax) as Measured by Inhibition of the MAdCAM-1-Fc Marker
All available (n=8, 10, 11, 10)
43.3 percent inhibition
Standard Deviation 27.3
99.3 percent inhibition
Standard Deviation 0.6
99.8 percent inhibition
Standard Deviation 0.3
99.3 percent inhibition
Standard Deviation 0.7

PRIMARY outcome

Timeframe: Days 1, 2, 3, 4, 8, 15, 29, 43, 57, 71, 85, 86, 87, 89, 92, 99, 113, 127, 141, 155, 169, 183, 197, 211, 225, 239, and 253

Population: PD Analysis Set; participants with available data (indicated by "n")

AUEC (0-last) is the area under the drug effect-time curve until the last available time point. Mean percent inhibition over time \[AUEC(0-last)\] was determined for the Act-1 marker. Act-1 is a mouse antibody similar to vedolizumab that also binds α4β7 integrin.

Outcome measures

Outcome measures
Measure
Placebo
n=8 Participants
Vedolizumab-matching placebo, intravenous (IV), one 30-minute infusion on Days 1, 15, 29 and 85.
Vedolizumab 2 mg/kg
n=10 Participants
Vedolizumab 2 mg/kg IV infusion on Days 1, 15, 29 and 85.
Vedolizumab 6 mg/kg
n=12 Participants
Vedolizumab 6 mg/kg IV infusion on Days 1, 15, 29 and 85.
Vedolizumab 10 mg/kg
n=11 Participants
Vedolizumab 10 mg/kg IV infusion on Days 1, 15, 29 and 85.
Area Under the Drug Effect Time Curve [AUEC(0-last)] as Measured by Inhibition of the ACT-1 Marker
4281.7 percent inhibition*days
Standard Deviation 3035.3
20195.9 percent inhibition*days
Standard Deviation 3814.2
22675.2 percent inhibition*days
Standard Deviation 2211.8
23613.7 percent inhibition*days
Standard Deviation 1574.4

PRIMARY outcome

Timeframe: Days 1, 2, 3, 4, 8, 15, 29, 43, 57, 71, 85, 86, 87, 89, 92, 99, 113, 127, 141, 155, 169, 183, 197, 211, 225, 239, and 253

Population: PD Analysis Set; participants with available data (indicated by "n")

AUEC (0-last) is the area under the drug effect-time curve until the last available time point. Mean percent inhibition over time \[AUEC(0-last)\] was determined for the MAdCAM-1-Fc marker. MAdCAM-1-Fc is a fusion of human MAdCAM-1 with parts of a mouse monoclonal antibody.

Outcome measures

Outcome measures
Measure
Placebo
n=8 Participants
Vedolizumab-matching placebo, intravenous (IV), one 30-minute infusion on Days 1, 15, 29 and 85.
Vedolizumab 2 mg/kg
n=10 Participants
Vedolizumab 2 mg/kg IV infusion on Days 1, 15, 29 and 85.
Vedolizumab 6 mg/kg
n=11 Participants
Vedolizumab 6 mg/kg IV infusion on Days 1, 15, 29 and 85.
Vedolizumab 10 mg/kg
n=10 Participants
Vedolizumab 10 mg/kg IV infusion on Days 1, 15, 29 and 85.
Area Under the Drug Effect Time Curve [AUEC(0-last)] as Measured by Inhibition of the MAdCAM-1-Fc Marker
2139.2 percent inhibition*days
Standard Deviation 1513.4
18802.0 percent inhibition*days
Standard Deviation 3556.1
22322.1 percent inhibition*days
Standard Deviation 1974.2
22484.6 percent inhibition*days
Standard Deviation 1716.0

Adverse Events

Placebo

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Vedolizumab 2 mg/kg

Serious events: 1 serious events
Other events: 9 other events
Deaths: 0 deaths

Vedolizumab 6 mg/kg

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Vedolizumab 10 mg/kg

Serious events: 1 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Placebo
n=9 participants at risk
Vedolizumab-matching placebo, intravenous (IV) infusion on Days 1, 15, 29 and 85.
Vedolizumab 2 mg/kg
n=12 participants at risk
Vedolizumab 2 mg/kg IV infusion on Days 1, 15, 29 and 85.
Vedolizumab 6 mg/kg
n=14 participants at risk
Vedolizumab 6 mg/kg IV infusion on Days 1, 15, 29 and 85.
Vedolizumab 10 mg/kg
n=11 participants at risk
Vedolizumab 10 mg/kg IV infusion on Days 1, 15, 29 and 85.
Gastrointestinal disorders
Gastroduodenitis
0.00%
0/9 • Adverse events were collected through Day 253 or the final study visit.
8.3%
1/12 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/14 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/11 • Adverse events were collected through Day 253 or the final study visit.
Injury, poisoning and procedural complications
Spinal compression fracture
0.00%
0/9 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/12 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/14 • Adverse events were collected through Day 253 or the final study visit.
9.1%
1/11 • Adverse events were collected through Day 253 or the final study visit.

Other adverse events

Other adverse events
Measure
Placebo
n=9 participants at risk
Vedolizumab-matching placebo, intravenous (IV) infusion on Days 1, 15, 29 and 85.
Vedolizumab 2 mg/kg
n=12 participants at risk
Vedolizumab 2 mg/kg IV infusion on Days 1, 15, 29 and 85.
Vedolizumab 6 mg/kg
n=14 participants at risk
Vedolizumab 6 mg/kg IV infusion on Days 1, 15, 29 and 85.
Vedolizumab 10 mg/kg
n=11 participants at risk
Vedolizumab 10 mg/kg IV infusion on Days 1, 15, 29 and 85.
Infections and infestations
Upper respiratory tract infection
33.3%
3/9 • Adverse events were collected through Day 253 or the final study visit.
8.3%
1/12 • Adverse events were collected through Day 253 or the final study visit.
7.1%
1/14 • Adverse events were collected through Day 253 or the final study visit.
9.1%
1/11 • Adverse events were collected through Day 253 or the final study visit.
Infections and infestations
Nasopharyngitis
11.1%
1/9 • Adverse events were collected through Day 253 or the final study visit.
16.7%
2/12 • Adverse events were collected through Day 253 or the final study visit.
7.1%
1/14 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/11 • Adverse events were collected through Day 253 or the final study visit.
Infections and infestations
Gastroenteritis
0.00%
0/9 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/12 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/14 • Adverse events were collected through Day 253 or the final study visit.
9.1%
1/11 • Adverse events were collected through Day 253 or the final study visit.
Infections and infestations
Infectious mononucleosis
0.00%
0/9 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/12 • Adverse events were collected through Day 253 or the final study visit.
7.1%
1/14 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/11 • Adverse events were collected through Day 253 or the final study visit.
Infections and infestations
Laryngotracheitis
0.00%
0/9 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/12 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/14 • Adverse events were collected through Day 253 or the final study visit.
9.1%
1/11 • Adverse events were collected through Day 253 or the final study visit.
Infections and infestations
Pharyngitis streptococcal
0.00%
0/9 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/12 • Adverse events were collected through Day 253 or the final study visit.
7.1%
1/14 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/11 • Adverse events were collected through Day 253 or the final study visit.
Infections and infestations
Pyelonephritis chronic
0.00%
0/9 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/12 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/14 • Adverse events were collected through Day 253 or the final study visit.
9.1%
1/11 • Adverse events were collected through Day 253 or the final study visit.
Infections and infestations
Respiratory tract infection viral
0.00%
0/9 • Adverse events were collected through Day 253 or the final study visit.
8.3%
1/12 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/14 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/11 • Adverse events were collected through Day 253 or the final study visit.
Infections and infestations
Sinusitis
0.00%
0/9 • Adverse events were collected through Day 253 or the final study visit.
8.3%
1/12 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/14 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/11 • Adverse events were collected through Day 253 or the final study visit.
Infections and infestations
Herpes zoster
11.1%
1/9 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/12 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/14 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/11 • Adverse events were collected through Day 253 or the final study visit.
Infections and infestations
Lobar pneumonia
11.1%
1/9 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/12 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/14 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/11 • Adverse events were collected through Day 253 or the final study visit.
Infections and infestations
Mastitis
11.1%
1/9 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/12 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/14 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/11 • Adverse events were collected through Day 253 or the final study visit.
Infections and infestations
Respiratory tract infection
11.1%
1/9 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/12 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/14 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/11 • Adverse events were collected through Day 253 or the final study visit.
Gastrointestinal disorders
Colitis ulcerative
44.4%
4/9 • Adverse events were collected through Day 253 or the final study visit.
16.7%
2/12 • Adverse events were collected through Day 253 or the final study visit.
7.1%
1/14 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/11 • Adverse events were collected through Day 253 or the final study visit.
Gastrointestinal disorders
Constipation
11.1%
1/9 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/12 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/14 • Adverse events were collected through Day 253 or the final study visit.
9.1%
1/11 • Adverse events were collected through Day 253 or the final study visit.
Gastrointestinal disorders
Abdominal pain upper
0.00%
0/9 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/12 • Adverse events were collected through Day 253 or the final study visit.
7.1%
1/14 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/11 • Adverse events were collected through Day 253 or the final study visit.
Gastrointestinal disorders
Anal discomfort
0.00%
0/9 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/12 • Adverse events were collected through Day 253 or the final study visit.
7.1%
1/14 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/11 • Adverse events were collected through Day 253 or the final study visit.
Gastrointestinal disorders
Diarrhoea
0.00%
0/9 • Adverse events were collected through Day 253 or the final study visit.
8.3%
1/12 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/14 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/11 • Adverse events were collected through Day 253 or the final study visit.
Gastrointestinal disorders
Gastritis erosive
0.00%
0/9 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/12 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/14 • Adverse events were collected through Day 253 or the final study visit.
9.1%
1/11 • Adverse events were collected through Day 253 or the final study visit.
Gastrointestinal disorders
Gastroduodenitis
0.00%
0/9 • Adverse events were collected through Day 253 or the final study visit.
8.3%
1/12 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/14 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/11 • Adverse events were collected through Day 253 or the final study visit.
Gastrointestinal disorders
Nausea
0.00%
0/9 • Adverse events were collected through Day 253 or the final study visit.
8.3%
1/12 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/14 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/11 • Adverse events were collected through Day 253 or the final study visit.
Gastrointestinal disorders
Dyspepsia
11.1%
1/9 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/12 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/14 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/11 • Adverse events were collected through Day 253 or the final study visit.
Nervous system disorders
Headache
11.1%
1/9 • Adverse events were collected through Day 253 or the final study visit.
16.7%
2/12 • Adverse events were collected through Day 253 or the final study visit.
21.4%
3/14 • Adverse events were collected through Day 253 or the final study visit.
18.2%
2/11 • Adverse events were collected through Day 253 or the final study visit.
Nervous system disorders
Dizziness
11.1%
1/9 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/12 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/14 • Adverse events were collected through Day 253 or the final study visit.
9.1%
1/11 • Adverse events were collected through Day 253 or the final study visit.
Nervous system disorders
Balance disorder
0.00%
0/9 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/12 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/14 • Adverse events were collected through Day 253 or the final study visit.
9.1%
1/11 • Adverse events were collected through Day 253 or the final study visit.
Investigations
C-reactive protein increased
11.1%
1/9 • Adverse events were collected through Day 253 or the final study visit.
8.3%
1/12 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/14 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/11 • Adverse events were collected through Day 253 or the final study visit.
Investigations
Blood glucose increased
0.00%
0/9 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/12 • Adverse events were collected through Day 253 or the final study visit.
7.1%
1/14 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/11 • Adverse events were collected through Day 253 or the final study visit.
Investigations
Blood pressure increased
0.00%
0/9 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/12 • Adverse events were collected through Day 253 or the final study visit.
7.1%
1/14 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/11 • Adverse events were collected through Day 253 or the final study visit.
Investigations
Liver function test abnormal
0.00%
0/9 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/12 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/14 • Adverse events were collected through Day 253 or the final study visit.
9.1%
1/11 • Adverse events were collected through Day 253 or the final study visit.
Respiratory, thoracic and mediastinal disorders
Cough
0.00%
0/9 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/12 • Adverse events were collected through Day 253 or the final study visit.
14.3%
2/14 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/11 • Adverse events were collected through Day 253 or the final study visit.
Respiratory, thoracic and mediastinal disorders
Pharyngolaryngeal pain
0.00%
0/9 • Adverse events were collected through Day 253 or the final study visit.
8.3%
1/12 • Adverse events were collected through Day 253 or the final study visit.
7.1%
1/14 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/11 • Adverse events were collected through Day 253 or the final study visit.
Respiratory, thoracic and mediastinal disorders
Increased upper airway secretion
0.00%
0/9 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/12 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/14 • Adverse events were collected through Day 253 or the final study visit.
9.1%
1/11 • Adverse events were collected through Day 253 or the final study visit.
Musculoskeletal and connective tissue disorders
Osteoarthritis
0.00%
0/9 • Adverse events were collected through Day 253 or the final study visit.
8.3%
1/12 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/14 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/11 • Adverse events were collected through Day 253 or the final study visit.
Musculoskeletal and connective tissue disorders
Osteoporosis
0.00%
0/9 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/12 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/14 • Adverse events were collected through Day 253 or the final study visit.
9.1%
1/11 • Adverse events were collected through Day 253 or the final study visit.
Musculoskeletal and connective tissue disorders
Pain in extremity
0.00%
0/9 • Adverse events were collected through Day 253 or the final study visit.
8.3%
1/12 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/14 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/11 • Adverse events were collected through Day 253 or the final study visit.
Musculoskeletal and connective tissue disorders
Tendonitis
11.1%
1/9 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/12 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/14 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/11 • Adverse events were collected through Day 253 or the final study visit.
General disorders
Influenza like illness
0.00%
0/9 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/12 • Adverse events were collected through Day 253 or the final study visit.
14.3%
2/14 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/11 • Adverse events were collected through Day 253 or the final study visit.
General disorders
Pyrexia
0.00%
0/9 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/12 • Adverse events were collected through Day 253 or the final study visit.
14.3%
2/14 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/11 • Adverse events were collected through Day 253 or the final study visit.
General disorders
Chills
0.00%
0/9 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/12 • Adverse events were collected through Day 253 or the final study visit.
7.1%
1/14 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/11 • Adverse events were collected through Day 253 or the final study visit.
Injury, poisoning and procedural complications
Muscle strain
0.00%
0/9 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/12 • Adverse events were collected through Day 253 or the final study visit.
7.1%
1/14 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/11 • Adverse events were collected through Day 253 or the final study visit.
Injury, poisoning and procedural complications
Spinal compression fracture
0.00%
0/9 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/12 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/14 • Adverse events were collected through Day 253 or the final study visit.
9.1%
1/11 • Adverse events were collected through Day 253 or the final study visit.
Renal and urinary disorders
Calculus urinary
0.00%
0/9 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/12 • Adverse events were collected through Day 253 or the final study visit.
7.1%
1/14 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/11 • Adverse events were collected through Day 253 or the final study visit.
Renal and urinary disorders
Nephrolithiasis
0.00%
0/9 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/12 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/14 • Adverse events were collected through Day 253 or the final study visit.
9.1%
1/11 • Adverse events were collected through Day 253 or the final study visit.
Skin and subcutaneous tissue disorders
Alopecia
0.00%
0/9 • Adverse events were collected through Day 253 or the final study visit.
8.3%
1/12 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/14 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/11 • Adverse events were collected through Day 253 or the final study visit.
Skin and subcutaneous tissue disorders
Drug eruption
0.00%
0/9 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/12 • Adverse events were collected through Day 253 or the final study visit.
7.1%
1/14 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/11 • Adverse events were collected through Day 253 or the final study visit.
Vascular disorders
Hypertension
0.00%
0/9 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/12 • Adverse events were collected through Day 253 or the final study visit.
7.1%
1/14 • Adverse events were collected through Day 253 or the final study visit.
9.1%
1/11 • Adverse events were collected through Day 253 or the final study visit.
Blood and lymphatic system disorders
Anaemia
0.00%
0/9 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/12 • Adverse events were collected through Day 253 or the final study visit.
7.1%
1/14 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/11 • Adverse events were collected through Day 253 or the final study visit.
Blood and lymphatic system disorders
Hypochromic anaemia
11.1%
1/9 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/12 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/14 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/11 • Adverse events were collected through Day 253 or the final study visit.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast adenoma
11.1%
1/9 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/12 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/14 • Adverse events were collected through Day 253 or the final study visit.
0.00%
0/11 • Adverse events were collected through Day 253 or the final study visit.

Additional Information

Medical Director

Millennium Pharmaceuticals Inc

Phone: 1-800-778-2860

Results disclosure agreements

  • Principal investigator is a sponsor employee The first study related publication will be a multi-center publication submitted within 24 months after conclusion or termination of a study at all sites. After such multi-site publication, all proposed site publications and presentations will be submitted to sponsor for review 60 days in advance of publication. Site will remove Sponsor confidential information unrelated to study results. Sponsor can delay a proposed publication for another 60 days to preserve intellectual property.
  • Publication restrictions are in place

Restriction type: OTHER