Trial Outcomes & Findings for Effect of Intravenous (IV) Vedolizumab on Mucosal Healing in Crohn's Disease (NCT NCT02425111)

NCT ID: NCT02425111

Last Updated: 2018-09-14

Results Overview

Endoscopic remission is defined as a simple endoscopic score for Crohn's Disease (SES-CD) score of ≤4. The SES-CD evaluates 4 endoscopic variables (ulcer size, proportion of the surface area that is ulcerated, proportion of the surface area affected, and stenosis in 5 segments evaluated during ileocolonoscopy (ileum, right colon, transverse colon, left colon, and rectum). The score for each endoscopic variable is the sum of values obtained for each segment. The SES-CD total is the sum of the 4 endoscopic variable scores from 0 to 56, where higher scores indicate more severe disease.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

101 participants

Primary outcome timeframe

Week 26

Results posted on

2018-09-14

Participant Flow

Participants took part in the study at 42 investigative sites in Belgium, Canada, Czech Republic, France, Hungary, Italy, Poland and the United States from 30 March 2015 to 21 February 2018.

Participants with a diagnosis of Crohn's Disease were enrolled and received vedolizumab.

Participant milestones

Participant milestones
Measure
Vedolizumab 300 mg
Part A: Vedolizumab 300 mg, intravenously (IV), once on Day 1 and Weeks 2, 6, 14 and 22, followed by Part B: Vedolizumab 300 mg, intravenously (IV), once at Weeks 30, 38, and 46.
Part A: Treatment Period
STARTED
101
Part A: Treatment Period
COMPLETED
78
Part A: Treatment Period
NOT COMPLETED
23
Part B: Treatment Extension Period
STARTED
56
Part B: Treatment Extension Period
COMPLETED
46
Part B: Treatment Extension Period
NOT COMPLETED
10

Reasons for withdrawal

Reasons for withdrawal
Measure
Vedolizumab 300 mg
Part A: Vedolizumab 300 mg, intravenously (IV), once on Day 1 and Weeks 2, 6, 14 and 22, followed by Part B: Vedolizumab 300 mg, intravenously (IV), once at Weeks 30, 38, and 46.
Part A: Treatment Period
Pretreatment Event/Adverse Event
2
Part A: Treatment Period
Lack of Efficacy
15
Part A: Treatment Period
Voluntary Withdrawal
4
Part A: Treatment Period
Lost to Follow-up
2
Part B: Treatment Extension Period
Pretreatment Event/Adverse Event(s)
3
Part B: Treatment Extension Period
Lack of Efficacy
7

Baseline Characteristics

FAS included all enrolled participants who received at least 1 dose of study drug.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Vedolizumab 300 mg
n=101 Participants
Part A: Vedolizumab 300 mg, intravenously (IV), once on Day 1 and Weeks 2, 6, 14 and 22, followed by Part B: Vedolizumab 300 mg, intravenously (IV), once at Weeks 30, 38, and 46.
Age, Continuous
38.0 years
STANDARD_DEVIATION 14.00 • n=5 Participants • FAS included all enrolled participants who received at least 1 dose of study drug.
Sex: Female, Male
Female
49 Participants
n=5 Participants • FAS included all enrolled participants who received at least 1 dose of study drug.
Sex: Female, Male
Male
52 Participants
n=5 Participants • FAS included all enrolled participants who received at least 1 dose of study drug.
Race/Ethnicity, Customized
Hispanic or Latino
1 Participants
n=5 Participants • FAS included all enrolled participants who received at least 1 dose of study drug.
Race/Ethnicity, Customized
Non-Hispanic and Latino
32 Participants
n=5 Participants • FAS included all enrolled participants who received at least 1 dose of study drug.
Race/Ethnicity, Customized
Not Collected
68 Participants
n=5 Participants • FAS included all enrolled participants who received at least 1 dose of study drug.
Race/Ethnicity, Customized
Asian
2 Participants
n=5 Participants • FAS included all enrolled participants who received at least 1 dose of study drug.
Race/Ethnicity, Customized
Black or African American
1 Participants
n=5 Participants • FAS included all enrolled participants who received at least 1 dose of study drug.
Race/Ethnicity, Customized
White
98 Participants
n=5 Participants • FAS included all enrolled participants who received at least 1 dose of study drug.
Region of Enrollment
Belgium
8 Participants
n=5 Participants • FAS included all enrolled participants who received at least 1 dose of study drug.
Region of Enrollment
Canada
14 Participants
n=5 Participants • FAS included all enrolled participants who received at least 1 dose of study drug.
Region of Enrollment
Czech Republic
14 Participants
n=5 Participants • FAS included all enrolled participants who received at least 1 dose of study drug.
Region of Enrollment
France
2 Participants
n=5 Participants • FAS included all enrolled participants who received at least 1 dose of study drug.
Region of Enrollment
Hungary
14 Participants
n=5 Participants • FAS included all enrolled participants who received at least 1 dose of study drug.
Region of Enrollment
Italy
9 Participants
n=5 Participants • FAS included all enrolled participants who received at least 1 dose of study drug.
Region of Enrollment
Poland
7 Participants
n=5 Participants • FAS included all enrolled participants who received at least 1 dose of study drug.
Region of Enrollment
United States
33 Participants
n=5 Participants • FAS included all enrolled participants who received at least 1 dose of study drug.
Height
172.5 cm
STANDARD_DEVIATION 9.81 • n=5 Participants • FAS included all enrolled participants who received at least 1 dose of study drug.
Weight
73.94 kg
STANDARD_DEVIATION 18.795 • n=5 Participants • FAS included all enrolled participants who received at least 1 dose of study drug.
Body Mass Index (BMI)
24.71 kg/m^2
STANDARD_DEVIATION 5.365 • n=5 Participants • FAS included all enrolled participants who received at least 1 dose of study drug.
Smoking Classification
Participant has never smoked
46 Participants
n=5 Participants • FAS included all enrolled participants who received at least 1 dose of study drug.
Smoking Classification
Participant is a current smoker
33 Participants
n=5 Participants • FAS included all enrolled participants who received at least 1 dose of study drug.
Smoking Classification
Participant is an ex-smoker
22 Participants
n=5 Participants • FAS included all enrolled participants who received at least 1 dose of study drug.
Female Reproductive Status
Postmenopausal
6 Participants
n=5 Participants • FAS included all enrolled participants who received at least 1 dose of study drug.
Female Reproductive Status
Surgically Sterile
9 Participants
n=5 Participants • FAS included all enrolled participants who received at least 1 dose of study drug.
Female Reproductive Status
Female of Childbearing Potential
34 Participants
n=5 Participants • FAS included all enrolled participants who received at least 1 dose of study drug.
Female Reproductive Status
N/A (Participant is a Male)
52 Participants
n=5 Participants • FAS included all enrolled participants who received at least 1 dose of study drug.
Number of Participants with Endoscopic Remission
3 Participants
n=5 Participants • FAS included all enrolled participants who received at least 1 dose of study drug.

PRIMARY outcome

Timeframe: Week 26

Population: FAS included all enrolled participants who received at least 1 dose of study drug.

Endoscopic remission is defined as a simple endoscopic score for Crohn's Disease (SES-CD) score of ≤4. The SES-CD evaluates 4 endoscopic variables (ulcer size, proportion of the surface area that is ulcerated, proportion of the surface area affected, and stenosis in 5 segments evaluated during ileocolonoscopy (ileum, right colon, transverse colon, left colon, and rectum). The score for each endoscopic variable is the sum of values obtained for each segment. The SES-CD total is the sum of the 4 endoscopic variable scores from 0 to 56, where higher scores indicate more severe disease.

Outcome measures

Outcome measures
Measure
Vedolizumab 300 mg
n=101 Participants
Part A: Vedolizumab 300 mg, intravenously (IV), once on Day 1 and Weeks 2, 6, 14 and 22, followed by Part B: Vedolizumab 300 mg, intravenously (IV), once at Weeks 30, 38, and 46.
Part A: Percentage of Participants Achieving Endoscopic Remission at Week 26
11.9 percentage of participants
Interval 6.3 to 19.8

SECONDARY outcome

Timeframe: Week 26

Population: FAS included all enrolled participants who received at least 1 dose of study drug.

Complete mucosal healing is defined as absence of ulceration.

Outcome measures

Outcome measures
Measure
Vedolizumab 300 mg
n=101 Participants
Part A: Vedolizumab 300 mg, intravenously (IV), once on Day 1 and Weeks 2, 6, 14 and 22, followed by Part B: Vedolizumab 300 mg, intravenously (IV), once at Weeks 30, 38, and 46.
Part A: Percentage of Participants Achieving Complete Mucosal Healing at Week 26
14.9 percentage of participants
Interval 8.6 to 23.3

SECONDARY outcome

Timeframe: Week 52

Population: FAS-Extension is the subset of participants in the FAS who were able to be consented for Part B, based on the timing of Amendment 4. FAS included all enrolled participants who received at least 1 dose of study drug.

Complete mucosal healing is defined as absence of ulceration.

Outcome measures

Outcome measures
Measure
Vedolizumab 300 mg
n=56 Participants
Part A: Vedolizumab 300 mg, intravenously (IV), once on Day 1 and Weeks 2, 6, 14 and 22, followed by Part B: Vedolizumab 300 mg, intravenously (IV), once at Weeks 30, 38, and 46.
Part B: Percentage of Participants Achieving Complete Mucosal Healing at Week 52
17.9 percentage of participants
Interval 8.9 to 30.4

SECONDARY outcome

Timeframe: Week 14

Population: FAS included all enrolled participants who received at least 1 dose of study drug.

Endoscopic remission is defined as a SES-CD score of ≤4. The SES-CD evaluates 4 endoscopic variables (ulcer size, proportion of the surface area that is ulcerated, proportion of the surface area affected, and stenosis in 5 segments evaluated during ileocolonoscopy (ileum, right colon, transverse colon, left colon, and rectum). The score for each endoscopic variable is the sum of values obtained for each segment. The SES-CD total is the sum of the 4 endoscopic variable scores from 0 to 56, where higher scores indicate more severe disease.

Outcome measures

Outcome measures
Measure
Vedolizumab 300 mg
n=101 Participants
Part A: Vedolizumab 300 mg, intravenously (IV), once on Day 1 and Weeks 2, 6, 14 and 22, followed by Part B: Vedolizumab 300 mg, intravenously (IV), once at Weeks 30, 38, and 46.
Part A: Percentage of Participants Achieving Endoscopic Remission at Week 14
16.8 percentage of participants
Interval 10.1 to 25.6

SECONDARY outcome

Timeframe: Week 52

Population: FAS-Extension is the subset of participants in the FAS who were able to be consented for Part B, based on the timing of Amendment 4. FAS included all enrolled participants who received at least 1 dose of study drug.

Endoscopic remission is defined as a SES-CD score of ≤4. The SES-CD evaluates 4 endoscopic variables (ulcer size, proportion of the surface area that is ulcerated, proportion of the surface area affected, and stenosis in 5 segments evaluated during ileocolonoscopy (ileum, right colon, transverse colon, left colon, and rectum). The score for each endoscopic variable is the sum of values obtained for each segment. The SES-CD total is the sum of the 4 endoscopic variable scores from 0 to 56, where higher scores indicate more severe disease.

Outcome measures

Outcome measures
Measure
Vedolizumab 300 mg
n=56 Participants
Part A: Vedolizumab 300 mg, intravenously (IV), once on Day 1 and Weeks 2, 6, 14 and 22, followed by Part B: Vedolizumab 300 mg, intravenously (IV), once at Weeks 30, 38, and 46.
Part B: Percentage of Participants Achieving Endoscopic Remission at Week 52
16.1 percentage of participants
Interval 7.6 to 28.3

SECONDARY outcome

Timeframe: Baseline and Week 14

Population: FAS included all enrolled participants who received at least 1 dose of study drug.

Endoscopic response is defined as a reduction in SES-CD from Baseline by ≥50%. The SES-CD evaluates 4 endoscopic variables (ulcer size, proportion of the surface area that is ulcerated, proportion of the surface area affected, and stenosis in 5 segments evaluated during ileocolonoscopy (ileum, right colon, transverse colon, left colon, and rectum). The score for each endoscopic variable is the sum of values obtained for each segment. The SES-CD total is the sum of the 4 endoscopic variable scores from 0 to 56, where higher scores indicate more severe disease.

Outcome measures

Outcome measures
Measure
Vedolizumab 300 mg
n=101 Participants
Part A: Vedolizumab 300 mg, intravenously (IV), once on Day 1 and Weeks 2, 6, 14 and 22, followed by Part B: Vedolizumab 300 mg, intravenously (IV), once at Weeks 30, 38, and 46.
Part A: Percentage of Participants With Endoscopic Response at Week 14
33.7 percentage of participants
Interval 24.6 to 43.8

SECONDARY outcome

Timeframe: Baseline and Week 26

Population: FAS included all enrolled participants who received at least 1 dose of study drug.

Endoscopic response is defined as a reduction in SES-CD from Baseline by ≥50%. The SES-CD evaluates 4 endoscopic variables (ulcer size, proportion of the surface area that is ulcerated, proportion of the surface area affected, and stenosis in 5 segments evaluated during ileocolonoscopy (ileum, right colon, transverse colon, left colon, and rectum). The score for each endoscopic variable is the sum of values obtained for each segment. The SES-CD total is the sum of the 4 endoscopic variable scores from 0 to 56, where higher scores indicate more severe disease.

Outcome measures

Outcome measures
Measure
Vedolizumab 300 mg
n=101 Participants
Part A: Vedolizumab 300 mg, intravenously (IV), once on Day 1 and Weeks 2, 6, 14 and 22, followed by Part B: Vedolizumab 300 mg, intravenously (IV), once at Weeks 30, 38, and 46.
Part A: Percentage of Participants With Endoscopic Response at Week 26
24.8 percentage of participants
Interval 16.7 to 34.3

SECONDARY outcome

Timeframe: Baseline and Week 52

Population: FAS-Extension is the subset of participants in the FAS who were able to be consented for Part B, based on the timing of Amendment 4. FAS included all enrolled participants who received at least 1 dose of study drug.

Endoscopic response is defined as a reduction in SES-CD from Baseline by ≥50%. The SES-CD evaluates 4 endoscopic variables (ulcer size, proportion of the surface area that is ulcerated, proportion of the surface area affected, and stenosis in 5 segments evaluated during ileocolonoscopy (ileum, right colon, transverse colon, left colon, and rectum). The score for each endoscopic variable is the sum of values obtained for each segment. The SES-CD total is the sum of the 4 endoscopic variable scores from 0 to 56, where higher scores indicate more severe disease.

Outcome measures

Outcome measures
Measure
Vedolizumab 300 mg
n=56 Participants
Part A: Vedolizumab 300 mg, intravenously (IV), once on Day 1 and Weeks 2, 6, 14 and 22, followed by Part B: Vedolizumab 300 mg, intravenously (IV), once at Weeks 30, 38, and 46.
Part B: Percentage of Participants With Endoscopic Response at Week 52
51.8 percentage of participants
Interval 38.0 to 65.3

SECONDARY outcome

Timeframe: Baseline and Week 10

Population: FAS included all enrolled participants who received at least 1 dose of study drug.

Clinical response is defined as Crohn's Disease Activity Index (CDAI) decrease from Baseline of ≥100 points. CDAI is a scoring system for the assessment of Crohn's Disease Activity, index values of 150 and below are associated with quiescent disease; values above that indicate active disease and values above 450 are seen with extremely severe disease.

Outcome measures

Outcome measures
Measure
Vedolizumab 300 mg
n=101 Participants
Part A: Vedolizumab 300 mg, intravenously (IV), once on Day 1 and Weeks 2, 6, 14 and 22, followed by Part B: Vedolizumab 300 mg, intravenously (IV), once at Weeks 30, 38, and 46.
Part A: Percentage of Participants Achieving Clinical Response at Week 10
54.5 percentage of participants
Interval 44.2 to 64.4

SECONDARY outcome

Timeframe: Baseline and Week 26

Population: FAS included all enrolled participants who received at least 1 dose of study drug.

Clinical response is defined as CDAI decrease from Baseline of ≥100 points. CDAI is a scoring system for the assessment of Crohn's Disease Activity, index values of 150 and below are associated with quiescent disease; values above that indicate active disease and values above 450 are seen with extremely severe disease.

Outcome measures

Outcome measures
Measure
Vedolizumab 300 mg
n=101 Participants
Part A: Vedolizumab 300 mg, intravenously (IV), once on Day 1 and Weeks 2, 6, 14 and 22, followed by Part B: Vedolizumab 300 mg, intravenously (IV), once at Weeks 30, 38, and 46.
Part A: Percentage of Participants Achieving Clinical Response at Week 26
60.4 percentage of participants
Interval 50.2 to 70.0

SECONDARY outcome

Timeframe: Baseline and Week 52

Population: FAS-Extension is the subset of participants in the FAS who were able to be consented for Part B, based on the timing of Amendment 4. FAS included all enrolled participants who received at least 1 dose of study drug.

Clinical response is defined as CDAI decrease from Baseline of ≥100 points. CDAI is a scoring system for the assessment of Crohn's Disease Activity, index values of 150 and below are associated with quiescent disease; values above that indicate active disease and values above 450 are seen with extremely severe disease.

Outcome measures

Outcome measures
Measure
Vedolizumab 300 mg
n=56 Participants
Part A: Vedolizumab 300 mg, intravenously (IV), once on Day 1 and Weeks 2, 6, 14 and 22, followed by Part B: Vedolizumab 300 mg, intravenously (IV), once at Weeks 30, 38, and 46.
Part B: Percentage of Participants Achieving Clinical Response at Week 52
58.9 percentage of participants
Interval 45.0 to 71.9

SECONDARY outcome

Timeframe: Week 10

Population: FAS included all enrolled participants who received at least 1 dose of study drug.

Clinical remission is defined as CDAI score of ≤150 points. CDAI is a scoring system for the assessment of Crohn's Disease Activity, index values of 150 and below are associated with quiescent disease; values above that indicate active disease and values above 450 are seen with extremely severe disease.

Outcome measures

Outcome measures
Measure
Vedolizumab 300 mg
n=101 Participants
Part A: Vedolizumab 300 mg, intravenously (IV), once on Day 1 and Weeks 2, 6, 14 and 22, followed by Part B: Vedolizumab 300 mg, intravenously (IV), once at Weeks 30, 38, and 46.
Part A: Percentage of Participants Achieving Clinical Remission at Week 10
35.6 percentage of participants
Interval 26.4 to 45.8

SECONDARY outcome

Timeframe: Week 26

Population: FAS included all enrolled participants who received at least 1 dose of study drug.

Clinical remission is defined as CDAI score of ≤150 points. CDAI is a scoring system for the assessment of Crohn's Disease Activity, index values of 150 and below are associated with quiescent disease; values above that indicate active disease and values above 450 are seen with extremely severe disease.

Outcome measures

Outcome measures
Measure
Vedolizumab 300 mg
n=101 Participants
Part A: Vedolizumab 300 mg, intravenously (IV), once on Day 1 and Weeks 2, 6, 14 and 22, followed by Part B: Vedolizumab 300 mg, intravenously (IV), once at Weeks 30, 38, and 46.
Part A: Percentage of Participants Achieving Clinical Remission at Week 26
41.6 percentage of participants
Interval 31.9 to 51.8

SECONDARY outcome

Timeframe: Week 52

Population: FAS-Extension is the subset of participants in the FAS who were able to be consented for Part B, based on the timing of Amendment 4. FAS included all enrolled participants who received at least 1 dose of study drug.

Clinical remission is defined as CDAI score of ≤150 points. CDAI is a scoring system for the assessment of Crohn's Disease Activity, index values of 150 and below are associated with quiescent disease; values above that indicate active disease and values above 450 are seen with extremely severe disease.

Outcome measures

Outcome measures
Measure
Vedolizumab 300 mg
n=56 Participants
Part A: Vedolizumab 300 mg, intravenously (IV), once on Day 1 and Weeks 2, 6, 14 and 22, followed by Part B: Vedolizumab 300 mg, intravenously (IV), once at Weeks 30, 38, and 46.
Part B: Percentage of Participants Achieving Clinical Remission at Week 52
50.0 percentage of participants
Interval 36.3 to 63.7

SECONDARY outcome

Timeframe: Weeks 26 and 52

Population: FAS-Extension is the subset of participants in the FAS who were able to be consented for Part B, based on the timing of Amendment 4. FAS included all enrolled participants who received at least 1 dose of study drug. Participants with missing durable clinical remission status are considered as No durable clinical remission.

Durable clinical remission is defined as clinical remission at both Week 26 and Week 52. Clinical remission is defined as CDAI score of ≤150 points. CDAI is a scoring system for the assessment of Crohn's Disease Activity, index values of 150 and below are associated with quiescent disease; values above that indicate active disease and values above 450 are seen with extremely severe disease. The percentage of participants assessed at Week 52 who had clinical remission at Week 26 of Part A and also had clinical remission at Week 52 is reported.

Outcome measures

Outcome measures
Measure
Vedolizumab 300 mg
n=56 Participants
Part A: Vedolizumab 300 mg, intravenously (IV), once on Day 1 and Weeks 2, 6, 14 and 22, followed by Part B: Vedolizumab 300 mg, intravenously (IV), once at Weeks 30, 38, and 46.
Part B: Percentage of Participants With Durable Clinical Remission
37.5 percentage of participants
Interval 24.9 to 51.5

Adverse Events

Vedolizumab 300 mg Part A

Serious events: 12 serious events
Other events: 26 other events
Deaths: 0 deaths

Vedolizumab 300 mg Part B

Serious events: 6 serious events
Other events: 9 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Vedolizumab 300 mg Part A
n=101 participants at risk
Part A: Vedolizumab 300 mg, intravenously (IV), once on Day 1 and Weeks 2, 6, 14 and 22.
Vedolizumab 300 mg Part B
n=56 participants at risk
Following Part A, Part B: Vedolizumab 300 mg, intravenously (IV), once at Weeks 30, 38, and 46.
Gastrointestinal disorders
Crohn's disease
5.9%
6/101 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.
1.8%
1/56 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.
Gastrointestinal disorders
Anal fistula
0.99%
1/101 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.
0.00%
0/56 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.
General disorders
Asthenia
0.99%
1/101 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.
0.00%
0/56 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.
Infections and infestations
Abdominal abscess
0.99%
1/101 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.
0.00%
0/56 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.
Infections and infestations
Gastroenteritis
0.99%
1/101 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.
0.00%
0/56 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.
Infections and infestations
Osteomyelitis
0.99%
1/101 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.
0.00%
0/56 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.
Infections and infestations
Pneumonia
0.99%
1/101 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.
0.00%
0/56 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.
Renal and urinary disorders
Acute kidney injury
0.99%
1/101 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.
0.00%
0/56 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.
Vascular disorders
Aortic aneurysm
0.99%
1/101 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.
0.00%
0/56 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.
Cardiac disorders
Coronary artery disease
0.00%
0/101 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.
1.8%
1/56 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.
Gastrointestinal disorders
Subileus
0.00%
0/101 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.
1.8%
1/56 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.
Infections and infestations
Infected bite
0.00%
0/101 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.
1.8%
1/56 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.
Infections and infestations
Urinary tract infection
0.00%
0/101 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.
1.8%
1/56 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.
Injury, poisoning and procedural complications
Postoperative ileus
0.00%
0/101 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.
1.8%
1/56 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Basal cell carcinoma
0.00%
0/101 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.
1.8%
1/56 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.
Pregnancy, puerperium and perinatal conditions
Abortion spontaneous
0.00%
0/101 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.
1.8%
1/56 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.

Other adverse events

Other adverse events
Measure
Vedolizumab 300 mg Part A
n=101 participants at risk
Part A: Vedolizumab 300 mg, intravenously (IV), once on Day 1 and Weeks 2, 6, 14 and 22.
Vedolizumab 300 mg Part B
n=56 participants at risk
Following Part A, Part B: Vedolizumab 300 mg, intravenously (IV), once at Weeks 30, 38, and 46.
Gastrointestinal disorders
Crohn's disease
11.9%
12/101 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.
8.9%
5/56 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.
Infections and infestations
Viral upper respiratory tract infection
5.9%
6/101 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.
5.4%
3/56 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.
Gastrointestinal disorders
Abdominal pain
5.0%
5/101 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.
5.4%
3/56 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.
Nervous system disorders
Headache
5.0%
5/101 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.
0.00%
0/56 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.
Gastrointestinal disorders
Nausea
5.0%
5/101 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.
0.00%
0/56 • First dose of study drug and up to the last dose or early termination plus 18-week follow-up if applicable (Up to 44 Weeks for Part A Treatment and Up to 70 Weeks for Part B Extension)
At each visit adverse events (AEs) and abnormal laboratory findings reported by participant or observed by the investigator were recorded, irrespective of relation to study treatment. Due to the design of the study, the most common (≥ 5%) non-serious AEs were determined separately for each period of the study, Part A and Part B. A result of 0 in a column means that the event did not meet the ≥ 5% threshold for that study period but did meet the threshold for the other study period.

Additional Information

Medical Director

Takeda

Phone: +1-877-825-3327

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