VOICE-Early Response to Vedolizumab and IL-23 Antagonists in Participants With Crohn's Disease: A Prospective Observational Study

NCT ID: NCT06249555

Last Updated: 2026-01-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

300 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-03-20

Study Completion Date

2026-12-31

Brief Summary

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The primary aim of this study is to explore the time course of response to Vedolizumab in participants with CD as measured by the Patient-Reported Outcomes Measurement Information System (PROMIS) Pain Interference-short form (SF), as well as other PROMIS domain SFs (fatigue, anxiety, depression, sleep disturbance, physical function, and ability to participate in social roles and activities); other PRO measures will also be assessed.

Detailed Description

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Vedolizumab (VDZ), a monoclonal antibody that selectively targets intestinal T-cell trafficking, is an effective and safe treatment for moderately to severely active Crohn's disease (CD). Recent evidence from open-label, blinded endpoint studies such as VERSIFY and LOVE-CD provide further support for the efficacy of VDZ in achieving clinical, endoscopic, histologic and radiologic disease improvement in CD. Despite these data, VDZ is generally perceived to have a slower onset of action than other biologics, including tumor necrosis factor (TNF) antagonists and the interleukin (IL)-12/23 antagonist, ustekinumab (UST). The IL-23 antagonist risankizumab (RISA) has been more recently approved for treatment of CD and post-hoc analyses of SEQUENCE trial data showed RISA to be superior to UST for inducing clinical remission at Week 24, and thus, RISA may also be considered to have a quicker onset of action than VDZ. This perception largely emanates from the results of the VDZ pivotal for CD (GEMINI 2) where efficacy was assessed at Week 6 after only 2 doses in a largely refractory population. However, in clinical practice VDZ induction consists of 3 doses of VDZ 300 mg administered intravenously at weeks 0, 2 and 6 instead of the 2 doses used in the pivotal trials. In recent clinical trials, induction endpoints for therapeutics in CD are now typically measured at least after Week 12. Accordingly, it is uncertain whether the generally held perception of a relatively slow onset of action for VDZ is accurate. Moreover, it should also be noted that the perception of a slow onset of action has also been conflated to infer that VDZ is a relatively less effective induction therapy in CD than TNF antagonists or UST. Further data to evaluate these issues are needed.

Rapidity of symptom resolution, which is commonly used as a surrogate for speed of onset, is a priority for patients and clinicians. It is therefore important to better understand the kinetics of symptom improvement captured using patient-reported outcomes (PROs) in patients initiating VDZ for treatment of CD.

Conditions

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Crohn's Disease

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Vedolizumab

Group one will include participants who will be starting Vedolizumab as part of routine care.

Dose, frequency and duration are not mandated as part of the study and are determined by the health care provider.

Vedolizumab (VDZ)

Intervention Type DRUG

Participants will receive VDZ as part of routine care.

IL-23 Antagonists

Group two will include participants who will be starting an IL-23 antagonist as part of routine care.

Dose, frequency and duration are not mandated as part of the study and are determined by the health care provider.

Ustekinumab (UST)

Intervention Type DRUG

Participants will receive UST as part of routine care.

Risankizumab (RISA)

Intervention Type DRUG

Participants will receive RISA as part of routine care.

Guselkumab (GUS)

Intervention Type DRUG

Participants will receive GUS as part of routine care.

Mirikizumab (MIR)

Intervention Type DRUG

Participants will receive MIR as part of routine care.

Interventions

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Vedolizumab (VDZ)

Participants will receive VDZ as part of routine care.

Intervention Type DRUG

Ustekinumab (UST)

Participants will receive UST as part of routine care.

Intervention Type DRUG

Risankizumab (RISA)

Participants will receive RISA as part of routine care.

Intervention Type DRUG

Guselkumab (GUS)

Participants will receive GUS as part of routine care.

Intervention Type DRUG

Mirikizumab (MIR)

Participants will receive MIR as part of routine care.

Intervention Type DRUG

Other Intervention Names

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Entyvio Stelara Skyrizi Tremfya Omvoh

Eligibility Criteria

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Inclusion Criteria

1. Participant is an adult 18 years of age or older with confirmed CD, as per standard clinical criteria which may include symptoms, endoscopy, histopathology, and imaging.
2. Participant has active CD and has been prescribed as standard of care (SOC) and is planned to start VDZ or IL-23 antagonist therapy (UST, RISA, or GUS or MIR \[if approved for the treatment of CD during the recruitment period for this study\]) for the first time in accordance with the product label, as determined by the treating physician.
3. Participant has a baseline PROMIS Pain Interference-SF score ≥ 15 (corresponding T-score ≥ 55) (PROMIS Pain Interference-SF 8a \[V1.1\]).

a. Score is calculated by adding score (1 to 5) for each of the 8 subcomponents.
4. Participant has completed all SOC biologic work-up assessments (this may include assessment of tuberculosis, chronic infections, Clostridioides difficile infection and vaccination status per local practice).
5. Ability of participant to participate fully in all aspects of this observational study. Full comprehension of consent language and informed consent must be obtained from the participant and documented.

Exclusion Criteria

1. Participant has CD-related surgery planned or anticipated during the study.
2. Participant has prior exposure to an advanced therapy for the treatment of CD (biologic or small molecule) other than an anti-TNF (i.e., anti-integrin, anti-IL, Janus kinase inhibitors, or sphingosine-1-phosphate receptor 1). Prior failure or intolerance to 2 or more anti-TNF (i.e., infliximab, adalimumab, or certolizumab pegol) therapies in the past 3 years is also cause for exclusion.
3. Participant has an active infection at baseline requiring intravenous systemic antibiotics.

Note: The treating physician must have completed all appropriate baseline screening tests as per the product label.
4. Participant has evidence of C. difficile toxin or is prescribed treatment for C. difficile infection, or other intestinal bacterial pathogen, ≤ 2 weeks prior to Screening.
5. Participant has chronic non-inflammatory bowel disease pain.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Takeda

INDUSTRY

Sponsor Role collaborator

Alimentiv Inc.

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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GI Alliance - Sun City

Sun City, Arizona, United States

Site Status RECRUITING

Digestive and Liver Center of Florida

Kissimmee, Florida, United States

Site Status RECRUITING

Northwestern University

Evanston, Illinois, United States

Site Status RECRUITING

University of Iowa

Iowa City, Iowa, United States

Site Status RECRUITING

University Medical Center New Orleans

New Orleans, Louisiana, United States

Site Status RECRUITING

University of North Carolina

Chapel Hill, North Carolina, United States

Site Status RECRUITING

OR Clinic - East - GI

Portland, Oregon, United States

Site Status RECRUITING

GI Alliance Research Fort Worth

Fort Worth, Texas, United States

Site Status RECRUITING

GI Alliance Research Mansfield

Mansfield, Texas, United States

Site Status RECRUITING

GI Alliance - Bellevue - Washington Gastroenterology

Bellevue, Washington, United States

Site Status RECRUITING

University of Alberta

Edmonton, Alberta, Canada

Site Status RECRUITING

University of British Columbia

Vancouver, British Columbia, Canada

Site Status RECRUITING

GNRR Digestive Clinics and Research Center

Brampton, Ontario, Canada

Site Status RECRUITING

London Health Sciences Centre

London, Ontario, Canada

Site Status RECRUITING

Alimentiv

London, Ontario, Canada

Site Status RECRUITING

West GTA Research Inc.

Mississauga, Ontario, Canada

Site Status RECRUITING

Rajbir Rai Medicine Professional Corporation

Oakville, Ontario, Canada

Site Status RECRUITING

ABP Research Services Corp.

Oakville, Ontario, Canada

Site Status RECRUITING

The Ottawa Hospital

Ottawa, Ontario, Canada

Site Status RECRUITING

Scarborough Center for Inflammatory Bowel Disease

Scarborough Village, Ontario, Canada

Site Status RECRUITING

Toronto Immune & Digestive Health Institute Inc.

Toronto, Ontario, Canada

Site Status RECRUITING

McMaster University Medical Center

Hamilton, Ontatrio, Canada

Site Status RECRUITING

Montreal General Hospital

Montreal, Quebec, Canada

Site Status RECRUITING

Countries

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United States Canada

Central Contacts

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Susan Archer

Role: CONTACT

226-919-6959

Heather MacAulay

Role: CONTACT

Facility Contacts

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Dr. Trivedi

Role: primary

Dr. Atiquzzaman

Role: primary

Dr. Dulai

Role: primary

Dr. Ashat

Role: primary

Dr. Loganantharaj

Role: primary

Dr. Long

Role: primary

Dr. Kiyasu

Role: primary

Dr. Gutta

Role: primary

Dr. Odunsi-Shiyanbade

Role: primary

Dr. Procaccini

Role: primary

Dr. Hoentjen

Role: primary

Dr. Bressler

Role: primary

Dr. Bajaj

Role: primary

Heather Prins

Role: primary

519-685-8500 ext. 34724

Dr. Dargavel

Role: primary

Dr. Rai

Role: primary

Dr. Arya

Role: primary

Khyati Walia

Role: primary

613-737-8899

Dr. Reinglas

Role: primary

Ajani Jeyakumar

Role: primary

Dr. Narula

Role: primary

Pascale Germain

Role: primary

5149341934

Other Identifiers

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TAK01796

Identifier Type: -

Identifier Source: org_study_id

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