Back to Trials
NCT05442567PHASE3Recruiting

A Study of Vedolizumab in Children With Ulcerative Colitis (UC) or Crohn's Disease (CD)

Takeda

Start Date

5/16/2023

Completion Date

2/7/2033

Summary

The study is an extension of two parent studies (MLN0002-3024 \[NCT04779307\] and MLN0002-3025 \[NCT04779320\]). Participants must have participated in one of the previous studies. The purpose of this study is to collect the long-term safety of vedolizumab in children with UC or CD.

Detailed Description

This multi-center trial is conducted worldwide. Up to 240 patients would be enrolled from Studies MLN0002-3024 \[participants with UC\] and MLN0002-3025 \[participants with CD\], either in the Treatment Cohort or in the Observational Cohort. Approximately 93 participants who have previously participated either in study MLN0002-3024 or MLN0002-3025, referred to as parent study, are expected to roll over to the MLN0002-3029 study in the treatment cohort. Treatment Cohort: The drug being tested in this study is called vedolizumab, being studied to treat pediatric patients who have UC or CD. Participants eligible for the Treatment Cohort can be administered vedolizumab intravenous (IV) at Week 54 visit of parent study or up to 1 week after Week 54 of the parent study based on the availability of test results needed to assess eligibility of the participant. At this study entry, participants will be administered the same blinded dose of vedolizumab IV that was received at Week 46 in the parent study and will then continue to receive vedolizumab IV at a frequency of once every 8 weeks (Q8W) in the following treatment groups: * Participants 10 to ≤15 kilogram (kg), Vedolizumab 150 milligram (mg) (High dose) * Participants 10 to ≤15 kg, Vedolizumab 100 mg (Low dose) * Participants \>15 to \<30 kg, Vedolizumab 200 mg (High dose) * Participants \>15 to \<30 kg, Vedolizumab 100 mg (Low dose) * Participants ≥30 kg, Vedolizumab 300 mg (High dose) * Participants ≥30 kg, Vedolizumab 150 mg (Low dose) Blinding of dose group assignment of the parent study will continue until the respective parent study is unblinded in order to protect the blinding of the parent study. The overall time to participate in the Treatment Cohort of this study is up to participant withdrawal, or until vedolizumab IV is commercially available for pediatric indication(s) in the participant's country or until other drug access programs become available, or Sponsor's decision for study closure, or for up to approximately 5 years, whichever comes first. Participants who complete or are discontinued from the study for any reason will complete the final safety/end of study (EOS) visit 18 weeks after their last dose of study drug. Observational Cohort: Participants who received at least 1 dose of study drug during parent study and early terminated or are not eligible for the Treatment Cohort of this study after completion of the Week 54 visit of parent study, will be enrolled in the Observational Cohort of this study as part of a long-term follow-up period to assess prespecified safety events of interest and will not receive continued treatment with vedolizumab IV. The overall time to participate in the Observational Cohort is up to approximately 2 years.

Eligibility Criteria

Age Range: 2 years to No maximum

Main Inclusion Criteria: For Treatment Cohort: 1. The participant should have completed Study MLN0002-3024 or Study MLN0002-3025 and achieved corticosteroid-free clinical response at Week 54 (and has tapered off of steroids, as applicable, at least 12 weeks before Week 54) as defined by a reduction of partial Mayo score of ≥2 points and ≥25% from baseline for participants with UC, or by a decrease of pediatric Crohn's disease activity index (PCDAI) of ≥15 points for participants with CD and with total PCDAI ≤30. 2. A male participant who is sexually active with a female partner of childbearing potential agrees to use a barrier method of contraception (e.g., condom with or without spermicide) from signing of participant/parental informed consent and/or pediatric assent throughout the duration of the study and for 18 weeks after last dose. The female partner of a male participant should also be advised to use a highly effective method of contraception. 3. A female participant of childbearing potential who is sexually active with a nonsterilized male partner agrees to use a highly effective method of contraception from signing of participant/parental informed consent and/or pediatric assent throughout the duration of the study and 18 weeks after the last dose. For Observational Cohort: 1\. The participant has received at least 1 dose of vedolizumab during Study MLN0002-3024 or Study MLN0002-3025 and early terminated OR completed the Week 54 visit of Study MLN0002-3024 or Study MLN0002-3025 but was not eligible to enroll in the treatment cohort of this study. Main Exclusion Criteria: For Treatment Cohort only: 1. The participant currently requires major surgical intervention for UC or CD (e.g., bowel resection), or is anticipated to require major surgical intervention for UC or CD during the study. 2. The participant has developed any new unstable or uncontrolled cardiovascular, heart failure moderate to severe (New York Class Association III or IV), pulmonary, hepatic, renal, gastrointestinal (GI), genitourinary, hematological, coagulation, immunological, endocrine/metabolic, neurological, or other medical disorder that, in the opinion of the investigator, would confound the study results or compromise participant safety. 3. The participant has other serious comorbidities that will limit their ability to complete the study. 4. The participant is unable to comply with all study assessments. 5. The participant has hypersensitivity or allergies to any of the vedolizumab excipients. 6. The participant is lactating or pregnant.

Interventions

DRUG

Vedolizumab IV

OTHER

No Intervention

Interested in This Trial?

Contact the trial locations directly using the information below to learn more about enrollment.

Expressing interest lets you review the study and consent before we connect you with the research site.

Conditions

Ulcerative ColitisCrohn's Disease

Locations

University of South Alabama (USA) Physicians Group

Mobile, Alabama 36604

United States

Phoenix Childrens Hospital - Thomas Rd - PIN

Phoenix, Arizona 85016

United States

Cedars Sinai Medical Center - 127 San Vicente Blvd

Los Angeles, California 90048

United States

Rady Children's Hospital - San Diego - PIN

San Diego, California 92123

United States

University of California San Francisco

San Francisco, California 94158

United States

I.H.S Health LLC-Kissimmee-445 W Oak St

Kissimmee, Florida 34741

United States

Childrens Center For Digestive Healthcare

Atlanta, Georgia 30342

United States

Advocate Children's Hospital - Park Ridge - PIN

Park Ridge, Illinois 60068

United States

Riley Hospital For Children - PIN

Indianapolis, Indiana 46202

United States

Johns Hopkins University

Baltimore, Maryland 21287

United States

Boston Children's Hospital - PIN

Boston, Massachusetts 02215

United States

MNGI Digestive Health PA-Plymouth

Minneapolis, Minnesota 55413

United States

Mayo Clinic - PIN

Rochester, Minnesota 55905

United States

Goryeb Children's Hospital

Morristown, New Jersey 07960

United States

Cohen Children's Medical Center Northwell - BRANY - PPDS - PIN

New Hyde Park, New York 11042

United States

University of Rochester Medical Center - PPDS

Rochester, New York 14642

United States

Stony Brook University Medical Center

Stony Brook, New York 11794

United States

University Hospitals Cleveland Medical Center - 11100 Euclid Ave

Cleveland, Ohio 44106

United States

UPMC Children's Hospital of Pittsburgh - Adolescent Medicine (Oakland) - PIN

Pittsburgh, Pennsylvania 15201

United States

Hasbro Children's Hospital - PIN

Providence, Rhode Island 02903

United States

Texas Children's Hospital - Baylor - PIN

Houston, Texas 77030

United States

Carilion Children's Tanglewood Center

Roanoke, Virginia 24018

United States

Children's Hospital at Westmead

Westmead, New South Wales 2145

Australia

Queensland Childrens Hospital

South Brisbane, Queensland 4101

Australia

Monash Health, Monash Medical Centre

Clayton, Victoria 3168

Australia

Royal Children's Hospital Melbourne - PIN

Parkville, Victoria 3052

Australia

UZ Antwerpen - PIN

Edegem, Antwerpen 2650

Belgium

UZ Brussel - PIN

Jette, Brussels Capital 1090

Belgium

UZ Leuven

Leuven, Vlaams Brabant 3000

Belgium

University of Alberta Hospital

Edmonton, Alberta T6G 2B7

Canada

British Columbia Children's Hospital - 4480 Oak St

Vancouver, British Columbia V6H 3N1

Canada

London Health Sciences Centre -800 Commissioners Rd E

London, Ontario N6A 5W9

Canada

Centre Hospitalier Universitaire Sainte-Justine

Montreal, Quebec H3T 1C5

Canada

Beijing Children's Hospital, Capital Medical University - PIN

Beijing, Beijing Municipality 100045

China

Henan Children's Hospital Zhengzhou Children's Hospital - Zhengdong Campus

Zhengzhou, Henan 450018

China

Hunan Children's Hospital

Changsha, Hunan 410007

China

Children's Hospital of Fudan University

Shanghai, Shanghai Municipality 201102

China

The Children's Hospital Zhejiang University School of Medicine - Binjiang Campus

Hangzhou, Zhejiang 310003

China

Children's Hospital Zagreb

Zagreb, City of Zagreb 10000

Croatia

University Hospital Center Zagreb

Zagreb, City of Zagreb 10000

Croatia

University Hospital of Split-Spinciceva 1

Split, 21000

Croatia

Fakultni nemocnice Kralovske Vinohrady

Prague, Praha, Hlavni Mesto 100 34

Czechia

Fakultni Thomayerova Nemocnice

Prague, Praha, Hlavni Mesto 140 00

Czechia

University General Hospital ''ATTIKON'' - General Hospital of West Attica H AGIA VARVARA

Athens, Attica 12462

Greece

Children's Hospital Agia Sofia

Athens, GR11527

Greece

General Hospital of Thessaloniki ''Hippokratio''

Thessaloniki, 546 42

Greece

General Hospital of Thessaloniki ''Hippokratio''

Thessaloniki, 546 42

Greece

Borsod-Abauj-Zemplen Varmegyei Kozponti Korhaz es Egyetemi Oktatokorhaz

Miskolc, Borsod-Abauj Zemplen county 3526

Hungary

Szegedi Tudomanyegyetem, SZAKK, Borgyogyaszati es Allergologiai Klinika

Szeged, Csongrád megye 6720

Hungary

Clinexpert Obuda Egeszsegcentruma

Budapest, 1033

Hungary

Semmelweis Egyetem, Pulmonologiai Klinika

Budapest, 1083

Hungary

Tel Aviv Sourasky Medical Center Ichilov - PPDS

Jerusalem, Jerusalem 90000

Israel

Shaare Zedek Medical Center

Jerusalem, Jerusalem 91031

Israel

Soroka University Medical Centre

Beersheba, 84101

Israel

Rambam Health Care Campus PPDS

Haifa, 31096

Israel

Carmel Medical Center

Haifa, 34362

Israel

Hadassah Medical Center- Ein Kerem - PPDS

Jerusalem, 91120

Israel

Schneider Childrens Medical Center of Israel Petah Tikvah PIN

Petah Tikva, 49100

Israel

Azienda Ospedaliera Universitaria Federico II

Naples, Campania 80131

Italy

Azienda Ospedaliera Universitaria Luigi Vanvitelli - Piazza Luigi Miraglia 2

Naples, Campania 80131

Italy

Azienda USL di Bologna

Bologna, Emilia-Romagna 40133

Italy

Sapienza University of Rome

Rome, Lazio 185

Italy

Fondazione IRCCS San Gerardo dei Tintori

Monza, Lombardy 20900

Italy

Azienda Ospedaliero Universitaria A Meyer

Florence, Tuscany 50139

Italy

Universita degli Studi di Padova

Padova, Veneto 35122

Italy

Kurume University Hospital

Kurume-Shi, Hukuoka 830-0011

Japan

Japanese Red Cross Kumamoto Hospital

Kumamoto, Kumamoto 861-8520

Japan

Saitama Children's Medical Center-1397-1 yamane

Hidaka, Saitama 330-8777

Japan

Juntendo University Hospital

Bunkyo-Ku, Tokyo 113-8431

Japan

National Center for Child Health and Development

Setagaya-Ku, Tokyo 157-8535

Japan

Hospital of Lithuanian University of Health Sciences Kaunas Clinics

Kaunas, Kaunas County LT-50161

Lithuania

Vilnius University Hospital Santaros Klinikos

Vilnius, Vilnius County 8406

Lithuania

Uniwersytecki Szpital Dzieciecy w Krakowie

Krakow, Lesser Poland Voivodeship 30-663

Poland

Uniwersytecki Szpital Kliniczny im. Jana Mikulicza Radeckiego we Wroclawiu-ul.Ludwika Pasteura 4

Wroclaw, Lower Silesian Voivodeship 50-369

Poland

WIP Warsaw IBD Point Profesor Kierkus

Warsaw, Masovian Voivodeship 04-501

Poland

Instytut Pomnik Centrum Zdrowia Dziecka

Warsaw, Masovian Voivodeship 04-736

Poland

Korczowski Bartosz, Gabinet Lekarski

Rzeszów, Podkarpackie Voivodeship 35-302

Poland

Copernicus Podmiot Leczniczy Sp. z o.o. - al. Jana Pawla II 50

Gdansk, Pomeranian Voivodeship 80-803

Poland

Gornoslaskie Centrum Zdrowia Dziecka Im. Sw. Jana Pawla II Spsk Nr 6 Sum W Katowicach

Katowice, Silesian Voivodeship 40-752

Poland

Twoja Przychodnia SCM - Slowackiego

Szczecin, West Pomeranian Voivodeship 71-434

Poland

SPZOZ Centralny Szpital Kliniczny UM w Lodzi - ul. Pomorska 251

Lodz, 91-738

Poland

Instytut Centrum Zdrowia Matki Polki

Lodz, Łódź Voivodeship 93-338

Poland

Narodny ustav detskych chorob

Bratislava, 833 40

Slovakia

Kyungpook National University Chilgok hospital

Daegu, Daegu Gwang'yeogsi 41404

South Korea

Gachon University Gil Medical Center

Incheon, Incheon Gwang'yeogsi 21565

South Korea

Seoul National University Hospital

Seoul, 03080

South Korea

Samsung Medical Center

Seoul, 6351

South Korea

Hospital de Sagunto

Sagunto, Valencia 46520

Spain

Hospital Sant Joan de Deu - PIN

Barcelona, 8950

Spain

Hospital Infantil Universitario Nino Jesus - PIN

Madrid, 28009

Spain

Hospital Regional Universitario de Malaga Hospital Materno-Infantil

Málaga, 29011

Spain

Hospital Universitario Virgen del Rocio - PPDS

Seville, 41013

Spain

Great Ormond Street Hospital

London, London, City of WC1N 3AJ

United Kingdom

Noahs Ark Childrens Hospital for Wales - PIN

Cardiff, South Glamorgan CF14 4XW

United Kingdom

King's College Hospital

London, Surrey SE5 9RS

United Kingdom

Birmingham Women's and Children's NHS Foundation Trust

Birmingham, Warwickshire B4 6NH

United Kingdom

Barts Health NHS Trust - PPDS

London, E1 1BB

United Kingdom

Royal Manchester Children's Hospital - PPDS - PIN

Manchester, M27 4HA

United Kingdom