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NCT06227910PHASE3Recruiting

A Study of Vedolizumab With and Without Upadacitinib in Adults With Crohn's Disease

Takeda

Start Date

1/2/2025

Completion Date

8/1/2028

Summary

The main aim of this study is to learn whether vedolizumab and upadacitinib given together (also called dual targeted therapy or DTT) reduces bowel inflammation and ulcers in the bowel compared to vedolizumab only (also called monotherapy) in adults with moderately or severely active Crohn's Disease (CD) after 12 weeks of treatment. Other aims are to learn how safe and effective DTT is compared to monotherapy for these participants. All participants will receive DTT (either vedolizumab and upadacitinib or vedolizumab and placebo) for 12 weeks. Participants responding to the treatment will then receive vedolizumab only (monotherapy) for an additional 40 weeks. During the study, participants will visit their study clinic 15 times.

Detailed Description

The drug being tested in this study is vedolizumab. Vedolizumab is being tested to treat people with moderately to severely active CD. The study will look at the efficacy and safety of vedolizumab with and without upadacitinib. The study will enroll approximately 396 patients. Participants will be assigned in a 1:1 ratio to one of the two treatment groups in the 12-weeks Induction Phase: * Induction Phase: Vedolizumab + Upadacitinib * Induction Phase: Vedolizumab + Placebo Participants who achieve a Crohn's disease activity index (CDAI) reduction of greater than or equal to (\>=)70 points from baseline at Week 12 will enter the main study Maintenance Phase (40 weeks) of the study to receive vedolizumab monotherapy. Participants will be followed for a further 18-week safety follow-up period up to Week 70. This multi-center trial will be conducted worldwide. The overall time to participate in this study is approximately 70 weeks.

Eligibility Criteria

Age Range: 18 years to 65 years

Inclusion Criteria: 1. The participant has a diagnosis of CD established at least 3 months before screening by clinical and endoscopic evidence and corroborated by a histopathology report. 2. The participant has a confirmed diagnosis of moderately to severely active CD as assessed by CDAI of 220-450. 3. The participant has evidence of mucosal inflammation based on the SES-CD: SES-CD score of \>=6 (or \>=4 for participants with isolated ileal disease), as confirmed by a central reader. 4. The participant has demonstrated an inadequate response to, loss of response to, or intolerance to corticosteroids, immunomodulators, or biologic therapy. Exclusion Criteria: 1. The participant has a current diagnosis of ulcerative colitis or indeterminate colitis. 2. The participant has infection(s) requiring treatment with IV anti-infectives within 30 days prior to baseline or oral/intramuscular anti-infectives within 14 days prior to baseline. 3. The participant has evidence of an active infection during the screening period, or clinically significant infection within 30 days prior to screening, or ongoing chronic infection. 4. The participant has a history of recurrent or disseminated (including a single episode) herpes zoster, or disseminated (including a single episode) herpes simplex. 5. The participant has any of the following ongoing known complications of CD: abscess (abdominal or peri-anal); symptomatic bowel strictures; 2 entire missing segments of the following 5 segments: terminal ileum, right colon, transverse colon, sigmoid and left colon, and rectum; fulminant colitis; toxic megacolon; or any other manifestation that might require surgery while enrolled in the study. 6. The participant has an ostomy or ileoanal pouch. 7. The participant has severe renal impairment, defined as an estimated glomerular filtration rate of \<30 milliliters per minute per 1.73 square meters (mL/min/1.73 m\^2). 8. The participant has severe (Child-Pugh C) hepatic impairment.

Interventions

DRUG

Vedolizumab

DRUG

Upadacitinib

DRUG

Placebo

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Conditions

Crohn's Disease

Locations

UCSD Medical Center

La Jolla, California 92037

United States

Keck Medicine Of USC - USC Healthcare Center 1

Los Angeles, California 90033

United States

Peak Gastroenterology Associates

Colorado Springs, Colorado 80907

United States

GI PROS, Inc.

Naples, Florida 34102

United States

Orlando Health Ambulatory Care Center

Orlando, Florida 32806

United States

USF Health Morsani Center for Advanced Healthcare

Tampa, Florida 33612

United States

Indiana University (IU) Health University Hospital

Indianapolis, Indiana 46202

United States

University of Kentucky

Lexington, Kentucky 40536

United States

Mount Sinai Hospital - The Susan and Leonard Feinstein Inflammatory Bowel Disease (IBD) Clinical Center

New York, New York 10029-5204

United States

Columbia University Medical Center, New York-Presbyterian Hospital

New York, New York 10032

United States

Lenox Hill Hospital Northwell Health

New York, New York 10075

United States

Gastroenterology Associates

Greenville, South Carolina 29607

United States

Rapid City Medical Center

Rapid City, South Dakota 57701

United States

Southern Star Research Institute, LLC

San Antonio, Texas 78229

United States

Tyler Research Institute, LLC

Tyler, Texas 75701

United States

Virginia Mason Medical Center

Seattle, Washington 98101

United States

Swedish Cancer Institute

Seattle, Washington 98104

United States

University of Washington Medical Center - Montlake

Seattle, Washington 98195

United States

Medical College of Wisconsin Cancer Center - Froedtert Hospital

Milwaukee, Wisconsin 53226

United States

Medizinische Universitaet Wien - Allgemeines Krankenhaus der Stadt Wien (AKH) - Universitaetsklinik fuer Innere Medizin III

Vienna, State of Vienna 1090

Austria

Medical University Innsbruck

Innsbruck, Tyrol 6020

Austria

Johannes Kepler Universitat Linz (JKU)

Linz, 4021

Austria

Landeskrankenhaus Salzburg, Innere Medizin I, Labor im Erdgeschoss

Salzburg, 5020

Austria

Krankenhaus der Barmherzigen Brueder Wien

Vienna, 1020

Austria

Hopital Universitaire de Bruxelles/ Academisch Ziekenhuis Brussel

Brussels, Anderlecht 1070

Belgium

Imelda GI Clinical Research Center

Bonheiden, 2820

Belgium

Universitair Ziekenhuis Gent

Ghent, 9000

Belgium

University Hospitals Leuven

Leuven, 3000

Belgium

Centre Hospitalier Chretien MontLegia

Liège, 4000

Belgium

Hospital Universitario Cajuru

Curitiba, Paraná 80050-350

Brazil

Faculdade de Medicina de Botucatu

Botucatu, São Paulo 18618-970

Brazil

Centro de Estudos Clinico do Interior Paulista - CECIP

Jaú, São Paulo 17201130

Brazil

Pesquisare Saude

Santo André, São Paulo 9080110

Brazil

Universidade Federal do Rio de Janeiro (UFRJ)-Hospital Universitario Clementino Fraga Filho (HUCFF)

Rio de Janeiro, 21941-617

Brazil

Hospital das Clinicas of the University of Sao Paulo (Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo (HC/FMUSP))

São Paulo, 05403-010

Brazil

Unidade de Pesquisa Clinica UPC Hospital das Clinicas da Faculdade de Medicina de Ribeirao Preto da Universidade de Sao Paulo

São Paulo, 1405-1243

Brazil

Heritage Medical Research Clinic - University Of Calgary

Calgary, Alberta T2N 4Z6

Canada

University of Manitoba-Winnipeg Regional Health Authority-Health Sciences Centre

Winnipeg, Manitoba R3A 1R9

Canada

Dalhousie University

Halifax, Nova Scotia B3H 2Y9

Canada

Barrie GI Associates

Barrie, Ontario L4M 7G1

Canada

McMaster University - Farncombe Family Digestive Health Research Institute (FFDHRI)

Hamilton, Ontario L8S 4K1

Canada

Taunton Surgical Centre-Oshawa Clinic

Oshawa, Ontario L1J 0C7

Canada

Toronto Immune and Digestive Health Institute (TIDHI)

Toronto, Ontario M6A 3B4

Canada

Toronto Digestive Disease Associates

Vaughan, Ontario L4L 4Y7

Canada

Centre Hospitalier de l'Universite de Montreal

Montreal, Quebec H2X 0A9

Canada

Poliklinika Borzan d.o.o.

Osijek, 31000

Croatia

Clinical Hospital Center Rijeka

Rijeka, 51000

Croatia

University Hospital Centre Sestre Milosrdnice

Zagreb, 10000

Croatia

Nemocnice Ceske Budejovice, a.s.

České Budějovice, 370 01

Czechia

Fakultni Nemocnice Hradec Kralove

Hradec Králové, 500 05

Czechia

Hepato-Gastroenterologie HK, s.r.o.

Hradec Králové, 500 12

Czechia

IBD Clinical and Research centre

Prague, 190 00

Czechia

Aalborg Hospital

Aalborg, 9000

Denmark

Hvidovre Hospital Medicinsk Gastroenterologisk Afdeling

Hvidovre, 2650

Denmark

CHU d'Amiens-Picardie - Hopital SUD

Amiens, 80054

France

Hopital Huriez - CHRU de Lille

Lille, 59037

France

Chu - Hopital Nord

Marseille, 13015

France

Centre Hospitalier Universitaire de Nantes (CHU de Nantes) - Hopital Hotel Dieu

Nantes, 44093

France

Centre Hospitalier Universitaire de Bordeaux - Hopital Haut-Leveque

Pessac, 33600

France

CHU St Etienne Hopital Nord

Saint-Etienne, 42270

France

Centre Hospitalier Universitaire (CHU) de Toulouse - Hopital Rangueil

Toulouse, 31059

France

Centre Hospitalier Regional Universitaire de Nancy, Hopital Brabois

Vandœuvre-lès-Nancy, 54511

France

Krankenhaus Waldfriede e.V.

Berlin, 14163

Germany

Agaplesion Markus Krankenhaus

Frankfurt am Main, 60431

Germany

Studiengesellschaft BSF

Halle, 06108

Germany

Universitaetsklinikum Jena

Jena, 07747

Germany

Universitaetsklinikum Schleswig-Holstein, UKSH-Campus Kiel

Kiel, 24105

Germany

St. Marien- und St. Annastiftskrankenhaus

Ludwigshafen, 67065

Germany

Universitaetsklinikum Mannheim (Umm) - Ii Medizinische Klinik

Mannheim, 68167

Germany

University of Athens School of Medicine, Alexandra General Hospital

Athens, Attica 11528

Greece

Metaxa Cancer Hospital

Piraeus, Attica 185 37

Greece

University Hospital of Heraklion

Heraklion, Crete 71110

Greece

Central Hospital of Northern Pest - Military Hospital

Budapest, 1062

Hungary

Semmelweis Egyetem

Budapest, 1082

Hungary

Szegedi Tudomanyegyetem Altalanos Orvostudomanyi Kar Szent-Gyorgyi Albert Klinikai Kozpont, I.Sz. Belogyaszati Klinika

Szeged, 6720

Hungary

Adelaide, Meath and National Children's Hospital

Dublin, 24

Ireland

University College Dublin (UCD) - St. Vincent's University Hospital (SVUH)

Dublin, D04 T6F4

Ireland

Beaumont Hospital

Dublin, D09 V2N0

Ireland

Soroka Medical Center

Beersheba, 8410101

Israel

Rambam Health Care Campus (RHCC)

Haifa, 3109601

Israel

Meir Medical Center

Kfar Saba, 44281

Israel

Rabin Medical Center - Beilinson Campus (Beilinson and Hasharon Hospital)

Petah Tikva, 49100

Israel

The Tel Aviv Sourasky Medical Center

Tel Aviv, 6423906

Israel

Ospedale San Raffaele (HSR) Instituto Scientifico Universitario San Raffaele

Milan, 20132

Italy

Azienda Ospedaliero Universitaria Federico II di Napoli

Naples, 80131

Italy

A. Gemelli University Hospital, Catholic University of the Sacred Heart

Roma, 00168

Italy

Humanitas Clinical And Research Institute

Rozzano, 20089

Italy

Fondazione IRCSS Casa Sollievo Della Sofferenza

San Giovanni Rotondo, 71013

Italy

AO Ordine Mauriziano di Torino

Torino, 10122

Italy

Amsterdam UMC Research BV

Amsterdam, 1105 AZ

Netherlands

Radboud University Medical Center

Nijmegen, 6525 GA

Netherlands

Erasmus Medisch Centrum

Rotterdam, 3015 GD

Netherlands

Elisabeth TweeSteden Ziekenhuis (ETZ)

Tilburg, 5022 GC

Netherlands

Vestre Viken HF - Baerum Sykehus

Drammen, Gjettum 1309

Norway

Haukeland Universitetssjukehus (Haukeland University Hospital)

Bergen, N5021

Norway

Akershus University Hospital

Lorenskog, 1478

Norway

Oslo Universitetssykehus HF, Ulleval

Oslo, 0424

Norway

Oddzial Kliniczny Gastroenterologii Ogolnej i Onkologicznej SPZOZ Uniwersytecki Szpital Kliniczny Nr 1 im. Barlickiego Uniwersytetu Medycznego w Lodzi

Lodz, 90-153

Poland

Samodzielny Publiczny Szpital Kliniczny Im. H. Swiecickiego Um

Poznan, 60-354

Poland

H-T. Centrum Medyczne Sp. z o.o. Sp.k.

Tychy, 43-100

Poland

Panstwowy Instytut Medyczny MSWiA

Warsaw, 02-507

Poland

WIP Warsaw IBD Point Profesor Kierkus

Warsaw, 05-401

Poland

Unidade Local de Saude Coimbra

Coimbra, 3000-075

Portugal

Centro Hospitalar de Lisboa ocidental (CHLO), Hospital Egas Moniz

Lisbon, 1349-019

Portugal

Centro Hospitalar Universitario Lisboa Norte EPE

Lisbon, 1649-028

Portugal

University Clinical Centre - Ljubljana

Ljubljana, 1000

Slovenia

Inje University Haeundae Paik Hospital

Busan, 48108

South Korea

Yeungnam University Medical Center

Daegu, 42415

South Korea

The Catholic University of Korea, Daejeon St.Mary's Hospital

Daejeon, 34943

South Korea

Kyung Hee University Hospital

Seoul, 02447

South Korea

Severance Hospital, Yonsei University Health System

Seoul, 03722

South Korea

The Catholic University of Korea, Seoul St. Mary's Hospital

Seoul, 06591

South Korea

Chung-Ang University Hospital

Seoul, 06973

South Korea

The Catholic University Of Korea, St. Vincent's Hospital

Suwon, 16247

South Korea

Hospital General Universitario Gregorio Maranon (HGUGM)

Madrid, 28007

Spain

Hospital Universitario La Paz

Madrid, 28046

Spain

Hospital Universitari Son Espases

Palma, 07120

Spain

Complejo Hospitalario de Navarra (CHN)

Pamplona, 31008

Spain

Complejo Hospitalario Universitario De Santiago De Compostela

Santiago de Compostela, 15706

Spain

Hospital Universitari I Politecnic La Fe

Valencia, 46026

Spain

Universitetssjukhuset i Linkoping, Endokrin- och magtarmmedicinska Kliniken (EM-Kliniken)

Linköping,

Sweden

Ersta sjukhus

Stockholm, 116 30

Sweden

Karolinska Universitetssjukhuset - Hjartkliniken i Solna - Karolinska University Hospital

Stockholm, 171 76

Sweden

Danderyds Sjukhus AB

Stockholm, 182 88

Sweden

University Hospital Basel

Basel, 4031

Switzerland

University Hospital Bern (Inselspital)

Bern, 3010

Switzerland

Zentrum fur Gastroenterologie

Zurich, 8048

Switzerland

Universitatsspital Zurich

Zurich, 8091

Switzerland

Changhua Christian Hospital

Changhua, 50006

Taiwan

Chung Shan Medical University Hospital

Taichung, 40201

Taiwan

Taichung Veterans General Hospital

Taichung, 40705

Taiwan

National Cheng Kung University Hospital

Tainan, 70403

Taiwan

National Defense Medical Center (NDMC) (Tri-Service General Hospital (TSGH)) - Neihu

Taipei, 11490

Taiwan

Chang Gung Memorial Foundation Linkou Chang Gung Memorial Hospital

Taoyuan City, 33305

Taiwan

St Thomas' Hospital - Guy's & St Thomas' NHS Foundation Trust

London, England SE1 7EH

United Kingdom

The Royal London Hospital - Barts Health NHS Trust

London, Greater London E1 1BB

United Kingdom

Western General Hospital

Edinburgh, Lothian EH4 2XU

United Kingdom

Queen Elizabeth University Hospital - NHS Greater Glasgow & Clyde - South Glasgow University Hospital Division

Glasgow, Scotland G51 4TF

United Kingdom