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