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NCT06405087PHASE3Recruiting

A Long-Term Extension Study of Vedolizumab in Children and Teenagers With Ulcerative Colitis (UC) or Crohn's Disease (CD)

Takeda

Start Date

10/27/2025

Completion Date

8/12/2030

Summary

The main aim of this study is to learn about medical problems (adverse events) if vedolizumab subcutaneously (SC) is given to a child or teenager with UC or CD for a long time. Other aims are to understand if the long time use of vedolizumab SC has an impact on the time period until hospital visits because of bowel swelling (inflammation) are needed and has an impact on the quality of life of children and teenagers who received vedolizumab SC. In this study, participants who responded well to the treatment with vedolizumab SC in the parent study (VedolizumabSC-3003 \[NCT06100289\]) will continue to be treated with vedolizumab SC. Participants who did not respond well to the treatment with vedolizumab SC in the parent study or who received corticosteroids in the last 4 weeks of the parent study will not receive vedolizumab SC in this study but will be followed for up to 2 years after the last treatment with vedolizumab SC in the parent study. During the study, participants will visit their study clinic several times.

Detailed Description

The drug being tested in this study is Vedolizumab SC. Vedolizumab SC is being tested to treat pediatric participants with moderate to severe active UC or CD. This study will look at the long-term safety profile in pediatric participants who take vedolizumab SC. The study will enroll approximately 70 participants. This extension study consists of a treatment cohort and an observational cohort. Participants will continue receiving the same dose and frequency of vedolizumab SC that was received at the last dose of the parent study VedolizumabSC-3003 (NCT06100289). For the Treatment cohort participants will be randomized (1:1) to receive vedolizumab in either a prefilled syringe (PFS) as part of an autoinjector pen (PFS+AI) or a PFS with a needle safety device (PFS+NSD): * Treatment Cohort: Vedolizumab 108 milligram (mg) PFS+AI * Treatment Cohort: Vedolizumab 108 mg PFS+NSD This multi-center trial will be conducted globally. The overall time to participate in this study is up to 2 years from the first dose in the study. Participants in the treatment cohort will have a follow-up safety visit of 18 weeks after their last dose of study drug. Participants who will not be eligible for the treatment cohort will be enrolled in the observational cohort and will be followed for approximately 2 years after the last dose of vedolizumab SC received during Study VedolizumabSC-3003 (NCT06100289).

Eligibility Criteria

Age Range: 2 years to 17 years

Inclusion Criteria for Treatment Cohort 1. Has completed Week 34 of Study VedolizumabSC-3003 (NCT06100289) and achieved clinical response at Week 34 and was corticosteroid-free for at least the last 4 weeks (Week 30 to Week 34). Clinical response for participants with UC is defined as a reduction of partial Mayo score of \>=2 points and \>= 25 percentage (%) from baseline (from VedolizumabSC-3003 \[NCT06100289\]), including a \>=1-point decrease in the Mayo stool frequency subscore and a \>=1-point reduction in the rectal bleeding subscore or absolute rectal bleeding subscore of less than or equal to (\<=) 1 point. Clinical response for participants with CD is defined as a pediatric Crohn's disease activity index (PCDAI) \<=30 with a reduction in the PCDAI of \>=15 points from baseline (from VedolizumabSC-3003 \[NCT06100289\]). Inclusion Criteria for Observational Cohort 1\. Has received at least 1 dose of vedolizumab during Study VedolizumabSC-3003 (NCT06100289) and early terminated OR completed the Week 34 clinic visit of Study VedolizumabSC-3003 (NCT06100289) but was not eligible to enroll in the treatment cohort of this study. Exclusion Criteria for Treatment Cohort 1. Has hypersensitivity or allergies to vedolizumab or any of its excipients. 2. The participant currently requires major surgical intervention for UC or CD (example, bowel resection), or is anticipated to require major surgical intervention for UC or CD during the study.

Interventions

DRUG

Vedolizumab SC

OTHER

No Intervention

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Conditions

Ulcerative ColitisCrohn's Disease

Locations

Phoenix Childrens Hospital

Phoenix, Arizona 85016

United States

Loma Linda University

Loma Linda, California 92350

United States

Children's Hospital of Orange County

Orange, California 92868

United States

Stanford Children's Health

Palo Alto, California 94304

United States

Advocate Children's Hospital Park Ridge

Park Ridge, Illinois 60068

United States

Childrens Hospital of Michigan

Detroit, Michigan 48201

United States

Atlantic Health - Morristown Medical Center

Morristown, New Jersey 07960

United States

New York Presbyterian Hospital

New York, New York 10029

United States

University Children's Clinic

Cleveland, Ohio 44106

United States

Cleveland Clinic

Cleveland, Ohio 44195

United States

The University of Oklahoma Health Sciences Center

Oklahoma City, Oklahoma 73104

United States

Penn State Health Milton South Hershey Medical Center

Hershey, Pennsylvania 17033

United States

Medical University of South Carolina

Charleston, South Carolina 29425

United States

Multicare Health System Institute for Research and Innovation

Tacoma, Washington 98405

United States

Cliniques Universitaires Saint-Luc

Brussels, Brussels Capital

Belgium

Centre Hospitalier Chretien MontLegia

Liège,

Belgium

UMHAT Sv. Georgi, EAD

Plovdiv, 4002

Bulgaria

Hvidovre Hospital

Hvidovre, Capital Region 2650

Denmark

Childrens Health Ireland at Crumlin - PIN

Crumlin, Dublin

Ireland

Azienda Ospedaliera Universitaria Gaetano Martino, Messina

Messina, 98124

Italy

ASST Fatebenefratelli Sacco - Ospedale dei Bambini Vittore Buzzi - INCIPIT - PIN

Milan,

Italy

Unita Operativa Complessa Di Pediatria Medica

Pescara, 65125

Italy

Bambin Gesu Hospital - Ospedale Pediatrico Bambin Gesu

Roma, 165

Italy

Kurume University Hospital

Kurume-shi, Fukuoka 830-0011

Japan

Juntendo University Hospital

Bunkyo-ku, Tokyo 113-8431

Japan

National Center for Child Health and Development

Setagaya-ku, Tokyo 157-8535

Japan

Radboud Universitair Medisch Centrum

Nijmegen, 6525 GA

Netherlands

Korczowski Bartosz, Gabinet Lekarski

Rzeszów, 35-302

Poland

WIP Warsaw IBD Point Profesor Kierkus

Warsaw, 04-501

Poland

Instytut Pomnik - Centrum Zdrowia Dziecka

Warsaw,

Poland

SPSK Nr 1 im. Prof.Stanislawa Szyszko Slaskiego Uniwersytetu Medycznego

Zabrze,

Poland

Hospitais da Universidade de Coimbra

Coimbra, 3000-602

Portugal

Hospital St Maria- Centro Hospitalar de Lisboa, Norte EPE

Lisbon, 1649-035

Portugal

Centro Hospitalar do Porto - Hospital de Santo Antonio

Porto, 4099-001

Portugal

Victor Gomoiu Clinical Hospital for Children

Bucharest, Bucharest

Romania

Pius Brinzeu Emergency Clinical County Hospital

Timișoara, Timiș County

Romania

Grigore Alexandrescu Emergency Clinical Hospital for Children

Bucharest,

Romania

University Children's Clinic

Belgrade, 11000

Serbia

Mother and Child Health Care Institute of Serbia Dr Vukan Cupic

Belgrade,

Serbia

Institute for Children and Youth Health Care of Vojvodina

Novi Sad,

Serbia

Kyungpook National University Chilgok hospital

Daegu,

South Korea

Severance Hospital, Yonsei University Health System

Seoul, 03722

South Korea

Seoul National University Hospital

Seoul, 3080

South Korea

Samsung Medical Center

Seoul,

South Korea

Hospital Arquitecto Marcide de Ferrol

Ferrol, 15405

Spain

Hospital Universitario 12 de Octubre

Madrid, 28041

Spain

Hospital Universitario Virgen Macarena

Seville, 41009

Spain

Universitat de Valencia - Hospital Universitari i Politecnic La Fe de Valencia (Hospital La Fe Bulevar Sur)

Valencia, 46026

Spain

University Hospital of Bern

Bern, 03010

Switzerland

Centre Hospitalier Universitaire Vaudois

Lausanne, 1011

Switzerland

University Children's Hospital Zurich

Zurich, 8032

Switzerland

Changhua Christian Medical Foundation - Changhua Christian Children's Hospital

Changhua, 500010

Taiwan

Kaohsiung Medical University - Chung-Ho Memorial Hospital

Kaohsiung City, 807

Taiwan

National Taiwan University Hospital

Zhongzheng, 100

Taiwan