- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03657160
Vedolizumab in the Prophylaxis of Intestinal Acute Graft Versus Host Disease (aGVHD) in Participants Undergoing Allogeneic Hematopoietic Stem Cell (Allo-HSCT) Transplantation
A Randomized, Double-Blind, Placebo-Controlled, Multicenter Study to Evaluate the Efficacy and Safety of Vedolizumab in the Prophylaxis of Intestinal Acute Graft Versus-Host Disease in Subjects Undergoing Allogeneic Hematopoietic Stem Cell Transplantation
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The drug being tested in this study is called vedolizumab. Vedolizumab is being tested to treat people who are undergoing allo-HSCT transplantation. This study will look at the efficacy and safety of vedolizumab in the prophylaxis of intestinal aGvHD in participants undergoing allo-HSCT transplantation.
The study will enroll approximately 558 participants. Participants will be randomly assigned (by chance, like flipping a coin) in 1:1 ratio to one of the two treatment groups-which will remain undisclosed to the participant and study doctor during the study (unless there is an urgent medical need) along with background GvHD prophylaxis regimen:
- Vedolizumab 300 mg
- Placebo (dummy inactive intravenous infusion)
This multi-center trial will be conducted Worldwide. The overall time to participate in this study is 12 months.
Study Type
Enrollment (Actual)
Phase
- Phase 3
Contacts and Locations
Study Locations
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Ciudad Autonoma de Buenos Aires, Argentina, C1199ABB
- Hospital Italiano de Buenos Aires
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Cordoba, Argentina, X5014KEH
- Hospital Privado Centro Médico de Córdoba
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Buenos Aires
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Ciudad Autonoma de Buenos Aires, Buenos Aires, Argentina, C1093AAS
- Fundacion Favaloro Hospital Universitario
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New South Wales
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Darlinghurst, New South Wales, Australia, 2010
- Saint Vincent's Hospital Sydney
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Queensland
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Herston, Queensland, Australia, 4006
- Royal Brisbane and Women's Hospital
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Victoria
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Heidelberg, Victoria, Australia, 3084
- Austin Health
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Parkville, Victoria, Australia, 3050
- The Royal Melbourne Hospital
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Western Australia
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Murdoch, Western Australia, Australia, 6150
- Fiona Stanley Hospital
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Upper Austria
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Linz, Upper Austria, Austria, 4020
- Ordensklinikum Linz Elisabethinen
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Antwerpen, Belgium, 2060
- Ziekenhuisnetwerk Stuivenberg
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Flemish Brabant
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Leuven, Flemish Brabant, Belgium, 3000
- Universitair Ziekenhuis Leuven
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Sao Paulo, Brazil, 08270-070
- Hospital Santa Marcelina
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Sao Paulo, Brazil, 01246-000
- Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
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Sao Paulo, Brazil, 01509-010
- Fundacao Antonio Prudente - A.C.Camargo Cancer Center
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Sao Paulo, Brazil, 03102-006
- Instituto Brasileiro de Controle do Cancer - Sao Camilo Oncolgia
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Ceara
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Fortaleza, Ceara, Brazil, 60430-380
- Hospital Universitário Walter Cantídio - Universidade Federal do Ceará
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Parana
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Curitiba, Parana, Brazil, 80510-130
- Instituto do Cancer e Transplante de Curitiba
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SAO Paulo
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Barretos, SAO Paulo, Brazil, 14784-400
- Hospital de Cancer de Barretos
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Manitoba
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Winnipeg, Manitoba, Canada, R3E 0V9
- CancerCare Manitoba
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Saskatchewan
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Saskatoon, Saskatchewan, Canada, S7N 4H4
- Saskatchewan Cancer Agency
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Bretagne
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Rennes Cedex 9, Bretagne, France, 35033
- Hôpital Pontchaillou
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Ile-de-france
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Paris, Ile-de-france, France, 75012
- Hôpital Saint-Antoine
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Paris, Ile-de-france, France, 75013
- Groupe Hospitalier Pitie-Salpetriere
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Paris, Ile-de-france, France, 75473 cedex 15
- Hôpital Necker-Enfants Malades
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Paris Cedex 10, Ile-de-france, France, 75475
- Hopital Saint Louis
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Limousin, Lorraine
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Limoges Cedex, Limousin, Lorraine, France, 87042
- Centre Hospitalier Universitaire de Limoges
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PAYS DE LA Loire
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Nantes Cedex 1, PAYS DE LA Loire, France, 44093
- Centre Hospitalier Universitaire Nantes - Hotel Dieu
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Picardie
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Amiens, Picardie, France, 80054 CEDEX 1
- Centre Hospitalier Universitaire Amiens-Picardie
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Baden-wuerttemberg
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Mannheim, Baden-wuerttemberg, Germany, 68167
- Universitätsmedizin Mannheim
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Stuttgart, Baden-wuerttemberg, Germany, 70176
- Diakonie-Klinikum Stuttgart
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Hessen
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Frankfurt am Main, Hessen, Germany, 60590
- Universitätsklinikum Frankfurt
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Rheinland-pfalz
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Mainz, Rheinland-pfalz, Germany, 55131
- Universitatsmedizin der Johannes Gutenberg Universitat Mainz
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Sachsen
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Dresden, Sachsen, Germany, 01307
- Universitätsklinikum Carl Gustav Carus Dresden
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Sachsen-anhalt
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Halle, Sachsen-anhalt, Germany, 06120
- Universitätsklinikum Halle
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Schleswig-holstein
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Kiel, Schleswig-holstein, Germany, 24105
- Universitaetsklinikum Schleswig-Holstein - Campus Kiel
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Attica
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Athens, Attica, Greece, 12462
- University General Hospital of Athens Attikon
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Peloponnese
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Patras, Peloponnese, Greece, 26504
- University Regional General Hospital of Patras
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Hajdu-bihar
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Debrecen, Hajdu-bihar, Hungary, 4032
- Debreceni Egyetem Klinikai Kozpont
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Haifa, Israel, 3109601
- Rambam Health Care Campus - Rambam Medical Center
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Jerusalem, Israel, 9112001
- Hadassah Medical Center
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Ramat Gan, Israel, 5265601
- The Chaim Sheba Medical Center
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Tel Aviv, Israel, 6423906
- Tel Aviv Sourasky Medical Center
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Beersheba
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Beer Sheva, Beersheba, Israel, 84101
- Soroka University Medical Center
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Ancona, Italy, 60126
- Azienda Ospedaliero Universitaria Ospedali Riuniti di Ancona
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Bari, Italy, 70124
- Azienda Ospedaliera Policlinico Di Bari
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Catania, Italy, 95124
- Policlinico Universitario di Catania
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Milano, Italy, 20162
- Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda
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Milano, Italy, 20089'
- Istituto Clinico Humanitas Humanitas Cancer Center
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Pescara, Italy, 65125
- Presidio Ospedaliero di Pescara
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Calabria
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Reggio Calabria, Calabria, Italy, 89122
- Azienda Grande Ospedale Metropolitano Bianchi Melacrino Morelli
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Lecce
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Tricase, Lecce, Italy, 73039
- Azienda Ospedaliera Cardinale G. Panico
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Marche
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Ascoli Piceno, Marche, Italy, 63100
- Ospedale Mazzoni
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Venezia
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Mestre, Venezia, Italy, 30174
- Ospedale dell'Angelo
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Osaka, Japan, 545-8586
- Osaka City University Hospital
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Aichi
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Nagoya, Aichi, Japan, 453-8511
- Japanese Red Cross Aichi Medical Center Nagoya Daiichi Hospital
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Fukuoka
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Fukuoka-shi, Fukuoka, Japan, 812-8582
- Kyushu University Hospital
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Hiroshima
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Hiroshima-shi, Hiroshima, Japan, 730-8619
- Hiroshima Red Cross Hospital and Atomic-bomb Survivors Hospital
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Hokkaido
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Sapporo-shi, Hokkaido, Japan, 060-8648
- Hokkaido University Hospital
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Okayama
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Okayama-city, Okayama, Japan, 700-8558
- Okayama University Hospital
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Shizuoka
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Nagaizumi, Shizuoka, Japan, 411-8777
- Shizuoka Cancer Center
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Tochigi
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Shimotsuke-city, Tochigi, Japan, 329-0498
- Jichi Medical University Hospital
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Tokyo
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Bunkyo-Ku, Tokyo, Japan, 113-8677
- Tokyo Metropolitan Cancer and Infectious diseases Center Komagome Hospital
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Daegu, Korea, Republic of, 42472
- Daegu Catholic University Medical Center
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Daejeon, Korea, Republic of, 35015
- Chungnam national university hospital
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Seoul, Korea, Republic of, 03722
- Severance Hospital
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Seoul, Korea, Republic of, 02841
- Korea University Anam Hospital
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Seoul, Korea, Republic of, 06351
- Samsung Medical Center
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Seoul, Korea, Republic of, 06591
- The Catholic University of Korea - Seoul St. Mary's Hospital
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Gyeonggi-do
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Seongnam-si, Gyeonggi-do, Korea, Republic of, 13620
- Seoul National University Bundang Hospital
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Seoul, Gyeonggi-do, Korea, Republic of, 03080
- Seoul National University Hospital
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Gyeongsangbuk-do
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Daegu, Gyeongsangbuk-do, Korea, Republic of, 41944
- Kyungpook National University Hospital
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Daegu, Gyeongsangbuk-do, Korea, Republic of, 42601
- Keimyung University Dongsan Hospital
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Gyeongsangnam-do
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Busan, Gyeongsangnam-do, Korea, Republic of, 49241
- Pusan National University Hospital
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Nuevo LEON
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Monterrey, Nuevo LEON, Mexico, 64460
- Hospital Universitario "Dr. Jose Eleuterio Gonzalez"
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Oslo, Norway, 0372
- Oslo University Hospital - Rikshospitalet
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Pomorskie
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Gdansk, Pomorskie, Poland, 80-214
- Uniwersyteckie Centrum Kliniczne
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Lisboa, Portugal, 1099-023
- Instituto Português de Oncologia de Lisboa Francisco Gentil
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Lisboa, Portugal, 1649-035
- Centro Hospitalar de Lisboa Norte EPE- Hospital Santa Maria
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Porto, Portugal, 4200-072
- Instituto Portugues de Oncologia do Porto Francisco Gentil
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Bucuresti, Romania, 022328
- Institutul Clinic Fundeni
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Mures
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Târgu-Mureş, Mures, Romania, 540042
- Spitalul Clinic Judetean de Urgenta Targu Mure
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Moscow, Russian Federation, 125167
- National Research Center for Hematology
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Sverdlovsk
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Ekaterinburg, Sverdlovsk, Russian Federation, 620102
- Sverdlovsk Regional Clinical Hospital #1
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Singapore, Singapore, 169608
- Singapore General Hospital
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Singapore, Singapore, 188770
- Raffles Hospital
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Singapore, Singapore, 119228
- National University Hospital
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Madrid, Spain, 28034
- Hospital Universitario Ramón y Cajal
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Madrid, Spain, 28040
- Hospital Universitario Fundacion Jimenez Diaz
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Murcia, Spain, 30120
- Hospital Universitario Virgen de la Arrixaca
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Murcia, Spain, 30008
- Hospital General Universitario Morales Meseguer
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Salamanca, Spain, 37007
- Hospital Universitario De Salamanca
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Sevilla, Spain, 41013
- Hospital Universitario Virgen del Rocío
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Valencia, Spain, 46010
- Hospital Clinico Universitario de Valencia
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Barcelona
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Badalona, Barcelona, Spain, 08916
- Hospital Universitari Germans Trias i Pujol
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LAS Palmas
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Las Palmas De Gran Canaria, LAS Palmas, Spain, 35010
- Hospital Universitario de Gran Canaria Doctor Negrin
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Navarra
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Pamplona, Navarra, Spain, 31008
- Clinica Universidad de Navarra
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Stockholm, Sweden, 141 86
- Karolinska Universitetssjukhuset
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Skane
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Lund, Skane, Sweden, 221 85
- Skanes Universitetssjukhus I Lund
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Basel, Switzerland, 4031
- Universitätsspital Basel
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Zurich, Switzerland, 8091
- Universitätsspital Zürich
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Kaohsiung, Taiwan, 807
- Kaohsiung Medical University Hospital
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Taichung, Taiwan, 404
- China Medical University Hospital
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Taichung, Taiwan, 40705
- Taichung Veterans General Hospital
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Taipei, Taiwan, 100
- National Taiwan University Hospital
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Taipei, Taiwan, 11259
- Koo Foundation Sun Yat-Sen Cancer Center
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Taoyuan, Taiwan, 333
- Chang Gung Memorial Hospital
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Hualien
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Hualien City, Hualien, Taiwan, 970
- Buddhist Tzu Chi General Hospital
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England
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Liverpool, England, United Kingdom, L7 8XP
- The Clatterbridge Cancer Centre NHS Foundation Trust
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London, England, United Kingdom, EC1M 6BQ
- Barts Health NHS Trust
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London, England, United Kingdom, W12 0HS
- Imperial College Healthcare NHS Trust
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Sheffield, England, United Kingdom, S10 2JF
- Sheffield Teaching Hospitals NHS Foundation Trust
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Wales
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Cardiff, Wales, United Kingdom, CF14 4XW
- Cardiff and Vale University Health Board
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Alabama
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Birmingham, Alabama, United States, 35294
- University of Alabama at Birmingham Comprehensive Cancer Center
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California
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Los Angeles, California, United States, 90095
- David Geffen School of Medicine at University of California Los Angeles
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Georgia
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Atlanta, Georgia, United States, 30322
- Children's Healthcare of Atlanta
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Atlanta, Georgia, United States, 30322
- Emory University - Winship Cancer Institute
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Augusta, Georgia, United States, 30912
- Augusta University Georgia Cancer Center
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Illinois
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Chicago, Illinois, United States, 60611
- Robert H. Lurie Comprehensive Cancer Center of Northwestern University
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Maywood, Illinois, United States, 60153
- Loyola University Medical Center
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Indiana
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Indianapolis, Indiana, United States, 46202
- Indiana University Melvin and Bren Simon Cancer Center
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Kentucky
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Lexington, Kentucky, United States, 40536
- University of Kentucky Chandler Medical Center
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Maryland
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Baltimore, Maryland, United States, 21201
- Marlene and Stewart Greenebaum Cancer Center
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Massachusetts
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Boston, Massachusetts, United States, 02215
- Beth Israel Deaconess Medical Center
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Boston, Massachusetts, United States, 02114
- Massachusetts General Hospital
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Boston, Massachusetts, United States, 02215
- Dana Farber Cancer Institute
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Boston, Massachusetts, United States, 02215
- Boston Children's Hospital
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Michigan
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Detroit, Michigan, United States, 48201
- Barbara Ann Karmanos Cancer Institute
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Minnesota
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Rochester, Minnesota, United States, 55905
- Mayo Clinic - Rochester
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New York
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Buffalo, New York, United States, 14263
- Roswell Park Cancer Institute
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Buffalo, New York, United States, 14263
- Roswell Park Comprehensive Cancer Center
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New Hyde Park, New York, United States, 11040
- Cohen Children's Medical Center
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New York, New York, United States, 10021
- Weill Cornell Medical College
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New York, New York, United States, 10032
- Columbia University Medical Center - The Columbia Center for Translational Immunology
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North Carolina
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Chapel Hill, North Carolina, United States, 27514
- University of North Carolina Hospitals
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Oregon
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Portland, Oregon, United States, 97239
- Oregon Health and Science University
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South Carolina
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Charleston, South Carolina, United States, 29425
- Medical University of South Carolina
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Texas
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Dallas, Texas, United States, 75246
- Texas Oncology - Baylor Charles A. Sammons Cancer Center
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Virginia
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Charlottesville, Virginia, United States, 22908
- University of Virginia Health System
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Richmond, Virginia, United States, 23298
- Massey Cancer Center
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Must be >= 18 years of age and, in selected countries, adolescents aged 12 years and greater and weighing >=30 kilogram (kg) at time of randomization.
- Must undergo deoxyribose nucleic acid (DNA)-based human leukocyte antigen (HLA) matching and be 8 of 8 or 7 of 8 HLA-matched (singe allele or antigen mismatch at HLA-A, -B, and -C, and HLA-DRB1 is allowable) unrelated hematopoietic stem cell transplantation (HSCT) from either peripheral blood or bone marrow stem cells for a hematologic malignancy or myeloproliferative disorder.
- For whom a myeloablative conditioning or reduced intensity conditioning (RIC) is planned.
- Allo-HSCT eligible (meeting institutional criteria)-participants planned medical care should include aGvHD prophylaxis with a combination of calcineurin inhibitor (CNI) (cyclosporine [CYS] or tacrolimus [TAC]) and methotrexate (MTX) or CNI and mycophenolate mofetil (MMF). With the exception of antithymocyte globulin (ATG) (antithymocyte globulin-Fresenius [ATG-F] or thymoglobulin), all other therapies, approved or investigational, for GvHD prophylaxis are excluded.
- Eastern Cooperative Oncology Group (ECOG) performance status of <= 2 for participants aged >=18 years at randomization or >=60 % using the Karnofsky performance status for adolescent participants aged >=16 years at randomization or the Lansky performance status for adolescent participants aged 12 to < 16 years at randomization.
Exclusion Criteria:
- Had prior allo- HSCT.
- Planned umbilical cord blood transplant or planned to receive posttransplant cyclophosphamide, in vivo or ex vivo T cell-depleted hematopoietic stem cells (HSCs) with the exception of ATG (ATG-F or thymoglobulin).
- Planned allo-HSCT for nonmalignant hematological disorders (example, aplastic anemia, sickle cell anemia, thalassemias, Fanconi anemia or immunodeficiency).
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Placebo Comparator: Placebo
Vedolizumab placebo-matching, intravenous (IV) infusion, once on Day -1 along with background graft-versus-host disease (GvHD) prophylaxis regimen prior to Allo-HSCT and once on Days +13, +41, +69, +97, +125, and +153 post Allo-HSCT up to the end of study treatment (up to 182 days).
|
Vedolizumab placebo-matching IV infusion.
|
|
Experimental: Vedolizumab 300 mg
Vedolizumab 300 mg, IV infusion, once on Day -1 along with background GvHD prophylaxis regimen prior to Allo-HSCT and once on Days +13, +41, +69, +97, +125, and +153 post Allo-HSCT up to the end of study treatment (up to 182 days).
|
Vedolizumab IV infusion.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Intestinal aGvHD-Free Survival After Allo-HSCT by +180 Days
Time Frame: From the date of first dose of study drug to first documented intestinal aGvHD or death, whichever occurs first up to +180 days
|
Intestinal aGvHD Free Survival is the time from the date of first study drug administration (Day-1) to intestinal aGvHD event/death, where an event is defined as death due to any cause or Stage 1-4 intestinal involvement per Acute Graft versus-Host Disease Clinical Stage criteria.
Data was censored for participants who have not had the intestinal aGvHD event or died or have had the event after pre-specified timing, e.g., last contact or Day +180 after allo HSCT whichever occurs first.
|
From the date of first dose of study drug to first documented intestinal aGvHD or death, whichever occurs first up to +180 days
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Intestinal aGvHD-Free and Relapse-Free Survival
Time Frame: From the date of first dose of study drug to first documented intestinal aGvHD, death or relapse, whichever occurs first up to Day +180
|
Intestinal aGvHD and Relapse Free Survival is the time from the date of first study drug administration (Day-1) to intestinal aGvHD event/death/relapse, where an event is defined as death or Stage 1-4 intestinal involvement per Acute Graft versus-Host Disease Clinical Stage criteria, or relapse.
It will be censored for participants who have not had the event or have had the event after pre-specified timing, e.g., last contact or Day +180 after allo-HSCT whichever occurs first.
|
From the date of first dose of study drug to first documented intestinal aGvHD, death or relapse, whichever occurs first up to Day +180
|
|
Grade C-D aGvHD-Free Survival
Time Frame: From the date of first dose of study drug to first documented Grade C-D aGvHD or death, whichever occurs first up to Day +180
|
Grade C-D aGvHD Free Survival is the time from the date of first study drug administration (Day-1) to GvHD event/death, where an event is defined as Grade C-D aGvHD any organ involvement per International Bone Marrow Transplant Registry Database (IBMTR) Severity Index for aGvHD or death.
It will be censored for participants who have not had the event or have had the event after pre-specified timing, eg, last contact or Day +180 after allo-HSCT whichever occurs first.
|
From the date of first dose of study drug to first documented Grade C-D aGvHD or death, whichever occurs first up to Day +180
|
|
Nonrelapse Mortality (NRM)
Time Frame: From the date of first dose of study drug to first documented death without relapse, up to Day +180
|
Non-relapse mortality is the time from the date of first study drug administration (Day-1) to death without occurrence of a relapse.
Data was censored for participants who have not had the event or have had the event after pre-specified timing, e.g., last contact or Day +180 after allo HSCT whichever occurs first.
|
From the date of first dose of study drug to first documented death without relapse, up to Day +180
|
|
Overall Survival (OS)
Time Frame: From the date of first dose of study drug to first documented death up to Day +180
|
Overall Survival by Days +180 is the time from the date of first study drug administration (Day-1) to death from any cause.
|
From the date of first dose of study drug to first documented death up to Day +180
|
|
Grade B-D aGvHD-Free Survival
Time Frame: From the date of first dose of study drug to first documented grade B-D aGvHD or death, whichever occurs first up to Day +180
|
Grade B-D aGvHD Free Survival is the time from the date of first study drug administration (Day-1) to aGvHD event or death, where an event is defined as death or grade B-D any organ involvement per IBMTR Severity Index for aGvHD.
|
From the date of first dose of study drug to first documented grade B-D aGvHD or death, whichever occurs first up to Day +180
|
Collaborators and Investigators
Sponsor
Investigators
- Study Director: Medical Director, Takeda
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- Vedolizumab-3035
- 2018-002141-11 (EudraCT Number)
- JapicCTI-184221 (Registry Identifier: JapicCTI)
- U1111-1216-2319 (Registry Identifier: WHO)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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AryoGen Pharmed Co.CompletedInflammatory Bowel Disease (IBD) | Crohn Disease (CD) | Ulcerative Colitis (UC)Iran
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Universita degli Studi di GenovaWithdrawn
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TakedaWithdrawnCrohn's Disease | Ulcerative Colitis
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TakedaRecruitingCrohn's Disease | Ulcerative ColitisUnited States
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TakedaCompleted
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TakedaCompletedCrohn's Disease | Colitis, UlcerativeUnited States, Belgium, Israel, Spain, Korea, Republic of, Taiwan, Netherlands, Australia, Denmark, Hungary, Italy, Russian Federation, Brazil, Croatia, Germany, Serbia, Bulgaria, Canada, Poland, Slovakia, Ukraine, Czechia, Argentina, Turke... and more
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Mayo ClinicWithdrawnUlcerative Colitis | Dietary ModificationUnited States