- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05158517
VeDOlizumab PERsistence in IBD Patients After Switching From Intravenous to Subcutaneous Administration : a Real-life Multicenter Study (DOPER) (DOPER)
VeDOlizumab PERsistence in IBD Patients After Switching From Intravenous to Subcutaneous Administration : a Real-life Multicenter Study
Descriptive : A 12-months multicenter, observational, prospective cohort study. Population : IBD patients under stable clinical and biological remission will be proposed to switch from the IV vedolizumab to the SC vedolizumab as part of routine care. All consecutive IBD patients in IBD centers participating in the study will be proposed to participate in the study during their regular outpatients' visits.
Objectives : The primary objective of DOPER study is to describe SC vedolizumab persistence after switching from IV vedolizumab to SC vedolizumab at month 12.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Number of patients : 400 patients in approximatively 31 sites in France. Recrutment period : The trial duration for each patient will be 1 year main. Endpoint : The primary endpoint is to assess the rate of persistence of SC vedolizumab at month 12 after switching from IV vedolizumab to SC vedolizumab.
Secondary Endpoint :
- Percentage of clinical remission at months 3 and 12, defined as a Partial Mayo Score (PMS) <2 with each sub-score (stool frequency, rectal bleeding, and physician rating of disease activity) of 1 or less for UC patients and as a Harvey Bradshaw Index (HBI) score ≤4 for CD patients
- Percentage of steroid free clinical remission at month 12
- Percentage of biological remission rates (defined as fecal calprotectin <250 μg/g and C-Reactive-Protein (CRP) <5 mg/L) at month 12
- Percentage of Patient-Reported Outcome 2 (PRO-2, defined as stool frequency and rectal bleeding for UC and stool frequency and abdominal pain for CD) response and remission at month 12
- Percentage of clinical relapse free rates at month 12
- Percentage of loss of response rates at month 12
- Mean change from baseline in PMS or HBI, CRP and fecal calprotectin compared to month 12
- Percentage of patients who switch back to previous IV vedolizumab therapy at month 12after switching from IV vedolizumab to SC vedolizumab
- Proportion of patients with positive antibodies (VDZ, ANA) comparing therapy with IV and SC vedolizumab
- Persistence of SC vedolizumab at month 12 in patients previously treated by IV vedolizumab every 4 weeks, compared to patients treated by IV vedolizumab every 8 weeks
- Twelve-month cumulative surgery rates
- Hospitalization rate at month 12
- Cumulative infection rate at month 12
- Cumulative injection reactions at month 12
- Cumulative adverse events (AEs) rate at month 12
- Comparison between incidence of specific anti-drug antibodies and incidence of AEs
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Locations
-
-
Auvergne-Rhone-Alpes
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Grenoble, Auvergne-Rhone-Alpes, France, 38000
- Recruiting
- Thomas Chateau
-
Contact:
- Thomas Chateau
- Phone Number: +33 476766702
- Email: tchateau@chu-grenoble.fr
-
Principal Investigator:
- Nicolas Mathieu, Pr
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Male or female subjects who are more than 18 years of age, on the day of signing informed consent
- Documented diagnosis of IBD, established on the basis of standard clinical, endoscopic and/or histological criteria.
- CD or UC remission defined per clinical assessment as a Harvey Bradshaw Index (HBI) score ≤4 for CD patients and a Partial Mayo Score (PMS) < 2 with each sub-score of 1 or less for UC and/or according to ECCO classification within previous 3 months
- Currently treated with IV vedolizumab
- Patients agreeing to switch from IV to SC formulation
Receiving or not the concomitant following drugs (but must remain on stable dose for 12 weeks):
- Oral 5-aminosalicylates (5ASA) compounds or rectal formulations of 5ASA provided the dose to be stable at least 4 weeks before switching
- Azathioprine, 6-Mercaptopurine or methotrexate provided the dose has been stable for 4 weeks prior to inclusion • Each patient is required to provide written informed consent in order to be included in the study
Exclusion Criteria:
- Current use of adalimumab, infliximab, golimumab or ustekinumab
- Current use of JAK inhibitors or S1P modulators
- Current use of steroids or within the last three months for IBD
- Treatment with any investigational agent in the past 30 days or five half-lives prior to the screening visit (whichever is longer)
- Active clinically significant infection or HIV, Hep B, Hep C, untreated tuberculosis
- Female subjects with pregnancy or breastfeeding
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Subcutaneous vedolizumab dosage after switch
Time Frame: Month 12
|
To describe subcutaneous vedolizumab persistence after the switch from IV vedolizumab to SC vedolizumab at month 12
|
Month 12
|
Efficacy of subcutaneous vedolizumab treatment in clinical remission
Time Frame: Month 12
|
Steroid-free clinical remission 12 months after switching
|
Month 12
|
Safety of subcutaneous vedolizumab treatment
Time Frame: Month 12
|
Proportion of participants with treatment-related adverse events for a period of 12 months after swiching
|
Month 12
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Ratio efficacy of SC vedolizumab in clinical remission
Time Frame: Month 12
|
Percentage of patients on steroid free clinical remission at month 12 after switch : Steroid-free Clinical remission is defined as a Partial Mayo Score (PMS) <2 with each sub-score (stool frequency, rectal bleeding, and physician rating of disease activity) of 1 or less for UC patients and as a Harvey Bradshaw Index (HBI) score ≤4 for CD patients |
Month 12
|
Loss of response to vedolizumab SC treatment
Time Frame: Month 12
|
Percentage of patients who switch back to originator previous therapy IV vedolizumab at month 12 after switching from IV vedolizumab to SC vedolizumab in IBD patient
|
Month 12
|
Efficacy of SC vedolizumab treatment on patient quality of life
Time Frame: Month 12
|
Percentage of PRO2 response and remission at month 12
|
Month 12
|
Efficacy of SC vedolizumab treatment in biological remission
Time Frame: Month 12
|
Percentage of biological remission rates (FC<250μg/g, CRP<5mg/L) at month 12
|
Month 12
|
Efficacy of SC vedolizumab treatment in preventing relapse
Time Frame: Month 12
|
Percentage of clinical relapse free rates at month 12
|
Month 12
|
Efficacy of SC vedolizumab treatment in preventing loss of response
Time Frame: Month 12
|
Percentage of loss of response rates at month 12
|
Month 12
|
Loss of clinical response
Time Frame: Month 3
|
Percentage of clinical response and remission at month 3
|
Month 3
|
Disease activity
Time Frame: Moth 12
|
Mean change from baseline in :
|
Moth 12
|
Treatment adherence
Time Frame: Month 12
|
Proportion of patients with positive antibodies (VDZ, ANA) comparing therapy with original and SC vedolizumab
|
Month 12
|
Medication Possession Ratio (MPR)
Time Frame: Month 12
|
Adherence to biosimilar switch during the follow-up : MPR ratios
|
Month 12
|
Collaborators and Investigators
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
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
- GT-2021-04
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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