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Study of Vedolizumab in Patients With Moderate to Severe Crohn's Disease (GEMINI III)

torstai 19. kesäkuuta 2014 päivittänyt: Millennium Pharmaceuticals, Inc.

A Phase 3, Randomized, Placebo-Controlled, Blinded, Multicenter Study of the Induction of Clinical Response and Remission by Vedolizumab in Patients With Moderate to Severe Crohn's Disease

This study in patients with moderately to severely active Crohn's disease is designed to establish the efficacy and safety of vedolizumab for the induction of clinical response and remission.

Tutkimuksen yleiskatsaus

Tila

Valmis

Ehdot

Interventio / Hoito

Yksityiskohtainen kuvaus

After completing the study, patients were eligible to enroll in a long term safety study with continued access to vedolizumab (study C13008; NCT00790933) if study drug was well tolerated, and no major surgical intervention for Crohn's disease occurred or was required.

Participants who did not enroll in Study C13008 were to complete the Final Safety visit (16 weeks after the last dose of study drug) for a maximum time on study of 22 weeks.

Opintotyyppi

Interventio

Ilmoittautuminen (Todellinen)

416

Vaihe

  • Vaihe 3

Yhteystiedot ja paikat

Tässä osiossa on tutkimuksen suorittajien yhteystiedot ja tiedot siitä, missä tämä tutkimus suoritetaan.

Opiskelupaikat

  • Kanada
    • Alberta
      • Edmonton, Alberta, Kanada, T6G2X8
        • Zeidler Ledcor Center-Univerisity of Alberta
  • Yhdysvallat
    • Colorado
      • Lafayette, Colorado, Yhdysvallat, 80026
        • Gastroenterology of the Rockies
    • Connecticut
      • Hamden, Connecticut, Yhdysvallat, 65180
        • Gastroenterology Center of Connecticut P.C.
    • Florida
      • Gainesville, Florida, Yhdysvallat, 32610
        • University of Florida
      • Miami, Florida, Yhdysvallat, 33136
        • University of Miami Miller School of Medicine
      • Winter Park, Florida, Yhdysvallat, 32789
        • Shafran Gastroenterology Center
    • Georgia
      • Atlanta, Georgia, Yhdysvallat, 30342
        • Atlanta Gastroenterology Associates
      • Macon, Georgia, Yhdysvallat, 31201
        • Gastroenterology Associates of Central Georgia
      • Suwanee, Georgia, Yhdysvallat, 30024
        • Atlanta Gastroenterology Specialist PC
    • Illinois
      • Chicago, Illinois, Yhdysvallat, 60637
        • University of Chicago Medical Center
    • Kansas
      • Topeka, Kansas, Yhdysvallat, 66606
        • Cotton O'Neil Digestive Health Center
    • Kentucky
      • Lexington, Kentucky, Yhdysvallat, 40536
        • University of Kentucky Medical Center
      • Louisville, Kentucky, Yhdysvallat, 40402
        • University of Louisville
    • Louisiana
      • Baton Rouge, Louisiana, Yhdysvallat, 70809
        • Gastroenterology Associates
      • Hammond, Louisiana, Yhdysvallat, 70403
        • Gastroenterology Research Of New Orleans
    • Maryland
      • Chevy Chase, Maryland, Yhdysvallat, 20815
        • Metropolitan Gastroenterology Group P.C.
      • Hollywood, Maryland, Yhdysvallat, 20636
        • Mid-Atlantic Medical Research Center
    • Massachusetts
      • Boston, Massachusetts, Yhdysvallat, 02114
        • Massachusetts General Hospital Crohn's and Colitis Center
    • Michigan
      • Ann Arbor, Michigan, Yhdysvallat, 48109
        • University of Michigan
      • Troy, Michigan, Yhdysvallat, 48098
        • Center for Digestive Health
      • Ypsilanti, Michigan, Yhdysvallat, 48197
        • Huron Gastroenterology Associates
    • Minnesota
      • Plymouth, Minnesota, Yhdysvallat, 55446
        • Minnesota Gastroenterology P.A.
      • Rochester, Minnesota, Yhdysvallat, 55905
        • Mayo Clinic
    • Missouri
      • St. Louis, Missouri, Yhdysvallat, 63110
        • Washington University
    • New Hampshire
      • Lebanon, New Hampshire, Yhdysvallat, 03756
        • Dartmouth-Hitchcock Medical Center
    • New York
      • Great Neck, New York, Yhdysvallat, 11021
        • Long Island Clinical Research Associates
      • New York, New York, Yhdysvallat, 10021
        • New York Presbyterian Hospital
      • Rochester, New York, Yhdysvallat, 14642
        • University of Rochester
    • North Carolina
      • Chapel Hill, North Carolina, Yhdysvallat, 27599
        • University of North Carolina at Chapel Hill
      • Charlotte, North Carolina, Yhdysvallat, 28207
        • Charlotte Gastroenterology and Hepatology P.L.L.C
    • Ohio
      • Cincinnati, Ohio, Yhdysvallat, 45219
        • Consultants for Clinical Research Inc.
    • Oklahoma
      • Tulsa, Oklahoma, Yhdysvallat, 74104
        • Options Health Research
    • Oregon
      • Portland, Oregon, Yhdysvallat, 97225
        • The Oregon Clinic-West Hills Gastroenterology
    • South Carolina
      • Columbia, South Carolina, Yhdysvallat, 29203
        • Consultants in Gastroenterology
    • Tennessee
      • Germantown, Tennessee, Yhdysvallat, 38138
        • Gastroenterology Center of the MidSouth PC
    • Texas
      • San Antonio, Texas, Yhdysvallat, 78229
        • Gastroenterology Clinic of San Antonio
      • Tyler, Texas, Yhdysvallat, 75701
        • Digestive Health Specialists of Tyler
    • Virginia
      • Charlottesville, Virginia, Yhdysvallat, 22908
        • University of Virginia Health System
    • Washington
      • Seattle, Washington, Yhdysvallat, 98195
        • University of Washington School of Medicine
    • Wisconsin
      • Milwaukee, Wisconsin, Yhdysvallat, 53226
        • Medical College of Wisconsin
      • Milwaukee, Wisconsin, Yhdysvallat, 53215
        • Wisconsin Center for Advanced Research

Osallistumiskriteerit

Tutkijat etsivät ihmisiä, jotka sopivat tiettyyn kuvaukseen, jota kutsutaan kelpoisuuskriteereiksi. Joitakin esimerkkejä näistä kriteereistä ovat henkilön yleinen terveydentila tai aiemmat hoidot.

Kelpoisuusvaatimukset

Opintokelpoiset iät

18 vuotta - 80 vuotta (Aikuinen, Vanhempi Aikuinen)

Hyväksyy terveitä vapaaehtoisia

Ei

Sukupuolet, jotka voivat opiskella

Kaikki

Kuvaus

Inclusion Criteria:

  • Age 18 to 80
  • Diagnosis of moderately to severely active Crohn's disease
  • Crohn's Disease involvement of the ileum and/or colon
  • Demonstrated, over the previous 5 year period, an inadequate response to, loss of response to, or intolerance of at least one conventional therapy as defined by the protocol
  • May be receiving a therapeutic dose of conventional therapies for inflammatory bowel disease (IBD) as defined by the protocol

Exclusion Criteria

  • Evidence of abdominal abscess at the initial screening visit
  • Extensive colonic resection, subtotal or total colectomy
  • History of >3 small bowel resections or diagnosis of short bowel syndrome
  • Ileostomy, colostomy, or known fixed symptomatic stenosis of the intestine
  • Have received non permitted therapies within either 30 or 60 days, depending on the medication, as stated in the protocol
  • Chronic hepatitis B or C infection; human immunodeficiency virus (HIV) infection
  • Active or latent tuberculosis

Opintosuunnitelma

Tässä osiossa on tietoja tutkimussuunnitelmasta, mukaan lukien kuinka tutkimus on suunniteltu ja mitä tutkimuksella mitataan.

Miten tutkimus on suunniteltu?

Suunnittelun yksityiskohdat

  • Ensisijainen käyttötarkoitus: Hoito
  • Jako: Satunnaistettu
  • Inventiomalli: Rinnakkaistehtävä
  • Naamiointi: Kolminkertaistaa

Aseet ja interventiot

Osallistujaryhmä / Arm
Interventio / Hoito
Placebo Comparator: Placebo
Participants received placebo intravenous infusion at Weeks 0, 2 and 6.
Muut: Plasebo
Plasebo suonensisäinen infuusio
Kokeellinen: Vedolizumab
Participants received 300 mg intravenous vedolizumab at Weeks 0, 2, and 6.
Lääke: vedolitsumabi
Vedolitsumabi suonensisäiseen infuusioon
Muut nimet:
  • Entyvio
  • MLN0002
  • MLN02
  • LDP-02

Mitä tutkimuksessa mitataan?

Ensisijaiset tulostoimenpiteet

Tulosmittaus
Toimenpiteen kuvaus
Aikaikkuna
Percentage of Participants in Clinical Remission in the Tumor Necrosis Factor Alpha (TNFα) Antagonist Failure Subpopulation
Aikaikkuna: Week 6

Clinical remission is defined as a Crohn's Disease Activity Index (CDAI) score ≤ 150 points.

The CDAI is used to quantify the symptoms of patients with Crohn's disease and consists of eight factors, each summed after adjustment with a weighting factor. The components of the CDAI are:

  • Number of liquid or soft stools each day for 7 days;
  • Abdominal pain (graded from 0-3 on severity) each day for 7 days;
  • General well-being, subjectively assessed from 0 (well) to 4 (terrible) each day for 7 days;
  • Presence of complications;
  • Taking Lomotil or opiates for diarrhea;
  • Presence of an abdominal mass (0 as none, 2 as questionable, 5 as definite);
  • Hematocrit of < 0.47 in men and < 0.42 in women;
  • Percentage deviation from standard weight.

The total score ranges from 0 to approximately 600 and with higher scores indicating greater disease activity.

All participants who prematurely discontinued for any reason were considered as not achieving clinical remission.
Week 6

Toissijaiset tulostoimenpiteet

Tulosmittaus
Toimenpiteen kuvaus
Aikaikkuna
Percentage of Participants in Clinical Remission at Week 6 in the Overall Population
Aikaikkuna: Week 6

Clinical remission is defined as a Crohn's Disease Activity Index (CDAI) score ≤ 150 points.

The CDAI is used to quantify the symptoms of patients with Crohn's disease and consists of eight factors, each summed after adjustment with a weighting factor. The components of the CDAI are:

  • Number of liquid or soft stools each day for 7 days;
  • Abdominal pain (graded from 0-3 on severity) each day for 7 days;
  • General well-being, subjectively assessed from 0 (well) to 4 (terrible) each day for 7 days;
  • Presence of complications;
  • Taking Lomotil or opiates for diarrhea;
  • Presence of an abdominal mass (0 as none, 2 as questionable, 5 as definite);
  • Hematocrit of < 0.47 in men and < 0.42 in women;
  • Percentage deviation from standard weight.

The total score ranges from 0 to approximately 600 and with higher scores indicating greater disease activity.

All participants who prematurely discontinued for any reason were considered as not achieving clinical remission.
Week 6
Percentage of Participants in Clinical Remission at Week 10 in the TNFα Antagonist Failure Subpopulation
Aikaikkuna: Week 10

Clinical remission is defined as a Crohn's Disease Activity Index (CDAI) score ≤ 150 points.

The CDAI is used to quantify the symptoms of patients with Crohn's disease and consists of eight factors, each summed after adjustment with a weighting factor. The components of the CDAI are:

  • Number of liquid or soft stools each day for 7 days;
  • Abdominal pain (graded from 0-3 on severity) each day for 7 days;
  • General well-being, subjectively assessed from 0 (well) to 4 (terrible) each day for 7 days;
  • Presence of complications;
  • Taking Lomotil or opiates for diarrhea;
  • Presence of an abdominal mass (0 as none, 2 as questionable, 5 as definite);
  • Hematocrit of < 0.47 in men and < 0.42 in women;
  • Percentage deviation from standard weight.

The total score ranges from 0 to approximately 600 and with higher scores indicating greater disease activity.

All participants who prematurely discontinued for any reason were considered as not achieving clinical remission.
Week 10
Percentage of Participants in Clinical Remission at Week 10 in the Overall Population
Aikaikkuna: Week 10

Clinical remission is defined as a Crohn's Disease Activity Index (CDAI) score ≤ 150 points.

The CDAI is used to quantify the symptoms of patients with Crohn's disease and consists of eight factors, each summed after adjustment with a weighting factor. The components of the CDAI are:

  • Number of liquid or soft stools each day for 7 days;
  • Abdominal pain (graded from 0-3 on severity) each day for 7 days;
  • General well-being, subjectively assessed from 0 (well) to 4 (terrible) each day for 7 days;
  • Presence of complications;
  • Taking Lomotil or opiates for diarrhea;
  • Presence of an abdominal mass (0 as none, 2 as questionable, 5 as definite);
  • Hematocrit of < 0.47 in men and < 0.42 in women;
  • Percentage deviation from standard weight.

The total score ranges from 0 to approximately 600 and with higher scores indicating greater disease activity.

All participants who prematurely discontinued for any reason were considered as not achieving clinical remission.
Week 10
Percentage of Participants With Sustained Clinical Remission in the TNFα Antagonist Failure Population
Aikaikkuna: Week 6 and Week 10

Sustained clinical remission is defined as a CDAI score ≤ 150 points at both Week 6 and Week 10. The CDAI is used to quantify the symptoms of patients with Crohn's disease and consists of eight factors, each summed after adjustment with a weighting factor. The components of the CDAI are:

  • Number of liquid or soft stools each day for 7 days;
  • Abdominal pain (graded from 0-3 on severity) each day for 7 days;
  • General well-being, subjectively assessed from 0 (well) to 4 (terrible) each day for 7 days;
  • Presence of complications;
  • Taking Lomotil or opiates for diarrhea;
  • Presence of an abdominal mass (0 as none, 2 as questionable, 5 as definite);
  • Hematocrit of < 0.47 in men and < 0.42 in women;
  • Percentage deviation from standard weight.

The total score ranges from 0 to approximately 600 and with higher scores indicating greater disease activity.

All participants who prematurely discontinued for any reason were considered as not achieving sustained clinical remission.
Week 6 and Week 10
Percentage of Participants With Sustained Clinical Remission in the Overall Population
Aikaikkuna: Week 6 and Week 10

Sustained clinical remission is defined as a CDAI score ≤ 150 points at both Week 6 and Week 10. The CDAI is used to quantify the symptoms of patients with Crohn's disease and consists of eight factors, each summed after adjustment with a weighting factor. The components of the CDAI are:

  • Number of liquid or soft stools each day for 7 days;
  • Abdominal pain (graded from 0-3 on severity) each day for 7 days;
  • General well-being, subjectively assessed from 0 (well) to 4 (terrible) each day for 7 days;
  • Presence of complications;
  • Taking Lomotil or opiates for diarrhea;
  • Presence of an abdominal mass (0 as none, 2 as questionable, 5 as definite);
  • Hematocrit of < 0.47 in men and < 0.42 in women;
  • Percentage deviation from standard weight.

The total score ranges from 0 to approximately 600 and with higher scores indicating greater disease activity.

All participants who prematurely discontinued for any reason were considered as not achieving sustained clinical remission.
Week 6 and Week 10
Percentage of Participants With Enhanced Clinical Response at Week 6 in the TNFα Antagonist Failure Subpopulation
Aikaikkuna: Baseline and Week 6

Enhanced clinical response is defined as a ≥ 100-point decrease in CDAI score from Baseline.

The CDAI is used to quantify the symptoms of patients with Crohn's disease and consists of eight factors, each summed after adjustment with a weighting factor. The components of the CDAI are:

  • Number of liquid or soft stools each day for 7 days;
  • Abdominal pain (graded from 0-3 on severity) each day for 7 days;
  • General well-being, subjectively assessed from 0 (well) to 4 (terrible) each day for 7 days;
  • Presence of complications;
  • Taking Lomotil or opiates for diarrhea;
  • Presence of an abdominal mass (0 as none, 2 as questionable, 5 as definite);
  • Hematocrit of < 0.47 in men and < 0.42 in women;
  • Percent deviation from standard weight.

The total score ranges from 0 to approximately 600 and with higher scores indicating greater disease activity.

All participants who prematurely discontinued for any reason were considered as not achieving enhanced clinical response.
Baseline and Week 6
Number of Participants With Adverse Events (AEs)
Aikaikkuna: From the date of first study drug administration to Week 22, through the 14 March 2012 database lock date. At the time of this database lock, 7 patients had completed Week 10 or early termination assessments but not Week 22 assessments.

An AE was defined as any untoward medical occurrence in a patient administered a pharmaceutical product, which did not necessarily have a causal relationship with the treatment. A serious adverse event (SAE) was any AE, occurring at any dose and regardless of causality that resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was an important medical event based upon appropriate medical judgment that may have jeopardized the patient and may have required medical or surgical intervention to prevent 1 of the outcomes listed above, or any diagnosis of progressive multifocal leukoencephalopathy (PML).

Relationship to study drug administration was determined by the investigator responding yes or no to the question: Is there a reasonable possibility that the AE is associated with the study drug?
From the date of first study drug administration to Week 22, through the 14 March 2012 database lock date. At the time of this database lock, 7 patients had completed Week 10 or early termination assessments but not Week 22 assessments.

Yhteistyökumppanit ja tutkijat

Täältä löydät tähän tutkimukseen osallistuvat ihmiset ja organisaatiot.

Sponsori

Millennium Pharmaceuticals, Inc.

Julkaisuja ja hyödyllisiä linkkejä

Tutkimusta koskevien tietojen syöttämisestä vastaava henkilö toimittaa nämä julkaisut vapaaehtoisesti. Nämä voivat koskea mitä tahansa tutkimukseen liittyvää.

Yleiset julkaisut

Opintojen ennätyspäivät

Nämä päivämäärät seuraavat ClinicalTrials.gov-sivustolle lähetettyjen tutkimustietueiden ja yhteenvetojen edistymistä. National Library of Medicine (NLM) tarkistaa tutkimustiedot ja raportoidut tulokset varmistaakseen, että ne täyttävät tietyt laadunvalvontastandardit, ennen kuin ne julkaistaan ​​julkisella verkkosivustolla.

Opi tärkeimmät päivämäärät

Opiskelun aloitus

Maanantai 1. marraskuuta 2010

Ensisijainen valmistuminen (Todellinen)

Keskiviikko 1. helmikuuta 2012

Opintojen valmistuminen (Todellinen)

Sunnuntai 1. huhtikuuta 2012

Opintoihin ilmoittautumispäivät

Ensimmäinen lähetetty

Maanantai 18. lokakuuta 2010

Ensimmäinen toimitettu, joka täytti QC-kriteerit

Maanantai 18. lokakuuta 2010

Ensimmäinen Lähetetty (Arvio)

Tiistai 19. lokakuuta 2010

Tutkimustietojen päivitykset

Viimeisin päivitys julkaistu (Arvio)

Maanantai 21. heinäkuuta 2014

Viimeisin lähetetty päivitys, joka täytti QC-kriteerit

Torstai 19. kesäkuuta 2014

Viimeksi vahvistettu

Sunnuntai 1. kesäkuuta 2014

Lisää tietoa

Tähän tutkimukseen liittyvät termit

Muita asiaankuuluvia MeSH-ehtoja

Muut tutkimustunnusnumerot

  • C13011
  • U1111-1158-2581 (Rekisterin tunniste: WHO)
  • 2009-016488-12 (EudraCT-numero)
  • NL34356.078.10 (Rekisterin tunniste: CCMO)

Lääke- ja laitetiedot, tutkimusasiakirjat

Tutkii yhdysvaltalaista FDA sääntelemää lääkevalmistetta

Ei

Tutkii yhdysvaltalaista FDA sääntelemää laitetuotetta

Ei

Yhdysvalloissa valmistettu ja sieltä viety tuote

Ei

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