A Study of Vedolizumab in Children With Ulcerative Colitis (UC) or Crohn's Disease (CD)

Last updated: April 7, 2025
Sponsor: Takeda
Overall Status: Active - Recruiting

Phase

3

Condition

Inflammatory Bowel Disease

Crohn's Disease

Ulcerative Colitis

Treatment

Vedolizumab IV

No Intervention

Clinical Study ID

NCT05442567
MLN0002-3029
2023-509046-36-00
jRCT2071230036
2021-000630-34
  • Ages > 2
  • All Genders

Study Summary

The study is an extension of two parent studies (MLN0002-3024 [NCT04779307] and MLN0002-3025 [NCT04779320]). Participants must have participated in one of the previous studies. The purpose of this study is to collect the long-term safety of vedolizumab in children with UC or CD.

Eligibility Criteria

Inclusion

Main Inclusion Criteria:

For Treatment Cohort:

  1. The participant should have completed Study MLN0002-3024 or Study MLN0002-3025 andachieved corticosteroid-free clinical response at Week 54 (and has tapered off ofsteroids, as applicable, at least 12 weeks before Week 54) as defined by a reductionof partial Mayo score of ≥2 points and ≥25% from baseline for participants with UC,or by a decrease of pediatric Crohn's disease activity index (PCDAI) of ≥15 pointsfor participants with CD and with total PCDAI ≤30.

  2. A male participant who is sexually active with a female partner of childbearingpotential agrees to use a barrier method of contraception (e.g., condom with orwithout spermicide) from signing of participant/parental informed consent and/orpediatric assent throughout the duration of the study and for 18 weeks after lastdose. The female partner of a male participant should also be advised to use ahighly effective method of contraception.

  3. A female participant of childbearing potential who is sexually active with anonsterilized male partner agrees to use a highly effective method of contraceptionfrom signing of participant/parental informed consent and/or pediatric assentthroughout the duration of the study and 18 weeks after the last dose.

For Observational Cohort:

  1. The participant has received at least 1 dose of vedolizumab during StudyMLN0002-3024 or Study MLN0002-3025 and early terminated OR completed the Week 54visit of Study MLN0002-3024 or Study MLN0002-3025 but was not eligible to enroll inthe treatment cohort of this study.

Exclusion

Main Exclusion Criteria:

For Treatment Cohort only:

  1. The participant currently requires major surgical intervention for UC or CD (e.g.,bowel resection), or is anticipated to require major surgical intervention for UC orCD during the study.

  2. The participant has developed any new unstable or uncontrolled cardiovascular, heartfailure moderate to severe (New York Class Association III or IV), pulmonary,hepatic, renal, gastrointestinal (GI), genitourinary, hematological, coagulation,immunological, endocrine/metabolic, neurological, or other medical disorder that, inthe opinion of the investigator, would confound the study results or compromiseparticipant safety.

  3. The participant has other serious comorbidities that will limit their ability tocomplete the study.

  4. The participant is unable to comply with all study assessments.

  5. The participant has hypersensitivity or allergies to any of the vedolizumabexcipients.

  6. The participant is lactating or pregnant.

Study Design

Total Participants: 240
Treatment Group(s): 2
Primary Treatment: Vedolizumab IV
Phase: 3
Study Start date:
May 16, 2023
Estimated Completion Date:
August 15, 2031

Study Description

This multi-center trial is conducted worldwide. Up to 240 patients would be enrolled from Studies MLN0002-3024 [participants with UC] and MLN0002-3025 [participants with CD], either in the Treatment Cohort or in the Observational Cohort. Approximately 93 participants who have previously participated either in study MLN0002-3024 or MLN0002-3025, referred to as parent study, are expected to roll over to the MLN0002-3029 study in the treatment cohort.

Treatment Cohort:

The drug being tested in this study is called vedolizumab, being studied to treat pediatric patients who have UC or CD.

Participants eligible for the Treatment Cohort can be administered vedolizumab intravenous (IV) at Week 54 visit of parent study or up to 1 week after Week 54 of the parent study based on the availability of test results needed to assess eligibility of the participant. At this study entry, participants will be administered the same blinded dose of vedolizumab IV that was received at Week 46 in the parent study and will then continue to receive vedolizumab IV at a frequency of once every 8 weeks (Q8W) in the following treatment groups:

  • Participants 10 to ≤15 kilogram (kg), Vedolizumab 150 milligram (mg) (High dose)

  • Participants 10 to ≤15 kg, Vedolizumab 100 mg (Low dose)

  • Participants >15 to <30 kg, Vedolizumab 200 mg (High dose)

  • Participants >15 to <30 kg, Vedolizumab 100 mg (Low dose)

  • Participants ≥30 kg, Vedolizumab 300 mg (High dose)

  • Participants ≥30 kg, Vedolizumab 150 mg (Low dose)

Blinding of dose group assignment of the parent study will continue until the respective parent study is unblinded in order to protect the blinding of the parent study.

The overall time to participate in the Treatment Cohort of this study is up to participant withdrawal, or until vedolizumab IV is commercially available for pediatric indication(s) in the participant's country or until other drug access programs become available, or Sponsor's decision for study closure, or for up to approximately 5 years, whichever comes first. Participants who complete or are discontinued from the study for any reason will complete the final safety/end of study (EOS) visit 18 weeks after their last dose of study drug.

Observational Cohort:

Participants who received at least 1 dose of study drug during parent study and early terminated or are not eligible for the Treatment Cohort of this study after completion of the Week 54 visit of parent study, will be enrolled in the Observational Cohort of this study as part of a long-term follow-up period to assess prespecified safety events of interest and will not receive continued treatment with vedolizumab IV.

The overall time to participate in the Observational Cohort is up to approximately 2 years.

Connect with a study center

  • Children's Hospital at Westmead

    Westmead, New South Wales 2145
    Australia

    Active - Recruiting

  • Queensland Childrens Hospital

    South Brisbane, Queensland 4101
    Australia

    Site Not Available

  • Monash Health, Monash Medical Centre

    Clayton, Victoria 3168
    Australia

    Site Not Available

  • Royal Children's Hospital Melbourne - PIN

    Parkville, Victoria 3052
    Australia

    Active - Recruiting

  • UZ Antwerpen

    Edegem, Antwerpen 2650
    Belgium

    Site Not Available

  • Universitair Ziekenhuis Brussel - PIN

    Jette, Brussels 1090
    Belgium

    Site Not Available

  • UZ Leuven

    Leuven, Vlaams Brabant 3000
    Belgium

    Active - Recruiting

  • University of Alberta Hospital

    Edmonton, Alberta AB T6G 2B7
    Canada

    Site Not Available

  • British Columbia Children's Hospital

    Vancouver, British Columbia V6H3V4
    Canada

    Site Not Available

  • London Health Sciences Centre

    London, Ontario N6A 4G5
    Canada

    Site Not Available

  • Beijing Children Hospital,Capital Medical University

    Beijing, Beijing 100045
    China

    Site Not Available

  • Henan Children's Hospital (Zhengzhou Children's Hospital)

    Zhengzhou, Henan 450000
    China

    Active - Recruiting

  • Children's Hospital of Fudan University

    Shanghai, Shanghai 201102
    China

    Active - Recruiting

  • The Children's Hospital Zhejiang UniversitySchool of Medicine

    Hangzhou, Zhejiang 310003
    China

    Site Not Available

  • Klinika Za Djecje Bolesti Zagreb

    Zagreb, Grad Zagreb 10000
    Croatia

    Active - Recruiting

  • Attikon University General Hospital

    Athens, Attiki 124 62
    Greece

    Site Not Available

  • Attikon University General Hospital

    Chaïdári, Attiki 124 62
    Greece

    Site Not Available

  • Children's Hospital "Agia Sofia"

    Athens,
    Greece

    Site Not Available

  • Ippokratio General Hospital of Thessaloniki

    Thessaloniki, 546 42
    Greece

    Active - Recruiting

  • Borsod-Abauj-Zemplen Megyei Kozponti Korhaz es Egyetemi Oktato Korhaz

    Miskolc, Borsod-Abauj-Zemplen 3526
    Hungary

    Site Not Available

  • Semmelweis Egyetem

    Budapest, 1085
    Hungary

    Active - Recruiting

  • Schneider Childrens Medical Center of Israel Petah Tikvah PIN

    Petah Tikva, HaMerkaz 49202
    Israel

    Site Not Available

  • Hadassah Medical Center - PPDS

    Jerusalem, Yerushalayim 91120
    Israel

    Active - Recruiting

  • Carmel Medical Center

    Haifa, 34362
    Israel

    Site Not Available

  • Rambam Medical Center - PPDS

    Haifa, 31096
    Israel

    Active - Recruiting

  • Shaare Zedek Medical Center

    Jerusalem, 91031
    Israel

    Site Not Available

  • Tel Aviv Sourasky Medical Center PPDS

    Tel-Aviv, 64239
    Israel

    Active - Recruiting

  • AOU dell'Universita degli Studi della Campania Luigi Vanvitelli

    Napoli, Campania 80131
    Italy

    Site Not Available

  • Azienda Ospedaliera Universitaria Federico II

    Napoli, Campania 80131
    Italy

    Site Not Available

  • Azienda USL di Bologna

    Bologna, Emilia-Romagna 40133
    Italy

    Active - Recruiting

  • Sapienza University of Rome

    Roma, Lazio 161
    Italy

    Site Not Available

  • Fondazione IRCCS San Gerardo dei Tintori - ASST di Monza A. O. San Gerardo

    Monza, Lombardia 20900
    Italy

    Active - Recruiting

  • Universita degli Studi di Padova

    Padova, Veneto 35122
    Italy

    Site Not Available

  • Sapienza University of Rome

    Rome, 00161
    Italy

    Site Not Available

  • Kurume University Hospital

    Kurume, Hukuoka 830-0011
    Japan

    Site Not Available

  • Kurume University Hospital

    Kurume-Shi, Hukuoka 830-0011
    Japan

    Site Not Available

  • Japanese Red Cross Kumamoto Hospital

    Kumamoto-shi, Kumamoto 861-8520
    Japan

    Site Not Available

  • Juntendo University Hospital

    Bunkyo-Ku, Tokyo 113-8431
    Japan

    Site Not Available

  • National Center for Child Health and Development

    Setagaya-Ku, Tokyo 157-8535
    Japan

    Site Not Available

  • Kyungpook National University Chilgok hospital

    Daegu, Daegu Gwang'yeogsi 41404
    Korea, Republic of

    Site Not Available

  • Gachon University Gil Medical Center

    Incheon, Incheon Gwang'yeogsi 21565
    Korea, Republic of

    Site Not Available

  • Gachon University Gil Medical Center

    Namdong-gu, 21565
    Korea, Republic of

    Site Not Available

  • Samsung Medical Center - PPDS

    Seoul, 6351
    Korea, Republic of

    Site Not Available

  • Seoul National University Hospital

    Seoul, 03080
    Korea, Republic of

    Site Not Available

  • Instytut Centrum Zdrowia Matki Polki

    Lodz, Lodzkie 93-338
    Poland

    Site Not Available

  • Uniwersytecki Szpital Dzieciecy

    Krakow, Malopolskie 30-663
    Poland

    Site Not Available

  • Instytut Pomnik Centrum Zdrowia Dziecka

    Warszawa, Mazowieckie 04-736
    Poland

    Site Not Available

  • WIP Warsaw IBD Point Profesor Kierkus

    Warszawa, Mazowieckie 00-728
    Poland

    Site Not Available

  • Korczowski Bartosz, Gabinet Lekarski

    Rzeszow, Podkarpackie 35-302
    Poland

    Site Not Available

  • Gornoslaskie Centrum Zdrowia Dziecka Im. Sw. Jana Pawla II Spsk Nr 6 Sum W Katowicach

    Katowice, Slaskie 40-752
    Poland

    Site Not Available

  • Twoja Przychodnia SCM

    Szczecin, Zachodniopomorskie 71-434
    Poland

    Active - Recruiting

  • SPZOZ Centralny Szpital Kliniczny UM w Lodzi

    Lodz, 91-738
    Poland

    Site Not Available

  • Narodny ustav detskych chorob

    Bratislava, 833 40
    Slovakia

    Site Not Available

  • Great Ormond Street Hospital (GOSH)

    London, London, City Of WC1N 3AJ
    United Kingdom

    Site Not Available

  • Noahs Ark Childrens Hospital for Wales - PPDS - PIN

    Cardiff, South Glamorgan CF14 4XW
    United Kingdom

    Site Not Available

  • Birmingham Children's Hospital NHS Foundation Trust

    Birmingham, West Midlands B4 6NH
    United Kingdom

    Site Not Available

  • Barts Health NHS Trust

    London, E1 1BB
    United Kingdom

    Site Not Available

  • Royal Manchester Children's Hospital - PPDS

    Manchester, M27 4HA
    United Kingdom

    Site Not Available

  • Phoenix Childrens Hospital -1919 E Thompson Rd

    Phoenix, Arizona 85016-7710
    United States

    Active - Recruiting

  • Rady Childrens Hospital San Diego - PIN

    San Diego, California 92123-4223
    United States

    Site Not Available

  • Childrens Center For Digestive Healthcare

    Atlanta, Georgia 30342
    United States

    Site Not Available

  • Advocate Children's Hospital Park Ridge

    Park Ridge, Illinois 60068
    United States

    Site Not Available

  • Johns Hopkins University

    Baltimore, Maryland 21287-0005
    United States

    Site Not Available

  • Boston Children's Hospital

    Boston, Massachusetts 02115-5724
    United States

    Site Not Available

  • MNGI Digestive Health PA-Plymouth

    Minneapolis, Minnesota 55413
    United States

    Active - Recruiting

  • Mayo Clinic - PIN

    Rochester, Minnesota 55905-0001
    United States

    Site Not Available

  • Goryeb Children's Hospital

    Morristown, New Jersey 07960-6136
    United States

    Site Not Available

  • The Steven and Alexandra Cohen Childrens Medical Center of New York - BRANY - PPDS

    New Hyde Park, New York 11042-2062
    United States

    Site Not Available

  • University Hospitals Cleveland Medical Center

    Cleveland, Ohio 44106-1716
    United States

    Site Not Available

  • Children's Hospital of Pittsburgh

    Pittsburgh, Pennsylvania 15201
    United States

    Site Not Available

  • Texas Children's Hospital

    Houston, Texas 77030
    United States

    Site Not Available

  • Carilion Children's Tanglewood Center

    Roanoke, Virginia 24018-0720
    United States

    Site Not Available

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