Extended Access Program of Vedolizumab IV in Ulcerative Colitis and Crohn's Disease

Phase 4

Terminated

Conditions: Colitis, Ulcerative
Crohn Disease

Interventions: Drug: Vedolizumab

Registration Number: NCT02743806

Lead Sponsor: Takeda

Brief Summary: The purpose of this study is to monitor ongoing safety in participants with ulcerative colitis (UC) and Crohn's disease (CD) and to provide access to vedolizumab for qualifying participants who, in the opinion of the investigator, continue to derive benefit from vedolizumab and for whom continued treatment with vedolizumab is desired because there is no other comparable product available or the participant may be expected to develop worsening of disease if they were to modify treatment.

Detailed Description: The drug being used in this study is called vedolizumab, which is being used to treat people who have ulcerative colitis or Crohn's disease. This study will monitor ongoing safety in the people who take vedolizumab.

Participants who have successfully completed the participation in qualifying vedolizumab clinical studies will be enrolled and assigned to receive:

• Vedolizumab 300 mg

All participants will receive an intravenous (IV) infusion once every 8 weeks until vedolizumab is available through commercial channels, including reimbursement, for the participant's clinical scenario, or until participant withdrawal, whichever comes first. (Per MM approval, dosing regimen may be modified) This multicenter trial will be conducted worldwide. Participants will make multiple visits to the clinic and a final visit at 18 weeks after receiving the last dose of study infusion of vedolizumab for a safety follow-up assessment.

Recruitment & Eligibility

Status: TERMINATED

Sex: All

Target Recruitment: 331

Inclusion Criteria

Received vedolizumab (excluding comparator or placebo participants) during participation in a qualifying vedolizumab study.
In the opinion of the investigator, the participant is continuing to derive benefit from vedolizumab and continued treatment with vedolizumab is desired because there is no other comparable product available or the participant may be expected to develop worsening of disease if they were to modify treatment.
A male participant who is non-sterilized and sexually active with a female partner of childbearing potential agrees to use adequate contraception from signing of informed consent throughout the duration of the study and for 18 weeks after last dose.
A female participant of childbearing potential who is sexually active with a non-sterilized male partner agrees to use routinely adequate contraception from signing of informed consent throughout the duration of the study and for 18 weeks after last dose.

Exclusion Criteria

For the participant's particular clinical scenario, vedolizumab is currently available to the participant through commercial channels, including reimbursement.
Has any clinical condition or prior therapy that, in the opinion of the investigator, would make the participant unsuitable for the study or unable to comply with the dosing requirements or poses a risk to the participant being in the study.
If female, the participant is pregnant or lactating or intending to become pregnant before, during, or within 18 weeks after participating in this study; or intending to donate ova during such time period.
If male, the participant intends to donate sperm during the course of this study or for 18 weeks thereafter.
Has received a live vaccine in the last 18 weeks or is in need of a live vaccine during the study or up to 18 weeks after the last study dose.

Study & Design

Study Type: INTERVENTIONAL

Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Vedolizumab 300 mg	Vedolizumab	Vedolizumab 300 mg, IV infusion, once every 8 weeks (Q8W) that maybe reduced to once every 4 weeks (Q4W) based on the investigator's judgment of participant's clinical status and acknowledged by the medical monitor for up to 6 years.

Primary Outcome Measures

Name	Time	Method
Percentage of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)	From first dose of study drug in this XAP study through 18 weeks after the last dose of study drug (up to 6.3 years)	An AE is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a drug whether or not it is considered related to the study drug. A SAE is defined as any untoward medical occurrence that at any dose results in death, is life-threatening, requires participant hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, leads to a congenital anomaly/birth defect or is an important medical event. Percentages are rounded off to the nearest decimal point.
Percentage of Participants With Adverse Events of Special Interest (AESIs)	From first dose of study drug in this XAP study through 18 weeks after the last dose of study drug (up to 6.3 years)	An AE is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a drug whether or not it is considered related to the study drug. AESIs included serious infections (opportunistic infections, such as progressive multifocal leukoencephalopathy \[PML\]), malignancies, liver injury, infusion-related hypersensitivity reactions, and injection site reactions. Percentages are rounded off to the nearest decimal point.

Secondary Outcome Measures

Name	Time	Method

Trial Locations

Locations (77): The Canberra Hospital
🇦🇺
Garran, Australian Capital Territory, Australia
Western Hospital
🇦🇺
Footscray, Victoria, Australia
Box Hill Hospital
🇦🇺
Box Hill, Australia
Cabrini Medical Centre
🇦🇺
Malvern, Victoria, Australia
Royal Brisbane & Women's Hospital
🇦🇺
Herston, Australia
Fiona Stanley Hospital
🇦🇺
Murdoch, Australia
City Clinic University Multiprofile Hospital for Active Treatment EOOD
🇧🇬
Sofia, Bulgaria
Karlovarska krajska nemocnice a.s.
🇨🇿
Karlovy Vary, Karlovarsk Kraj, Czechia
Hepato-Gastroenterologie HK, s. r. o.
🇨🇿
Hradec Kralove, Czechia
Oblastni nemocnice Kladno, a.s.
🇨🇿
Kladno, Czechia
Nemocnice Pardubickeho kraje, a.s. Pardubicka nemocnice
🇨🇿
Pardubice, Czechia
Fakultni nemocnice Kralovske Vinohrady
🇨🇿
Praha 10, Czechia
Nemocnice Strakonice, a.s.
🇨🇿
Strakonice, Czechia
ISCARE I.V.F. a.s.
🇨🇿
Praha 7, Czechia
Krajska zdravotni, a.s. Masarykova nemocnice v Usti nad Labem, o.z.
🇨🇿
Usti Nad Labem, Czechia
West Tallinn Central Hospital
🇪🇪
Tallinn, Estonia
East Tallinn Central Hospital
🇪🇪
Tallinn, Estonia
Bekes Megyei Kozponti Korhaz
🇭🇺
Gyula, Hungary
Peterfy Sandor utcai Korhaz-Rendelintezet es Baleseti Kozpont
🇭🇺
Budapest, Hungary
Semmelweis Egyetem
🇭🇺
Budapest, Hungary
Szent Janos Korhaz es Eszak-Budai Egyesitett Korhazak
🇭🇺
Budapest, Hungary
Somogy Megyei Kaposi Mor Oktato Korhaz
🇭🇺
Kaposvar, Hungary
Bugat Pal Korhaz
🇭🇺
Gyongyos, Hungary
Karolina Korhaz Rendelointezet
🇭🇺
Mosonmagyarovar, Hungary
Kanizsai Dorottya Korhaz
🇭🇺
Nagykanizsa, Hungary
Tolna Megyei Balassa Janos Korhaz
🇭🇺
Szekszard, Hungary
Fejer Megyei Szent Gyorgy Egyetemi Oktato Korhaz
🇭🇺
Szekesfehervar, Hungary
Owaisi Hospital and Research Centre
🇮🇳
Hyderabad, Andhra Pradesh, India
Lakeshore Hospital
🇮🇳
Kochi, Kerala, India
Policlinico San Donato
🇮🇹
San Donato Milanese, Milano, Italy
Yeungnam University Hospital
🇰🇷
Daegu, Korea, Republic of
Seoul National University Hospital
🇰🇷
Seoul, Korea, Republic of
Samsung Medical Center - PPDS
🇰🇷
Seoul, Korea, Republic of
Asan Medical Center - PPDS
🇰🇷
Seoul, Korea, Republic of
Pauls Stradins Clinical University Hospital
🇱🇻
Riga, Latvia
Christchurch Hospital
🇳🇿
Christchurch, Canterbury, New Zealand
Waikato Hospital
🇳🇿
Hamilton, Waikato, New Zealand
Centrum Medyczne sw. Lukasza
🇵🇱
Czestochowa, Slaskie, Poland
10 Wojskowy Szpital Kliniczny z Poliklinika
🇵🇱
Bydgoszcz, Poland
Corpora-Med
🇵🇱
Gliwice, Poland
Centrum Zdrowia Matki, Dziecka i Mlodziezy
🇵🇱
Warsaw, Poland
Uniwersytecki Szpital Kliniczny im. Jana Mikulicza Radeckiego we Wroclawiu
🇵🇱
Wroclaw, Poland
Colentina Clinical Hospital
🇷🇴
Bucuresti, Romania
City Clinical Hospital #24
🇷🇺
Moscow, Russian Federation
Nizhegorodskaya Regional Clinical Hospital n.a. Semashko
🇷🇺
Nizhniy Novgorod, Russian Federation
Russian Medical Military Academy n.a. S.M. Kirov
🇷🇺
Saint Petersburg, Russian Federation
Union Clinic, LLC
🇷🇺
St. Petersburg, Russian Federation
St.Petersburg Multi Field City Hospital #2
🇷🇺
St. Petersburg, Russian Federation
St Augustines Medical Centre
🇿🇦
Durban, Kwazulu - Natal, South Africa
Universitas Hospital
🇿🇦
Bloemfontein, South Africa
Marmara Universitesi Pendik Egitim ve Arastirma Hastanesi
🇹🇷
Istanbul, Turkey
Medical Clinical Research Center of Medical Center LLC Health Clinic
🇺🇦
Vinnytsia, Vinnyts'ka Oblast, Ukraine
Poltava Regional Clinical Hospital n.a. M.V. Skliphosovskyi
🇺🇦
Poltava, Ukraine
KEM Hospital Research Centre
🇮🇳
Pune, Maharashtra, India
VGM Hospital Institute of Gastroenterology
🇮🇳
Coimbatore, Tamil Nadu, India
All India Institute of Medical Sciences
🇮🇳
New Delhi, Delhi, India
Nemocnice Tabor, a.s.
🇨🇿
Tabor, Czechia
Szent Pantaleon Korhaz-Rendelointezet
🇭🇺
Dunaujvaros, Hungary
Pecsi Tudomanyegyetem
🇭🇺
Pecs, Hungary
Istituto Clinico Humanitas
🇮🇹
Rozzano, Italy
Kyung Hee University Hospital
🇰🇷
Seoul, Korea, Republic of
Severance Hospital Yonsei University Health System - PPDS
🇰🇷
Seoul, Korea, Republic of
University Malaya Medical Centre
🇲🇾
Kuala Lumpur, Malaysia
Shakespeare Specialist Group
🇳🇿
Auckland, New Zealand
Wojewodzki Szpital Specjalistyczny im. Ludwika Rydygiera w Krakowie
🇵🇱
Krakow, Malopolskie, Poland
SP ZOZ Szpital Uniwersytecki w Krakowie
🇵🇱
Krakow, Malopolskie, Poland
SPZOZ Wojewodzki Szpital Zespolony im J Sniadeckiego
🇵🇱
Bialystok, Poland
Medical Company Hepatolog, LLC
🇷🇺
Samara, Russian Federation
Military Medical Academy
🇷🇸
Belgrade, Serbia
Kingsbury Hospital
🇿🇦
Claremont, Western Cape, South Africa
Institut klinicke a experimentalni mediciny
🇨🇿
Praha 4, Czechia
Multiprofile Hospital For Active Treatment Ruse
🇧🇬
Ruse, Bulgaria
Szegedi Tudomanyegyetem Szent-Gyorgyi Albert Klinikai Kozpont
🇭🇺
Szeged, Csongrad, Hungary
Ars Medica
🇵🇱
Wroclaw, Dolnoslaskie, Poland
Centralny Szpital Kliniczny MSW
🇵🇱
Warszawa, Poland
Fundeni Clinical Institute
🇷🇴
Bucharest, Romania
CLINRESCO, ARWYP Medical Suites
🇿🇦
Johannesburg, Gauteng, South Africa