Study on the Effectiveness and Safety of Vedolizumab and Upadacitinib in Adults with Moderate to Severe Crohn’s Disease

1 1 1

What is this study about?

This clinical trial is focused on studying the treatment of Crohn’s Disease, a condition that causes inflammation in the digestive tract, leading to symptoms like abdominal pain and diarrhea. The study will evaluate the effectiveness and safety of a combination treatment using two medications: Vedolizumab, which is given through an intravenous infusion, and Upadacitinib, taken as an oral tablet. Vedolizumab is known by the brand name Entyvio, and Upadacitinib is known as Rinvoq. The trial will compare the results of using both medications together against using Vedolizumab with a placebo, which looks like the medication but does not contain the active drug.

The purpose of the study is to see if the combination of Vedolizumab and Upadacitinib can improve the health of people with moderately to severely active Crohn’s Disease more effectively than Vedolizumab alone. Participants will receive the treatment for a period of up to 52 weeks. Initially, both medications will be used together for a short period to see if they can quickly improve symptoms and the condition of the digestive tract. After this initial phase, the study will continue with Vedolizumab alone to maintain the improvements.

Throughout the study, participants will be monitored to assess their response to the treatment, focusing on both clinical symptoms and the condition of the digestive tract as seen through medical examinations. The study aims to provide valuable information on whether this dual therapy approach can offer better outcomes for individuals living with Crohn’s Disease.

1 induction phase

During the first 12 weeks, the treatment involves two medications: vedolizumab and upadacitinib. Vedolizumab is administered as an intravenous infusion. Upadacitinib is taken orally in the form of a prolonged-release tablet.

The goal of this phase is to assess improvement in symptoms and intestinal healing. The effectiveness is measured by clinical and endoscopic evaluations.

2 maintenance phase

After the initial 12 weeks, the treatment continues with vedolizumab alone. This phase focuses on maintaining the improvements achieved during the induction phase.

The treatment is monitored to ensure continued symptom control and intestinal health.

3 evaluation points

At Week 12, the primary evaluation includes checking for clinical remission, defined as a significant reduction in symptoms, and an endoscopic response, which involves a decrease in intestinal inflammation.

Further evaluations occur at Week 52 to assess long-term outcomes, including symptom control and intestinal healing.

Who Can Join the Study?

  • The participant must have been diagnosed with Chron’s Disease at least 3 months before the start of the study. This diagnosis should be confirmed by medical tests and a report from a tissue examination.
  • The participant must have a confirmed diagnosis of moderately to severely active Chron’s Disease. This is measured by a score called CDAI (Chron’s Disease Activity Index), which should be between 220 and 450.
  • The participant must show signs of inflammation in the lining of the intestines. This is measured by a score called SES-CD (Simple Endoscopic Score for Chron’s Disease). The score should be 6 or higher, or 4 or higher if the disease is only in the last part of the small intestine, as confirmed by a specialist.
  • The participant must have previously tried treatments like corticosteroids, immunomodulators, or biologic therapy and found them not effective, or they could not tolerate these treatments.
  • Both male and female participants are eligible to join the study.
  • The study includes participants from vulnerable populations.

Who Cannot Join the Study?

  • Patients who do not have Chron’s Disease cannot participate. Chron’s Disease is a condition that causes inflammation in the digestive tract.
  • Patients who are not in the age range of 18 to 64 years old cannot participate.
  • Patients who are not considered to have moderately to severely active Chron’s Disease cannot participate. This means the disease is not causing significant symptoms or problems.
  • Patients who are not able to take the study medications, vedolizumab and upadacitinib, cannot participate. These are specific drugs used in the study.
  • Patients who are not willing or able to follow the study procedures cannot participate.
  • Patients who are part of a vulnerable population, such as those who cannot make decisions for themselves, cannot participate.

Where you can join this trial?

Verified and Recommended Sites

No sites found in this category

Verified Sites

Other Sites

Site Name City Country Status
Central Hospital Of Northern Pest Military Hospital Budapest Hungary
Metaxa Cancer Center Hospital Of Piraeus Piraeus Greece
Danderyds Sjukhus AB Danderyd Sweden
Casa Sollievo Della Sofferenza San Giovanni Rotondo Italy
Region Oestergoetland Linkoping Sweden
Iscare a.s. Prague Czechia
Universitair Ziekenhuis Gent Gent Belgium
Universitaetsklinikum Schleswig-Holstein AöR Kiel Germany
Hospital General Universitario Gregorio Maranon Madrid Spain
Unidade Local De Saude De Gaia/Espinho E.P.E. Vila Nova De Gaia Portugal
Krankenhaus Waldfriede e.V. Berlin Germany
Unidade Local De Saude De Loures-Odivelas EPE Loures Portugal
Centrum Medyczne Plejady Magdalena Celinska Loewenhoff Michal Zolnowski sp.k. Cracow Poland
University General Hospital Of Heraklion Heraklion Greece
Azienda Ospedaliera Ordine Mauriziano Di Torino Turin Italy
Krankenhaus Der Barmherzigen Brueder Wien Vienna Austria
Poliklinika Borzan d.o.o. Osijek Croatia
Azienda Ospedaliera di Padova Padua Italy
Hippokration Hospital Athens Greece
Tallaght University Hospital Dublin Ireland
Hospital Universitario Virgen Macarena Sevilla Spain
Vestre Viken HF Drammen Norway
Ospedale San Raffaele S.r.l. Milan Italy
Alexandra Hospital Athens Greece
Fakultni Nemocnice Hradec Kralove Novy Hradec Kralove Czechia
Karolinska University Hospital Solna Sweden
Semmelweis University Budapest Hungary
Stichting Radboud University Medical Center Nijmegen The Netherlands
University Hospital Galway Galway Ireland
Universidade De Santiago De Compostela Santiago De Compostela Spain
Aalborg University Hospital Aalborg Denmark
Kepler Universitaetsklinikum GmbH Linz Austria
Hepato-Gastroenterologie HK s.r.o. Hradec Kralove Czechia
Centre Hospitalier Universitaire De Nantes Nantes France
CHC MontLegia Liege Belgium
H-T. Centrum Medyczne Sp. z o.o. Tychy Poland
University Medical Center Ljubljana Ljubljana Slovenia
Centre Hospitalier Universitaire Amiens Picardie Amiens France
Uniwersytecki Szpital Kliniczny Nr 1 Im Norberta Barlickiego Uniwersytetu Medycznego W Lodzi SPZOZ Lodz Poland
Uniwersyteckie Centrum Stomatologii I Medycyny Specjalistycznej Sp. z o.o. Poznan Poland
Rigshospitalet Copenhagen Denmark
Centro Hospitalar Universitario De Santo Antonio E.P.E. Porto Portugal
Servei De Salut De Les Illes Balears Palma Spain
Azienda Ospedaliera Universitaria Di Cagliari Monserrato Italy
University Of Szeged Szeged Hungary
Beaumont Hospital Dublin Ireland
Agaplesion Frankfurter Diakonie Kliniken gGmbH Frankfurt Germany
Nemocnice Ceske Budejovice a.s. Ceske Budejovice Czechia
Uniklinikum Salzburg Salzburg Austria
Lnpvl Urdskiadtian Mzqgaoz Chblkzy (wrgzb Leiden The Netherlands
Hivskuzs Hturweiw Hvidovre Denmark
Iieebt Bonheiden Belgium
Eszez Sabsvdfmavact Hlgzucdz Stockholm Sweden
Srx Mzjilp Uwd Sqr Aijcmqpkvonkfnnfrbluj Ludwigshafen Am Rhein Germany
Uukzaai Lsqfn do Snkdw dk Avvotxe Epwwjl Faro Portugal
Leius Gvleegd Hhduajcd Og Avpuwv Athens Greece
Kwmvgkrz bwstwdvh cxjygd Rijfys (badfypig Hziurwqf Cjjvon Rhiiitb Rijeka Croatia
Adnmmeekp Uzb Amsterdam The Netherlands
Aaikmpnitp Prvknxxg Hzrorhwd Dv Mixeliudu Marseille France
Aibxhxhs Ufmjqnfymx Hqihamno Lorenskog Norway
Hqhcj Bargzo Hw Bergen Norway
Ercfwfv Uajeumynyvrh Makfhnc Cemlbqc Rszwjjtcx (inropyc Mrd Rotterdam The Netherlands
Sop Eczkybise Hwyyiskt Tnupops Tilburg The Netherlands
Cekpel Hdmmkvzaeb E Ugviajzggoyql Do Crmvqtt Edxfxo Coimbra Portugal
Cafa Dr Ngtgb Vandoeuvre Les Nancy France
Plgvhgdmh Ibarkkzd Myyhoxep Mexhndarkwxp Snvby Wetipebkhptn I Autybcturlpwl Warsaw Poland
Sx Vhzlifzljkndhtx Ujcmroyoig Hqnmdzvj Dublin Ireland
Fihfhomyo Pgke Lt Ibfrqglxpvtsg Bdxaclzsr Dek Hmrjfqbh Uyatotqajovei Lq Pcq Madrid Spain
Infvyuod dc Cdqwmcuwlsan Hzcpxgjqaqs Ufosgpmkvexew dj Sfxmb Ewozfnw (khdkhbm Saint Priest En Jarez France
Eimwrgpavogmdjfwfazhkdtlmv Hulgmdmt oz Akrarz Athens Greece
Wuk Wisqfu Ill Pigog Pojvjnwe Kxfjwxe Warsaw Poland
Syfflefvkuwdrmqldju Bgt Ux (nhdewprubuecjxjfxeuj Halle (Saale) Germany

Want to learn more about this study or check if you can participate? Contact us.

Trial status

Country Status Recruitment Start
Austria Austria
Not yet recruiting
10.03.2025
Belgium Belgium
Recruiting
10.03.2025
Croatia Croatia
Recruiting
10.03.2025
Czechia Czechia
Recruiting
10.03.2025
Denmark Denmark
Recruiting
10.03.2025
France France
Recruiting
10.03.2025
Germany Germany
Recruiting
10.03.2025
Greece Greece
Recruiting
10.03.2025
Hungary Hungary
Recruiting
10.03.2025
Ireland Ireland
Recruiting
10.03.2025
Italy Italy
Recruiting
10.03.2025
Norway Norway
Recruiting
10.03.2025
Poland Poland
Not yet recruiting
10.03.2025
Portugal Portugal
Recruiting
10.03.2025
Slovenia Slovenia
Recruiting
10.03.2025
Spain Spain
Recruiting
10.03.2025
Sweden Sweden
Recruiting
10.03.2025
The Netherlands The Netherlands
Not yet recruiting
10.03.2025

Trial locations

Investigated drugs:

Vedolizumab is a medication given through an intravenous infusion. It is used to treat adults with moderately to severely active Crohn’s Disease. Vedolizumab works by targeting specific proteins in the body to reduce inflammation in the gut, helping to manage symptoms and improve the condition of the intestinal lining.

Upadacitinib is a medication taken orally in the form of a pill. It is used in combination with vedolizumab to enhance the treatment of Crohn’s Disease. Upadacitinib works by inhibiting certain enzymes in the body that contribute to inflammation, aiming to improve both clinical symptoms and the appearance of the gut lining when viewed through an endoscope.

Investigated diseases:

Crohn’s Disease – Crohn’s Disease is a chronic inflammatory condition of the gastrointestinal tract, primarily affecting the small intestine and colon. It is characterized by periods of flare-ups and remission, where symptoms can vary in intensity. During active phases, individuals may experience abdominal pain, diarrhea, fatigue, and weight loss. The inflammation can penetrate deep into the layers of the bowel tissue, leading to complications such as strictures or fistulas. The disease can affect any part of the digestive tract from the mouth to the anus, but it most commonly impacts the end of the small intestine. The exact cause is unknown, but it is believed to involve a combination of genetic, environmental, and immune system factors.

Trial ID:
2023-509391-42-00
Protocol code:
Vedolizumab-3043
NCT ID:
NCT06227910
Trial Phase:
Human Pharmacology (Phase I) – Other

Other Trials to Consider

  • Study on the Effectiveness and Safety of RO7790121 for Patients with Moderate to Severe Crohn’s Disease

    Recruiting

    1 1
    Investigated drugs:
    Austria Belgium Bulgaria Croatia Czechia France +8
  • A study testing how well mirikizumab works to achieve transmural healing in patients with Crohn’s Disease

    Recruiting

    1 1 1 1
    Investigated diseases:
    Investigated drugs:
    France