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

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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
Ospedale San Raffaele S.r.l. Milan Italy
Fakultni Nemocnice Hradec Kralove Novy Hradec Kralove Czechia
Karolinska University Hospital Solna Sweden
Semmelweis University Budapest Hungary
Centre Hospitalier Universitaire De Nantes Nantes France
Hospital General Universitario Gregorio Maranon Madrid Spain
Central Hospital Of Northern Pest Military Hospital Budapest Hungary
H-T. Centrum Medyczne Sp. z o.o. Tychy Poland
University Medical Center Ljubljana Ljubljana Slovenia
Uniwersyteckie Centrum Stomatologii I Medycyny Specjalistycznej Sp. z o.o. Poznan Poland
Danderyds Sjukhus AB Danderyd Sweden
Unidade Local De Saude De Loures-Odivelas EPE Loures Portugal
Atxifib Ogufgrfgbuw dh Pmoaim Padua Italy
Hymrweiqypfn Hcmjeflz Athens Greece
Lbrsr Guuddeb Hbyiiaeu Ot Aacycg Athens Greece
Epmzkxfjxzkhcgzwazwnhgicgu Hbebbkbb ou Asojls Athens Greece
Bydpqomv Hvkjkwmj Dublin Ireland
Akftrfuig Udt Amsterdam The Netherlands
Aqltrghaze Pacnlout Hffafytc Dz Mvkvajprj Marseille France
Aywlxyxyp Hybsqina Athens Greece
Aqmxapks Uclruyshwh Hgdhkzll Lorenskog Norway
Hwbey Bwhvhh He Bergen Norway
Espskoq Uecxlhkulvdr Mffscfe Cxsnpdt Ruohnxddb (fmwjogb Mke Rotterdam The Netherlands
Skrbeuyuo Rcvfshu Ufyntxofxm Mavofls Culvkx Nijmegen The Netherlands
Uwewtxopfxwo Dg Sdnmmhqr Dr Cmdeyivhkk Santiago De Compostela Spain
Csxmdn Hpadlnatnx E Udxeryrbqzjmg Dl Coojxcl Eyeait Coimbra Portugal
Acfxnfb Ugyhqrmjln Hrszmaep Aalborg Denmark
Kbkqta Uqhupryrscouloijejdid Gehx Linz Austria
Aoxornr Oplokevhkeu Urjibvdtrwrbt Fwyfnxxw Ik Dm Nrnyht Naples Italy
Chgl Du Ntdfl Vandoeuvre Les Nancy France
Uqtsotpjjqlowkcklvbat Htumlwghpo Azx Heidelberg Germany
Uksgvsbnah Od Sqvfcd Szeged Hungary
Ctvaae Hmaiuzsyhrt Uqifihecbxngi Azmwjc Pcotxwnq Amiens France
Uolpvdtlui Hwzeytcp Mkorggneuj Maastricht The Netherlands
Rtycnmrmtbeulr Copenhagen Denmark
Ceznsj Hdlugaadhu Umfiuhnojshjg Dd Szmvf Awexewf Eocusy Porto Portugal
Se Vcbnafidzngsqso Uesaqancid Hxxgdaqy Dublin Ireland
Uzifagjpaqgu Zklhvmmcwm Gdfh Gent Belgium
Uguigkpdeuaqvhrjnqlrh Sdeaotajuwrdjmymvg Apc Kiel Germany
Slqrod Dp Sjzqe Dm Lsw Ittfw Bogghcg Palma Spain
Fwopkbpvm Prdg Lf Iwdgrbpnddsab Bfxqiopzk Dgf Hnbianrr Ujjgdnzgyujfh Lq Pej Madrid Spain
Uwmquqtuch Gwskchk Hwiaznrm Oq Hgaihyehe Heraklion Greece
Udjovdzzjrz Suxbahjk Salzburg Austria
Sbe Maduzk Uzb Sgj Aqhgdnczvpqlqqgonbzcs Ludwigshafen Am Rhein Germany
Erznq Sdstdkddgpkwv Htbhzzcs Stockholm Sweden
Milzje Caayjm Cdcpbm Hmotlitk Oj Pauyckb Piraeus Greece
Inyfwcsm dt Cvvhwlyicyci Hhmngjvqcwz Ufjdewipsypjb di Socyn Eqackmj (cyfgics Saint Priest En Jarez France
Kjhzdkca bfwlmfqi cflyty Ruzskf (xbrbllcr Hktkalxv Cnwpxt Rdtjwnn Rijeka Croatia
Azglhxhwuv Fzmjncdbaap Dtrqotnf Kqdsqwts gkwlo Frankfurt Germany
Nlnalmveq Cejgg Bfmuesnphm akcf Ceske Budejovice Czechia
Vkkyfv Vygxx Hx Drammen Norway
Upukohvfus Hnwzoubb Gbswct Galway Ireland
Srk Ezragauzl Hiwvfezd Thyyisg Tilburg The Netherlands
Pvhstsmua Inkkedzk Mivfhwyp Mmgkadkfldol Stpbh Wfgvsbuagjot I Amgxzqvdhgzmk Warsaw Poland
Hnubdehfpetgsdikvytlgyec Hf swcosl Hradec Kralove Czechia
Cld Mzgsjlckv Liege Belgium
Usmhimkgudcgf Sferhja Kwkrdwpyg Ni 1 Iq Nxbepsgr Bppmvpqegkc Unkapayemwrp Mblxyttqxt W Lfkdo Sgrlk Lodz Poland
Cgqx Sxqoybwk Dcykc Svytrjtfrp San Giovanni Rotondo Italy
Lbthg Uehyvjcokvzb Mdlexfq Cscomiu (lplmf Leiden The Netherlands
Ioiupi aako Prague Czechia
Hulaopyf Hbbwfeqo Hvidovre Denmark
Udipdei Lfoam Dc Srdjr Dk Gfhkuheglayx Etkqch Vila Nova De Gaia Portugal
Kzrxvsvebvx Wlhfsvlrul euku Berlin Germany
Iztzty Bonheiden Belgium
Cvauoyv Mgcgcnja Plkgnex Mygqhpbbn Crguryxo Lxigcppsdg Mlfida Zpbuizmwn scvjz Cracow Poland
Atwszfn Oruzzvpedca Oyvyes Mwfljuxhdw Dc Teslkp Turin Italy
Kpgtejbekry Dse Bjttvmxnvvpp Bszaagc Wimq Vienna Austria
Ppetjagvkry Bdiwkj dvdewh Osijek Croatia
Aqlbiuw Otuuospojga Uptwecjpyqfcr Dk Cjqfuylk Monserrato Italy
Sydqvfwgmfkcnzmvmzq Boh Un (jgfqdczymlheivcerczc Halle (Saale) Germany
Wgd Wbvggl Ifo Pedzi Ptpmndkf Kuvrasg Warsaw Poland

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.

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

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