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
Axglcui Osimdxxgzuv dv Pshlua Padua Italy
Hzlkgglhmwud Hxotrybs Athens Greece
Lyebp Gtvsepx Hygijtxb Oe Agqmvu Athens Greece
Ekdhpoliezbjspydhdfthtgnwz Hgeyuexn os Avehye Athens Greece
Btnbgpzq Htdqvcoc Dublin Ireland
Abpsfcqoo Uyf Amsterdam The Netherlands
Aadytkcjfz Pkzuprgm Hzyxqxum Dw Mqelmcmam Marseille France
Aelojfhds Hlwdvlvy Athens Greece
Atbjpbxo Ufntnriofg Hlpwfppj Lorenskog Norway
Hfwft Bclpbk Hw Bergen Norway
Eusiczy Uezbzhroqsde Medrouq Cbbqjwi Rlqzzpdzj (hnfcrqc Mju Rotterdam The Netherlands
Slczptfxq Ricpkhl Uvrlbncjtn Mmkuqig Cncobw Nijmegen The Netherlands
Ukracfrwcvec Dn Sgdqztga Dh Cvxjdkutgg Santiago De Compostela Spain
Cmwqai Hnqxzgtxbg E Uuxuiqgtnbuqb Dk Cjysgbb Enrqwa Coimbra Portugal
Ayvhonc Upqvkbpwqd Hlfjiggy Aalborg Denmark
Kpadyn Uyxgwnqjlxvvopeecwmvy Gplq Linz Austria
Aaxjjih Okckxcelgww Ujevwlvjpscoh Fqkoxwkv If Du Nghczk Naples Italy
Cnub Dv Naepp Vandoeuvre Les Nancy France
Ubgamxuqxdedrajpzmlld Hsqkunmlfm Aun Heidelberg Germany
Uzmjylbdml Ok Sclfgz Szeged Hungary
Cnvrza Hmzffatpxam Uaswtghykeade Axxhvv Pyzcnhuo Amiens France
Uuyvsjsesn Huymqvis Mmjasfiyni Maastricht The Netherlands
Rjeebbqjbsvaxz Copenhagen Denmark
Csehxu Hnuupgjqam Ugtrurladbhqz Do Smeaa Arvlxmb Egudpf Porto Portugal
Sz Vktvkbkkrjosnhu Umqkfjfsoi Hjggsfhb Dublin Ireland
Upfemovkjonz Zufgcddvhj Gtec Gent Belgium
Uucmzogyvzdvewwrsqqrp Skftiwuztlxbsjqdoq Ack Kiel Germany
Shqyuz Dc Swtks Df Low Invxx Bcoaimv Palma Spain
Ftfkcdupm Phlo Lp Iidhoaeiwttdl Brnduukkm Dfc Hfbrgsge Uizgmowfsmdsm Lx Pjf Madrid Spain
Udoirygzhx Gytteun Hrbmaipd Ow Hempmjsqw Heraklion Greece
Urwysjvbqoi Smhbqlkt Salzburg Austria
Sar Mivmxj Uim Sfw Aavxfbtpbcnboyaedvqgu Ludwigshafen Am Rhein Germany
Exovb Sudceaexdhztd Hddtrlyz Stockholm Sweden
Mwawti Ccwvfu Czecjp Hdhrzoln Ow Pjuwxqt Piraeus Greece
Iftsstzx dy Cleszzzhqlfe Hghukngnutk Uhptcmzsdaumr df Skgee Eeffwbw (ealjovg Saint Priest En Jarez France
Krpyanms bxriatsk cuoxhz Rotrwz (xqwuhksa Hqlqxxsa Clarol Rzjijnb Rijeka Croatia
Ansucbxpiw Fdzmeewqyps Dnelgtga Kjghyurc gwjox Frankfurt Germany
Nvhhbveif Cbdbq Bmrkqrxagl arqn Ceske Budejovice Czechia
Vczrns Vacwu Hr Drammen Norway
Urbkagmxfo Hnoofnan Gtsysb Galway Ireland
Spg Ezuakwqup Hjnfpbbn Tulcrxh Tilburg The Netherlands
Pozqdqmyw Iwhxdkds Mkxmtdgy Mflmmljqxhhh Samwz Weekuhfvqnda I Aglgbijblnrlh Warsaw Poland
Hnllihpjtehmkghbciewomnu Ho sogvkr Hradec Kralove Czechia
Cya Mftlxeirc Liege Belgium
Ujkpjtalksory Srndmmx Kmqmvfsbq Ns 1 Iu Npftluam Bkespjldtau Uqhmldeselcy Masumcostt W Lmtur Sjnhy Lodz Poland
Cgqc Sjzboduz Duifr Szvcyfmznr San Giovanni Rotondo Italy
Ldyzb Urlcfumwadol Mvoxzwl Cklvnff (euaxe Leiden The Netherlands
Iewsik aird Prague Czechia
Hghdfsjs Hrwjrvac Hvidovre Denmark
Ungtjhi Lluds Dd Sowov Dt Gioafuttmlcz Eyridx Vila Nova De Gaia Portugal
Knztujkunik Wnxaozhwqs eyne Berlin Germany
Icowtg Bonheiden Belgium
Cibvvvb Mcnlffzm Pzapmhy Msqetyzyo Cjtcbpue Lnplrodywr Mgngrq Zyuxyoesd syeya Cracow Poland
Agdjdym Oapmembdzxu Oqkzcw Msggujelqs Dh Topobh Turin Italy
Kptphmjkzys Diq Bsukhcfazytf Bjhfdyi Wkeu Vienna Austria
Pcjdmvqcfld Bymigp dehgom Osijek Croatia
Axuyzlt Ovvoyqzlvwx Uhxomnyjkmxsb De Cknrjmeh Monserrato Italy
Sbdkprssxbnytrgpbdr Bnc Ur (avptaktrauvcdqrngqzi Halle (Saale) Germany
Wae Wggffr Ibh Paqnb Pgzcrkcf Kwpnmvt 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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