Determination of the Optimal Treatment Target in Ulcerative Colitis

PHASE4Active, not recruitingINTERVENTIONAL
Enrollment

672

Participants

Timeline

Start Date

February 18, 2020

Primary Completion Date

March 31, 2026

Study Completion Date

March 31, 2026

Conditions
Colitis, Ulcerative
Interventions
BIOLOGICAL

Treatment Algorithm A

Participants who are not on UC treatment at screening (or who have only used topical therapy) will require standard first-line therapy. Either oral 5-ASA and/or immunosuppressive (azathioprine, 6-mercaptopurine, or methotrexate), with optional oral corticosteroid up to a maximum of 30 mg or prednisone or equivalent, will be initiated.

BIOLOGICAL

Treatment Algorithm B

"Participants who are taking oral 5-ASA, immunosuppressive (azathioprine, 6-mercaptopurine, methotrexate), and/or oral corticosteroid at screening will follow the treatment algorithm.~Participants will change to intravenous vedolizumab therapy.~Participants will be assessed to determine it remission target is achieved at weeks 16, 32 and 48. If the participant has achieved their treatment target, they will continue that line of therapy. If the participant has not achieved their treatment target, treatment and/or dose escalation will be administered according to the algorithm."

BIOLOGICAL

Treatment Algorithm C

"Participants who are taking a TNFα antagonist (infliximab, golimumab, or adalimumab), tofacitinib, or ustekinumab therapy at screening will follow the treatment algorithm.~Participants will change to intravenous vedolizumab therapy.~Participants will be assessed to determine it remission target is achieved at weeks 16, 32 and 48. If the participant has achieved their treatment target, they will continue that line of therapy. If the participant has not achieved their treatment target, treatment and/or dose escalation will be administered according to the algorithm."

Trial Locations (58)

2820

Imelda Ziekenhuis Bonheiden, Bonheiden

3000

UZ Leuven - University Hospital Gasthuisberg, Leuven

9000

University Hospital Ghent, Ghent

10029

Icahn School of Medicine at Mt Sinai Hospital, New York

10065

New York-Presbyterian/Weill Cornell Medical Center, New York

20089

Istituto Clinico Humanitas, Rozzano

20132

Ospedale San Raffaele S.r.I., Milan

25000

CHU Besançon - Hôpital Jean Minjoz, Besançon

28204

Atrium Health (Carolinas HealthCare), Charlotte

28801

Digestive Health Partners - Asheville Gastroenterology Associate, Asheville

31009

Gabinet Endoskopii Przewodu Pokarmowego, Krakow

33604

CHU de Bordeaux - Hopital Haut Leveque - Groupe Hospitalier Sud, Pessac

34295

CHRU Montpellier - Hopital Saint Eloi, Montpellier

35128

Azienda Ospedaliera di Padova, Padua

40138

Azienda Ospedaliera - Polyclinico Sant'Orsola-Malpighi, Bologna

42055

CH Saint Etienne Hopital Nord, Saint-Priest-en-Jarez

48197

St. Joseph Mercy Hospital/Huron Gastroenterology Associates, Ypsilanti

54500

CHRU De Nancy - Hopital de Brabois, Vandœuvre-lès-Nancy

59037

CHRU de Lille - Hopital Claude Huriez, Lille

69065

City Clinical Hospital #9 Dept of Gastrosurgery SI Zaporizhzhia MA of PGE of MoHU, Zaporizhzhia

82300

Szpital Miejski Sw. Jana Pawla II w Elblagu, Elblag

210037

Vitebsk Regional Clinical Hospital, Vitebsk

246029

Gomel Regional Clinical Hospital, Homyel

T2N 4Z6

University of Calgary, Calgary

V6Z 2K5

GIRI (GI Research Institute), Vancouver

L4M 7G1

Barrie GI Associates Inc., Barrie

L8S 4L8

McMaster University Medical Centre, Hamilton

N6A 5A5

London Health Sciences Centre - University Campus, London

N6A 5W9

LHSC - Victoria Hospital, London

L6L 5L7

ABP Research Services Corp., Oakville

L1J 0C7

Taunton Surgical Centre, Oshawa

M6A 3B4

Toronto Immune and Digestive Health Institute (TIDHI), Toronto

H3G 1A4

McGill University Health Centre (MUHC) Montreal General Hospital, Montreal

00-168

Policlinico Universitario Agostino Gemelli, Roma

6525 GA

Radboud University Nijmegen Medical Centre, Nijmegen

5623 EJ

Catharina Hospital, Eindhoven

5022 GC

ETZ Hospital Tilburg, Tilburg

1081 HV

Amsterdam UMC - Academisch Medisch Centrum, Amsterdam

85-168

Szpital Uniwersytecki nr 2 im. dr Jana Biziela w Bydgoszcz, Bydgoszcz

87-100

GASTROMED - Kopon, Zmudzinski I Wspolnicy Sp.j., Torun

00-72

WIP Warsaw IBD Point Profesor Kierkus, Warsaw

81-756

Endoskopia Sp. z.o.o., Sopot

71-685

Sonomed Sp. z o.o. - Centrum Medyczne, Szczecin

21-010

Oddział Gastroenterologiczny SP ZOZ w Łęcznej, Łęczna

Unknown

Dniepropetrovsk State Medical Academy, Dnipro

Odesa Regional Clinical Hospital, Odesa

Ternopil City Communal Emergency Medical Care Hosp, Ternopil

Uzhhorod National University, Uzhhorod

Vinnytsia City Clinical Hospital #1, Dept of Gastroenterology, Vinnytsia

Vinnytsia M.I. Pyrohov Regional Clinical Hospital, Vinnytsia

SO22 5DG

Hampshire Hospitals NHS Foundation Trust - The Royal Hampshire County Hospital, Winchester

OX39DU

Oxford University Hospitals NHS Foundation - John Radcliffe Hospital, Headington

B15 2GW

University Hospitals Birmingham NHS Foundation Trust (UHB) - Queen Elizabeth Hospital Birmingham, Birmingham

DY1 2HQ

Russells Hall Hospital, Dudley

HU3 2JZ

Hull & East Yorkshire NHS Trust, Hull

E11 1NR

Barts Health NHS Trust / Whipps Cross University Hospital, Leytonstone

E1 1BB

Barts Health NHS Trust - Royal London Hospital, London

NG7 2UH

University of Nottingham NHS Trust, Nottingham

Sponsors

Lead Sponsor

All Listed Sponsors
collaborator

Takeda Development Center Americas, Inc.

INDUSTRY

lead

Alimentiv Inc.

OTHER