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    Clinical Trial Results:
    Open label Randomized Controlled clinical Trial of vedolizumab versus conventional treatment for Checkpoint Inhibitor induced Colitis

    Summary
    EudraCT number
    2020-005793-10
    Trial protocol
    DK  
    Global end of trial date
    30 Nov 2024

    Results information
    Results version number
    v1(current)
    This version publication date
    28 Mar 2026
    First version publication date
    28 Mar 2026
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    01012121
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT04797325
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Copenhagen university hospital Herlev
    Sponsor organisation address
    Borgmester Ib Juuls vej 1, Herlev, Denmark, 2730
    Public contact
    Emilie Kristine Dahl, Jakob Benedict Seidelin, 45 35452514, jakob.benedict.seidelin@regionh.dk
    Scientific contact
    Emilie Kristine Dahl, Jakob Benedict Seidelin, 45 29919696, emilie.kristine.dahl@regionh.dk
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    08 Apr 2025
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    30 Nov 2024
    Global end of trial reached?
    Yes
    Global end of trial date
    30 Nov 2024
    Was the trial ended prematurely?
    Yes
    General information about the trial
    Main objective of the trial
    The main objective of this trial is to evaluate the safety and efficacy of vedolizumab as a first line treatment of immune check point inhibitor (ICPI) induced colitis.
    Protection of trial subjects
    We performed a planned safety analysis after 10 patients had received the trial drug vedolizumab to ensure clinical response.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    11 Nov 2021
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Denmark: 41
    Worldwide total number of subjects
    41
    EEA total number of subjects
    41
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    23
    From 65 to 84 years
    18
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    Patients were recruited from the out patient clinic and from the ward

    Period 1
    Period 1 title
    Overall trial (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Not blinded
    Blinding implementation details
    Patients were randomly assigned in a 1:1 ratio using a computer-generated sequence. A research assistant, without involvement in the trial, generated sealed opaque envelopes with the randomization code.

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Vedolizumab
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    vedolizumab
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Concentrate and solvent for concentrate for solution for infusion
    Routes of administration
    Infusion
    Dosage and administration details
    Patients recieving vedolizumab 300 mg IV at week 0, 2, 6, 14, 22.

    Arm title
    Conventionel
    Arm description
    Standard treatment with corticosteroids and infliximab rescue treatment at treatment failure to corticosteroids
    Arm type
    Active comparator

    Investigational medicinal product name
    corticosteroid
    Investigational medicinal product code
    Other name
    Prednisolone
    Pharmaceutical forms
    Tablet, Powder and solvent for dispersion for injection
    Routes of administration
    Injection , Oral use
    Dosage and administration details
    Corticosteroids were administred and tappered accordingly to symptoms.

    Number of subjects in period 1
    Vedolizumab Conventionel
    Started
    22
    19
    Completed
    20
    18
    Not completed
    2
    1
         Lost to follow-up
    2
    1

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Vedolizumab
    Reporting group description
    -

    Reporting group title
    Conventionel
    Reporting group description
    Standard treatment with corticosteroids and infliximab rescue treatment at treatment failure to corticosteroids

    Reporting group values
    Vedolizumab Conventionel Total
    Number of subjects
    22 19 41
    Age categorical
    Units: Subjects
        In utero
    0 0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0 0
        Newborns (0-27 days)
    0 0 0
        Infants and toddlers (28 days-23 months)
    0 0 0
        Children (2-11 years)
    0 0 0
        Adolescents (12-17 years)
    0 0 0
        Adults (18-64 years)
    13 11 24
        From 65-84 years
    9 8 17
        85 years and over
    0 0 0
        adults
    0 0 0
    Gender categorical
    Units: Subjects
        Female
    7 5 12
        Male
    15 14 29

    End points

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    End points reporting groups
    Reporting group title
    Vedolizumab
    Reporting group description
    -

    Reporting group title
    Conventionel
    Reporting group description
    Standard treatment with corticosteroids and infliximab rescue treatment at treatment failure to corticosteroids

    Primary: cummulative dose of corticosteroids at week 30

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    End point title
    cummulative dose of corticosteroids at week 30
    End point description
    cummulative dose of corticosteroids at week 30
    End point type
    Primary
    End point timeframe
    From randomisation to week 30
    End point values
    Vedolizumab Conventionel
    Number of subjects analysed
    21
    18
    Units: mg
        arithmetic mean (standard deviation)
    1378 ( 447 )
    2390 ( 384 )
    Statistical analysis title
    primary outcome
    Comparison groups
    Vedolizumab v Conventionel
    Number of subjects included in analysis
    39
    Analysis specification
    Pre-specified
    Analysis type
    equivalence [1]
    P-value
    = 0.107 [2]
    Method
    welch's t-test
    Confidence interval
    Notes
    [1] - We will use the 30-weeks survivors analysis set. Missing data for the patient(s) lost to follow-up will be imputed and transparently reported. Because of the small sample size, the main analysis will consists of a simple unadjusted analysis a Welch's t-test analysis. The empirical (i.e. observed) means in each group and their dierence will be reported, together with the corresponding 95% two-sided con dence intervals.
    [2] - A two sided p-value for the null of hypothesis of no dierence in mean will be reported. That is, the standard output of the call to the t.test() function of R will be reported.

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Each patient had adverse events registred from entering the trial at randomisation and until the trial period ended 30 weeks later.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    CTCAE
    Dictionary version
    5
    Reporting groups
    Reporting group title
    vedolizumab
    Reporting group description
    patients in the vedolizumab arm

    Reporting group title
    conventionel
    Reporting group description
    -

    Serious adverse events
    vedolizumab conventionel
    Total subjects affected by serious adverse events
         subjects affected / exposed
    13 / 22 (59.09%)
    11 / 19 (57.89%)
         number of deaths (all causes)
    1
    1
         number of deaths resulting from adverse events
    0
    0
    Surgical and medical procedures
    bone fracture
         subjects affected / exposed
    0 / 22 (0.00%)
    1 / 19 (5.26%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    General disorders and administration site conditions
    planned cancer operation
         subjects affected / exposed
    1 / 22 (4.55%)
    2 / 19 (10.53%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    pain
         subjects affected / exposed
    1 / 22 (4.55%)
    1 / 19 (5.26%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    electrolyte disturbance
         subjects affected / exposed
    1 / 22 (4.55%)
    0 / 19 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    vitamin insufficiency
         subjects affected / exposed
    1 / 22 (4.55%)
    0 / 19 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Dizziness
         subjects affected / exposed
    1 / 22 (4.55%)
    0 / 19 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    depression
         subjects affected / exposed
    1 / 22 (4.55%)
    0 / 19 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    dehydratio
         subjects affected / exposed
    1 / 22 (4.55%)
    0 / 19 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    Pulmonary embolism
         subjects affected / exposed
    1 / 22 (4.55%)
    0 / 19 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Neutropenia
         subjects affected / exposed
    1 / 22 (4.55%)
    0 / 19 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Immune system disorders
    anaphylaxia
         subjects affected / exposed
    1 / 22 (4.55%)
    1 / 19 (5.26%)
         occurrences causally related to treatment / all
    1 / 1
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Diarrhea
    Additional description: diarrhea
         subjects affected / exposed
    7 / 22 (31.82%)
    7 / 19 (36.84%)
         occurrences causally related to treatment / all
    0 / 7
    1 / 7
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    rectal bleeding
         subjects affected / exposed
    1 / 22 (4.55%)
    0 / 19 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    nausea
         subjects affected / exposed
    1 / 22 (4.55%)
    0 / 19 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    obstipation
         subjects affected / exposed
    1 / 22 (4.55%)
    0 / 19 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    intestinal perforation
    Additional description: at index endoscopy
         subjects affected / exposed
    1 / 22 (4.55%)
    0 / 19 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Pneumonitis
         subjects affected / exposed
    0 / 22 (0.00%)
    1 / 19 (5.26%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Renal and urinary disorders
    nefrititis
         subjects affected / exposed
    1 / 22 (4.55%)
    0 / 19 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    mucle pain
         subjects affected / exposed
    1 / 22 (4.55%)
    0 / 19 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Infections and infestations
    infections
         subjects affected / exposed
    2 / 22 (9.09%)
    8 / 19 (42.11%)
         occurrences causally related to treatment / all
    1 / 2
    3 / 8
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    vedolizumab conventionel
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    22 / 22 (100.00%)
    19 / 19 (100.00%)
    Nervous system disorders
    Headache
         subjects affected / exposed
    7 / 22 (31.82%)
    8 / 19 (42.11%)
         occurrences all number
    7
    8
    General disorders and administration site conditions
    Dizziness
         subjects affected / exposed
    3 / 22 (13.64%)
    5 / 19 (26.32%)
         occurrences all number
    3
    5
    Performance status decreased
         subjects affected / exposed
    6 / 22 (27.27%)
    7 / 19 (36.84%)
         occurrences all number
    6
    7
    Fatigue
         subjects affected / exposed
    6 / 22 (27.27%)
    7 / 19 (36.84%)
         occurrences all number
    6
    7
    hyperactive bladder
         subjects affected / exposed
    1 / 22 (4.55%)
    3 / 19 (15.79%)
         occurrences all number
    1
    3
    Insomnia
         subjects affected / exposed
    0 / 22 (0.00%)
    3 / 19 (15.79%)
         occurrences all number
    0
    3
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    7 / 22 (31.82%)
    4 / 19 (21.05%)
         occurrences all number
    7
    4
    bruises
         subjects affected / exposed
    1 / 22 (4.55%)
    5 / 19 (26.32%)
         occurrences all number
    1
    5
    Eye disorders
    visual sharpness decreased
         subjects affected / exposed
    5 / 22 (22.73%)
    4 / 19 (21.05%)
         occurrences all number
    5
    4
    dry eyes
         subjects affected / exposed
    3 / 22 (13.64%)
    1 / 19 (5.26%)
         occurrences all number
    3
    1
    Gastrointestinal disorders
    Nausea
    Additional description: x
         subjects affected / exposed
    6 / 22 (27.27%)
    5 / 19 (26.32%)
         occurrences all number
    6
    5
    obstipation
         subjects affected / exposed
    5 / 22 (22.73%)
    5 / 19 (26.32%)
         occurrences all number
    5
    5
    electrolyte disturbance
         subjects affected / exposed
    5 / 22 (22.73%)
    4 / 19 (21.05%)
         occurrences all number
    5
    4
    vitamin insufficiency
    Additional description: x
         subjects affected / exposed
    5 / 22 (22.73%)
    2 / 19 (10.53%)
         occurrences all number
    5
    2
    oral mucositis
         subjects affected / exposed
    6 / 22 (27.27%)
    8 / 19 (42.11%)
         occurrences all number
    6
    8
    vomiting
         subjects affected / exposed
    4 / 22 (18.18%)
    1 / 19 (5.26%)
         occurrences all number
    4
    1
    Dry mouth
         subjects affected / exposed
    3 / 22 (13.64%)
    1 / 19 (5.26%)
         occurrences all number
    3
    1
    stomach pain
         subjects affected / exposed
    2 / 22 (9.09%)
    4 / 19 (21.05%)
         occurrences all number
    2
    4
    Pancreatitis
         subjects affected / exposed
    1 / 22 (4.55%)
    4 / 19 (21.05%)
         occurrences all number
    1
    4
    anal pain
         subjects affected / exposed
    0 / 22 (0.00%)
    2 / 19 (10.53%)
         occurrences all number
    0
    2
    Respiratory, thoracic and mediastinal disorders
    Dyspnoea
         subjects affected / exposed
    6 / 22 (27.27%)
    7 / 19 (36.84%)
         occurrences all number
    6
    7
    Hepatobiliary disorders
    Hepatitis
         subjects affected / exposed
    5 / 22 (22.73%)
    5 / 19 (26.32%)
         occurrences all number
    5
    5
    Skin and subcutaneous tissue disorders
    Rash
         subjects affected / exposed
    2 / 22 (9.09%)
    6 / 19 (31.58%)
         occurrences all number
    2
    6
    sensory disturbance
         subjects affected / exposed
    1 / 22 (4.55%)
    2 / 19 (10.53%)
         occurrences all number
    1
    2
    vitiligo
         subjects affected / exposed
    1 / 22 (4.55%)
    2 / 19 (10.53%)
         occurrences all number
    1
    2
    moon face
         subjects affected / exposed
    0 / 22 (0.00%)
    2 / 19 (10.53%)
         occurrences all number
    0
    2
    Endocrine disorders
    Hypothyroidism
         subjects affected / exposed
    2 / 22 (9.09%)
    2 / 19 (10.53%)
         occurrences all number
    2
    2
    Osteoporosis
         subjects affected / exposed
    0 / 22 (0.00%)
    2 / 19 (10.53%)
         occurrences all number
    0
    2
    Musculoskeletal and connective tissue disorders
    muscle pain
    Additional description: x
         subjects affected / exposed
    4 / 22 (18.18%)
    10 / 19 (52.63%)
         occurrences all number
    4
    10
    joint pain
         subjects affected / exposed
    7 / 22 (31.82%)
    4 / 19 (21.05%)
         occurrences all number
    7
    4
    puritus
         subjects affected / exposed
    7 / 22 (31.82%)
    1 / 19 (5.26%)
         occurrences all number
    7
    1
    periferal odema
         subjects affected / exposed
    3 / 22 (13.64%)
    5 / 19 (26.32%)
         occurrences all number
    3
    5
    Infections and infestations
    infections
    Additional description: x
         subjects affected / exposed
    10 / 22 (45.45%)
    8 / 19 (42.11%)
         occurrences all number
    16
    14
    fever without infection
         subjects affected / exposed
    3 / 22 (13.64%)
    1 / 19 (5.26%)
         occurrences all number
    3
    1
    Metabolism and nutrition disorders
    nefritis
         subjects affected / exposed
    2 / 22 (9.09%)
    0 / 19 (0.00%)
         occurrences all number
    2
    0

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    17 Jan 2022
    Change of inclusion and exclusion criteria. We broaden the inclusion criteria to also include hospitalized patients.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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