NCT06249555

Brief Summary

The primary aim of this study is to explore the time course of response to Vedolizumab in participants with CD as measured by the Patient-Reported Outcomes Measurement Information System (PROMIS) Pain Interference-short form (SF), as well as other PROMIS domain SFs (fatigue, anxiety, depression, sleep disturbance, physical function, and ability to participate in social roles and activities); other PRO measures will also be assessed.

Trial Health

80
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
300

participants targeted

Target at P75+ for all trials

Timeline
7mo left

Started Mar 2024

Typical duration for all trials

Geographic Reach
2 countries

25 active sites

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress79%
Mar 2024Dec 2026

First Submitted

Initial submission to the registry

January 24, 2024

Completed
15 days until next milestone

First Posted

Study publicly available on registry

February 8, 2024

Completed
1 month until next milestone

Study Start

First participant enrolled

March 20, 2024

Completed
2.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2026

Expected
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2026

Last Updated

February 13, 2026

Status Verified

February 1, 2026

Enrollment Period

2.2 years

First QC Date

January 24, 2024

Last Update Submit

February 11, 2026

Conditions

Keywords

VedolizumabUstekinumabPatient reported outcomeIL-23 antagonistsRisankizumab

Outcome Measures

Primary Outcomes (1)

  • To assess time of onset of biologic therapy in pain interference

    Time to meaningful clinical improvement in pain interference, defined as a ≥ 2-point decrease in the PROMIS Pain Interference-SF T-score

    Baseline to Week 14

Secondary Outcomes (24)

  • To assess time of onset of biologic therapy in multiple QOL and functioning domains

    Baseline to Weeks 14, 30, and 52

  • To assess the efficacy of therapy in inducing a meaningful clinical improvement in pain interference through Week 52 through a reduction in PROMIS - Pain Interference - Short Form Scores.

    Baseline to Weeks 14, 30, and 52

  • To assess the efficacy of therapy in inducing a meaningful clinical improvement in fatigue through Week 52 through a reduction in PROMIS - Fatigue - Short Form Scores.

    Baseline to Weeks 14, 30, and 52

  • To assess the efficacy of therapy in inducing a meaningful clinical improvement in anxiety through Week 52 through a reduction in PROMIS - Emotional Distress - Anxiety - Short Form Scores.

    Baseline to Weeks 14, 30, and 52

  • To assess the efficacy of therapy in inducing a meaningful clinical improvement in depression through Week 52 through a reduction in PROMIS Emotional Distress - Depression - Short Form.

    Baseline to Weeks 14, 30, and 52

  • +19 more secondary outcomes

Study Arms (2)

Vedolizumab

Group one will include participants who will be starting Vedolizumab as part of routine care. Dose, frequency and duration are not mandated as part of the study and are determined by the health care provider.

Drug: Vedolizumab (VDZ)

IL-23 Antagonists

Group two will include participants who will be starting an IL-23 antagonist as part of routine care. Dose, frequency and duration are not mandated as part of the study and are determined by the health care provider.

Drug: Ustekinumab (UST)Drug: Risankizumab (RISA)Drug: Guselkumab (GUS)Drug: Mirikizumab (MIR)

Interventions

Participants will receive VDZ as part of routine care.

Also known as: Entyvio
Vedolizumab

Participants will receive UST as part of routine care.

Also known as: Stelara
IL-23 Antagonists

Participants will receive RISA as part of routine care.

Also known as: Skyrizi
IL-23 Antagonists

Participants will receive GUS as part of routine care.

Also known as: Tremfya
IL-23 Antagonists

Participants will receive MIR as part of routine care.

Also known as: Omvoh
IL-23 Antagonists

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

This study will be conducted in US and Canadian participants with CD prescribed VDZ or IL-23 antagonists for the first time. Approximately 300 participants with CD who are initiating first-time treatment with VDZ or UIL-23 antagonists will be enrolled in this study.

You may qualify if:

  • Participant is an adult 18 years of age or older with confirmed CD, as per standard clinical criteria which may include symptoms, endoscopy, histopathology, and imaging.
  • Participant has active CD and has been prescribed as standard of care (SOC) and is planned to start VDZ or IL-23 antagonist therapy (UST, RISA, or GUS or MIR \[if approved for the treatment of CD during the recruitment period for this study\]) for the first time in accordance with the product label, as determined by the treating physician.
  • Participant has a baseline PROMIS Pain Interference-SF score ≥ 15 (corresponding T-score ≥ 55) (PROMIS Pain Interference-SF 8a \[V1.1\]).
  • a. Score is calculated by adding score (1 to 5) for each of the 8 subcomponents.
  • Participant has completed all SOC biologic work-up assessments (this may include assessment of tuberculosis, chronic infections, Clostridioides difficile infection and vaccination status per local practice).
  • Ability of participant to participate fully in all aspects of this observational study. Full comprehension of consent language and informed consent must be obtained from the participant and documented.

You may not qualify if:

  • Participant has CD-related surgery planned or anticipated during the study.
  • Participant has an active infection at baseline requiring intravenous systemic antibiotics.
  • Note: The treating physician must have completed all appropriate baseline screening tests as per the product label.
  • Participant has evidence of C. difficile toxin or is prescribed treatment for C. difficile infection, or other intestinal bacterial pathogen, ≤ 2 weeks prior to Screening.
  • Participant has chronic non-inflammatory bowel disease pain.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (25)

GI Alliance - Sun City

Sun City, Arizona, 85351, United States

RECRUITING

Digestive and Liver Center of Florida

Kissimmee, Florida, 34741, United States

WITHDRAWN

Northwestern University

Evanston, Illinois, 60611, United States

RECRUITING

University of Iowa

Iowa City, Iowa, 52242, United States

RECRUITING

University Medical Center New Orleans

New Orleans, Louisiana, 70112, United States

RECRUITING

Brigham and Women's Hospital

Chestnut Hill, Massachusetts, 02467, United States

RECRUITING

University of North Carolina

Chapel Hill, North Carolina, 27599, United States

RECRUITING

Cleveland Clinic Foundation

Cleveland, Ohio, 44195, United States

RECRUITING

OR Clinic - East - GI

Portland, Oregon, 97220, United States

RECRUITING

GI Alliance Research Fort Worth

Fort Worth, Texas, 76104, United States

RECRUITING

GI Alliance Research Mansfield

Mansfield, Texas, 76063, United States

RECRUITING

GI Alliance - Bellevue - Washington Gastroenterology

Bellevue, Washington, 98004, United States

RECRUITING

University of Alberta

Edmonton, Alberta, T6G2X8, Canada

RECRUITING

University of British Columbia

Vancouver, British Columbia, V6Z2K5, Canada

RECRUITING

GNRR Digestive Clinics and Research Center

Brampton, Ontario, L6S0E2, Canada

RECRUITING

London Health Sciences Centre

London, Ontario, N6A5A5, Canada

RECRUITING

Alimentiv

London, Ontario, N6Z5B6, Canada

RECRUITING

West GTA Research Inc.

Mississauga, Ontario, L5M7N4, Canada

RECRUITING

Rajbir Rai Medicine Professional Corporation

Oakville, Ontario, L6L4P7, Canada

RECRUITING

ABP Research Services Corp.

Oakville, Ontario, L6L5L7, Canada

RECRUITING

The Ottawa Hospital

Ottawa, Ontario, K1H8L6, Canada

RECRUITING

Scarborough Center for Inflammatory Bowel Disease

Scarborough Village, Ontario, M1B3V4, Canada

RECRUITING

Toronto Immune & Digestive Health Institute Inc.

Toronto, Ontario, M6A3B4, Canada

RECRUITING

McMaster University Medical Center

Hamilton, Ontatrio, L8N 3Z5, Canada

RECRUITING

Montreal General Hospital

Montreal, Quebec, H3G1A4, Canada

RECRUITING

MeSH Terms

Conditions

Crohn Disease

Interventions

vedolizumabUstekinumabrisankizumabguselkumabmirikizumab

Condition Hierarchy (Ancestors)

Inflammatory Bowel DiseasesGastroenteritisGastrointestinal DiseasesDigestive System DiseasesIntestinal Diseases

Intervention Hierarchy (Ancestors)

Antibodies, Monoclonal, HumanizedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsSerum GlobulinsGlobulins

Central Study Contacts

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 24, 2024

First Posted

February 8, 2024

Study Start

March 20, 2024

Primary Completion (Estimated)

June 1, 2026

Study Completion (Estimated)

December 1, 2026

Last Updated

February 13, 2026

Record last verified: 2026-02

Data Sharing

IPD Sharing
Will not share

Locations