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Monoclonal Antibodies
Infliximab vs Vedolizumab for Colitis from Immunotherapy in Cancer Patients
Phase 1 & 2
Recruiting
Led By Yinghong Wang
Research Sponsored by M.D. Anderson Cancer Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Patients who receive any type of immune checkpoint inhibitor (ICI) therapy
Patients with peak grade >= 2 immune-related diarrhea and/or colitis (according to the Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 within 45 days prior to initiation of study treatment (infliximab/ vedolizumab)
Must not have
Patients younger than 18 years of age
Patients with preexisting activehistory of inflammatory bowel disease and/or radiation enterocolitis with active disease status at the time of study treatment initiation
Timeline
Screening 3 weeks
Treatment Varies
Follow Up at 2 weeks after initiation of infliximab or vedolizumab with corticosteroid taper
Awards & highlights
Summary
This trial is testing the side effects of two drugs, infliximab and vedolizumab, to treat colitis caused by immunotherapy in patients with genital or urinary cancer or melanoma.
Who is the study for?
This trial is for adults with genitourinary cancer, melanoma, or non-small cell lung cancer who have developed grade 2 or higher colitis from immune checkpoint inhibitor therapy. They must not have active GI infections, inflammatory bowel disease, radiation enterocolitis, or be on other immunosuppressive drugs. Pregnant women and those under 18 are excluded.
What is being tested?
The study is testing the effectiveness of monoclonal antibodies infliximab and vedolizumab in treating colitis caused by immune checkpoint inhibitors in patients with certain cancers. It aims to determine the best treatment strategy for this condition.
What are the potential side effects?
Potential side effects of infliximab and vedolizumab may include infusion reactions like fever or chills, risk of infection due to weakened immunity, possible liver damage indicated by yellowing skin/eyes (jaundice), abdominal pain, coughing up blood.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I am receiving or have received immune checkpoint inhibitor therapy.
Select...
I've had severe diarrhea or colitis due to immune therapy in the last 45 days.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I am younger than 18 years old.
Select...
I do not have active inflammatory bowel disease or radiation enterocolitis.
Select...
I developed side effects not related to my digestive system when I started the study treatment.
Select...
I still have a GI infection after 5 days of antibiotics.
Select...
I am not on any immunosuppressive therapies except for colitis treatment.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ from the initiation of infliximab or vedolizumab treatment till death or last follow-up, assessed up to 3 months
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~from the initiation of infliximab or vedolizumab treatment till death or last follow-up, assessed up to 3 months
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Clinical remission/response rate of immune-mediated colitis (IMC)
Treatment-related adverse events
Secondary study objectives
Clinical remission/response rate of IMC
Complete weaning of corticosteroid
Recurrent immune-related diarrhea/colitis
Other study objectives
Change in frequencies of immune cells in tissue/blood/stool samples
Change in levels of cytokines in tissue/blood/stool samples
Endoscopic remission (Mayo Clinic sub-score 0-1) of immune-related diarrhea/colitis
+3 moreSide effects data
From 2019 Phase 4 trial • 11 Patients • NCT025597139%
Colitis ulcerative
9%
Gastrointestinal motility disorder
9%
Viral infection
9%
Crohn's disease
9%
Paronychia
100%
80%
60%
40%
20%
0%
Study treatment Arm
Vedolizumab 300 mg
Trial Design
2Treatment groups
Experimental Treatment
Active Control
Group I: Arm II (vedolizumab)Experimental Treatment1 Intervention
Patients receive vedolizumab IV over 1 hour at week 0, 2, 6 for a total of 3 doses in the absence of disease progression or unacceptable toxicity.
Group II: Arm I (infliximab)Active Control1 Intervention
Patients receive infliximab IV over 1 hour once at week 0, 2, 6 for a total of 3 doses in the absence of disease progression or unacceptable toxicity.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Vedolizumab
2009
Completed Phase 4
~10220
Find a Location
Who is running the clinical trial?
M.D. Anderson Cancer CenterLead Sponsor
3,048 Previous Clinical Trials
1,799,841 Total Patients Enrolled
National Cancer Institute (NCI)NIH
13,872 Previous Clinical Trials
41,010,677 Total Patients Enrolled
Yinghong WangPrincipal InvestigatorM.D. Anderson Cancer Center
2 Previous Clinical Trials
840 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I am younger than 18 years old.I do not have active inflammatory bowel disease or radiation enterocolitis.I don't have an active GI infection as confirmed by tests or my doctor.I developed side effects not related to my digestive system when I started the study treatment.I still have a GI infection after 5 days of antibiotics.I am not on any immunosuppressive therapies except for colitis treatment.I am not pregnant, have evidence of menopause, or have confirmed 'no pregnancy' status recently.I have genitourinary cancer, melanoma, or non-small cell lung cancer.I can understand and am willing to sign the informed consent.I am receiving or have received immune checkpoint inhibitor therapy.I've had severe diarrhea or colitis due to immune therapy in the last 45 days.
Research Study Groups:
This trial has the following groups:- Group 1: Arm I (infliximab)
- Group 2: Arm II (vedolizumab)
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
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