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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
No Placebo-Only Group

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 below
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I am receiving or have received immune checkpoint inhibitor therapy.
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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:
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I am younger than 18 years old.
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I do not have active inflammatory bowel disease or radiation enterocolitis.
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I developed side effects not related to my digestive system when I started the study treatment.
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I still have a GI infection after 5 days of antibiotics.
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I am not on any immunosuppressive therapies except for colitis treatment.

Timeline

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
This trial's timeline: 3 weeks for screening, Varies for treatment, and from the initiation of infliximab or vedolizumab treatment till death or last follow-up, assessed up to 3 months for reporting.

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 more

Side effects data

From 2019 Phase 4 trial • 11 Patients • NCT02559713
9%
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

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.

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
3,067 Previous Clinical Trials
1,802,509 Total Patients Enrolled
108 Trials studying Melanoma
25,889 Patients Enrolled for Melanoma
National Cancer Institute (NCI)NIH
13,928 Previous Clinical Trials
41,017,960 Total Patients Enrolled
564 Trials studying Melanoma
191,124 Patients Enrolled for Melanoma
Yinghong WangPrincipal InvestigatorM.D. Anderson Cancer Center
2 Previous Clinical Trials
840 Total Patients Enrolled
2 Trials studying Melanoma
840 Patients Enrolled for Melanoma

Media Library

Infliximab (Monoclonal Antibodies) Clinical Trial Eligibility Overview. Trial Name: NCT04407247 — Phase 1 & 2
Melanoma Research Study Groups: Arm I (infliximab), Arm II (vedolizumab)
Melanoma Clinical Trial 2023: Infliximab Highlights & Side Effects. Trial Name: NCT04407247 — Phase 1 & 2
Infliximab (Monoclonal Antibodies) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04407247 — Phase 1 & 2
~2 spots leftby Dec 2024