SILVER-study

2024-517502-28-01 Protocol NL80854.018.22 Therapeutic use (Phase IV) Authorised, recruiting

Start 14 Jan 2025 · Status Authorised, recruiting · 1 EU/EEA countries · 1 sites · Protocol NL80854.018.22

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Authorised, recruiting
Participants planned 40
Countries 1
Sites 1

Inflammatory bowel disease

To evaluate whether subcutaneous vedolizumab therapeutic drug monitoring (TDM)-guided de-escalation will be cost-effective, compared to normal dosing regimen in patients with inflammatory bowel disease in remission.

Key facts

Sponsor
Amsterdam UMC Stichting
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Digestive System Diseases [C06]
Trial duration
14 Jan 2025 → ongoing
Decision date (initial)
2025-01-14
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-517502-28-01
EudraCT number
2022-000837-17
ClinicalTrials.gov
NCT20220008

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Pharmacoeconomic, Therapy, Pharmacokinetic

To evaluate whether subcutaneous vedolizumab therapeutic drug monitoring
(TDM)-guided de-escalation will be cost-effective, compared to normal dosing regimen in
patients with inflammatory bowel disease in remission.

Conditions and MedDRA coding

Inflammatory bowel disease

Regulatory references

Plan to share IPD
No
EU CT numberTitleSponsor
2024-517502-28-00 Subcutaneous vedolizumab drug de-escalation using therapeutic drug monitoring in inflammatory bowel disease: a randomized controlled pilot study Amsterdam UMC Stichting

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. crohn's disease or ulcerative colitis in remission

Exclusion criteria 2

  1. presence of anti-drug antibodies against vedolizumab
  2. Patients with short bowel syndrome, an ostomy or a symptomatic stricture

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. cost-effectiveness of therapeutic drug monitoring based drug de-escalation

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Entyvio 108 mg solution for injection in pre-filled syringe

PRD8036174 · Product

Active substance
Vedolizumab
Substance synonyms
MLN0002, PB016
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS INJECTION
Max daily dose
7.7 mg milligram(s)
Max total dose
2592 mg milligram(s)
Max treatment duration
48 Week(s)
Authorisation status
Authorised
ATC code
L04AG05 — -
Marketing authorisation
EU/1/14/923/003
MA holder
TAKEDA PHARMA A/S
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Amsterdam UMC Stichting

Sponsor organisation
Amsterdam UMC Stichting
Address
De Boelelaan 1117
City
Amsterdam
Postcode
1081 HV
Country
Netherlands

Scientific contact point

Organisation
Amsterdam UMC Stichting
Contact name
S.I. Anjie

Public contact point

Organisation
Amsterdam UMC Stichting
Contact name
S.I. Anjie

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Netherlands Authorised, recruiting 40 1
Rest of world 0

Investigational sites

Netherlands

1 site · Authorised, recruiting
Amsterdam UMC Stichting
Gastroenterology and Hepatology, De Boelelaan 1117, 1081 HV, Amsterdam

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Netherlands 2025-01-14

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 4 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1 Protocol 20245175022801 V6_1 24Jun2024 6.1
Recruitment arrangements (for publication) Blank document 1
Subject information and informed consent form (for publication) L1 SIS and ICF adults 20245175022801 V2_3 8Mar2024 2.3
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC_2024-517502-28-01 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-12-05 Netherlands Acceptable
2025-01-14
2025-01-14