Evidence map›Paper›PMID 32876349›Full record

Trial reportAlimentary pharmacology & therapeutics2020

Long-term safety of vedolizumab for inflammatory bowel disease.

Edward V Loftus, Brian G Feagan, Remo Panaccione, Jean-Frédéric Colombel, William J Sandborn, Bruce E Sands, Silvio Danese, Geert D'Haens, David T Rubin, Ira Shafran and 4 more

Registry-linked trialAbstract readClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in Alimentary pharmacology & therapeutics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00790933 (A Phase 3, Open-label Study to Determine the Long-term Safety and Efficacy of Vedolizumab), which is not on this map. Cited by 109 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
109citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00790933 phase3completednot on this map

A Phase 3, Open-label Study to Determine the Long-term Safety and Efficacy of Vedolizumab (MLN0002) in Subjects With Ulcerative Colitis and Crohn's Disease

TypeinterventionalSponsorTakedaRan2009 to 2017Enrolled2,243ConditionsUlcerative Colitis, Crohn's DiseaseArmsVedolizumab
3 · Its place in the literature

Who cites it

109 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  8. Long-term safety of vedolizumab for inflammatory bowel disease.Alimentary pharmacology & therapeutics · 2020
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  11. [Advanced Combination Therapy in Inflammatory Bowel Disease].The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2026
    Review
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49 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Edward V LoftusRochester, MN, USA.ORCID https://orcid.org/0000-0001-7199-6851
Brian G FeaganLondon, ON, Canada.ORCID https://orcid.org/0000-0002-6914-3822
Remo PanaccioneCalgary, AB, Canada.ORCID https://orcid.org/0000-0002-5247-940X
Jean-Frédéric ColombelNew York, NY, USA.ORCID https://orcid.org/0000-0001-6472-249X
William J SandbornSan Diego, CA, USA.ORCID https://orcid.org/0000-0002-3314-7960
Bruce E SandsNew York, NY, USA.ORCID https://orcid.org/0000-0001-5762-5042
Geert D'HaensAmsterdam, The Netherlands.ORCID https://orcid.org/0000-0003-2784-4046
David T RubinChicago, IL, USA.ORCID https://orcid.org/0000-0001-5647-1723
Ira ShafranWinter Park, FL, USA.
Andrejus ParfionovasCambridge, MA, USA.
Raquel RogersCambridge, MA, USA.
Richard A LirioCambridge, MA, USA.ORCID https://orcid.org/0000-0001-8342-9942
Séverine VermeireLeuven, Belgium.ORCID https://orcid.org/0000-0001-9942-3019

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVedolizumab, a gut-selective α

aimTo report the final results from the vedolizumab GEMINI long-term safety (LTS) study.

methodsThe phase 3, open-label GEMINI LTS study (initiated May 2009) enrolled patients with UC or CD from four prior clinical trials and vedolizumab-naïve patients. Vedolizumab LTS was evaluated; efficacy and patient-reported outcomes were exploratory endpoints.

resultsEnrolled patients (UC, n = 894; CD, n = 1349) received vedolizumab 300 mg IV every 4 weeks; median cumulative exposure was 42.4 months (range: 0.03-112.2) for UC and 31.5 months (range: 0.03-100.3) for CD. Over 8 years, adverse events (AEs) occurred in 93% (UC) and 96% (CD) of patients, with UC (36%) and CD (35%) exacerbations most frequent. Serious AEs were reported for 31% (UC) and 41% (CD) of patients. Vedolizumab discontinuation due to AEs occurred in 15% (UC) and 17% (CD) of patients. There were no new trends for infections, malignancies, infusion-related reactions, or hepatic events, and no cases of progressive multifocal leukoencephalopathy. Of the ten deaths (UC, n = 4; CD, n = 6), two were considered drug-related by local investigators (West Nile virus infection-related encephalitis and hepatocellular carcinoma). Continuous vedolizumab maintained clinical response long-term, with 33% (UC) and 28% (CD) of patients in clinical remission at 400 treatment weeks.

conclusionsThe safety profile of vedolizumab remains favourable with no unexpected or new safety concerns. These results further establish the safety of vedolizumab and support its long-term use (NCT00790933/EudraCT 2008-002784-14).

Indexed as

AdultAgedAntibodies, Monoclonal, HumanizedCohort StudiesColitis, UlcerativeCrohn DiseaseDrug-Related Side Effects and Adverse ReactionsFemaleFollow-Up StudiesGastrointestinal AgentsHumansInflammatory Bowel DiseasesMaleMiddle AgedQuality of LifeTime FactorsAntibodies, Monoclonal, HumanizedGastrointestinal Agentsvedolizumab

Identifiers

PMID32876349
PMCPMC7540482

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.