Evidence map›Paper›PMID 41684725›Full record

ArticleTherapeutic advances in gastroenterology2026

Final results from the vedolizumab extended access program multinational study demonstrate long-term treatment persistence and safety.

Silvio Danese, Milan Lukáš, Miroslava Volfová, Grażyna Rydzewska, Shashi Adsul, Dirk Lindner, Stephen Jones, Séverine Vermeire

3 registry-linked trialsAbstract read
In one paragraph

Article in Therapeutic advances in gastroenterology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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
NCT02425111 phase3completednot on this map

An Open-Label Phase 3b Study to Assess Mucosal Healing in Subjects With Moderately to Severely Active Crohn's Disease Treated With Vedolizumab IV

TypeinterventionalSponsorTakedaRan2015 to 2018Enrolled101ConditionsCrohn's DiseaseArmsVedolizumab
NCT02743806 phase4terminatednot on this map

Entyvio (Vedolizumab IV) Extended Access Program in Ulcerative Colitis and Crohn's Disease

TypeinterventionalSponsorTakedaRan2016 to 2023Enrolled331ConditionsColitis, Ulcerative, Crohn DiseaseArmsVedolizumab
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Silvio DaneseDepartment of Gastroenterology and Endoscopy, University Vita-Salute, San Raffaele, Milan, Italy.
Milan LukášIBD Clinical and Research Centre, ISCARE Clinical Centre, Prague, Czech Republic.
Miroslava VolfováHepato-Gastroenterologie HK, Gastroenterology Private Clinic, Hradec Kralove, Czech Republic.
Grażyna RydzewskaGastroenterology Department, National Medical Institute of Ministry of Interior and Administration, Warsaw, Poland.
Shashi AdsulTakeda Pharmaceuticals USA, Inc., Cambridge, MA, USA.
Dirk LindnerTakeda Pharmaceuticals AG, Zurich, Switzerland.
Stephen JonesTakeda Development Center Americas, Inc., 500 Kendall Street, Cambridge, MA 02142, USA.
Séverine VermeireDepartment of Gastroenterology and Hepatology, University Hospitals Leuven, Leuven, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Vedolizumab is a gut-selective, anti-α Objectives: Long-term vedolizumab treatment persistence and safety were evaluated in patients who completed GEMINI LTS (NCT00790933) or VERSIFY (NCT02425111) clinical trials and continued treatment in the open-label vedolizumab extended access program (XAP). Design: A phase IIIb/IV clinical study. Methods: This phase IIIb/IV, prospective, multinational study (NCT02743806) was conducted from August 2016 to January 2023 in adults with UC/CD treated with vedolizumab 300 mg intravenous every 8/4 weeks (Q8W/Q4W). Results: Of 331 (UC, 142; CD, 189) patients enrolled, 311 from GEMINI LTS (UC, 142; CD, 169) and 20 with CD from VERSIFY, most (295/331) started the XAP study on Q8W dosing (UC, 93% (132/142); CD, 86% (163/189)). The mean (SD) disease duration at XAP study baseline was 14 (7) years for UC and 3 (7) years for CD. Vedolizumab Q8W treatment persistence for ⩾6 months without relapse was 98% (129/132) for UC and 95% (154/163) for CD. Twenty-seven patients (9%) were re-escalated from Q8W to Q4W dosing: UC, 8% (11/132); CD, 10% (16/163). The mean (SD) vedolizumab treatment duration in the XAP was 3.5 (1.6) years for UC and 3.6 (1.7) years for CD. In the UC and CD groups, 13% and 16% of patients had serious adverse events (SAEs), respectively (1% per group was treatment related); two (1%) and four (2%) had serious infections, respectively, none related to treatment. One patient died from chronic obstructive pulmonary disease. Conclusion: In this prospective longitudinal study, patients had high persistence with vedolizumab Q8W. SAE, relapse, and reescalation to Q4W dosing rates were low. Trial registration: The study protocol was registered at ClinicalTrials.gov (https://clinicaltrials.gov/; NCT02743806).

Indexed as

biologicsCrohn’s diseasepersistenceulcerative colitisvedolizumab

Identifiers

PMID41684725
PMCPMC12891409

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.