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Vedolizumab

Phase 3

Moderately to Severely Active Ulcerative Colitis | Small molecule | Immunology |Takeda Pharmaceutical Company Limited|Last Updated: May 22, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials1
Total Enrollment392
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03221036Efficacy and Safety of Vedolizumab IV in Chinese Participants With Ulcerative ColitisPHASE3 ACTIVE NOT_RECRUITING 392Aug 3, 2017Jan 30, 2028May 22, 202636 China
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Study Endpoints
Primary Endpoints
Induction Phase: Percentage of Participants with Clinical Response at Week 10
Week 10

Clinical response is defined as ≥3 points reduction in complete Mayo clinical score and ≥30% decrease from baseline score accompanied with ≥1 point decrease in rectal bleeding subscore or absolute rectal bleeding subscore ≤1. Mayo clinical score is used to assess ulcerative colitis disease activity. It consists of 4 subscales: stool frequency, rectal bleeding, findings on endoscopy and physician's global assessment. Each subscale is scored on a scale of 0 to 3, where 0= normal condition and 3 = severe disease condition. The total Mayo clinic score ranges from 0 to 12, with higher scores indicating more severe disease.

Maintenance Phase: Percentage of Participants with Clinical Remission at Week 60
Week 60

Clinical remission is defined as complete Mayo clinic score ≤2 with no subscore \>1. Mayo clinic score is used to assess ulcerative colitis disease activity. It consists of 4 subscales: stool frequency, rectal bleeding, findings on endoscopy and physician's global assessment. Each subscale is scored on a scale of 0 to 3, where 0 = normal condition and 3 = severe disease condition. The total Mayo clinic score ranges from 0 to 12, with higher scores indicating more severe disease.

Secondary Endpoints
Induction Phase: Percentage of Participants with Clinical Remission at Week 10
Week 10
Induction and Maintenance Phase: Percentage of Participants with Mucosal Healing at Weeks 10 and 60
Weeks 10 and 60
Maintenance Phase: Percentage of Participants with Durable Clinical Response at Weeks 10 and 60
Weeks 10 and 60
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Induction Phase: Vedolizumab 300 mgEXPERIMENTALVedolizumab 300 mg intravenous (IV) infusion at Weeks 0, 2, and 6 during induction phase.
Induction Phase: PlaceboPLACEBO_COMPARATORMatching placebo IV infusion at Weeks 0, 2, and 6 during induction phase.
Maintenance Phase: Vedolizumab 300 mgEXPERIMENTALParticipants who received vedolizumab IV 300 mg in induction phase and achieved clinical response at Week 10 will be randomized to receive vedolizumab 300 mg IV infusion at Weeks 14, 22, 30, 38, 46 and 54. Participants who did not achieve clinical response at Week 10 will receive vedolizumab 300 mg IV infusion every 4 weeks from Week 14 up to Week 58.
Maintenance Phase: PlaceboPLACEBO_COMPARATORParticipants who received vedolizumab IV 300 mg in induction phase and achieved clinical response at Week 10 will be randomized to receive placebo, IV infusion at Weeks 14, 22, 30, 38, 46 and 54. Participants who received matching placebo in the induction phase and achieved clinical response at Week 10 will continue to receive placebo at Week 14, 22, 30, 38, 46, and 54.
Interventions
NameTypeDescription
Vedolizumab IVDRUGVedolizumab IV infusion
PlaceboDRUGMatching-placebo IV infusion
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Eligibility Criteria
Age Range18 Years — 80 Years
SexALL
Healthy VolunteersNo
Study Sites36

Inclusion Criteria: 1. Has a diagnosis of ulcerative colitis (UC) established at least 3 months prior to Screening by clinical and endoscopic evidence corroborated by a histopathology report. Cases of UC established at least 6 months before randomization for which a histopathology report is not ava...

Countries:China
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Recent Changes (Last 90 Days)
MEDIUMMay 26, 2026NCT03221036Status: RECRUITING → ACTIVE_NOT_RECRUITING
LOWMay 24, 2026NCT03221036studyFirstPostDate: changed