Ask to take part

Contact the study team using the details below to take part. If there are no contact details below please ask your doctor in the first instance.

Contact Information:

Study Location:

Skip to Main Content
English | Cymraeg
Be Part of Research - Trial Details - Determination of the Optimal Treatment Target in Ulcerative Colitis

Determination of the Optimal Treatment Target in Ulcerative Colitis

Not Recruiting

Open to: ALL

Age: 18.0 - N/A

Medical Conditions

Colitis
Colitis, Ulcerative
Ulcer


This information is provided directly by researchers, and we recognise that it isn't always easy to understand. We are working with researchers to improve the accessibility of this information. In some summaries, you may come across links to external websites. These websites will have more information to help you better understand the study.


Disease activity and response to therapy in ulcerative colitis (UC) can be assessed by a range of endpoints including symptoms, endoscopic mucosal activity, histological disease activity, and biomarkers. This study aims to determine the optimal treatment target, which is a research priority for the management of UC both to inform clinical practice and to help inform regulatory endpoints and targets for drug development.

Participants with active UC will be randomized in a 5:4:1 (initially 2:3:5) ratio to 1 of 3 groups, each with a different treatment target. Treatment targets will be defined as:

* Group 1: corticosteroid-free symptomatic remission * Group 2: corticosteroid-free endoscopic + symptomatic remission * Group 3: corticosteroid-free histological + endoscopic + symptomatic remission

An interim analysis was performed to assess the proportion of subjects that reached their assigned treatment target after 50 subjects in each group had reached the first 32-week assessment. The interim analysis and projections made based on target achievement rates for all subjects included in the interim analysis resulted in a recommendation to adjust the randomization ratio from 2:3:5 to 5:4:1 for Groups 1, 2 and 3 respectively as of May 5th, 2023. This change was necessary in order to complete the study with approximately 100 subjects achieving treatment target within each group.

Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.  

The recruitment start and end dates are as follows:

Feb 2020 Mar 2026

Publications

"Jairath V, Zou G, Wang Z, Adsul S, Colombel JF, D'Haens GR, Freire M, Moran GW, Peyrin-Biroulet L, Sandborn WJ, Sebastian S, Travis S, Vermeire S, Radulescu G, Sigler J, Hanzel J, Ma C, Sedano R, McFarlane SC, Arya N, Beaton M, Bossuyt P, Danese S, Green D, Harlan W 3rd, Horynski M, Klopocka M, Petroniene R, Silverberg MS, Wolanski L, Feagan BG. Determining the optimal treatment target in patients with ulcerative colitis: rationale, design, protocol and interim analysis for the randomised controlled VERDICT trial. BMJ Open Gastroenterol. 2024 Feb 8;11(1):e001218. doi: 10.1136/bmjgast-2023-001218."; "38336367"

INTERVENTIONAL

Intervention Type : BIOLOGICAL
Intervention Description : Participants who are not on UC treatment at screening (or who have only used topical therapy) will require standard first-line therapy. Either oral 5-ASA and/or immunosuppressive (azathioprine, 6-mercaptopurine, or methotrexate), with optional oral corticosteroid up to a maximum of 30 mg or prednisone or equivalent, will be initiated.

Intervention Arm Group : Symptomatic and endoscopic remission;Symptomatic remission;Symptomatic, endoscopic and histological remission;

Intervention Type : BIOLOGICAL
Intervention Description : Participants who are taking oral 5-ASA, immunosuppressive (azathioprine, 6-mercaptopurine, methotrexate), and/or oral corticosteroid at screening will follow the treatment algorithm.

Participants will change to intravenous vedolizumab therapy.

Participants will be assessed to determine it remission target is achieved at weeks 16, 32 and 48. If the participant has achieved their treatment target, they will continue that line of therapy. If the participant has not achieved their treatment target, treatment and/or dose escalation will be administered according to the algorithm.

Intervention Arm Group : Symptomatic and endoscopic remission;Symptomatic remission;Symptomatic, endoscopic and histological remission;

Intervention Type : BIOLOGICAL
Intervention Description : Participants who are taking a TNFα antagonist (infliximab, golimumab, or adalimumab), tofacitinib, or ustekinumab therapy at screening will follow the treatment algorithm.

Participants will change to intravenous vedolizumab therapy.

Participants will be assessed to determine it remission target is achieved at weeks 16, 32 and 48. If the participant has achieved their treatment target, they will continue that line of therapy. If the participant has not achieved their treatment target, treatment and/or dose escalation will be administered according to the algorithm.

Intervention Arm Group : Symptomatic and endoscopic remission;Symptomatic remission;Symptomatic, endoscopic and histological remission;



You can take part if:



You may not be able to take part if:


This is in the inclusion criteria above


Below are the locations for where you can take part in the trial. Please note that not all sites may be open.

  • Hull & East Yorkshire NHS Trust
    Hull
    Yorkshire
    HU3 2JZ
  • Barts Health NHS Trust / Whipps Cross University Hospital
    Leytonstone
    E11 1NR
  • University of Nottingham NHS Trust
    Nottingham
    NG7 2UH
  • Russells Hall Hospital
    Dudley
    West Midlands
    DY1 2HQ
  • Hampshire Hospitals NHS Foundation Trust - The Royal Hampshire County Hospital
    Winchester
    Hampshire
    SO22 5DG
  • Oxford University Hospitals NHS Foundation - John Radcliffe Hospital
    Headington
    Oxford
    OX39DU
  • University Hospitals Birmingham NHS Foundation Trust (UHB) - Queen Elizabeth Hospital Birmingham
    Birmingham
    West Midlands
    B15 2GW
  • Barts Health NHS Trust - Royal London Hospital
    London
    E1 1BB


The study is sponsored by Alimentiv Inc. and is in collaboration with Takeda Development Center Americas, Inc..




We'd like your feedback

Your feedback is important to us. It will help us improve the quality of the study information on this site. Please answer both questions.


Is this study information helpful?

What will you do next?

Read full details for Trial ID: NCT04259138
Last updated 21 February 2025

This page is to help you find out about a research study and if you may be able to take part

You can print or share the study information with your GP/healthcare provider or contact the research team directly.