VECTORS Study for Moderately to Severely Active Crohn's Disease

This study, called VECTORS, is looking at a new way to treat moderately to severely active Crohn's disease (a type of inflammatory bowel disease). It's testing if using intestinal ultrasound (IUS), a patient-friendly scan, to guide treatment with vedolizumab (an IV medication) is better than just relying on symptoms and other markers. All participants will receive vedolizumab. The study aims to see if this approach leads to more people achieving corticosteroid-free endoscopic remission (meaning their gut lining heals without needing steroids) after 48 weeks. You may be able to join if you are 18 to 80 years old and have moderately to severely active Crohn's disease.

Study design
This interventional study plans to enroll 304 participants. It compares two different treatment approaches using vedolizumab.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
Participants will be followed for at least 48 weeks to measure the primary outcome.

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NCT06257706

VECTORS - A Study to Evaluate Transmural Healing as a Treatment Target in Crohn's Disease

Recruiting
PHASE4Ages 18–80InterventionalTreatment
Alimentiv Inc.
~304 participants
Updated 2026-01-15 on ClinicalTrials.gov
What's tested:Vedolizumab

At a glance

Recruiting sites
51 of 69 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Percentage of participants with Corticosteroid-free Endoscopic remission in group 1 and group 2 at week 48
Measured over week 48
Moderately to Severely Active Crohn's Disease
Crohn Disease
Disease Crohn
69 sites across 52 states
Victoria4
United Kingdom4
South Australia3
Ontario3
Alberta2
South Moravian2
Capital Region2
Capital2
  • Vipul Jairath, MD · PRINCIPAL_INVESTIGATOR · Alimentiv Inc.

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  • Percentage of participants with Corticosteroid-free Endoscopic remission in group 1 and group 2 at week 48week 48

    Corticosteroid-free is defined as not using corticosteroids at the time of the assessment. Endoscopic remission is defined by a total Simple Endoscopic Score for CD (SES-CD) ≤4 and at least a 2-point reduction versus baseline with no subscore greater than 1 in any individual variable. The SES-CD scores 4 endoscopic items (ulcer size, proportion of ulcerated surface, proportion of the surface area affected by any disease lesion, and stenosis) from 0 to 3, with higher scores representing more severe endoscopic disease activity. Each variable is scored for the 5 intestinal segments (ileum, right colon, transverse colon, left colon, and rectum) and summed to provide the total variable score. The sum of each variable score ranges from 0 to 15, except for stenosis (ranges from 0 to 11), because 3 represents a stenosis through which a colonoscope cannot be passed and therefore, can only be observed once. Total SES-CD score is then calculated by summing the item scores (range, 0-56 points).