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Evaluating treatment to a target of transmural healing in patients with moderately to severely active Crohn's disease: rationale, design and protocol for the randomised controlled VECTORS trial - PubM

11 hours ago
  • #Crohn's disease
  • #clinical trial
  • #transmural healing
  • The VECTORS trial evaluates transmural healing (TMH) as a treatment target for Crohn's disease (CD).
  • This phase 4, randomized controlled trial involves 304 adult patients with moderately to severely active CD.
  • Patients are assigned to one of two treatment target groups: TMH plus clinical/biomarker remission or clinical/biomarker remission alone.
  • All participants receive vedolizumab, with additional dosing and escalation to meet assigned targets.
  • Primary outcome measures corticosteroid-free endoscopic remission at week 48, with CD-related complications assessed at week 96.
  • The trial is approved by ethics committees, with findings to be published in peer-reviewed journals.