Can a Gut-Targeting drug shield cancer patients from Immunotherapy's worst side effect?
NCT ID NCT06337695
First seen Aug 27, 2026 · Last updated Aug 28, 2026 · Updated 1 time
Summary
This trial tests whether vedolizumab, a drug that calms inflammation in the gut, can prevent diarrhea and colitis caused by immune checkpoint inhibitors. People with advanced melanoma, lung, or kidney cancer who are starting immunotherapy and show early signs of gut inflammation may join. Participants receive either vedolizumab or a placebo as an infusion, and researchers track how many develop gut problems. The goal is to see if this approach is worth testing in a larger study.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Vedolizumab, an antibody that blocks gut inflammation, given as an intravenous infusion
- What this could lead to
- If it works, this could offer a way to prevent severe gut side effects from cancer immunotherapy, helping more patients stay on treatment.
- What could go wrong
- This is an early feasibility trial with a small number of participants, so results may not hold up in larger studies. Vedolizumab may not reduce colitis risk and could have side effects.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
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About 36 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2026
- Expected to finish
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Dec 2030
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Signed informed consent prior to initiation of any study specific activities or procedures 2. Adult patient ≥18 years old 3. Diagnosed with unresectable advanced stage III or metastatic stage IV malignant melanoma, lung, or renal cancer 4. Planned for initiation of SOC treatment with any immunotherapy and develop an elevated fecal calprotectin \> 100 μg/g within 4 weeks of first ICI dose 5. Ability to and willingness to adhere to the randomized treatment interventions (vedolizumab or placebo), administered intravenously 6. Women of childbearing potential (WOCBP) must have a negative serum or urine pregnancy test at the time of screening. WOCBP is defined as any female who has experienced menarche and who has not undergone surgical sterilization (hysterectomy or bilateral oophorectomy or bilateral salpingectomy) and is not postmenopausal. Menopause is defined as 12 months of amenorrhea in a woman over age 45 years in the absence of other biological or physiological causes. 7. As per the Health Canada product monograph, WOCBP are strongly recommended to use adequate contraception to prevent pregnancy and to continue its use for at least 6 months after the last study visit. Note: abstinence is acceptable if this is established and preferred contraception for the patient and is accepted as a local standard. Exclusion Criteria: 1. Condition(s) for which vedolizumab is contraindicated (e.g., hypersensitivity reaction, known allergic reaction to vedolizumab or its components) 2. Current or prior use of vedolizumab 3. Presence of inflammatory bowel disease (Crohn's disease, ulcerative colitis), indeterminate colitis, segmental colitis associated with diverticulosis or microscopic colitis 4. Presence of ileostomy, colostomy, or short bowel syndrome 5. Presence of known luminal gastrointestinal metastases at baseline 6. Presence of significant pre-existing autoimmune disease (at investigator's discretion) 7. Presence of severe infection(s) or opportunistic infection(s) 8. Active enteric infection with viral, bacterial, or parasitic pathogens 9. Presence of untreated latent or active tuberculosis, or untreated chronic hepatitis B virus. If there is a clinical suspicion of either, it is at the discretion of the Investigator to order the appropriate work-up. 10. Baseline ECOG status grade ≥3 11. Pregnancy or lactation (no exclusion for pregnant partner) 12. Treatment with another investigational product within 8 weeks of randomization 13. Requirement for baseline anti-diarrheal treatment(s) (including but not limited to loperamide, diphenoxylate-atropine, octreotide, tincture of opium), anticholinergic drug(s), or opioid-based analgesic(s) used specifically for diarrhea control within 14 days of randomization 14. Any condition or diagnosis, that could in the opinion of the Qualified Investigator or delegate interfere with the participant's ability to comply with study instructions, might confound the interpretation of the study results, or put the participant at risk
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
2 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Arthur J.E. Child Comprehensive Cancer Centre
RECRUITINGCalgary, Alberta, T2N 5G2, Canada
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Cross Cancer Institute
NOT_YET_RECRUITINGEdmonton, Alberta, T6G 1Z2, Canada
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