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Vedolizumab

Monoclonal Antibody · Treatment for Inflammatory Bowel Disease

Monoclonal AntibodyTreatment for Inflammatory Bowel Disease
CDSCO approvedSchedule H
EXCRETION
not curated
INTERACTIONS
12 major
SEVERE in our sources
PREGNANCY
not curated
Top interactionssee all 12
  • AdalimumabSevereDatabaseDDInter
  • BaricitinibSevereDatabaseDDInter
  • CertolizumabSevereDatabaseDDInter
  • CladribineSevereDatabaseDDInter

Mechanism

Vedolizumab is a humanized monoclonal antibody that targets the "4β7 integrin in the gastrointestinal tract. It inhibits white blood cell (WBC) migration or action by preventing binding to its receptor. It does not appear to induce systemic immunosuppression of other 4β7 integrin-binding antibodies such as natalizumab because it does not bind to the majority of 4β7 integrin on lymphocytes.

Indications

Moderate to severely active Crohn’s disease (when therapy with adalimumab or infliximab is unsuccessful, contraindicated or not tolerated)Treatment of adults with Crohn’s diseaseTreatment of adults with Ulcerative colitisCrohn's diseaseUlcerative colitismoderately to severely active crohn’s diseasemoderately to severely active ulcerative colitismoderate-to-severe Crohn’s disease

Dosing

Adult
Generally given at a dose of 300 mg at 0, 2, and 6 weeks, with maintenance doses of 300 mg given every 8 weeks thereafter.

Side effects

Common
increased risk of infectionshepatotoxicityheadachehypersensitivity reactionsarthralgianasopharyngitisfatigue
Serious
  • increased risk of pml (only one case reported, but monitoring recommended)

Drug interactions

Adalimumab
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Baricitinib
Severe
Database

Drug interaction classified as: others

Source: DDInter

Certolizumab
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Cladribine
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Etanercept
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Fingolimod
Severe
Database

Clinical effect not specified

Source: DDInter

Golimumab
Severe
Database

Clinical effect not specified

Source: DDInter

Infliximab
Severe
Database

Clinical effect not specified

Source: DDInter

Leflunomide
Severe
Database

Clinical effect not specified

Source: DDInter

Measles Virus Vaccine Live Attenuated
Severe
Database

Clinical effect not specified

Source: DDInter

Mumps Virus Strain B Level Jeryl Lynn Live Antigen
Severe
Database

Clinical effect not specified

Source: DDInter

Natalizumab
Severe
Database

Clinical effect not specified

Source: DDInter

Related guidelines

Other Monoclonal Antibody drugs

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Sources: Goodman & Gilman 14e, Katzung, BNF, Nelson·Verified: 2026-05-10 · House clinical team