Vedolizumab IV 300 mg in the Treatment of Fistulizing Crohn's Disease

The drug being tested in this study is called vedolizumab IV. Vedolizumab IV is being tested
to treat people who have fistulizing CD. This study will look at fistula healing in people
who take vedolizumab IV.

The study will enroll approximately 100 patients. Participants will be randomly assigned (by
chance, like flipping a coin) to one of the two treatment groups—which will remain
undisclosed to the patient and study doctor during the study (unless there is an urgent
medical need):

- Group 1: Vedolizumab IV 300 mg dose at Weeks 0, 2, 6, 14 and 22, and a placebo infusion
at Week 10 (dummy inactive infusion - this is a solution that looks like the study drug
but has no active ingredient).

- Group 2: Vedolizumab IV 300 mg dose at Weeks 0, 2, 6, 10, 14 and 22.

This multi-center trial will be conducted worldwide. The overall time to participate in this
study from screening to 18 weeks after the last dose is 44 weeks. Participants will make
multiple visits to the clinic, and will be contacted by telephone 6 months after last dose of
study drug for a follow-up assessment.

Inclusion Criteria:

1. In the opinion of the investigator, the participant is capable of understanding and
complying with protocol requirements.

2. The participant or, when applicable, the participant's legally acceptable
representative has signed and dated a written, informed consent form and any required
privacy authorization prior to the initiation of any study procedures.

3. Has a diagnosis of CD established at least 3 months prior to randomization by clinical
and endoscopic evidence and corroborated by a histopathology report.

4. Has a diagnosis of a minimum of 1 perianal draining fistula of at least 2 weeks
duration as a complication of moderately to severely active CD, as identified on
magnetic resonance image (MRI) at Screening. Other types of fistulae (enterocutaneous,
abdominal) except rectovaginal fistulae are permitted, but the number of perianal
draining fistulae is limited to 3.

5. All countries except France: The participant, historically, had an inadequate response
with, lost response to, or was intolerant to either conventional therapy or a tumor
necrosis factor-alpha (TNF-α) antagonist for their underlying CD (does not require
treatment failure for currently active draining fistula).

France only: The participant, historically, failed (ie, had an inadequate response
with, lost response to, or was intolerant to) infliximab for treatment of their
underlying CD or fistulizing CD.

6. If the participant had noncutting perianal seton placement as part of standard care,
seton must be removed by Week 14 of the study.

Exclusion Criteria:

1. Has a diagnosis of ulcerative colitis or indeterminate colitis.

2. Has a perianal abscess greater than (>) 2 centimeter (cm) or an abscess that the
investigator feels requires drainage based on either clinical assessment or MRI.

3. Has a Crohn's Disease Activity Index (CDAI) score >400.

4. Has an ileostomy, colostomy, or known fixed symptomatic stenosis of the intestine.

5. Has significant anal or rectal stenosis.

6. Has active or latent tuberculosis (TB), regardless of treatment history.

7. Has evidence of active Clostridium difficile (C. difficile) infection or is having
treatment for C. difficile infection or other intestinal pathogens during Screening.

8. Has current rectovaginal fistula.

9. Currently has more than 3 draining perianal fistulae. Note: Other protocol-defined
inclusion/exclusion criteria may apply