An Efficacy and Safety Study of Golimumab in Participants With Ulcerative Colitis
A Phase 2/3 Multicenter, Randomized, Placebo-controlled, Double-blind Study to Evaluate the Safety and Efficacy of Golimumab Induction Therapy, Administered Intravenously, in Subjects With Moderately to Severely Active Ulcerative Colitis
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
- Phase 3
Contacts and Locations
Study Locations
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Adelaide, Australia
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Brisbane, Australia
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Malvern, Australia
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Innsbruck N/A, Austria
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Bonheiden, Belgium
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Leuven, Belgium
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Rousse, Bulgaria
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Varna, Bulgaria
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Alberta
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Calgary, Alberta, Canada
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British Columbia
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Vancouver, British Columbia, Canada
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Victoria, British Columbia, Canada
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Ontario
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Hamilton, Ontario, Canada
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Kingston, Ontario, Canada
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London, Ontario, Canada
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Quebec
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Montreal, Quebec, Canada
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Saskatchewan
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Saskatoon, Saskatchewan, Canada
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Clichy, France
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Lille Cedex, France
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Nice Cedex 3, France
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Berlin, Germany
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Herne, Germany
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Magdeburg, Germany
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HH
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Hamburg, HH, Germany
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Budapest N/A, Hungary
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Békéscsaba, Hungary
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Gyulai Ut 18, Hungary
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Gyõr, Hungary
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Miskolc, Hungary
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Miskolc N/A, Hungary
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Pécs, Hungary
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Szekesfehervar, Hungary
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Szombathely, Hungary
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Hyderabad Andh Prad, India
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Jaipur, India
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Lucknow, India
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Ludhiana, India
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Pune, India
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Afula, Israel
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Hedera, Israel
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Jerusalem, Israel
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Kfar Sava, Israel
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Tel-Aviv, Israel
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Daugavpils, Latvia
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Riga, Latvia
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Klaipeda, Lithuania
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Siauliai, Lithuania
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Vilnius LT, Lithuania
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Amsterdam, Netherlands
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Groningen, Netherlands
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Leiden, Netherlands
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Rotterdam, Netherlands
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Auckland, New Zealand
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Hastings, New Zealand
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Bialystok N/A, Poland
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Czestochowa, Poland
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Krakow, Poland
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Krakow N/A, Poland
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Lodz, Poland
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Skierniewice, Poland
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Sopot, Poland
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Bucuresti, Romania
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Timisoara, Romania
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Moscow, Russian Federation
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St.Petersburg, Russian Federation
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Yaroslavl, Russian Federation
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Belgrade, Serbia
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Beograd, Serbia
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Bratislava, Slovakia
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Nitra, Slovakia
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Presov, Slovakia
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Göteborg, Sweden
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Donetsk, Ukraine
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Ivano, Ukraine
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Kiev, Ukraine
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Vynnytsya, Ukraine
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California
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Orange, California, United States
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Roseville, California, United States
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Colorado
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Littleton, Colorado, United States
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Connecticut
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Bristol, Connecticut, United States
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Florida
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Tampa, Florida, United States
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Iowa
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Fort Dodge, Iowa, United States
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Kansas
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Topeka, Kansas, United States
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Kentucky
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Louisville, Kentucky, United States
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Maryland
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Laurel, Maryland, United States
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Michigan
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Dearborn, Michigan, United States
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Troy, Michigan, United States
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Missouri
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Mexico, Missouri, United States
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St. Louis, Missouri, United States
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New Hampshire
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Lebanon, New Hampshire, United States
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New York
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Great Neck, New York, United States
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Huntington, New York, United States
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New York, New York, United States
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North Carolina
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Charlotte, North Carolina, United States
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Kinston, North Carolina, United States
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Ohio
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Cincinnati, Ohio, United States
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Cleveland, Ohio, United States
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Oklahoma
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Oklahoma City, Oklahoma, United States
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Tulsa, Oklahoma, United States
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Pennsylvania
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Philadelphia, Pennsylvania, United States
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South Carolina
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Charleston, South Carolina, United States
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Columbia, South Carolina, United States
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Tennessee
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Germantown, Tennessee, United States
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Nashville, Tennessee, United States
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Texas
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Austin, Texas, United States
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Galveston, Texas, United States
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Vermont
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Burlington, Vermont, United States
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Virginia
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Christiansburg, Virginia, United States
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Richmond, Virginia, United States
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Washington
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Bellevue, Washington, United States
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Wisconsin
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Madison, Wisconsin, United States
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Milwaukee, Wisconsin, United States
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Participants diagnosed with moderately to severely active ulcerative colitis (UC) defined by a Mayo score of 6 to 12 inclusive at Baseline (Week 0), including an endoscopic (examination of an internal part of the body with a lighted tube; looking at a part of the body with a lighted tube) subscore of greater than or equal to 2
- Participants must have biopsy results (collected at the screening endoscopy (procedure or obtained within the last year) consistent with the diagnosis of UC
- Participants either currently receiving treatment with, or have a history of failure to respond to, or tolerate, at least 1 of the following therapies: oral 5-aminosalicylate (5-ASAs), oral corticosteroids, 6-mercaptopurine (6-MP) and azathioprine (AZA)
- Participants with current dependency or with a history of corticosteroid dependency (i.e. an inability to successfully taper corticosteroids without a return of the symptoms of UC) - Not have a diagnosis of active TB
Exclusion Criteria:
- Participants with previous exposure to biologic anti-tumor necrosis factor (TNF) agents
- Participants with severe extensive UC that is likely to require a colectomy (surgery to remove part or all of the colon) within 12 weeks of study entry
- Participants having UC limited to the rectum only or to less than 20 centimeter (cm) of the colon
- Presence of a stoma (an artificial permanent opening especially in the abdominal wall made in surgical procedures) or presence of a fistula
- Participants with a history of extensive colonic resection
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Placebo Comparator: Placebo
Matching placebo for golimumab, intravenous (IV) (through a vein in the arm) infusion administered at Week 0
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Matching placebo for golimumab, intravenous infusion administered at Week 0
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Experimental: Golimumab 1 milligram (mg) per kilogram (kg)
Golimumab 1 mg per kg intravenous (IV) infusion administered at Week 0.
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Golimumab 1 mg per kg intravenous (IV) infusion administered at Week 0
Other Names:
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Experimental: Golimumab 2 mg per kg
Golimumab 2 mg per kg intravenous (IV) infusion administered at Week 0.
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Golimumab 2 mg per kg intravenous (IV) infusion administered at Week 0
Other Names:
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Experimental: Golimumab 4 mg per kg
Golimumab 4 mg per kg, intravenous (IV) infusion administered at Week 0.
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Golimumab 4 mg per kg intravenous (IV) infusion at Week 0
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Number of Participants With Clinical Response
Time Frame: Week 6
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Clinical response is defined as decrease from baseline in Mayo score by greater than or equal to 30 percent and greater than or equal to 3, with either a decrease from baseline in rectal bleeding sub-score of greater than or equal to 1 or a rectal bleeding sub-score of 0 or 1.
The Mayo score is sum of 4 sub-scores (i.e., stool frequency, rectal bleeding, endoscopic findings, and a physician's global assessment); each rated on a scale from 0 to 3, with higher scores indicating more severe disease.
The total Mayo score value ranges from 0 to 12.
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Week 6
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Number of Participants With Clinical Remission
Time Frame: Week 6
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Clinical remission is defined as a Mayo score of less than or equal to 2, with no individual sub-score greater than 1.
The Mayo score is sum of 4 sub-scores (i.e., stool frequency, rectal bleeding, endoscopic findings, and a physician's global assessment); each rated on a scale from 0 to 3, with higher scores indicating more severe disease.
The total Mayo score value ranges from 0 to 12.
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Week 6
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Publications and helpful links
General Publications
- Adedokun OJ, Xu Z, Liao S, Strauss R, Reinisch W, Feagan BG, Sandborn WJ. Population Pharmacokinetics and Exposure-Response Modeling of Golimumab in Adults With Moderately to Severely Active Ulcerative Colitis. Clin Ther. 2020 Jan;42(1):157-174.e4. doi: 10.1016/j.clinthera.2019.11.010. Epub 2020 Jan 22.
- Rutgeerts P, Feagan BG, Marano CW, Padgett L, Strauss R, Johanns J, Adedokun OJ, Guzzo C, Zhang H, Colombel JF, Reinisch W, Gibson PR, Sandborn WJ; PURSUIT-IV study group. Randomised clinical trial: a placebo-controlled study of intravenous golimumab induction therapy for ulcerative colitis. Aliment Pharmacol Ther. 2015 Sep;42(5):504-14. doi: 10.1111/apt.13291. Epub 2015 Jun 29.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Digestive System Diseases
- Pathologic Processes
- Gastrointestinal Diseases
- Gastroenteritis
- Colonic Diseases
- Intestinal Diseases
- Inflammatory Bowel Diseases
- Ulcer
- Colitis
- Colitis, Ulcerative
- Physiological Effects of Drugs
- Anti-Inflammatory Agents
- Immunosuppressive Agents
- Immunologic Factors
- Tumor Necrosis Factor Inhibitors
- Antibodies, Monoclonal
- Golimumab
Other Study ID Numbers
Other Study ID Numbers
- CR014188
- C0524T16 (Other Identifier: Janssen Research & Development, LLC)
- 2006-003397-94 (Other Identifier: Janssen Research & Development, LLC)
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