A Real-World Study of Guselkumab Persistence and Effectiveness in Participants With Crohn's Disease or Ulcerative Colitis (GALILEO)

November 2, 2026 updated by: Janssen-Cilag, S.A.

Guselkumab: A Real Life Non-Interventional, Persistence and Effectiveness Study in Patients With Crohn's Disease or Ulcerative Colitis

The purpose of this study is to evaluate how long participants with moderate-to-severe Crohn's Disease (CD) and Ulcerative Colitis (UC) continue treatment with guselkumab in a real-world setting. CD and UC are long-term diseases that cause inflammation in intestine (part of digestive system).

Study Overview

Status

Not yet recruiting

Conditions

Study Type

Observational

Enrollment (Estimated)

200

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

      • Santiago de Compostela, Spain, 15706
        • Hosp. Clinico Univ. de Santiago

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

The study population will include participants with confirmed diagnosis of moderate-to-severe Crohn's disease (CD) or Ulcerative colitis (UC) disease.

Description

Inclusion criteria:

  • Participant must be eligible for biologic treatment and initiate guselkumab according to the approved indications as described in the current version of the summary of product characteristics (SmPC) of the drug. Decision to prescribe must solely be made by the treating physician. Participant must have been at least 8 weeks under guselkumab treatment before being included in the study, regardless if they are still on guselkumab treatment or not
  • Participant must have a confirmed diagnosis of moderate-to-severe or Crohn's Disease (CD) or Ulcerative Colitis (UC) recorded in their medical records: Harvey-Bradshaw Index (HBI) greater than (>)4 for CD and Partial Mayo Score (pMS)>2 for UC
  • Participant [and/or their legally-acceptable representative where applicable] must sign a participation agreement/informed consent form (ICF) allowing source data verification in accordance with local requirements

Exclusion criteria:

  • Contraindicated to guselkumab per the label
  • It is currently enrolled in an interventional clinical study
  • Has been previously exposed to interleukin (IL)-23 inhibitors, including Tremfya® (guselkumab), Skyrizi® (risankizumab) and Omvoh® (mirikizumab). As an exception, participants with history of ustekinumab exposure, may be included
  • History of more than 4 lines of advanced inflammatory bowel disease (IBD) therapy (biologics and/or small molecules)
  • Is unable to provide the ICF

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Observational Models: COHORT
  • Time Perspectives: OTHER

Cohorts and Interventions

Group / Cohort
Group 1: Moderate-to-Severe Ulcerative Colitis (UC) or Crohn's Disease (CD)

Participants with confirmed diagnosis of moderate-to-severe UC or CD receiving guselkumab according to clinical practice will be enrolled. Only data available within clinical routine as standard of care will be documented for this study.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Persistence of Treatment with Guselkumab
Time Frame: Up to 96 weeks

Persistence of treatment with guselkumab will be measured through time to guselkumab discontinuation defined as the time at which the next infusion should have taken place for a participant after their last scheduled infusion.

Up to 96 weeks

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Number of Participants Achieving Clinical Response for Crohn's disease (CD) as Measured by Harvey-Bradshaw Index (HBI)
Time Frame: Up to 96 weeks

Participants reporting effectiveness with treatment of guselkumab will be measured through the HBI for CD. Clinical response for CD is defined as the HBI score less than or equal to (<=) 4 or a decrease in HBI by greater than or equal to (>=) 3 from baseline. The HBI consists of a 5-part questionnaire, assessing general wellbeing, abdominal pain (AP), number of liquid stools per day, abdominal mass and complications.

Up to 96 weeks
Number of Participants Achieving Clinical Response for CD as Measured by Patient Reported Outcome (PRO-2)
Time Frame: Up to 96 weeks

Number of participants with clinical response to guselkumab will be assessed using PRO-2, including stool frequency and abdominal pain in CD participants through the patient's electronic (e)-diary.

Up to 96 weeks
Number of Participants Achieving Clinical Response for Ulcerative colitis (UC) as Measured by Partial Mayo Score (PMS)
Time Frame: Up to 96 weeks

Participants reporting effectiveness with treatment of guselkumab will be measured through the PMS for UC. Clinical response for UC is defined as the PMS score < 4 or >= 30 percent (%) reduction from baseline. PMS comprises 3 categories: rectal bleeding, stool frequency, and physician assessment.

Up to 96 weeks
Number of Participants Achieving Clinical Response for UC as Measured by PRO-2
Time Frame: Up to 96 weeks

Number of participants achieving clinical response to guselkumab will be assessed using PRO-2, including stool frequency and rectal bleeding in UC participants through the patient's e-diary.

Up to 96 weeks
Characteristics of Participants Receiving Guselkumab Treatment: Age
Time Frame: At Week 0

Age of participants receiving guselkumab treatment will be reported.

At Week 0
Characteristics of Participants Receiving Guselkumab Treatment: Sex
Time Frame: At Week 0

Sex of participants receiving guselkumab treatment will be reported.

At Week 0
Characteristics of Participants Receiving Guselkumab Treatment: Previous Inflammatory Bowel Disease (IBD) Medication Use
Time Frame: At Week 0

Participants with previous IBD medication use will be reported.

At Week 0
Characteristics of Participants Receiving Guselkumab Treatment: Smoking Status and History
Time Frame: At Week 0

Smoking status and history of participants receiving guselkumab treatment will be reported.

At Week 0
Characteristics of Participants Receiving Guselkumab Treatment: Height
Time Frame: At Week 0

Height of participants receiving guselkumab treatment will be reported.

At Week 0
Characteristics of Participants Receiving Guselkumab Treatment: Weight
Time Frame: At Weeks 0, 4, 12, 48 and 96

Weight of participants receiving guselkumab treatment will be reported.

At Weeks 0, 4, 12, 48 and 96
Characteristics of Participants Receiving Guselkumab Treatment: Disease Status
Time Frame: Up to 96 weeks

Disease status of participants receiving guselkumab treatment will be reported.

Up to 96 weeks
Characteristics of Participants Receiving Guselkumab Treatment: Severity at Index
Time Frame: Up To 96 weeks

Disease severity of participants will be reported.

Up To 96 weeks
Characteristics of Participants Receiving Guselkumab Treatment: Age At Diagnosis
Time Frame: At Week 0

Age at diagnosis of participants receiving guselkumab treatment will be reported.

At Week 0
Characteristics of Participants Receiving Guselkumab Treatment: Disease Duration
Time Frame: At Week 0

Participants disease duration at study initiation will be reported.

At Week 0
Number of Participants with Comorbid Diagnoses
Time Frame: Up to 96 weeks

Participants with comorbid diagnoses will be reported.

Up to 96 weeks
Number of Participants with History of UC/CD Previous IBD Related Therapy Use and Surgeries
Time Frame: At Week 0

Participants with history of UC/CD and previous IBD-related therapy use and surgeries will be reported.

At Week 0
Number of Participants Receiving Concomitant IBD Medications
Time Frame: Up to 96 weeks

Participants receiving concomitant IBD medications for UC and CD will be reported.

Up to 96 weeks
Change from Baseline in Health-related Quality of Life (HRQoL) as Measured by Short Inflammatory Bowel Disease Questionnaire (SIBDQ) Scale Score
Time Frame: Baseline (Week 0) up to 96 weeks

The SIBDQ is a 10-item survey measuring HRQoL over the last 2 weeks (frequency of bowel movement, abdominal cramps, fatigue, lack of energy, worry of surgery, fear of no toilet, ability to relax, irritable, impact on leisure, impact on intimacy). The total score ranges from 10 to 70, where high score indicates better QoL.

Baseline (Week 0) up to 96 weeks
Change from Baseline in Satisfaction with Guselkumab Treatment Using Treatment Satisfaction Questionnaire for Medication (TSQM-9) Scale Score
Time Frame: Baseline (Week 0) up to 96 weeks

The TSQM-9 is an abbreviated version of the 14-item TSQM, and is a reliable and valid measure to assess treatment satisfaction in naturalistic study designs, in which there is potential that the administration of the side effects domain of the TSQM would interfere with routine clinical care. It consists of 9 items distributed in the domains: side effects, effectiveness, convenience, and global satisfaction, with scores at each domain ranging from 0 to 100, with higher score indicating higher treatment satisfaction.

Baseline (Week 0) up to 96 weeks
Change in Number of UC/CD Emergency Room Visits
Time Frame: Baseline (Week 0) up to 96 weeks

Change in the number of emergency room visits for treatment of UC/CD will be reported.

Baseline (Week 0) up to 96 weeks
Change in Number of UC/CD-Hospitalizations
Time Frame: Baseline (Week 0) up to 96 weeks

Change in the number of hospitalizations for treatment of UC/CD will be reported.

Baseline (Week 0) up to 96 weeks
Change in Number of UC/CD Surgeries
Time Frame: Baseline (Week 0) up to 96 weeks

Change in the number of surgeries for treatment of UC/CD will be reported.

Baseline (Week 0) up to 96 weeks
Change in C-Reactive Protein (CRP) Levels
Time Frame: At Weeks 0, 4, 12, 48 and 96

Change in CRP levels since guselkumab initiation will be reported. CRP is a marker of inflammation that will be measured by physicians following routine clinical practice.

At Weeks 0, 4, 12, 48 and 96
Change in Fecal Calprotectin (Fcal) Levels
Time Frame: At Weeks 0, 4, 12, 48 and 96

Change in Fcal levels since guselkumab initiation will be reported. The Fcal is a marker of inflammation that will be measured by physicians following routine clinical practice.

At Weeks 0, 4, 12, 48 and 96
Number of Participants with Adverse events (AEs)
Time Frame: Up to 96 weeks

An adverse event is any untoward medical occurrence in a participant administered a medicinal product. An AE does not necessarily have a causal relationship with the treatment. An adverse event can be any unfavorable and unintended sign (including an abnormal finding or lack of expected pharmacological action), symptom, or disease temporally associated with the use of a medicinal product, whether or not related to that medicinal product.

Up to 96 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Study Director: Janssen-Cilag S.A. Clinical Trial, Janssen-Cilag, S.A.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

November 15, 2026

Primary Completion (Estimated)

June 30, 2029

Study Completion (Estimated)

October 30, 2029

Study Registration Dates

First Submitted

September 24, 2026

First Submitted That Met QC Criteria

September 24, 2026

First Posted (Actual)

September 30, 2026

Study Record Updates

Last Update Posted (Actual)

November 3, 2026

Last Update Submitted That Met QC Criteria

November 2, 2026

Last Verified

November 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • CNTO1959IBD4010

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

YES

IPD Plan Description

The data sharing policy of Johnson & Johnson Innovative Medicine is available at www.innovativemedicine.jnj.com/our-innovation/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu.

Drug and device information, study documents

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.