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Eine Studie zur Bewertung der Wirksamkeit von Guselkumab bei chinesischen Teilnehmern mit Morbus Crohn (MC)

2. November 2026 aktualisiert von: Xian-Janssen Pharmaceutical Ltd.

Wirksamkeit von Guselkumab bei chinesischen Teilnehmern mit Morbus Crohn nach Verlust des Ansprechens auf Ustekinumab

The purpose of this study is to evaluate how well guselkumab works in participants with Crohn's disease (CD; a long-term condition causing severe inflammation of the intestinal tract) who no longer respond to treatment with ustekinumab.

Studienübersicht

Status

Rekrutierung

Bedingungen

Intervention / Behandlung

Studientyp

Interventionell

Einschreibung (Geschätzt)

78

Phase

  • Phase 4

Kontakte und Standorte

Dieser Abschnitt enthält die Kontaktdaten derjenigen, die die Studie durchführen, und Informationen darüber, wo diese Studie durchgeführt wird.

Studienkontakt

Studienorte

      • Guangzhou, China, 510655
        • Rekrutierung
        • The Sixth Affiliated Hospital Sun Yat sen University
      • Guangzhou, China, 510060
        • Rekrutierung
        • The First Affiliated Hospital Sun Yat sen University
      • Hangzhou, China, 310018
        • Rekrutierung
        • Sir Run Run Shaw Hospital Zhejiang University School of Medicine
      • Hefei, China, 230022
        • Rekrutierung
        • The First Affiliated Hospital of Anhui Medical University
      • Shanghai, China, 200031
        • Rekrutierung
        • Ruijin Hospital

Teilnahmekriterien

Forscher suchen nach Personen, die einer bestimmten Beschreibung entsprechen, die als Auswahlkriterien bezeichnet werden. Einige Beispiele für diese Kriterien sind der allgemeine Gesundheitszustand einer Person oder frühere Behandlungen.

Zulassungskriterien

Studienberechtigtes Alter

18 Jahre und älter (Erwachsene, Älterer Erwachsener)

Akzeptiert gesunde Freiwillige

Nein

Studienberechtigte Geschlechter

Alle

Beschreibung

Inclusion Criteria:

  • Has a confirmed diagnosis of Crohn's disease (CD)
  • Diagnosed with active CD, as defined by baseline Crohn's Disease Activity Index (CDAI) score greater than or equal to (>=) 220
  • Participants had received the ustekinumab (UST) induction phase and received maintenance therapy via subcutaneous (SC) injection every 8 weeks or every 12 weeks
  • Initially responded to UST induction therapy and then lose response to UST
  • During the screening period, participants are receiving UST treatment as the first line biologic or second line biologic

Exclusion Criteria:

  • Received UST dose optimization or multiple intravenous therapy in maintenance phase
  • Participants with CD requiring urgent surgical or endoscopic intervention, or requiring elective surgery within 2 months
  • Is currently enrolled in an interventional clinical study
  • Complications of CD, such as symptomatic strictures or stenoses, short gut syndrome
  • Have a current or be suspected to have an abscess

Studienplan

Dieser Abschnitt enthält Einzelheiten zum Studienplan, einschließlich des Studiendesigns und der Messung der Studieninhalte.

Wie ist die Studie aufgebaut?

Designdetails

  • Hauptzweck: Behandlung
  • Zuteilung: N / A
  • Interventionsmodell: Einzelgruppenzuweisung
  • Maskierung: Keine (Offenes Etikett)

Waffen und Interventionen

Teilnehmergruppe / Arm
Intervention / Behandlung
Experimental: Guselkumab Treatment

Participants will receive Guselkumab intravenously (IV) every 4 weeks during the induction phase, followed by subcutaneous (SC) administration of Guselkumab every 4 weeks from Week 12 through Week 44 as maintenance therapy.

Guselkumab will be administered intravenously or by subcutaneous injection.

Andere Namen:
  • TREMFJA

Was misst die Studie?

Primäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Percentage of Participants Achieving Clinical Remission At Week 48
Zeitfenster: At Week 48

Clinical remission is defined as less than (<) 150-point reduction in Crohn's Disease Activity Index (CDAI) score. The CDAI is a validated multi-item measure of severity of illness derived as a weighted sum of 8 different Crohn's disease-related variables. The CDAI score was assessed by collecting information on 8 different Crohn's disease-related variables: extra-intestinal manifestations, abdominal mass, weight, hematocrit, total number of liquid stools, abdominal pain/cramping, use of antidiarrheal drug(s), and/or opiates, and general well-being. In general, CDAI score ranges from 0 to approximately 600; higher score indicates higher disease activities.

At Week 48

Sekundäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Percentage of Participants Achieving Clinical Response At Weeks 12, 24 and 48
Zeitfenster: At Weeks 12, 24 and 48

Clinical response is defined as greater than or equal to (>=) 100-point reduction from baseline in CDAI score. The CDAI is a validated multi-item measure of severity of illness derived as a weighted sum of 8 different Crohn's disease-related variables. The CDAI score was assessed by collecting information on 8 different Crohn's disease-related variables: extra-intestinal manifestations, abdominal mass, weight, hematocrit, total number of liquid stools, abdominal pain/cramping, use of antidiarrheal drug(s), and/or opiates, and general well-being. In general, CDAI score ranges from 0 to approximately 600; higher score indicates higher disease activities.

At Weeks 12, 24 and 48
Percentage of Participants Achieving Clinical Remission At Weeks 12 and 24
Zeitfenster: At Weeks 12 and 24

Clinical remission is defined as < 150-point reduction in CDAI score. The CDAI is a validated multi-item measure of severity of illness derived as a weighted sum of 8 different Crohn's disease-related variables. The CDAI score was assessed by collecting information on 8 different Crohn's disease-related variables: extra-intestinal manifestations, abdominal mass, weight, hematocrit, total number of liquid stools, abdominal pain/cramping, use of antidiarrheal drug(s), and/or opiates, and general well-being. In general, CDAI score ranges from 0 to approximately 600; higher score indicates higher disease activities.

At Weeks 12 and 24
Percentage of Participants Achieving Endoscopic Response
Zeitfenster: At Weeks 24 and 48

Endoscopic response is defined as >= 50% improvement from baseline in Simple Endoscopic Score for Crohn's Disease (SES-CD) score. The SES-CD is based on the evaluation of 4 variables: (ulcers - scored according to size, proportion of the surface covered by ulcers according to extent, proportion of affected surface with any other lesions according to extent, stenosis [single or multiple, and whether the colonoscopy could pass through the narrow lumen]), each considered in 5 segments of the bowel (the ileum, ascending colon, transverse colon, descending colon, and rectum). An overall total SES-CD score is derived from the sum of all the component scores and can range from 0 to 60. Higher scores indicating severe disease.

At Weeks 24 and 48
Percentage of Participants Achieving Endoscopic Remission
Zeitfenster: At Weeks 24 and 48

Endoscopic remission is defined as SES-CD less than or equal to (<=) 2 in any individual component. The SES-CD is based on the evaluation of 4 variables: (ulcers - scored according to size, proportion of the surface covered by ulcers according to extent, proportion of affected surface with any other lesions according to extent, stenosis [single or multiple, and whether the colonoscopy could pass through the narrow lumen]), each considered in 5 segments of the bowel (the ileum, ascending colon, transverse colon, descending colon, and rectum). An overall total SES-CD score is derived from the sum of all the component scores and can range from 0 to 60. Higher scores indicating severe disease.

At Weeks 24 and 48
Baseline Characteristics of Participants With Endoscopic Remission: Age
Zeitfenster: Baseline

Baseline characteristics of participants (age) with endoscopic remission will be reported.

Baseline
Baseline Characteristics of Participants With Endoscopic Remission: Sex
Zeitfenster: Baseline

Baseline characteristics of participants (sex) with endoscopic remission will be reported.

Baseline
Baseline Characteristics of Participants With Endoscopic Remission: Height
Zeitfenster: Baseline

Baseline characteristics of participants (height) with endoscopic remission will be reported.

Baseline
Baseline Characteristics of Participants With Endoscopic Remission: Weight
Zeitfenster: Baseline

Baseline characteristics of participants (weight) with endoscopic remission will be reported.

Baseline
Baseline Characteristics of Participants With Endoscopic Remission: History of Advanced Treatment, Concomitant Medications
Zeitfenster: Baseline

Baseline characteristics of participants (history of advanced treatment, concomitant medications) with endoscopic remission will be reported.

Baseline
Baseline Characteristics of Participants With Endoscopic Remission: Comorbidities
Zeitfenster: Baseline

Baseline characteristics of participants (comorbidities) with endoscopic remission will be reported.

Baseline
Baseline Characteristics of Participants With Endoscopic Remission: Surgeries and Procedures
Zeitfenster: Baseline

Baseline characteristics of participants (surgeries and procedures such as apheresis) with endoscopic remission will be reported.

Baseline

Mitarbeiter und Ermittler

Hier finden Sie Personen und Organisationen, die an dieser Studie beteiligt sind.

Sponsor

Ermittler

  • Studienleiter: Xi'an Janssen Pharmaceutical Clinical Trial, Xi'an Janssen Pharmaceutical

Studienaufzeichnungsdaten

Diese Daten verfolgen den Fortschritt der Übermittlung von Studienaufzeichnungen und zusammenfassenden Ergebnissen an ClinicalTrials.gov. Studienaufzeichnungen und gemeldete Ergebnisse werden von der National Library of Medicine (NLM) überprüft, um sicherzustellen, dass sie bestimmten Qualitätskontrollstandards entsprechen, bevor sie auf der öffentlichen Website veröffentlicht werden.

Haupttermine studieren

Studienbeginn (Tatsächlich)

30. Dezember 2025

Primärer Abschluss (Geschätzt)

15. September 2027

Studienabschluss (Geschätzt)

15. November 2027

Studienanmeldedaten

Zuerst eingereicht

16. Dezember 2025

Zuerst eingereicht, das die QC-Kriterien erfüllt hat

16. Dezember 2025

Zuerst gepostet (Tatsächlich)

30. Dezember 2025

Studienaufzeichnungsaktualisierungen

Letztes Update gepostet (Tatsächlich)

3. November 2026

Letztes eingereichtes Update, das die QC-Kriterien erfüllt

2. November 2026

Zuletzt verifiziert

1. November 2026

Mehr Informationen

Begriffe im Zusammenhang mit dieser Studie

Andere Studien-ID-Nummern

  • CNTO1959CRD4007

Plan für individuelle Teilnehmerdaten (IPD)

Planen Sie, individuelle Teilnehmerdaten (IPD) zu teilen?

JA

Beschreibung des IPD-Plans

The data sharing policy of Johnson & Johnson Innovative Medicine is available at 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

Arzneimittel- und Geräteinformationen, Studienunterlagen

Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt

Nein

Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt

Nein

Diese Informationen wurden ohne Änderungen direkt von der Website clinicaltrials.gov abgerufen. Wenn Sie Ihre Studiendaten ändern, entfernen oder aktualisieren möchten, wenden Sie sich bitte an register@clinicaltrials.gov. Sobald eine Änderung auf clinicaltrials.gov implementiert wird, wird diese automatisch auch auf unserer Website aktualisiert .