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- Ensayo clínico NCT07310095
Un estudio para evaluar la eficacia de Guselkumab en participantes chinos con enfermedad de Crohn (EC)
Eficacia de Guselkumab en participantes chinos con enfermedad de Crohn tras pérdida de respuesta a 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.
Descripción general del estudio
Estado
Condiciones
Intervención / Tratamiento
Tipo de estudio
Inscripción (Estimado)
Fase
- Fase 4
Contactos y Ubicaciones
Estudio Contacto
- Nombre: Study Contact
- Número de teléfono: 844-434-4210
- Correo electrónico: Participate-In-This-Study1@its.jnj.com
Ubicaciones de estudio
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Guangzhou, Porcelana, 510655
- Reclutamiento
- The Sixth Affiliated Hospital Sun Yat sen University
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Guangzhou, Porcelana, 510060
- Reclutamiento
- The First Affiliated Hospital Sun Yat sen University
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Hangzhou, Porcelana, 310018
- Reclutamiento
- Sir Run Run Shaw Hospital Zhejiang University School of Medicine
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Hefei, Porcelana, 230022
- Reclutamiento
- The First Affiliated Hospital of Anhui Medical University
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Shanghai, Porcelana, 200031
- Reclutamiento
- Ruijin Hospital
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Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
Acepta Voluntarios Saludables
Géneros elegibles para el estudio
Descripción
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
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: N / A
- Modelo Intervencionista: Asignación de un solo grupo
- Enmascaramiento: Ninguno (etiqueta abierta)
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
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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.
Otros nombres:
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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Percentage of Participants Achieving Clinical Remission At Week 48
Periodo de tiempo: At Week 48
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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
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Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Percentage of Participants Achieving Clinical Response At Weeks 12, 24 and 48
Periodo de tiempo: At Weeks 12, 24 and 48
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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
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Percentage of Participants Achieving Clinical Remission At Weeks 12 and 24
Periodo de tiempo: At Weeks 12 and 24
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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
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Percentage of Participants Achieving Endoscopic Response
Periodo de tiempo: At Weeks 24 and 48
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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
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Percentage of Participants Achieving Endoscopic Remission
Periodo de tiempo: At Weeks 24 and 48
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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
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Baseline Characteristics of Participants With Endoscopic Remission: Age
Periodo de tiempo: Baseline
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Baseline characteristics of participants (age) with endoscopic remission will be reported. |
Baseline
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Baseline Characteristics of Participants With Endoscopic Remission: Sex
Periodo de tiempo: Baseline
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Baseline characteristics of participants (sex) with endoscopic remission will be reported. |
Baseline
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Baseline Characteristics of Participants With Endoscopic Remission: Height
Periodo de tiempo: Baseline
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Baseline characteristics of participants (height) with endoscopic remission will be reported. |
Baseline
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Baseline Characteristics of Participants With Endoscopic Remission: Weight
Periodo de tiempo: Baseline
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Baseline characteristics of participants (weight) with endoscopic remission will be reported. |
Baseline
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Baseline Characteristics of Participants With Endoscopic Remission: History of Advanced Treatment, Concomitant Medications
Periodo de tiempo: Baseline
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Baseline characteristics of participants (history of advanced treatment, concomitant medications) with endoscopic remission will be reported. |
Baseline
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Baseline Characteristics of Participants With Endoscopic Remission: Comorbidities
Periodo de tiempo: Baseline
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Baseline characteristics of participants (comorbidities) with endoscopic remission will be reported. |
Baseline
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Baseline Characteristics of Participants With Endoscopic Remission: Surgeries and Procedures
Periodo de tiempo: Baseline
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Baseline characteristics of participants (surgeries and procedures such as apheresis) with endoscopic remission will be reported. |
Baseline
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Colaboradores e Investigadores
Patrocinador
Investigadores
- Director de estudio: Xi'an Janssen Pharmaceutical Clinical Trial, Xi'an Janssen Pharmaceutical
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Actual)
Finalización primaria (Estimado)
Finalización del estudio (Estimado)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Actual)
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- CNTO1959CRD4007
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
Descripción del plan IPD
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
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
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