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Un estudio para evaluar la eficacia de Guselkumab en participantes chinos con enfermedad de Crohn (EC)

2 de noviembre de 2026 actualizado por: Xian-Janssen Pharmaceutical Ltd.

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

Reclutamiento

Condiciones

Intervención / Tratamiento

Tipo de estudio

Intervencionista

Inscripción (Estimado)

78

Fase

  • Fase 4

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Estudio Contacto

Ubicaciones de estudio

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

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

18 años y mayores (Adulto, Adulto Mayor)

Acepta Voluntarios Saludables

No

Géneros elegibles para el estudio

Todos

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

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿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
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:
  • TREMFYA

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Percentage of Participants Achieving Clinical Remission At Week 48
Periodo de tiempo: 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

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Percentage of Participants Achieving Clinical Response At Weeks 12, 24 and 48
Periodo de tiempo: 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
Periodo de tiempo: 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
Periodo de tiempo: 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
Periodo de tiempo: 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
Periodo de tiempo: Baseline

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

Baseline
Baseline Characteristics of Participants With Endoscopic Remission: Sex
Periodo de tiempo: Baseline

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

Baseline
Baseline Characteristics of Participants With Endoscopic Remission: Height
Periodo de tiempo: Baseline

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

Baseline
Baseline Characteristics of Participants With Endoscopic Remission: Weight
Periodo de tiempo: 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
Periodo de tiempo: 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
Periodo de tiempo: Baseline

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

Baseline
Baseline Characteristics of Participants With Endoscopic Remission: Surgeries and Procedures
Periodo de tiempo: Baseline

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

Baseline

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Investigadores

  • Director de estudio: Xi'an Janssen Pharmaceutical Clinical Trial, Xi'an Janssen Pharmaceutical

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio (Actual)

30 de diciembre de 2025

Finalización primaria (Estimado)

15 de septiembre de 2027

Finalización del estudio (Estimado)

15 de noviembre de 2027

Fechas de registro del estudio

Enviado por primera vez

16 de diciembre de 2025

Primero enviado que cumplió con los criterios de control de calidad

16 de diciembre de 2025

Publicado por primera vez (Actual)

30 de diciembre de 2025

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

3 de noviembre de 2026

Última actualización enviada que cumplió con los criterios de control de calidad

2 de noviembre de 2026

Última verificación

1 de noviembre de 2026

Más información

Términos relacionados con este estudio

Plan de datos de participantes individuales (IPD)

¿Planea compartir datos de participantes individuales (IPD)?

SÍ

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.

No

Estudia un producto de dispositivo regulado por la FDA de EE. UU.

No

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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