Uno studio per valutare l'efficacia di Guselkumab in partecipanti cinesi con Malattia di Crohn (MC)
Efficacia di Guselkumab nei partecipanti cinesi con malattia di Crohn dopo perdita di risposta 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.
Panoramica dello studio
Stato
Stato
Condizioni
Condizioni
Intervento / Trattamento
Intervento / Trattamento
Tipo di studio
Tipo di studio
Iscrizione (Stimato)
Iscrizione
Fase
Fase
- Fase 4
Contatti e Sedi
Contatto studio
Contatto studio
- Nome: Study Contact
- Numero di telefono: 844-434-4210
- Email: Participate-In-This-Study1@its.jnj.com
Luoghi di studio
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Guangzhou, Cina, 510655
- Reclutamento
- The Sixth Affiliated Hospital Sun Yat sen University
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Guangzhou, Cina, 510060
- Reclutamento
- The First Affiliated Hospital Sun Yat sen University
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Hangzhou, Cina, 310018
- Reclutamento
- Sir Run Run Shaw Hospital Zhejiang University School of Medicine
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Hefei, Cina, 230022
- Reclutamento
- The First Affiliated Hospital of Anhui Medical University
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Shanghai, Cina, 200031
- Reclutamento
- Ruijin Hospital
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Criteri di partecipazione
Criteri di ammissibilità
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Sessi ammissibili allo studio
Descrizione
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
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: N / A
- Modello interventistico: Assegnazione di gruppo singolo
- Mascheramento: Nessuno (etichetta aperta)
Numero di armi
Armi e interventi
Gruppo di partecipanti / ArmGruppo di partecipanti / Arm |
Intervento / TrattamentoIntervento / Trattamento |
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Sperimentale: 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.
Altri nomi:
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
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Percentage of Participants Achieving Clinical Remission At Week 48
Lasso di tempo: 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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Misure di risultato secondarie
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
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Percentage of Participants Achieving Clinical Response At Weeks 12, 24 and 48
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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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Collaboratori e investigatori
Sponsor
Sponsor
Investigatori
Investigatori
- Direttore dello studio: Xi'an Janssen Pharmaceutical Clinical Trial, Xi'an Janssen Pharmaceutical
Studiare le date dei record
Studia le date principali
Inizio studio (Effettivo)
Inizio studio
Completamento primario (Stimato)
Completamento primario
Completamento dello studio (Stimato)
Completamento dello studio
Date di iscrizione allo studio
Primo inviato
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Primo Inserito
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento pubblicato
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Termini MeSH pertinenti aggiuntivi
Altri numeri di identificazione dello studio
Altri numeri di identificazione dello studio
- CNTO1959CRD4007
Piano per i dati dei singoli partecipanti (IPD)
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Descrizione del piano 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
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