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크론병(CD)을 앓는 중국인 참가자를 대상으로 구셀쿠맙의 효능을 평가하는 연구

2026년 11월 2일 업데이트: Xian-Janssen Pharmaceutical Ltd.

우스테키누마브에 대한 반응 상실 후 크론병을 앓는 중국인 참가자에서 구셀키누마브의 효능

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.

연구 개요

상태

모병

정황

개입 / 치료

연구 유형

중재적

등록 (추정된)

78

단계

  • 4단계

연락처 및 위치

이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.

연구 연락처

연구 장소

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

참여기준

연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.

자격 기준

공부할 수 있는 나이

18년 이상 (성인, 고령자)

건강한 자원 봉사자를 받아들입니다

아니

연구 대상 성별

모두

설명

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

공부 계획

이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.

연구는 어떻게 설계됩니까?

디자인 세부사항

  • 주 목적: 치료
  • 할당: 해당 없음
  • 중재 모델: 단일 그룹 할당
  • 마스킹: 없음(오픈 라벨)

무기와 개입

참가자 그룹 / 팔
개입 / 치료
실험적: 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.

다른 이름들:
  • 트렘피아

연구는 무엇을 측정합니까?

주요 결과 측정

결과 측정
측정값 설명
기간
Percentage of Participants Achieving Clinical Remission At Week 48
기간: 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

2차 결과 측정

결과 측정
측정값 설명
기간
Percentage of Participants Achieving Clinical Response At Weeks 12, 24 and 48
기간: 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
기간: 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
기간: 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
기간: 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
기간: Baseline

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

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

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

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

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

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

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

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

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

Baseline

공동 작업자 및 조사자

여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.

스폰서

수사관

  • 연구 책임자: Xi'an Janssen Pharmaceutical Clinical Trial, Xi'an Janssen Pharmaceutical

연구 기록 날짜

이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.

연구 주요 날짜

연구 시작 (실제)

2025년 12월 30일

기본 완료 (추정된)

2027년 9월 15일

연구 완료 (추정된)

2027년 11월 15일

연구 등록 날짜

최초 제출

2025년 12월 16일

QC 기준을 충족하는 최초 제출

2025년 12월 16일

처음 게시됨 (실제)

2025년 12월 30일

연구 기록 업데이트

마지막 업데이트 게시됨 (실제)

2026년 11월 3일

QC 기준을 충족하는 마지막 업데이트 제출

2026년 11월 2일

마지막으로 확인됨

2026년 11월 1일

추가 정보

이 연구와 관련된 용어

기타 연구 ID 번호

  • CNTO1959CRD4007

개별 참가자 데이터(IPD) 계획

개별 참가자 데이터(IPD)를 공유할 계획입니까?

예

IPD 계획 설명

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

약물 및 장치 정보, 연구 문서

미국 FDA 규제 의약품 연구

아니

미국 FDA 규제 기기 제품 연구

아니

이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .