AzTrials
AzTrials

Crohn DiseasePhase 3POWERNCT03782376

A Study to Evaluate Efficacy and Safety of Ustekinumab Re-induction Therapy in Participants With Moderately to Severely Active Crohn's Disease

A Phase 3 study testing Ustekinumab approximately 6 mg/kg (IV), Ustekinumab 90 mg (SC) Group 1 and Ustekinumab 90 mg (SC) Group 2 in people with Crohn Disease, run by Janssen-Cilag Ltd. at 104 sites in 12 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The primary purpose of this study is to evaluate the efficacy and safety of a single intravenous (IV) re-induction dose of approximately 6 milligram per kilogram (mg/kg) ustekinumab in participants with secondary loss of response (LoR) to subcutaneous (SC) every 8 Weeks (q8w) 90 mg ustekinumab maintenance therapy. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Crohn Disease
What is being tested?
Ustekinumab approximately 6 mg/kg (IV), Ustekinumab 90 mg (SC) Group 1 and Ustekinumab 90 mg (SC) Group 2
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
215 participants
Where
104 sitesin 12 countries
Study dates
20 Dec 2018to 10 Jan 2023
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • A history of Crohn's disease or fistulizing Crohn's disease of at least 3 months' duration, with colitis, ileitis, or ileocolitis, confirmed at any time in the past by radiography, histology, and/or endoscopy
  • Currently receiving subcutaneous 90 mg every 8 weeks (q8w) ustekinumab maintenance therapy and initially responded to ustekinumab induction therapy, administered according to the local label, followed by secondary loss of response (LoR) to ustekinumab. Secondary LoR to ustekinumab is defined as active disease at study baseline, proven by a Crohn's Disease Activity Index (CDAI) score of greater than or equal to (>=) 220 and <=450 with at least one of the following: Elevated C-reactive protein (CRP) (>3.0 milligram per liter [mg/L]); and/or elevated Fecal calprotectin (fCal) >250 milligram per kilogram [mg/kg]); and/or endoscopy (performed less than or equal to (<=) 3 months before baseline) with evidence of active Crohn's disease, (defined as one or more ulcerations in the ileum and/or colon)
  • Participants receiving either oral 5-aminosalicylic acid (5-ASA) compounds, oral corticosteroids (for example {e.g.}, prednisone, budesonide) at a prednisone-equivalent dose of <=40 mg/day or <=9 mg/day of budesonide, antibiotics used as the primary treatment of Crohn's disease, or conventional immunomodulators (i.e., azathioprine [AZA], 6-mercaptopurine [6-MP], or methotrexate [MTX]) are permitted providing the doses indicated are stable before baseline or have been discontinued before baseline within the protocol defined durations

Who cannot join

  • Complications of Crohn's disease, such as symptomatic strictures or stenoses, short gut syndrome, or any other manifestation that might be anticipated to require surgery, could preclude the use of the CDAI to assess response to therapy, or would possibly confound the ability to assess the effect of treatment with ustekinumab
  • Currently has or is suspected to have an abscess. Recent cutaneous and perianal abscesses are not exclusionary if drained and adequately treated at least 3 weeks before baseline (or 8 weeks before baseline for intra-abdominal abscesses) provided there is no anticipated need for any further surgery. Participants with active fistulas may be included if there is no anticipation of a need for surgery and there are currently no abscesses identified
  • Any kind of bowel resection within 6 months or any other intra-abdominal surgery within 3 months before baseline
  • A draining (i.e., functioning) stoma or ostomy
  • Received ustekinumab intravenous re-induction after the initial weight-tiered-based IV induction dose of ustekinumab
  • Any known history of shortened frequency of SC dose administration (<q8w) for a secondary loss of response where the participant did not, in the opinion of the treating physician, benefit from the dose interval shortening

Trial locations and contacts

104 sites in 12 countries.

104 sites in 12 countries

United States28 sites
  • Emory University

    Atlanta, Georgia, 30322

  • Atlanta Gastroenterology Associates, (AGA) LLC - Emory Saint Joseph's

    Atlanta, Georgia, 30342-5020

  • Brigham And Women's Hospital

    Boston, Massachusetts, 02115

  • Texas Digestive Disease Consultants

    Cedar Park, Texas, 78613

  • Medical University of South Carolina

    Charleston, South Carolina, 29425

  • Chevy Chase Clinical Research

    Chevy Chase, Maryland, 20815

  • Peak Gastroenterology Associates

    Colorado Springs, Colorado, 80907

  • Florida Research Network, LLC

    Gainesville, Florida, 32605

  • Ohio State University Hospital

    Hilliard, Ohio, 43026

  • Baylor College of Medicine

    Houston, Texas, 77025

  • Houston Methodist Hospital

    Houston, Texas, 77030-2740

  • University of Mississippi Medical Center

    Jackson, Mississippi, 39202

  • Mayo Clinic Jacksonville

    Jacksonville, Florida, 32224

  • University of California, San Diego

    La Jolla, California, 92093

  • University of Kentucky Chandler Medical Center

    Lexington, Kentucky, 40536

  • Vanderbilt University Medical Center

    Nashville, Tennessee, 37212

  • Mount Sinai School of Medicine

    New York, New York, 10029

  • Oklahoma Digestive Disease Specialists

    Oklahoma City, Oklahoma, 73112

  • Advent Health

    Orlando, Florida, 32803

  • Gastroenterology Research of America, LLC

    San Antonio, Texas, 78229

  • Virginia Mason Medical Center

    Seattle, Washington, 98101

  • University of Washington

    Seattle, Washington, 98195

  • Washington University School Of Medicine

    St Louis, Missouri, 63110

  • Atlanta Gastroenterology Specialists

    Suwanee, Georgia, 30024

  • Washington Gastroenterology, PLLC

    Tacoma, Washington, 98405

  • Florida Hospital Tampa

    Tampa, Florida, 33613

  • Tyler Research Institute, LLC

    Tyler, Texas, 75701

  • Northshore Gastroenterology Research, LLC

    Westlake, Ohio, 44145

Other trials in United States

Germany21 sites
  • Klinikum Augsburg

    Augsburg, D-86158

  • GASTRO-Studien

    Berlin, 10825

  • Charite - Universitaetsmedizin Berlin (CCM)

    Berlin, 12203

  • Medizinisches Versorgungszentrum (MVZ) Dachau

    Dachau, 85221

  • University Hospital Dresden

    Dresden, 1307

  • Agaplesion Frankfurter Diakonie Kliniken GmbH, Markus Krankenhaus

    Frankfurt, 60431

  • Universitatsklinikum Frankfurt/ Medizinische Klinik 1

    Frankfurt, 60590

  • Universitatsklinikum Freiburg

    Freiburg im Breisgau, 79106

  • Städtisches Krankenhaus Martha-Maria Halle-Dölau gGmbH

    Halle, 06120

  • Hamburgisches Forschungsinstitut fuer CED, HaFCED e.K.

    Hamburg, 20251

  • Gastroenterologie Opernstrasse

    Kassel, 34117

  • Universitatsklinikum Schleswig Holstein Kiel

    Kiel, 24105

  • Staedtisches Klinikum Lueneburg

    Lüneburg, 21339

  • Universitätsklinikum Otto-von-Guericke-Universität Magdeburg

    Magdeburg, 39120

  • Medizinische Fakultät Mannheim der Universität Heidelberg

    Mannheim, 68167

  • Gastroenterologische Gemeinschaftspraxis Minden

    Minden, 32423

  • Klinikum der Universitaet Muenchen

    München, 81377

  • Praxis Dr. med. Ulf Helwig

    Oldenburg, 26123

  • Zentrum für Gastroenterologie Saar MVZ GmbH

    Saarbrücken, 66111

  • Universitaetsklinik Tuebingen

    Tübingen, 72076

  • Universitaetsklinikum Ulm, Klinik fuer Innere Medizin II

    Ulm, 89081

Other trials in Germany

Spain15 sites
  • Hosp. Univ. Fundacion Alcorcon

    Alcorcón, 28922

  • Hosp. Arquitecto Marcide

    Ferrol, 15405

  • Hosp. Gral. Univ. Gregorio Maranon

    Madrid, 28007

  • Hosp. Univ. La Paz

    Madrid, 28046

  • Hosp Virgen de La Victoria

    Málaga, 29010

  • Hosp. Univ. Virgen de La Arrixaca

    Murcia, 30120

  • Hosp. de Navarra

    Pamplona, 31008

  • Hosp. Montecelo

    Pontevedra, 36071

  • Corporacio Sanitari Parc Tauli

    Sabadell, 08208

  • Hosp Clinico Univ de Salamanca

    Salamanca, 37007

  • Hosp. Univ. Marques de Valdecilla

    Santander, 39008

  • Hosp. Clinico Univ. de Valencia

    Valencia, 46010

  • Hosp. Alvaro Cunqueiro

    Vigo, 36213

  • Hosp. Clinico Univ. Lozano Blesa

    Zaragoza, 50009

  • Hosp. Univ. Miguel Servet

    Zaragoza, 50009

Other trials in Spain

France7 sites
  • Hopital Beaujon

    Clichy, 92110

  • CHRU de Lille Hopital Claude Huriez

    Lille, 59037

  • CHRU Montpellier - Hopital Saint-Eloi

    Montpellier, 34295

  • CHU Hopital Saint Antoine

    Paris, 75571

  • Hospices Civils de Lyon HCL

    Pierre-Bénite, 69495

  • CHRU Hopital de Pontchaillou

    Rennes, 35033

  • CHU de Nancy_ Hopital Brabois

    Vandœuvre-lès-Nancy, 54511

Other trials in France

Italy6 sites
  • Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico

    Milan, 20122

  • Ospedale Villa Sofia-Cervello

    Palermo, 90146

  • Azienda Ospedaliera G.Salvini Ospedale di Rho

    Rho

  • Fondazione Policlinico Gemelli Università Cattolica

    Roma, 168

  • Istituto Clinico Humanitas

    Rozzano, 20089

  • AO Ordine Mauriziano

    Torino, 10128

Other trials in Italy

Netherlands6 sites
  • Onze Lieve Vrouwe Gasthuis

    Amsterdam, 1091 AC

  • Leiden University Medical Center

    Leiden, 2333 ZA

  • Maastricht Universitair Medisch Centrum

    Maastricht, 6229 HX

  • Radboudumc

    Nijmegen, 6525 GA

  • Erasmus MC

    Rotterdam, 3015 GD

  • Sint Franciscus Gasthuis

    Rotterdam, 3045 PM

Other trials in Netherlands

United Kingdom6 sites
  • Pennine Acute Hospitals-Fairfield General Hospital

    Bury, BL9 7TD

  • Gloucestershire Hospitals NHS Foundation Trust - Cheltenham

    Cheltenham, GL53 7AN

  • Royal Devon & Exeter Hospital

    Exeter, EX2 5DW

  • King's College Hospital NHS Foundation Trust

    London, SE5 9RS

  • St George's Hospital

    London, SW17 OQT

  • Southampton University Hospitals NHS Trust

    Southampton, SO16 6YD

Other trials in United Kingdom

South Korea5 sites
  • Inje University Haeundae Paik Hospital

    Busan, 48108

  • Seoul National University Hospital

    Seoul, 03080

  • Severance Hospital Yonsei University Health System

    Seoul, 03722

  • Asan Medical Center

    Seoul, 05505

  • KyungHee University Hospital

    Seoul, 102-1703

Other trials in South Korea

Russia4 sites
  • Irkutsk State Medical Academy of Postgraduate Education

    Irkutsk, 664079

  • Olla-Med, Llc

    Moscow, 105554

  • City Clinical Hospital #31

    Saint Petersburg, 197110

  • GBUZ Respublican Clinical Hospital n.a. GG Kuvatova

    Ufa, 450005

Other trials in Russia

Austria2 sites
  • Krankenhaus der Barmherzigen Brüder

    Vienna, 1020

  • Medizinische Universitaet Wien

    Vienna, 1090

Other trials in Austria

Czechia2 sites
  • Hepato-gastroenterologie HK, s.r.o.

    Hradec Králové, 500 12

  • ISCARE a.s.

    Prague, 190 00

Other trials in Czechia

Sweden2 sites
  • Gastromottagningen

    Malmö, 20502

  • Gastromottagningen

    Stockholm, 18288

Other trials in Sweden

About this study

Official title: A Phase 3b, Randomized, Double-blind, Multicenter Study to Evaluate the Safety and Efficacy of Intravenous Re-induction Therapy With Ustekinumab in Patients With Moderately to Severely Active Crohn's Disease

The primary purpose of this study is to evaluate the efficacy and safety of a single intravenous (IV) re-induction dose of approximately 6 milligram per kilogram (mg/kg) ustekinumab in participants with secondary loss of response (LoR) to subcutaneous (SC) every 8 Weeks (q8w) 90 mg ustekinumab maintenance therapy.

Read the detailed description

This study compares the efficacy and safety of a single weight-tiered based IV re-induction dose of approximately 6 mg/kg ustekinumab versus continuing with regular SC q8w 90 mg ustekinumab administration. It consists of screening (5 weeks); treatment period (Week 0 to 24); and safety follow up visit (20 weeks after last dose). The primary hypothesis is that a single IV re-induction dose of ustekinumab is superior to continuing with regular SC q8w maintenance treatment as measured by clinical response after 16 weeks of treatment. Study assessments will include Crohn's disease activity index (CDAI), video ileocolonoscopy, patient-reported outcomes (PROs), laboratory evaluations, biomarkers, review of concomitant medications and adverse events (AEs), and evaluation of serum concentrations of study agent as well as development of antibodies to study agent. All participants will be randomly assigned to receive either ustekinumab IV re-induction or regular SC q8w 90 mg ustekinumab injection at baseline in a double dummy design. No participants will be treated with placebo only.

Conditions
Crohn Disease
Being tested
Ustekinumab approximately 6 mg/kg (IV), Placebo (SC), Placebo (IV), Ustekinumab 90 mg (SC) Group 1, Ustekinumab 90 mg (SC) Group 2
Medical subject headings
Crohn Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Ustekinumab approximately 6 mg/kg (IV)Drug

    Also called STELARA

    Participants will receive ustekinumab approximately 6mg/kg intravenously at Week 0.

  • Placebo (SC)Drug

    Participants will receive SC injection of placebo at Week 0.

  • Placebo (IV)Drug

    Participants will receive IV infusion of placebo at Week 0.

  • Ustekinumab 90 mg (SC) Group 1Drug

    Also called STELARA

    Participants will receive SC injection of ustekinumab 90 mg at Weeks 8 and 16.

  • Ustekinumab 90 mg (SC) Group 2Drug

    Also called STELARA

    Participants will receive SC injection of ustekinumab 90 mg at Weeks 0, 8 and 16.

Study groups in NCT03782376
Study groupRoleWhat they receive
Group 1: Ustekinumab (IV re-induction)ExperimentalParticipants who experience a secondary loss of response (LoR) to 90 mg ustekinumab maintenance treatment, administered subcutaneously every 8 weeks (q8w) will receive a weight-tiered based ustekinumab IV re-induction dose of approximately 6 mg/kg and matching placebo subcutaneously at Week 0. At Weeks 8 and 16, all participants will receive SC maintenance injections of 90 mg ustekinumab. Participants will resume their standard-of-care therapy at Week 24 at the discretion of the treating physician.
Receives: Drug: Ustekinumab approximately 6 mg/kg (IV); Drug: Placebo (SC); Drug: Ustekinumab 90 mg (SC) Group 1
Group 2: Ustekinumab (Continuous q8w SC maintenance)Active comparatorParticipants who experience a secondary LoR to 90 mg ustekinumab maintenance treatment, administered subcutaneously q8w will receive ustekinumab 90 mg subcutaneously and matching placebo intravenously at Week 0. At Weeks 8 and 16, all participants will receive SC maintenance injections of 90 mg ustekinumab. Participants will resume their standard-of-care therapy at Week 24 at the discretion of the treating physician.
Receives: Drug: Placebo (IV); Drug: Ustekinumab 90 mg (SC) Group 2

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants With Clinical Response at Week 16

    Clinical response was defined as greater than or equal to (>=) 100-point reduction from baseline in Crohn's disease activity index (CDAI) score or a CDAI score < 150 points. CDAI is validated multi-item measure of severity of illness derived as weighted sum of 8 different Crohn's disease (CD)-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). The last 4 variables were scored over 7 days by participant on diary card. In general, CDAI score ranges from 0 to approximately 600; higher score=higher disease activities. Participants who had prohibited CD-related surgery, prohibited concomitant medication changes or discontinued study agent due to lack of efficacy or adverse event indicated to be of worsening CD prior to designated analysis timepoint were considered not to be in clinical response, regardless of their CDAI score.

    Measured: Week 16

Secondary outcomes (17)
  1. Percentage of Participants With Clinical Remission at Week 16

    Percentage of participants with clinical remission at Week 16 were reported. Clinical remission was defined as CDAI score of <150 points. CDAI is a validated multi-item measure of severity of illness derived as weighted sum of 8 different CD-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). The last 4 variables were scored over 7 days by participant on diary card. In general, CDAI score ranges from 0 to approximately 600; higher score=higher disease activities. Participants who had prohibited CD-related surgery, prohibited concomitant medication changes or discontinued study agent due to lack of efficacy or adverse event indicated to be of worsening CD prior to designated analysis timepoint were considered not to be in clinical remission, regardless of their CDAI score.

    Measured: Week 16

  2. Percentage of Participants With Clinical Response at Week 8

    Clinical response was defined as a >=100-point reduction from the baseline in CDAI score or a CDAI score <150 point. The CDAI is a validated multi-item measure of severity of illness derived as a weighted sum of 8 different CD-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). The last 4 variables were scored over 7 days by the participant on a diary card. In general, CDAI score ranges from 0 to approximately 600; higher score indicates higher disease activities. Participants who had prohibited CD-related surgery, prohibited concomitant medication changes or discontinued study agent due to lack of efficacy or adverse event indicated to be of worsening CD prior to designated analysis timepoint were considered not to be in clinical response, regardless of their CDAI score.

    Measured: Week 8

  3. Percentage of Participants With Clinical Remission at Week 8

    Percentage of participants with clinical remission at Week 8 were reported. Clinical remission was defined as CDAI score of <150 points. CDAI is a validated multi-item measure of severity of illness derived as weighted sum of 8 different CD-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). The last 4 variables were scored over 7 days by participant on diary card. In general, CDAI score ranges from 0 to approximately 600; higher score=higher disease activities. Participants who had prohibited CD-related surgery, prohibited concomitant medication changes or discontinued study agent due to lack of efficacy or adverse event indicated to be of worsening CD prior to designated analysis timepoint were considered not to be in clinical remission, regardless of their CDAI score.

    Measured: Week 8

  4. Percentage of Participants With Normalization of C-reactive Protein (CRP) and/or Normalization of Fecal Calprotectin (fCal) Concentration at Week 16

    Percentage of participants with normalization at Week 16, among participants with elevated CRP and/or fCal at baseline were reported. Participants were considered to be normalized if at least one biomarker (fCal or CRP) was normalized. Normalized CRP=CRP value less than or equal to (<=) 3 milligrams per liter(mg/L). Normalized fCal concentrations was defined as <=250 micrograms per gram(mcg/g). When either CRP or FCal value was abnormal at baseline and value of same parameter normalizes at designated analysis timepoint, participants were considered to be normalized at designated analysis timepoint. Participants who had prohibited CD-related surgery, prohibited concomitant medication changes, or discontinued study agent due to lack of efficacy or adverse event indicated to be of worsening CD prior to designated analysis timepoint are considered not to be normalized. Participants who had insufficient data at designated analysis timepoint had their last value carried forward.

    Measured: Week 16

  5. Percentage of Participants With Clinical Remission at Week 24

    Percentage of participants with clinical remission at Week 24 were reported. Clinical remission was defined as CDAI score of <150 points. CDAI is a validated multi-item measure of severity of illness derived as weighted sum of 8 different CD-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). The last 4 variables were scored over 7 days by participant on diary card. In general, CDAI score ranges from 0 to approximately 600; higher score=higher disease activities. Participants who had prohibited CD-related surgery, prohibited concomitant medication changes or discontinued study agent due to lack of efficacy or adverse event indicated to be of worsening CD prior to designated analysis timepoint were considered not to be in clinical remission, regardless of their CDAI score.

    Measured: Week 24

  6. Percentage of Participants With Clinical Response at Week 24

    Clinical response was defined as a >=100-point reduction from the baseline in CDAI score or a CDAI score <150 point. 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 (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). The last 4 variables were scored over 7 days by the participant on a diary card. In general, CDAI score ranges from 0 to approximately 600; higher score indicates higher disease activities. Participants who had prohibited CD-related surgery, prohibited concomitant medication changes or discontinued study agent due to lack of efficacy or adverse event indicated to be of worsening CD prior to designated analysis timepoint were considered not to be in clinical response, regardless of their CDAI score.

    Measured: Week 24

  7. Percentage of Participants With Normalization of C-reactive Protein (CRP) and/or Normalization of Fecal Calprotectin (fCal) Concentration at Week 24

    Percentage of participants with normalization at Week 24, among participants with elevated CRP and/or fCal at baseline were reported. Participants were considered to be normalized if at least one biomarker (fCal or CRP) was normalized. Normalized CRP=CRP value less than or equal to (<=) 3 milligrams per liter(mg/L). Normalized fCal concentrations was defined as <=250 micrograms per gram(mcg/g). When either CRP or FCal value was abnormal at baseline and value of same parameter normalizes at designated analysis timepoint, participants were considered to be normalized at designated analysis timepoint. Participants who had prohibited CD-related surgery, prohibited concomitant medication changes, or discontinued study agent due to lack of efficacy or adverse event indicated to be of worsening CD prior to designated analysis timepoint are considered not to be normalized. Participants who had insufficient data at designated analysis timepoint had their last value carried forward.

    Measured: Week 24

  8. Percentage of Participants With Treatment-emergent Adverse Events (TEAEs)

    An adverse event was any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An adverse event does not necessarily have a causal relationship with the treatment. TEAEs were adverse events with onset during the intervention phase or that were a consequence of a pre-existing condition that had worsened since baseline. Any AE occurring at or after the initial administration of study agent through the end of the trial was considered to be treatment emergent. In this outcome measure, TEAEs including all AEs irrespective of being serious or non-serious AE are reported.

    Measured: From baseline (Week 0) up to Week 36

  9. Percentage of Participants With Treatment-emergent Serious Adverse Events (TESAEs)

    A serious adverse event (SAE) was an adverse event resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly; a suspected transmission of any infectious agent via a medicinal product; medically important. TESAEs were adverse events with onset during the intervention phase or that are a consequence of a pre-existing condition that had worsened since baseline. Any AE occurring at or after the initial administration of study agent through the end of the trial was considered to be treatment emergent.

    Measured: From baseline (Week 0) up to Week 36

  10. Percentage of Participants With Treatment-emergent Infections

    Percentage of participants with treatment-emergent infections were reported. Any infection occurring at or after the initial administration of study agent through the end of the trial was considered to be treatment emergent.

    Measured: From baseline (Week 0) up to Week 36

  11. Percentage of Participants With Treatment-emergent Serious Infections

    Percentage of participants with treatment-emergent serious infections was reported. Any infection occurring at or after the initial administration of study agent through the end of the trial was considered to be treatment emergent.

    Measured: From baseline (Week 0) up to Week 36

  12. Change From Baseline in Clinical Laboratory Values for Hematology (Hemoglobin) and Chemistry (Albumin, Total Protein)

    Change from baseline in clinical laboratory values for hematology (hemoglobin) and chemistry (albumin, total protein) was reported.

    Measured: Baseline, Weeks 8, 16, 24

  13. Change From Baseline in Clinical Laboratory Values for Hematology (Hematocrit)

    Change from baseline in clinical laboratory values for hematology (hematocrit) was reported.

    Measured: Baseline, Weeks 8, 16, 24

  14. Change From Baseline in Clinical Laboratory Values for Hematology (Total White Blood Cell [WBC], Neutrophils, Absolute Lymphocyte, Eosinophils, Platelets)

    Change from baseline in clinical laboratory values for hematology (total WBC, neutrophils, absolute lymphocyte, eosinophils, platelets) was reported.

    Measured: Baseline, Weeks 8, 16, 24

  15. Change From Baseline in Clinical Laboratory Values for Chemistry (Alkaline Phosphatase, Alanine Transaminase [ALT], Aspartate Transaminase [AST])

    Change from baseline in clinical laboratory values for chemistry (alkaline, ALT, AST) was reported.

    Measured: Baseline, Weeks 8, 16, 24

  16. Change From Baseline in Clinical Laboratory Values for Chemistry (Total Bilirubin, Direct Bilirubin, Creatinine)

    Change from baseline in clinical laboratory values for chemistry (total bilirubin, direct bilirubin, creatinine) was reported.

    Measured: Baseline, Weeks 8, 16, 24

  17. Change From Baseline in Clinical Laboratory Values for Chemistry (Sodium, Potassium, Chloride, Blood Urea Nitrogen [BUN]/Urea, Calcium, Phosphate)

    Change from baseline in clinical laboratory values for chemistry (sodium, potassium, chloride, BUN/urea, calcium, phosphate) was reported.

    Measured: Baseline, Weeks 8, 16, 24

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted20 Dec 2018
  2. Study start20 Dec 2018
  3. Primary completion19 Aug 2022
  4. Study completion10 Jan 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
215 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03782376
Sponsor's protocol ID
CR108533
Other IDs
2018-002629-51, CNTO1275CRD3008, 2018
Acronym
POWER
Status last verified
Apr 2025
First submitted
11 Dec 2018
Last updated
29 Apr 2025
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: The data sharing policy of the Janssen Pharmaceutical Companies of Johnson \& Johnson is available at www.janssen.com/clinical-trials\\transparency. As noted on this site, requests for access to the study data can be submitted through Yale open and Access (YODA) Project site at yoda.yale.edu

Publications

  • Schreiber S, Lee SD, van der Woude CJ, Marin-Jimenez I, Wolf DC, Schnoy E, Salzberg B, Busse C, Nazar M, Ma T, Borghorst S, Gasink C, Baker T, Godwin B, Adedokun OJ, Feagan BG; POWER Study Group. Ustekinumab Intravenous Reinduction after Secondary Loss of Response in Patients with Crohn's Disease. Inflamm Bowel Dis. 2025 Dec 1;31(12):3286-3297. doi: 10.1093/ibd/izaf163.

    PubMed 40971924
  • Hasskamp J, Meinhardt C, Timmer A. Anti-IL-12/23p40 antibodies for induction of remission in Crohn's disease. Cochrane Database Syst Rev. 2025 May 13;5(5):CD007572. doi: 10.1002/14651858.CD007572.pub4.

    PubMed 40357993
  • Ten Bokkel Huinink S, Biemans V, Duijvestein M, Pierik M, Hoentjen F, West RL, van der Woude CJ, de Vries AC. Re-induction with intravenous Ustekinumab after secondary loss of response is a valid optimization strategy in Crohn's disease. Eur J Gastroenterol Hepatol. 2021 Dec 1;33(1S Suppl 1):e783-e788. doi: 10.1097/MEG.0000000000002256.

    PubMed 34334713

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Ustekinumab approximately 6 mg/kg (IV), Ustekinumab 90 mg (SC) Group 1 and Ustekinumab 90 mg (SC) Group 2 in people with Crohn Disease, run by Janssen-Cilag Ltd. at 104 sites in 12 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 29 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 104 sites in United States, Germany, Spain, France, Italy and 7 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 13 Sep 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Participants With Clinical Response at Week 16 (time frame: Week 16). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03782376, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Apr 2025.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in