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Crohns DiseasePhase 3NCT04397263

A Study of Guselkumab in Participants With Moderately to Severely Active Crohn's Disease

A Phase 3 study testing Guselkumab in people with Crohns Disease, run by Janssen Pharmaceutical K.K. at 25 sites in Japan.

Completed

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

Official record
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Trial summary

The purpose of this study is to evaluate the safety of Guselkumab in participants with Crohn's disease. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Crohns Disease
What is being tested?
Guselkumab
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
38 participants
Where
25 sitesJapan
Study dates
10 Jun 2020to 12 Sep 2025
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

  • Have Crohn's Disease (CD) or fistulizing CD of at least 3 months duration (defined as a minimum of 12 weeks), with colitis, ileitis, or ileocolitis, confirmed at any time in the past by radiography, histology, and/or endoscopy
  • Have moderate to severe CD as assessed by CDAI components of stool frequency (SF), and abdominal pain (AP) scores, and endoscopic evidence
  • Have screening laboratory test results within the protocol specified parameters
  • A female participant of childbearing potential must have a negative urine pregnancy test result at screening and baseline
  • Demonstrated intolerance or inadequate response to conventional or to biologic therapy for CD

Who cannot join

  • Has complications of CD, such as symptomatic strictures or stenoses, short gut syndrome, or any other manifestation
  • Unstable doses of concomitant Crohn's disease therapy
  • Receipt of Crohn's disease approved biologic agents, investigational agents, or procedures outside of permitted time frame as specified in the protocol
  • Prior exposure to p40 inhibitors or p19 inhibitors
  • Any medical contraindications preventing study participation

Trial locations and contacts

25 sites in 1 country.

25 sites in 1 country

Japan25 sites
  • KOKIKAI Tokatsu Tsujinaka Hospital

    Abiko, 270-1168

  • Institute of Science Tokyo Hospital

    Bunkyō City, 113 8519

  • Hitachi General Hospital

    Hitachi, 317-0077

  • Asahikawa Medical University Hospital

    Hokkaido, 078 8510

  • Ofuna Chuo Hospital

    Kamakura, 247-0056

  • Kishiwada Tokushukai Hospital

    Kishiwada, 5960042

  • Kumamoto University Hospital

    Kumamoto, 860-8556

  • Japanese Red Cross Kumamoto Hospital

    Kumamoto, 861-8520

  • Kyorin University Hospital

    Mitaka, 181-8611

  • Kenseikai Dongo Hospital

    Nara, 635-0022

  • Hyogo Medical University Hospital

    Nishinomiya Shi, 663 8501

  • Ishida Clinic of IBD and Gastroenterology

    Ōita, 870 0823

  • Okayama University Hospital

    Okayama, 700-8558

  • Saga University Hospital

    Saga, 849-8501

  • Kitasato University Hospital

    Sagamihara, 252-0375

  • Saitama Medical Center

    Saitama, 350 8550

  • Sapporo Tokushukai Hospital

    Sapporo, 004-0041

  • Sendai Kosei Hospital

    Sendai Miyagi, 9810914

  • Jichi Medical University Hospital

    Shimotsuke, 329-0498

  • National Center for Global Health and Medicine

    Shinjuku- Ku, 162-8655

  • Tokyo Women's Medical University Hospital

    Shinjuku-ku, 162-8666

  • Tokyo Metropolitan Bokutoh Hospital

    Sumida Ku, 130 8575

  • Osaka Medical and Pharmaceutical University Hospital

    Takatsuki, 569-8686

  • Toyama Prefectural Central Hospital

    Toyama, 9308550

  • National Hospital Organization Toyohashi Medical Center

    Toyohashi, 441-8570

Other trials in Japan

About this study

Official title: A Phase 3, Open-label, Multicenter Study to Evaluate the Safety and Efficacy of Guselkumab in Participants With Moderately to Severely Active Crohn's Disease

The purpose of this study is to evaluate the safety of Guselkumab in participants with Crohn's disease.

Conditions
Crohns Disease
Being tested
Guselkumab
Medical subject headings
Crohn Disease

What participants receive

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

  • GuselkumabDrug

    Also called CNTO1959

    Guselkumab will be administered intravenously for the first 3 doses and then subcutaneously for the subsequent doses.

Study groups in NCT04397263
Study groupRoleWhat they receive
GuselkumabExperimentalParticipants will receive guselkumab by intravenous (IV) infusion, followed by guselkumab by subcutaneous (SC) injection. Participants who are eligible and willing to continue guselkumab may enter the Long-term extension (LTE) phase and continue to receive guselkumab.
Receives: Drug: Guselkumab

What is being measured

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

  1. Number of Participants With Treatment-emergent Adverse Events (TEAEs)

    Number of participants with TEAEs were reported. An adverse event (AE) was any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. Treatment-emergent AEs (TEAEs) were AEs with onset during the intervention phase or that were a consequence of a pre-existing condition that had worsened since baseline. All TEAEs including serious and non-serious AEs were reported.

    Measured: From baseline (Week 0) up to Week 48

  2. Number of Participants With Treatment-emergent Serious Adverse Events (TESAEs)

    Number of participants with TESAEs were reported. TEAEs are AEs with onset during the intervention phase or that are a consequence of a pre-existing condition that had worsened since baseline. A serious adverse event (SAE) was an AE 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.

    Measured: From baseline (Week 0) up to Week 48

  3. Number of Participants With Treatment-emergent Adverse Events of Special Interest (TEAESI)

    Number of participants with TEAESI was reported. Active tuberculosis (TB) or malignancies were considered as TEAESIs. TEAESIs were AESIs with onset during the intervention phase or that are a consequence of a pre-existing condition that had worsened since baseline.

    Measured: From baseline (Week 0) up to Week 48

  4. Number of Participants With Treatment-emergent Abnormalities in Hematology Laboratory Parameters

    Number of participants with treatment-emergent abnormalities in hematology laboratory parameters were reported. Laboratory tests included in hematology were hemoglobin, lymphocytes, neutrophils, platelet count, Total WBC (white blood cell) Count. National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE) toxicity grades were Grade 1 (Mild), Grade 2 (Moderate), Grade 3 (Severe), Grade 4 (Potentially Life-Threatening). TE abnormalities are laboratory abnormalities with onset during the intervention phase or that are a consequence of a pre-existing condition that had worsened since baseline.

    Measured: From baseline (Week 0) up to Week 48

  5. Number of Participants With Treatment-emergent Abnormalities in Chemistry Laboratory Parameters

    Number of participants with treatment-emergent abnormalities in chemistry laboratory parameters were reported. Laboratory parameters included in clinical chemistry were albumin, corrected calcium, creatinine, glucose, potassium, sodium. NCI-CTCAE) toxicity grades were Grade 1 (Mild), Grade 2 (Moderate), Grade 3 (Severe), Grade 4 (Potentially Life-Threatening). TE abnormalities are laboratory abnormalities with onset during the intervention phase or that are a consequence of a pre-existing condition that had worsened since baseline.

    Measured: From baseline (Week 0) up to Week 48

  6. Number of Participants With TEAEs of Infections

    Number of participants with TEAEs of infections were reported. TEAEs are AEs with onset during the intervention phase or that are a consequence of a pre-existing condition that had worsened since baseline.

    Measured: From baseline (Week 0) up to Week 48

  7. Number of Participants With TEAEs of Injection-site Reactions

    Number of participants with TEAEs of injection-site reactions were reported. A significant injection-site reaction was defined as an adverse reaction that was manifested through 1 or more of the following symptoms: significant bruising, erythema, hemorrhage, irritation, pain, pruritus at the site of injection. TEAEs are AEs with onset during the intervention phase or that are a consequence of a pre-existing condition that has worsened since baseline.

    Measured: From baseline (Week 0) up to Week 48

  8. Number of Participants With TEAEs Temporally Associated With Infusion

    Number of participants with TEAEs temporally associated with infusion were reported. TEAEs are AEs with onset during the intervention phase or that are a consequence of a preexisting condition that had worsened since baseline.

    Measured: From baseline (Week 0) up to Week 48

  9. Number of Participants With TEAEs of Suicidal Ideation, Suicidal Behavior, or Self-Injurious Behavior Without Suicidal Intent

    TEAEs are AEs with onset during the intervention phase or that are a consequence of a pre-existing condition that had worsened since baseline. The Columbia-suicide severity rating scale (C-SSRS) defined was 5 subtypes of suicidal ideation and 4 possible suicidal behaviors, as well as non-suicidal self-injurious behavior and completed suicide. The C-SSRS was an investigator-administered questionnaire: 1) No suicidal ideation or behaviors (including self-injurious behavior without suicidal intent): No further action was needed; 2) Suicidal ideation levels 1-3 or non-suicidal self-injurious behavior; participant risk is assessed by the investigator. 3) Suicidal ideation levels 4 or 5 or any suicidal behavior: participant risk assessed and referral to a mental health professional. If no events qualify for scores of 1 to 10, score of 0 was assigned (0= "no event that can be assessed on the basis of C-SSRS"). Higher scores indicated greater severity.

    Measured: From baseline (Week 0) up to Week 48

  10. Number of Participants With Clinically Significant Treatment-emergent Abnormalities in Vital Signs

    Number of participants with clinically significant treatment-emergent abnormalities in vital signs were reported. Vital signs included weight, pulse rate, temperature, respiratory rate, systolic blood pressure, and diastolic blood pressure. TEAEs are AEs with onset during the intervention phase or that are a consequence of a pre-existing condition that had worsened since baseline.

    Measured: From baseline (Week 0) up to Week 48

  11. Number of Participants With Concomitant Medications for Crohn's Disease

    Number of participants with concomitant medications for Crohn's disease were reported.

    Measured: From screening (Week -8) up to Week 48

Secondary outcomes (38)
  1. Number of Participants With Clinical Response Through Week 48

    Number of participants with clinical response through Week 48 were reported. Clinical response was defined as a greater than or equal to (>=) 100-point reduction from baseline in CDAI score or CDAI score less than (<) 150. The multi-item CDAI score assessed severity of illness by collecting information on 8 different Crohn's disease-related variables (extraintestinal manifestations, abdominal mass, weight, hematocrit, use of antidiarrheal drug(s) and/or opiates, total number of liquid or very soft stools, abdominal pain/cramps, and general well-being). The last 3 variables were scored over 7 days by the participant on a diary card. The total CDAI score ranged from 0 (improvement in disease activity) to 600 (more disease activity) in general: higher score indicated higher disease activities and a decrease in total CDAI score over time indicated improvement in disease activity.

    Measured: Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, and 48

  2. Number of Participants With Clinical Remission Through Week 48

    Number of participants with clinical remission through Week 48 were reported. Clinical remission was defined as a Crohn's Disease Activity Index (CDAI) score <150. The multi-item CDAI score assessed severity of illness by collecting information on 8 different Crohn's disease-related variables (extraintestinal manifestations, abdominal mass, weight, hematocrit, use of antidiarrheal drug(s) and/or opiates, total number of liquid or very soft stools, abdominal pain/cramps, and general well-being). The last 3 variables were scored over 7 days by the participant on a diary card. The total CDAI score ranged from 0 (improvement in disease activity) to 600 (more disease activity) in general: higher score indicated higher disease activities and a decrease in total CDAI score over time indicated improvement in disease activity.

    Measured: Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, and 48

  3. Number of Participants With Patient-reported Outcome(s) (PRO)-2 Remission Through Week 48

    Number of participants with PRO-2 remission through Week 48 were reported. PRO-2 remission was defined as abdominal pain (AP) mean daily score at or below 1 and stool frequency (SF) mean daily score at or below 3, and no worsening of AP or SF from baseline. Mean daily AP score was defined as the sum of abdominal pain/cramps ratings in the previous 7 days in a diary card divided by the total number of days assessments were performed. Average daily SF score was defined as the sum of number of liquid or very soft stools in the previous 7 days in a diary card divided by the total number of days assessments were performed. Mean daily SF and AP scores score at a scheduled visit were not calculated if total number of days of assessment was less than 5. Higher PRO-2 scores indicated more severe disease.

    Measured: Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, and 48

  4. Change From Baseline in Simple Endoscopic Score for Crohn's Disease (SES-CD) Score at Week 48

    Change from baseline in SES-CD score at Week 48 were reported. The SES-CD score was used to evaluate endoscopic improvement. The SES-CD was based on the evaluation of 4 endoscopic components (presence/size of ulcers, proportion of mucosal surface covered by ulcers, proportion of mucosal surface affected by any other lesions, and presence/type of narrowing/strictures) across 5 ileocolonic segments. Each endoscopic component was scored from 0 (best) to 3 (worst) for each segment, resulting in a total score of up to 15 for each component, except for the narrowing component which only attain a maximum total score of 11 because, the presence of a narrowing that cannot be passed can be only observed once. The total SES-CD score was the sum of all the component scores across all the segments and it ranged from 0 (best) to 56 (worst), where higher scores indicated more severe disease.

    Measured: Baseline (Week 0) and Week 48

  5. Serum Concentation of Guselkumab

    Serum concentration of guselkumab were reported.

    Measured: Predose at Weeks 0, 4, 8, 12, 16, 20, 24, 32, 40, 48 and 1 hour post dose at Weeks 0, 4, 8

  6. Number of Participants With Anti-Guselkumab Antibodies Through Week 48

    Number of participants with anti-guselkumab antibodies through Week 48 were reported.

    Measured: From Week 0 through Week 48

  7. Number of Participants With Neutralizing-Guselkumab Antibodies Through Week 48

    Number of participants with neutralizing-guselkumab antibodies through Week 48 were reported.

    Measured: From Week 0 through Week 48

  8. Change From Baseline in Inflammatory Pharmacodynamic (PD) Marker: C-reactive Protein (CRP) Concentration

    Change from baseline in inflammatory PD marker of CRP concentration were reported.

    Measured: Baseline (Week 0), Weeks 4, 8, 12, 16, 20, 24, 32, 40 and 48

  9. Change From Baseline in Inflammatory PD Marker: Fecal Calprotectin (FC) Levels

    Change from baseline in inflammatory PD marker of FC levels were reported.

    Measured: Baseline (Week 0), Weeks 4, 8, 12, 24, and 48

  10. Change From Baseline in Crohn's Disease Activity Index (CDAI) Score at Week 48 by Serum Guselkumab Concentration Quartiles at Week 48

    Change from baseline in CDAI score at Week 48 by serum guselkumab concentration quartiles at Week 48 were reported. The multi-item CDAI score assessed severity of illness by collecting information on 8 different Crohn's disease-related variables (extraintestinal manifestations, abdominal mass, weight, hematocrit, use of antidiarrheal drug(s) and/or opiates, total number of liquid or very soft stools, abdominal pain/cramps, and general well-being). The last 3 variables were scored over 7 days by the participant on a diary card. The total CDAI score ranged from 0 (improvement in disease activity) to 600 (more disease activity) in general: higher score indicated higher disease activities and a decrease in total CDAI score over time indicated improvement in disease activity.

    Measured: At Week 48

  11. Number of Participants in Clinical Response at Week 48 by Serum Guselkumab Concentration Quartiles at Week 48

    Number of participants in clinical response at Week 48 by serum guselkumab concentration quartiles at Week 48 were reported. Clinical response was defined as a >=100-point reduction from baseline in CDAI score or CDAI score <150. The multi-item CDAI score assessed severity of illness by collecting information on 8 different Crohn's disease-related variables (extraintestinal manifestations, abdominal mass, weight, hematocrit, use of antidiarrheal drug(s) and/or opiates, total number of liquid or very soft stools, abdominal pain/cramps, and general well-being). The last 3 variables were scored over 7 days by the participant on a diary card. The total CDAI score ranged from 0 (improvement in disease activity) to 600 (more disease activity) in general: higher score indicated higher disease activities and a decrease in total CDAI score over time indicated improvement in disease activity.

    Measured: At Week 48

  12. Number of Participants in Clinical Remission at Week 48 by Serum Guselkumab Concentration Quartiles at Week 48

    Number of participants in clinical remission at Week 48 by serum guselkumab concentration quartiles at Week 48 were reported. Clinical remission was defined as a Crohn's Disease Activity Index (CDAI) score <150. The multi-item CDAI score assessed severity of illness by collecting information on 8 different Crohn's disease-related variables (extraintestinal manifestations, abdominal mass, weight, hematocrit, use of antidiarrheal drug(s) and/or opiates, total number of liquid or very soft stools, abdominal pain/cramps, and general well-being). The last 3 variables were scored over 7 days by the participant on a diary card. The total CDAI score ranged from 0 (improvement in disease activity) to 600 (more disease activity) in general: higher score indicated higher disease activities and a decrease in total CDAI score over time indicated improvement in disease activity.

    Measured: At Week 48

  13. Number of Participants in Endoscopic Response at Week 48 by Serum Guselkumab Concentration Quartiles at Week 48

    Number of participants in endoscopic response at Week 48 by serum guselkumab concentration quartiles at Week 48 were reported. Endoscopic response was defined as >=50 % improvement from baseline in SES-CD score or SES-CD score less than or equal to (<=) 2. The SES-CD was based on evaluation of 4 endoscopic components (presence/size of ulcers, proportion of mucosal surface covered by ulcers, proportion of mucosal surface affected by any other lesions, and presence/type of narrowing/strictures) across 5 ileocolonic segments. Each endoscopic component was scored from 0 (best) to 3 (worst) for each segment, resulting in a total score of up to 15 for each component, except for narrowing component which only attain a maximum total score of 11 because, presence of a narrowing that cannot be passed can be only observed once. The total SES-CD score was sum of all component scores across all segments and it ranged from 0 (best) to 56 (worst), where higher scores indicated more severe disease.

    Measured: At Week 48

  14. Number of Participants in Endoscopic Remission at Week 48 by Serum Guselkumab Concentration Quartiles at Week 48

    Number of participants in endoscopic remission at Week 48 by serum guselkumab concentration quartiles at Week 48 were reported. Endoscopic remission: an SES-CD score <= 4 with at least a 2-point reduction from baseline and no sub score >1 in any individual subcomponent. The SES-CD was based on evaluation of 4 endoscopic components (presence/size of ulcers, proportion of mucosal surface covered by ulcers, proportion of mucosal surface affected by any other lesions, and presence/type of narrowing/strictures) across 5 ileocolonic segments. Each endoscopic component was scored from 0 (best) to 3 (worst) for each segment, resulting in total score of 15 for each component, except for narrowing component which only attain a maximum total score of 11 because, presence of a narrowing that cannot be passed can be only observed once. The total SES-CD score was sum of all component scores (all segments) \& it ranged from 0 (best) to 56 (worst), where higher scores indicated more severe disease.

    Measured: At Week 48

  15. Change From Baseline in the Average Daily Prednisone-equivalent (P.Eq) Oral Corticosteroid Dose (Excluding Budesonide) Through Week 48 Among Participants Receiving Oral Corticosteroids Other Than Budesonide at Baseline

    Change from baseline in the average daily P.Eq oral corticosteroid dose (excluding Budesonide) through Week 48 among participants receiving oral corticosteroids other than Budesonide at baseline were reported.

    Measured: Baseline (Week 0), Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, and 48

  16. Number of Participants Not Receiving Concomitant Corticosteroids at Week 48 Among Participants Receiving Concomitant Corticosteroids at Baseline

    Number of participants not receiving concomitant corticosteroids at Week 48 among participants receiving concomitant corticosteroids at baseline were reported.

    Measured: At Week 48

  17. Number of Participants Not Receiving Concomitant Corticosteroids for at Least 30 Days Prior to Week 48 Among Participants Receiving Concomitant Corticosteroids at Baseline

    Number of participants not receiving concomitant corticosteroids for at least 30 days prior to Week 48 among participants receiving concomitant corticosteroids at baseline were reported.

    Measured: Up to Week 48

  18. Number of Participants Not Receiving Concomitant Corticosteroids for at Least 90 Days Prior to Week 48 Among Participants Receiving Concomitant Corticosteroids at Baseline

    Number of participants not receiving concomitant corticosteroids for at least 90 days prior to Week 48 among participants receiving concomitant corticosteroids at baseline were reported.

    Measured: Up to Week 48

  19. Number of Participants With Clinical Response Through LTE Phase

    Number of participants with clinical response through LTE phase were reported. Clinical response was defined as a >=100-point reduction from baseline in CDAI score or CDAI score <150. The multi-item CDAI score assessed severity of illness by collecting information on 8 different Crohn's disease-related variables (extraintestinal manifestations, abdominal mass, weight, hematocrit, use of antidiarrheal drug(s) and/or opiates, total number of liquid or very soft stools, abdominal pain/cramps, and general well-being). The last 3 variables were scored over 7 days by the participant on a diary card. The total CDAI score ranged from 0 (improvement in disease activity) to 600 (more disease activity) in general: higher score indicated higher disease activities and a decrease in total CDAI score over time indicated improvement in disease activity.

    Measured: Weeks 96, 144, 192, and 240

  20. Number of Participants With Clinical-biomarker Response Through LTE Phase

    Number of participants with clinical-biomarker response through LTE phase were reported. Clinical-biomarker response was defined as clinical response based on CDAI score and >=50% reduction from baseline in CRP or FC. Clinical response: a >=100-point reduction from baseline in CDAI score or CDAI score <150. The multi-item CDAI score assessed severity of illness by collecting information on 8 different Crohn's disease-related variables (extraintestinal manifestations, abdominal mass, weight, hematocrit, use of antidiarrheal drug[s] and/or opiates, total number of liquid or very soft stools, abdominal pain/cramps, and general well-being). The last 3 variables were scored over 7 days by the participant on a diary card. The total CDAI score ranged from 0 (improvement in disease activity) to 600 (more disease activity) in general: higher score indicated higher disease activities and a decrease in total CDAI score over time indicated improvement in disease activity.

    Measured: Weeks 96, 144, 192, and 240

  21. Number of Participants With Clinical Remission Through LTE Phase

    Number of participants with clinical remission through LTE phase were reported. Clinical remission was defined as a CDAI score <150. The multi-item CDAI score assessed severity of illness by collecting information on 8 different Crohn's disease-related variables (extraintestinal manifestations, abdominal mass, weight, hematocrit, use of antidiarrheal drug(s) and/or opiates, total number of liquid or very soft stools, abdominal pain/cramps, and general well-being). The last 3 variables were scored over 7 days by the participant on a diary card. The total CDAI score ranged from 0 (improvement in disease activity) to 600 (more disease activity) in general: higher score indicated higher disease activities and a decrease in total CDAI score over time indicated improvement in disease activity.

    Measured: Weeks 96, 144, 192, and 240

  22. Number of Participants With Endoscopic Response Through LTE Phase

    Number of participants in endoscopic response through LTE phase were reported. Endoscopic response was defined as >=50 % improvement from baseline in SES-CD score or SES-CD score <=2. The SES-CD was based on evaluation of 4 endoscopic components (presence/size of ulcers, proportion of mucosal surface covered by ulcers, proportion of mucosal surface affected by any other lesions, and presence/type of narrowing/strictures) across 5 ileocolonic segments. Each endoscopic component was scored from 0 (best) to 3 (worst) for each segment, resulting in a total score of up to 15 for each component, except for narrowing component which only attain a maximum total score of 11 because, presence of a narrowing that cannot be passed can be only observed once. The total SES-CD score was sum of all component scores across all segments and it ranged from 0 (best) to 56 (worst), where higher scores indicated more severe disease.

    Measured: Weeks 96, 144, 192, and 240

  23. Number of Participants With Endoscopic Remission Through LTE Phase

    Number of participants in endoscopic remission through LTE phase were reported. Endoscopic remission was defined as an SES-CD score <= 4 with at least a 2-point reduction from baseline and no sub score >1 in any individual subcomponent. The SES-CD was based on evaluation of 4 endoscopic components (presence/size of ulcers, proportion of mucosal surface covered by ulcers, proportion of mucosal surface affected by any other lesions, and presence/type of narrowing/strictures) across 5 ileocolonic segments. Each endoscopic component was scored from 0 (best) to 3 (worst) for each segment, resulting in total score of 15 for each component, except for narrowing omponent which only attain a maximum total score of 11 because, presence of a narrowing that cannot be passed can be only observed once. The total SES-CD score was sum of all component scores (all segments) \& it ranged from 0 (best) to 56 (worst), where higher scores indicated more severe disease.

    Measured: Weeks 96, 144, 192, and 240

  24. Number of Participants With Endoscopic Healing Through LTE Phase

    Number of participants With endoscopic healing through LTE phase were reported. Endoscopic healing was defined as the absence of mucosal ulcerations.

    Measured: Weeks 96, 144, 192, and 240

  25. Change From Baseline in SES-CD Score During LTE Phase

    Change from baseline in SES-CD score during LTE phase were reported. The SES-CD was based on evaluation of 4 endoscopic components (presence/size of ulcers, proportion of mucosal surface covered by ulcers, proportion of mucosal surface affected by any other lesions, and presence/type of narrowing/strictures) across 5 ileocolonic segments. Each endoscopic component was scored from 0 (best) to 3 (worst) for each segment, resulting in a total score of up to 15 for each component, except for narrowing component which only attain a maximum total score of 11 because, presence of a narrowing that cannot be passed can be only observed once. The total SES-CD score was sum of all component scores across all segments and it ranged from 0 (best) to 56 (worst), where higher scores indicated more severe disease.

    Measured: Baseline (Week 0), 96, 144, 192, and 240

  26. Number of Participants With Patient-reported Outcome(s) (PRO)-2 Remission During LTE Phase

    Number of participants with PRO-2 remission during LTE phase were reported. PRO-2 remission was defined as abdominal pain (AP) mean daily score at or below 1 and stool frequency (SF) mean daily score at or below 3, and no worsening of AP or SF from baseline. Mean daily AP score was defined as the sum of abdominal pain/cramps ratings in the previous 7 days in a diary card divided by the total number of days assessments were performed. Average daily SF score was defined as the sum of number of liquid or very soft stools in the previous 7 days in a diary card divided by the total number of days assessments were performed. Mean daily SF and AP scores score at a scheduled visit were not calculated if total number of days of assessment was less than 5. Higher PRO-2 scores indicated more severe disease.

    Measured: Weeks 96, 144, 192, and 240

  27. Number of Participants With Any Crohn's Disease-related Hospitalizations and/or Surgeries During the Study

    Number of participants with any Crohn's Disease-related hospitalizations and/or surgeries during the study were reported.

    Measured: From Week 0 up to final efficacy visit for each participant (up to Week 248)

  28. Serum Guselkumab Concentrations During LTE Phase

    Serum guselkumab concentrations during LTE phase were reported.

    Measured: Predose at Weeks 96, 144, 192, and 240

  29. Number of Participants With Anti-Guselkumab Antibodies During the Study

    Number of participants with anti-guselkumab antibodies during the study were reported.

    Measured: From Week 0 up to the final immunogenicity visit for each participant (up to Week 248)

  30. Number of Participants With Neutralizing Antibodies to Guselkumab During the Study

    Number of participants with neutralizing-guselkumab antibodies during the study were reported.

    Measured: From Week 0 up to the final immunogenicity visit for each participant (up to Week 248)

  31. Change From Baseline in Inflammatory Pharmacodynamic (PD) Marker: C-reactive Protein (CRP) Concentration During LTE Phase

    Change from baseline in inflammatory PD marker of CRP concentration during LTE phase were reported.

    Measured: Baseline (Week 0), Weeks 64, 80, 96, 112, 128, 144, 160, 176, 192, 208, 224, and 240

  32. Change From Baseline in Inflammatory PD Marker: FC Levels Concentration During LTE Phase

    Change from baseline in inflammatory PD marker of FC levels during LTE phase were reported.

    Measured: Baseline (Week 0), Weeks 64, 80, 96, 112, 128, 144, 160, 176, 192, 208, 224, and 240

  33. Change From Baseline in CDAI Score at Week 96 by Serum Guselkumab Concentration Quartiles at Week 96

    Change from baseline in CDAI score at Week 96 by serum guselkumab concentration quartiles at Week 96 were reported. The multi-item CDAI score assessed severity of illness by collecting information on 8 different Crohn's disease-related variables (extraintestinal manifestations, abdominal mass, weight, hematocrit, use of antidiarrheal drug(s) and/or opiates, total number of liquid or very soft stools, abdominal pain/cramps, and general well-being). The last 3 variables were scored over 7 days by the participant on a diary card. The total CDAI score ranged from 0 (improvement in disease activity) to 600 (more disease activity) in general: higher score indicated higher disease activities and a decrease in total CDAI score over time indicated improvement in disease activity.

    Measured: Baseline (Week 0) and Week 96

  34. Number of Participants in Clinical Response at Week 96 by Serum Guselkumab Concentration Quartiles at Week 96

    Number of participants in clinical response at Week 96 by serum guselkumab concentration quartiles at Week 96 were reported. Clinical response was defined as a >=100-point reduction from baseline in CDAI score or CDAI score <150. The multi-item CDAI score assessed severity of illness by collecting information on 8 different Crohn's disease related variables (extraintestinal manifestations, abdominal mass, weight, hematocrit, use of antidiarrheal drug(s) and/or opiates, total number of liquid or very soft stools, abdominal pain/cramps, and general well-being). The last 3 variables were scored over 7 days by the participant on a diary card. The total CDAI score ranged from 0 (improvement in disease activity) to 600 (more disease activity) in general: higher score indicated higher disease activities and a decrease in total CDAI score over time indicated improvement in disease activity.

    Measured: At Week 96

  35. Number of Participants in Clinical Remission at Week 96 by Serum Guselkumab Concentration Quartiles at Week 96

    Number of participants in clinical remission at Week 96 by serum guselkumab concentration quartiles at Week 96 were reported. Clinical remission was defined as a Crohn's Disease Activity Index (CDAI) score <150. The multi-item CDAI score assessed severity of illness by collecting information on 8 different Crohn's disease-related variables (extraintestinal manifestations, abdominal mass, weight, hematocrit, use of antidiarrheal drug(s) and/or opiates, total number of liquid or very soft stools, abdominal pain/cramps, and general well-being). The last 3 variables were scored over 7 days by the participant on a diary card. The total CDAI score ranged from 0 (improvement in disease activity) to 600 (more disease activity) in general: higher score indicated higher disease activities and a decrease in total CDAI score over time indicated improvement in disease activity.

    Measured: At Week 96

  36. Number of Participants in Endoscopic Response at Week 96 by Serum Guselkumab Concentration Quartiles at Week 96

    Number of participants in endoscopic response at Week 96 by serum guselkumab concentration quartiles at Week 96 were reported. Endoscopic response was defined as >=50 % improvement from baseline in SES-CD score or SESCD score less than or equal to (<=) 2. The SES-CD was based on evaluation of 4 endoscopic components (presence/size of ulcers, proportion of mucosal surface covered by ulcers, proportion of mucosal surface affected by any other lesions, and presence/type of narrowing/strictures) across 5 ileocolonic segments. Each endoscopic component was scored from 0 (best) to 3 (worst) for each segment, resulting in a total score of up to 15 for each component, except for narrowing component which only attain a maximum total score of 11 because, presence of a narrowing that cannot be passed can be only observed once. The total SES-CD score was sum of all component scores across all segments and it ranged from 0 (best) to 56 (worst), where higher scores indicated more severe disease.

    Measured: At Week 96

  37. Number of Participants in Endoscopic Remission at Week 96 by Serum Guselkumab Concentration Quartiles at Week 96

    Number of participants in endoscopic remission at Week 96 by serum guselkumab concentration quartiles at Week 96 were reported. Endoscopic remission: an SES-CD score <= 4 with at least a 2-point reduction from baseline and no sub score >1 in any individual subcomponent. The SES-CD was based on evaluation of 4 endoscopic components (presence/size of ulcers, proportion of mucosal surface covered by ulcers, proportion of mucosal surface affected by any other lesions, and presence/type of narrowing/strictures) across 5 ileocolonic segments. Each endoscopic component was scored from 0 (best) to 3 (worst) for each segment, resulting in total score of 15 for each component, except for narrowing component which only attain a maximum total score of 11 because, presence of a narrowing that cannot be passed can be only observed once. The total SES-CD score was sum of all component scores (all segments) \& it ranged from 0 (best) to 56 (worst), where higher scores indicated more severe disease.

    Measured: At Week 96

  38. Change From Baseline in the Average Daily Prednisone-equivalent (P.Eq) Oral Corticosteroid Dose (Excluding Budesonide) During LTE Phase Among Participants Receiving Oral Corticosteroids Other Than Budesonide at Baseline

    Change from baseline in the average daily P.Eq oral corticosteroid dose (excluding Budesonide) during LTE phase among participants receiving oral corticosteroids other than Budesonide at baseline were reported.

    Measured: Baseline (Week 0), Weeks 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, 100, 104, 108, 112, 116, 120, 124, 128, 132, 136, 140, 144, 148, 152, 156, 160, 164, 168, 172, 176, 180, 184, 188, 192, 196, 200, 204, 208, 212, 216, 220, 224, 228, and 232

Timeline

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

  1. First posted21 May 2020
  2. Study start10 Jun 2020
  3. Primary completion29 Feb 2024
  4. Study completion12 Sep 2025

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
38 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04397263
Sponsor's protocol ID
CR108801
Other IDs
CNTO1959CRD3003
Status last verified
Sep 2026
First submitted
18 May 2020
Last updated
7 Oct 2026
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 and 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 Data Access (YODA) project site at yoda.yale.edu

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Guselkumab in people with Crohns Disease, run by Janssen Pharmaceutical K.K. at 25 sites in Japan.

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 5 inclusion and 5 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 7 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 25 sites in Japan. 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 20 May 2025). 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?

Number of Participants With Treatment-emergent Adverse Events (TEAEs) (time frame: From baseline (Week 0) up to Week 48). The study lists 11 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 7 Oct 2026.

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