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CompletedNCT01369342Updated Jan 6, 2017Results posted

A Study to Evaluate the Safety and Efficacy of Ustekinumab Induction Therapy in Patients With Moderately to Severely Active Crohn's Disease (UNITI-2)

A Phase 3 interventional study of Group 1: Placebo and Group 2 ustekinumab 130 mg in Crohn's Disease, Inflammatory Bowel Disease and IBD, sponsored by Janssen Research & Development, LLC. Completed at 220 sites in 22 countries. Open to participants aged 18 Years to 99 Years. Per ClinicalTrials.gov, last updated 2017-01-06.

Sponsored by Janssen Research & Development, LLC (part of Johnson & Johnson) · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
640
Allocation
Randomized
Ages
18 Years to 99 Years
Sex
All
01

Study summary

This study (UNITI-2) will compare the effects (both positive and negative) of an initial treatment with ustekinumab to a placebo over 8 weeks in patients with moderately to severely active Crohn's disease.

Read the detailed description

This study (CNTO1275CRD3002 or "UNITI-2") examines ustekinumab (an antibody medication that inhibits the inflammatory proteins IL-12 and IL-23) versus a placebo (otherwise identical except without the ustekinumab antibody) given intravenously (by an IV) in adults with moderately to severely active Crohn's disease. Ustekinumab (also known as Stelara) is approved as a treatment for the skin condition of moderate to severe plaque-type psoriasis, but this study will examine if ustekinumab can provide benefit in Crohn's disease and also assess for any risks or side effects. Both the positive and negative outcomes of IV placebo versus two different doses of IV ustekinumab will be tracked and compared over eight weeks, in approximately 612 patients who have previously failed or were intolerant to corticosteroids or immunomodulators (methotrexate, azathioprine, or 6-mercaptopurine) or are dependent on corticosteroid medications. Patients enrolling in this study will be assigned to one of the 3 treatment groups by chance (randomly, like rolling dice), and all will receive a single IV administration of study agent at the first study visit (after the screening period), and then will be asked to return for 3 additional visits through Week 8. Patients who complete this study through the Week 8 visit and remain eligible can enter the maintenance study (CNTO1275CRD3003 or "IM-UNITI"), where they will receive additional study agent, including the administration of ustekinumab in patients who receive placebo in this study and have not had improvement in their Crohn's disease. Patients who do not enter the CNTO1275CRD3003 study will have a final safety follow-up visit approximately 20 weeks after they received study agent when they entered into this study at the Week 0 visit. .All patients will receive a single intravenous (IV) administration of study drug (placebo or ustekinumab) at the start of the study.There are 3 treatment groups in this study: Group 1: Placebo; Group 2: ustekinumab 130 mg, Group 3: weight-range based ustekinumab doses approximating ustekinumab 6 mg/kg: 260 mg (weight \<= 55 kg), 390 mg (weight > 55 kg and \<= 85 kg), and 520 mg (weight > 85 kg).

02

Conditions studied

  • Crohn's Disease
  • Inflammatory Bowel Disease
  • IBD
  • Colitis

Keywords

  • ustekinumab
  • moderately to severely active Crohn's Disease
  • Stelara
  • IBD
  • colitis
  • crohn
  • UNITI
  • Crohn's
03

In context

Crohn Disease

1,923 studies on the registry are indexed under Crohn Disease; 467 are open to participants now.

This study's enrollment of 640 is above the median of 66 across 1,212 interventional studies indexed under Crohn Disease.

Browse Crohn Disease studies →

Lead sponsor

Janssen Research & Development, LLC is the lead sponsor of 929 studies on the registry; 76 are open to participants now.

Of its 283 completed or terminated interventional studies of FDA-regulated products, 134 (47%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 99 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Have Crohn's disease of at least 3 months' duration with colitis, ileitis, or ileocolitis, confirmed at some time in the past by radiography, histology, or endoscopy
  • Have active Crohn's disease, defined as a baseline Crohn Disease Activity Index (CDAI) score of >= 220 and \<= 450, with confirmation of active inflammation
  • Has failed conventional therapy as demonstrated by having received corticosteroids and/or immunomodulators(ie, AZA, MTX, or 6-MP) at adequate therapeutic doses OR Have a history of failure to respond to or tolerate an adequate course of corticosteroids and/or immunomodulators (ie, AZA, MTX, or 6-MP) at adequate therapeutic doses OR Is corticosteroid dependent or has had a history of corticosteroid dependency AND Has not previously demonstrated failure of or intolerance to 1 or more TNF-antagonist therapies (ie, infliximab, adalimumab, or certolizumab pegol) per study criteria
  • Have screening laboratory test results within protocol-specified parameters

Exclusion criteria

Exclusion Criteria:

  • Patients who have had any kind of bowel resection within 6 months
  • Are pregnant or planning pregnancy (both men and women) while enrolled in the study or for 20 weeks after receiving study agent
  • Patients who have received infliximab, adalimumab or certolizumab pegol \< = 8 weeks before the first administration of study drug
  • Patients with certain complications of Crohn's disease that would make it hard to assess response to study drug
  • Patients with a history of or ongoing chronic or recurrent infectious disease
  • Patients who have previously received a biologic agent targeting IL-12 or IL-23, including but not limited to ustekinumab (CNTO 1275) or briakinumab (ABT-874)
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
640 participants (actual)

Study arms

  • Placebo comparator
    Placebo IV

    Group 1: Placebo Form=solution for injection route=intravenous use in a single dose.

    Drug: Group 1: Placebo

  • Experimental
    Ustekinumab 130 milligram (mg)

    Group 2 ustekinumab 130 mg Type=exact unit=mg number=130 form=solution for injection route= intravenous use in a single dose.

    Drug: Group 2 ustekinumab 130 mg

  • Experimental
    Ustekinumab approximately (~) 6 milligram per kilogram (mg/kg)

    Group 3: ustekinumab approximately 6 mg/kg Type=range unit=mg/kg number=6 form=solution for injection route= intravenous use in a single dose.weight-range based ustekinumab doses approximating ustekinumab 6 mg/kg: 260 mg (weight \<= 55 kg) 390 mg (weight \> 55 kg and \<= 85 kg) and 520 mg (weight \> 85 kg).

    Drug: Group 3: ustekinumab approximately 6 mg/kg

Interventions

  • DrugGroup 1: Placebo

    Form=solution for injection, route=intravenous use, in a single dose.

  • DrugGroup 2 ustekinumab 130 mg

    Type=exact, unit=mg, number=130, form=solution for injection, route= intravenous use, in a single dose.

  • DrugGroup 3: ustekinumab approximately 6 mg/kg

    Type=range, unit=mg/kg, number=6, form=solution for injection, route= intravenous use, in a single dose.weight-range based ustekinumab doses approximating ustekinumab 6 mg/kg: 260 mg (weight \<= 55 kg), 390 mg (weight \> 55 kg and \<= 85 kg), and 520 mg (weight \> 85 kg).

06

What researchers measure

Primary outcomes

  1. Number of Participants With Clinical Response at Week 6

    Clinical response at Week 6 was defined as a reduction from baseline in the Crohn's Disease Activity Index (CDAI) score of greater than or equal (\>=) 100 points (in general, CDAI score ranges from 0 to approximately 600; higher score indicates higher disease activities). Participants with a baseline CDAI score of \> = 220 to less than or equal (\< =) 248 were considered to be in clinical response if a CDAI score of less than (\<) 150 was attained. A decrease in CDAI score over time indicates improvement in disease activity.

    Time frame: Week 6

Secondary outcomes

  1. Number of Participants in Clinical Remission at Week 8

    Clinical remission at Week 8 was defined as a Crohn's Disease Activity Index (CDAI) score of \<150 points.

    Time frame: Week 8

  2. Number of Participants in Clinical Response at Week 8

    Clinical response at Week 8 was defined as a reduction from baseline in the CDAI score of greater than or equal (\>=) 100 points (in general, CDAI score ranges from 0 to approximately 600; higher score indicates higher disease activities). Participants with a baseline CDAI score of \> = 220 to less than or equal (\< =) 248 were considered to be in clinical response if a CDAI score of less than (\<) 150 was attained. A decrease in CDAI score over time indicates improvement in disease activity.

    Time frame: Week 8

  3. Number of Participants With Crohn's Disease Activity Index (CDAI) 70 Point Response at Week 6

    70-point response is defined as at least 70 points reduction in CDAI score (in general, CDAI score ranges from 0 to approximately 600; higher score indicates higher disease activities). The CDAI score is used to quantify the symptoms of participants with Crohn's Disease. A decrease in CDAI over time indicates improvement in disease activity.

    Time frame: Week 6

  4. Number of Participants With CDAI 70 Point Response at Week 3

    70-point response is defined as at least 70 points reduction in CDAI score (in general, CDAI score ranges from 0 to approximately 600; higher score indicates higher disease activities). The CDAI score is used to quantify the symptoms of participants with Crohn's Disease. A decrease in CDAI over time indicates improvement in disease activity.

    Time frame: Week 3

07

Results

Posted Jan 6, 2017
Limitations and caveats
The global study was interrupted due to issues with the clinical supply.

Participant flow

A total of 640 participants were randomly assigned to receive study agent. The analyses (efficacy) were based on the 628 participants who were randomized after the study was restarted. However, one additional participant was excluded from efficacy analyses due to misconduct by the investigative site.

Participant flow — Overall Study
MilestonePlacebo IVUstekinumab 130 Milligram (mg)Ustekinumab Approximately (~) 6 Milligram Per Kilogram (mg/kg)
Started214213213
Completed201204210
Not completed1393
Withdrew: Withdrawal by subject772
Withdrew: Lost to follow-up521
Withdrew: Not treated100

Outcome measures

PrimaryNumber of Participants With Clinical Response at Week 6

Clinical response at Week 6 was defined as a reduction from baseline in the Crohn's Disease Activity Index (CDAI) score of greater than or equal (\>=) 100 points (in general, CDAI score ranges from 0 to approximately 600; higher score indicates higher disease activities). Participants with a baseline CDAI score of \> = 220 to less than or equal (\< =) 248 were considered to be in clinical response if a CDAI score of less than (\<) 150 was attained. A decrease in CDAI score over time indicates improvement in disease activity.

Time frame:
Week 6
Reported as:
Number · participants
Number of Participants With Clinical Response at Week 6
participantsPlaceboUstekinumab 130 mgUstekinumab Approximately (~) 6 Milligram Per Kilogram (mg/kg)
Number of Participants With Clinical Response at Week 660108116
Statistical analysis
  • Placebo vs Ustekinumab 130 mg · Cochran-Mantel-Haenszel chi-square test · p = < 0.001 (A fixed sequence testing procedure was used to control alpha at 0.05 over the outcome measures.)2-sided Cochran-Mantel-Haenszel chi-square test, stratified by study region (Asia, Eastern Europe, or rest of world) and CDAI score (=\< 300 or \>300).
  • Placebo vs Ustekinumab Approximately (~) 6 Milligram Per Kilogram (mg/kg) · Cochran-Mantel-Haenszel chi-square test · p = < 0.001 (A fixed sequence testing procedure was used to control alpha at 0.05 over the outcome measures.)2-sided Cochran-Mantel-Haenszel chi-square test, stratified by study region (Asia, Eastern Europe, or rest of world) and CDAI score (=\< 300 or \>300).
SecondaryNumber of Participants in Clinical Remission at Week 8

Clinical remission at Week 8 was defined as a Crohn's Disease Activity Index (CDAI) score of \<150 points.

Time frame:
Week 8
Reported as:
Number · participants
Number of Participants in Clinical Remission at Week 8
participantsPlaceboUstekinumab 130 mgUstekinumab Approximately (~) 6 Milligram Per Kilogram (mg/kg)
Number of Participants in Clinical Remission at Week 8416484
Statistical analysis
  • Placebo vs Ustekinumab 130 mg · Cochran-Mantel-Haenszel chi-square test · p = 0.009 (A fixed sequence testing procedure was used to control alpha at 0.05 over the outcome measures.)2-sided Cochran-Mantel-Haenszel chi-square test, stratified by study region (Asia, Eastern Europe, or rest of world) and CDAI score (=\< 300 or \>300).
  • Placebo vs Ustekinumab Approximately (~) 6 Milligram Per Kilogram (mg/kg) · Cochran-Mantel-Haenszel chi-square test · p = < 0.001 (A fixed sequence testing procedure was used to control alpha at 0.05 over the outcome measures.)2-sided Cochran-Mantel-Haenszel chi-square test, stratified by study region (Asia, Eastern Europe, or rest of world) and CDAI score (=\< 300 or \>300).
SecondaryNumber of Participants in Clinical Response at Week 8

Clinical response at Week 8 was defined as a reduction from baseline in the CDAI score of greater than or equal (\>=) 100 points (in general, CDAI score ranges from 0 to approximately 600; higher score indicates higher disease activities). Participants with a baseline CDAI score of \> = 220 to less than or equal (\< =) 248 were considered to be in clinical response if a CDAI score of less than (\<) 150 was attained. A decrease in CDAI score over time indicates improvement in disease activity.

Time frame:
Week 8
Reported as:
Number · participants
Number of Participants in Clinical Response at Week 8
participantsPlaceboUstekinumab 130 mgUstekinumab Approximately (~) 6 Milligram Per Kilogram (mg/kg)
Number of Participants in Clinical Response at Week 86799121
Statistical analysis
  • Placebo vs Ustekinumab 130 mg · Cochran-Mantel-Haenszel chi-square test · p = < 0.001 (A fixed sequence testing procedure was used to control alpha at 0.05 over the outcome measures.)2-sided Cochran-Mantel-Haenszel chi-square test, stratified by study region (Asia, Eastern Europe, or rest of world) and CDAI score (=\< 300 or \>300).
  • Placebo vs Ustekinumab Approximately (~) 6 Milligram Per Kilogram (mg/kg) · Cochran-Mantel-Haenszel chi-square test · p = < 0.001 (A fixed sequence testing procedure was used to control alpha at 0.05 over the outcome measures.)2-sided Cochran-Mantel-Haenszel chi-square test, stratified by study region (Asia, Eastern Europe, or rest of world) and CDAI score (=\< 300 or \>300).
SecondaryNumber of Participants With Crohn's Disease Activity Index (CDAI) 70 Point Response at Week 6

70-point response is defined as at least 70 points reduction in CDAI score (in general, CDAI score ranges from 0 to approximately 600; higher score indicates higher disease activities). The CDAI score is used to quantify the symptoms of participants with Crohn's Disease. A decrease in CDAI over time indicates improvement in disease activity.

Time frame:
Week 6
Reported as:
Number · participants
Number of Participants With Crohn's Disease Activity Index (CDAI) 70 Point Response at Week 6
participantsPlaceboUstekinumab 130 mgUstekinumab Approximately (~) 6 Milligram Per Kilogram (mg/kg)
Number of Participants With Crohn's Disease Activity Index (CDAI) 70 Point Response at Week 681123135
Statistical analysis
  • Placebo vs Ustekinumab 130 mg · Cochran-Mantel-Haenszel chi-square test · p = < 0.001 (A fixed sequence testing procedure was used to control alpha at 0.05 over the outcome measures.)2-sided Cochran-Mantel-Haenszel chi-square test, stratified by study region (Asia, Eastern Europe, or rest of world) and CDAI score (=\< 300 or \>300).
  • Placebo vs Ustekinumab Approximately (~) 6 Milligram Per Kilogram (mg/kg) · Cochran-Mantel-Haenszel chi-square test · p = < 0.001 (A fixed sequence testing procedure was used to control alpha at 0.05 over the outcome measures.)2-sided Cochran-Mantel-Haenszel chi-square test, stratified by study region (Asia, Eastern Europe, or rest of world) and CDAI score (=\< 300 or \>300).
SecondaryNumber of Participants With CDAI 70 Point Response at Week 3

70-point response is defined as at least 70 points reduction in CDAI score (in general, CDAI score ranges from 0 to approximately 600; higher score indicates higher disease activities). The CDAI score is used to quantify the symptoms of participants with Crohn's Disease. A decrease in CDAI over time indicates improvement in disease activity.

Time frame:
Week 3
Reported as:
Number · participants
Number of Participants With CDAI 70 Point Response at Week 3
participantsPlaceboUstekinumab 130 mgUstekinumab Approximately (~) 6 Milligram Per Kilogram (mg/kg)
Number of Participants With CDAI 70 Point Response at Week 366103106
Statistical analysis
  • Placebo vs Ustekinumab 130 mg · Cochran-Mantel-Haenszel chi-square test · p = < 0.001 (A fixed sequence testing procedure was used to control alpha at 0.05 over the outcome measures.)2-sided Cochran-Mantel-Haenszel chi-square test, stratified by study region (Asia, Eastern Europe, or rest of world) and CDAI score (=\< 300 or \>300).
  • Placebo vs Ustekinumab Approximately (~) 6 Milligram Per Kilogram (mg/kg) · Cochran-Mantel-Haenszel chi-square test · p = < 0.001 (A fixed sequence testing procedure was used to control alpha at 0.05 over the outcome measures.)2-sided Cochran-Mantel-Haenszel chi-square test, stratified by study region (Asia, Eastern Europe, or rest of world) and CDAI score (=\< 300 or \>300).

Adverse events

Collected over Up to Week 8 for all participants (for participants who do not enter the maintenance study, adverse events will be collected up to 20 weeks after the study agent administration). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo IV—15/212 (7.1%)44/212 (20.8%)
Ustekinumab 130 Milligram (mg)—10/216 (4.6%)40/216 (18.5%)
Ustekinumab Approximately (~) 6 Milligram Per Kilogram (mg/kg)—9/211 (4.3%)44/211 (20.9%)
Most frequent serious events
Showing 10 of 23
Most frequent serious events
EventPlacebo IVUstekinumab 130 Milligram (mg)Ustekinumab Approximately (~) 6 Milligram Per Kilogram (mg/kg)
Crohn's DiseaseGastrointestinal disorders5/2125/2162/211
Anal AbscessInfections and infestations3/2122/2160/211
Small Intestinal ObstructionGastrointestinal disorders1/2121/2162/211
ColitisGastrointestinal disorders0/2120/2161/211
Chest PainGeneral disorders0/2120/2161/211
GastroenteritisInfections and infestations0/2120/2161/211
Pneumothorax SpontaneousRespiratory, thoracic and mediastinal disorders0/2121/2161/211
Pulmonary GranulomaRespiratory, thoracic and mediastinal disorders0/2120/2161/211
AnaemiaBlood and lymphatic system disorders1/2121/2160/211
PancytopeniaBlood and lymphatic system disorders1/2120/2160/211
Most frequent other events
Most frequent other events
EventPlacebo IVUstekinumab 130 Milligram (mg)Ustekinumab Approximately (~) 6 Milligram Per Kilogram (mg/kg)
HeadacheNervous system disorders14/21220/21610/211
NasopharyngitisInfections and infestations10/21210/21614/211
NauseaGastrointestinal disorders5/2127/21611/211
PyrexiaGeneral disorders10/2126/21611/211
Upper Respiratory Tract InfectionInfections and infestations11/2124/2167/211

Baseline characteristics

Age, Continuous
Age, Continuous(years)Placebo IVUstekinumab 130 Milligram (mg)Ustekinumab Approximately (~) 6 Milligram Per Kilogram (mg/kg)Total
Mean40.1 ± 13.0939.2 ± 13.7438.8 ± 13.6539.4 ± 13.48
Gender
Gender(Participants)Placebo IVUstekinumab 130 Milligram (mg)Ustekinumab Approximately (~) 6 Milligram Per Kilogram (mg/kg)Total
Female113107122342
Male10110691298
Region of Enrollment
Region of Enrollment(participants)Placebo IVUstekinumab 130 Milligram (mg)Ustekinumab Approximately (~) 6 Milligram Per Kilogram (mg/kg)Total
Australia87520
Belgium1124
Bulgaria851124
Brazil2529
Canada14181042
Germany19151347
Spain0101
France32510
United Kingdom88521
Croatia1214
Hungary23201861
Iceland0112
Israel23611
Italy2259
Japan98926
Korea77620
Netherland1124
New Zealand28414
Poland881026
Russia66517
Serbia48315
United States727276220
South Africa1451433
08

Study locations

220 sites
  • Tucson, Arizona, United States
  • Little Rock, Arkansas, United States
  • La Jolla, California, United States
  • Los Angeles, California, United States
  • San Diego, California, United States
  • Santa Monica, California, United States
  • Torrance, California, United States
  • Lone Tree, Colorado, United States
  • Boca Raton, Florida, United States
  • Gainesville, Florida, United States
  • Jacksonville, Florida, United States
  • Largo, Florida, United States
  • Miami, Florida, United States
  • Naples, Florida, United States
  • Port Orange, Florida, United States
  • Winter Park, Florida, United States
  • Athens, Georgia, United States
  • Atlanta, Georgia, United States
  • Decatur, Georgia, United States
  • Macon, Georgia, United States
  • Idaho Falls, Idaho, United States
  • Chicago, Illinois, United States
  • Clive, Iowa, United States
  • Pratt, Kansas, United States
  • Topeka, Kansas, United States
  • Crestview Hills, Kentucky, United States
  • Lexington, Kentucky, United States
  • Louisville, Kentucky, United States
  • Baton Rouge, Louisiana, United States
  • Houma, Louisiana, United States
  • New Orleans, Louisiana, United States
  • Chevy Chase, Maryland, United States
  • Columbia, Maryland, United States
  • Towson, Maryland, United States
  • Boston, Massachusetts, United States
  • Worcester, Massachusetts, United States
  • Ann Arbor, Michigan, United States
  • Chesterfield, Michigan, United States
  • Novi, Michigan, United States
  • Troy, Michigan, United States
  • Ypsilanti, Michigan, United States
  • Rochester, Minnesota, United States
  • Jackson, Mississippi, United States
  • Ocean Springs, Mississippi, United States
  • Columbia, Missouri, United States
  • Kansas City, Missouri, United States
  • Lees Summit, Missouri, United States
  • Urbana, Missouri, United States
  • Las Vegas, Nevada, United States
  • Egg Harbor, New Jersey, United States
  • Marlton, New Jersey, United States
  • Morristown, New Jersey, United States
  • Great Neck, New York, United States
  • New York, New York, United States
  • Poughkeepsie, New York, United States
  • Chapel Hill, North Carolina, United States
  • Charlotte, North Carolina, United States
  • Raleigh, North Carolina, United States
  • Beavercreek, Ohio, United States
  • Cincinnati, Ohio, United States
  • Columbus, Ohio, United States
  • Mentor, Ohio, United States
  • Norman, Oklahoma, United States
  • Oklahoma City, Oklahoma, United States
  • Tulsa, Oklahoma, United States
  • Bend, Oregon, United States
  • Portland, Oregon, United States
  • Malvern, Pennsylvania, United States
  • Philadelphia, Pennsylvania, United States
  • Columbia, South Carolina, United States
  • North Charleston, South Carolina, United States
  • Germantown, Tennessee, United States
  • Nashville, Tennessee, United States
  • Austin, Texas, United States
  • Grapevine, Texas, United States
  • Houston, Texas, United States
  • Tyler, Texas, United States
  • Salt Lake City, Utah, United States
  • Charlottesville, Virginia, United States
  • Chesapeake, Virginia, United States
  • Virginia Beach, Virginia, United States
  • Bellevue, Washington, United States
  • Seattle, Washington, United States
  • Madison, Wisconsin, United States
  • Adelaide, Australia
  • Cairns, Australia
  • Central Queensland M C, Australia
  • Concord, Australia
  • Fremantle, Australia
  • Garran, Australia
  • Liverpool, Australia
  • Malvern, Australia
  • Parkville, Australia
  • Brussels, Belgium
  • Leuven, Belgium
  • Goiânia, Brazil
  • Porto Alegre, Brazil
  • Rio de Janeiro, Brazil
  • São Paulo, Brazil
  • Pleven, Bulgaria

Showing the first 100 of 220 sites across 22 countries.

09

References and documents

Publications

  • Ye BD, Sugimoto K, Cheon JH, Gasink C, Imai Y, Wahking B, Zhuo J, Kawamura S, Hibi T. Efficacy and safety of ustekinumab in Asian patients with moderately to severely active Crohn's disease: a small subpopulation analysis of UNITI/IM-UNITI long-term extension through 5 years. Intest Res. 2026 Jul 10. doi: 10.5217/ir.2025.00285. Online ahead of print. PubMed 42427284 ↗
  • Ghosh S, Feagan BG, Ott E, Gasink C, Godwin B, Marano C, Miao Y, Ma T, Loftus EV Jr, Sandborn WJ, Danese S, Abreu MT, Sands BE. Safety of Ustekinumab in Inflammatory Bowel Disease: Pooled Safety Analysis Through 5 Years in Crohn's Disease and 4 Years in Ulcerative Colitis. J Crohns Colitis. 2024 Aug 6;18(7):1091-1101. doi: 10.1093/ecco-jcc/jjae013. PubMed 38310565 ↗
  • Colombel JF, Sands BE, Gasink C, Yeager B, Adedokun OJ, Izanec J, Ma T, Gao LL, Lee SD, Targan SR, Ghosh S, Hanauer SB, Sandborn WJ. Evolution of Symptoms After Ustekinumab Induction Therapy in Patients With Crohn's Disease. Clin Gastroenterol Hepatol. 2024 Jan;22(1):144-153.e2. doi: 10.1016/j.cgh.2023.06.014. Epub 2023 Jun 28. PubMed 37391056 ↗
  • Dubinsky M, Ma C, Griffith J, Crowell M, Neimark E, Kligys K, O'Connell T. Matching-Adjusted Indirect Comparison Between Risankizumab and Ustekinumab for Induction and Maintenance Treatment of Moderately to Severely Active Crohn's Disease. Adv Ther. 2023 Sep;40(9):3896-3911. doi: 10.1007/s12325-023-02546-6. Epub 2023 Jun 27. PubMed 37368103 ↗
  • Adedokun OJ, Xu Z, Gasink C, Kowalski K, Sandborn WJ, Feagan B. Population Pharmacokinetics and Exposure-Response Analyses of Ustekinumab in Patients With Moderately to Severely Active Crohn's Disease. Clin Ther. 2022 Oct;44(10):1336-1355. doi: 10.1016/j.clinthera.2022.08.010. Epub 2022 Sep 21. PubMed 36150926 ↗
  • Narula N, Aruljothy A, Wong ECL, Homenauth R, Alshahrani AA, Marshall JK, Reinisch W. The impact of ustekinumab on extraintestinal manifestations of Crohn's disease: A post hoc analysis of the UNITI studies. United European Gastroenterol J. 2021 Jun;9(5):581-589. doi: 10.1002/ueg2.12094. Epub 2021 Jun 2. PubMed 34077627 ↗
  • Sandborn WJ, Feagan BG, Danese S, O'Brien CD, Ott E, Marano C, Baker T, Zhou Y, Volger S, Tikhonov I, Gasink C, Sands BE, Ghosh S. Safety of Ustekinumab in Inflammatory Bowel Disease: Pooled Safety Analysis of Results from Phase 2/3 Studies. Inflamm Bowel Dis. 2021 Jun 15;27(7):994-1007. doi: 10.1093/ibd/izaa236. PubMed 32964215 ↗
  • Li K, Friedman JR, Chan D, Pollack P, Yang F, Jacobstein D, Brodmerkel C, Gasink C, Feagan BG, Sandborn WJ, Rutgeerts P, De Hertogh G. Effects of Ustekinumab on Histologic Disease Activity in Patients With Crohn's Disease. Gastroenterology. 2019 Oct;157(4):1019-1031.e7. doi: 10.1053/j.gastro.2019.06.037. Epub 2019 Jul 4. PubMed 31279870 ↗
  • Ghosh S, Gensler LS, Yang Z, Gasink C, Chakravarty SD, Farahi K, Ramachandran P, Ott E, Strober BE. Ustekinumab Safety in Psoriasis, Psoriatic Arthritis, and Crohn's Disease: An Integrated Analysis of Phase II/III Clinical Development Programs. Drug Saf. 2019 Jun;42(6):751-768. doi: 10.1007/s40264-019-00797-3. PubMed 30739254 ↗
  • Rutgeerts P, Gasink C, Chan D, Lang Y, Pollack P, Colombel JF, Wolf DC, Jacobstein D, Johanns J, Szapary P, Adedokun OJ, Feagan BG, Sandborn WJ. Efficacy of Ustekinumab for Inducing Endoscopic Healing in Patients With Crohn's Disease. Gastroenterology. 2018 Oct;155(4):1045-1058. doi: 10.1053/j.gastro.2018.06.035. Epub 2018 Aug 29. PubMed 29909019 ↗
  • Adedokun OJ, Xu Z, Gasink C, Jacobstein D, Szapary P, Johanns J, Gao LL, Davis HM, Hanauer SB, Feagan BG, Ghosh S, Sandborn WJ. Pharmacokinetics and Exposure Response Relationships of Ustekinumab in Patients With Crohn's Disease. Gastroenterology. 2018 May;154(6):1660-1671. doi: 10.1053/j.gastro.2018.01.043. Epub 2018 Feb 1. PubMed 29409871 ↗
  • Hibi T, Imai Y, Murata Y, Matsushima N, Zheng R, Gasink C. Efficacy and safety of ustekinumab in Japanese patients with moderately to severely active Crohn's disease: a subpopulation analysis of phase 3 induction and maintenance studies. Intest Res. 2017 Oct;15(4):475-486. doi: 10.5217/ir.2017.15.4.475. Epub 2017 Oct 23. PubMed 29142515 ↗
  • Feagan BG, Sandborn WJ, Gasink C, Jacobstein D, Lang Y, Friedman JR, Blank MA, Johanns J, Gao LL, Miao Y, Adedokun OJ, Sands BE, Hanauer SB, Vermeire S, Targan S, Ghosh S, de Villiers WJ, Colombel JF, Tulassay Z, Seidler U, Salzberg BA, Desreumaux P, Lee SD, Loftus EV Jr, Dieleman LA, Katz S, Rutgeerts P; UNITI-IM-UNITI Study Group. Ustekinumab as Induction and Maintenance Therapy for Crohn's Disease. N Engl J Med. 2016 Nov 17;375(20):1946-1960. doi: 10.1056/NEJMoa1602773. PubMed 27959607 ↗
10

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Jul 2011, a primary completion of Aug 2014 and a completion of Oct 2014. It does not say whether these dates are actual or estimated.

Results were first posted in Jan 2017, 2 years 5 months after primary completion. A results delay was requested in Jul 2015.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 7, 2011
First posted
Jun 8, 2011
Start
Jul 2011
Primary completionActual
Aug 2014
CompletionActual
Oct 2014
Results delay requested
Jul 2, 2015
Results first posted
Jan 6, 2017
Last update
Jan 6, 2017
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 6, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01369342
Responsible party
Sponsor
First posted
Jun 8, 2011
Start date
Jul 2011
Primary completion
Aug 2014
Completion
Oct 2014
Results posted
Jan 6, 2017
Last update
Jan 6, 2017

Study contacts

Janssen Research & Development, LLC Clinical Trial
study director · Janssen Research & Development, LLC

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2016. You cannot join it, but the record below documents what was studied.

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