A Phase 2 interventional study of Guselkumab Dose 1 and Guselkumab Dose 2 in Colitis, Ulcerative, sponsored by Janssen Research & Development, LLC. Completed at 82 sites in 9 countries. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2023-12-12.
Sponsored by Janssen Research & Development, LLC (part of Johnson & Johnson) · Phase 2, Interventional, and Treatment
The purpose of this study is to evaluate the clinical efficacy and safety of combination therapy with guselkumab and golimumab in participants with moderately to severely active ulcerative colitis (UC).
1,530 studies on the registry are indexed under Colitis, Ulcerative; 407 are open to participants now.
This study's enrollment of 214 is above the median of 70 across 1,069 interventional studies indexed under Colitis, Ulcerative.
Browse Colitis, Ulcerative studies →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.
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Participants will receive guselkumab Dose 1 as intravenous (IV) infusion and Dose 2 as subcutaneous (SC) injection; and golimumab Dose 1 and Dose 2 as SC injection and placebo to maintain the blind.
Drug: Guselkumab Dose 1 · Drug: Guselkumab Dose 2 · Drug: Golimumab Dose 1 · Drug: Golimumab Dose 2 · Drug: Placebo
Participants will receive guselkumab Dose 1 as IV infusion, Dose 2 as SC injection and placebo to maintain the blind.
Drug: Guselkumab Dose 1 · Drug: Guselkumab Dose 2 · Drug: Placebo
Participants will receive golimumab Dose 1 and Dose 2 as SC injection and placebo to maintain the blind.
Drug: Golimumab Dose 1 · Drug: Golimumab Dose 2 · Drug: Placebo
Guselkumab Dose 1 will be administered as IV infusion.
Guselkumab Dose 2 will be administered as SC injection.
Golimumab Dose 1 will be administered as SC injection.
Golimumab Dose 2 will be administered as SC injection.
Placebo will be administered.
Combination Phase: Percentage of Participants Who Achieved Clinical Response at Week 12
Clinical response was defined as a decrease from baseline in the Mayo score greater than or equal to (\>=) 30 percent (%) and \>=3 points with either a decrease from baseline in the rectal bleeding subscore (RBS) \>=1 or a RBS of 0 or 1. The Mayo score was calculated as the sum of 4 subscores (stool frequency, rectal bleeding, physician's global assessment, and endoscopy findings - each with score range of 0 (normal activity) to 3 (severe activity) and a total score range of 0 to 12 points. A score of 3 to 5 points indicates mildly active disease, a score of 6 to 10 points indicates moderately active disease, and a score of 11 to 12 points indicates severely active disease. Higher scores indicate more severity. This outcome measure was analyzed for combination phase only as preplanned in the protocol.
Time frame: Week 12
Combination Phase: Percentage of Participants Who Achieved Clinical Remission at Week 12
Clinical remission was defined as the Mayo score less than or equal to (\<=) 2 with no individual subscore greater than (\>) 1. The Mayo score was calculated as the sum of 4 subscores (stool frequency, rectal bleeding, physician's global assessment, and endoscopy findings) each with score range of 0 (normal activity) to 3 (severe activity) and a total score range of 0 to 12 points. A score of 3 to 5 points indicates mildly active disease, a score of 6 to 10 points indicates moderately active disease, and a score of 11 to 12 points indicates severely active disease. Higher scores indicate more severity. This outcome measure was analyzed for combination phase only as preplanned in the protocol.
Time frame: Week 12
| Milestone | Combination Phase: Golimumab Monotherapy | Combination Phase: Guselkumab Monotherapy | Combination Phase: Combination Therapy | Monotherapy Phase: Golimumab Monotherapy | Monotherapy Phase: Guselkumab Monotherapy | Monotherapy Phase: Combination Therapy | Safety Follow-up: Golimumab Monotherapy | Safety Follow-up: Guselkumab Monotherapy | Safety Follow-up: Combination Therapy |
|---|---|---|---|---|---|---|---|---|---|
| Started | 72 | 71 | 71 | 0 | 0 | 0 | 0 | 0 | 0 |
| Completed | 67 | 70 | 71 | 0 | 0 | 0 | 0 | 0 | 0 |
| Not completed | 5 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Withdrew: Withdrawal by subject | 3 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Withdrew: Adverse event | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Withdrew: Other | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Withdrew: Covid-19 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Milestone | Combination Phase: Golimumab Monotherapy | Combination Phase: Guselkumab Monotherapy | Combination Phase: Combination Therapy | Monotherapy Phase: Golimumab Monotherapy | Monotherapy Phase: Guselkumab Monotherapy | Monotherapy Phase: Combination Therapy | Safety Follow-up: Golimumab Monotherapy | Safety Follow-up: Guselkumab Monotherapy | Safety Follow-up: Combination Therapy |
|---|---|---|---|---|---|---|---|---|---|
| Started | 0 | 0 | 0 | 67 | 70 | 71 | 0 | 0 | 0 |
| Completed | 0 | 0 | 0 | 62 | 67 | 65 | 0 | 0 | 0 |
| Not completed | 0 | 0 | 0 | 5 | 3 | 6 | 0 | 0 | 0 |
| Withdrew: Death | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 |
| Withdrew: Lost to follow-up | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 |
| Withdrew: Withdrawal by subject | 0 | 0 | 0 | 4 | 1 | 1 | 0 | 0 | 0 |
| Withdrew: Other | 0 | 0 | 0 | 0 | 1 | 2 | 0 | 0 | 0 |
| Withdrew: Adverse event | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 0 | 0 |
| Milestone | Combination Phase: Golimumab Monotherapy | Combination Phase: Guselkumab Monotherapy | Combination Phase: Combination Therapy | Monotherapy Phase: Golimumab Monotherapy | Monotherapy Phase: Guselkumab Monotherapy | Monotherapy Phase: Combination Therapy | Safety Follow-up: Golimumab Monotherapy | Safety Follow-up: Guselkumab Monotherapy | Safety Follow-up: Combination Therapy |
|---|---|---|---|---|---|---|---|---|---|
| Started | 0 | 0 | 0 | 0 | 0 | 0 | 58 | 65 | 60 |
| Completed | 0 | 0 | 0 | 0 | 0 | 0 | 55 | 58 | 55 |
| Not completed | 0 | 0 | 0 | 0 | 0 | 0 | 3 | 7 | 5 |
| Withdrew: Death | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 |
| Withdrew: Lost to follow-up | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 |
| Withdrew: Withdrawal by subject | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 2 |
| Withdrew: Other | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 6 | 2 |
Clinical response was defined as a decrease from baseline in the Mayo score greater than or equal to (\>=) 30 percent (%) and \>=3 points with either a decrease from baseline in the rectal bleeding subscore (RBS) \>=1 or a RBS of 0 or 1. The Mayo score was calculated as the sum of 4 subscores (stool frequency, rectal bleeding, physician's global assessment, and endoscopy findings - each with score range of 0 (normal activity) to 3 (severe activity) and a total score range of 0 to 12 points. A score of 3 to 5 points indicates mildly active disease, a score of 6 to 10 points indicates moderately active disease, and a score of 11 to 12 points indicates severely active disease. Higher scores indicate more severity. This outcome measure was analyzed for combination phase only as preplanned in the protocol.
| Percentage of participants | Combination Phase: Golimumab Monotherapy | Combination Phase: Guselkumab Monotherapy | Combination Phase: Combination Therapy |
|---|---|---|---|
| Combination Phase: Percentage of Participants Who Achieved Clinical Response at Week 12 | 61.1 | 74.6 | 83.1 |
Clinical remission was defined as the Mayo score less than or equal to (\<=) 2 with no individual subscore greater than (\>) 1. The Mayo score was calculated as the sum of 4 subscores (stool frequency, rectal bleeding, physician's global assessment, and endoscopy findings) each with score range of 0 (normal activity) to 3 (severe activity) and a total score range of 0 to 12 points. A score of 3 to 5 points indicates mildly active disease, a score of 6 to 10 points indicates moderately active disease, and a score of 11 to 12 points indicates severely active disease. Higher scores indicate more severity. This outcome measure was analyzed for combination phase only as preplanned in the protocol.
| Percentage of participants | Combination Phase: Golimumab Monotherapy | Combination Phase: Guselkumab Monotherapy | Combination Phase: Combination Therapy |
|---|---|---|---|
| Combination Phase: Percentage of Participants Who Achieved Clinical Remission at Week 12 | 22.2 | 21.1 | 36.6 |
Collected over Up to Week 50. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Combination Phase: Golimumab Monotherapy | 0/72 (0%) | 1/72 (1.4%) | 19/72 (26.4%) |
| Combination Phase: Guselkumab Monotherapy | 0/71 (0%) | 2/71 (2.8%) | 16/71 (22.5%) |
| Combination Phase: Combination Therapy | 0/71 (0%) | 1/71 (1.4%) | 14/71 (19.7%) |
| Monotherapy Phase: Golimumab Monotherapy | 0/67 (0%) | 3/67 (4.5%) | 12/67 (17.9%) |
| Monotherapy Phase: Guselkumab Monotherapy | 0/70 (0%) | 1/70 (1.4%) | 16/70 (22.9%) |
| Monotherapy Phase: Combination Therapy | 1/71 (1.4%) | 3/71 (4.2%) | 14/71 (19.7%) |
| Safety Follow-up: Golimumab Monotherapy | 0/58 (0%) | 0/58 (0%) | 3/58 (5.2%) |
| Safety Follow-up: Guselkumab Monotherapy | 1/65 (1.5%) | 2/65 (3.1%) | 2/65 (3.1%) |
| Safety Follow-up: Combination Therapy | 0/60 (0%) | 0/60 (0%) | 0/60 (0%) |
| Event | Combination Phase: Golimumab Monotherapy | Combination Phase: Guselkumab Monotherapy | Combination Phase: Combination Therapy | Monotherapy Phase: Golimumab Monotherapy | Monotherapy Phase: Guselkumab Monotherapy | Monotherapy Phase: Combination Therapy | Safety Follow-up: Golimumab Monotherapy | Safety Follow-up: Guselkumab Monotherapy | Safety Follow-up: Combination Therapy |
|---|---|---|---|---|---|---|---|---|---|
| Gastrointestinal HaemorrhageGastrointestinal disorders | 0/72 | 0/71 | 0/71 | 0/67 | 0/70 | 0/71 | 0/58 | 1/65 | 0/60 |
| Covid-19Infections and infestations | 0/72 | 0/71 | 0/71 | 0/67 | 0/70 | 0/71 | 0/58 | 1/65 | 0/60 |
| Adenocarcinoma of ColonNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/72 | 0/71 | 0/71 | 0/67 | 0/70 | 0/71 | 0/58 | 1/65 | 0/60 |
| Chronic SinusitisInfections and infestations | 0/72 | 0/71 | 0/71 | 1/67 | 0/70 | 0/71 | 0/58 | 0/65 | 0/60 |
| Covid-19 PneumoniaInfections and infestations | 0/72 | 0/71 | 0/71 | 1/67 | 0/70 | 0/71 | 0/58 | 0/65 | 0/60 |
| Pulmonary EmbolismRespiratory, thoracic and mediastinal disorders | 0/72 | 0/71 | 0/71 | 1/67 | 0/70 | 1/71 | 0/58 | 0/65 | 0/60 |
| BronchitisInfections and infestations | 0/72 | 0/71 | 0/71 | 0/67 | 1/70 | 0/71 | 0/58 | 0/65 | 0/60 |
| Atrial FibrillationCardiac disorders | 0/72 | 1/71 | 0/71 | 0/67 | 0/70 | 0/71 | 0/58 | 0/65 | 0/60 |
| Small Intestinal ObstructionGastrointestinal disorders | 0/72 | 1/71 | 0/71 | 0/67 | 0/70 | 0/71 | 0/58 | 0/65 | 0/60 |
| InfluenzaInfections and infestations | 0/72 | 0/71 | 1/71 | 0/67 | 0/70 | 0/71 | 0/58 | 0/65 | 0/60 |
| Event | Combination Phase: Golimumab Monotherapy | Combination Phase: Guselkumab Monotherapy | Combination Phase: Combination Therapy | Monotherapy Phase: Golimumab Monotherapy | Monotherapy Phase: Guselkumab Monotherapy | Monotherapy Phase: Combination Therapy | Safety Follow-up: Golimumab Monotherapy | Safety Follow-up: Guselkumab Monotherapy | Safety Follow-up: Combination Therapy |
|---|---|---|---|---|---|---|---|---|---|
| Colitis UlcerativeGastrointestinal disorders | 8/72 | 1/71 | 4/71 | 5/67 | 4/70 | 6/71 | 3/58 | 1/65 | 0/60 |
| AnaemiaBlood and lymphatic system disorders | 5/72 | 6/71 | 4/71 | 2/67 | 6/70 | 0/71 | 0/58 | 1/65 | 0/60 |
| Upper Respiratory Tract InfectionInfections and infestations | 4/72 | 5/71 | 1/71 | 2/67 | 2/70 | 6/71 | 0/58 | 0/65 | 0/60 |
| HeadacheNervous system disorders | 2/72 | 3/71 | 4/71 | 2/67 | 5/70 | 3/71 | 0/58 | 0/65 | 0/60 |
| NeutropeniaBlood and lymphatic system disorders | 2/72 | 4/71 | 2/71 | 1/67 | 2/70 | 2/71 | 0/58 | 0/65 | 0/60 |
| Age, Categorical(Participants) | Golimumab Monotherapy | Guselkumab Monotherapy | Combination Therapy | Total |
|---|---|---|---|---|
| <=18 years | 0 | 0 | 0 | 0 |
| Between 18 and 65 years | 72 | 70 | 71 | 213 |
| >=65 years | 0 | 1 | 0 | 1 |
| Age, Continuous(years) | Golimumab Monotherapy | Guselkumab Monotherapy | Combination Therapy | Total |
|---|---|---|---|---|
| Mean | 38.1 ± 10.47 | 39.1 ± 13.67 | 37.8 ± 11.69 | 38.4 ± 11.96 |
| Sex: Female, Male(Participants) | Golimumab Monotherapy | Guselkumab Monotherapy | Combination Therapy | Total |
|---|---|---|---|---|
| Female | 30 | 31 | 37 | 98 |
| Male | 42 | 40 | 34 | 116 |
| Ethnicity (NIH/OMB)(Participants) | Golimumab Monotherapy | Guselkumab Monotherapy | Combination Therapy | Total |
|---|---|---|---|---|
| Hispanic or Latino | 4 | 6 | 5 | 15 |
| Not Hispanic or Latino | 68 | 65 | 66 | 199 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | Golimumab Monotherapy | Guselkumab Monotherapy | Combination Therapy | Total |
|---|---|---|---|---|
| American Indian or Alaska Native | 2 | 0 | 0 | 2 |
| Asian | 0 | 0 | 0 | 0 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 |
| Black or African American | 3 | 0 | 1 | 4 |
| White | 67 | 71 | 70 | 208 |
| More than one race | 0 | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 |
| Region of Enrollment(Participants) | Golimumab Monotherapy | Guselkumab Monotherapy | Combination Therapy | Total |
|---|---|---|---|---|
| ARGENTINA | 0 | 1 | 3 | 4 |
| AUSTRALIA | 2 | 1 | 1 | 4 |
| BRAZIL | 2 | 3 | 4 | 9 |
| GERMANY | 0 | 1 | 1 | 2 |
| MEXICO | 2 | 2 | 0 | 4 |
| POLAND | 15 | 11 | 14 | 40 |
| RUSSIAN FEDERATION | 19 | 22 | 30 | 71 |
| UKRAINE | 27 | 25 | 16 | 68 |
| UNITED STATES | 5 | 5 | 2 | 12 |
Documents are hosted by the registry — open the source record to download them.
Ran from Nov 2018 to primary completion in Dec 2020, 24 months.
Results were first posted in Dec 2023, 3 years after primary completion. A results delay was requested in Nov 2021.
Of 104 industry-sponsored phase 2 interventional studies under Colitis, Ulcerative, half reached primary completion within 27 months of starting (the median), counting those still running; a quarter within 21 and three quarters within 35. This study's 24 months is below that.
Counting every sponsor, half of 142 studies reached it within 28 months; a quarter within 23 and three quarters within 42.
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This study is completed, as verified in Nov 2023. You cannot join it, but the record below documents what was studied.
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Studies of the drug tested here: Guselkumab
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