ClinicalTrials.gg
RecruitingNCT04372108Updated Nov 3, 2026

A Study to Assess the Long-Term Safety of Ustekinumab Versus Other Biologics in Patients With Crohn's Disease and Ulcerative Colitis

An observational study in Crohn Disease and Colitis, Ulcerative, sponsored by Janssen Scientific Affairs, LLC. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-03.

Sponsored by Janssen Scientific Affairs, LLC (part of Johnson & Johnson) · Observational

From the registry’s dates

  • Started Jun 2021; still recruiting 5 years 4 months later.
Updated Oct 22, 2026Eligibility revisedPrimary outcomes revisedGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Other
Enrollment
1,536
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to estimate and compare the incidence of overall malignancy, serious infection, and opportunistic infections between new users of ustekinumab and new users of other biologic therapies among adult participants with Crohn's disease (CD) or ulcerative colitis (UC).

02

Conditions studied

  • Crohn Disease
  • Colitis, Ulcerative
03

In context

Crohn Disease

1,992 studies on the registry are indexed under Crohn Disease; 478 are open to participants now.

This study's planned enrollment of 1,536 is above the median of 185 across 645 observational studies indexed under Crohn Disease.

Browse Crohn Disease studies →

Lead sponsor

Janssen Scientific Affairs, LLC is the lead sponsor of 41 studies on the registry; 2 are open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 4 (57%) have results posted.

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

04

Who can participate

The criteria were revised on the registry on Oct 22, 2026. See what changed

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

The study population will include participants with Crohn's Disease (CD) or Ulcerative Colitis (UC) who are new users of ustekinumab and new users of the comparator drugs which will be identified from the Department of Defense (DoD) Electronic Health Records (EHR) database.

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

  • Adult men and women with CD or UC who are new users of ustekinumab or the comparator drugs during the study period
  • Participants must have at least 1 year of enrollment history with the DoD EHR database immediately prior to new use (that is, exposure index date) of ustekinumab or the comparator drugs. Gaps in enrollment of ≤30 days will be considered continuous enrollment

Exclusion criteria

Exclusion Criteria:

  • Participants below 18 years of age on the exposure index date
  • Participants who do not meet the definition for CD or UC prior to or on the exposure index date
  • Participants with any records of (HIV) diagnosis, organ or tissue transplant, or (excluding non-melanoma skin cancer [NMSC]) at any time prior to or on the exposure index date
  • Participants with a physician diagnosis of rheumatoid arthritis, ankylosing spondylitis, or psoriatic arthritis within 12 months prior to or on the exposure index date
  • In the analysis of infection outcomes, participants diagnosed with the same infection of interest both within 60 days prior to or on the exposure index date and within 60 days after the exposure index date will be excluded
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Observational model
Cohort
Time perspective
Other
Enrollment
1,536 participants (estimated)
Patient registry
No

Groups and cohorts

  • Ustekinumab New User Cohort

    Participants with crohn's disease (CD) or ulcerative colitis (UC) with no prior exposure to ustekinumab, at least 1 year of enrollment records immediately prior to the new use will be required. The information will be sourced from the Department of Defense (DoD) Electronic Health Records (EHR) database in the United States (US).

    Drug: Ustekinumab

  • Other Biologics Comparator Cohort

    Participants with CD or UC with no prior exposure to the individual drugs (for example, infliximab, adalimumab, or vedolizumab) in question, at least 1 year of enrollment records immediately prior to the new use of the comparator biologic will be required. The information will be sourced from the Department of Defense (DoD) Electronic Health Records (EHR) database in the United States (US).

    Drug: Other Biologic Therapies

Interventions

  • Participants who are new users of ustekunumab will be included in the cohort. No study treatment will be administered as a part of this study.

  • DrugOther Biologic Therapies

    Participants who are new users of other biologic therapies (for examples for example, infliximab, adalimumab, or vedolizumab administered as per the prescription record) will be included in this cohort. No study treatment will be administered as a part of this study.

06

What researchers measure

Primary outcomes

  1. Incidence Rate for Malignancy

    The incidence rates for malignancy (including Non-melanoma skin cancer \[NMSC\]) will be estimated as the number of incident cases (that is, counts of unique participants) divided by the total at-risk time.

    Time frame: Up to 10 years and 3 months

  2. Time from Treatment Initiation to First Diagnosed Malignancy

    Time from treatment initiation to first diagnosed malignancy, including NMSC, while participant is alive will be reported.

    Time frame: Up to 10 years and 3 months

Secondary outcomes

  1. Opportunistic Infection (OI)

    The OI will be estimated as the number of incident cases (that is counts of unique participants) divided by the total at-risk time.

    Time frame: Up to 10 years and 3 months

  2. Serious Infection

    The serious infections will be estimated as the number of incident cases (that is counts of unique participants) divided by the total at-risk time.

    Time frame: Up to 10 years and 3 months

  3. Time from Treatment Initiation to First Infection

    Time from treatment initiation to first infection, while participant is alive will be reported.

    Time frame: Up to 10 years and 3 months

07

Study locations

1 of 1 sites recruiting
  • BAMC
    Houston, Texas 78234, United States
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — The data sharing policy of Johnson \& Johnson Innovative Medicine is available at www.jnj.com/innovativemedicine/our-innovation/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu.

Data sharing details ↗ · www.jnj.com

No publications or documents are linked to this record.

09

Updates

2 registry updates since Sep 25, 2026
Eligibility
1 inclusion criterion edited
What changed in the criteria
Inclusion criteria
  • EditedParticipants must have at least 1 year of enrollment history with the DoD EHR database immediately prior to new use (that is, exposure index date) of ustekinumab or the comparator drugs. Gaps in enrollment of ≤30 days will be considered continuous enrollment
Oct 22, 2026
Primary outcomes
1 added
What changed in the outcomes
  • AddedTime from Treatment Initiation to First Diagnosed MalignancyTime frame: Up to 10 years and 3 months
Oct 22, 2026
Secondary outcomes
1 added
What changed in the outcomes
  • AddedTime from Treatment Initiation to First InfectionTime frame: Up to 10 years and 3 months
Oct 22, 2026
Show all 2 updates
  1. Nov 3, 2026
    Minor edits only
    + 1 other change: verification date
  2. Oct 22, 2026
    Eligibility 1 inclusion criterion edited
    What changed in the criteria
    Inclusion criteria
    • EditedParticipants must have at least 1 year of enrollment history with the DoD EHR database immediately prior to new use (that is, exposure index date) of ustekinumab or the comparator drugs. Gaps in enrollment of ≤30 days will be considered continuous enrollment
    Primary outcomes 1 added
    What changed in the outcomes
    • AddedTime from Treatment Initiation to First Diagnosed MalignancyTime frame: Up to 10 years and 3 months
    Secondary outcomes 1 added
    What changed in the outcomes
    • AddedTime from Treatment Initiation to First InfectionTime frame: Up to 10 years and 3 months
    + 3 other changes: identifiers, verification date and data sharing statement

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT04372108
Responsible party
Sponsor
First posted
May 1, 2020
Start date
Jun 24, 2021
Primary completion
Aug 31, 2029 (estimated)
Completion
Aug 30, 2030 (estimated)
Last update
Nov 3, 2026

Study contacts

Study Contact
Contact
Participate-In-This-Study1@its.jnj.com
844-434-4210
Janssen Scientific Affairs, LLC Clinical Trial
study director · Janssen Scientific Affairs, LLC

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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