CClinicalTrials.gg
Active, not recruitingNCT06408935REASONUpdated Sep 25, 2026

Transmural Healing and Disease-Modifying Effect of Guselkumab in Crohn's Disease Patients

A Phase 3 interventional study of Guselkumab in Crohn's Disease, sponsored by Janssen-Cilag Ltd.. Active, not recruiting at 84 sites in 14 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-25.

Sponsored by Janssen-Cilag Ltd. · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
120
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate the efficacy of guselkumab in healing of all layers of the digestive tract (transmural healing) with the help of a score called Magnetic Resonance Index of Activity (MaRIA) based on a scan at Week 48.

02

Conditions studied

  • Crohn's Disease

Browse trials for

03

In context

Crohn Disease

1,880 studies on the registry are indexed under Crohn Disease; 462 are open to participants now.

This study's enrollment of 120 is above the median of 66 across 1,188 interventional studies indexed under Crohn Disease.

Browse Crohn Disease studies →

Lead sponsor

Janssen-Cilag Ltd. is the lead sponsor of 35 studies on the registry; 4 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Has luminal Crohn's disease (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
  • Has clinically active CD, defined as a baseline CD activity index (CDAI) score greater than or equal to (>=)220 but \<=450 and either: a. Mean daily stool frequency (SF) count >=4, based on the unweighted CDAI component of the number of liquid or very soft stools or b. Mean daily AP score >=2, based on the unweighted CDAI component of abdominal pain (AP)
  • Active transmural activity in at least one segment (segmental magnetic resonance index of activity [MaRIA] >= 11)
  • a. Has demonstrated inadequate response/intolerance to conventional therapy; b. Has previously demonstrated lack of initial response (that is, primary non-responders), responded initially but then lost response with continued therapy (that is, secondary non-responders), or was intolerant to a maximum of 1 class of advanced therapies at a dose approved for the treatment of Crohn's disease (that is, janus kinase [JAK] inhibitors, infliximab, adalimumab, certolizumab pegol, vedolizumab, ustekinumab, or approved biosimilars for these agents)

Exclusion criteria

Exclusion Criteria:

  • Has complications of Crohn's disease, such as symptomatic strictures or stenoses (unless less than [\<]3 centimeter (cm) dilatation and not symptomatic or displaying associated fistula/fistulae and/or or abscess), fibrotic stenosis, internal fistulas, short gut syndrome, or any other manifestation, that might be anticipated to require surgery, could preclude the use of the CDAI to assess response to therapy, or would possibly confound the ability to assess the effect of treatment with guselkumab
  • Currently has or is suspected to have an abscess. Recent cutaneous and perianal abscesses are not exclusionary if drained and adequately treated at least 3 weeks before baseline, or 8 weeks before baseline for intra-abdominal abscesses, provided that there is no anticipated need for any further surgery. Participants with active perianal fistulas may be included if there are no associated stenoses, no anticipated surgery and no abscesses currently identified
  • Has had any kind of bowel resection within 6 months, or any other intra-abdominal or other major surgery within 12 weeks before baseline
  • Has a draining (that is, functioning) stoma or ostomy
  • Has a stool culture or other examination positive for an enteric pathogen, including Clostridioides difficile (formerly known as Clostridium difficile) toxin, in the previous 4 months, unless a repeat examination is negative and there are no signs of ongoing infection with that pathogen
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
120 participants (actual)

Study arms

  • Experimental
    Guselkumab

    Participants will receive guselkumab 200 milligram (mg) intravenously (IV) at week 0, 4 and 8. Afterwards, participants will be alternately assigned at study level to 2 dose cohorts, high dose (200 mg subcutaneous (SC) every 4 weeks (Q4W) starting at week 12) through week 92 or low dose (100 mg SC every 8 weeks (Q8W) starting at week 16) through week 88. Starting at Week 24, participants in the low-dose cohort will be permitted to escalate to the 200 mg SC Q4W regimen if they are symptomatic and at the discretion of the investigator.

    Drug: Guselkumab

Interventions

  • DrugGuselkumab

    Guselkumab will be administered IV and SC.

    Also known as: CNTO1959; TREMFYA

06

What researchers measure

Primary outcomes

  1. Percentage of Participants Achieving a Magnetic Resonance Index of Activity (MaRIA) Less Than (<)11 in All Intestinal Segments at Week 48

    Percentage of participants achieving a MaRIA \<11 in all intestinal segments at Week 48 will be reported. The MaRIA scoring system is used to grade severity in Crohn's Disease (CD) by assessing ileocolonic CD activity on contrast-enhanced magnetic resonance imaging (MRI) enterography. Active disease is defined as a MaRIA score greater than or equal to (\>=)7 whereas severe disease is defined as a MaRIA score \>=11.

    Time frame: At Week 48

Secondary outcomes

  1. Percentage of Participants Achieving a MaRIA <11 in All Intestinal Segments at Weeks 16 and 96.

    Percentage of participants achieving a MaRIA \<11 in all intestinal segments at Weeks 16 and 96 will be reported. The MaRIA scoring system is used to grade severity in CD by assessing ileocolonic CD activity on contrast-enhanced MRI enterography. Active disease is defined as a MaRIA score \>=7 whereas severe disease is defined as a MaRIA score \>=11.

    Time frame: At Weeks 16 and 96

  2. Percentage of Participants Achieving a MaRIA <11 and a Reduction of >=5 Points From Baseline in All Segments at Weeks 16, 48, and 96

    Percentage of participants achieving a MaRIA \<11 and a reduction of \>=5 points from baseline in all segments at Weeks 16, 48, and 96 will be reported. The MaRIA scoring system is used to grade severity in CD by assessing ileocolonic Crohn disease activity on contrast-enhanced MRI enterography. Active disease is defined as a MaRIA score \>=7 whereas severe disease is defined as a MaRIA score \>=11.

    Time frame: At Weeks 16, 48, and 96

  3. Percentage of Participants Achieving a MaRIA <11 in All Segments and Endoscopic Remission at Weeks 48 and 96

    Percentage of participants achieving a MaRIA \<11 in all segments and endoscopic remission at Weeks 48 and 96 will be reported. The MaRIA scoring system is used to grade severity in CD by assessing ileocolonic CD activity on contrast-enhanced MRI enterography. Active disease is defined as a MaRIA score \>=7 whereas severe disease is defined as a MaRIA score \>=11. Endoscopic remission is defined as simple endoscopic score for Crohn's Disease (SES-CD) total score \<=4 with at least 2 points reduction from baseline and no sub-score \>1 in any individual component.

    Time frame: At Week 48 and 96

  4. Percentage of Participants Achieving a MaRIA <11 in All Segments and Endoscopic Response at Weeks 48 and 96.

    Percentage of participants achieving a MaRIA \<11 in all segments and endoscopic response at Weeks 48 and 96 will be reported. The MaRIA scoring system is used to grade severity in CD by assessing ileocolonic CD activity on contrast-enhanced MRI enterography. Active disease is defined as a MaRIA score \>=7 whereas severe disease is defined as a MaRIA score \>=11. Endoscopic Response is defined as \>=50% improvement from baseline in simple endoscopic score for Crohn's Disease (SES-CD) total score or SES-CD total score \<=2.

    Time frame: At Weeks 48 and 96

  5. Percentage of Participants Achieving a MaRIA <11 in All Segments, Patient-Reported Outcome-2 (PRO-2) Remission, and No Worsening of Abdominal Pain (AP) or Stool Frequency (SF) From Baseline

    Percentage of participants achieving a MaRIA \<11 in all segments and PRO-2 remission and no worsening of abdominal pain (AP) or stool frequency (SF) from baseline will be reported. The MaRIA scoring system is used to grade severity in CD by assessing ileocolonic CD activity on contrast-enhanced MRI enterography. Active disease is defined as a MaRIA score greater than or equal to (\>=)7 whereas severe disease is defined as a MaRIA score \>=11. PRO-2 remission is defined as defined as AP mean daily score \<=1 and a SF mean daily score \<=3, and no worsening of AP or SF from baseline.

    Time frame: At Weeks 16, 48 and 96

  6. Percentage of Participants Achieving a MaRIA <11 in All Segments and Biomarkers Remission

    Percentage of participants achieving a MaRIA \<11 in all segments and biomarkers remission will be reported. The MaRIA scoring system is used to grade severity in CD by assessing ileocolonic CD activity on contrast-enhanced MRI enterography. Active disease is defined as a MaRIA score \>=7 whereas severe disease is defined as a MaRIA score \>=11. Biomarker remission is defined as CRP \<=3 mg/L and fecal calprotectin (fCal) \<=250 mcg/g.

    Time frame: At Weeks 16, 48 and 96

  7. Percentage of Participants Achieving a MaRIA <11 in All Segments, PRO-2, and Endoscopic Remission

    Percentage of participants achieving a MaRIA \<11 in all segments, PRO-2, and endoscopic remission will be reported. The MaRIA scoring system is used to grade severity in CD by assessing ileocolonic CD activity on contrast-enhanced MRI enterography. The MaRIA scale is based on features that are predictors for active disease; bowel wall thickness, presence of mucosal ulcers, presence of mural edema, measurement of WSI before and after IV contrast administration and RCE of the intestinal wall. Active disease is defined as a MaRIA score greater than or equal to (\>=)7 whereas severe disease is defined as a MaRIA score \>=11. PRO is defined as defined as AP mean daily score \<=1 and a SF ) mean daily score \<=3, and no worsening of AP or SF from baseline. Endoscopic remission is defined as SES-CD total score \<=4 with at least 2 points reduction from baseline and no sub-score \>1 in any individual component.

    Time frame: At Weeks 48 and 96

  8. Percentage of Participants Achieving a MaRIA <7 in All Intestinal Segments at Weeks 16, 48 and 96

    Percentage of participants achieving a MaRIA \<7 in all intestinal segments at Weeks 16, 48 and 96 will be reported. The MaRIA scoring system is used to grade severity in CD by assessing ileocolonic Crohn disease activity on contrast-enhanced MRI enterography. Active disease is defined as a MaRIA score \>=7 whereas severe disease is defined as a MaRIA score \>=11.

    Time frame: At Weeks 16, 48 and 96

  9. Percentage of Participants Achieving a MaRIA <7 in All Segments and Endoscopic Remission at Weeks 48 and 96

    Percentage of participants achieving a MaRIA \<7 in all segments and endoscopic remission at Weeks 48 and 96 will be reported. The MaRIA scoring system is used to grade severity in CD by assessing ileocolonic CD activity on contrast-enhanced MRI enterography. Active disease is defined as a MaRIA score greater than or equal to (\>=)7 whereas severe disease is defined as a MaRIA score \>=11. The MaRIA scoring system is used to grade severity in CD by assessing ileocolonic Crohn disease activity on contrast-enhanced MRI enterography. The MaRIA scale is based on features that are predictors for active disease; bowel wall thickness, presence of mucosal ulcers, presence of mural edema, measurement of WSI before and after IV contrast administration and RCE of the intestinal wall. Active disease is defined as a MaRIA score greater than or equal to (\>=)7 whereas severe disease is defined as a MaRIA score \>=11.

    Time frame: At Weeks 48 and 96

  10. Absolute Value of Global Simple MaRIA Score Through Week 96

    Absolute Value of global simple MaRIA score through Week 96 will be reported. The MaRIA scoring system is used to grade severity in CD by assessing ileocolonic Crohn disease activity on contrast-enhanced MRI enterography. Active disease is defined as a MaRIA score greater than or equal to (\>=)7 whereas severe disease is defined as a MaRIA score \>=11.

    Time frame: Baseline up to Week 96

  11. Change From Baseline in the Global Simple MaRIA Score Through Week 96

    Change from baseline in the global simple MaRIA score through Week 96 will be reported. The MaRIA scoring system is used to grade severity in CD by assessing ileocolonic CD activity on contrast-enhanced MRI enterography. Active disease is defined as a MaRIA score \>=7 whereas severe disease is defined as a MaRIA score \>=11.

    Time frame: Up to Week 96

  12. Percentage of Participants Achieving a MaRIA <7 in All Intestinal Segments and Not Receiving Corticosteroids at Weeks 16, 48, and 96

    Percentage of participants achieving a MaRIA \<7 in all intestinal segments and not receiving corticosteroids at Weeks 16, 48, and 96 will be reported. The MaRIA scoring system is used to grade severity in CD by assessing ileocolonic CD activity on contrast-enhanced MRI enterography. Active disease is defined as a MaRIA score \>=7 whereas severe disease is defined as a MaRIA score \>=11.

    Time frame: At Weeks 16, 48, and 96

  13. Percentage of Participants Achieving Transmural Segmental Response with Intestinal Ultrasound (IUS) at Weeks 4, 8, 16, 48, and 96

    Percentage of participants achieving transmural segmental response with IUS at Weeks 4, 8, 16, 48, and 96 will be reported. Transmural segmental response with IUS is defined as a reduction from baseline of 25 percent (%) in BWT or a reduction from baseline of bowel wall thickness (BWT) \>=2 mm or a reduction from baseline of BWT \>=1 millimeter (mm) plus a decrease from baseline in color doppler signal (CDS) \>=1 point.

    Time frame: Baseline, at Weeks 4, 8, 16, 48, and 96

  14. Percentage of Participants with Transmural Response (total) at Weeks 4, 8, 16, 48, and Week 96

    Percentage of participants with transmural response (total) at Weeks 4, 8, 16, 48, and Week 96 will be reported. Transmural segmental response with IUS is defined as: a reduction from baseline of 25 percent (%) in BWT or a reduction from baseline of BWT \>=2 millimeter (mm) or a reduction from baseline of BWT \>=1 mm plus a decrease from baseline in color doppler \>=1 point, per baseline pathological segment. Transmural response (total) requires that at least one pathological segment at baseline fulfills the criteria.

    Time frame: Baseline, at Weeks 4, 8, 16, 48, and Week 96

  15. Percentage of Participants Achieving Transmural Remission with IUS at Weeks 4, 8, 16, 48, and 96

    Percentage of participants achieving transmural remission with IUS at Weeks 4, 8, 16, 48, and 96 will be reported. Transmural remission with IUS is defined as BWT \<=3 mm for ileum and colon plus color doppler signal 0, in all segments.

    Time frame: At Weeks 4, 8, 16, 48, and 96

  16. Absolute Value of International Bowel Ultrasound Segmental Activity Score (IBUS-SAS) Through Week 96

    Absolute value of IBUS-SAS through Week 96 will be reported. IBUS-SAS score is defined as 4\*BWT+15\*IMF+7\*CDS+4\*BWS.

    Time frame: Baseline up to Week 96

  17. Change from Baseline in International Bowel Ultrasound Segmental Activity Score (IBUS-SAS) Through Week 96

    Change from baseline in IBUS-SAS through Week 96 will be reported. IBUS-SAS score is defined as 4\*BWT+15\*IMF+7\*CDS+4\*BWS.

    Time frame: Up to Week 96

  18. Percentage of Participants Achieving IBUS-SAS Response at Weeks 4, 8, 16, 48, and Week 96

    Percentage of participants achieving IBUS-SAS response at Weeks 4, 8, 16, 48, and Week 96 will be reported. IBUS-SAS is defined as a reduction in IBUS-SAS score from baseline of \>=10 points per baseline pathological segment and segmental score \<=12 (if not pathological), at baseline.

    Time frame: Baseline, at Weeks 4, 8, 16, 48, and Week 96

  19. Percentage of Participants Achieving BWT <=3 mm for Ileum and Colon Plus CDS 0, in all segments and Participants Not Receiving Corticosteroids at Weeks 4, 8, 16, 48, and 96

    Percentage of participants achieving BWT \<=3 mm for Ileum and Colon plus CDS 0, in all segments at Weeks 4, 8, 16, 48, and 96 will be reported. Participants not receiving corticosteroids achieving BWT \<=3 mm for Ileum and Colon plus CDS 0 at Weeks 4, 8, 16, 48, and 96 will be reported.

    Time frame: At Weeks 4, 8, 16, 48, and 96

  20. Absolute Value of BWT through Week 96

    Absolute Value of BWT through Week 96 will be reported.

    Time frame: Baseline up to Week 96

  21. Change From Baseline in BWT Through Week 96

    Change from baseline in BWT through Week 96 will be reported.

    Time frame: Up to Week 96

  22. Absolute Value of Simple IUS Score For CD (SUS-CD) Score Through Week 96

    Absolute value of SUS-CD score through Week 96 will be reported. SUS-CD is based on the sum of classifications for BWT and CDS for all segments.

    Time frame: Baseline up to Week 96

  23. Change From Baseline in the SUS-CD Score Through Week 96

    Change from Baseline in the SUS-CD score through Week 96 will be reported. SUS-CD is based on the sum of classifications for BWT and CDS for all segments.

    Time frame: Up to Week 96

  24. Percentage of Participants Achieving Endoscopic Response at Weeks 48 and 96

    Percentage of participants with transmural response (total) at Weeks 48 and Week 96 will be reported. Endoscopic Response is defined as \>=50% improvement from baseline in SES-CD total score or SES-CD \<=2.

    Time frame: Weeks 48 and 96

  25. Percentage of Participants Achieving Endoscopic Remission at Weeks 48 and 96

    Percentage of participants achieving endoscopic remission at Weeks 48 and 96 will be reported. Endoscopic remission is defined as SES-CD total score \<=4 with at least 2 points reduction from baseline and no sub-score \>1 in any individual component.

    Time frame: At Weeks 48 and 96

  26. Absolute Value of SES-CD Total Score Through Week 96

    Absolute value of SES-CD total score through Week 96 will be reported. The SES-CD score is used to evaluate endoscopic improvement. The SES-CD is 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. An overall total SES-CD score is derived from the sum of all the component scores and can range from 0 to 56.

    Time frame: Baseline up to Week 96

  27. Change From Baseline in the SES-CD Total Score Through Week 96

    Change from baseline in the SES-CD total score through Week 96 will be reported. The SES-CD score is used to evaluate Endoscopic Improvement. The SES-CD is 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. An overall total SES-CD score is derived from the sum of all the component scores and can range from 0 to 56.

    Time frame: Up to Week 96

  28. Percentage of Participants (Not Receiving Corticosteroids) Achieving Endoscopic Remission at Weeks 48 and 96

    Percentage of participants (not receiving corticosteroids) achieving endoscopic remission at Weeks 48 and 96 will be reported. Endoscopic remission is defined as SES-CD total score \<=4 with at least 2 points reduction from baseline and no sub-score \>1 in any individual component.

    Time frame: Baseline, at Weeks 48 and 96

  29. Percentage of Participants Achieving Endoscopic Healing of the Intestinal Mucosa at Weeks 48 and 96

    Percentage of participants achieving endoscopic healing of the intestinal mucosa at Weeks 48 and 96 will be reported. Endoscopic healing is defined as the resolution (absence) of mucosal ulcers in response to a therapeutic intervention.

    Time frame: At Weeks 48 and 96

  30. Percentage of Participants Achieving Crohn's Disease Activity Index (CDAI) <150 at Weeks 4, 8, 16, 48 and 96

    Percentage of participants achieving CDAI \<150 at Weeks 4, 8, 16, 48 and 96 will be reported. CDAI will be assessed by collecting information on 8 different Crohn's disease-related variables: extra-intestinal manifestations, abdominal mass, weight, hematocrit, total number of liquid or very soft stools, abdominal pain (AP)/cramping, use of antidiarrheal drug(s) and/or opiates, and general well-being. The last 4 variables are scored over 7 days by the participant on a diary card that participants are to complete on daily basis.

    Time frame: At Weeks 4, 8, 16, 48 and 96

  31. Percentage of Participants Achieving a Reduction in the CDAI Score of >=100 points or CDAI <150 From Baseline at Weeks 4, 8, 16, 48, and 96

    Percentage of participants achieving a reduction in the CDAI score of \>=100 points or CDAI \<150 from Baseline at Weeks 4, 8, 16, 48, and 96 will be reported. CDAI will be assessed by collecting information on 8 different Crohn's disease-related variables: extra-intestinal manifestations, abdominal mass, weight, hematocrit, total number of liquid or very soft stools, abdominal pain (AP)/cramping, use of antidiarrheal drug(s) and/or opiates, and general well-being. The last 4 variables are scored over 7 days by the participant on a diary card that participants are to complete on daily basis.

    Time frame: At Weeks 4, 8, 16, 48, and 96

  32. Percentage of Participants (Not Receiving Corticosteroids) Achieving CDAI Score <150 at Weeks 4, 8, 16, 48 and 96

    Percentage of participants (not receiving corticosteroids) achieving CDAI Score \<150 at Weeks 4, 8, 16, 48 and 96 will be reported. CDAI will be assessed by collecting information on 8 different Crohn's disease-related variables: extra-intestinal manifestations, abdominal mass, weight, hematocrit, total number of liquid or very soft stools, abdominal pain (AP)/cramping, use of antidiarrheal drug(s) and/or opiates, and general well-being. The last 4 variables are scored over 7 days by the participant on a diary card that participants are to complete on daily basis.

    Time frame: At Weeks 4, 8, 16, 48 and 96

  33. Absolute Value of CDAI Score Through Week 96

    Absolute Value of CDAI score through Week 96 will be reported. CDAI will be assessed by collecting information on 8 different Crohn's disease-related variables: extra-intestinal manifestations, abdominal mass, weight, hematocrit, total number of liquid or very soft stools, abdominal pain (AP)/cramping, use of antidiarrheal drug(s) and/or opiates, and general well-being. The last 4 variables are scored over 7 days by the participant on a diary card that participants are to complete on daily basis.

    Time frame: Baseline up to Week 96

  34. Change From Baseline in CDAI Score Through Week 96

    Change from baseline in CDAI score through Week 96 will be reported. CDAI will be assessed by collecting information on 8 different Crohn's disease-related variables: extra-intestinal manifestations, abdominal mass, weight, hematocrit, total number of liquid or very soft stools, abdominal pain (AP)/cramping, use of antidiarrheal drug(s) and/or opiates, and general well-being. The last 4 variables are scored over 7 days by the participant on a diary card that participants are to complete on daily basis.

    Time frame: Up to Week 96

  35. Percentage of Participants Achieving PRO-2 Remission at Weeks 4, 8, 16, 48, and Week 96

    Percentage of participants achieving PRO-2 remission at Weeks 4, 8, 16, 48, and Week 96 will be reported. PRO-2 remission is defined as AP mean daily score \<=1 and a SF mean daily score \<=3, and no worsening of AP or SF from baseline.

    Time frame: At Weeks 4, 8, 16, 48, and Week 96

  36. Percentage of Participants Achieving Inflammatory Bowel Disease Questionnaire (IBDQ) Remission at Weeks 48 and 96

    Percentage of participants achieving IBDQ remission at Weeks 48 and 96 will be reported. The IBDQ is a validated, 32-item, self-reported questionnaire for participants with IBD to evaluate PROs across 4 dimensions: bowel symptoms (loose stools, AP), systemic symptoms (fatigue, altered sleep pattern), social function (work attendance, need to cancel social events), and emotional function (anger, depression, irritability).

    Time frame: At Week 48 and Week 96

  37. Percentage of Participants Achieving IBDQ Response at Weeks 48 and 96

    Percentage of participants achieving IBDQ response at Weeks 48 and 96 will be reported. IBDQ response is defined as \>=16-point improvement in IBDQ score from baseline. IBDQ score ranges from 32 to 224, with higher scores indicating better outcomes.

    Time frame: Baseline, at Weeks 48 and 96

  38. Absolute Value of IBDQ Through Week 96

    Absolute value of IBDQ through Week 96 will be reported. The IBDQ is a validated, 32-item, self-reported questionnaire for participants with IBD to evaluate PROs across 4 dimensions: bowel symptoms (loose stools, AP), systemic symptoms (fatigue, altered sleep pattern), social function (work attendance, need to cancel social events), and emotional function (anger, depression, irritability). Scores range from 32 to 224, with higher scores indicating better outcomes.

    Time frame: Baseline up to Week 96

  39. Change From Baseline in IBDQ Score Through Week 96

    Change from baseline in IBDQ score through Week 96 will be reported. The IBDQ is a validated, 32-item, self-reported questionnaire for participants with IBD to evaluate PROs across 4 dimensions: bowel symptoms (loose stools, AP), systemic symptoms (fatigue, altered sleep pattern), social function (work attendance, need to cancel social events), and emotional function (anger, depression, irritability). Scores range from 32 to 224, with higher scores indicating better outcomes.

    Time frame: Up to Week 96

  40. Change from Baseline in Urgency Numeric Rating Scale (UNRS) Through Week 96

    Change from baseline in UNRS through Week 96 will be reported. UNRS is designed to assess changes in the severity of bowel urgency (sudden or immediate need). Severity of bowel urgency is defined by the patient's perception of overall experience in which respondents consider the immediacy of bowel movement urgency severity over 24 h on an 11-point horizontal NRS ranging from 0 ('no urgency') to 10 ('worst possible urgency').

    Time frame: Baseline up to Week 96

  41. Percentage of Participants Achieving C-reactive Protein (CRP) Normalization at Weeks 4, 8, 16, 48, and Week 96

    CRP normalization is defined as CRP \<=3 mg/L, among participants with baseline elevation in CRP (that is, \>3 mg/L).

    Time frame: Baseline, at Weeks 4, 8, 16, 48, and Week 96

  42. Percentage of Participants Achieving >=50% Improvement of CRP Response From Baseline at Weeks 4, 8, 16, 48, and 96

    Percentage of participants achieving \>=50% improvement of CRP response from baseline at Weeks 4, 8, 16, 48, and 96 will be reported.

    Time frame: Baseline, at Weeks 4, 8, 16, 48, and 96

  43. Percentage of Participants Achieving fCal Normalization at Weeks 4, 8, 16, 48, and 96

    Percentage of participants achieving fCal normalization at Weeks 4, 8, 16, 48, and 96 will be reported. fCal normalization is defined as fCal \<=250 mcg/g among participants with elevated fCal at baseline.

    Time frame: Baseline, at Weeks 4, 8, 16, 48, and 96

  44. Percentage of Participants Achieving >=50% Improvement of fCal Response From Baseline at Weeks 4, 8, 16, 48, and 96

    Percentage of participants achieving \>=50% improvement of fCal response from baseline at Weeks 4, 8, 16, 48, and 96 will be reported.

    Time frame: Baseline, at Weeks 4, 8, 16, 48, and 96

  45. Change From Baseline in CRP and fCal Levels Over Time

    Change from baseline in CRP and fCal levels over time will be reported.

    Time frame: Baseline, Weeks 4, 8, 16, 32, 48, and 96

  46. Values of CRP and fCal Levels Over Time

    Values of CRP and fCal levels over time will be reported.

    Time frame: Baseline, Weeks 4, 8, 16, 32, 48, and 96

  47. Number of Participants with Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TSAEs) Through Week 48

    An AE is any untoward medical occurrence in a clinical study subject administered a pharmaceutical (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. TEAEs are defined as the AEs occurring after first administration of study intervention (or worsened since then). An serious adverse event (SAE) is any untoward medical occurrence that at any dose results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, is a suspected transmission of any infectious agent via a medicinal product. TESAEs are defined as serious events between administration of study drug and after the last dose that were absent before treatment or that worsen relative to pretreatment state.

    Time frame: Up to Week 48

07

Study locations

84 sites
  • Center for Colitis and Crohns Disease University of California
    San Francisco, California 94115, United States
  • The University of Chicago Medical Center (UCMC)
    Chicago, Illinois 60637, United States
  • Washington University School Of Medicine
    St Louis, Missouri 63110, United States
  • Medical University of South Carolina
    Charleston, South Carolina 29425, United States
  • The Queen Elizabeth Hospital
    Adelaide, 5011, Australia
  • Concord Repatriation General Hospital
    Concord, 2139, Australia
  • Northern Hospital
    Melbourne, 3076, Australia
  • Fiona Stanley Hospital
    Murdoch, 6150, Australia
  • Mater Hospital Brisbane
    South Brisbane, 4101, Australia
  • AZ Maria Middelares
    Ghent, 9000, Belgium
  • CHU de Liege
    Liège, 4000, Belgium
  • Vitaz
    Sint-Niklaas, Belgium
  • Cliged
    Macaé, 27910-020, Brazil
  • Instituto Mederi de Pesquisa e Saude
    Passo Fundo, 99010-120, Brazil
  • NPCRS Nucleo de Pesquisa Clinica do Rio Grande do Sul
    Porto Alegre, 90430001, Brazil
  • INTEGRAL Pesquisa e Ensino
    Votuporanga, 15501-405, Brazil
  • Foothills Hospital
    Calgary, Alberta T2N 4Z6, Canada
  • Western University & London Health Sciences Centre
    London, Ontario N6A 5A5, Canada
  • Hopital du Sacre-Coeur de Montreal
    Montreal, Quebec H4J 1C5, Canada
  • Nemocnice Ceske Budejovice a s
    České Budějovice, 370 87, Czechia
  • Hepato-gastroenterologie HK, s.r.o.
    Hradec Králové, 500 12, Czechia
  • ISCARE a.s.
    Prague, 19000, Czechia
  • CHU Amiens Picardie
    Amiens, 80054, France
  • CHU de Clermont Ferrand
    Clermont-Ferrand, 63000, France
  • CHRU de Lille Hopital Claude Huriez
    Lille, 59000, France
  • Aphm - Hopital Nord
    Marseille, 13915, France
  • CHU de Nantes hotel Dieu
    Nantes, 44000, France
  • APHP - Hopital Bichat - Claude Bernard
    Paris, 75018, France
  • Klinikum Augsburg
    Augsburg, D-86158, Germany
  • Charite Universitaetsmedizin Berlin
    Berlin, 10117, Germany
  • Praxis Fur Gastroenteroligie
    Berlin, 10825, Germany
  • Medizinisches Versorgungszentrum (MVZ) Dachau
    Dachau, 85221, Germany
  • Universitatsklinikum Frankfurt/ Medizinische Klinik 1
    Frankfurt, 60590, Germany
  • Universitatsmedizin Gottingen
    Göttingen, 37075, Germany
  • Studiengesellschaft Mitteldeutschland GmbH
    Halle, 06108, Germany
  • Medizinische Hochschule Hannover
    Hanover, 30625, Germany
  • Universitatsklinikum Schleswig Holstein
    Kiel, 24105, Germany
  • Staedtisches Klinikum Lueneburg
    Lüneburg, 21339, Germany
  • MVZ Portal 10
    Münster, 48155, Germany
  • Siloah St Trudpert Klinikum
    Pforzheim, 75179, Germany
  • Universitaetsklinikum Ulm
    Ulm, 89081, Germany
  • Rambam Medical Center
    Haifa, 31096, Israel
  • The Edith Wolfson Medical Center
    Holon, 58100, Israel
  • Hadassah Medical Organization
    Jerusalem, 91200, Israel
  • Galilee Medical Center
    Nahariya, 2210001, Israel
  • Rabin Medical Center
    Petah Tikva, 49100, Israel
  • The Chaim Sheba Medical Center
    Ramat Gan, 5265601, Israel
  • Tel Aviv Sourasky Medical Center
    Tel Aviv, 6423906, Israel
  • Azienda Ospedaliera Policlinico S. Orsola-Malpighi
    Bologna, 40138, Italy
  • ASST Fatebenefratelli Sacco
    Milan, 20121, Italy
  • IRCCS Ospedale San Raffaele
    Milan, 20132, Italy
  • Universita Di Napoli Federico Ii
    Naples, 80131, Italy
  • ASL Toscana Nord Ovest PO Valdera Ospedale Lotti
    Pontedera Pisa, 56025, Italy
  • Asst Rhodense - Ospedale Di Rho
    Rho, 20017, Italy
  • Universita Campus Bio-Medico di Roma
    Roma, 00128, Italy
  • Fondazione Policlinico Tor Vergata
    Roma, 00133, Italy
  • Fondazione Policlinico Universitario A Gemelli IRCCS
    Roma, 00168, Italy
  • IRCCS Humanitas Rozzano-IBD Center Malattie Infiammatorie Croniche Intestinali
    Rozzano, 20089, Italy
  • IRCCS Ospedale Casa Sollievo della Sofferenza
    San Giovanni Rotondo, 71013, Italy
  • NZOZ Centrum Medyczne KERmed
    Bydgoszcz, 85 231, Poland
  • Centrum Medyczne Medyk
    Rzeszów, 35-326, Poland
  • GASTROMED Sp. z o.o.
    Torun, 87 100, Poland
  • WIP Warsaw IBD Point Profesor Kierkus
    Warsaw, 00-728, Poland
  • Melita Medical Sp. z o.o.
    Wroclaw, 50 449, Poland
  • Centrum Medyczne Oporow
    Wroclaw, 52-416, Poland
  • EuroMediCare Szpital Specjalistyczny z Przychodnia
    Wroclaw, 54 144, Poland
  • ETG Zamosc
    Zamość, 22-400, Poland
  • FNsP F.D.R. Banska Bystrica
    Banská Bystrica, 975 17, Slovakia
  • Cliniq s.r.o.
    Bratislava, 811 09, Slovakia
  • ENDOMED s.r.o
    Košice, 040 13, Slovakia
  • KM Management spol. s r.o.
    Nitra, 949 01, Slovakia
  • GASTRO I. s.r.o.
    Prešov, 080 01, Slovakia
  • Hosp. Gral. Univ. Dr. Balmis
    Alicante, 3010, Spain
  • Hosp Reina Sofia
    Córdoba, 14004, Spain
  • Complejo Hosp Univ. de Ferrol
    Ferrol, 15405, Spain
  • Hosp. Univ. de La Paz
    Ferrol, 15405, Spain
  • Hosp. Univ. de La Princesa
    Madrid, 28006, Spain
  • Hosp. Univ. Pta. de Hierro Majadahonda
    Madrid, 28222, Spain
  • Hosp. Clinico Univ. de Valencia
    Valencia, 46010, Spain
  • Hosp. Alvaro Cunqueiro
    Vigo, 36213, Spain
  • Chang-Hua Christian Hospital
    Changhua, 500, Taiwan
  • Far Eastern Memorial Hospital
    New Taipei City, 22060, Taiwan
  • National Taiwan University Hospital
    Taipei, 10002, Taiwan
  • Taipei Veterans General Hospital
    Taipei, 11217, Taiwan
08

References and documents

Individual participant data

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

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Minor edits
Nothing that changes what the study is or who can join. Edited: verification date and site details
1 update, last Sep 25, 2026
Show all 1 update
  1. Sep 25, 2026
    Minor edits only
    + 2 other changes: verification date and site details

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
NCT06408935
Lead sponsor
Janssen-Cilag Ltd.
Responsible party
Sponsor
First posted
May 10, 2024
Start date
Apr 17, 2024
Primary completion
Jun 8, 2027 (estimated)
Completion
Mar 6, 2028 (estimated)
Last update
Sep 25, 2026

Study contacts

Janssen Cilag Ltd. Clinical trial
study director · Janssen-Cilag Ltd.

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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