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RecruitingNCT07302360GENIUSUpdated Nov 3, 2026

A Real-World Study of Guselkumab in Chinese Participants With Ulcerative Colitis

An observational study in Colitis, Ulcerative, sponsored by Xian-Janssen Pharmaceutical Ltd.. Recruiting at 11 sites in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-03.

Sponsored by Xian-Janssen Pharmaceutical Ltd. (part of Johnson & Johnson) · Observational

From the registry’s dates

  • Started Dec 2025; still recruiting 11 months later.
Updated Nov 3, 20261 site addedGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
200
Ages
18 Years and older
Sex
All
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Study summary

The purpose of this study is to assess the measurable changes in health, function, or quality of life (clinical outcomes) after receiving guselkumab in real-world clinical practice amongst Chinese participants with ulcerative colitis (UC; a long-term disease of the large intestine in which the lining of the colon [part of large intestine] becomes inflamed and develops tiny open ulcers), who have not received biologic therapy (a medicine made from living organisms or their components) previously.

02

Conditions studied

  • Colitis, Ulcerative

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03

In context

Colitis, Ulcerative

1,853 studies on the registry are indexed under Colitis, Ulcerative; 472 are open to participants now.

This study's planned enrollment of 200 is close to the median of 198 across 551 observational studies indexed under Colitis, Ulcerative.

Browse Colitis, Ulcerative studies →

Lead sponsor

Xian-Janssen Pharmaceutical Ltd. is the lead sponsor of 36 studies on the registry; 2 are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Eligible Chinese participants with moderate-to-severe UC who are bio-naive will be consecutively enrolled in this study.

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

  • Has a confirmed diagnosis of moderately to severely active UC, defined as: a) baseline modified Mayo score of 4 to 9; b) screening endoscopy with Mayo endoscopic subscore (MES) greater than or equal to (>=) 2; c) Mayo rectal bleeding subscore (RBS) >= 1 at baseline
  • Eligible for advanced treatment and initiate guselkumab therapy per participating physician decision in accordance with product package insert
  • Have no prior exposure to advanced therapies (bio-naive), such as tumor necrosis factor (TNF)-alpha antagonists, anti-integrin agents, anti-interleukin (IL) agents, sphingosine-1-phosphate receptor modulators, janus kinase (JAK) inhibitors or their corresponding generics and biosimilars, per participating physician assessment
  • Participant (and/or their legally-acceptable representative where applicable) must sign an form (ICF) allowing source data verification in accordance with local requirements

Exclusion criteria

Exclusion criteria:

  • Acute severe UC or infectious colitis or other conditions when patients is likely to require a colectomy
  • to guselkumab per the label
  • Currently enrolled in or plan to participate in any other clinical trials from signing to the final dose administration of guselkumab
  • Participants who will be receiving guselkumab therapy combined with a second advanced therapy
  • Participants with a history of colectomy and/or pouch
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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
200 participants (estimated)
Patient registry
No

Groups and cohorts

  • Guselkumab: Moderate to Severe Ulcerative Colitis (UC)

    Participants with confirmed diagnosis of moderate-to-severe UC treated with guselkumab as per standard clinical practice will be enrolled. No drug will be provided as part of this study. Only data available from standard clinical practice and medical records will be collected and observed.

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What researchers measure

Primary outcomes

  1. Percentage of Participants Achieving Clinical Response at Week 12

    Clinical response is defined as a decrease from baseline in the partial Mayo score by \>= 30 percent (%) and \>= 2 points, with either a \>=1 decrease from baseline in rectal bleeding subscore (RBS) or an RBS of 0 or 1. Partial Mayo score is a non-invasive clinical measure for determining the severity of UC. The total score falls between 0 and 9, where higher score indicates more severity.

    Time frame: At Week 12

Secondary outcomes

  1. Percentage of Participants Achieving Clinical Response at Week 24 and Week 48

    Clinical response is defined as a decrease from baseline in the partial Mayo score by \>= 30 % and \>= 2 points, with either a \>=1 decrease from baseline in RBS or an RBS of 0 or 1. Partial Mayo score is a non-invasive clinical measure for determining the severity of UC. The total score falls between 0 and 9, where higher score indicates more severity.

    Time frame: At Week 24 and Week 48

  2. Percentage of Participants Achieving Symptomatic Response at Week 2

    Symptomatic response is defined as a decrease from induction baseline in the patient reported outcome (PRO)-2 by at least 30% and at least 1 point, with either at least 1-point decrease from induction baseline in RBS or an RBS of 0 or 1. PRO-2 consists of the two components (rectal bleeding and stool frequency). The stool frequency subscale is rated as follows: 0 (normal stool frequency), 1 (1-2 stools more than normal), 2 (3-4 stools more than normal), and 3 (5 or more stools more than normal). The rectal bleeding subscale is rated as: 0 (no blood), 1 (streaks of blood less than half the time), 2 (obvious blood most of the time), and 3 (blood alone). Higher score indicates more severity in symptoms.

    Time frame: At Week 2

  3. Mean Change from Baseline in Stool Frequency Subscore (SFS) Over Week 2

    SFS is a component of PRO-2. The stool frequency subscale is rated as follows: 0 (normal stool frequency), 1 (1-2 stools more than normal), 2 (3-4 stools more than normal), and 3 (5 or more stools more than normal). Higher score indicates more severity in symptoms.

    Time frame: From Baseline to Week 2

  4. Mean Change from Baseline in RBS Over Week 2

    RBS is a component of PRO-2. The rectal bleeding subscale is rated as: 0 (no blood), 1 (streaks of blood less than half the time), 2 (obvious blood most of the time), and 3 (blood alone). Higher score indicates more severity in symptoms.

    Time frame: From Baseline to Week 2

  5. Percentage of Participants Achieving Clinical Remission at Week 12, Week 24 and Week 48

    Clinical remission is defined as a partial Mayo score less than or equal to (\<=) 2 with no sub-score greater than (\>) 1. Partial Mayo score is a non-invasive clinical measure for determining the severity of UC. The total score falls between 0 and 9, where higher score indicates more severity.

    Time frame: At Week 12, Week 24 and Week 48

  6. Percentage of Participants Achieving Symptomatic Remission at Week 2

    Symptomatic remission as measured by PRO-2 is defined as a SFS of 0 or 1 and an RBS of 0, where the SFS has not increased from induction baseline. The SFS is rated as follows: 0 (normal stool frequency), 1 (1-2 stools more than normal), 2 (3-4 stools more than normal), and 3 (5 or more stools more than normal). The RBS is rated as: 0 (no blood), 1 (streaks of blood less than half the time), 2 (obvious blood most of the time), and 3 (blood alone). Higher score indicates more severity in symptoms.

    Time frame: At Week 2

  7. Percentage of Participants Achieving Steroid-Free Remission at Week 12, 24 and 48

    Steroid-free remission is defined as clinical remission with no use of corticosteroids for at least 30 days. Clinical remission is defined as partial Mayo score \<= 2 with no sub-score \>1.

    Time frame: At Weeks 12, 24 and 48

  8. Percentage of Participants Achieving Sustained Remission at Week 24 and Week 48

    Sustained remission is defined as clinical remission maintenance status at post-induction (Week 12) in participants who had attained clinical remission by the end of the 12-week induction therapy.

    Time frame: At Week 24 and Week 48

  9. Percentage of Participants with Endoscopic Improvement (Healing) at Week 24 and Week 48

    Endoscopic improvement (healing) is defined as endoscopic remission Mayo endoscopic subscore (MES) of 0 or 1. The MES consists of 3 subscores: stool frequency, rectal bleeding and physician's global assessment, each subscore is graded from 0 (normal) to 3 (severe) with higher scores indicate more severe disease.

    Time frame: At Week 24 and Week 48

  10. Percentage of Participants Achieving Endoscopic Remission (Normalization) at Week 24 and Week 48

    Endoscopic remission (normalization) is defined as an MES of 0. The MES consists of 3 subscores: stool frequency, rectal bleeding and physician's global assessment, each subscore is graded from 0 (normal) to 3 (severe) where higher scores indicate more severe disease.

    Time frame: At Week 24 and Week 48

  11. Percentage of Participants Discontinuing from Treatment

    Treatment discontinuation is defined as discontinuation of guselkumab treatment for any reason.

    Time frame: Up to Week 48

  12. Percentage of Participants Switching from Treatment

    Treatment switch is defined as initiation of another medication for UC treatment after guselkumab discontinuation.

    Time frame: Up to Week 48

  13. Time to Treatment Discontinuation

    Time to treatment discontinuation is defined as the time from the guselkumab start date to the time of treatment discontinuation.

    Time frame: Up to Week 48

  14. Time to Treatment Switch

    Time to treatment switch is defined as the time from the guselkumab start date to the time of initiation of a new treatment other than guselkumab.

    Time frame: Up to Week 48

  15. Percentage of Participants on Guselkumab Dosing Schedules of 200 Milligrams (mg) Once Every 4 Weeks (q4w) or 100 mg Once Every 8 Weeks (q8w)

    The percentage of participants on guselkumab dosing schedules of 200mg q4w or 100 mg q8w will be assessed. For each dosing schedule, the percentage will be calculated by dividing the number of participants receiving the specific dosing regimen by the number of participants still being followed up at those time points, multiplied by 100%.

    Time frame: From Baseline through Week 12 to Week 48

  16. Percentage of Participants Undergoing Dose Escalation/ De-Escalation

    Percentage of participants having dose escalation/ de-escalation during maintenance treatment will be assessed. The percentage will be calculated by dividing the number of participants having dosage adjustment (that is, dose escalation/de-escalation) after Week 0 at any visit time point compared to his/her previous recorded administration dosage, multiplied by 100%.

    Time frame: Week 12 up to Week 48

  17. Percentage of Participants Achieving Inflammatory Bowel Disease Questionnaire (IBDQ) Remission

    IBDQ remission is defined as total IBDQ score \>= 170. The IBDQ is a validated, 32-item, self-reported questionnaire for patients with inflammatory bowel disease that will be used to evaluate the disease-specific health-related quality of life (QoL) across 4 dimensional scores: bowel symptoms (loose stools, abdominal pain), systemic functions (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: At Week 12, Week 24 and Week 48

  18. Change from Baseline in C-Reactive Protein (CRP) Levels

    Change in CRP levels since guselkumab initiation will be reported.

    Time frame: Baseline, Week 12, Week 24 and Week 48

  19. Change from Baseline of Fecal Calprotectin Levels

    Change in fecal calprotectin levels since guselkumab initiation will be reported.

    Time frame: Baseline, Week 12, Week 24 and Week 48

  20. Percentage of Participants Achieving CRP Normalization

    Normalization of CRP is defined as reduction of less than or equal to 5 microgram per liter (mg/L) at weeks 12, 24 and 48 since baseline. Percentage of participants with abnormal CRP at baseline achieving CRP normalization will be reported.

    Time frame: At Week 12, Week 24 and Week 48

  21. Percentage of Participants Achieving Fecal Calprotectin (FCP) Normalization

    Normalization of fecal calprotectin is defined as reduction of \<= 250 microgram per gram (mcg/g) at weeks 12, 24 and 48 since baseline. Percentage of participants with abnormal FCP at baseline achieving fecal calprotectin normalization will be reported.

    Time frame: At Week 12, Week 24 and Week 48

07

Study locations

11 of 11 sites recruiting
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References and documents

Individual participant data

Plan to share: Yes — The data sharing policy of Johnson \& Johnson Innovative Medicine is available at www.innovativemedicine.jnj.com/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 ↗ · innovativemedicine.jnj.com

No publications or documents are linked to this record.

09

Updates

2 registry updates since Sep 25, 2026
Sites
1 site added
Show site
  • Shenzhen Hospital of Southern Medical University · Shenzhen, China
Nov 3, 2026
Show all 2 updates
  1. Nov 3, 2026
    1 site added
    Show site
    • Shenzhen Hospital of Southern Medical University · Shenzhen, China
    + 1 other change: verification date
  2. Sep 25, 2026
    Minor edits only
    + 1 other change: verification date

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
NCT07302360
Responsible party
Sponsor
First posted
Dec 24, 2025
Start date
Dec 11, 2025
Primary completion
Jun 30, 2028 (estimated)
Completion
Jun 30, 2028 (estimated)
Last update
Nov 3, 2026

Study contacts

Study Contact
Contact
Participate-In-This-Study1@its.jnj.com
844-434-4210
Xian-Janssen Pharmaceutical Ltd., China Clinical Trial
study director · Xian-Janssen Pharmaceutical Ltd.

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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