ClinicalTrials.gg
RecruitingNCT07541261EAGLEUpdated Jul 2, 2026

A Real-World Study of Guselkumab in Ulcerative Colitis and Crohn's Disease in Saudi Arabia

An observational study in Colitis, Ulcerative and Crohn Disease, sponsored by Janssen Research & Development, LLC. Recruiting at 1 site in Saudi Arabia. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-02.

Sponsored by Janssen Research & Development, LLC (part of Johnson & Johnson) · Observational

From the registry’s dates

  • Started May 2026; still recruiting 5 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
100
Ages
18 Years and older
Sex
All
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Study summary

The main purpose of this study is to evaluate treatment persistence of guselkumab (that is how long a person keeps taking their prescribed medicine or continues with their treatment plan without stopping) in participants with moderate to severe crohn's disease (CD) or ulcerative colitis (UC) in real-world setting. CD and UC are Inflammatory bowel disease, a group of inflammatory conditions of the colon and small intestine.

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Conditions studied

  • Colitis
  • Ulcerative
  • Crohn Disease
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In context

Colitis

127 studies on the registry are indexed under Colitis; 31 are open to participants now.

This study's planned enrollment of 100 is below the median of 123 across 27 observational studies indexed under Colitis.

Browse Colitis studies →

Lead sponsor

Janssen Research & Development, LLC is the lead sponsor of 932 studies on the registry; 76 are open to participants now.

Of its 285 completed or terminated interventional studies of FDA-regulated products, 136 (48%) have results posted.

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

The study population will include participants with confirmed diagnosis of moderate-to-severe crohn's disease (CD) or ulcerative colitis (UC) disease.

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

  • The participant must be eligible for biologic treatment and initiate guselkumab according to the approved indications described in the current version of the summary of product characteristics (SmPC) approved in Saudi Arabia. The decision to prescribe must solely be made by the treating physician. Enrollment must take place before or at the day of first administration of guselkumab (but after treatment decision by physician) and after obtaining patient consent
  • The participant must have a confirmed diagnosis of moderate-to-severe CD or UC recorded in their medical records
  • The participant must sign a participation agreement/ form (ICF) allowing source data verification

Exclusion criteria

Exclusion criteria:

  • to guselkumab per the label
  • Is currently enrolled in an interventional clinical study
  • Has been previously exposed to Interleukin (IL)-23 inhibitors, including tremfya (guselkumab), skyrizi (risankizumab) and omvoh (mirikizumab). As an exception, participants with history of ustekinumab exposure may be included
  • History of more than 4 lines of advanced inflammatory bowel disease (IBD) therapy (biologics and/or small molecules)
  • Is unable to provide
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.

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Study design

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

Groups and cohorts

  • Moderate-to-Severe Ulcerative Colitis (UC) or Crohn's Disease (CD): Guselkumab

    Participants with confirmed diagnosis of moderate-to-severe UC or CD 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 clinical practice, through routine therapeutic procedures and evaluation assessments will be collected within this study.

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What researchers measure

Primary outcomes

  1. Time to Guselkumab Discontinuation

    Time to guselkumab discontinuation is defined as time at which the next infusion should have taken place for a participant after their last scheduled infusion.

    Time frame: Up to Week 96

Secondary outcomes

  1. Number of Participants with Early Responses to Guselkumab Measured Using Participant Reported Outcome (PRO-2) Components for Crohn's Disease (CD)

    Number of participants with early responses to guselkumab will be assessed using PRO-2 components for CD. Measurements captured include abdominal pain (AP) and stool frequency (SF).

    Time frame: Weeks 0, 1, 2, 4, 8, and 12

  2. Number of Participants with Early Responses to Guselkumab Measured Using Participant Reported Outcome (PRO-2) Components for Ulcerative Colitis (UC)

    Number of participants with early responses to guselkumab will be assessed using PRO-2 components for UC. Measurements captured include rectal bleeding and stool frequency.

    Time frame: Weeks 0, 1, 2, 4, 8, and 12

  3. Number of Participants with Early Responses to Guselkumab Measured Using Bowel Urgency

    Number of participants with early responses to guselkumab will be assessed using bowel urgency. Bowel urgency from participants will be asked as yes or no outcome.

    Time frame: Weeks 0, 1, 2, 4, 8, and 12

  4. Number of Participants Achieving Clinical Response for CD as Measured by Harvey-Bradshaw Index (HBI)

    HBI score is used to assess disease severity and treatment effectiveness. The HBI consists of a 5-part questionnaire, assessing general wellbeing, abdominal pain, number of liquid stools per day, abdominal mass and complications. Clinical response for CD is defined as the HBI score less than or equal to (\<=) 4 or a decrease in HBI by greater than or equal to (\>=) 3 from baseline.

    Time frame: Weeks 12, 48 and 96

  5. Number of Participants Achieving Clinical Response for UC as Measured by Partial Mayo Score (PMS)

    Mayo scoring system is used to assess disease severity and treatment effectiveness. The PMS comprises 3 categories: rectal bleeding, SF, and physician assessment. These are rated from 0-3 and are totaled to give a total score that ranges from 0-12. Clinical response for UC is defined as the PMS score less than (\<) 4 or \>= 30 percent (%) reduction from baseline.

    Time frame: Weeks 12, 48 and 96

  6. Number of Participants Achieving Corticosteroid-free remission for UC

    Participants Achieving Corticosteroid-free remission for UC will be reported.

    Time frame: Weeks 24, 48 and 96

  7. Number of Participants Achieving Corticosteroid-free remission for CD

    Participants Achieving Corticosteroid-free remission for CD will be reported.

    Time frame: Weeks 24, 48 and 96

  8. Number of Participants Achieving Corticosteroid-Free PRO-2 Remission for UC

    Corticosteroid-free PRO-2 remission in UC participants is defined as a SF score of 0 or 1, where it has not increased from baseline, and a rectal bleeding sub score of 0 with no use of steroids for at least 30 days.

    Time frame: Weeks 24, 48 and 96

  9. Number of Participants Achieving Corticosteroid-Free PRO-2 Remission for CD

    Corticosteroid-free PRO-2 remission in CD participants is defined as an AP score less than or equal to (\<=)1 and a mean SF score \<=3 and no worsening of AP or SF compared with baseline and no use of steroids for at least 30 days.

    Time frame: Weeks 24, 48 and 96

  10. Characteristics of Participants Receiving Guselkumab Treatment: Age

    Age of participants receiving guselkumab treatment will be reported.

    Time frame: At Baseline

  11. Characteristics of Participants Receiving Guselkumab Treatment: Sex

    Sex of participants receiving guselkumab treatment will be reported.

    Time frame: At Baseline

  12. Characteristics of Participants Receiving Guselkumab Treatment: Previous Inflammatory Bowel Disease (IBD) Medication Use

    Number of participants using the previous inflammatory bowel disease (IBD) medication will be reported.

    Time frame: At Baseline

  13. Characteristics of Participants Receiving Guselkumab Treatment: Smoking Status and History

    Number of participants with current and former smoking status receiving guselkumab treatment will be reported.

    Time frame: At Baseline

  14. Characteristics of Participants Receiving Guselkumab Treatment: Height

    Height of participants receiving guselkumab treatment will be reported.

    Time frame: At Baseline

  15. Characteristics of Participants Receiving Guselkumab Treatment: Weight

    Weight of participants receiving guselkumab treatment will be reported.

    Time frame: At Baseline

  16. Characteristics of Participants Receiving Guselkumab Treatment: Disease Severity

    Number of participants reporting the disease severity will be assessed.

    Time frame: At Baseline

  17. Characteristics of Participants Receiving Guselkumab Treatment: Age at Diagnosis

    Participants age at diagnosis will be reported.

    Time frame: At Baseline

  18. Characteristics of Participants Receiving Guselkumab Treatment: Disease Duration

    Participants disease duration will be reported.

    Time frame: At Baseline

  19. Characteristics of Participants Receiving Guselkumab Treatment: Comorbid Diagnoses

    Number of participants with Comorbid Diagnoses will be reported.

    Time frame: At Baseline

  20. Characteristics of Participants Receiving Guselkumab Treatment: History of UC/CD

    Number of participants with a history of UC/CD will be reported.

    Time frame: At Baseline

  21. Characteristics of Participants Receiving Guselkumab Treatment: Previous IBD-Related Surgeries

    Number of participants who have undergone previous IBD-related surgeries will be reported.

    Time frame: At Baseline

  22. Number of Participants with Adverse Events (AEs)

    An adverse event is any untoward medical occurrence in a participant administered a medicinal product based on appropriate medical judgment. An AE does not necessarily have a causal relationship with the treatment. An adverse event can be any unfavorable and unintended sign (including an abnormal finding or lack of expected pharmacological action), symptom, or disease temporally associated with the use of a medicinal product, whether or not related to that medicinal product.

    Time frame: Up to Week 96

  23. Change in C-reactive protein (CRP) Levels

    Change in CRP levels since guselkumab initiation will be reported. C-reactive protein is a marker of inflammation that will be measured by physicians following routine clinical practice.

    Time frame: Week 0, 12, 48 and 96

  24. Change in Fecal Calprotectin (Fcal) Levels

    Change in Fcal levels since guselkumab initiation will be reported. The Fcal is a marker of inflammation that will be measured by physicians following routine clinical practice.

    Time frame: Week 0, 12, 48 and 96

  25. Number of Participants Receiving Concomitant IBD Medications During Guselkumab Treatment

    Number of participants receiving concomitant IBD medications during guselkumab treatment will be reported.

    Time frame: Baseline up to Week 96

  26. Health-related Quality of Life As Assessed by Short Inflammatory Bowel Disease Questionnaire (SIBDQ) Total Score

    SIBDQ is a HRQoL tool measuring physical, social, and emotional status in IBD patients 45. The SIBDQ is a 10-item survey measuring HRQoL over the last 2 weeks (frequency of bowel movement, abdominal cramps, fatigue, lack of energy, worry of surgery, fear of no toilet, ability to relax, irritable, impact on leisure, impact on intimacy). The total score ranges from 10 to 70, where high score indicates better QoL.

    Time frame: Week 0, 12, 48 and 96

  27. Health-related Quality of life of Participants Receiving Guselkumab Treatment as Assessed by Bowel Urgency

    Health-related Quality of life of participants receiving guselkumab treatment as assessed by bowel urgency will be reported.

    Time frame: Week 0, 12, 48 and 96

  28. Health-related Quality of Life of Participants Receiving Guselkumab Treatment as Assessed by PRO-2 Components

    Health-related Quality of life of participants receiving guselkumab treatment as assessed by PRO-2 components will be reported.

    Time frame: Week 0, 12, 48 and 96

  29. Change from Baseline in Satisfaction with Guselkumab Treatment as per Treatment Satisfaction Questionnaire for Medication (TSQM) Total Score

    TSQM-9 is an abbreviated version of the 14-item TSQM, and is a reliable and valid measure to assess treatment satisfaction. It consists of 9 items distributed in the domains: side effects, effectiveness, convenience, and global satisfaction, with scores at each domain ranging from 0 to 100. Higher score indicating higher treatment satisfaction.

    Time frame: Week 0 (Baseline) , Weeks 12, 48 and 96

  30. Number of Participants Achieving Endoscopic Response in Participants with CD as Measured by Simple Endoscopy Score-CD (SES-CD)

    Endoscopic response is defined as 50% improvement from baseline in SES-CD total score, or SES-CD total score \<=4.

    Time frame: Week 0, 12, 48 and 96

  31. Number of Participants Achieving Endoscopic Remission in Participants with CD

    Endoscopic remission in participants with CD is defined as SES-CD total score \<= 4 with at least 2 points reduction from baseline and no subscore greater than (\>)1 in any individual component.

    Time frame: Week 0, 12, 48 and 96

  32. Number of Participants Achieving Endoscopic Improvement in Participants with UC as Measured by Mayo Score

    Endoscopic Improvement is defined as a Mayo score \<=1.

    Time frame: Week 0, 12, 48 and 96

  33. Number of Participants Achieving Endoscopic Normalization in Participants with UC as Measured by Mayo Score

    Endoscopic normalization is defined as a Mayo score =0.

    Time frame: Week 0, 12, 48 and 96

  34. Change in Number of UC/CD Emergency Room Visits

    Change in the number of emergency room visits for treatment of UC/CD will be reported.

    Time frame: Week 0, 12, 48 and 96

  35. Change in Number of UC/CD-Hospitalizations

    Change in the number of hospitalizations for treatment of UC/CD will be reported.

    Time frame: Week 0, 12, 48 and 96

  36. Change in Number of UC/CD Surgeries

    Change in the number of surgeries for treatment of UC/CD will be reported.

    Time frame: Week 0, 12, 48 and 96

07

Study locations

1 of 1 sites recruiting
  • Al Salama Hospital
    Jeddah, 23611, Saudi Arabia
    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 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

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started May 2026 (actual). Primary completion is estimated for Jan 2029, 31 months after the start.

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

Registered
Apr 14, 2026
First posted
Apr 21, 2026
StartActual
May 12, 2026
Primary completionEst.
Jan 2, 2029
CompletionEst.
Jan 29, 2029
Last update
Jul 2, 2026
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 Jul 2, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07541261
Responsible party
Sponsor
First posted
Apr 21, 2026
Start date
May 12, 2026
Primary completion
Jan 2, 2029 (estimated)
Completion
Jan 29, 2029 (estimated)
Last update
Jul 2, 2026

Study contacts

Study Contact
Contact
Participate-In-This-Study1@its.jnj.com
844-434-4210

Oversight

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

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