ClinicalTrials.gg
RecruitingNCT07822529GO-ONUpdated Nov 3, 2026

A Study of Long Term Persistency of Guselkumab in Adult Participants With Inflammatory Bowel Disease

An observational study in Inflammatory Bowel Diseases, sponsored by Janssen Research & Development, LLC. Recruiting at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-03.

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

From the registry’s dates

  • Started Sep 2026; still recruiting 1 month later.
Updated Sep 25, 2026Now RecruitingFirst site in France+3 moreGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
400
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 143 studies in Inflammatory Bowel Diseases with a site in France — 32 open to participants now, 43 under way, 7 of them phase 3. Inflammatory Bowel Diseases · France.

Planned enrollment
20th of 59
400 · median 220
Started
2026
with 6 others
Observational
59 of 143
16 open now
Primary completion
2030-01
later than 38 of 42 live
Registered
142nd of 143
by date
Lead sponsor
6 of 143
Janssen Research & Development, LLC

Among the 143 studies in Inflammatory Bowel Diseases with a site in France, this one is the 20th largest by planned enrollment of the 59 observational ones that give a count, is one of 7 that started in 2026, is one of 59 observational ones, reaches primary completion later than 38 of the 42 other live ones, and was the 142nd registered.

Inflammatory Bowel Diseases

1,550 studies on the registry are indexed under Inflammatory Bowel Diseases; 426 are open to participants now.

Browse Inflammatory Bowel Diseases studies →

Open to participants now

32 of the 143 studies in Inflammatory Bowel Diseases with a site in France are open now. Recruiting first, the newest first:

26 more — sign in →

All 32 open studies →

A study can be open while its sites in France have not opened yet or have stopped. Only those recruiting at a site in France →

Who these studies take

Of the 278 Inflammatory Bowel Diseases studies recruiting now, 133 (48%) set no upper age limit and 118 (42%) stop at 75 or younger; 76 take children under 18; 61 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

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 diseases, a group of inflammatory conditions of the colon and small intestine.

03

Conditions studied

  • Inflammatory Bowel Diseases
04

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

  • Must be greater than or equal to (>=) 18 years old
  • Must be eligible for biologic treatment and initiate guselkumab according to the approved indications as described in the current version of the summary of product characteristics (SmPC) of the drug. Decision to prescribe must solely be made by the treating physician. Enrolment must take place before or on the day of the first administration (but after treatment decision by physician)
  • Must have a confirmed diagnosis of moderate-to-severe Crohn's disease (CD) or Ulcerative Colitis (UC) recorded in their medical records
  • Participant has received the information note/given his/her oral agreement and has not objected to the collection of their data

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 a prior history of Stelara (ustekinumab) and biosimilars exposure, may be included
  • History of more than 4 lines of advanced inflammatory bowel disease (IBD) therapy (biologics and/or small molecules)
Terms in these criteria, in plain language(1)

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.

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
400 participants (estimated)
Patient registry
No

Groups and cohorts

  • Guselkumab

    Participants with confirmed diagnosis of moderate to severe crohn's disease (CD) or ulcerative colitis (UC) will be enrolled according to the approved local prescribing label and treated with guselkumab according to the local clinical practice. No drug will be provided as part of this study. Only data available from clinical practice will be collected within this study.

06

What researchers measure

Primary outcomes

  1. Persistence with Guselkumab Treatment

    Time to guselkumab discontinuation will be used to measure the guselkumab persistence in participants and is defined as the time from the first administration of guselkumab to its discontinuation date (defined as the date that the last dose of treatment was administered plus 1 dosing interval).

    Time frame: Up to Week 96

Secondary outcomes

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

    Number of participants with early responses to guselkumab measured via bowel urgency will be assessed via participant diaries.

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

  2. Number of Participants with Early Responses to Guselkumab Measured Using Simplified Patient-Reported Outcome (2-item) (PRO-2) Components in Participants with CD

    Number of participants with early responses to guselkumab will be assessed via participant diaries. Measurements captured for CD include stool frequency and abdominal pain (AP).

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

  3. Number of Participants with Early Responses to Guselkumab Measured Using Simplified Patient-Reported Outcome (2-item) (PRO-2) Components in Participants with UC

    Number of participants with early responses to guselkumab will be assessed via participant diaries. Measurements captured for UC include rectal bleeding and stool frequency (SF).

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

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

    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 reduction in HBI by greater than or equal to (\>=)3 points from baseline or achieving HBI less than or equal to (\<=) 4. Efficacy will be evaluated by line of treatment and subpopulation.

    Time frame: Up to Week 96

  5. Number of Participants Achieving Clinical Remission for CD as Measured by HBI Score

    Clinical remission for CD is defined as a HBI score of \<= 4. Efficacy will be evaluated by line of treatment and subpopulation.

    Time frame: Up to Week 96

  6. Number of Participants Achieving Corticosteroid-Free Clinical Response for CD as Measured by HBI Score

    Corticosteroid-free clinical response for CD is defined as the reduction in HBI \>=3 points from baseline or achieving HBI \<=4 with no use of corticosteroids for at least 30 days. Efficacy will be evaluated by line of treatment and subpopulation.

    Time frame: Up to Week 96

  7. Number of Participants Achieving Corticosteroid-Free Clinical Remission for CD

    Corticosteroid-free clinical remission will be defined as a HBI score of \<= 4 and no use of corticosteroids for at least 30 days in participants with CD. Efficacy will be evaluated by line of treatment and subpopulation.

    Time frame: Up to Week 96

  8. Number of Participants Achieving Clinical Response for Ulcerative Colitis (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 summed 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. Efficacy will be evaluated by line of treatment and subpopulation.

    Time frame: Up to Week 96

  9. Number of Participants Achieving Clinical Remission for UC as Measured by PMS

    Clinical remission for UC is defined as the PMS score \< 2 and a rectal bleeding subscore of 0. Efficacy will be evaluated by line of treatment and subpopulation.

    Time frame: Up to Week 96

  10. Number of Participants Achieving Corticosteroid-Free Clinical Response for UC as Measured by PMS

    Corticosteroid free clinical response is defined as a PMS score of \<4 or \>=30% reduction from baseline and no use of corticosteroids for at least 30 days. Efficacy will be evaluated by line of treatment and subpopulation.

    Time frame: Up to Week 96

  11. Number of Participants Achieving Corticosteroid-Free Clinical Remission for UC

    Corticosteroid-free clinical remission will be defined as a PMS score of less than (\<)2, no use of corticosteroids for at least 30 days and a rectal bleeding subscore of 0 in participants with UC. Efficacy will be evaluated by line of treatment and subpopulation.

    Time frame: Up to Week 96

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

    The CD PRO-2 consists of 2 items: abdominal pain and stool frequency. An AP score \<=1 and a mean SF score \<=3 and no worsening of AP or SF compared with baseline and no use of corticosteroids for at least 30 days in CD participants will be defined as a corticosteroid-free PRO-2 remission. Efficacy will be evaluated by line of treatment and subpopulation.

    Time frame: Up to Week 96

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

    The UC PRO-2 is composed of rectal bleeding and stool frequency. An SF subscore of 0 or 1, where it has not increased from baseline, and a PMS rectal bleeding subscore of 0 with no use of corticosteroids for at least 30 days in UC participants will be defined as a corticosteroid-free PRO-2 remission. Efficacy will be evaluated by line of treatment and subpopulation.

    Time frame: Up to Week 96

  14. Characteristics of Participants Receiving Guselkumab Treatment: Age

    Age of participants receiving guselkumab treatment will be reported.

    Time frame: At Baseline

  15. Characteristics of Participants Receiving Guselkumab Treatment: Sex

    Sex of participants receiving guselkumab treatment will be reported.

    Time frame: At Baseline

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

    The number and type of previous inflammatory bowel disease (IBD) medication used by participant will be reported.

    Time frame: At Baseline

  17. 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

  18. Characteristics of Participants Receiving Guselkumab Treatment: Height

    Height of participants receiving guselkumab treatment will be reported.

    Time frame: At Baseline

  19. Characteristics of Participants Receiving Guselkumab Treatment: Weight

    Weight of participants receiving guselkumab treatment will be reported.

    Time frame: At Baseline

  20. Characteristics of Participants Receiving Guselkumab Treatment: Disease Severity At Index

    Disease severity per participant at baseline will be assessed.

    Time frame: At Baseline

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

    Participant's age at diagnosis will be reported.

    Time frame: At Baseline

  22. Characteristics of Participants Receiving Guselkumab Treatment: Disease Duration

    Participants disease duration will be reported.

    Time frame: At Baseline

  23. Characteristics of Participants Receiving Guselkumab Treatment: Comorbid Diagnoses

    Number and nature of comorbidities per participant will be reported.

    Time frame: At Baseline

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

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

    Time frame: At Baseline

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

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

    Time frame: At Baseline

  26. Number of Participants with Adverse Events (AE)

    An adverse event is any untoward medical occurrence in a participant administered a medicinal product. An adverse event 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

  27. 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: Up to Week 96

  28. Change in Fecal Calprotectin (Fcal) Levels

    Change in Fcal levels since guselkumab initiation will be reported. Fcal is a marker of inflammation that will be measured by physicians following routine clinical practice where higher values indicate greater intestinal inflammation.

    Time frame: Up to Week 96

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

    Number of participants with concomitant IBD medications and the type of concomitant medications given during guselkumab treatment will be reported.

    Time frame: Up to Week 96

  30. Health-related Quality of Life As Assessed by Short IBD Questionnaire (SIBDQ) Total Score

    The SIBDQ is a health-related quality of life (HRQoL) tool measuring physical, social, and emotional status in IBD participants. 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: Up to Week 96

  31. 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: Up to Week 96

  32. 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: Up to Week 96

  33. Functional Assessment Of Chronic Illness (FACIT) Fatigue (FACIT-F) Scale Score

    The FACIT-F scale is a 13-item instrument designed to assess fatigue/tiredness and its impact on daily activities and functioning in chronic diseases. The instrument includes items such as tiredness, weakness, listlessness, lack of energy, and the impact of these feelings on daily functioning over the last 7 days. Scores are numeric and range from 0 to 52 with higher scores indicating less fatigue.

    Time frame: Up to Week 96

  34. Number of CD Participants Achieving Endoscopic Response 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. SES-CD score can range from 0 to 56. Higher scores indicating more severe disease. If SES-CD is not available, response is defined as a reduction in ulcer size, number or extend on endoscopy compared to baseline.

    Time frame: Up to Week 96

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

    Endoscopic remission is defined as SES -CD total score \<= 4 with at least 2 points reduction from baseline and no subscore \>1 in any individual component . SES-CD score can range from 0 to 56. Higher scores indicating more severe disease. If SES-CD is not available, response is defined as an absence of mucosal ulcers as seen on endoscopy.

    Time frame: Up to Week 96

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

    Endoscopic improvement is defined as Mayo score \<=1. The Mayo Clinic Score is a composite index with total score ranging from 0 to 12. Higher scores indicate worse disease activity.

    Time frame: Up to Week 96

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

    Endoscopic normalization is defined as Mayo score =0. The Mayo Clinic Score is a composite index with a total score ranging from 0 to 12. Higher scores indicate worse disease activity.

    Time frame: Up to Week 96

  38. Number of Participants Achieving Histological Improvement in Participants with UC as Measured by Nancy Score

    Histological improvement defined by a reduction in the Nancy score by at least one point compared to baseline will be reported. The Nancy index is defined by a 5-level classification ranging from grade 0 (absence of significant histological disease activity) to grade 4 (severely active disease).

    Time frame: Up to Week 96

  39. Number of Participants Achieving Histological Remission in Participants with UC as Measured by Nancy Score

    Histological remission defined by a Nancy score of 0 or 1 will be reported. The Nancy index is defined by a 5-level classification ranging from grade 0 (absence of significant histological disease activity) to grade 4 (severely active disease).

    Time frame: Up to Week 96

  40. Number of Participants Achieving Intestinal Utrasound (IUS) Response in Participants with CD as Measured by Bowel Wall Thickness (BWT)

    IUS response is defined as reduction of BWT of \>=25% or normalization (\<=3 millimeters \[mm\]) of the most affected segment at Weeks 24, 48, 72, 96 in participants with increased BWT (\>3 mm) at baseline.

    Time frame: At Weeks 24, 48, 72, 96

  41. Number of Participants Achieving IUS (Transmural) Remission in Participants with CD as Measured by BWT

    IUS remission is defined as normalization of BWT (\<=3 mm) and vascularity (no signal or short signal in color Doppler of the most affected segment) at Weeks 24, 48, 72, 96, in participants with increased BWT (\> 3 mm) at baseline

    Time frame: At Weeks 24, 48, 72, 96

  42. Number of Participants Achieving Magnetic Resonance Enterography (MRE) Response in Participants with CD

    MRE response is defined as improvement of bowel wall thickness and contrast enhancement compared to baseline.

    Time frame: Up to Week 96

  43. Number of Participants Achieving MRE Remission in Participants with CD

    MRE remission is defined as bowel wall thickness \<=3 mm without segmental mural hyperenhancement.

    Time frame: Up to Week 96

  44. 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. t 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. Here, higher scores indicating greater satisfaction for that domain. A positive change from baseline indicates improvement.

    Time frame: Baseline, Weeks 12, 48, and 96

  45. Change from Baseline 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: Baseline, Weeks 12, 48, 96

  46. Change from Baseline in Number of UC/CD Hospitalizations

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

    Time frame: Baseline, Weeks 12, 48, 96

  47. Change from Baseline in Number of UC/CD Surgeries

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

    Time frame: Baseline, Weeks 12, 48, 96

07

Study locations

1 of 1 sites recruiting
08

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

2 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Sep 2026 (actual). Primary completion is estimated for Jan 2030, 39 months after the start.

Of 37 industry-sponsored observational studies under Inflammatory Bowel Diseases, half reached primary completion within 34 months of starting (the median), counting those still running; a quarter within 24 and three quarters within 44. This study's planned 39 months is above that.

Counting every sponsor, half of 280 studies reached it within 36 months; a quarter within 20 and three quarters within 122.

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

Registered
Sep 11, 2026
First posted
Sep 16, 2026
StartActual
Sep 14, 2026
Primary completionEst.
Jan 1, 2030
CompletionEst.
Apr 15, 2030
Last update
Nov 3, 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.
Status
Not yet recruiting→Recruiting
changed Sep 25, 2026
Sites
1 site added — first site in France
Show site
  • CHU Amiens Picardie · Amiens, France
Sep 25, 2026
Start date
Sep 18, 2026→Sep 14, 2026 (actual)
Sep 25, 2026
Study completion
Apr 19, 2030→Apr 15, 2030
Sep 25, 2026
Show all 2 updates
  1. Nov 3, 2026
    Minor edits only
    + 1 other change: verification date
  2. Sep 25, 2026
    Not yet recruiting→Recruiting
    1 site added — first site in France
    Show site
    • CHU Amiens Picardie · Amiens, France
    Start date Sep 18, 2026→Sep 14, 2026 (now actual)
    Study completion Apr 19, 2030→Apr 15, 2030

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
NCT07822529
Responsible party
Sponsor
First posted
Sep 16, 2026
Start date
Sep 14, 2026
Primary completion
Jan 1, 2030 (estimated)
Completion
Apr 15, 2030 (estimated)
Last update
Nov 3, 2026

Study contacts

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