UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000058388
Receipt number R000066591
Scientific Title Effectiveness of guselkumab on ulcerative colitis patients with a history of ustekinumab loss of response
Date of disclosure of the study information 2025/07/07
Last modified on 2025/07/07 16:49:39

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Basic information

Public title

Effectiveness of guselkumab on ulcerative colitis patients with a history of ustekinumab loss of response

Acronym

Effectiveness of guselkumab on ulcerative colitis patients with a history of ustekinumab loss of response

Scientific Title

Effectiveness of guselkumab on ulcerative colitis patients with a history of ustekinumab loss of response

Scientific Title:Acronym

Effectiveness of guselkumab on ulcerative colitis patients with a history of ustekinumab loss of response

Region

Japan


Condition

Condition

Ulcerative colitis

Classification by specialty

Gastroenterology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The primary objective of this study is to evaluate the efficacy of GUS in UC patients with a history of UST loss of response (LoR).

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

<Primary Endpoint>
The primary endpoint is to assess the change from baseline in the partial Mayo (pMayo) score in the induction period at 12 weeks after GUS administration.
<Secondary Endpoints>
The secondary endpoint is to assess the change from baseline in pMayo score in the maintenance period at 48 weeks after GUS administration.
The other endpoints include the clinical response, clinical remission, endoscopic response and endoscopic remission (if available) at 12 and 48 weeks after GUS administration, continuation rate of GUS as well as safety information.

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

15 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1.Subjects with age 15 years or older at baseline.
2.Subjects must sign informed consent, and the consent of their legally acceptable representative must be obtained for subjects under 18 years of age.
3.Subjects with confirmed diagnosis of moderate to severe UC.
4.Subjects with a history of UST primary failure or LoR. Primary failure is defined as a patient who was unable to achieve clinical remission (pMayo 2 or less) despite the use of UST. LoR is defined as the recurrence/worsening of symptoms in a patient who had previously benefited from UST (worsening of pMayo score (pMayo 3 or more)).
5.Subjects with primary UST failure or LoR despite Q8w dosing regimen when prospectively enrolled.
6.Subjects who have initiated treatment with GUS at least 1 dose (for retrospective study).
7.Subjects with no tuberculosis infection.

Key exclusion criteria

1.Subjects who have a history of bowel surgery
2.Subjects with acute severe UC
3.Subjects with current pregnancy
4.Subjects with current malignancy, or active treatment for previously diagnosed malignancy.
5.Subjects with serious comorbidity including immunodeficiency, myocardial infarction, stroke, renal or hepatic failure, infection such as tuberculosis, abscess, opportunistic infection, or sepsis.
6.Subjects with already achieved symptomatic remission at baseline (stool frequency score: SFS = 0 or 1 and rectal bleeding score: RBS = 0.
7.Subjects currently enrolled or plan to be enrolled (during this study period) in any another Janssen sponsored study or non-Janssen-sponsored interventional study.
8.Patients with No baseline pMayo score.
9.Subjects who have been previously prescribed with p19 inhibitors (participated in GUS clinical trials, prescribed with mirikizumab or risankizumab).
10.Subjects who have used ADTs beyond 3 MOAs (mode of action) in the past.
11.Patients who have used UST and did not LoR but terminated with other reasons such as AE.

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Tomoyuki
Middle name
Last name Inoue

Organization

Janssen PharmaceuticalK.K.

Division name

Medical Affairs

Zip code

101-0065

Address

5-2, Nishi-kanda 3-chome, Chiyoda-ku, Tokyo

TEL

070-4214-1138

Email

tinoue9@its.jnj.com


Public contact

Name of contact person

1st name Tomoyuki
Middle name
Last name Inoue

Organization

Janssen Pharmaceutical K.K.

Division name

Medical Affairs

Zip code

101-0065

Address

5-2, Nishi-kanda 3-chome, Chiyoda-ku, Tokyo

TEL

070-4214-1138

Homepage URL


Email

tinoue9@its.jnj.com


Sponsor or person

Institute

Janssen Pharmaceutical K.K.

Institute

Department

Personal name



Funding Source

Organization

Janssen Pharmaceutical K.K.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Non-profit organization MINS Research Ethics Committee

Address

St Shibuya Building, 1-15-14 Dogenzaka, Shibuya-ku, Tokyo

Tel

03-6416-1868

Email

npo-mins@j-irb.com


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 07 Month 07 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2025 Year 05 Month 28 Day

Date of IRB

2025 Year 06 Month 19 Day

Anticipated trial start date

2025 Year 08 Month 15 Day

Last follow-up date

2027 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

n/a


Management information

Registered date

2025 Year 07 Month 07 Day

Last modified on

2025 Year 07 Month 07 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000066591