UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000062354
Receipt number R000071357
Scientific Title Evaluation of Extended Ustekinumab (an IL-12/23p40 Inhibitor) Dosing Intervals for Maintenance of Remission in Patients with Refractory Ulcerative Colitis
Date of disclosure of the study information 2026/08/01
Last modified on 2026/07/27 17:31:39

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Basic information

Public title

Evaluation of Extended Ustekinumab Dosing Intervals for Remission Maintenance in Refractory Ulcerative Colitis

Acronym

Evaluation of Extended Ustekinumab Dosing Intervals for Maintenance of Remission in Patients with Ulcerative Colitis

Scientific Title

Evaluation of Extended Ustekinumab (an IL-12/23p40 Inhibitor) Dosing Intervals for Maintenance of Remission in Patients with Refractory Ulcerative Colitis

Scientific Title:Acronym

Evaluation of Extended Ustekinumab (an IL-12/23p40 Inhibitor) Dosing Intervals for Maintenance of Remission in Patients with Ulcerative Colitis

Region

Japan


Condition

Condition

Ulcerative Colitis

Classification by specialty

Gastroenterology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Ustekinumab (UST) is a monoclonal antibody targeting the p40 subunit shared by interleukin (IL)-12 and IL-23. Following induction therapy, patients transition to maintenance therapy with subcutaneous UST administered every 8 or 12 weeks, beginning 8 weeks after the initial intravenous infusion. Because the clinical remission rate at week 8 was less than 20% in the phase III trial, most patients in routine clinical practice initially receive maintenance therapy every 8 weeks, with extension to every 12 weeks considered after stable disease control has been achieved. However, evidence regarding the efficacy and safety of extending the UST dosing interval, as well as predictors of successful interval extension, remains limited in patients with ulcerative colitis.
The aim of this prospective study is to evaluate the efficacy and safety of extending the UST maintenance dosing interval from every 8 weeks to every 12 weeks in patients with ulcerative colitis. In addition, the study will investigate the success rate of dosing interval extension and identify predictors associated with successful interval extension.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Cumulative remission maintenance rate in the 12-week interval extension group compared with the 8-week interval group

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

The maintenance dosing interval of UST 90 mg per dose subcutaneous injection will be extended from every 8 weeks to every 12 weeks.

Interventions/Control_2

UST 90 mg per dose subcutaneous injection will be continued every 8 weeks as maintenance therapy.

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

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients with ulcerative colitis UC receiving maintenance therapy with subcutaneous UST 90 mg every 8 weeks will be included. Eligible patients must achieve clinical remission and mucosal healing one year after initiation of UST therapy. Mucosal healing is defined as endoscopic Mayo score 0 or 1 and fecal calprotectin level <=240 ug/g.

Key exclusion criteria

Patients younger than 20 years of age will be excluded.

Target sample size

30


Research contact person

Name of lead principal investigator

1st name ryoji
Middle name
Last name koshiba

Organization

Osaka Medical and Pharmaceutical University

Division name

Second Department of Internal Medicine

Zip code

5698686

Address

2-7 Daigaku-machi, Takatsuki, Osaka

TEL

0726831221

Email

ryouji.koshiba@ompu.ac.jp


Public contact

Name of contact person

1st name ryoji
Middle name
Last name koshiba

Organization

Osaka Medical and Pharmaceutical University

Division name

Second Department of Internal Medicine

Zip code

5698686

Address

2-7 Daigaku-machi, Takatsuki, Osaka

TEL

0726831221

Homepage URL


Email

ryouji.koshiba@ompu.ac.jp


Sponsor or person

Institute

Osaka Medical and Pharmaceutical University

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Office of the Hospital Ethics Committee, Osaka Medical and Pharmaceutical University

Address

2-7 Daigaku-machi, Takatsuki, Osaka

Tel

0726831221

Email

ompuh-kanri@ompu.ac.jp


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

2026 Year 08 Month 01 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

Enrolling by invitation

Date of protocol fixation

2021 Year 09 Month 03 Day

Date of IRB

2021 Year 09 Month 03 Day

Anticipated trial start date

2021 Year 09 Month 14 Day

Last follow-up date

2029 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2026 Year 07 Month 27 Day

Last modified on

2026 Year 07 Month 27 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071357