A Study of Guselkumab in Pediatric Participants With Moderately to Severely Active Crohn's Disease
Phase 3 · Testing Guselkumab · 85 sites · Janssen Research & Development, LLC
Official record & contacts on ClinicalTrials.gov ↗
In plain English
What this trial is testing
This study is testing Guselkumab (a drug) and Guselkumab (a drug) as a possible treatment. Condition(s) listed: Crohn's Disease.
Participants are assigned to groups by chance (randomized).
It is blinded: participants and the study team do not know who receives what.
Phase 3 studies are large studies comparing a treatment with placebo or standard care. They are often the last step before a company asks regulators for approval.
Who can join
- Ages 2 to 17
- Any sex
Some of the main requirements, copied from the record:
- Participants must have a diagnosis of Crohn's Disease (CD) or fistulizing CD, with active colitis, ileitis, or ileocolitis, confirmed at any time in the past by clinical, endoscopic, and histologic criteria.
- Participants must have moderately to severely active CD (as defined by a baseline Pediatric Crohn's Disease Activity Index \[PCDAI\] score greater than or equal to \[>=\] 30)
- Participants must have endoscopy with evidence of active CD defined as Simple Endoscopic Score for Crohn's Disease (SES-CD) score greater than or equal to (>=) 6 (or >=4 for participants with isolated ileal disease) within 1 month of…
- Participants must have a history of inadequate response, loss of response, or intolerance to immunomodulators (6-MP, AZA, or MTX), oral or IV corticosteroids, or biologic therapy/JAK inhibitor therapy; OR have a history of corticosteroid…
There are also 3 reasons someone might not be able to join (exclusion criteria). Only the trial team can confirm whether you qualify.
What's involved
- About 120 participants are expected to take part.
- The study has 5 groups.
- Start date: 2024-03-13.
- Main results expected around 2027-10-27 (estimate from the record).
- 85 study sites listed (55 marked recruiting) in Australia, Austria, Belgium, Brazil and Canada and 12 more countries.
Groups in this study
- Open-label induction phase: Guselkumab Intravenously (IV) (listed as: experimental group)
- Open-label induction phase: Guselkumab Subcutaneously (SC) (listed as: experimental group)
- Double-blind maintenance phase: Guselkumab SC Dose Regimen 1 (listed as: experimental group)
- Double-blind Maintenance Phase: Guselkumab SC Dose Regimen 2 (listed as: experimental group)
- Open-label maintenance phase: Guselkumab SC (listed as: experimental group)
Main thing being measured
- Percentage of Participants with Clinical Remission at Week 52 (Week 52)
- Percentage of Participants Who Achieve Endoscopic Response at Week 52 (Week 52)
In the researchers’ words
The purpose of this study is to evaluate the clinical and endoscopic efficacy of guselkumab in pediatric participants with Crohn's Disease (CD) at the end of maintenance therapy (Week 52) among participants who were in clinical response to guselkumab at Week 12.
Words you might see
- Endoscopy: a camera exam inside the digestive tract.
- SES-CD: a score of Crohn's inflammation seen on colonoscopy.
- Remission: a period when the disease is quiet or under control.
- Maintenance: longer-term treatment aimed at keeping the disease under control.
- JAK inhibitor: a group of oral medicines that calm parts of the immune system.
- Biologic: a medicine made from living cells, usually given by injection or infusion.
- Stricture: a narrowing (of the bowel or of a bile duct).
- Biopsy / histology: a small tissue sample examined under a microscope.
General definitions, not specific to this trial.
This summary was written automatically from the official record using fixed templates (no AI), so it only says what the record says, and may leave things out.
Questions to ask your doctor and the trial team
- Am I likely to qualify, given my health history?
- What would I have to do, and how often would I need to visit?
- Could I get a placebo? What happens to my current treatment?
- What are the possible risks and benefits?
- Are travel or other costs covered?
- What happens after the trial ends?
Official details
| Status | Recruiting |
|---|---|
| Phase | Phase 3 |
| Study type | Interventional |
| Conditions | Crohn's Disease |
| Lead sponsor | Janssen Research & Development, LLC |
| Enrollment | 120 (estimated) |
| Start date | 2024-03-13 |
| Primary completion (est.) | 2027-10-27 |
| First posted | 2023-06-28 |
| Last updated | 2026-09-25 |
| Official title | A Phase 3, Multicenter, Randomized, Platform Study of p19 Inhibition of the IL-23 Pathway to Establish Efficacy in Pediatric Crohn's Disease |
| ClinicalTrials.gov ID | NCT05923073 |
Interventions
- Guselkumab (Drug)
Guselkumab will be administered subcutaneously. - Guselkumab (Drug)
Guselkumab will be administered intravenously.
Full eligibility criteria (from the record)
Inclusion Criteria: * Participants must have a diagnosis of Crohn's Disease (CD) or fistulizing CD, with active colitis, ileitis, or ileocolitis, confirmed at any time in the past by clinical, endoscopic, and histologic criteria. * Participants must have moderately to severely active CD (as defined by a baseline Pediatric Crohn's Disease Activity Index \[PCDAI\] score greater than or equal to \[>=\] 30) * Participants must have endoscopy with evidence of active CD defined as Simple Endoscopic Score for Crohn's Disease (SES-CD) score greater than or equal to (>=) 6 (or >=4 for participants with isolated ileal disease) within 1 month of receiving study intervention at Week 0 * Participants must have a history of inadequate response, loss of response, or intolerance to immunomodulators (6-MP, AZA, or MTX), oral or IV corticosteroids, or biologic therapy/JAK inhibitor therapy; OR have a history of corticosteroid dependence; OR have a history of inadequate response to exclusive enteral nutrition (EEN) Exclusion Criteria: * Participants has complications of CD such as symptomatic strictures or stenosis, short gut syndrome, or any other manifestation that might be anticipated to require surgery. * Participants must not have an abscess * Participants must not have any kind of bowel resection within 26 weeks or any other intra-abdominal surgery within 12 weeks of baseline
Locations (85)
Show all 85 sites
| Site | City | Country | Site status |
|---|---|---|---|
| Cedars Sinai Medical Center | Los Angeles, California | United States | Recruiting |
| Connecticut Children's Medical Center | Hartford, Connecticut | United States | Completed |
| Emory University | Atlanta, Georgia | United States | Recruiting |
| Children's Center for Digestive Health Care | Atlanta, Georgia | United States | Recruiting |
| Riley Hospital for Children | Indianapolis, Indiana | United States | Completed |
| Boston Childrens Hospital | Boston, Massachusetts | United States | Recruiting |
| Goryeb Children's Hospital | Morristown, New Jersey | United States | Recruiting |
| Weill Cornell Medical College - Judith Jaffe Multiple Sclerosis Center | New York, New York | United States | Recruiting |
| Icahn School of Medicine at Mount Sinai | New York, New York | United States | Recruiting |
| Columbia University Medical Center | New York, New York | United States | Completed |
| The Children's Medical Center of Dayton | Dayton, Ohio | United States | Completed |
| Children's Hospital of Philadelphia | Philadelphia, Pennsylvania | United States | Recruiting |
| Cook Childrens Medical Center | Fort Worth, Texas | United States | Recruiting |
| University of Vermont Medical Center | Colchester, Vermont | United States | Completed |
| Perth Children's Hospital | Nedlands | Australia | Recruiting |
| Mater Hospital Brisbane | South Brisbane | Australia | Recruiting |
| The Children's Hospital at Westmead | Westmead | Australia | Recruiting |
| AKH - Medizinische Universitat Wien | Vienna | Austria | Completed |
| Universitair Ziekenhuis Brussel | Brussels | Belgium | Recruiting |
| Cliniques Universitaires Saint Luc | Brussels | Belgium | Completed |
| Universitair Ziekenhuis Gent | Ghent | Belgium | Recruiting |
| UZ Leuven | Leuven | Belgium | Recruiting |
| Sociedade Campineira de Educacao e Instrucao Hospital e Maternidade Celso Pierro | Campinas | Brazil | Recruiting |
| Associacao Hospitalar de Protecao a Infancia Dr. Raul Carneiro | Curitiba | Brazil | Recruiting |
| Universidade Federal de Goias - Hospital das Clinicas da UFG | Goiânia | Brazil | Recruiting |
| Hospital De Clinicas De Porto Alegre | Porto Alegre | Brazil | Completed |
| Irmandade Santa Casa de Misericordia de Porto Alegre | Porto Alegre | Brazil | Completed |
| Centro de Ciencias e Saude da Universidade Federal do Espirito Santo-Nucleo de Doencas Infecciosas | Vitória | Brazil | Completed |
| INTEGRAL Pesquisa e Ensino | Votuporanga | Brazil | Recruiting |
| Iwk Health Centre | Halifax, Nova Scotia | Canada | Completed |
| London Health Sciences Centre Victoria Hospital | London, Ontario | Canada | Completed |
| Hospital For Sick Children | Toronto, Ontario | Canada | Recruiting |
| CHU Amiens-Hopital Nord | Amiens | France | Recruiting |
| Hôpital Jeanne de FLANDRE, CHRU LILLE | Lille | France | Recruiting |
| Hôpital Necker - Enfants Malades | Paris | France | Completed |
| Hôpital Robert Debré | Paris | France | Recruiting |
| Soroka University Medical Center | Beersheba | Israel | Completed |
| Shamir Medical Center Assaf Harofeh | Be’er Ya‘aqov | Israel | Completed |
| Shaare Zedek Medical Center | Jerusalem | Israel | Recruiting |
| Hadassah Medical Center | Jerusalem | Israel | Recruiting |
| Schneider Children's Medical Center | Petah Tikva | Israel | Recruiting |
| Kaplan Medical Center | Rehovot | Israel | Recruiting |
| A.O. Santi Antonio e Biagio e Cesare Arrigo | Alessandria | Italy | Recruiting |
| Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII (Presidio Papa Giovanni XXIII) | Bergamo | Italy | Recruiting |
| Ospedale Bellaria, U.O.Cardiologia Az. USL di Bologna | Bologna | Italy | Recruiting |
| Azienda Ospedaliero Universitaria Ospedale Pediatrico Meyer | Florence | Italy | Recruiting |
| Azienda Socio Sanitaria Territoriale Fatebenefratelli Presidio Ospedale dei Bambini Vittore Buzzi | Milan | Italy | Completed |
| AOU Policlinico Umberto I | Roma | Italy | Completed |
| Hirosaki University Hospital | Hirosaki | Japan | Completed |
| Kagoshima University Hospital | Kagoshima | Japan | Recruiting |
| Tsujinaka Hospital Kashiwanoha | Kashiwa-shi | Japan | Completed |
| Kobe University Hospital | Kobe | Japan | Recruiting |
| Saga University Hospital | Saga | Japan | Recruiting |
| Miyagi Childrens Hospital | Sendai | Japan | Recruiting |
| National Center for Child Health and Development | Setagaya Ku | Japan | Completed |
| Juntendo University Hospital | Tokyo | Japan | Recruiting |
| Mie University Hospital | Tsu | Japan | Completed |
| Yamaguchi University Hospital | Ube | Japan | Recruiting |
| Saiseikai Yokohamashi Tobu Hospital | Yokohama | Japan | Recruiting |
| Yokohama City University Medical Center | Yokohama | Japan | Recruiting |
| Erasmus Medisch Centrum | Rotterdam | Netherlands | Completed |
| Akershus Universitetssykehus HF | Nordbyhagen | Norway | Recruiting |
| Oslo University Hospital | Oslo | Norway | Completed |
| Universitetssykehuset Nord-Norge HF | Tromsø | Norway | Recruiting |
| St. Olavs Hospital | Trondheim | Norway | Completed |
| Korczowski Bartosz Gabinet Lekarski | Rzeszów | Poland | Recruiting |
| WIP Warsaw IBD Point Profesor Kierkus | Warsaw | Poland | Recruiting |
| Instytut Pomnik Centrum Zdrowia | Warsaw | Poland | Recruiting |
| Hospital de Braga | Braga | Portugal | Recruiting |
| Centro Hospitalar de Lisboa Norte Hospital Santa Maria | Lisbon | Portugal | Recruiting |
| Centro Hospitalar de Sao Joao E.P.E. | Porto | Portugal | Recruiting |
| Inje University Haeundae Paik Hospital | Busan | South Korea | Completed |
| Kyungpook National University Chilgok Hospital | Daegu | South Korea | Recruiting |
| Seoul National University Hospital | Seoul | South Korea | Completed |
| Samsung Medical Center | Seoul | South Korea | Recruiting |
| Severance Hospital Yonsei University Health System | Seoul | South Korea | Recruiting |
| Hosp Reina Sofia | Córdoba | Spain | Recruiting |
| Corporacio Sanitari Parc Tauli | Sabadell | Spain | Completed |
| Hosp. Univ. I Politecni La Fe | Valencia | Spain | Recruiting |
| Royal Hospital for Sick Children | Glasgow | United Kingdom | Recruiting |
| Great Ormond Street Hospital | London | United Kingdom | Completed |
| Nowgen Centre, Research and Innovation | Manchester | United Kingdom | Completed |
| Royal Manchester Children's Hospital | Manchester | United Kingdom | Completed |
| John Radcliffe Hospital | Oxford | United Kingdom | Recruiting |
| Sheffield Children's Hospital | Sheffield | United Kingdom | Recruiting |
For contacts at each site, use the official record.
Information only, not medical advice. Talk to your doctor and the trial team before making any decision about a clinical trial.