A Study of Guselkumab Versus Risankizumab in Participants With Moderately to Severely Active Crohn's Disease
Phase 3 · Testing Guselkumab and Risankizumab · 161 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 Risankizumab (a drug) as a possible treatment. Condition(s) listed: Crohn Disease.
Participants are assigned to groups by chance (randomized).
It is open-label: participants know what they are receiving.
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 18 and older
- Any sex
Some of the main requirements, copied from the record:
- Has CD or fistulizing Crohn's Disease (CD) of at least 12 weeks' duration, with colitis, ileitis, or ileocolitis, confirmed at some time in the past by radiography, histology, and/or endoscopy
- Have moderately to severely active CD, defined as baseline Crohn's Disease Activity Index (CDAI) score greater than or equal to (>=) 220 but less than or equal to (<=) 450
- Baseline endoscopic evidence of active ileal and/or colonic CD as assessed by central endoscopy reading at the screening endoscopy defined as a screening Simple Endoscopic Score for Crohn's Disease (SES CD) >= 4 (for participants with…
- a minimum score of 1 for the component of "size of ulcers" AND
- a minimum score of 1 for the component of "ulcerated surface"
- In the opinion of the investigator, participant's disease is appropriate to treat with the maintenance dosing regimens utilized in the study
Plus 1 more requirement(s). There are also 5 reasons someone might not be able to join (exclusion criteria). Only the trial team can confirm whether you qualify.
What's involved
- About 530 participants are expected to take part.
- The study has 2 groups.
- Start date: 2026-04-21.
- Main results expected around 2028-11-15 (estimate from the record).
- 161 study sites listed (158 marked recruiting) in Austria, Belgium, Canada, China and Czechia and 12 more countries.
Groups in this study
- Guselkumab (listed as: experimental group)
- Risankizumab (listed as: experimental group)
Main thing being measured
- Number of Participants with Deep Remission at Week 52 (At Week 52)
In the researchers’ words
The purpose of this study is to assess how well guselkumab works when compared to risankizumab in participants with moderately to severely active Crohn's Disease (CD; a long-term condition causing severe inflammation of the intestinal tract).
Words you might see
- Endoscopy: a camera exam inside the digestive tract.
- CDAI: Crohn's Disease Activity Index, a score of how active Crohn's disease is.
- Remission: a period when the disease is quiet or under control.
- Maintenance: longer-term treatment aimed at keeping the disease under control.
- Fistula: an abnormal tunnel between two parts of the body, which can happen in Crohn's disease.
- 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 Disease |
| Lead sponsor | Janssen Research & Development, LLC |
| Enrollment | 530 (estimated) |
| Start date | 2026-04-21 |
| Primary completion (est.) | 2028-11-15 |
| First posted | 2026-03-30 |
| Last updated | 2026-09-25 |
| Official title | A Phase 3b, Multicenter, Randomized, Open-Label, Active-Controlled Study to Compare the Efficacy and Safety of Guselkumab Versus Risankizumab in the Treatment of Participants With Moderately to Severely Active Crohn's Disease |
| ClinicalTrials.gov ID | NCT07499232 |
Interventions
- Guselkumab (Drug)
Guselkumab will be administered. - Risankizumab (Drug)
Risankizumab will be administered.
Full eligibility criteria (from the record)
Inclusion criteria: * Has CD or fistulizing Crohn's Disease (CD) of at least 12 weeks' duration, with colitis, ileitis, or ileocolitis, confirmed at some time in the past by radiography, histology, and/or endoscopy * Have moderately to severely active CD, defined as baseline Crohn's Disease Activity Index (CDAI) score greater than or equal to (>=) 220 but less than or equal to (<=) 450 * Baseline endoscopic evidence of active ileal and/or colonic CD as assessed by central endoscopy reading at the screening endoscopy defined as a screening Simple Endoscopic Score for Crohn's Disease (SES CD) >= 4 (for participants with isolated ileal disease) or >= 6 (for participants with colonic or ileocolonic disease), based on the presence of ulceration in any 1 of the 5 ileocolonic segments, resulting in the following specified ulceration component scores: 1. a minimum score of 1 for the component of "size of ulcers" AND 2. a minimum score of 1 for the component of "ulcerated surface" * In the opinion of the investigator, participant's disease is appropriate to treat with the maintenance dosing regimens utilized in the study * Adhere to the requirements for concomitant medications for the treatment of CD as mentioned in the protocol Exclusion criteria * Has complications of CD such as symptomatic strictures or stenoses, short gut syndrome, active draining stoma or significant fistulizing disease or any other manifestation anticipated to require surgery within the next year, could preclude the use of the CDAI to assess response to therapy, or would possibly confound the ability to assess the effect of treatment with guselkumab or risankizumab * Currently has or is suspected to have an abscess * Has an active fistula during screening or at Week 0 with an anticipated need for surgery * Has had any kind of bowel resection within 24 weeks, or any other intra-abdominal or other major surgery within 12 weeks, before first dose of study intervention * Currently has a malignancy or has a history of malignancy within 5 years before screening
Locations (161)
Show all 161 sites
| Site | City | Country | Site status |
|---|---|---|---|
| Digestive Health Specialists of the Southeast | Dothan, Alabama | United States | Recruiting |
| East View Medical Research | Mobile, Alabama | United States | Recruiting |
| Clinnova Research | Anaheim, California | United States | Recruiting |
| Gastro Care Institute | Lancaster, California | United States | Recruiting |
| United Gastroenterologists | Los Alamitos, California | United States | Recruiting |
| TLC Clinical Research Inc | Los Angeles, California | United States | Recruiting |
| GastroIntestinal Bioscience | Los Angeles, California | United States | Recruiting |
| Hoag Memorial Hospital | Newport Beach, California | United States | Suspended |
| Medical Associates Research Group, Inc. | San Diego, California | United States | Recruiting |
| Peak Gastroenterology Associates | Colorado Springs, Colorado | United States | Recruiting |
| Medical Research Center of Connecticut | Hamden, Connecticut | United States | Recruiting |
| Green Leaf Clinical Trials | Jacksonville, Florida | United States | Recruiting |
| Sanchez Clinical Research, Inc | Miami, Florida | United States | Recruiting |
| Biodax Medical Research Trials | Miami, Florida | United States | Recruiting |
| GI Pros Research | Naples, Florida | United States | Recruiting |
| GCP Clinical Research | Tampa, Florida | United States | Recruiting |
| Morehouse School of Medicine | Atlanta, Georgia | United States | Recruiting |
| Atlanta Gastroenterology Associates | Atlanta, Georgia | United States | Suspended |
| Gastroenterology Associates of Central GA | Macon, Georgia | United States | Recruiting |
| Heartland Medical Research Inc | Clive, Iowa | United States | Recruiting |
| Cotton-O'Neil Clinical Research Center | Topeka, Kansas | United States | Recruiting |
| Gastroenterology Clinic of Acadiana | Lafayette, Louisiana | United States | Recruiting |
| Woodholme Gastroenterology Associates | Glen Burnie, Maryland | United States | Recruiting |
| Lucida Clinical Trials | New Bedford, Massachusetts | United States | Recruiting |
| Michigan Center of Medical Research | Farmington Hills, Michigan | United States | Recruiting |
| Westchester Putnam Gastroenterology | Carmel, New York | United States | Recruiting |
| New York Gastroenterology Associates | New York, New York | United States | Recruiting |
| University of North Carolina at Chapel Hill | Chapel Hill, North Carolina | United States | Recruiting |
| Charlotte Gastroenterology and Hepatology, PLLC | Charlotte, North Carolina | United States | Recruiting |
| Great Lakes Gastroenterology Research, LLC | Mentor, Ohio | United States | Recruiting |
| Digestive Disease Specialists Inc | Oklahoma City, Oklahoma | United States | Recruiting |
| Frontier Clinical Research | Uniontown, Pennsylvania | United States | Recruiting |
| Palmetto Primary and Specialty Care Physicians, Charleston | Summerville, South Carolina | United States | Recruiting |
| DFW Clinical Trials | Carrollton, Texas | United States | Recruiting |
| UT Southwestern | Dallas, Texas | United States | Suspended |
| Lubbock Gastroenterology | Lubbock, Texas | United States | Recruiting |
| Gastroenterology Research of America, LLC | San Antonio, Texas | United States | Recruiting |
| Southern Star Research Institute, LLC | San Antonio, Texas | United States | Recruiting |
| The University of Texas Health Science Center at Tyler | Tyler, Texas | United States | Recruiting |
| LKH-Univ. Klinikum Graz | Graz | Austria | Recruiting |
| Medizinische Universitatsklinik Innsbruck | Innsbruck | Austria | Recruiting |
| Kepler Universitatsklinikum GmbH | Linz | Austria | Recruiting |
| LKH - Universitätsklinikum der PMU Salzburg | Salzburg | Austria | Recruiting |
| Krankenhaus der Barmherzigen Brüder | Vienna | Austria | Recruiting |
| Klinikum Wels Grieskirchen | Wels | Austria | Recruiting |
| Universitatsklinikum Wiener Neustadt | Wiener Neustadt | Austria | Recruiting |
| ULB Erasme Ziekenhuis | Brussels | Belgium | Recruiting |
| Cliniques Universitaires Saint Luc | Brussels | Belgium | Recruiting |
| Ziekenhuis Oost-Limburg | Genk | Belgium | Recruiting |
| Ghent University Hospital | Ghent | Belgium | Recruiting |
| Universitair Ziekenhuis Leuven | Leuven | Belgium | Recruiting |
| CHU de Liege | Liège | Belgium | Recruiting |
| Algemeen Ziekenhuis Delta | Roeselare | Belgium | Recruiting |
| Gastroenterology and Internal Medicine Research Institute (GIRI) | Edmonton, Alberta | Canada | Recruiting |
| GIRI Gastrointestinal Research Institute | Vancouver, British Columbia | Canada | Recruiting |
| Charlton Digestive Disease Centre | Hamilton, Ontario | Canada | Recruiting |
| London Digestive Disease Institute | London, Ontario | Canada | Recruiting |
| Taunton Surgical Centre | Oshawa, Ontario | Canada | Recruiting |
| Toronto Immune and Digestive Health Institute Inc | Toronto, Ontario | Canada | Recruiting |
| Centre Hospitalier de l'Universite de Montreal | Montreal, Quebec | Canada | Recruiting |
| Clinique IMD | Montreal, Quebec | Canada | Recruiting |
| Changzhou No 2 Peoples Hospital | Changzhou | China | Recruiting |
| Chongqing General Hospital | Chongqing | China | Recruiting |
| The First Affiliated Hospital of Fujian Medical University | Fuzhou | China | Recruiting |
| The Second Affiliated Hospital of Guangzhou Medical University | Guangzhou | China | Recruiting |
| The Sixth Affiliated Hospital Sun Yat sen University | Guangzhou | China | Recruiting |
| Zhongda Hospital Southeast University | Nanjing | China | Recruiting |
| Renmin Hospital of Wuhan University | Wuhan | China | Recruiting |
| Fakultni nemocnice Brno | Brno | Czechia | Recruiting |
| Vojenska nemocnice Brno | Brno | Czechia | Recruiting |
| Gastroenterologie, s.r.o., Hradec Kralove | Hradec Kralova | Czechia | Recruiting |
| Hepato-gastroenterologie HK, s.r.o. | Hradec Králové | Czechia | Recruiting |
| Fakultni Nemocnice Ostrava | Ostrava-Poruba | Czechia | Recruiting |
| Fakultni nemocnice Kralovske Vinohrady | Prague | Czechia | Recruiting |
| Fakultni Thomayerova nemocnice | Prague | Czechia | Recruiting |
| Aarhus University Hospital | Aarhus C | Denmark | Recruiting |
| Sydvestjysk Sygehus | Esbjerg | Denmark | Recruiting |
| NAU New Aalborg University Hospital | Gistrup | Denmark | Recruiting |
| Herlev Hospital | Herlev | Denmark | Recruiting |
| Nordsjaellands Hospital, Hillerod | Hilleroed | Denmark | Recruiting |
| Hvidovre Hospital | Hvidovre | Denmark | Recruiting |
| Bispebjerg Hospital | København NV | Denmark | Recruiting |
| Odense UH og Svendberg sygehus | Odense C | Denmark | Recruiting |
| CHU Amiens Picardie | Amiens | France | Recruiting |
| Clermont Ferrand University Hospital | Clermont-Ferrand | France | Recruiting |
| Aphm - Hopital Nord | Marseille | France | Recruiting |
| CHU Nantes - Hotel Dieu | Nantes | France | Recruiting |
| Clinique Ambroise Pare | Neuilly-sur-Seine | France | Recruiting |
| CHU Nimes | Nîmes | France | Recruiting |
| Aphp Hopital Saint Antoine | Paris | France | Recruiting |
| APHP - Hopital Bichat - Claude Bernard | Paris | France | Recruiting |
| Hospices Civils de Lyon CHU Lyon Sud | Pierre-Bénite | France | Recruiting |
| CHU de Reims | Reims | France | Recruiting |
| Centre Hospitalier Universitaire de Nancy - Hôpital Central | Vandœuvre-lès-Nancy | France | Recruiting |
| Institut Prive MICI Clinique des Cedres | Échirolles | France | Recruiting |
| GASTRO-Studien | Berlin | Germany | Recruiting |
| Charite Universitaetsmedizin Berlin - Campus Benjamin Franklin (CBF) | Berlin | Germany | Recruiting |
| Universitatsklinikum Erlangen | Erlangen | Germany | Recruiting |
| Praxiszentrum Fur Gastroenterologie und Endoskopie Grevenbroich | Grevenbroich | Germany | Recruiting |
| Universitatsklinikum Jena | Jena | Germany | Recruiting |
| Universitatsklinikum Schleswig Holstein Kiel | Kiel | Germany | Recruiting |
| St. Marien und St. Annastiftskrankenhaus | Ludwigshafen am Rhein | Germany | Recruiting |
| Universitaetsklinikum Mannheim | Mannheim | Germany | Recruiting |
| Klinikum rechts der Isar der TU Munchen | München | Germany | Recruiting |
| Obudai Egeszsegugyi Centrum Kft | Budapest | Hungary | Recruiting |
| Semmelweis Egyetem 1 | Budapest | Hungary | Recruiting |
| Semmelweis Egyetem 2 | Budapest | Hungary | Recruiting |
| Semmelweis Egyetem | Budapest | Hungary | Recruiting |
| Endomedix | Budapest | Hungary | Recruiting |
| Pannónia Magánorvosi Centrum Kft | Budapest | Hungary | Recruiting |
| Clinexpert Gyongyos Kft | Gyöngyös | Hungary | Recruiting |
| Szegedi Tudomanyegyetem | Szeged | Hungary | Recruiting |
| A O U Sant Orsola Malpighi | Bologna | Italy | Recruiting |
| Azienda Sanitaria dell'Alto Adige - Ospedale di Bolzano | Bolzano | Italy | Recruiting |
| Azienda Ospedaliero Universitaria San Martino | Genova | Italy | Recruiting |
| IRCCS Ospedale San Raffaele | Milan | Italy | Recruiting |
| Fondazione Policlinico Universitario A Gemelli IRCCS | Roma | Italy | Recruiting |
| Istituto Clinico Humanitas | Rozzano | Italy | Recruiting |
| Ospedale Mauriziano Torino | Torino | Italy | Recruiting |
| Maastricht UMC | Maastricht | Netherlands | Recruiting |
| Radboud Umcn | Nijmegen | Netherlands | Recruiting |
| St. Elisabeth Ziekenhuis | Tilburg | Netherlands | Recruiting |
| Centrum Medyczne Medis ManerMed Sp Z O O | Bydgoszcz | Poland | Recruiting |
| Centrum Medyczne Plejady | Krakow | Poland | Recruiting |
| Centrum Medyczne Promed | Krakow | Poland | Recruiting |
| Centrum Medyczne 'Medyk' Sp. z o.o. K. | Rzeszów | Poland | Recruiting |
| Twoja Przychodnia - Szczecinskie Centrum Medyczne | Szczecin | Poland | Recruiting |
| GASTROMED Kopon Zmudzinski i wspolnicy SP j Specjalistyczne Centrum Gastrologii i Endoskopii | Torun | Poland | Recruiting |
| Narodowy Instytut Onkologii im Marii Sklodowskiej Curie Panstwowy Instytut Badawczy | Warsaw | Poland | Recruiting |
| Medical Network Sp z o o | Warsaw | Poland | Recruiting |
| FNsP F. D. Roosevelta Banska Bystrica | Banská Bystrica | Slovakia | Recruiting |
| Cliniq s.r.o. | Bratislava | Slovakia | Recruiting |
| ENDOMED s.r.o | Košice | Slovakia | Recruiting |
| Fakultna nemocnica s poliklinikou Nove Zamky | Nové Zámky | Slovakia | Recruiting |
| GASTRO I. s.r.o. | Prešov | Slovakia | Recruiting |
| Gastro LM s.r.o. | Prešov | Slovakia | Recruiting |
| Vseobecna nemocnica Rimavska Sobota | Rimavská Sobota | Slovakia | Recruiting |
| Hosp. Gral. Univ. Dr. Balmis | Alicante | Spain | Recruiting |
| Hosp. Clinic de Barcelona | Barcelona | Spain | Recruiting |
| Hosp. Arquitecto Marcide | Ferrol | Spain | Recruiting |
| Hosp. de Cabuenes | Gijón | Spain | Recruiting |
| Hosp. Univ. Dr. Josep Trueta | Girona | Spain | Recruiting |
| Hosp. Univ. de Torrejon | Madrid | Spain | Recruiting |
| Hosp. de Navarra | Navarra | Spain | Recruiting |
| Hosp. Clinico Univ. de Santiago | Santiago de Compostela | Spain | Recruiting |
| Hosp. Virgen Macarena | Seville | Spain | Recruiting |
| Linkoping University Hospital | Linköping | Sweden | Recruiting |
| Sahlgrenska Universitetssjukhuset, Mölndal Sjukhus | Mölndal | Sweden | Recruiting |
| Ersta sjukhus | Stockholm | Sweden | Recruiting |
| Sodersjukhuset | Stockholm | Sweden | Recruiting |
| Karolinska Universitetssjukhuset | Stockholm | Sweden | Recruiting |
| Akademiska Sjukhuset | Uppsala | Sweden | Recruiting |
| Barts Health NHS Trust | Greater London | United Kingdom | Recruiting |
| London North West University Healthcare NHS Trust | Greater London | United Kingdom | Recruiting |
| West Middlesex University Hospital | Iselworth | United Kingdom | Recruiting |
| University College London Hospitals Nhs Foundation Trust | London | United Kingdom | Recruiting |
| Royal Free Hospital | London | United Kingdom | Recruiting |
| Chelsea And Westminster Hospital | London | United Kingdom | Recruiting |
| Imperial College London | London | United Kingdom | Recruiting |
| Norfolk and Norwich University Hospital | Norwich | United Kingdom | Recruiting |
| New Cross Hospital | Wolverhampton | 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.