A Study of Guselkumab in Pediatric Participants With Moderately to Severely Active Crohn's Disease

NCT ID: NCT05923073

Last Updated: 2025-11-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-03-13

Study Completion Date

2028-07-12

Brief Summary

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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.

Detailed Description

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Conditions

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Crohn's Disease

Keywords

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Pediatric, Inflammatory bowel disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Open-label induction phase: Guselkumab Intravenously (IV)

Participants will receive guselkumab dose IV based on their body weight during the 12-week open-label induction phase.

Group Type EXPERIMENTAL

Guselkumab

Intervention Type DRUG

Guselkumab will be administered intravenously.

Open-label induction phase: Guselkumab Subcutaneously (SC)

Participants will receive guselkumab dose SC based on their body weight during the 12-week open-label induction phase.

Group Type EXPERIMENTAL

Guselkumab

Intervention Type DRUG

Guselkumab will be administered subcutaneously.

Double-blind maintenance phase: Guselkumab SC Dose Regimen 1

At the end of the induction phase, Week 12 responders will be randomized into the double-blind maintenance phase to receive guselkumab dose regimen 1 SC based on their body weight up to Week 48.

Group Type EXPERIMENTAL

Guselkumab

Intervention Type DRUG

Guselkumab will be administered subcutaneously.

Double-blind Maintenance Phase: Guselkumab SC Dose Regimen 2

At the end of the induction phase, Week 12 responders will be randomized into the double-blind maintenance phase to receive guselkumab dose regimen 2 SC based on their body weight up to Week 48.

Group Type EXPERIMENTAL

Guselkumab

Intervention Type DRUG

Guselkumab will be administered subcutaneously.

Open-label maintenance phase: Guselkumab SC

Week 12 non-responders will not be randomized and will enter an open-label maintenance phase to receive guselkumab SC dosing regimen based on their body weight up to Week 48.

Group Type EXPERIMENTAL

Guselkumab

Intervention Type DRUG

Guselkumab will be administered subcutaneously.

Interventions

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Guselkumab

Guselkumab will be administered subcutaneously.

Intervention Type DRUG

Guselkumab

Guselkumab will be administered intravenously.

Intervention Type DRUG

Other Intervention Names

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CNTO1959 TREMFYA CNTO1959 TREMFYA

Eligibility Criteria

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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
Minimum Eligible Age

2 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Janssen Research & Development, LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trial

Role: STUDY_DIRECTOR

Janssen Research & Development, LLC

Locations

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Cedars Sinai Medical Center

Los Angeles, California, United States

Site Status RECRUITING

Connecticut Children's Medical Center

Hartford, Connecticut, United States

Site Status RECRUITING

Emory University

Atlanta, Georgia, United States

Site Status ACTIVE_NOT_RECRUITING

Children's Center for Digestive Health Care

Atlanta, Georgia, United States

Site Status RECRUITING

Riley Hospital for Children

Indianapolis, Indiana, United States

Site Status RECRUITING

Boston Childrens Hospital

Boston, Massachusetts, United States

Site Status RECRUITING

Weill Cornell Medical College - Judith Jaffe Multiple Sclerosis Center

New York, New York, United States

Site Status RECRUITING

Icahn School of Medicine at Mount Sinai

New York, New York, United States

Site Status RECRUITING

Columbia University Medical Center

New York, New York, United States

Site Status RECRUITING

The Children's Medical Center of Dayton

Dayton, Ohio, United States

Site Status RECRUITING

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

Cook Childrens Medical Center

Fort Worth, Texas, United States

Site Status RECRUITING

University of Vermont Medical Center

Colchester, Vermont, United States

Site Status RECRUITING

AKH - Medizinische Universitat Wien

Vienna, , Austria

Site Status RECRUITING

Universitair Ziekenhuis Brussel

Brussels, , Belgium

Site Status RECRUITING

Cliniques Universitaires Saint Luc

Brussels, , Belgium

Site Status RECRUITING

Universitair Ziekenhuis Gent

Ghent, , Belgium

Site Status RECRUITING

UZ Leuven

Leuven, , Belgium

Site Status RECRUITING

Sociedade Campineira de Educacao e Instrucao Hospital e Maternidade Celso Pierro

Campinas, , Brazil

Site Status RECRUITING

Associacao Hospitalar de Protecao a Infancia Dr. Raul Carneiro

Curitiba, , Brazil

Site Status RECRUITING

Universidade Federal de Goias - Hospital das Clinicas da UFG

Goiânia, , Brazil

Site Status RECRUITING

Hospital De Clinicas De Porto Alegre

Porto Alegre, , Brazil

Site Status RECRUITING

Irmandade Santa Casa de Misericordia de Porto Alegre

Porto Alegre, , Brazil

Site Status RECRUITING

Centro de Ciencias e Saude da Universidade Federal do Espirito Santo-Nucleo de Doencas Infecciosas

Vitória, , Brazil

Site Status RECRUITING

INTEGRAL Pesquisa e Ensino

Votuporanga, , Brazil

Site Status RECRUITING

Iwk Health Centre

Halifax, Nova Scotia, Canada

Site Status RECRUITING

London Health Sciences Centre Victoria Hospital

London, Ontario, Canada

Site Status RECRUITING

CHU Amiens-Hopital Nord

Amiens, , France

Site Status RECRUITING

Hôpital Jeanne de FLANDRE, CHRU LILLE

Lille, , France

Site Status RECRUITING

Hôpital Necker - Enfants Malades

Paris, , France

Site Status RECRUITING

Hôpital Robert Debré

Paris, , France

Site Status RECRUITING

Soroka University Medical Center

Beersheba, , Israel

Site Status RECRUITING

Shamir Medical Center Assaf Harofeh

Be’er Ya‘aqov, , Israel

Site Status RECRUITING

Shaare Zedek Medical Center

Jerusalem, , Israel

Site Status RECRUITING

Hadassah Medical Center

Jerusalem, , Israel

Site Status RECRUITING

Schneider Children's Medical Center

Petah Tikva, , Israel

Site Status RECRUITING

Kaplan Medical Center

Rehovot, , Israel

Site Status RECRUITING

Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII (Presidio Papa Giovanni XXIII)

Bergamo, , Italy

Site Status RECRUITING

Ospedale Bellaria, U.O.Cardiologia Az. USL di Bologna

Bologna, , Italy

Site Status RECRUITING

Azienda Ospedaliero Universitaria Ospedale Pediatrico Meyer

Florence, , Italy

Site Status RECRUITING

Azienda Socio Sanitaria Territoriale Fatebenefratelli Presidio Ospedale dei Bambini Vittore Buzzi

Milan, , Italy

Site Status RECRUITING

AOU Policlinico Umberto I

Roma, , Italy

Site Status RECRUITING

Hirosaki University Hospital

Hirosaki, , Japan

Site Status RECRUITING

Tsujinaka Hospital Kashiwanoha

Kashiwa-shi, , Japan

Site Status RECRUITING

Kobe University Hospital

Kobe, , Japan

Site Status RECRUITING

Saga University Hospital

Saga, , Japan

Site Status RECRUITING

Miyagi Children's Hospital

Sendai, , Japan

Site Status RECRUITING

National Center for Child Health and Development

Setagaya Ku, , Japan

Site Status RECRUITING

Juntendo University Hospital

Tokyo, , Japan

Site Status RECRUITING

Saiseikai Yokohamashi Tobu Hospital

Yokohama, , Japan

Site Status RECRUITING

Yokohama City University Medical Center

Yokohama, , Japan

Site Status RECRUITING

Erasmus Medisch Centrum

Rotterdam, , Netherlands

Site Status RECRUITING

Akershus Universitetssykehus HF

Nordbyhagen, , Norway

Site Status RECRUITING

Oslo University Hospital

Oslo, , Norway

Site Status RECRUITING

Universitetssykehuset Nord-Norge HF

Tromsø, , Norway

Site Status RECRUITING

St. Olavs Hospital

Trondheim, , Norway

Site Status RECRUITING

Korczowski Bartosz Gabinet Lekarski

Rzeszów, , Poland

Site Status RECRUITING

WIP Warsaw IBD Point Profesor Kierkus

Warsaw, , Poland

Site Status RECRUITING

Instytut Pomnik Centrum Zdrowia

Warsaw, , Poland

Site Status RECRUITING

Hospital de Braga

Braga, , Portugal

Site Status RECRUITING

Centro Hospitalar de Lisboa Norte Hospital Santa Maria

Lisbon, , Portugal

Site Status RECRUITING

Centro Hospitalar de Sao Joao E.P.E.

Porto, , Portugal

Site Status RECRUITING

Inje University Haeundae Paik Hospital

Busan, , South Korea

Site Status RECRUITING

Kyungpook National University Chilgok Hospital

Daegu, , South Korea

Site Status RECRUITING

Seoul National University Hospital

Seoul, , South Korea

Site Status RECRUITING

Samsung Medical Center

Seoul, , South Korea

Site Status RECRUITING

Severance Hospital Yonsei University Health System

Seoul, , South Korea

Site Status RECRUITING

Hosp Reina Sofia

Córdoba, , Spain

Site Status RECRUITING

Corporacio Sanitari Parc Tauli

Sabadell, , Spain

Site Status RECRUITING

Hosp. Univ. I Politecni La Fe

Valencia, , Spain

Site Status RECRUITING

Royal Hospital for Sick Children

Glasgow, , United Kingdom

Site Status RECRUITING

Great Ormond Street Hospital

London, , United Kingdom

Site Status RECRUITING

Nowgen Centre, Research and Innovation

Manchester, , United Kingdom

Site Status RECRUITING

Royal Manchester Children's Hospital

Manchester, , United Kingdom

Site Status RECRUITING

John Radcliffe Hospital

Oxford, , United Kingdom

Site Status RECRUITING

Sheffield Children's Hospital

Sheffield, , United Kingdom

Site Status RECRUITING

Countries

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Australia Czechia Switzerland United States Austria Belgium Brazil Canada France Israel Italy Japan Netherlands Norway Poland Portugal South Korea Spain United Kingdom

Central Contacts

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Study Contact

Role: CONTACT

Phone: 844-434-4210

Email: [email protected]

Other Identifiers

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CNTO1959PBCRD3007

Identifier Type: OTHER

Identifier Source: secondary_id

2021-006282-37

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

2023-504735-41-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

CR109212

Identifier Type: -

Identifier Source: org_study_id