De-escalation of Ustekinumab Therapy in Patients With Crohn's Disease and Ulcerative Colitis

NCT ID: NCT07303686

Last Updated: 2025-12-26

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

PHASE4

Total Enrollment

115 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-10-08

Study Completion Date

2027-10-15

Brief Summary

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The goal of this clinical trial is to evaluate whether disease remission can be maintained when biologic therapy is reduced in patients with Crohn"s disease (CD) and ulcerative colitis (UC) taking ustekinumab (UST).

The main question it aims to answer is:

Can we de-escalate UST subcutaneous dose either from every 4 weeks (Q4) to every 8 weeks (Q8) or every 8 weeks (Q8) to every 12 weeks (Q12) in CD or UC patients in deep remission without loosing their response? Researchers will follow UST blood levels, inflammation markers and intestinal mucosa integrity and to see if UST dose can be reduced while maintaining clinical remission.

Participants will:

Change UST dosing from Q4 to Q8 or from Q8 to Q12. Visit the clinic once every 12 weeks for checkups and tests.

Detailed Description

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Participation in this research study will last 12 months and will include 4-6 visits.

Conditions

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Crohn Disease (CD) Ulcerative Colitis (UC)

Keywords

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CD UC ustekinumab UST

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Ustekinumab Q4w

Group Type OTHER

Ustekinumab 90 mg SC q8w

Intervention Type BIOLOGICAL

Sub-group switching from Q4w to Q8w

Ustekinumab Q8w

Group Type OTHER

Ustekinumab 90 mg SC q12w

Intervention Type BIOLOGICAL

Sub-group switching from Q8w to Q12w

Interventions

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Ustekinumab 90 mg SC q8w

Sub-group switching from Q4w to Q8w

Intervention Type BIOLOGICAL

Ustekinumab 90 mg SC q12w

Sub-group switching from Q8w to Q12w

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Clinical remission
* Biochemical remission
* Endoscopy remission
* Not on corticosteroid
* A woman must be ;
* not of childbearing potential
* of childbearing potential and practicing a medically accepted method of contraception.
* Able t provide informed consent

Exclusion Criteria

* On more than one biologics drug
* Use of oral or topical steroids within 6months of study entry
* pregnancy
* Any issue that could lead to non-compliance, as alcohol, drug use
* Unable to provide consent or t comply with follw-up visit
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Janssen Inc.

INDUSTRY

Sponsor Role collaborator

McGill University Health Centre/Research Institute of the McGill University Health Centre

OTHER

Sponsor Role lead

Responsible Party

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waqqas.afif

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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MUHC - Montreal General Hospital

Montreal, Quebec, Canada

Site Status RECRUITING

Countries

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Canada

Central Contacts

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Waqqas Afif, MD

Role: CONTACT

Phone: 514-934-1943

Email: [email protected]

Facility Contacts

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Waqqas Afif, MD

Role: primary

Other Identifiers

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2020-5567

Identifier Type: -

Identifier Source: org_study_id