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The purpose of this study is to assess how well JNJ-78934804 works (efficacy) and how safe it is (safety) as compared to guselkumab at Week 48 in participants with moderately to severely active Crohn's disease (a long-term, progressive [worsens with time] and life-threatening disease of the intestine).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| JNJ-78934804 | Experimental | Participants will receive JNJ-78934804 induction dose, at Weeks 0, 4, and 8 followed by JNJ-78934804 maintenance dose, once every 4 weeks (q4w) starting at Week 12. All participants who meet the rescue criteria will receive JNJ-78934804 induction dose at Weeks 16, 20, and 24 followed by JNJ-78934804 maintenance dose q4w starting at Week 28. Participants who complete double-blind treatment phase (Week 48) and who may benefit from continued study intervention in the opinion of the investigator will have the opportunity to enter the long-term extension (LTE) phase. |
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| Guselkumab | Active Comparator | Participants will receive guselkumab induction dose at Weeks 0, 4, and 8 followed by guselkumab maintenance dose q4w starting at Week 12. All participants who meet the rescue criteria will receive JNJ-78934804 induction dose at Weeks 16, 20, and 24 followed by JNJ-78934804 maintenance dose q4w starting at Week 28. Participants who complete double-blind treatment phase (Week 48) and who may benefit from continued study intervention in the opinion of the investigator will have the opportunity to enter the LTE phase. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| JNJ-78934804 | Drug | JNJ-78934804 will be administered subcutaneously. |
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| Measure | Description | Time Frame |
|---|---|---|
| Co-Primary: Percentage of Participants with Clinical Remission at Week 48 | Clinical remission is defined as a Crohn's Disease Activity Index (CDAI) score less than (<) 150. CDAI scores range from 0 to approximately 600. Higher score indicates higher disease activity. | At Week 48 |
| Co-Primary: Percentage of Participants with Endoscopic Remission at Week 48 | Endoscopic remission is defined as a Simple Endoscopic Score for Crohn's Disease (SES-CD) score of less than or equal to (<=) 4 with at least a 2-point reduction from baseline and no subscore greater than (>) 1 in any individual component. The SES-CD is based on the evaluation of 4 endoscopic components (presence/size of ulcers, proportion of mucosal surface covered by ulcers, proportion of mucosal surface affected by any lesions, and presence/type of narrowing/strictures) across 5 ileocolonic segments. SES-CD score can range from 0 to 56. Higher scores indicating more severe disease. | At Week 48 |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants with Deep Remission at Week 48 | Deep remission (composite endpoint) is defined as achieving both clinical remission and endoscopic remission at Week 48 at the participant level. Clinical remission is defined as a CDAI score of <150 and Endoscopic remission is defined as a SES-CD score of <= 4 with at least a 2-point reduction from baseline and no subscore >1 in any individual component. CDAI scores range from 0 to approximately 600. Higher score indicates higher disease activity. SES-CD score can range from 0 to 56. Higher scores indicating more severe disease. |
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Inclusion criteria:
Exclusion criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Study Contact | Contact | 844-434-4210 | Participate-In-This-Study1@its.jnj.com |
| Name | Affiliation | Role |
|---|---|---|
| Janssen Research & Development, LLC Clinical Trial | Janssen Research & Development, LLC | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinnova Research | Recruiting | Anaheim | California | 92805 | United States | |
| Gastro SB Clinic |
The data sharing policy of Johnson & Johnson Innovative Medicine is available at www.innovativemedicine.jnj.com/our-innovation/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu.
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| Guselkumab | Drug | Guselkumab will be administered subcutaneously. |
|
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| At Week 48 |
| Percentage of Participants with Corticosteroid-Free (90-Day) Clinical Remission at Week 48 | Corticosteroid-free (90-day) clinical remission at Week 48 is defined as clinical remission at Week 48 and not receiving corticosteroids for at least 90 days prior to Week 48. Clinical remission is defined as a CDAI score of <150. CDAI scores range from 0 to approximately 600. Higher score indicates higher disease activity. | At Week 48 |
| Percentage of Participants with Corticosteroid-Free (90-day) PRO-2 Remission at Week 48 | Corticosteroid-free (90-day) patient-reported outcome(s) (PRO-2) remission at Week 48 is defined as an abdominal plan (AP) mean daily score less than or equal to (<=) 1 and stool frequency (SF) mean daily score <= 2.8, and no worsening of AP or SF from baseline, and not receiving corticosteroids for at least 90 days prior to Week 48. | At Week 48 |
| Percentage of Participants with Sustained Clinical Remission | Sustained clinical remission is defined as clinical remission at Week 12 and Week 48. Clinical remission is defined as CDAI score of <150. CDAI scores range from 0 to approximately 600. Higher score indicates higher disease activity. | At Weeks 12 and 48 |
| Percentage of Participants with Histologic-Endoscopic Remission at Week 48 | Histologic-endoscopic remission at week 48 is defined as achieving a combination of histologic remission and endoscopic remission at Week 48. Histologic remission is defined as absence of neutrophils from the mucosa (both lamina propria and epithelium), no crypt destruction, and no erosions, or ulcerations or granulation tissue as assessed by the Robarts Histopathology Index. Endoscopic remission is defined as a SES-CD score of <= 4 with at least a 2-point reduction from baseline and no subscore > 1 in any individual component. | At Week 48 |
| Percentage of Participants with Inflammatory Bowel Disease Questionnaire (IBDQ) Response at Week 48 | IBDQ response at Week 48 is defined as an improvement of at least 16 points in the IBDQ total score from baseline at Week 48. IBDQ is a validated, 32-item, self-reported questionnaire for participants with IBD that will be used to evaluate disease-specific health related quality of life (HRQoL) across 4 dimensional scores: bowel symptoms (loose stools, AP), systemic function (fatigue, altered sleep pattern), social function (work attendance, need to cancel social events), and emotional function (anger, depression, irritability). Scores range from 32 to 224, with higher scores indicating better outcomes. | At Week 48 |
| Percentage of Participants with Patient-Reported Outcomes Measurement Information System 29 (PROMIS-29) Mental Component Summary Score (MCS) Response at Week 48 | PROMIS-29 MCS response at Week 48 is defined as an improvement of at least 7 points in PROMIS-29 MCS score from baseline at Week 48. The PROMIS-29 is a collection of short forms containing 4 items for each of 7 domains (depression, anxiety, physical function, pain interference, fatigue, sleep disturbance, and ability to participate in social roles and activities). PROMIS-29 also includes an overall average pain intensity 0-10 numeric rating scale. The PROMIS-29 MCS will be assessed, which is primarily informed by domains of emotional distress (depression/anxiety) and fatigue as well as sleep disturbance where higher MCS scores reflect better mental health. | At Week 48 |
| Percentage of Participants with Clinical Remission at Week 12 | Clinical remission at Week 12 is defined as CDAI score <150 at Week 12. CDAI scores range from 0 to approximately 600. Higher score indicates higher disease activity. | At Week 12 |
| Percentage of Participants with Endoscopic Response at Week 12 | Endoscopic response at Week 12 is defined as greater than (>) 50 percent (%) improvement from baseline in SES-CD score at Week 12 or a decrease of at least 2 points in participants with a baseline score of 4 and isolated ileal disease. SES-CD score can range from 0 to 56. Higher scores indicating more severe disease. | At Week 12 |
| Number of Participants with Adverse Events (AE) and Serious AEs (SAEs) | An AE is any untoward medical occurrence in a clinical study participant administered a pharmaceutical (investigational or non investigational) product. An AE does not necessarily have a causal relationship with the intervention. An SAE is any untoward medical occurrence that at any dose: results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, is a suspected transmission of any infectious agent via a medicinal product, and is medically important. | Up to approximately 3 years |
| Recruiting |
| Chula Vista |
| California |
| 91910 |
| United States |
| Peak Gastroenterology Associates | Recruiting | Colorado Springs | Colorado | 80907 | United States |
| Sanchez Clinical Research, Inc | Recruiting | Miami | Florida | 33157-6575 | United States |
| GCP Clinical Research | Recruiting | Tampa | Florida | 33609 | United States |
| New York Gastroenterology Associates | Recruiting | New York | New York | 10075 | United States |
| IBD SA | Recruiting | Kurralta Park | 5037 | Australia |
| GI Research Institute (G.I.R.I.) | Recruiting | Vancouver | British Columbia | V6Z 2K5 | Canada |
| London Digestive Disease Institute | Recruiting | London | Ontario | N6K 1M6 | Canada |
| Bnai Zion Medical Center | Recruiting | Haifa | 31048 | Israel |
| Rambam Medical Center | Recruiting | Haifa | 3109601 | Israel |
| Meir Medical Center | Recruiting | Kfar Saba | 44281 | Israel |
| Sheba Medical Center | Recruiting | Ramat Gan | 52621 | Israel |
| Tel Aviv Sourasky Medical Center | Recruiting | Tel Aviv | 64239 | Israel |
| National Hospital Organization Hirosaki National Hospital | Recruiting | Hirosaki | 036-8545 | Japan |
| Kagoshima IBD Gastroenterology Clinic | Recruiting | Kagoshima | 892-0843 | Japan |
| Japanese Red Cross Kumamoto Hospital | Recruiting | Kumamoto | 861-8520 | Japan |
| Japanese Red Cross Osaka Hospital | Recruiting | Osaka | 543-8555 | Japan |
| Hokkaido P.W.F.A.C. Sapporo-Kosei General Hospital | Recruiting | Sapporo | 060-0033 | Japan |
| Bezmialem University Medical Faculty | Recruiting | Istanbul | 34093 | Turkey (Türkiye) |
| Kocaeli University Medical Faculty | Recruiting | Kocaeli | 41001 | Turkey (Türkiye) |
| Mersin University Medical Faculty | Recruiting | Mersin | 33343 | Turkey (Türkiye) |
| ID | Term |
|---|---|
| D003424 | Crohn Disease |
| ID | Term |
|---|---|
| D015212 | Inflammatory Bowel Diseases |
| D005759 | Gastroenteritis |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D007410 | Intestinal Diseases |
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| ID | Term |
|---|---|
| C000588857 | guselkumab |
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