Clinical trial • Phase II • Immunology|Gastroenterology

GUSELKUMAB, GOLIMUMAB for Crohn's disease (moderately to severely active)

Phase II trial of GUSELKUMAB, GOLIMUMAB for Crohn's disease (moderately to severely active).

Overview

Trial Therapeutic Area
Immunology|Gastroenterology
Trial Disease
Crohn's disease (moderately to severely active)
Trial Stage
Phase II
Drug Modality
Monoclonal antibody

Key dates

Initial CTIS Submission Date
15-04-2024
First CTIS Authorization Date
22-05-2024

Trial design

Randomised, comparators: guselkumab (solution for injection in pre-filled syringe - 100 mg/ml); golimumab (solution for injection in pre-filled syringe); placebo. specific doses and schedules are not specified in the available record.-controlled Phase II trial.

Randomised
Yes
Comparator
Comparators: Guselkumab (solution for injection in pre-filled syringe - 100 mg/mL); Golimumab (solution for injection in pre-filled syringe); Placebo. Specific doses and schedules are not specified in the available record.
Target Sample Size
663
Trial Duration For Participant
336

Eligibility

Recruits 663 Vulnerable population selected. Informed consent is obtained from adult participants; country-specific adult informed consent forms (Main Adult ICFs) are provided. Separate information/ICF documents are provided for genetic research, pregnant participants and pregnant partners, and withdrawal. No paediatric or assent forms are listed in the available documentation..

Pregnancy Exclusion
If female and of childbearing potential, must meet the contraception and reproduction requirements
Vulnerable Population
Vulnerable population selected. Informed consent is obtained from adult participants; country-specific adult informed consent forms (Main Adult ICFs) are provided. Separate information/ICF documents are provided for genetic research, pregnant participants and pregnant partners, and withdrawal. No paediatric or assent forms are listed in the available documentation.

Inclusion criteria

  • {"criterion_text":"- Diagnosis of Crohn's disease (CD) for at least 3 months prior to baseline\n- Confirmed diagnosis of moderate to severe CD as assessed by Crohn's disease activity index (CDAI), stool frequency (SF), abdominal pain (AP) score and simple endoscopic score for Crohn's disease (SES-CD)\n- Demonstrated inadequate response, loss of response, or intolerance to at least one advanced therapy (ADT) for IBD that includes biologics as well as oral small molecule therapies with biologic-like effect\n- If female and of childbearing potential, must meet the contraception and reproduction requirements"}

Exclusion criteria

  • {"criterion_text":"- Complications of CD that may be anticipated to require surgery\n- Currently has or is suspected to have an abscess. Recent cutaneous and perianal abscesses are not exclusionary if drained and adequately treated at least 3 weeks before baseline, or 8 weeks before baseline for intra-abdominal abscesses, provided that there is no anticipated need for any further surgery\n- Has had any kind of bowel resection within 24 weeks, or any other intra-abdominal or other major surgery within 12 weeks\n- Has a draining (example, functioning) stoma or ostomy\n- Currently has a malignancy or has a history of malignancy within 5 years before screening (with the exception of a nonmelanoma skin cancer that has been adequately treated with no evidence of recurrence for greater than or equal to (>=)12 months before the first dose of study intervention\n- Has a history of, or ongoing, chronic or recurrent infectious disease, including but not limited to, sinopulmonary infections, bronchiectasis, recurrent renal/urinary tract infections (example, pyelonephritis, cystitis), an open, draining, or infected skin wound, or an ulcer\n- Presence on screening ileocolonoscopy of adenomatous colonic polyps, if not removed before study entry, or history of adenomatous colonic polyps that were not removed.\n- Has a stool culture or other examination positive for an enteric pathogen, including Clostridioides difficile (formerly known as Clostridium difficile) toxin, within 16 weeks before the first dose of study intervention, unless a repeat examination is negative and there are no signs of ongoing infection with that pathogen. Treatment and repeat testing can occur in the current screening period."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Clinical remission and endoscopic response at Week 48 compared with each monotherapy","definition_or_measurement_approach":"As stated in the record: Clinical remission and endoscopic response at Week 48 compared with each monotherapy. No further endpoint definition provided in the record; disease activity assessments referenced elsewhere in the application include CDAI, stool frequency, abdominal pain score and SES-CD."}

Recruitment

Planned Sample Size
663
Recruitment Window Months
74
Consent Approach
Informed consent is obtained from adult participants using country-specific adult ICFs. Main Adult ICFs and supplementary ICFs are provided in multiple local languages (examples in the record include German, Czech, Portuguese, Spanish, French, Dutch, Italian, Polish, Hungarian, Greek, Norwegian, Swedish, Danish, Croatian and English). Separate consent/information documents exist for genetic research, pregnant participants and pregnant partners, and withdrawal. No paediatric/assent forms are listed.

Sponsor

Primary sponsor

Full Name
Janssen - Cilag International
Organisation Type
Pharmaceutical company
Country Of Registered Address
Belgium

Contract research organisations

Name
Parexel International (IRL) Limited
Responsibilities
Multiple sponsor/CRO responsibilities (trial management, data management and other duties listed in sponsorDuties)
Name
Excelya Greece CRO Single Member S.A.
Responsibilities
Support in submission

Third parties

  • {"country":"United States","full_name":"Medidata Solutions Inc.","duties_or_roles":"Sponsor duties listed (codes); contact info: info@medidata.com","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Almac Clinical Technologies LLC","duties_or_roles":"IVRS30 – treatment randomisation","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Yprime LLC","duties_or_roles":"eCoA; other sponsor duties (code listed)","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"Ireland","full_name":"Parexel International (IRL) Limited","duties_or_roles":"Multiple sponsor duties (codes listed); contact: Clinicaltrial.Enquiries@parexel.com","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Bioclinica Inc.","duties_or_roles":"Central imaging services; other sponsor duties (code listed)","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"Greece","full_name":"Excelya Greece CRO Single Member S.A.","duties_or_roles":"Support in submission; other sponsor duties","organisation_type":"Pharmaceutical company"}
  • {"country":"Canada","full_name":"Alimentiv Inc.","duties_or_roles":"Histopatholoogy image review","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
JNJ-78934804
Active Substance
GUSELKUMAB, GOLIMUMAB
Modality
Monoclonal antibody
Routes Of Administration
SUBCUTANEOUS USE
Route
Subcutaneous
Authorisation Status
Authorised (prodAuthStatus: 1 in record)
Investigational Product Name
Guselkumab - solution for injection in pre-filled syringe - 100 mg/mL
Active Substance
GUSELKUMAB
Modality
Monoclonal antibody
Routes Of Administration
SUBCUTANEOUS USE
Route
Subcutaneous
Authorisation Status
Authorised (prodAuthStatus: 1 in record)
Investigational Product Name
Golimumab
Active Substance
GOLIMUMAB
Modality
Monoclonal antibody
Routes Of Administration
SUBCUTANEOUS USE
Route
Subcutaneous
Authorisation Status
Authorised (prodAuthStatus: 1 in record)
Investigational Product Name
Placebo for Guselkumab, Golimumab and JNJ-78934804
Modality
Other
Combination Treatment
Yes

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