A Study of Guselkumab in Participants With Crohn's Disease and Ulcerative Colitis

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorJanssen-Cilag Pharma GmbH

About this trial

The purpose of this study is to evaluate how long a participant keeps taking guselkumab or continues with their treatment plan without stopping (treatment persistence) in participants with moderate to severe Crohn's disease (CD) or ulcerative colitis (UC) in real-world setting. CD and UC are inflammatory bowel diseases, a group of inflammatory conditions of the colon and small intestine.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Must be eligible for biologic treatment and initiate guselkumab according to the approved indications as described in the current version of the summary of product characteristics (SmPC) of drug. Decision to prescribe must solely be made by the treating physician. Enrolment must take place before or on the day of the first administration

Confirmed diagnosis of moderate-to-severe UC or CD disease record in their medical records

Must sign a participation agreement/informed consent form (ICF) allowing source data verification in accordance with local requirements

Disqualifiers

Contraindicated to guselkumab per the label

Is currently enrolled in an interventional clinical study

Has been previously exposed to interleukin (IL)-23 inhibitors, including Tremfya (guselkumab), Skyrizi (risankizumab) and Omvoh (mirikizumab). As an exception, participants with history of Ustekinumab exposure may be included

History of more than 4 lines of advanced inflammatory bowel disease (IBD) therapy (biologics and/or small molecules)

Trial population

The study population will include participants with confirmed diagnosis of moderate-to-severe Crohn's disease (CD) or ulcerative colitis (UC) disease receiving guselkumab in routine clinical practice.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

35 Participants
are grouped into 1 trial group
Group A: Moderate-to-Severe Ulcerative Colitis (UC) or Crohn's Disease (CD)

Trial outcomes

Primary outcomes

1

Persistence with Guselkumab Treatment

Persistence with guselkumab treatment is defined as time at which the next infusion should have taken place for a participant after their last scheduled infusion. It will be used to measure the guselkumab persistence in participants.

Time frame
Up to Week 96

Secondary outcomes

1

Number of Participants with Early Responses to Guselkumab Measured Using Bowel Urgency

Number of participants with early responses to guselkumab measured using bowel urgency will be assessed via participant diaries.

Time frame
At Weeks 0 (baseline) 1, 2, 4, 8 and 12
2

Number of Participants with Early Responses to Guselkumab Measured Using Patient Reported Outcome (PRO-2) Components

Number of participants with early responses to guselkumab will be assessed using PRO-2 components and reported via participant diaries. Measurements captured include stool frequency, rectal bleeding, and abdominal pain.

Time frame
At Weeks 0 (baseline), 1, 2, 4, 8 and 12
3

Number of Participants Achieving Clinical Response for CD as Measured by Harvey-Bradshaw Index (HBI) Score

HBI score is used to assess disease severity and treatment effectiveness. The HBI consists of a 5-part questionnaire, assessing general wellbeing, abdominal pain, number of liquid stools per day, abdominal mass and complications. Clinical response for CD is defined as the reduction in HBI by greater than or equal to (\>=)3 points from baseline or achieving HBI less than or equal to (\<=) 4.

Time frame
At Weeks 12, 48 and 96
4

Number of Participants Achieving Clinical Response for Ulcerative Colitis (UC) as Measured by Partial Mayo Score (PMS)

PMS is used to assess disease severity and treatment effectiveness. The PMS comprises 3 categories: rectal bleeding, SF, and physician assessment. These are rated from 0-3 and are totaled to give a total score that ranges from 0-12. Higher score indicates severe disease. Clinical response for UC is defined as the PMS score less than (\<) 4 or \>= 30 percent (%) reduction from baseline.

Time frame
At Weeks 12, 48 and 96

Other outcomes

Sponsors and contacts

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