Actively Recruiting

Phase 3
Age: 18Years +
All Genders
ID07499232

A Phase 3b, Multicenter, Randomized, Open-Label, Active-Controlled Study Comparing Guselkumab and Risankizumab in Moderately to Severely Active Crohn's Disease

Led by Janssen Research & Development, LLC · Updated on 2026-06-05

530

Participants Needed

30

Research Sites

108 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating how well guselkumab works compared to risankizumab in adults with moderately to severely active Crohn's Disease, a long-term condition causing significant inflammation in the intestines. This Phase 3b study aims to compare the effectiveness and safety of these two treatments to better understand their impacts on this condition. The trial is sponsored by Janssen Research & Development, LLC and uses a randomized, open-label design. Participants will be assigned to one of two groups. One group will receive guselkumab as an injection under the skin at Weeks 0, 4, and 8, followed by maintenance doses every 4 weeks through Week 52. The other group will receive risankizumab initially through intravenous infusion at Weeks 0, 4, and 8, then maintenance injections every 8 weeks through Week 52. Both treatments are given over one year to monitor their effects. During the study, participants will be monitored for deep remission at Week 52, alongside several secondary outcomes including clinical remission, endoscopic response, and steroid-free remission. The study team will track laboratory results and any adverse events up to Week 165. Participants will undergo various assessments including endoscopic exams at screening and throughout the study to evaluate their disease activity and response to treatment. The trial is expected to run until December 2030.

CONDITIONS

Brief Title

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

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Has Crohn's Disease or fistulizing Crohn's Disease for at least 12 weeks, confirmed by radiography, histology, or endoscopy
  • Has moderately to severely active Crohn's Disease with a Crohn's Disease Activity Index (CDAI) score between 220 and 450
  • Shows active ileal and/or colonic Crohn's Disease on endoscopy with specific ulceration scores
  • Disease is appropriate for maintenance dosing regimens used in this study
  • Agrees to follow the rules for other Crohn's Disease medications as outlined in the study protocol
Not Eligible

You will not qualify if you...

  • Has complications like symptomatic strictures, short gut syndrome, active draining stoma, or significant fistulizing disease expected to need surgery within a year
  • Has or is suspected to have an abscess
  • Has an active fistula during screening or at Week 0 needing surgery
  • Had bowel resection surgery within 24 weeks or other major surgery within 12 weeks before first dose
  • Has current or recent (within 5 years) malignancy

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Approximately 52 weeks

Participants receive either guselkumab or risankizumab to treat moderately to severely active Crohn's Disease. Guselkumab is given as subcutaneous injections at Weeks 0, 4, and 8 followed by maintenance doses every 4 weeks from Week 12 through Week 52. Risankizumab is given as intravenous infusions at Weeks 0, 4, and 8 followed by subcutaneous maintenance doses every 8 weeks from Week 12 through Week 52.

Visits for dosing at Weeks 0, 4, 8, and then every 4 weeks for guselkumab or every 8 weeks for risankizumab through Week 52

Follow-up

Duration - Up to 113 weeks after treatment (up to Week 165 total)

Participants are monitored for safety and laboratory abnormalities after treatment ends.

Periodic visits for safety monitoring up to Week 165

Trial Site Locations

Total: 30 locations

1

Digestive Health Specialists of the Southeast

Dothan, Alabama, United States, 36305

Actively Recruiting

2

Clinnova Research

Anaheim, California, United States, 92805

Actively Recruiting

3

United Gastroenterologists

Los Alamitos, California, United States, 90720

Actively Recruiting

4

TLC Clinical Research Inc

Los Angeles, California, United States, 90048

Actively Recruiting

5

Hoag Memorial Hospital

Newport Beach, California, United States, 92663

Suspended

6

Peak Gastroenterology Associates

Colorado Springs, Colorado, United States, 80907

Actively Recruiting

7

Sanchez Clinical Research, Inc

Miami, Florida, United States, 33157-6575

Actively Recruiting

8

GCP Clinical Research

Tampa, Florida, United States, 33609

Actively Recruiting

9

Cotton-O'Neil Clinical Research Center

Topeka, Kansas, United States, 66606

Actively Recruiting

10

Westchester Putnam Gastroenterology

Carmel, New York, United States, 10512

Actively Recruiting

11

New York Gastroenterology Associates

New York, New York, United States, 10075

Actively Recruiting

12

Charlotte Gastroenterology and Hepatology, PLLC

Charlotte, North Carolina, United States, 28207

Actively Recruiting

13

Great Lakes Gastroenterology Research, LLC

Mentor, Ohio, United States, 44060

Actively Recruiting

14

Digestive Disease Specialists Inc

Oklahoma City, Oklahoma, United States, 73114

Actively Recruiting

15

Frontier Clinical Research

Uniontown, Pennsylvania, United States, 15401

Actively Recruiting

16

Palmetto Primary and Specialty Care Physicians, Charleston

Summerville, South Carolina, United States, 29486

Actively Recruiting

17

Southern Star Research Institute, LLC

San Antonio, Texas, United States, 78229

Actively Recruiting

18

GIRI Gastrointestinal Research Institute

Vancouver, British Columbia, Canada, V6Z 2K5

Actively Recruiting

19

London Digestive Disease Institute

London, Ontario, Canada, N6K 1M6

Actively Recruiting

20

Taunton Surgical Centre

Oshawa, Ontario, Canada, L1J 0C7

Actively Recruiting

21

Toronto Immune and Digestive Health Institute Inc

Toronto, Ontario, Canada, M6A 3B4

Actively Recruiting

22

Clinique IMD

Montreal, Quebec, Canada, H3H1E3

Actively Recruiting

23

The Sixth Affiliated Hospital Sun Yat sen University

Guangzhou, China, 510655

Actively Recruiting

24

Sydvestjysk Sygehus

Esbjerg, Denmark, 6700

Actively Recruiting

25

Herlev Hospital

Herlev, Denmark, 2730

Actively Recruiting

26

Sahlgrenska Universitetssjukhuset, Mölndal Sjukhus

Mölndal, Sweden, 431 30

Actively Recruiting

27

Ersta sjukhus

Stockholm, Sweden, 116 30

Actively Recruiting

28

Karolinska Universitetssjukhuset

Stockholm, Sweden, 171 76

Actively Recruiting

29

Barts Health NHS Trust

Greater London, United Kingdom, E1 2AJ

Actively Recruiting

30

London North West University Healthcare NHS Trust

Greater London, United Kingdom, NW10 7NS

Actively Recruiting

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Research Team

S

Study Contact

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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