Actively Recruiting
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
Eligibility Criteria
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
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
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Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
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
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
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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