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Efficacy and Safety of Combination Therapy with Guselkumab and Golimumab in Participants with Moderately to Severely Active Ulcerative Colitis

Phase 1
Conditions
Moderately to Severely Active Ulcerative Colitis
MedDRA version: 20.1Level: LLTClassification code 10045365Term: Ulcerative colitisSystem Organ Class: 100000004856
Therapeutic area: Diseases [C] - Immune System Diseases [C20]
Registration Number
EUCTR2021-005528-39-HU
Lead Sponsor
Janssen-Cilag International NV
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
All
Target Recruitment
550
Inclusion Criteria

•Confirmed diagnosis of ulcerative colitis (UC) for at least 3 months prior to baseline
•Moderately to severely active UC as assessed by the modified mayo score
•Demonstrated inadequate response, loss of response, or intolerance to at least one biologic or novel oral with biologic-like activity
•If female and of childbearing potential, must meet the contraception and reproduction requirements

For an overview of all the inclusion criteria please refer to protocol section 5.1

Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 550
F.1.3 Elderly (>=65 years) no
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

•Has severe extensive colitis as defined in the protocol
•Extent of inflammatory disease limited to the rectum
•Participants with current diagnosis of indeterminate colitis, microscopic colitis, ischemic colitis, or crohn's disease (CD)
•Has a history of, or ongoing, chronic or recurrent infectious disease
•Currently has a malignancy or a history of malignancy within 5 years before screening (with the exception of nonmelanoma skin cancer or cervical carcinoma in situ that has been treated with no evidence of recurrence within 12 months of first dose of study intervention)

For an overview of all the exclusion criteria please refer to protocol section 5.2

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: To evaluate the efficacy of JNJ-78934804 at Week 48 compared with each monotherapy (guselkumab alone and golimumab alone)<br>;Secondary Objective: 1 To evaluate the efficacy of JNJ-78934804 compared with each monotherapy across a range of outcome measures<br>2 To evaluate the efficacy of JNJ-78934804 at Week 24 compared with placebo<br>3 To evaluate the safety of JNJ-78934804 compared with each monotherapy and placebo<br>4 To evaluate the pharmacokinetics (PK) and immunogenicity of JNJ-78934804 compared with each monotherapy<br><br><br>;Primary end point(s): Clinical remission at Week 48;Timepoint(s) of evaluation of this end point: At Week 48
Secondary Outcome Measures
NameTimeMethod
Secondary end point(s): 1 Combination of histological remission and endoscopic improvement <br>2 Clinical remission of JNJ-78934804 at Week 24 compared with placebo <br>3 Frequency and type of AEs, serious adverse events (SAEs)<br>4 Serum concentrations of guselkumab and golimumab over time<br>5 Incidence and titers of antibodies to guselkumab and golimumab<br>6 Incidence of neutralizing antibodies to guselkumab and golimumab<br><br><br><br>;Timepoint(s) of evaluation of this end point: 1 - At Week 48<br>2 - At Week 24
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