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Efficacy and Safety of Combination Therapy with Guselkumab and Golimumab in Participants with Moderately to Severely Active Crohn’s Disease

A Phase 2b Randomized, Double-blind, Active-and Placebo-controlled, Parallel-group, Multicenter Study to Evaluate the Efficacy and Safety of Induction and Maintenance Combination Therapy with Guselkumab and Golimumab in Participants with Moderately to Severely Active Crohn’s Disease - DUET-CD

Status
Active, not recruiting
Phases
Phase 2
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2021-003314-39-DE
Enrollment
715
Registered
2022-08-16
Start date
2023-02-21
Completion date
Unknown
Last updated
2024-06-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Moderately to Severely Active Crohn's Disease MedDRA version: 20.0 Level: PT Classification code 10011401 Term: Crohn's disease System Organ Class: 10017947 - Gastrointestinal disorders

Interventions

Sponsors

Janssen-Cilag International NV
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: •Diagnosis of Crohn's disease (CD) for at least 3 months prior to baseline •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) •Demonstrated inadequate response, loss of response, or intolerance to at least one biologic •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 715 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range

Exclusion criteria

Exclusion criteria: •Complications of CD that may be anticipated to require surgery •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 •Has had any kind of bowel resection within 24 weeks, or any other intra-abdominal or other major surgery within 12 weeks •Has a draining (example, functioning) stoma or ostomy •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 •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 For an overview of all the inclusion criteria please refer to protocol section 5.2

Design outcomes

Primary

MeasureTime frame
Main Objective: To evaluate the efficacy of JNJ-78934804 at Week 48 compared with each monotherapy (guselkumab alone and golimumab alone) ;Secondary Objective: 1. To evaluate the efficacy of JNJ-78934804 compared with each monotherapy across a range of outcomes 2. To evaluate the efficacy of JNJ-78934804 at Week 24 compared with placebo 3. To evaluate the safety of JNJ-78934804 compared with each monotherapy and placebo 4. To evaluate the pharmacokinetics (PK) and immunogenicity of JNJ-78934804 compared with each monotherapy ;Primary end point(s): Clinical remission and endoscopic response ;Timepoint(s) of evaluation of this end point: At Week 48

Secondary

MeasureTime frame
Secondary end point(s): 1 Patient-Reported Outcomes (PRO)-2 remission and endoscopic remission 2 Clinical remission and endoscopic response of JNJ-78934804 at Week 24 compared with placebo 2 Frequency and type of adverse event (AEs), serious adverse events (SAEs) 3 Serum concentrations of guselkumab and golimumab over time 4 Incidence and titers of antibodies to guselkumab and golimumab 5 Incidence of neutralizing antibodies to guselkumab and golimumab ;Timepoint(s) of evaluation of this end point: 1 - At Week 48 2 - At Week 24

Countries

Argentina, Australia, Austria, Belgium, Bosnia and Herzegovina, Brazil, Bulgaria, Canada, Chile, China, Croatia, Czechia, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, India, Ireland, Israel, Italy, Japan, Jordan, Korea, Republic of, Lithuania, Malaysia, Mexico, Netherlands, New Zealand, Norway, Poland, Portugal, Russian Federation, Serbia, Singapore, Slovakia, Slovenia, Spain, Sweden, Switzerland, Taiwan, Türkiye, Ukraine, United Kingdom, United States

Contacts

Public ContactClinical Trials Information

Parexel International

clinicaltrial.enquiries@parexel.com

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026