Skip to content

A Phase 3, Multicenter, Randomized, Platform Study of p19 Inhibition of the IL-23 Pathway to Establish Efficacy in Pediatric Crohn*s Disease;ISA title: Efficacy, Safety, and Pharmacokinetics of Guselkumab in Pediatric Participants with Moderately to Severely Active Crohn*s Disease

A Phase 3, Multicenter, Randomized, Platform Study of p19 Inhibition of the IL-23 Pathway to Establish Efficacy in Pediatric Crohn*s Disease;ISA title: Efficacy, Safety, and Pharmacokinetics of Guselkumab in Pediatric Participants with Moderately to Severely Active Crohn*s Disease - MACARONI-23- Janssen

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
NL-OMON
Registry ID
NL-OMON53505
Enrollment
2
Registered
2023-01-10
Start date
2023-09-01
Completion date
Unknown
Last updated
2024-09-16

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

Conditions

Chron's disease - granulomatous enteritis

Interventions

Study intervention will be administered at Weeks 0, 4, and 8 during the 12-week open-label induction phase. The induction dose regimen will be as follows: - Participants >=10 to =25 to =40 kg: random

Sponsors

Janssen-Cilag
Lead Sponsor

Eligibility

Age
2 Years to 17 Years

Inclusion criteria

Inclusion criteria: Age 1. 2 to 30). 5. Have endoscopy with evidence of active CD defined as SES-CD score >=6 (or >=4 for participants with isolated ileal disease) within 4 weeks of receiving study intervention at Week 0. 6. Body weight >=10 kg at the time of consent for screening. Please refer to the Master protocol for more inclusion criteria, section 5.1.

Exclusion criteria

Exclusion criteria: 1. Has complications of CD such as symptomatic strictures or stenosis, short gut syndrome, or any other manifestation that might be anticipated to require surgery, that could preclude the use of the PCDAI to assess response to therapy or would possibly confound the ability to assess the effect of the treatment. Of note, surgical procedures related to fistula treatment are not necessarily exclusionary; discuss with medical monitor. 2. 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 prior to Week 0, or 8 weeks prior to Week 0 for intra-abdominal abscesses, provided that there is no anticipated need for any further surgery. 3. Has had any kind of bowel resection within 26 weeks or any other intra-abdominal surgery within 12 weeks of baseline. 4. Presence of a stoma, ileoanal pouch, or ostomy. 5. Has high grade dysplasia, history of or current evidence of polypoid or non-polypoid dysplasia, or any adenoma that has not been removed. Please refer to the Master protocol for more exclusion criteria, section 5.2

Design outcomes

Primary

MeasureTime frame
Primary parameters for Platform-Level Exploratory Analysis • Proportion of participants achieving clinical remission (PCDAI) at Week 52 AND • Proportion of participants achieving endoscopic response (SES-CD) at Week 52 Primary global parameters • Clinical remission at Week 52 (defined as PCDAI score =50% reduction from SES-CD score at baseline) at Week 52

Secondary

MeasureTime frame
Global parameters • Clinical response (decrease from baseline/LOR reference in the PCDAI score >=12.5; total score =50% reduction from SES-CD score at baseline) at Week 52

Countries

Netherlands

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)