Assessing the long-term safety of ustekinumab compared to other biologics for Crohn's disease and ulcerative colitis

An Observational Study to Assess the Long-term Safety of Ustekinumab Versus Other Biologic Therapies Among Patients With Crohn's Disease and Ulcerative Colitis: A New-User Cohort Study Using the Department of Defense Electronic Health Records Database

Observational Janssen Scientific Affairs, LLC · NCT04372108

This study is testing how safe the drug ustekinumab is compared to other biologic treatments for adults with Crohn's disease or ulcerative colitis over the long term.

Quick facts

Study typeObservational
Enrollment1056 (estimated)
Ages18 Years and up
SexAll
SponsorJanssen Scientific Affairs, LLC Industry-sponsored
Drugs / interventionsustekinumab
Locations1 site (Portsmouth, Virginia)
Trial IDNCT04372108 on ClinicalTrials.gov

What this trial studies

This observational study aims to evaluate and compare the long-term safety profiles of ustekinumab and other biologic therapies in adult patients diagnosed with Crohn's disease or ulcerative colitis. It focuses on measuring the incidence of overall malignancy, serious infections, and opportunistic infections among new users of these treatments. Participants must have a minimum of one year of enrollment history in the Department of Defense Electronic Health Record database prior to starting treatment. The study will provide valuable insights into the safety of these therapies over time.

Who should consider this trial

Good fit: Ideal candidates are adult men and women who are new users of ustekinumab or other biologic therapies for Crohn's disease or ulcerative colitis.

Not a fit: Patients under 18 years of age or those with certain comorbidities such as HIV or malignancies may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could help identify safer treatment options for patients with Crohn's disease and ulcerative colitis.

How similar studies have performed: Other studies have shown varying results regarding the safety of biologic therapies, making this investigation relevant and necessary.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Adult men and women with CD or UC who are new users of ustekinumab or the comparator drugs during the study period
* Participants must have at least 1 year of enrollment history with the DoD EHR database immediately prior to new use (that is, exposure index date) of ustekinumab or the comparator drugs

Exclusion Criteria:

* Participants below 18 years of age on the exposure index date
* Participants who do not meet the definition for CD or UC prior to or on the exposure index date
* Participants with any records of human immunodeficiency virus (HIV) diagnosis, organ or tissue transplant, or malignancy (excluding non-melanoma skin cancer \[NMSC\]) at any time prior to or on the exposure index date
* Participants with a physician diagnosis of rheumatoid arthritis, ankylosing spondylitis, or psoriatic arthritis within 12 months prior to or on the exposure index date
* In the analysis of infection outcomes, participants diagnosed with the same infection of interest both within 60 days prior to or on the exposure index date and within 60 days after the exposure index date will be excluded

Where this trial is running

Portsmouth, Virginia

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Crohn DiseaseColitis, Ulcerative
Last reviewed 2026-06-10 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.