Clinical trial Recruiting at 11 sites Observational Ages 18 and up

Guselkumab for Chinese patients with moderate-to-severe ulcerative colitis in routine care

Official title: Guselkumab Real-world Effectiveness Among Bio-NaÏve Patients With Moderate-to-severe Ulcerative Colitis in China: A Multicenter, Non-interventional, Prospective Study

Run by Xian-Janssen Pharmaceutical Ltd. · NCT07302360 · Data updated 2026-11-12

This project will try guselkumab in Chinese adults with moderate-to-severe ulcerative colitis who have never used biologic therapies to see how their symptoms, endoscopic appearance, and quality of life change in routine clinical care.

More Colitis, Ulcerative trials

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment200 (estimated)
SponsorXian-Janssen Pharmaceutical Ltd.
Industry-sponsored
Drugs / interventionsguselkumab
Locations11 sites (Beijing and 10 other locations)
StatusRecruiting
StartedDecember 11, 2025
Main results expectedJune 30, 2028
Study endsJune 30, 2028
Registry record updatedNovember 3, 2026
Trial IDNCT07302360 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are Chinese adults with moderately to severely active UC (modified Mayo 4–9, endoscopic subscore ≥2, rectal bleeding subscore ≥1) who are biologic‑naive and are starting guselkumab under their physician's care.

Probably not a fit

Patients with prior exposure to biologic or other advanced therapies, those with acute severe ulcerative colitis, or those not initiating guselkumab per physician decision are unlikely to benefit from this observational project.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational, real-world study follows biologic‑naive Chinese participants with moderate-to-severe ulcerative colitis who start guselkumab as part of routine care. Eligible participants have a modified Mayo score of 4–9, endoscopic Mayo subscore ≥2, and rectal bleeding subscore ≥1 at baseline, and they initiate treatment per their physician's decision. Clinical outcomes, endoscopic findings, patient-reported function and quality-of-life measures, and routine safety data will be collected from medical records and clinic visits. The study aims to characterize the effectiveness and tolerability of guselkumab in everyday clinical practice in this population.

Why it matters

Potential benefit: If successful, the results could support guselkumab as an effective option to reduce symptoms, promote mucosal healing, and improve quality of life for biologic‑naive Chinese UC patients.

How similar studies have gone: IL‑23 pathway therapies and some guselkumab trials have shown promise in inflammatory bowel disease, but real‑world data specifically in Chinese biologic‑naive UC patients remain limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion criteria:

* Has a confirmed diagnosis of moderately to severely active UC, defined as: a) baseline modified Mayo score of 4 to 9; b) screening endoscopy with Mayo endoscopic subscore (MES) greater than or equal to (\>=) 2; c) Mayo rectal bleeding subscore (RBS) \>= 1 at baseline
* Eligible for advanced treatment and initiate guselkumab therapy per participating physician decision in accordance with product package insert
* Have no prior exposure to advanced therapies (bio-naive), such as tumor necrosis factor (TNF)-alpha antagonists, anti-integrin agents, anti-interleukin (IL) agents, sphingosine-1-phosphate receptor modulators, janus kinase (JAK) inhibitors or their corresponding generics and biosimilars, per participating physician assessment
* Participant (and/or their legally-acceptable representative where applicable) must sign an informed consent form (ICF) allowing source data verification in accordance with local requirements

Exclusion criteria:

* Acute severe UC or infectious colitis or other conditions when patients is likely to require a colectomy
* Contraindicated to guselkumab per the label
* Currently enrolled in or plan to participate in any other clinical trials from signing informed consent to the final dose administration of guselkumab
* Participants who will be receiving guselkumab therapy combined with a second advanced therapy
* Participants with a history of colectomy and/or pouch

Where it's running

  • Peking Union Medical College Hospital
    Beijing, China
    Recruiting
  • Peking University People's Hospital
    Beijing, China
    Recruiting
  • Changzhou No 2 Peoples Hospital
    Changzhou, China
    Recruiting
  • The First Affiliated Hospital Sun Yat-Sen University
    Guangzhou, China
    Recruiting
  • The Sixth Affiliated Hospital of Sun Yat-sen University
    Guangzhou, China
    Recruiting
  • The Second Affiliated Hospital of Zhejiang University
    Hangzhou, China
    Recruiting
Show 5 more locations
  • Sir Run Run Shaw Hospital Zhejiang University School of Medicine
    Hangzhou, China
    Recruiting
  • Nanjing Drum Tower Hospital The Affiliated Hospital of Nanjing University Medical School
    Nanjing, China
    Recruiting
  • Shenzhen Hospital of Southern Medical University
    Shenzhen, China
    Recruiting
  • The Second Hospital of Hebei Medical University
    Shijiazhuang, China
    Recruiting
  • Tianjin Medical University General Hospital
    Tianjin, China
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 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.