Intestinal ultrasound predicts guselkumab response in moderate-to-severe Crohn's disease
Official title: Intestinal Ultrasound Predicts Guselkumab Efficacy in Patients With Moderate to Severe Crohn's Disease:a Prospective Study
Run by The Third Xiangya Hospital of Central South University · NCT07034664 · Data updated 2026-11-12
This project will test whether intestinal ultrasound can help predict if guselkumab will work for adults with moderate-to-severe Crohn's disease.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 80 Years |
| Sex | All |
| Enrollment | 50 (estimated) |
| Sponsor | The Third Xiangya Hospital of Central South University Academic / other |
| Drugs / interventions | Guselkumab |
| Locations | 1 site (Changsha, Hunan) |
| Status | Recruiting |
| Started | June 16, 2025 |
| Main results expected | July 30, 2027 |
| Study ends | September 30, 2027 |
| Registry record updated | June 24, 2025 |
| Trial ID | NCT07034664 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18–80 with newly diagnosed or relapsed moderate-to-severe Crohn's disease who plan to start guselkumab within one month and have no history of abdominal surgery are ideal candidates.
✕Probably not a fit
Patients with contraindications to guselkumab (active infections, severe liver dysfunction, allergy), those with extensive colectomy or planned colectomy, or those who cannot undergo contrast ultrasound may not benefit from participation.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a prospective observational study enrolling adults with newly diagnosed or relapsed moderate-to-severe Crohn's disease who are starting guselkumab. Participants will have baseline intestinal ultrasound (IUS) and endoscopy within one month before beginning guselkumab, and imaging features will be recorded. Clinical and endoscopic outcomes after guselkumab treatment will be tracked and compared to baseline IUS findings to identify predictive ultrasound markers. The goal is to determine whether noninvasive IUS features correlate with subsequent treatment response.
Why it matters
Potential benefit: If successful, clinicians could use a noninvasive ultrasound scan to predict who is likely to benefit from guselkumab and tailor treatment earlier.
How similar studies have gone: Previous randomized trials (GALAXI2 and GALAXI3) have shown guselkumab achieves meaningful clinical remission and endoscopic response, while using IUS specifically as a predictor of biologic response remains relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: Age ≥ 18 years and ≤ 80 years; * Patients with newly diagnosed or relapsed moderate to severe Crohn's disease; * Guselkumab therapy is proposed to be applied within 1 month after baseline endoscopy and intestinal ultrasound; * No history of abdominal surgery; * Clearly understand, voluntarily participate in the study, and sign an informed consent form. Exclusion Criteria: * Contraindications to Guselkumab: allergy, active tuberculosis or other active infections, and comorbidities such as severe liver dysfunction; * Patients with a history of extensive colectomy or recent proposed colectomy, history of colonic mucosal dysplasia; * Hypersensitivity to the components of SonoVue contrast media.
Where it's running
-
The Third Xiangya Hospital of Central South University
Changsha, Hunan, China Recruiting
Study contacts
- Study coordinator: Li Tian
- Email: f3tianli@outlook.com
- Phone: 0731-13574843423
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.