Real-world use of guselkumab for adults with moderate-to-severe ulcerative colitis and Crohn's disease in the UK
Official title: Real World Observation of Guselkumab Treatment in Patients With Ulcerative Colitis and Crohn's Disease - a Study of Treatment Outcomes in the UK
Run by Janssen-Cilag Ltd. · NCT07242248 · Data updated 2026-11-12
This project will see how well guselkumab works for adults with moderate-to-severe ulcerative colitis or Crohn's disease who are starting the treatment in routine UK care.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 220 (estimated) |
| Sponsor | Janssen-Cilag Ltd. Industry-sponsored |
| Drugs / interventions | guselkumab, risankizumab, mirikizumab, ustekinumab |
| Locations | 1 site (Harrow) |
| Status | Recruiting |
| Started | November 17, 2025 |
| Main results expected | March 5, 2029 |
| Study ends | March 17, 2029 |
| Registry record updated | November 3, 2026 |
| Trial ID | NCT07242248 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with a confirmed diagnosis of moderate-to-severe ulcerative colitis or Crohn's disease who are eligible for and starting guselkumab per their physician, can consent, and have not previously received IL-23 inhibitors are ideal candidates.
✕Probably not a fit
Patients who are contraindicated to guselkumab, already treated with IL-23 inhibitors, or currently enrolled in an interventional trial are unlikely to be eligible or to benefit from this observational data.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational registry will follow adults in the UK who start guselkumab for moderate-to-severe ulcerative colitis or Crohn's disease, with enrollment before or at first dose per the treating physician's decision. Data will be collected from medical records to describe clinical outcomes by line of therapy and in predefined subpopulations while excluding patients previously treated with IL-23 inhibitors. No treatment is assigned by the protocol and patients receive care according to local NHS guidance, with source data verification performed after informed consent. The sponsor is Janssen-Cilag Ltd. and the initial site listed is London North West University Healthcare NHS Trust.
Why it matters
Potential benefit: If successful, this could show how guselkumab performs in everyday NHS practice and help doctors choose which patients may benefit.
How similar studies have gone: Other IL-23 inhibitors such as risankizumab and mirikizumab have shown efficacy in trials for IBD, but real-world data specifically for guselkumab in UC and Crohn's disease remain limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Must be eligible for biologic treatment and initiate guselkumab according to the approved indications as described in the current version of the summary of product characteristics (SmPC) of the drug. Decision to prescribe must solely be made by the treating physician in line with the Trust's/ Health Board's treatment guidance. Enrolment must take place before or at the day of first administration (but after treatment decision by physician) * Must have a confirmed diagnosis of moderate-to-severe Crohn's Disease (CD) or Ulcerative Colitis (UC) recorded in their medical records * Must sign a informed consent form (ICF) allowing source data verification in accordance with local requirements Exclusion Criteria: * Contraindicated to guselkumab per the label * Is currently enrolled in an interventional clinical study * Has been previously exposed to interleukin (IL)-23 inhibitors, including Tremfya® (guselkumab), Skyrizi ® (risankizumab) and Omvoh® (mirikizumab). As an exception, participants with history of ustekinumab exposure, may be included * Has a history of more than 4 lines of advanced inflammatory bowel disease (IBD) therapy (biologics and /or small molecules) * Is unable to provide informed consent
Where it's running
-
London North West University Healthcare NHS Trust
Harrow, United Kingdom Recruiting
Study contacts
- Study coordinator: Study Contact
- Email: Participate-In-This-Study1@its.jnj.com
- Phone: 844-434-4210
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Guselkumab treatment for Crohn's disease and ulcerative colitis in Germany
This project will try to see how well guselkumab works and how it affects symptoms, quality of life, and daily activities for adults with Crohn's disease or ulcerative colitis receiving routine care in Germany.
-
Real-world use of guselkumab in Crohn’s disease and ulcerative colitis
This study tests how long guselkumab stays in the bodies of adults with moderate-to-severe Crohn’s disease or ulcerative colitis treated in real-world clinical settings.
-
Long-term evaluation of guselkumab for children with inflammatory bowel disease and juvenile arthritis
This study tests how safe and effective the medication guselkumab is for children with inflammatory bowel disease or juvenile arthritis over a long period of time.
-
Longitudinal Immunophenotyping of People with Inflammatory Bowel Disease
This study will follow adults with Crohn's disease or ulcerative colitis (and some healthy relatives) over three years to see how their immune cells change over time and how genetics and diet relate to their disease.
-
Guselkumab use in Crohn's disease and ulcerative colitis
This study looks at how long people with moderate-to-severe Crohn's disease or ulcerative colitis stay on guselkumab in real-world care.
-
Magnesium status in people with IBD, ileostomy, or bile acid diarrhea
This will test different ways to check magnesium in adults with Crohn's disease, ulcerative colitis, ileostomies, or bile acid diarrhea to see which method best finds deficiency.
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.