Clinical trial Recruiting at 318 sites Phase 3 Interventional Ages 18 and up

Test of JNJ-78934804 vs guselkumab in moderately to severely active ulcerative colitis

Official title: 78934804UCO3001: A Phase 3 Randomized, Double-blind, and Active Controlled, Multicenter Study to Evaluate the Efficacy and Safety of JNJ-78934804 in Participants With Moderately to Severely Active Ulcerative Colitis

Run by Janssen Research & Development, LLC · NCT07577856 · Data updated 2026-11-12

This study tests JNJ-78934804 against guselkumab to see which helps people with moderately to severely active ulcerative colitis feel better and stay safe over 48 weeks.

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment644 (estimated)
SponsorJanssen Research & Development, LLC
Industry-sponsored
Drugs / interventionsguselkumab, golimumab
Locations318 sites (Scottsdale, Arizona and 317 other locations)
StatusRecruiting
StartedMay 23, 2026
Main results expectedAugust 11, 2028
Study endsOctober 16, 2030
Registry record updatedNovember 3, 2026
Trial IDNCT07577856 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with moderately to severely active ulcerative colitis, evidenced by Mayo score 5–9 and endoscopy subscore ≥2, who have not adequately responded to prior approved systemic therapies.

Probably not a fit

Patients with isolated proctitis, non-UC colitis types, or those without prior inadequate response to systemic therapies may not benefit from this comparison.

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

What this trial studies

This Phase 3 trial compares the efficacy and safety of JNJ-78934804 to guselkumab in adults with moderately to severely active ulcerative colitis. Eligible participants have documentation of UC with a Mayo score indicating active disease and endpoint endoscopy confirming inflammation, after inadequate response to prior therapies. Participants are randomized to receive either JNJ-78934804 or guselkumab and are followed for 48 weeks to assess outcomes. The study is conducted at sites in Arizona and California and is sponsored by Janssen Research & Development, LLC. Primary goals include efficacy at Week 48 and safety profiles for the two treatments.

Why it matters

Potential benefit: If successful, participants could experience improved disease control and safety with a potentially better treatment option for UC.

How similar studies have gone: Previous studies in UC have explored anti-inflammatory biologics with mixed but promising signals for comparable agents; this trial tests a novel agent against an established biologic.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion criteria:

* Diagnosis of ulcerative colitis (UC) established at least 12 weeks before screening including both endoscopic evidence and a histopathology report consistent with a diagnosis of UC.
* Moderately to severely active UC defined as baseline (Week 0) modified Mayo score of 5 to 9, inclusive, using the Mayo endoscopy subscore obtained during central review of the screening video endoscopy
* An endoscopy subscore \>=2 as obtained during central review of the screening video endoscopy
* Have had an inadequate initial response, loss of response, or intolerance to previous approved systemic therapies

Exclusion criteria:

* Isolated proctitis (UC limited to the rectum only or to less than \[\<\] 20 centimeter \[cm\] from the anal verge) as determined during central review of the screening video endoscopy OR Has a diagnosis of isolated proctitis
* Diagnosis of indeterminate colitis, microscopic colitis, ischemic colitis, Crohn's colitis or any findings suggestive of CD
* Has a history of or ongoing chronic or recurrent infectious disease
* Has previously demonstrated inadequate initial response, loss of response, allergy, hypersensitivity or intolerance to guselkumab or to golimumab
* Is a participant who is pregnant, breastfeeding, or planning to become pregnant, or plans to father a child, while enrolled in this study or within 6 months after the last dose of study intervention

Where it's running

  • Mayo Clinic
    Scottsdale, Arizona, United States
    Recruiting
  • GIA Sun City
    Sun City, Arizona, United States
    Recruiting
  • Clinnova Research
    Anaheim, California, United States
    Recruiting
  • Gastro SB Clinic
    Chula Vista, California, United States
    Recruiting
  • United Medical Doctors
    Los Alamitos, California, United States
    Recruiting
  • Medical Associates Research Group, Inc.
    San Diego, California, United States
    Recruiting
Show 44 more locations
  • Peak Gastroenterology Associates
    Colorado Springs, Colorado, United States
    Recruiting
  • Florida Research Center Inc.
    Lakewood Rch, Florida, United States
    Recruiting
  • Sanchez Clinical Research, Inc
    Miami, Florida, United States
    Recruiting
  • Endoscopic Research Inc
    Orlando, Florida, United States
    Recruiting
  • GCP Clinical Research
    Tampa, Florida, United States
    Recruiting
  • Atlanta Gastroenterology Specialists
    Suwanee, Georgia, United States
    Recruiting
  • Tri-State Gastroenterology Assoc
    Crestview Hills, Kentucky, United States
    Recruiting
  • Gastroenterology Clinic of Acadiana
    Lafayette, Louisiana, United States
    Recruiting
  • GIA Metairie
    Metairie, Louisiana, United States
    Recruiting
  • GIA Kansas City
    Lee's Summit, Missouri, United States
    Recruiting
  • New York Gastroenterology Associates
    New York, New York, United States
    Recruiting
  • University of North Carolina Hospital
    Chapel Hill, North Carolina, United States
    Recruiting
  • Great Lakes Gastroenterology Research, LLC
    Mentor, Ohio, United States
    Recruiting
  • Digestive Disease Specialists Inc
    Oklahoma City, Oklahoma, United States
    Recruiting
  • The Oregon Clinic
    Portland, Oregon, United States
    Recruiting
  • Michigan Center of Medical Research
    Farmington Hill, Pennsylvania, United States
    Recruiting
  • Frontier Clinical Research
    Uniontown, Pennsylvania, United States
    Recruiting
  • Palmetto Primary and Specialty Care Physicians, Charleston
    Summerville, South Carolina, United States
    Recruiting
  • Gastro One
    Cordova, Tennessee, United States
    Recruiting
  • Southern Star Research Institute, LLC
    San Antonio, Texas, United States
    Recruiting
  • Tyler Research Institute, LLC
    Tyler, Texas, United States
    Recruiting
  • GIA Webster
    Webster, Texas, United States
    Recruiting
  • GIA Richmond
    Richmond, Virginia, United States
    Recruiting
  • GI Alliance Tacoma
    Tacoma, Washington, United States
    Recruiting
  • Instituto Medico De Alta Complejidad (IMAC)
    Buenos Aires, Argentina
    Recruiting
  • Gedyt
    Famailla, Argentina
    Recruiting
  • Globalpsy
    La Plata, Argentina
    Recruiting
  • Higea
    Mendoza, Argentina
    Recruiting
  • Instituto de Investigaciones Clinicas Quilmes
    Quilmes, Argentina
    Recruiting
  • Hospital Provincial del Centenario
    Rosario, Argentina
    Recruiting
  • MR Medicina Reumatologica
    San Fernando, Argentina
    Recruiting
  • Banksia Trials SA
    Adelaide, Australia
    Recruiting
  • Royal Prince Alfred Hospital
    Camperdown, Australia
    Recruiting
  • Monash Medical Centre
    Clayton, Australia
    Recruiting
  • SA Gastrointestinal Services
    Kurraba Point, Australia
    Recruiting
  • Macquarie University
    Macquarie Island, Australia
    Recruiting
  • Fiona Stanley Hospital
    Murdoch, Australia
    Recruiting
  • John Hunter Hospital
    New Lambton, Australia
    Recruiting
  • Mater Misericordiae Hospital
    South Brisbane, Australia
    Recruiting
  • The Melbourne Gut Clinic Epworth Hospital
    West Melbourne, Australia
    Recruiting
  • Kepler Universitatsklinikum GmbH
    Linz, Austria
    Recruiting
  • LKH - Universitätsklinikum der PMU Salzburg
    Salzburg, Austria
    Recruiting
  • Krankenhaus der Barmherzigen Brüder
    Vienna, Austria
    Recruiting
  • Klinikum Wels Grieskirchen
    Wels, Austria
    Recruiting

+268 more sites. See ClinicalTrials.gov for the full list.

Study contacts

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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.