NCT07577856

Brief Summary

The purpose of this study is to assess how well JNJ-78934804 works (efficacy) and how safe it is (safety) as compared to guselkumab at Week 48 in participants with moderately to severely active ulcerative colitis (UC, a chronic disease of the large intestine in which the lining of the colon becomes inflamed and develops ulcers).

Trial Health

88
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Strong global presence with extensive site network
Enrollment
644

participants targeted

Target at P75+ for phase_3

Timeline
50mo left

Started May 2026

Typical duration for phase_3

Geographic Reach
26 countries

170 active sites

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress8%
May 2026Oct 2030

First Submitted

Initial submission to the registry

May 5, 2026

Completed
6 days until next milestone

First Posted

Study publicly available on registry

May 11, 2026

Completed
12 days until next milestone

Study Start

First participant enrolled

May 23, 2026

Completed
2.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 11, 2028

Expected
2.2 years until next milestone

Study Completion

Last participant's last visit for all outcomes

October 16, 2030

Last Updated

August 28, 2026

Status Verified

August 1, 2026

Enrollment Period

2.2 years

First QC Date

May 5, 2026

Last Update Submit

August 27, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Percentage of Participants in Clinical Remission at Week 48

    Clinical remission is defined as an stool frequency (SF) subscore of 0 or 1, rectal bleeding (RB) subscore of 0, and an endoscopy subscore of 0 or 1.

    At Week 48

Secondary Outcomes (12)

  • Percentage of Participants with Endoscopic Improvement at Week 48

    At Week 48

  • Percentage of Participants with Corticosteroid-free (90 day) Clinical Remission at Week 48

    At Week 48

  • Percentage of Participants Achieving a Combination of Histologic Remission and Endoscopic Improvement at Week 48

    At Week 48

  • Percentage of Participants with Fatigue Response (PROMIS Fatigue Short Form 7a) at Week 48

    At Week 48

  • Percentage of Participants with Sustained Mayo SF Less Than or Equal to (<=) 1 and RB=0

    At Weeks 12, 24, and 48

  • +7 more secondary outcomes

Study Arms (2)

JNJ-78934804

EXPERIMENTAL

Participants will receive JNJ-78934804 induction dose at Weeks 0, 4, and 8 followed by JNJ-78934804 maintenance dose, once every 4 weeks (q4w) starting at Week 12. All participants who meet the rescue criteria will receive JNJ-78934804 induction dose at Weeks 16, 20, and 24 followed by JNJ-78934804 maintenance dose q4w starting at Week 28. Participants who complete double-blind (DB) treatment phase (Week 48) and benefit from continued study intervention in the opinion of the investigator will have the opportunity to enter the long-term extension (LTE) phase.

Drug: JNJ-78934804

Guselkumab

ACTIVE COMPARATOR

Participants with moderately to severely active UC will receive guselkumab induction dose at Weeks 0, 4, and 8 followed by guselkumab maintenance dose q4w starting at Week 12. All participants who meet the rescue criteria will receive JNJ-78934804 induction dose at Weeks 16, 20, and 24 followed by JNJ-78934804 maintenance dose q4w starting at Week 28. Participants who complete DB treatment phase (Week 48) and benefit from continued study intervention in the opinion of the investigator will have the opportunity to enter the LTE phase.

Drug: JNJ-78934804Drug: Guselkumab

Interventions

JNJ-78934804 will be administered subcutaneously.

Also known as: JNJ-4804
GuselkumabJNJ-78934804

Guselkumab will be administered subcutaneously.

Also known as: TREMFYA
Guselkumab

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • 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

You may not qualify if:

  • 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

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (170)

Clinnova Research

Anaheim, California, 92805, United States

RECRUITING

Gastro SB Clinic

Chula Vista, California, 91910, United States

RECRUITING

United Medical Doctors

Los Alamitos, California, 90720, United States

RECRUITING

Medical Associates Research Group, Inc.

San Diego, California, 92123, United States

RECRUITING

Peak Gastroenterology Associates

Colorado Springs, Colorado, 80907, United States

RECRUITING

Florida Research Center Inc.

Lakewood Rch, Florida, 34211, United States

RECRUITING

Sanchez Clinical Research, Inc

Miami, Florida, 33157-6575, United States

RECRUITING

GCP Clinical Research

Tampa, Florida, 33609, United States

RECRUITING

Atlanta Gastroenterology Specialists

Suwanee, Georgia, 30024, United States

RECRUITING

Tri-State Gastroenterology Assoc

Crestview Hills, Kentucky, 41017, United States

RECRUITING

Gastroenterology Clinic of Acadiana

Lafayette, Louisiana, 70503, United States

RECRUITING

Michigan Center of Medical Research

Farmington Hills, Michigan, 48334, United States

RECRUITING

New York Gastroenterology Associates

New York, New York, 10075, United States

RECRUITING

Great Lakes Gastroenterology Research, LLC

Mentor, Ohio, 44060, United States

RECRUITING

Digestive Disease Specialists Inc

Oklahoma City, Oklahoma, 73114, United States

RECRUITING

The Oregon Clinic

Portland, Oregon, 97220, United States

RECRUITING

Gastro One

Cordova, Tennessee, 38018, United States

RECRUITING

Southern Star Research Institute, LLC

San Antonio, Texas, 78229, United States

RECRUITING

Tyler Research Institute, LLC

Tyler, Texas, 75701, United States

RECRUITING

GI Alliance Tacoma

Tacoma, Washington, 98405, United States

RECRUITING

GEDYT

AAI, C1425BGC, Argentina

RECRUITING

Instituto Medico De Alta Complejidad (IMAC)

Buenos Aires, B1643CRO, Argentina

RECRUITING

Globalpsy

La Plata, 1896, Argentina

RECRUITING

HIGEA

Mendoza, M5500DPS, Argentina

RECRUITING

Instituto de Investigaciones Clinicas Quilmes

Quilmes, B1878GEG, Argentina

RECRUITING

MR Medicina Reumatologica

San Fernando, B1646, Argentina

RECRUITING

Banksia Trials SA

Adelaide, 5000, Australia

RECRUITING

Royal Prince Alfred Hospital

Camperdown, 2050, Australia

RECRUITING

Monash Medical Centre

Clayton, 3168, Australia

RECRUITING

The Melbourne Gut Clinic Epworth Hospital

East Melbourne, 3002, Australia

RECRUITING

SA Gastrointestinal Services

Kurralta Park, 5037, Australia

RECRUITING

Fiona Stanley Hospital

Murdoch, 6150, Australia

RECRUITING

John Hunter Hospital

New Lambton Heights, 2305, Australia

RECRUITING

Mater Misericordiae Hospital

South Brisbane, 4101, Australia

RECRUITING

Imelda Bonheiden

Bonheiden, 2820, Belgium

RECRUITING

AZ Sint-Lucas

Bruges, 8310, Belgium

RECRUITING

ULB Erasme Ziekenhuis

Brussels, 1070, Belgium

RECRUITING

UZ Brussel

Brussels, 1090, Belgium

RECRUITING

AZ Maria Middelares

Ghent, 9000, Belgium

RECRUITING

Ghent University Hospital

Ghent, 9000, Belgium

RECRUITING

Universitair Ziekenhuis Leuven

Leuven, 3000, Belgium

RECRUITING

CDC - Centro Digestivo de Curitiba

Curitiba, 80430 180, Brazil

RECRUITING

Hospital De Clinicas De Porto Alegre

Porto Alegre, 90035-903, Brazil

RECRUITING

Hospital Ernesto Dornelles

Porto Alegre, 90160-092, Brazil

RECRUITING

Hospital das Clinicas da Faculdade de Medicina de Ribeirao Preto

Ribeirão Preto, 14051140, Brazil

RECRUITING

Pesquisare Saude

Santo André, 09080-110, Brazil

RECRUITING

BR Trials

São Paulo, 01236 030, Brazil

RECRUITING

Rocco And Nazato Servicos Medicos Ltda

São Paulo, 04077-020, Brazil

RECRUITING

INTEGRAL Pesquisa e Ensino

Votuporanga, 15500-269, Brazil

RECRUITING

MHAT Sv. Karidad EAD

Plovdiv, 4004, Bulgaria

RECRUITING

Multiprofile Hospital for Active Treatment 'Tokuda Hospital Sofia'

Sofia, 1407, Bulgaria

RECRUITING

Diagnostic Consultative Center Neoclinic EAD

Sofia, 1408, Bulgaria

RECRUITING

South Edmonton Gastroenterology Research Clinic

Edmonton, Alberta, Code: T6K 4B2, Canada

RECRUITING

Gastroenterology and Internal Medicine Research Institute (GIRI)

Edmonton, Alberta, T5R 1W2, Canada

RECRUITING

GI Research Institute (G.I.R.I.)

Vancouver, British Columbia, V6Z 2K5, Canada

RECRUITING

Viable Clinical Research

Kentville, Nova Scotia, B4N 0A3, Canada

RECRUITING

Barrie GI Associates

Barrie, Ontario, L4M 7G1, Canada

RECRUITING

Charlton Digestive Disease Centre

Hamilton, Ontario, L8N1Y2, Canada

RECRUITING

London Digestive Disease Institute

London, Ontario, N6K 1M6, Canada

RECRUITING

Toronto Immune and Digestive Health Institute Inc

Toronto, Ontario, M6A 3B4, Canada

RECRUITING

CHUM - Centre hospitalier universitaire de Montreal

Montreal, Quebec, H2X 0C1, Canada

RECRUITING

Clinique IMD

Montreal, Quebec, H3H1E3, Canada

RECRUITING

Beijing Friendship Hospital Capital Medical University

Beijing, 100050, China

RECRUITING

Peking University Third Hospital

Beijing, 100191, China

RECRUITING

Changzhou No 2 Peoples Hospital

Changzhou, 213000, China

RECRUITING

Chongqing General Hospital

Chongqing, 400014, China

RECRUITING

The First Affiliated Hospital Sun Yat sen University

Guangzhou, 510080, China

RECRUITING

Sun Yat-sen University - The Sixth Affiliated Hospital Guangdong Gastrointestinal Hospital

Guangzhou, 510655, China

RECRUITING

Huai'an 1st Hospital

Huai'an, 223300, China

RECRUITING

Ningbo medical center lihuili hospital

Ningbo, 315000, China

RECRUITING

The Second Hospital of Hebei Medical University

Shijiazhuang, 050000, China

RECRUITING

ZhuZhou Central Hospital

Zhuzhou, 412007, China

RECRUITING

Nemocnice Ceske Budejovice a s

České Budějovice, 37001, Czechia

RECRUITING

Gastroenterologie, s.r.o., Hradec Kralove

Hradec Kralova, 500 02, Czechia

RECRUITING

Hepato-gastroenterologie HK, s.r.o.

Hradec Králové, 500 12, Czechia

RECRUITING

Fakultni Thomayerova nemocnice

Prague, 14000, Czechia

RECRUITING

ISCARE a.s.

Prague, 190 00, Czechia

RECRUITING

Herlev Hospital

Herlev, 2730, Denmark

RECRUITING

Hvidovre Hospital

Hvidovre, 2650, Denmark

RECRUITING

Odense University Hospital

Odense, 5000, Denmark

RECRUITING

CHU de Lille Hopital Claude Huriez

Lille, 59037, France

RECRUITING

CHU de Nantes hotel Dieu

Nantes, 44000, France

RECRUITING

CHU de Reims

Reims, 51100, France

RECRUITING

Krankenhaus Waldfriede Mitte

Berlin, 14163, Germany

RECRUITING

Universitatsklinikum Carl Gustav Carus Dresden

Dresden, 01307, Germany

RECRUITING

Medizinische Hochschule Hannover

Hanover, 30625, Germany

RECRUITING

Universitatsklinikum Schleswig Holstein Kiel

Kiel, 24105, Germany

RECRUITING

Eugastro GmbH

Leipzig, 04103, Germany

RECRUITING

Universitaetsklinikum Mannheim

Mannheim, 68167, Germany

RECRUITING

Universitaetsmedizin Rostock

Rostock, 18057, Germany

RECRUITING

Sushruta Multispecialty Hospital and Research Centre

Hubballi, 580021, India

RECRUITING

Asian Institute Of Gastroenterology

Hyderabad, 500032, India

RECRUITING

S. R. Kalla Memorial General Hospital

Jaipur, 302006, India

RECRUITING

Lisie Hospital

Kochi, 682018, India

RECRUITING

Yashoda Super Speciality Hospitals

Secunderabad, 500003, India

RECRUITING

SIDS Hospital & Research Centre

Surat, 395002, India

RECRUITING

Gujarat Gastro and Vascular Hospital

Surat, 395009, India

RECRUITING

Assuta Medical center

Ashdod, 7747629, Israel

RECRUITING

Rambam Medical Center

Haifa, 3109601, Israel

RECRUITING

Bnai Zion Medical Center

Haifa, 60910, Israel

RECRUITING

Wolfson Medical Center

Holon, 5822012, Israel

RECRUITING

Shaare Zedek Medical Center

Jerusalem, 9103102, Israel

RECRUITING

Meir Medical Center

Kfar Saba, 4428164, Israel

RECRUITING

Galilee Medical Center

Nahariya, 2210001, Israel

RECRUITING

Rabin Medical Center

Petah Tikva, 4941492, Israel

RECRUITING

Sheba Medical Center

Ramat Gan, 52621, Israel

RECRUITING

Tel Aviv Sourasky Medical Center

Tel Aviv, 64239, Israel

RECRUITING

Hamamatsu University Hospital

Hamamatsu, 431-3192, Japan

RECRUITING

Matsuda Hospital

Hamamatsu, 432-8061, Japan

RECRUITING

National Hospital Organization Mito Medical Center

Higashi-Ibaraki, 311-3193, Japan

RECRUITING

Kagoshima IBD Gastroenterology Clinic

Kagoshima, 892-0843, Japan

RECRUITING

Tsujinaka Hospital Kashiwanoha

Kashiwa, 277-0871, Japan

RECRUITING

Kumamoto University Hospital

Kumamoto, 860-8556, Japan

RECRUITING

Takano Hospital

Kumamoto, 862-0971, Japan

RECRUITING

Kitasato University Kitasato Institute Hospital

Minatoku, 108-8642, Japan

RECRUITING

Aichi Medical University Hospital

Nagakute, 480-1195, Japan

RECRUITING

National Hospital Organization Osaka National Hospital

Osaka, 540-0006, Japan

RECRUITING

Osaka Metropolitan University Hospital

Osaka, 545-8585, Japan

RECRUITING

Oita Red Cross Hospital

Ōita, 870-0033, Japan

RECRUITING

Saga University Hospital

Saga, 849-8501, Japan

RECRUITING

Hokkaido P.W.F.A.C. Sapporo-Kosei General Hospital

Sapporo, 060-0033, Japan

RECRUITING

Sapporo Higashi Tokushukai Hospital

Sapporo, 065-0033, Japan

RECRUITING

National Hospital Organization Shizuoka Medical Center

Shimizu, 411-8611, Japan

RECRUITING

Center Hospital of the National Center for Global Health and Medicine

Shinjuku Ku, 162 8655, Japan

RECRUITING

Tokyo Metropolitan Bokutoh Hospital

Sumida Ku, 130 8575, Japan

RECRUITING

Yamanashi Prefectural Central Hospital

Yamanashi, 400-8506, Japan

RECRUITING

Hospital Ampang

Ampang, 68000, Malaysia

RECRUITING

Sultan Idris Shah Hospital

Kajang, 43000, Malaysia

RECRUITING

Hospital Kuala Lumpur

Kuala Lumpur, 50586, Malaysia

RECRUITING

University Malaya Medical Centre

Kuala Lumpur, 59100, Malaysia

RECRUITING

Hospital Sultanah Nur Zahirah

Kuala Terengganu, 20400, Malaysia

RECRUITING

Radboud Umcn

Nijmegen, 6525 GA, Netherlands

RECRUITING

Alesund sjukehus

Ålesund, 6017, Norway

RECRUITING

Sykehuset Innlandet HF Gjøvik

Gjøvik, 2819, Norway

RECRUITING

Universitetssykehuset Nord-Norge HF

Tromsø, 9038, Norway

RECRUITING

St. Olavs Hospital

Trondheim, 7030, Norway

RECRUITING

Centrum Medyczne Medis ManerMed Sp Z O O

Bydgoszcz, 85 229, Poland

RECRUITING

Centrum Medyczne Promed

Krakow, 31-513, Poland

RECRUITING

Medrise Sp. z o.o.

Lublin, 20 582, Poland

RECRUITING

Centrum Medyczne Medyk

Rzeszów, 35-326, Poland

RECRUITING

Twoja Przychodnia - Szczecinskie Centrum Medyczne

Szczecin, 71-434, Poland

RECRUITING

Sonomed Sp. z o.o.

Szczecin, 71-685, Poland

RECRUITING

EMC Instytut Medyczny S A Penta Hospitals Przychodnie

Wroclaw, 54-239, Poland

RECRUITING

ETG Zamosc

Zamość, 22 400, Poland

RECRUITING

Uls Braga - Hosp. Braga

Braga, 4710 243, Portugal

RECRUITING

Uls Santa Maria - Hosp. Santa Maria

Lisbon, 1649 028, Portugal

RECRUITING

FNsP F. D. Roosevelta Banska Bystrica

Banská Bystrica, 975 17, Slovakia

RECRUITING

Cliniq s.r.o.

Bratislava, 811 09, Slovakia

RECRUITING

ENDOMED s.r.o

Košice, 040 13, Slovakia

RECRUITING

KM Management spol. s r.o.

Nitra, 949 01, Slovakia

RECRUITING

GASTRO I. s.r.o.

Prešov, 080 01, Slovakia

RECRUITING

Gastro LM s.r.o.

Prešov, 080 01, Slovakia

RECRUITING

Inje University Haeundae Paik Hospital

Busan, 48108, South Korea

RECRUITING

The Catholic University of Korea Daejeon St Mary's Hospital

Daejeon, 34943, South Korea

RECRUITING

Samsung Medical Center

Gangnam Gu, 06351, South Korea

RECRUITING

Seoul National University Hospital

Seoul, 03080, South Korea

RECRUITING

Asan Medical Center

Seoul, 05505, South Korea

RECRUITING

Hosp. Gral. Univ. Dr. Balmis

Alicante, 03010, Spain

RECRUITING

Hosp. Univ. Infanta Leonor

Madrid, 28031, Spain

RECRUITING

Taipei Mackay Memorial Hospital

Taipei, 10449, Taiwan

RECRUITING

Linkou Chang Gung Memorial Hospital

Taoyuan, 333, Taiwan

RECRUITING

Antalya Training And Research Hospital

Antalya, 07100, Turkey (Türkiye)

RECRUITING

Sanko Universitesi Hastanesi

Gaziantep, 27090, Turkey (Türkiye)

RECRUITING

Bezmialem University Medical Faculty

Istanbul, 34093, Turkey (Türkiye)

RECRUITING

Istanbul University Cerrahpasa Medical Faculty

Istanbul, 34098, Turkey (Türkiye)

RECRUITING

Izmir Sehir Hastanesi

Izmir, 35540, Turkey (Türkiye)

RECRUITING

Kocaeli University Medical Faculty

Kocaeli, 41001, Turkey (Türkiye)

RECRUITING

Mersin University Medical Faculty

Mersin, 33343, Turkey (Türkiye)

RECRUITING

Kings College Hospital

London, SE5 9RS, United Kingdom

RECRUITING

St Georges Healthcare NHS Trust

London, SW17 0QT, United Kingdom

RECRUITING

MeSH Terms

Conditions

Colitis, Ulcerative

Interventions

guselkumab

Condition Hierarchy (Ancestors)

ColitisGastroenteritisGastrointestinal DiseasesDigestive System DiseasesInflammatory Bowel DiseasesColonic DiseasesIntestinal Diseases

Study Officials

  • Janssen Research & Development, LLC Clinical Trial

    Janssen Research & Development, LLC

    STUDY DIRECTOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 5, 2026

First Posted

May 11, 2026

Study Start

May 23, 2026

Primary Completion (Estimated)

August 11, 2028

Study Completion (Estimated)

October 16, 2030

Last Updated

August 28, 2026

Record last verified: 2026-08

Data Sharing

IPD Sharing
Will share

The data sharing policy of Johnson \& Johnson Innovative Medicine is available at www.innovativemedicine.jnj.com/our-innovation/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu.

More information

Locations