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

Enrollment
644

participants targeted

Target at P75+ for phase_3

Timeline
52mo left

Started May 2026

Typical duration for phase_3

Geographic Reach
11 countries

63 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 Progress4%
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 30, 2030

Last Updated

July 31, 2026

Status Verified

July 1, 2026

Enrollment Period

2.2 years

First QC Date

May 5, 2026

Last Update Submit

July 30, 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 (63)

Clinnova Research

Anaheim, California, 92805, United States

RECRUITING

Gastro SB Clinic

Chula Vista, California, 91910, 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

Sanchez Clinical Research, Inc

Miami, Florida, 33157-6575, United States

RECRUITING

GCP Clinical Research

Tampa, Florida, 33609, United States

RECRUITING

Tri-State Gastroenterology Assoc

Crestview Hills, Kentucky, 41017, 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

Southern Star Research Institute, LLC

San Antonio, Texas, 78229, United States

RECRUITING

Banksia Trials SA

Adelaide, 5000, Australia

RECRUITING

SA Gastrointestinal Services

Kurralta Park, 5037, Australia

RECRUITING

Mater Misericordiae Hospital

South Brisbane, 4101, Australia

RECRUITING

Pesquisare Saude

Santo André, 09080-110, Brazil

RECRUITING

BR Trials

São Paulo, 01236 030, Brazil

RECRUITING

South Edmonton Gastroenterology Research Clinic

Edmonton, Alberta, Code: T6K 4B2, 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

The First Affiliated Hospital Sun Yat sen University

Guangzhou, 510080, China

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

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

National Hospital Organization Osaka National Hospital

Osaka, 540-0006, 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

National Hospital Organization Shizuoka Medical Center

Shimizu, 411-8611, 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

Hospital Sultanah Nur Zahirah

Kuala Terengganu, 20400, Malaysia

RECRUITING

Samsung Medical Center

Gangnam Gu, 06351, South Korea

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

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 30, 2030

Last Updated

July 31, 2026

Record last verified: 2026-07

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