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Active, Not Recruiting

NCT Number: NCT03466411

A Study of the Efficacy and Safety of Guselkumab in Participants With Moderately to Severely Active Crohn's Disease

The purpose of this study is to evaluate the clinical efficacy (GALAXI 1), clinical and endoscopic efficacy (GALAXI 2 and GALAXI 3) and safety of guselkumab in participants with Crohn's disease.

Active, Not Recruiting

This study is active but is not currently recruiting participants.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2 / Phase 3

Primary location

The Queen Elizabeth Hospital, Adelaide, Australia

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About this study

This program consists of 3 separate studies: a 48-week Phase 2 dose-ranging study (GALAXI 1) and two 48-week Phase 3 confirmatory studies (GALAXI 2 and GALAXI 3). In Phase 2, safety and efficacy of guselkumab dose regimens will be evaluated to support the selection of induction and maintenance dose regimens for confirmatory evaluation in Phase 3. Participants who complete the 48-week Phase 2 or Phase 3 studies may be eligible to enter the long term extension (LTE). Throughout the 3 studies, efficacy, pharmacokinetic, biomarkers, and safety will be assessed.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Have Crohn's disease (CD) or fistulizing Crohn's disease of at least 3 months duration (defined as a minimum of 12 weeks), with colitis, ileitis, or ileocolitis, confirmed at any time in the past by radiography, histology, and/or endoscopy
  • Have moderate to severe CD as assessed by CDAI, stool frequency (SF), and abdominal pain (AP) scores, and Simple Endoscopic Score for Crohn's Disease (SES-CD)
  • Have screening laboratory test results within the protocol specified parameters
  • A female participant of childbearing potential must have a negative urine pregnancy test result at screening and baseline
  • Demonstrated intolerance or inadequate response to conventional or to biologic therapy for CD

Exclusion criteria

  • Current diagnosis of ulcerative colitis or indeterminate colitis
  • Has complications of Crohn's disease, such as symptomatic strictures or stenoses, short gut syndrome, or any other manifestation
  • Unstable doses of concomitant Crohn's disease therapy
  • Receipt of Crohn's disease approved biologic agents, investigational agents, or procedures outside of permitted timeframe as specified in the protocol
  • Any medical contraindications preventing study participation

Treatment and study plan

Guselkumab dose 1

Drug

Guselkumab will be administered by IV infusion.

Guselkumab dose 2

Drug

Guselkumab will be administered by SC injection.

Guselkumab dose 3

Drug

Guselkumab will be administered by IV infusion.

Guselkumab Dose 4

Drug

Guselkumab will be administered by IV infusion.

Guselkumab Dose 5

Drug

Guselkumab will be by SC injection.

Guselkumab

Drug

Guselkumab will be administered by IV infusion and SC injection.

Ustekinumab

Drug

Ustekinumab will be administered by IV infusion and SC injection.

Placebo

Drug

Placebo will be administered as IV infusion.

Primary outcomes

  1. GALAXI 1: Change From Baseline in the Crohn's Disease Activity Index (CDAI) Score at Week 12

    Time frame: Baseline and Week 12

    The multi-item CDAI score assessed severity of illness by collecting information on 8 different Crohn's disease-related variables (extraintestinal manifestations, abdominal mass, weight, hematocrit, use of antidiarrheal drug(s) and/or opiates, total number of liquid or very soft stools, abdominal pain/cramps, and general well-being). The last 3 variables were scored over 7 eligible days by the participant on a diary card. The total CDAI score ranged from 0 to 600 in general: higher score indicated higher disease activities. A decrease in total CDAI score over time indicates improvement in disease activity. Baseline was defined as the last observation prior to or at the date of the first study intervention.

  2. Global: GALAXI 2: Percentage of Participants With Both Clinical Response at Week 12 and Clinical Remission at Week 48

    Time frame: Weeks 48

    Clinical response was defined as a decrease from baseline (BL) in CDAI score greater than or equal to (>=) 100 points or CDAI score <150. Clinical remission was defined as a CDAI score <150. The multi-item CDAI score assessed severity of illness by collecting information on 8 different Crohn's disease-related variables (extraintestinal manifestations, abdominal mass, weight, hematocrit, use of antidiarrheal drug(s) and/or opiates, total number of liquid or very soft stools, abdominal pain/cramps, and general well-being). The last 3 variables were scored over 7 eligible days by the participant on a diary card. The total CDAI score ranged from 0 to 600 in general: higher score indicated higher disease activities. A decrease in total CDAI score over time indicates improvement in disease activity.

  3. Global: GALAXI 2: Percentage of Participants With Both Clinical Response (CR) at Week 12 and Endoscopic Response (ER) at Week 48

    Time frame: Weeks 48

    CR: decrease from BL in CDAI score >=100/<150. ER: >=50% improvement from BL in SES-CD score/SES-CD score <=2. CDAI(8 variables):extraintestinal manifestations, abdominal mass, weight, hematocrit, use of antidiarrheal drug(s) and/or opiates, total number of liquid/soft stools, abdominal pain/cramps, general well-being. Last 3 variables scored over 7 eligible days by participant on diary. Total CDAI score ranged:0-600(in general):higher score=higher disease activities. Decrease in total CDAI score over time=improvement in disease. SES-CD evaluated 4 endoscopic components (presence & size of ulcer, extent of ulcerated surface, extent of affected surface, presence & type of narrowing) across 5 ileocolonic segments (ileum; right, left & transverse colon; rectum) each scored 0(best) to 3(worst) except narrowing component for which maximum total score (that is, stricturing) was 11 points. SES-CD score: sum of all component scores(all segments) ranged:0-56, higher scores=more severe disease.

  4. Global: GALAXI 3: Percentage of Participants With Both Clinical Response at Week 12 and Clinical Remission at Week 48

    Time frame: Weeks 48

    Clinical response was defined as a decrease from baseline in CDAI score >= 100 points or CDAI score <150. Clinical remission was defined as a CDAI score <150. The multi-item CDAI score assessed severity of illness by collecting information on 8 different Crohn's disease-related variables (extraintestinal manifestations, abdominal mass, weight, hematocrit, use of antidiarrheal drug(s) and/or opiates, total number of liquid or very soft stools, abdominal pain/cramps, and general well-being). The last 3 variables were scored over 7 eligible days by the participant on a diary card. The total CDAI score ranged from 0 to 600 in general: higher score indicated higher disease activities. A decrease in total CDAI score over time indicates improvement in disease activity.

  5. Global: GALAXI 3: Percentage of Participants With Both Clinical Response (CR) at Week 12 and Endoscopic Response (ER) at Week 48

    Time frame: Weeks 48

    CR: decrease from BL in CDAI score >=100/<150. ER: >=50% improvement from BL in SES-CD score/SES-CD score <=2. CDAI(8 variables):extraintestinal manifestations, abdominal mass, weight, hematocrit, use of antidiarrheal drug(s) and/or opiates, total number of liquid/soft stools, abdominal pain/cramps, general well-being. Last 3 variables scored over 7 eligible days by participant on diary. Total CDAI score ranged:0-600(in general):higher score=higher disease activities. Decrease in total CDAI score over time=improvement in disease. SES-CD evaluated 4 endoscopic components (presence & size of ulcer, extent of ulcerated surface, extent of affected surface, presence & type of narrowing) across 5 ileocolonic segments (ileum; right, left & transverse colon; rectum) each scored 0(best) to 3(worst) except narrowing component for which maximum total score (that is, stricturing) was 11 points. SES-CD score: sum of all component scores(all segments) ranged:0-56, higher scores=more severe disease.

  6. Regional: GALAXI 2: Percentage of Participants With Clinical Remission at Week 12

    Time frame: Week 12

    Clinical remission was defined as a CDAI score <150. The multi-item CDAI score assessed severity of illness by collecting information on 8 different Crohn's disease-related variables (extraintestinal manifestations, abdominal mass, weight, hematocrit, use of antidiarrheal drug(s) and/or opiates, total number of liquid or very soft stools, abdominal pain/cramps, and general well-being). The last 3 variables were scored over 7 eligible days by the participant on a diary card. The total CDAI score ranged from 0 to 600 in general: higher score indicated higher disease activities. A decrease in total CDAI score over time indicates improvement in disease activity.

  7. Regional: GALAXI 2: Percentage of Participants With Endoscopic Response at Week 12

    Time frame: Week 12

    Endoscopic response was defined as >=50% improvement from baseline in SES-CD score or SES-CD score <=2. SES-CD evaluated 4 endoscopic components (presence and size of ulcer, extent of ulcerated surface, extent of affected surface, presence and type of narrowing) across 5 ileocolonic segments (ileum, right colon, transverse colon, left colon, rectum), each scored 0 (best) to 3 (worst) except narrowing component for which maximum total score (that is, stricturing) was 11 points. Total SES-CD score: sum of all component scores across all segments, ranged: 0 to 56, higher scores = more severe disease.

  8. Regional: GALAXI 3: Percentage of Participants With Clinical Remission at Week 12

    Time frame: Week 12

    Clinical remission was defined as a CDAI score <150. The multi-item CDAI score assessed severity of illness by collecting information on 8 different Crohn's disease-related variables (extraintestinal manifestations, abdominal mass, weight, hematocrit, use of antidiarrheal drug(s) and/or opiates, total number of liquid or very soft stools, abdominal pain/cramps, and general well-being). The last 3 variables were scored over 7 eligible days by the participant on a diary card. The total CDAI score ranged from 0 to 600 in general: higher score indicated higher disease activities. A decrease in total CDAI score over time indicates improvement in disease activity.

  9. Regional: GALAXI 3: Percentage of Participants With Endoscopic Response at Week 12

    Time frame: Week 12

    Endoscopic response was defined as >=50% improvement from baseline in SES-CD score or SES-CD score <=2. SES-CD evaluated 4 endoscopic components (presence and size of ulcer, extent of ulcerated surface, extent of affected surface, presence and type of narrowing) across 5 ileocolonic segments (ileum, right colon, transverse colon, left colon, rectum), each scored 0 (best) to 3 (worst) except narrowing component for which maximum total score (that is, stricturing) was 11 points. Total SES-CD score: sum of all component scores across all segments, ranged: 0 to 56, higher scores = more severe disease.

Secondary outcomes

  1. GALAXI 1: Percentage of Participants With Clinical Remission at Week 12

    Time frame: At Week 12

  2. GALAXI 1: Percentage of Participants With Clinical Response at Week 12

    Time frame: At Week 12

  3. GALAXI 1: Percentage of Participants With Patient-Reported Outcome (PRO) 2 Remission at Week 12

    Time frame: At Week 12

  4. GALAXI 1: Percentage of Participants With Clinical-Biomarker Response at Week 12

    Time frame: At Week 12

  5. GALAXI 1: Percentage of Participants With Endoscopic Response at Week 12

    Time frame: At Week 12

  6. Global: GALAXI 2 and 3: Percentage of Participants With Clinical Response at Week 4

    Time frame: At Week 4

  7. Global: GALAXI 2 and 3: Percentage of Participants With Clinical Remission at Week 12

    Time frame: At Week 12

  8. Global: GALAXI 2 and 3: Percentage of Participants With Endoscopic Response at Week 12

    Time frame: At Week 12

  9. Global: GALAXI 2 and 3: Percentage of Participants With Fatigue Response at Week 12

    Time frame: At Week 12

  10. Global: GALAXI 2 and 3: Percentage of Participants With Both Clinical Remission and Endoscopic Response at Week 12

    Time frame: At Week 12

  11. Global: GALAXI 2 and 3: Percentage of Participants With Endoscopic Remission at Week 12

    Time frame: At Week 12

  12. Global: GALAXI 2 and 3: Percentage of Participants With Both Clinical Response at Week 12 and Corticosteroid-Free Clinical Remission at Week 48

    Time frame: At Week 48

  13. Global: GALAXI 2 and 3: Percentage of Participants With Both Clinical Response at Week 12 and Endoscopic Remission at Week 48

    Time frame: At Week 48

  14. Global: GALAXI 2 and 3: Percentage of Participants With Clinical Remission at Week 48

    Time frame: At Week 48

  15. Global: GALAXI 2 and 3: Percentage of Participants With Endoscopic Response at Week 48

    Time frame: At Week 48

  16. Global: GALAXI 2 and 3: Percentage of Participants With Both Clinical Remission and Endoscopic Response at Week 48

    Time frame: At Week 48

  17. Global: GALAXI 2 and 3: Percentage of Participants With Endoscopic Remission at Week 48

    Time frame: At Week 48

  18. Global: GALAXI 2 and 3: Percentage of Participants With Deep Remission at Week 48

    Time frame: At Week 48

  19. Regional: GALAXI 2 and 3: Percentage of Participants With PRO-2 Remission at Week 12

    Time frame: At Week 12

  20. Regional: GALAXI 2 and 3: Percentage of Participants With Fatigue Response at Week 12

    Time frame: At Week 12

  21. Regional: GALAXI 2 and 3: Percentage of Participants With Endoscopic Remission at Week 12

    Time frame: At Week 12

  22. Regional: GALAXI 2 and 3: Percentage of Participants With Corticosteroid-free Clinical Remission at Week 48

    Time frame: At Week 48

  23. Regional: GALAXI 2 and 3: Percentage of Participants With Endoscopic Response at Week 48

    Time frame: At Week 48

  24. Regional: GALAXI 2 and 3: Percentage of Participants With Endoscopic Remission at Week 48

    Time frame: At Week 48

  25. Regional: GALAXI 2 and 3: Percentage of Participants With Clinical Remission at Week 48

    Time frame: At Week 48

  26. Regional: GALAXI 2 and 3: Percentage of Participants With Durable Clinical Remission at Week 48

    Time frame: At Week 48

  27. Regional: GALAXI 2 and 3: Percentage of Participants With PRO-2 Remission at Week 48

    Time frame: At Week 48

  28. Regional: GALAXI 2 and 3: Percentage of Participants With Both Clinical Remission at Week 48 and Endoscopic Response at Week 48

    Time frame: At Week 48

  29. Regional: GALAXI 2 and 3: Percentage of Participants With Corticosteroid-free Remission at Week 48

    Time frame: At Week 48

Sponsors and collaborators

Lead sponsor

Janssen Research & Development, LLC

Industry

Registry information

Official study title

A Phase 2/3, Randomized, Double-blind, Placebo- and Active-controlled, Parallel-group, Multicenter Protocol to Evaluate the Efficacy and Safety of Guselkumab in Participants With Moderately to Severely Active Crohn's Disease

Acronym: GALAXI

Important dates

Study start
2018
Primary completion
2023
Study completion
2028
First posted
Mar 15, 2018
Registry last updated
Jul 6, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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