Crohn DiseasePhase 3CHARGENCT07499232
A Study of Guselkumab Versus Risankizumab in Participants With Moderately to Severely Active Crohn's Disease
A Phase 3 study testing Guselkumab and Risankizumab in people with Crohn Disease, run by Janssen Research & Development, LLC at 164 sites in 17 countries.
Trial summary
The purpose of this study is to assess how well guselkumab works when compared to risankizumab in participants with moderately to severely active Crohn's Disease (CD; a long-term condition causing severe inflammation of the intestinal tract). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Crohn Disease
- What is being tested?
- Guselkumab and Risankizumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 530 participants
- Where
- 164 sitesin 17 countries
- Study dates
- 21 Apr 2026to 11 Dec 2030
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Has CD or fistulizing Crohn's Disease (CD) of at least 12 weeks' duration, with colitis, ileitis, or ileocolitis, confirmed at some time in the past by radiography, histology, and/or endoscopy
- Have moderately to severely active CD, defined as baseline Crohn's Disease Activity Index (CDAI) score greater than or equal to (>=) 220 but less than or equal to (<=) 450
- Baseline endoscopic evidence of active ileal and/or colonic CD as assessed by central endoscopy reading at the screening endoscopy defined as a screening Simple Endoscopic Score for Crohn's Disease (SES CD) >= 4 (for participants with isolated ileal disease) or >= 6 (for participants with colonic or ileocolonic disease), based on the presence of ulceration in any 1 of the 5 ileocolonic segments, resulting in the following specified ulceration component scores:
- a minimum score of 1 for the component of "size of ulcers" AND
- a minimum score of 1 for the component of "ulcerated surface"
- In the opinion of the investigator, participant's disease is appropriate to treat with the maintenance dosing regimens utilized in the study
- Adhere to the requirements for concomitant medications for the treatment of CD as mentioned in the protocol
Who cannot join
- Has complications of CD such as symptomatic strictures or stenoses, short gut syndrome, active draining stoma or significant fistulizing disease or any other manifestation anticipated to require surgery within the next year, could preclude the use of the CDAI to assess response to therapy, or would possibly confound the ability to assess the effect of treatment with guselkumab or risankizumab
- Currently has or is suspected to have an abscess
- Has an active fistula during screening or at Week 0 with an anticipated need for surgery
- Has had any kind of bowel resection within 24 weeks, or any other intra-abdominal or other major surgery within 12 weeks, before first dose of study intervention
- Currently has a malignancy or has a history of malignancy within 5 years before screening
Trial locations and contacts
164 sites in 17 countries. Contact the study team or a site near you to ask about taking part.
164 sites in 17 countries
United States41 sites, 39 recruiting
- Recruiting
Clinnova Research
Anaheim, California, 92805
- Recruiting
Morehouse School of Medicine
Atlanta, Georgia, 30310
- Suspended
Atlanta Gastroenterology Associates
Atlanta, Georgia, 30342
- Recruiting
Westchester Putnam Gastroenterology
Carmel, New York, 10512
- Recruiting
DFW Clinical Trials
Carrollton, Texas, 75010
- Recruiting
University of North Carolina at Chapel Hill
Chapel Hill, North Carolina, 27599 7080
- Recruiting
Charlotte Gastroenterology and Hepatology, PLLC
Charlotte, North Carolina, 28207
- Recruiting
Heartland Medical Research Inc
Clive, Iowa, 50325
- Recruiting
Peak Gastroenterology Associates
Colorado Springs, Colorado, 80907
- Recruiting
Digestive Health Specialists of the Southeast
Dothan, Alabama, 36305
- Recruiting
Michigan Center of Medical Research
Farmington Hills, Michigan, 48334
- Recruiting
Woodholme Gastroenterology Associates
Glen Burnie, Maryland, 21061
- Recruiting
Medical Research Center of Connecticut
Hamden, Connecticut, 06518
- Recruiting
Green Leaf Clinical Trials
Jacksonville, Florida, 32258
- Recruiting
Gastroenterology Clinic of Acadiana
Lafayette, Louisiana, 70503
- Recruiting
Gastro Care Institute
Lancaster, California, 93534
- Recruiting
United Gastroenterologists
Los Alamitos, California, 90720
- Recruiting
TLC Clinical Research Inc
Los Angeles, California, 90048
- Recruiting
GastroIntestinal Bioscience
Los Angeles, California, 90067
- Recruiting
Lubbock Gastroenterology
Lubbock, Texas, 79424
- Recruiting
Gastroenterology Associates of Central GA
Macon, Georgia, 31201
- Recruiting
Great Lakes Gastroenterology Research, LLC
Mentor, Ohio, 44060
- Recruiting
Sanchez Clinical Research, Inc
Miami, Florida, 33157-6575
- Recruiting
Biodax Medical Research Trials
Miami, Florida, 33186
- Recruiting
East View Medical Research
Mobile, Alabama, 36608
- Recruiting
GI Pros Research
Naples, Florida, 34102
- Recruiting
Lucida Clinical Trials
New Bedford, Massachusetts, 02740
- Recruiting
New York Gastroenterology Associates
New York, New York, 10028
- Suspended
Lenox Hill Hospital
New York, New York, 10075
- Recruiting
Comprehensive Gastrointestinal Health Libertyville
Northbrook, Illinois, 60062
- Recruiting
Digestive Disease Specialists Inc
Oklahoma City, Oklahoma, 73114
- Recruiting
Orlando Health Digestive Health Institute
Orlando, Florida, 32806
- Recruiting
Gastroenterology Research of America, LLC
San Antonio, Texas, 78229
- Recruiting
Southern Star Research Institute, LLC
San Antonio, Texas, 78229
- Recruiting
Medical Associates Research Group, Inc.
San Diego, California, 92123
- Recruiting
Louisiana State University Health Sciences Center Shreveport
Shreveport, Louisiana, 71103
- Recruiting
Palmetto Primary and Specialty Care Physicians, Charleston
Summerville, South Carolina, 29486
- Recruiting
GCP Clinical Research
Tampa, Florida, 33609
- Recruiting
Cotton-O'Neil Clinical Research Center
Topeka, Kansas, 66606
- Recruiting
The University of Texas Health Science Center at Tyler
Tyler, Texas, 75708
- Recruiting
Frontier Clinical Research
Uniontown, Pennsylvania, 15401
France12 sites, 12 recruiting
- Recruiting
CHU Amiens Picardie
Amiens, 80000
- Recruiting
Clermont Ferrand University Hospital
Clermont-Ferrand, 63000
- Recruiting
Institut Prive MICI Clinique des Cedres
Échirolles, 38130
- Recruiting
Aphm - Hopital Nord
Marseille, 13015
- Recruiting
CHU Nantes - Hotel Dieu
Nantes, 44000
- Recruiting
Clinique Ambroise Pare
Neuilly-sur-Seine, 92200
- Recruiting
CHU Nimes
Nîmes, 30900
- Recruiting
Aphp Hopital Saint Antoine
Paris, 75012
- Recruiting
APHP - Hopital Bichat - Claude Bernard
Paris, 75018
- Recruiting
Hospices Civils de Lyon CHU Lyon Sud
Pierre-Bénite, 69495
- Recruiting
CHU de Reims
Reims, 51100
- Recruiting
Centre Hospitalier Universitaire de Nancy - Hôpital Central
Vandœuvre-lès-Nancy, 54511
Germany9 sites, 9 recruiting
- Recruiting
GASTRO-Studien
Berlin, 10825
- Recruiting
Charite Universitaetsmedizin Berlin - Campus Benjamin Franklin (CBF)
Berlin, 12203
- Recruiting
Universitatsklinikum Erlangen
Erlangen, 91054
- Recruiting
Praxiszentrum Fur Gastroenterologie und Endoskopie Grevenbroich
Grevenbroich, 41515
- Recruiting
Universitatsklinikum Jena
Jena, 07747
- Recruiting
Universitatsklinikum Schleswig Holstein Kiel
Kiel, 24105
- Recruiting
St. Marien und St. Annastiftskrankenhaus
Ludwigshafen am Rhein, 67067
- Recruiting
Universitaetsklinikum Mannheim
Mannheim, 68167
- Recruiting
Klinikum rechts der Isar der TU Munchen
München, 81675
Spain9 sites, 9 recruiting
- Recruiting
Hosp. Gral. Univ. Dr. Balmis
Alicante, 03010
- Recruiting
Hosp. Clinic de Barcelona
Barcelona, 08036
- Recruiting
Hosp. Arquitecto Marcide
Ferrol, 15405
- Recruiting
Hosp. de Cabuenes
Gijón, 33394
- Recruiting
Hosp. Univ. Dr. Josep Trueta
Girona, 17007
- Recruiting
Hosp. Univ. de Torrejon
Madrid, 28850
- Recruiting
Hosp. de Navarra
Navarra, 31008
- Recruiting
Hosp. Clinico Univ. de Santiago
Santiago de Compostela, 15706
- Recruiting
Hosp. Virgen Macarena
Seville, 41009
United Kingdom9 sites, 9 recruiting
- Recruiting
Barts Health NHS Trust
Greater London, E1 2AJ
- Recruiting
London North West University Healthcare NHS Trust
Greater London, NW10 7NS
- Recruiting
West Middlesex University Hospital
Iselworth, TW7 6AF
- Recruiting
University College London Hospitals Nhs Foundation Trust
London, NW1 2PG
- Recruiting
Royal Free Hospital
London, NW3 2QG
- Recruiting
Chelsea And Westminster Hospital
London, SW10 9NH
- Recruiting
Imperial College London
London, W120HS
- Recruiting
Norfolk and Norwich University Hospital
Norwich, NR4 7UQ
- Recruiting
New Cross Hospital
Wolverhampton, WV10 0QP
Austria8 sites, 8 recruiting
- Recruiting
LKH-Univ. Klinikum Graz
Graz, 8036
- Recruiting
Medizinische Universitatsklinik Innsbruck
Innsbruck, 6020
- Recruiting
Kepler Universitatsklinikum GmbH
Linz, 4021
- Recruiting
LKH - Universitätsklinikum der PMU Salzburg
Salzburg, 5020
- Recruiting
Krankenhaus der Barmherzigen Brüder
Vienna, 1020
- Recruiting
Medical University Vienna
Vienna, 1090
- Recruiting
Klinikum Wels Grieskirchen
Wels, 4600
- Recruiting
Universitatsklinikum Wiener Neustadt
Wiener Neustadt, 2700
Canada8 sites, 8 recruiting
- Recruiting
Gastroenterology and Internal Medicine Research Institute (GIRI)
Edmonton, Alberta, T5R 1W2
- Recruiting
Charlton Digestive Disease Centre
Hamilton, Ontario, L8N1Y2
- Recruiting
London Digestive Disease Institute
London, Ontario, N6K 1M6
- Recruiting
Centre Hospitalier de l'Universite de Montreal
Montreal, Quebec, H2X 0C1
- Recruiting
Clinique IMD
Montreal, Quebec, H3H1E3
- Recruiting
Taunton Surgical Centre
Oshawa, Ontario, L1J 0C7
- Recruiting
Toronto Immune and Digestive Health Institute Inc
Toronto, Ontario, M6A 3B4
- Recruiting
GIRI Gastrointestinal Research Institute
Vancouver, British Columbia, V6Z 2K5
Denmark8 sites, 8 recruiting
- Recruiting
Aarhus University Hospital
Aarhus C, 8200
- Recruiting
Sydvestjysk Sygehus
Esbjerg, 6700
- Recruiting
NAU New Aalborg University Hospital
Gistrup, 9260
- Recruiting
Herlev Hospital
Herlev, 2730
- Recruiting
Nordsjaellands Hospital, Hillerod
Hilleroed, 3400
- Recruiting
Hvidovre Hospital
Hvidovre, 2650
- Recruiting
Bispebjerg Hospital
København NV, 2400
- Recruiting
Odense UH og Svendberg sygehus
Odense C, 5000
Hungary8 sites, 8 recruiting
- Recruiting
Obudai Egeszsegugyi Centrum Kft
Budapest, 1036
- Recruiting
Semmelweis Egyetem 1
Budapest, 1082
- Recruiting
Semmelweis Egyetem 2
Budapest, 1083
- Recruiting
Semmelweis Egyetem
Budapest, 1088
- Recruiting
Endomedix
Budapest, 1139
- Recruiting
Pannónia Magánorvosi Centrum Kft
Budapest, H-1136
- Recruiting
Clinexpert Gyongyos Kft
Gyöngyös, 3200
- Recruiting
Szegedi Tudomanyegyetem
Szeged, 6725
Poland8 sites, 8 recruiting
- Recruiting
Centrum Medyczne Medis ManerMed Sp Z O O
Bydgoszcz, 85 229
- Recruiting
Centrum Medyczne Plejady
Krakow, 30363
- Recruiting
Centrum Medyczne Promed
Krakow, 31-513
- Recruiting
Centrum Medyczne 'Medyk' Sp. z o.o. K.
Rzeszów, 35-326
- Recruiting
Twoja Przychodnia - Szczecinskie Centrum Medyczne
Szczecin, 71-434
- Recruiting
GASTROMED Kopon Zmudzinski i wspolnicy SP j Specjalistyczne Centrum Gastrologii i Endoskopii
Torun, 87 100
- Recruiting
Narodowy Instytut Onkologii im Marii Sklodowskiej Curie Panstwowy Instytut Badawczy
Warsaw, 02-781
- Recruiting
Medical Network Sp z o o
Warsaw, 04 501
Belgium7 sites, 7 recruiting
- Recruiting
ULB Erasme Ziekenhuis
Brussels, 1070
- Recruiting
Cliniques Universitaires Saint Luc
Brussels, 1200
- Recruiting
Ziekenhuis Oost-Limburg
Genk, 3600
- Recruiting
Ghent University Hospital
Ghent, 9000
- Recruiting
Universitair Ziekenhuis Leuven
Leuven, 3000
- Recruiting
CHU de Liege
Liège, 4000
- Recruiting
Algemeen Ziekenhuis Delta
Roeselare, 8800
China7 sites, 7 recruiting
- Recruiting
Changzhou No 2 Peoples Hospital
Changzhou, 213018
- Recruiting
Chongqing General Hospital
Chongqing, 400014
- Recruiting
The First Affiliated Hospital of Fujian Medical University
Fuzhou, 350005
- Recruiting
The Second Affiliated Hospital of Guangzhou Medical University
Guangzhou, 510261
- Recruiting
The Sixth Affiliated Hospital Sun Yat sen University
Guangzhou, 510655
- Recruiting
Zhongda Hospital Southeast University
Nanjing, 210009
- Recruiting
Renmin Hospital of Wuhan University
Wuhan, 430060
Czechia7 sites, 7 recruiting
- Recruiting
Fakultni nemocnice Brno
Brno, 62500
- Recruiting
Vojenska nemocnice Brno
Brno, 636 00
- Recruiting
Gastroenterologie, s.r.o., Hradec Kralove
Hradec Kralova, 500 02
- Recruiting
Hepato-gastroenterologie HK, s.r.o.
Hradec Králové, 500 12
- Recruiting
Fakultni Nemocnice Ostrava
Ostrava-Poruba, 708 00
- Recruiting
Fakultni nemocnice Kralovske Vinohrady
Prague, 100 00
- Recruiting
Fakultni Thomayerova nemocnice
Prague, 14000
Italy7 sites, 7 recruiting
- Recruiting
A O U Sant Orsola Malpighi
Bologna, 40138
- Recruiting
Azienda Sanitaria dell'Alto Adige - Ospedale di Bolzano
Bolzano, 39100
- Recruiting
Azienda Ospedaliero Universitaria San Martino
Genova, 16132
- Recruiting
IRCCS Ospedale San Raffaele
Milan, 20132
- Recruiting
Fondazione Policlinico Universitario A Gemelli IRCCS
Roma, 00168
- Recruiting
Istituto Clinico Humanitas
Rozzano, 20089
- Recruiting
Ospedale Mauriziano Torino
Torino, 10128
Slovakia7 sites, 7 recruiting
- Recruiting
FNsP F. D. Roosevelta Banska Bystrica
Banská Bystrica, 975 17
- Recruiting
Cliniq s.r.o.
Bratislava, 811 09
- Recruiting
ENDOMED s.r.o
Košice, 040 13
- Recruiting
Fakultna nemocnica s poliklinikou Nove Zamky
Nové Zámky, 940 34
- Recruiting
GASTRO I. s.r.o.
Prešov, 080 01
- Recruiting
Gastro LM s.r.o.
Prešov, 080 01
- Recruiting
Vseobecna nemocnica Rimavska Sobota
Rimavská Sobota, 979 12
Sweden6 sites, 6 recruiting
- Recruiting
Linkoping University Hospital
Linköping, 58185
- Recruiting
Sahlgrenska Universitetssjukhuset, Mölndal Sjukhus
Mölndal, 431 30
- Recruiting
Ersta sjukhus
Stockholm, 116 30
- Recruiting
Sodersjukhuset
Stockholm, 118 83
- Recruiting
Karolinska Universitetssjukhuset
Stockholm, 171 76
- Recruiting
Akademiska Sjukhuset
Uppsala, 751 85
Netherlands3 sites, 3 recruiting
- Recruiting
Maastricht UMC
Maastricht, 6229 HX
- Recruiting
Radboud Umcn
Nijmegen, 6525 GA
- Recruiting
St. Elisabeth Ziekenhuis
Tilburg, 5022 GC
About this study
Official title: A Phase 3b, Multicenter, Randomized, Open-Label, Active-Controlled Study to Compare the Efficacy and Safety of Guselkumab Versus Risankizumab in the Treatment of Participants With Moderately to Severely Active Crohn's Disease
The purpose of this study is to assess how well guselkumab works when compared to risankizumab in participants with moderately to severely active Crohn's Disease (CD; a long-term condition causing severe inflammation of the intestinal tract).
- Conditions
- Crohn Disease
- Being tested
- Guselkumab, Risankizumab
- Medical subject headings
- Crohn Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
GuselkumabDrug
Also called CNTO1959
Guselkumab will be administered.
RisankizumabDrug
Risankizumab will be administered.
| Study group | Role | What they receive |
|---|---|---|
| Guselkumab | Experimental | Participants will receive guselkumab induction dose subcutaneously (SC) at Weeks 0, 4, and 8 followed by guselkumab maintenance dose SC once every 4 weeks (q4w) from Week 12 through Week 52. Receives: Drug: Guselkumab |
| Risankizumab | Experimental | Participants will receive risankizumab induction dose intravenously (IV) at Weeks 0, 4, and 8 followed by risankizumab maintenance dose SC once every 8 weeks (q8w) from Week 12 through Week 52. Receives: Drug: Risankizumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants with Deep Remission at Week 52
Deep remission is a composite endpoint defined as achieving both clinical remission and endoscopic remission at the participant level. Clinical remission is defined as Crohn's Disease Activity Index (CDAI) score less than (<) 150-point. CDAI will be assessed by collecting information on 8 different CD-related variables: extra-intestinal manifestations, abdominal mass, weight, hematocrit, total number of liquid stools, abdominal pain/cramping, use of antidiarrheal drug(s), and/or opiates, and general well-being. In general, CDAI score ranges from 0 to approximately 600. Higher score indicates higher disease activity. Endoscopic remission is defined as Simple Endoscopic Score for Crohn's Disease (SES-CD) less than or equal to (<=) 4 with at least a 2-point reduction from baseline and no sub score greater than (>) 1 in any individual component and score can range from 0 to 56. Higher scores indicating severe disease.
Measured: At Week 52
Secondary outcomes (7)
Composite Endpoint of Number of Participants with Clinical Remission and Endoscopic Response at Week 52
Clinical remission is defined as CDAI score < 150-point. CDAI will be assessed by collecting information on 8 different CD-related variables: extra-intestinal manifestations, abdominal mass, weight, hematocrit, total number of liquid stools, abdominal pain/cramping, use of antidiarrheal drug(s), and/or opiates, and general well-being. In general, CDAI score ranges from 0 to approximately 600. Higher score indicates higher disease activity. Endoscopic response is defined as >50 percent (%) improvement from baseline in the SES CD or SES-CD score <= 2 or a decrease of at least 2 points in participants with a baseline score of 4 and isolated ileal disease. This is a composite endpoint defined to measure achievement of both clinical remission and endoscopic response.
Measured: At Week 52
Number of Participants with Endoscopic Remission at Week 52
Endoscopic remission is defined as SES-CD <= 4 with at least a 2-point reduction from baseline and no sub score > 1 in any individual component and score can range from 0 to 56. Higher scores indicating severe disease.
Measured: At Week 52
Number of Participants with Clinical Remission at Week 52
Clinical remission is defined as CDAI score < 150-point. CDAI will be assessed by collecting information on 8 different CD-related variables: extra-intestinal manifestations, abdominal mass, weight, hematocrit, total number of liquid stools, abdominal pain/cramping, use of antidiarrheal drug(s), and/or opiates, and general well-being. In general, CDAI score ranges from 0 to approximately 600. Higher score indicates higher disease activity.
Measured: At Week 52
Number of Participants with Steroid-Free Clinical Remission at Week 52
Steroid-free clinical remission is defined as clinical remission at Week 52 and not receiving corticosteroids for at least 90 days prior to Week 52. Clinical remission is defined as CDAI score < 150-point.
Measured: At Week 52
Number of Participants with Abnormalities in Laboratory Parameters
Number of participants with abnormalities in laboratory parameters (hematology and chemistry) will be reported.
Measured: Up to Week 148
Number of Participants With Change From Baseline in Laboratory Abnormalities
Number of participants with change from baseline in laboratory abnormalities (hematology and chemistry) will be reported.
Measured: Up to week 148
Number of Participants with Adverse Events (AEs), Serious AEs and AEs Leading to Discontinuation of Study Intervention
An AE is any untoward medical occurrence in a participant administered a pharmaceutical (investigational or non investigational) product. An AE does not necessarily have a causal relationship with the treatment. An SAE is any untoward medical occurrence that at any dose results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, is a suspected transmission of any infectious agent via a medicinal product and is medically important.
Measured: Up to Week 165
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Mar 2026
- Study start21 Apr 2026
- Primary completion15 Nov 2028 (estimated)
- Study completion11 Dec 2030 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Crohn DiseaseStudies of the same condition, open and under way.
- More trials run by Janssen Research & Development, LLCThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 530 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Janssen Research & Development, LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Janssen Research & Development, LLC Clinical Trial, Study director, Janssen Research & Development, LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07499232
- Sponsor's protocol ID
- CNTO1959CRD3009
- Other IDs
- CNTO1959CRD3009
- Acronym
- CHARGE
- Status last verified
- Nov 2026
- First submitted
- 23 Mar 2026
- Last updated
- 3 Nov 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: 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.
Study at a glance
From the registry record, last updated by the sponsor on 3 Nov 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3b, Multicenter, Randomized, Open-Label, Active-Controlled Study to Compare the Efficacy and Safety of Guselkumab Versus Risankizumab in the Treatment of Participants With Moderately to Severely Active Crohn's Disease
- ClinicalTrials.gov ID
- NCT07499232
- Acronym / sponsor ID
- CHARGE / CNTO1959CRD3009
- Conditions
- Crohn Disease
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 530 participants (estimated)
- Lead sponsor
- Janssen Research & Development, LLCIndustry (pharma, biotech, devices)
- Study start
- 21 Apr 2026 (actual)
- Primary completion
- 15 Nov 2028 (estimated)
- Study completion
- 11 Dec 2030 (estimated)
- First posted
- 30 Mar 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to assess how well guselkumab works when compared to risankizumab in participants with moderately to severely active Crohn's Disease (CD; a long-term condition causing severe inflammation of the intestinal tract).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Guselkumab | Experimental | Drug: GuselkumabParticipants will receive guselkumab induction dose subcutaneously (SC) at Weeks 0, 4, and 8 followed by guselkumab maintenance dose SC once every 4 weeks (q4w) from Week 12 through Week 52. |
| Risankizumab | Experimental | Drug: RisankizumabParticipants will receive risankizumab induction dose intravenously (IV) at Weeks 0, 4, and 8 followed by risankizumab maintenance dose SC once every 8 weeks (q8w) from Week 12 through Week 52. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Has CD or fistulizing Crohn's Disease (CD) of at least 12 weeks' duration, with colitis, ileitis, or ileocolitis, confirmed at some time in the past by radiography, histology, and/or endoscopy
- Have moderately to severely active CD, defined as baseline Crohn's Disease Activity Index (CDAI) score greater than or equal to (>=) 220 but less than or equal to (<=) 450
- Baseline endoscopic evidence of active ileal and/or colonic CD as assessed by central endoscopy reading at the screening endoscopy defined as a screening Simple Endoscopic Score for Crohn's Disease (SES CD) >= 4 (for participants with isolated ileal disease) or >= 6 (for participants with colonic or ileocolonic disease), based on the presence of ulceration in any 1 of the 5 ileocolonic segments, resulting in the following specified ulceration component scores:
- In the opinion of the investigator, participant's disease is appropriate to treat with the maintenance dosing regimens utilized in the study
- Adhere to the requirements for concomitant medications for the treatment of CD as mentioned in the protocol
Key exclusion criteria (5 listed)
- Has complications of CD such as symptomatic strictures or stenoses, short gut syndrome, active draining stoma or significant fistulizing disease or any other manifestation anticipated to require surgery within the next year, could preclude the use of the CDAI to assess response to therapy, or would possibly confound the ability to assess the effect of treatment with guselkumab or risankizumab
- Currently has or is suspected to have an abscess
- Has an active fistula during screening or at Week 0 with an anticipated need for surgery
- Has had any kind of bowel resection within 24 weeks, or any other intra-abdominal or other major surgery within 12 weeks, before first dose of study intervention
- Currently has a malignancy or has a history of malignancy within 5 years before screening
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| GuselkumabAlso: CNTO1959Guselkumab will be administered. | Drug | Guselkumab |
| RisankizumabRisankizumab will be administered. | Drug | Risankizumab |
Primary outcome
Number of Participants with Deep Remission at Week 52
Time frame: At Week 52
Deep remission is a composite endpoint defined as achieving both clinical remission and endoscopic remission at the participant level. Clinical remission is defined as Crohn's Disease Activity Index (CDAI) score less than (<) 150-point. CDAI will be assessed by collecting information on 8 different CD-related variables: extra-intestinal manifestations, abdominal mass, weight, hematocrit, total number of liquid stools, abdominal pain/cramping, use of antidiarrheal drug(s), and/or opiates, and general well-being. In general, CDAI score ranges from 0 to approximately 600. Higher score indicates higher disease activity. Endoscopic remission is defined as Simple Endoscopic Score for Crohn's Disease (SES-CD) less than or equal to (<=) 4 with at least a 2-point reduction from baseline and no sub score greater than (>) 1 in any individual component and score can range from 0 to 56. Higher scores indicating severe disease.
7 secondary outcomes
Composite Endpoint of Number of Participants with Clinical Remission and Endoscopic Response at Week 52
Time frame: At Week 52
Number of Participants with Endoscopic Remission at Week 52
Time frame: At Week 52
Number of Participants with Clinical Remission at Week 52
Time frame: At Week 52
Number of Participants with Steroid-Free Clinical Remission at Week 52
Time frame: At Week 52
Number of Participants with Abnormalities in Laboratory Parameters
Time frame: Up to Week 148
Number of Participants With Change From Baseline in Laboratory Abnormalities
Time frame: Up to week 148
Number of Participants with Adverse Events (AEs), Serious AEs and AEs Leading to Discontinuation of Study Intervention
Time frame: Up to Week 165
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Nov 2026.
- Individual participant dataSharing planned: Yes. 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.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Janssen Research & Development, LLC Clinical Trial study director
Janssen Research & Development, LLC
164 sites in 17 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Guselkumab and Risankizumab in people with Crohn Disease, run by Janssen Research & Development, LLC at 164 sites in 17 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 3 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 164 sites in United States, France, Germany, Spain, United Kingdom and 12 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Study Contact (844-434-4210, Participate-In-This-Study1@its.jnj.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of Participants with Deep Remission at Week 52 (time frame: At Week 52). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Nov 2026.