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Ustekinumab Dose Based on BSA and Body Weight

Phase 3

Colitis, Ulcerative | Small molecule | Other |Johnson & Johnson|Last Updated: May 14, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment112
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04630028A Study of Ustekinumab in Pediatric Participants With Moderately to Severely Active Ulcerative Colitis (UC)PHASE3 COMPLETED 112Mar 17, 2021Jun 5, 2025May 14, 202658 United States, Belgium +7
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Study Endpoints
Primary Endpoints
Global: Number of Participants with Clinical Remission at Induction Week 8 (I-8) Visit
Week 8

Clinical remission is defined as Mayo stool frequency subscore of 0 or 1, a rectal bleeding subscore of 0, and an endoscopy subscore of 0 or 1 with no friability present on the endoscopy, where the stool frequency subscore has not increased from induction baseline.

Number of Participants with Adverse Events (AEs) as a Measure of Safety and Tolerability
Up to 74 weeks

An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study.

Number of Participants with Serious Adverse Events (SAEs) as a Measure of Safety and Tolerability
Up to 74 weeks

SAE is any AE that results in: death, persistent or significant disability/incapacity, requires inpatient hospitalization or prolongation of existing hospitalization, is life-threatening experience, is a congenital anomaly/birth defect, and suspects transmission of any infectious agent via a medicinal product.

Number of Participants with AEs Leading to Discontinuation of Study Intervention
Up to 74 weeks

Number of Participants with discontinuation of study intervention due to an AE, infections, injection-site reactions, and AEs during or within 1 hour of an infusion will be reported.

Number of Participants with AEs of Special Interest (AESI) as a Measure of Safety and Tolerability
Up to 74 weeks

AESI of any newly identified malignancy, case of active tuberculosis (TB), or opportunistic infection occurring after the first administration of study intervention(s) in participants will be reported.

Number of Participants with Laboratory Abnormalities
Up to 74 weeks

Number of participants with laboratory abnormalities related to hematology, serum chemistry, and coagulation will be reported.

Reactions Temporally Associated with an Intravenous (IV) Infusion and Subcutaneous (SC) Injection-site Reactions
Up to 74 weeks

Reactions temporally associated with an IV infusion (induction period) and SC injection-site reactions (maintenance period) will be reported.

Serum Concentration of Ustekinumab
Up to 74 weeks

Serum samples will be analyzed to determine concentrations of ustekinumab.

US Specific: Clinical Remission at M-44 for Participants who are in Clinical Response at I-8
Week 52

Clinical remission at M-44 for participants who are in clinical response at I-8 will be reported. Clinical remission is defined as a Mayo stool frequency subscore of 0 or 1, a rectal bleeding subscore of 0, and an endoscopy subscore of 0 or 1 with no friability present on the endoscopy, where the stool frequency subscore has not increased from induction baseline.

Secondary Endpoints
Number of Participants With Clinical Response at I-8 Visit
Week 8
Number of Participants with Symptomatic Remission at I-8 Visit
Week 8
Clinical Remission at I-8 as Assessed by the Pediatric Ulcerative Colitis Activity Index Score (PUCAI) Score
Week 8
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Induction Period (I): UstekinumabEXPERIMENTALAll participants will receive a single intravenous (IV) administration of ustekinumab at induction Week 0 (I-0) based on body surface area (BSA) (milligram per meter square \[mg/m\^2\]) or weight-tiered induction dose (milligram per kilogram \[mg/kg\]).
Maintenance (M) Period: Ustekinumab once every 8 Week (q8w)EXPERIMENTALParticipants will receive subcutaneous (SC) administration of ustekinumab every 8 weeks (q8w) based on BSA (mg/m\^2) or weight-tiered induction dose (mg/kg) at Weeks M-0, M-8, M-16, M-24, M-32, M-40 and matching placebo at Weeks M-12 and M-36 to maintain the blind.
Maintenance (M) Period: Ustekinumab once every 12 Week (q12w)EXPERIMENTALParticipants will receive SC administration of ustekinumab every 12 weeks (q12w) based on BSA (mg/m\^2) or weight-tiered induction dose (mg/kg) at Weeks M-0, M-12, M-24, M-36 and matching placebo at Weeks M-8, M-16, M-32, and M-40 to maintain the blind.
Interventions
NameTypeDescription
Ustekinumab Dose Based on BSA and Body WeightDRUGAs per BSA and body weight Ustekinumab will be administered SC and IV.
Matching PlaceboDRUGPlacebo will be administered subcutaneously.
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Eligibility Criteria
Age Range2 Years — 17 Years
SexALL
Healthy VolunteersNo
Study Sites58

Inclusion Criteria: * Medically stable on the basis of physical examination, medical history, and vital signs, performed at screening. Any abnormalities must be consistent with the underlying illness in the study population and this determination must be recorded in the participant's source documen...

Countries:United StatesBelgiumGermanyHungaryIsraelJapanPolandRussiaUnited Kingdom
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