A Study of Ustekinumab in Pediatric Participants With Moderately to Severely Active Ulcerative Colitis (UC) (UNIFI Jr)
Colitis, Ulcerative
About this trial
This is an interventional treatment trial for Colitis, Ulcerative
Eligibility Criteria
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 documents and acknowledged by the investigator
- Must have had UC diagnosed prior to screening
- Have moderately to severely active UC, defined as a baseline Mayo score of 6 through 12, inclusive, with a screening Mayo endoscopy subscore greater than or equal to (>=) 2 as determined by a central review of the video of the endoscopy
- A participant who has had extensive colitis for >= 8 years, or disease limited to the left side of the colon for >= 10 years, must: a) have had a full colonoscopy to assess for the presence of dysplasia within 1 year before the first administration of study intervention or b) have a full colonoscopy with surveillance for dysplasia as the baseline endoscopy during the screening period. Results from these surveillance biopsies must be negative for dysplasia (low-grade, high-grade, or indeterminant) prior to the first administration of study intervention
- Females of childbearing potential must have a negative highly sensitive urine pregnancy test at screening and at Week I-0 prior to study intervention administration
Exclusion Criteria:
- Have UC limited to the rectum only or to less than (<) 20 centimeter (cm) of the colon
- Presence or history of colonic or small bowel obstruction within 6 months prior to screening, confirmed by objective radiographic or endoscopic evidence of a stricture with resulting obstruction (dilation of the colon or small bowel proximal to the stricture on barium radiograph or an inability to traverse the stricture at endoscopy)
- Have a history of latent or active granulomatous infection, histoplasmosis, or coccidioidomycosis, or have had a nontuberculous mycobacterial infection prior to screening
- Presence or history of any malignancy including presence or history of lymphoproliferative disease including lymphoma, or signs and symptoms suggestive of possible lymphoproliferative disease, such as lymphadenopathy of unusual size or location (example, nodes in the posterior triangle of the neck, infraclavicular, epitrochlear, or periaortic areas) and monoclonal gammopathy of undetermined significance, or clinically significant hepatomegaly or splenomegaly
- Has known allergies, hypersensitivity, or intolerance to ustekinumab or its excipients
Sites / Locations
- Nemours DuPont Hospital for ChildrenRecruiting
- Children's Center for Digestive Health CareRecruiting
- Mayo ClinicRecruiting
- Morristown Memorial HospitalRecruiting
- Levine Children's at Atrium HealthRecruiting
- University Hospitals Cleveland Medical CenterRecruiting
- Penn State Hershey Children's HospitalRecruiting
- Cook Childrens Medical CenterRecruiting
- Pediatric Specialists Of VirginiaRecruiting
- Universitair Kinderziekenhuis Koningin FabiolaRecruiting
- Cliniques Universitaires Saint-LucRecruiting
- UZ GentRecruiting
- UZ BrusselRecruiting
- UZ LeuvenRecruiting
- Universitätsklinikum AachenRecruiting
- Charite-Universitätsmedizin Berlin - BerlinRecruiting
- Universitatsklinikum EssenRecruiting
- Medizinische Hochschule Hannover
- Dr. von Haunersches KinderspitalRecruiting
- KUNO Klinik St. HedwigRecruiting
- Universitatsklinikum Ulm
- Semmelweis EgyetemRecruiting
- Debreceni Egyetem Klinikai KozpontRecruiting
- Borsod-Abauj-Zemplen Megyei Korhaz es Egyetemi Oktato KorhazRecruiting
- Szabolcs-Szatmar-Bereg Megyei Korhazak es Egyetemi Oktatokorhaz, Josa Andras OktatokorhazRecruiting
- Szegedi Tudományegyetem, Gyermekgyógyászati Klinika és Gyermekegészségügyi CentrumRecruiting
- Shamir Medical Center (Assaf Harofeh)Recruiting
- Rambam Medical CenterRecruiting
- Carmel Medical CenterRecruiting
- Shaare Zedek Medical CenterRecruiting
- Schneider Children's Medical CenterRecruiting
- Sheba Medical CenterRecruiting
- Juntendo University HospitalRecruiting
- Gunma University HospitalRecruiting
- Kindai University Nara HospitalRecruiting
- Kurume University HospitalRecruiting
- Saitama Children's Medical CenterRecruiting
- Miyagi Children's HospitalRecruiting
- National Center for Child Health and DevelopmentRecruiting
- Jichi Medical University HospitalRecruiting
- Mie University HospitalRecruiting
- Szpital im. M. Kopernika
- Uniwersytecki Szpital Dzieciecy w KrakowieRecruiting
- Korczowski Bartosz, Gabinet LekarskiRecruiting
- GASTROMED Sp. z o.o.Recruiting
- WIP Warsaw IBD Point Profesor KierkusRecruiting
- Instytut Pomnik - Centrum Zdrowia DzieckaRecruiting
- Kazan State Medical University
- Russian National Research Medical University named after N.I.Pirogov
- FSBI 'Scientific Centre of Children Health' of the Russian Academy of Medical Sciences
- Privolzhsky Research Medical University of Ministry of Health of Russian Federation
- Saratov State Medical University
- Yaroslavl Regional Children's Clinical Hospital
- Birmingham Children's HospitalRecruiting
- University Hospitals Bristol and Weston NHS Foundation TrustRecruiting
- Cambridge University Hospitals NHS Foundation TrustRecruiting
- Royal London HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Experimental
Induction Period (I): Ustekinumab
Maintenance (M) Period: Ustekinumab once every 8 Week (q8w)
Maintenance (M) Period: Ustekinumab once every 12 Week (q12w)
All 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]).
Participants 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.
Participants 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.