Evidence map›Paper›PMID 38310565›Full record

Trial reportJournal of Crohn's & colitis2024

Safety of Ustekinumab in Inflammatory Bowel Disease: Pooled Safety Analysis Through 5 Years in Crohn's Disease and 4 Years in Ulcerative Colitis.

Subrata Ghosh, Brian G Feagan, Elyssa Ott, Christopher Gasink, Bridget Godwin, Colleen Marano, Ye Miao, Tony Ma, Edward V Loftus, William J Sandborn and 3 more

6 registry-linked trialsOpen access · hybridAbstract readClinical Trial, Phase IIClinical Trial, Phase III
In one paragraph

Trial report in Journal of Crohn's & colitis, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 6 registered trials, which are not on this map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
20.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00265122 phase2completednot on this map

A Multicenter, Randomized, Phase 2a Study of Human Monoclonal Antibody to IL-12p40 (CNTO 1275) in Subjects With Moderately to Severely Active Crohn's Disease

TypeinterventionalSponsorCentocor, Inc.Ran2004 to 2006Enrolled131ConditionsCrohn DiseaseArmsUstekinumab 90 mg, Ustekinumab 4.5 mg/kg, Placebo SC, Placebo IV
NCT00771667 phase2completednot on this map

A Phase 2b, Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel Group Study to Evaluate the Efficacy and Safety of Ustekinumab Therapy in Subjects With Moderately to Severely Active Crohn's Disease Previously Treated With TNF Antagonist Therapy

TypeinterventionalSponsorCentocor, Inc.Ran2008 to 2010Enrolled526ConditionsCrohn's DiseaseArmsPlacebo (IP), Ustekinumab 1mg/kg (IP), Ustekinumab 3 mg/kg (IP), Ustekinumab 6 mg/kg (IP), Placebo IV - Responder - Placebo SC (MP)
NCT01369329 phase3completednot on this map

A Phase 3, Randomized, Double-blind, Placebo-controlled, Parallel-group, Multicenter Study to Evaluate the Safety and Efficacy of Ustekinumab Induction Therapy in Subjects With Moderately to Severely Active Crohn's Disease Who Have Failed or Are Intolerant to TNF Antagonist Therapy (UNITI-1)

TypeinterventionalSponsorJanssen Research & Development, LLCRan2011 to 2013Enrolled769ConditionsCrohn's Disease, IBD, Colitis, Inflammatory Bowel DiseaseArmsGroup 2 ustekinumab 130 mg, Group 3: ustekinumab approximately 6 mg/kg, Group 1: Placebo
NCT01369342 phase3completednot on this map

A Phase 3, Randomized, Double-blind, Placebo-controlled, Parallel-group, Multicenter Study to Evaluate the Safety and Efficacy of Ustekinumab Induction Therapy in Subjects With Moderately to Severely Active Crohn's Disease (UNITI-2)

TypeinterventionalSponsorJanssen Research & Development, LLCRan2011 to 2014Enrolled640ConditionsCrohn's Disease, Inflammatory Bowel Disease, IBD, ColitisArmsGroup 1: Placebo, Group 2 ustekinumab 130 mg, Group 3: ustekinumab approximately 6 mg/kg
NCT01369355 phase3completednot on this map

A Phase 3, Randomized, Double-blind, Placebo-controlled, Parallel-group, Multicenter Study to Evaluate the Safety and Efficacy of Ustekinumab Maintenance Therapy in Subjects With Moderately to Severely Active Crohn's Disease

TypeinterventionalSponsorJanssen Research & Development, LLCRan2011 to 2019Enrolled1,282ConditionsCrohn's Disease, Colitis, IBD, Inflammatory Bowel DiseaseArmsPlacebo SC, Placebo IV, Ustekinumab 90 mg SC q8w, Ustekinumab 130 mg IV, Ustekinumab 90 mg SC q12w
NCT02407236 phase3completednot on this map

A Phase 3, Randomized, Double-blind, Placebo-controlled, Parallel-group, Multicenter Protocol to Evaluate the Safety and Efficacy of Ustekinumab Induction and Maintenance Therapy in Subjects With Moderately to Severely Active Ulcerative Colitis

TypeinterventionalSponsorJanssen Research & Development, LLCRan2015 to 2021Enrolled961ConditionsColitis, Ulcerative, Inflammatory Bowel DiseasesArmsPlacebo IV, Placebo SC, Ustekinumab IV, Ustekinumab SC
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Hepatitis B Virus Reactivation Risk With IL-17, IL-23/IL-12, or JAK Inhibitors: A Systematic Review and Meta-Analysis.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Pooled it
  2. Anti-IL-12/23p40 antibodies for induction of remission in Crohn's disease.The Cochrane database of systematic reviews · 2025
    Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Observational
  16. Review
  17. Review
  18. New Interleukin-23 Antagonists' Use in Crohn's Disease.Pharmaceuticals (Basel, Switzerland) · 2025
    Review
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 9 institutions in 4 countries.

Subrata GhoshAPC Microbiome Ireland, College of Medicine and Health, University College Cork, Cork, Ireland.
Brian G FeaganWestern University and Alimentiv Inc., London, ON, Canada.
Elyssa OttFormerly of Janssen Scientific Affairs, LLC, Horsham, PA, USA.
Christopher GasinkFormerly of Janssen Scientific Affairs, LLC, Horsham, PA, USA.
Bridget GodwinFormerly of Janssen Scientific Affairs, LLC, Horsham, PA, USA.
Colleen MaranoJanssen Research & Development, LLC, Spring House, PA, USA.
Ye MiaoJanssen Research & Development, LLC, Spring House, PA, USA.
Tony MaJanssen Scientific Affairs, LLC, Horsham, PA, USA.
Edward V LoftusDivision of Gastroenterology and Hepatology, Mayo Clinic College of Medicine and Science, Rochester, MN, USA.ORCID 0000-0001-7199-6851
William J SandbornDivision of Gastroenterology, University of California San Diego, La Jolla, CA, USA.
Silvio DaneseIRCCS Ospedale San Raffaele and University Vita-Salute San Raffaele Milano, Milan, Italy.ORCID 0000-0001-7341-1351
Maria T AbreuUniversity of Miami Miller School of Medicine, Miami, FL, USA.
Bruce E SandsDr. Henry D. Janowitz Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Janssen (United States) · USIcahn School of Medicine at Mount Sinai · USIRCCS Ospedale San Raffaele · ITMayo Clinic in Arizona · USMerck & Co., Inc., Rahway, NJ, USA (United States) · USUniversity College Cork · IEUniversity of California San Diego · USUniversity of Miami · USWestern University · CA

Funding

Janssen Research and Development, LLCJanssen Scientific Affairs, LLC
6 · The paper itself

Abstract

BACKGROUND AND

aimsPreviously published long-term safety data reported a favourable ustekinumab safety profile for the treatment of inflammatory bowel disease [IBD]. We present the final cumulative safety data from pooled ustekinumab IBD phase 2/3 clinical studies through 5 years in Crohn's disease [CD] and 4 years in ulcerative colitis [UC].

methodsIn phase 3 studies, patients received a single intravenous placebo or ustekinumab [130 mg or ~6 mg/kg] induction dose followed by subcutaneous maintenance doses of placebo or ustekinumab [90 mg q8w or q12w]. Analyses included all patients who received one dose of study treatment and included patients who were biologic-naïve and patients with a history of biologic failure. Safety outcomes are summarized and presented using number of events per 100 patient-years of follow-up and corresponding 95% confidence intervals.

resultsIn this final pooled safety analysis, 2575 patients were treated with ustekinumab with 4826 patient-years of follow-up. Rates of key safety events, including major adverse cardiac events and malignancies, were similar between placebo and ustekinumab or not higher for ustekinumab. Opportunistic infections, including tuberculosis, and malignancies were reported infrequently. Rates of key safety events in the IBD group were no higher in the ustekinumab group than in the placebo group for both patients who were biologic-naïve or who had a history of biologic failure. No lymphomas or cases of posterior reversible encephalopathy syndrome [formerly known as reversible posterior leukoencephalopathy syndrome] were reported.

conclusionThe final cumulative ustekinumab safety data through 5 years in CD and 4 years in UC demonstrated favourable safety compared to placebo and continue to support the well-established safety profile across all approved indications. CLINICAL TRIALS.GOV NUMBERS: NCT00265122, NCT00771667, NCT01369329, NCT01369342, NCT01369355, NCT02407236.

Indexed as

Colitis, UlcerativeCrohn DiseaseUstekinumabAdultClinical Trials, Phase III as TopicFemaleHumansMaleMiddle AgedUstekinumabInflammatory bowel diseasesafetyustekinumab

Identifiers

PMID38310565
PMCPMC11302965
OpenAlexW4391519272

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.