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SUMMARY
- The company cannot recommend any practices, procedures, or usage that deviate from the approved labeling.
- Please refer to the local labeling for relevant information regarding switching from other biologics to STELARA in ulcerative colitis.
- STELARA was evaluated in a randomized, double-blind, placebo-controlled phase 3 clinical trial program in adult patients with moderately to severely active ulcerative colitis (UNIFI). The clinical trial program consisted of an 8-week intravenous induction study followed by a 44-week subcutaneous randomized withdrawal maintenance study for a total of 52 weeks of therapy.1
- UNIFI eligible patients were required to have had an inadequate response to or unacceptable side effects from tumor necrosis factor (TNF) blockers, vedolizumab, or conventional (ie, nonbiologic) therapy.
- At baseline in the induction study, among 51.1% (491/961) of randomly assigned patients who had previous treatment failure with biologic agents, a total of 98.8% (485/491) had failed at least one TNF blocker, 32.6% (160/491) had failed both a TNF blocker and vedolizumab, and 1.2% (6/491) had failed vedolizumab only. Among patients who did not have previous treatment failure with biologics, 94.3% (443/470) had not received biologics and 5.7% (27/470) had received biologics but did not have documented treatment failure.
- For UNIFI clinical trial program entry, previous treatment with interleukin-12 or interleukin-23 antagonists was prohibited. Additionally, previous TNF blocker therapy was discontinued at least 8 weeks before trial entry, and vedolizumab was discontinued at least 4 months before trial entry.
Literature Search
A literature search of MEDLINE®, EMBASE®, BIOSIS Previews®, and DERWENT® (and/or other resources, including internal/external databases) was conducted on 13 September 2024.
1 | Sands BE, Sandborn WJ, Panaccione R, et al. Ustekinumab as induction and maintenance therapy for ulcerative colitis. N Engl J Med. 2019;381(13):1201-1214. |