This information is intended for US healthcare professionals to access current scientific information about J&J Innovative Medicine products. It is prepared by Medical Information and is not intended for promotional purposes, nor to provide medical advice.

Switching from Other Biologics to STELARA in Ulcerative Colitis

Last Updated: 01/02/2025

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.

 

References

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.