Drugs / Guselkumab
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Guselkumab

also known as CNTO 1959 · GUS · Tremfya

Monoclonal antibody targets IL23A via inhibition

Developed for
psoriasis · psoriatic arthritis · Crohn disease · ulcerative colitis · hidradenitis suppurativa · palmoplantar pustulosis · alcoholic liver disease · allergic contact dermatitis
+15 more · arthritic joint disease · atopic eczema · celiac disease · classic or attenuated familial adenomatous polyposis · guttate psoriasis · Hailey-Hailey disease · lupus nephritis · perianal Crohn disease · pityriasis rubra pilaris · pustular psoriasis · pyoderma gangrenosum · rheumatoid arthritis · systemic sclerosis · temporal arteritis · pouchitis
Investigated by
Janssen Research & Development, LLC · Janssen Pharmaceutical K.K. · Janssen Scientific Affairs, LLC · Janssen-Cilag Ltd. · University of California, San Francisco · Belgium Health Care Knowledge Centre
+34 more · NYU Langone Health · Oregon Health and Science University · University Hospital, Ghent · University of California, San Diego · Case Western Reserve University · Centocor, Inc. · Centre for Human Drug Research, Netherlands · Chang Gung Memorial Hospital · China Medical University Hospital · Chung Shan Medical University · Eli Lilly and Company · Far Eastern Memorial Hospital · Fondazione Policlinico Universitario Campus Bio-Medico · Groupe d'Etude Therapeutique des Affections Inflammatoires Digestives · Janssen Biotech, Inc. · Janssen Pharmaceutica N.V., Belgium · Janssen Pharmaceuticals · Janssen, LP · Janssen-Cilag GmbH · Janssen-Cilag International NV · Johnson & Johnson Private Limited · LEO Foundation · Ohio State University · Radboud University Medical Center · Rockefeller University · Second Affiliated Hospital, School of Medicine, Zhejiang University · Taichung Veterans General Hospital · University Hospitals Cleveland Medical Center · University Medical Center Groningen · University of Pennsylvania · Wei-Che Ko · Xian-Janssen Pharmaceutical Ltd. · Yale University · ZonMw: The Netherlands Organisation for Health Research and Development

Regulatory milestones approvals, filings & regulatory actions · 18 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed Crohn jejunoileitis 2 milestones
Filed EU (EMA) TREMFYA Crohn jejunoileitis 2024-07-17

“Johnson & Johnson submits regulatory applications to European Medicines Agency for TREMFYA (guselkumab) for treatment of patients with ulcerative colitis and Crohn's disease” jnj.com ↗

“Applications seeking approval of TREMFYA®for both UC and Crohn’s disease (CD) have been submitted in Europe.” jnj.com ↗

Filed US (FDA) TREMFYA Crohn jejunoileitis 2024-06-21

“Johnson & Johnson submits application to U.S. FDA seeking approval of TREMFYA® (guselkumab) for the treatment of moderately to severely active Crohn’s disease” jnj.com ↗

“An application seeking approval of TREMFYA®for the treatment of adults with moderately to severely active CD has been submitted in the U.S.” jnj.com ↗

“In June 2024, Johnson & Johnson submitted a supplemental Biologics License Application (sBLA) to the FDA seeking approval of TREMFYA®” jnj.com ↗

Filed psoriasis 2 milestones
Filed US (FDA) — psoriasis 2016-11-17

“Regulatory applications for approval were submitted to the FDA and European Medicines Agency (EMA) for guselkumab” jnj.com ↗

“Janssen Submits Application To FDA Seeking Approval Of Anti-Interleukin-23 Monoclonal Antibody Guselkumab” jnj.com ↗

Filed EU (EMA) — psoriasis —

“Regulatory applications for approval were submitted to the FDA and European Medicines Agency (EMA) for guselkumab” jnj.com ↗

Filed psoriatic arthritis 3 milestones
Filed US (FDA) TREMFYA psoriatic arthritis 2025-07-29

“Johnson & Johnson files with U.S. FDA to include new evidence in TREMFYA® (guselkumab) label” jnj.com ↗

Filed EU (EMA) TREMFYA psoriatic arthritis 2019-10-11

“Variation Application to the European Medicines Agency (EMA) seeking first-in-class approval of TREMFYA®▼(guselkumab) for the treatment of adult patients with active psoriatic...” jnj.com ↗

“validated filing on October 11, 2019 to the European Medicines Agency (EMA) for approval of TREMFYA in the European Union for adult patients with active psoriatic arthritis.” jnj.com ↗

Filed US (FDA) TREMFYA psoriatic arthritis 2019-09-13

“September 13, 2019 supplemental Biologics License Application submission to the U.S. Food and Drug Administration (FDA) for approval of TREMFYA” jnj.com ↗

Filed ulcerative colitis 2 milestones
Filed EU (EMA) TREMFYA ulcerative colitis 2024-07-17

“Johnson & Johnson submits regulatory applications to European Medicines Agency for TREMFYA (guselkumab) for treatment of patients with ulcerative colitis and Crohn's disease” jnj.com ↗

“previously announced the submission of applications to the European Medicines Agency (EMA) seeking to expand the Marketing Authorization Application for TREMFYA®” jnj.com ↗

“Applications seeking approval of TREMFYA®for both UC and Crohn’s disease (CD) have been submitted in Europe.” jnj.com ↗

Filed US (FDA) TREMFYA ulcerative colitis —

“This marks the second submission to the FDA for TREMFYA® in inflammatory bowel disease this year following an application in March for” jnj.com ↗

Approved Indication not stated 3 milestones
Label expansions (7) US (FDA) TREMFYA — 2019-01-29 – 2026-05-28 fda.gov ↗
Approved EU (EMA) Tremfya — 2017-11-10 europa.eu ↗
Approved US (FDA) TREMFYA — 2017-07-13 fda.gov ↗

Trials 84 · started per year

today
US approved 2017
EU approved 2017
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PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 01 trial
Phase 0 NCT04084665 Jun → Jul 2020 hidradenitis suppurativa Rockefeller University Withdrawn No outcome recorded
Phase 113 trials
Phase 1 NCT05083078 Nov 2021 → Jul 2022 psoriatic arthritis Janssen Research & Development, LLC Terminated No outcome recorded
Phase 1 NCT04704843 Jun → Sep 2021 celiac disease Janssen Research & Development, LLC Withdrawn No outcome recorded Stop: Business
Phase 1 NCT04736966 Mar 2021 → Mar 2024 alcoholic liver disease University of California, San Diego Completed No outcome recorded
Phase 1 NCT04617691 Nov 2020 → Jul 2021 — Janssen Research & Development, LLC Completed No outcome recorded
Phase 1 NCT04030533 Nov 2019 → Dec 2020 — Janssen Research & Development, LLC Completed No outcome recorded
Phase 1 NCT04147338 Oct 2019 → Sep 2021 — Janssen Research & Development, LLC Completed No outcome recorded
Phase 1 NCT03649971 Nov 2018 → Sep 2021 classic or attenuated familial adenomatous polyposis Janssen Research & Development, LLC Completed No outcome recorded
Phase 1 NCT03536325 May → Oct 2018 — Janssen Pharmaceutical K.K. Completed No outcome recorded
Phase 1 NCT02570373 Sep 2015 → Jan 2016 — Janssen Research & Development, LLC Completed No outcome recorded
Phase 1 NCT02397382 Jun 2015 → Aug 2016 psoriasis Janssen Research & Development, LLC Completed No outcome recorded
Phase 217 trials · 4 met primary · 4 missed
Phase 2 NCT07138898 Dec 2025 → Jan 2028 expected rheumatic disorder NYU Langone Health Recruiting No outcome recorded
Phase 2 NCT06651489 Mar 2025 → Dec 2026 expected Hailey-Hailey disease Yale University Recruiting No outcome recorded
Phase 2 NCT06563323 Feb 2025 → Aug 2027 expected pyoderma gangrenosum, ulcer disease Oregon Health and Science University Active not recruiting No outcome recorded
Phase 2 NCT05242484 Sep 2022 → May 2025 overdue ulcerative colitis Janssen Research & Development, LLC Active not recruiting No outcome recorded
Phase 2 NCT05242471 Jul 2022 → May 2025 overdue Crohn disease Janssen Research & Development, LLC Active not recruiting No outcome recorded
Phase 2 NCT05071664 Oct 2021 → May 2024 psoriatic arthritis Janssen Research & Development, LLC Completed No outcome recorded
Phase 2 NCT04683029 Feb 2021 → May 2023 systemic sclerosis Janssen Pharmaceutical K.K. Completed Met primary
Phase 2 NCT04633447 Dec 2020 → May 2024 temporal arteritis Janssen Research & Development, LLC Terminated Missed primary
Phase 2 NCT04376827 Sep 2020 → Feb 2023 lupus nephritis Janssen Research & Development, LLC Terminated Missed primary Stop: Enrollment
Phase 2 NCT03975153 Oct 2019 → Aug 2022 pityriasis rubra pilaris Oregon Health and Science University Completed No outcome recorded
Phase 2/33 trials · 2 met primary
Phase 2/3 NCT05535738 Nov 2022 → Jan 2027 expected allergic contact dermatitis Wei-Che Ko Active not recruiting No outcome recorded
Phase 2/3 NCT04033445 Sep 2019 → Sep 2023 overdue ulcerative colitis Janssen Research & Development, LLC Active not recruiting Met primary
Phase 2/3 NCT03466411 Apr 2018 → Oct 2023 overdue Crohn disease Janssen Research & Development, LLC Active not recruiting Met primary
Phase 330 trials · 19 met primary
Phase 3 NCT07499232 Apr 2026 → Nov 2028 expected Crohn disease Janssen Research & Development, LLC Recruiting No outcome recorded
Phase 3 NCT06663332 Oct 2024 → Dec 2031 expected Crohn disease, psoriatic arthritis, ulcerative colitis Janssen Research & Development, LLC Recruiting No outcome recorded
Phase 3 NCT06408935 Apr 2024 → Jun 2027 expected Crohn disease Janssen-Cilag Ltd. Active not recruiting No outcome recorded
Phase 3 NCT05923073 Mar 2024 → Oct 2027 expected Crohn disease Janssen Research & Development, LLC Recruiting No outcome recorded
Phase 3 NCT06260163 Jan 2024 → Feb 2027 expected ulcerative colitis Janssen Research & Development, LLC Active not recruiting No outcome recorded
Phase 3 NCT06039189 Aug 2023 → Apr 2025 psoriasis Janssen Research & Development, LLC Completed Met primary
Phase 3 NCT05669833 Jul 2023 → Oct 2026 expected psoriatic arthritis University of Pennsylvania Recruiting No outcome recorded
Phase 3 NCT05347095 Sep 2022 → Mar 2027 expected perianal Crohn disease Janssen-Cilag Ltd. Active not recruiting Met primary
Phase 3 NCT05528510 Sep 2022 → Apr 2024 overdue ulcerative colitis Janssen Research & Development, LLC Active not recruiting Met primary
Phase 3 NCT05083182 Aug 2022 → Jan 2026 overdue arthritic joint disease Janssen Research & Development, LLC Active not recruiting No outcome recorded
Phase 417 trials · 1 met primary
Phase 4 NCT07654751 Aug 2026 → Aug 2027 expected Crohn disease, psoriasis, psoriatic arthritis, ulcerative colitis Janssen Research & Development, LLC Recruiting No outcome recorded
Phase 4 NCT07352566 Aug 2026 → Jun 2030 expected atopic eczema, psoriasis University of California, San Francisco Not yet recruiting No outcome recorded
Phase 4 NCT07616687 Jun 2026 → Mar 2029 expected Crohn disease Groupe d'Etude Therapeutique des Affections Inflammatoires Digestives Recruiting No outcome recorded
Phase 4 NCT07310095 Dec 2025 → Sep 2027 expected Crohn disease Xian-Janssen Pharmaceutical Ltd. Recruiting No outcome recorded
Phase 4 NCT07141004 Aug 2025 → Jun 2027 expected psoriatic arthritis Johnson & Johnson Private Limited Recruiting No outcome recorded
Phase 4 NCT07149792 Jul 2025 → Dec 2026 expected psoriasis, psoriatic arthritis Taichung Veterans General Hospital Recruiting No outcome recorded
Phase 4 NCT06398106 Dec 2024 → Mar 2028 expected psoriasis University Hospital, Ghent Recruiting No outcome recorded
Phase 4 NCT06974474 Jun 2024 → Nov 2025 overdue psoriatic arthritis Fondazione Policlinico Universitario Campus Bio-Medico Recruiting No outcome recorded
Phase 4 NCT05858632 Jul 2023 → Jun 2028 expected psoriasis University of California, San Francisco Recruiting No outcome recorded
Phase 4 NCT05270733 Nov 2022 → Dec 2026 expected psoriasis University Hospitals Cleveland Medical Center Recruiting No outcome recorded
Phase not applicable3 trials
— NCT06586281 Jun 2025 → Sep 2027 expected psoriatic arthritis University of California, San Diego Recruiting No outcome recorded
— NCT05503875 Jan 2023 → Dec 2027 expected psoriasis Second Affiliated Hospital, School of Medicine, Zhejiang University Recruiting No outcome recorded
— NCT04394936 Sep 2020 → Feb 2023 psoriasis Centre for Human Drug Research, Netherlands Terminated No outcome recorded Stop: Enrollment
Comparator or background therapy9 trials
Phase 3 NCT07511647 Comparator Jun 2026 → Dec 2027 expected psoriasis Qilu Pharmaceutical Co., Ltd. Recruiting No outcome recorded
Phase 3 NCT07577856 Comparator May 2026 → Aug 2028 expected ulcerative colitis Janssen Research & Development, LLC Recruiting No outcome recorded
Phase 3 NCT07577843 Comparator May 2026 → Jun 2028 expected Crohn disease Janssen Research & Development, LLC Recruiting No outcome recorded
Phase 3 NCT06274554 Background Oct 2024 → Dec 2028 expected Crohn disease Weill Medical College of Cornell University Recruiting No outcome recorded
Phase 3 NCT05784129 Comparator Feb → Sep 2023 Crohn disease Janssen Research & Development, LLC Terminated No outcome recorded Stop: Business

News releases announcing trial results or a regulatory action · 131

DateIssuerRelease
2026-09-25 Janssen Research & Development, LLC Results Johnson & Johnson announces TREMFYA® (guselkumab) is the first and only IL-23 inhibitor to show significant improvement in spinal pain and stiffness in landmark axial psoriatic arthritis (PsA) study jnj.com ↗
TREMFYA also met major secondary endpoints demonstrating a significant reduction in both axial symptoms, as measured by ASDAS-CRPb, and objective (MRI) inflammation of the sacroiliac joints.
2026-09-25 Janssen Research & Development, LLC Results Johnson & Johnson announces TREMFYA® (guselkumab) is the first and only IL-23 inhibitor to show significant improvement in spinal pain and stiffness in landmark axial psoriatic arthritis (PsA) study jnj.com ↗
2026-05-28 Janssen Research & Development, LLC Regulatory FDA approves label expansion, cementing TREMFYA® as the only IL‑23 inhibitor proven to help stop further joint damage jnj.com ↗
2026-05-28 Janssen Research & Development, LLC Regulatory FDA approves label expansion, cementing TREMFYA® as the only IL‑23 inhibitor proven to help stop further joint damage jnj.com ↗
Johnson & Johnson (NYSE: JNJ) announced today that the U.S. Food and Drug Administration (FDA) has approved a supplemental Biologics License Application (sBLA) to include evidence in the TREMFYA (guselkumab) label for the inhibition of progression of structural joint damage in adults with active psoriatic arthritis (PsA).
2026-05-05 Janssen Research & Development, LLC Results Johnson & Johnson study shows TREMFYA® (guselkumab) is the first and only IL-23 inhibitor to demonstrate efficacy in perianal fistulizing Crohn’s disease jnj.com ↗
At Week 24, TREMFYA demonstrated significantly higher rates of combined fistula remission, a highly stringent endpoint defined as complete external closure of draining fistulas and absence of fluid collection on MRI, compared to placebo.
2026-05-05 Janssen Research & Development, LLC Results Johnson & Johnson investigational co-antibody therapy JNJ-4804 shows potential to raise the bar for clinical efficacy in treating refractory inflammatory bowel disease jnj.com ↗
The JNJ-4804 rates were also numerically higher than the rates achieved with guselkumab (42.5% for clinical remission and 33.9% for endoscopic response).
2026-05-05 Janssen Research & Development, LLC Results Johnson & Johnson study shows TREMFYA® (guselkumab) is the first and only IL-23 inhibitor to demonstrate efficacy in perianal fistulizing Crohn's disease jnj.com ↗
2026-02-21 Janssen Research & Development, LLC Results TREMFYA® (guselkumab) long-term data show sustained clinical and endoscopic remission in ulcerative colitis through 3 years jnj.com ↗
Johnson & Johnson (NYSE: JNJ) today announced new long-term data from the QUASAR long-term extension (LTE) study showing that TREMFYA®(guselkumab) sustained clinical, endoscopic, and histologic outcomes through Week 140 in adults with moderately to severely active ulcerative colitis (UC).
2026-02-21 Janssen Research & Development, LLC Results TREMFYA® (guselkumab) long-term data show sustained clinical and endoscopic remission in ulcerative colitis through 3 years jnj.com ↗
At Week 140, 80.8% of patients taking TREMFYA were in clinical remission.
2025-12-22 Janssen Research & Development, LLC Regulatory European Commission approves TREMFYA® (guselkumab) for the treatment of children with plaque psoriasis, marking the first paediatric indication for an IL-23 inhibitor jnj.com ↗
This milestone makes guselkumab the first IL-23 inhibitor approved for any paediatric indication, building on EC approval in adults living with moderate to severe plaque Pso in 2017.
2025-11-17 Janssen Research & Development, LLC Results New long-term data reinforces TREMFYA® (guselkumab) as the only IL-23 inhibitor proven to substantially inhibit structural joint damage in active psoriatic arthritis jnj.com ↗
Johnson & Johnson today announced new data from the Phase 3b APEX study showing that TREMFYA®continued to reduce both signs and symptoms of active psoriatic arthritis (PsA) and inhibit progression of structural damage at 48 weeks.
2025-11-17 Janssen Research & Development, LLC Results New long-term data reinforces TREMFYA® (guselkumab) as the only IL-23 inhibitor proven to substantially inhibit structural joint damage in active psoriatic arthritis jnj.com ↗
Johnson & Johnson (NYSE: JNJ) today announced new data from the Phase 3b APEX study showing that TREMFYAcontinued to reduce both signs and symptoms of active psoriatic arthritis (PsA) and inhibit progression of structural damage at 48 weeks.

All press releases naming this drug 136 releases

DateIssuerRelease
Show all 136 releases opens the full record — a long page

Evidence & citations 8 cited values

Every value below carries the sentence it was read from. 97 sources stand behind the page.

FieldValueCited text
Known as guselkumab “Patients will be treated with ustekinumab (90mg at week 0 and week 4 by subcutaneous injection) for 8 weeks followed by treatment with guselkumab (100mg at week 0 and week 4 by...” NCT05270733 ↗
86

“we compared guselkumab (CNTO 1959), an anti-interleukin-23 monoclonal antibody, with adalimumab in patients with moderate-to-severe plaque psoriasis.” PMID 26154787 ↗ Jul 2015

“IL-23 therapy may include ustekinumab (anti-interleukin-12/23), risankizumab (anti-interleukin-23), or guselkumab (anti-interleukin-23).” NCT06274554 ↗

“S. pyogenes + guselkumab (1.2 μg/mL)” NCT07149792 ↗

NCT04030533 ↗

NCT06651489 ↗

NCT05083078 ↗

NCT07616687 ↗

NCT04376827 ↗

NCT03090100 ↗

NCT02951533 ↗

Show 76 more sources

Known as CNTO 1959 “Pharmacokinetic Study to Evaluate the Effect of a Single Dose of Guselkumab (CNTO 1959) on CYP 450 Enzyme Activities After Subcutaneous Administration in Participants With Psoriasis” NCT02397382 ↗
8

“A Study to Evaluate the Comparative Efficacy of CNTO 1959 (Guselkumab) and Secukinumab for the Treatment of Moderate to Severe Plaque-type Psoriasis” NCT03090100 ↗

“guselkumab (CNTO 1959) in the treatment of participants” NCT02203032 ↗

NCT01645280 ↗

NCT02325219 ↗

NCT00925574 ↗

NCT01484587 ↗

NCT01483599 ↗

NCT01845987 ↗

Known as GUS “guselkumab (GUS), an interleukin-23p19 inhibitor” PMID 38332436 ↗ Feb 2024
2

“Guselkumab (GUS) 100mg every 4 weeks” NCT05669833 ↗

“Guselkumab (GUS)” NCT07310095 ↗

Known as Tremfya “Guselkumab (Tremfya®), an IL-23 inhibitor approved for the treatment of moderate-to-severe plaque psoriasis.” NCT04645355 ↗
1

NCT07511647 ↗

Action Inhibit “guselkumab, one such selective IL-23 inhibitor” PMID 37071038 ↗ Apr 2023
Modality Monoclonal antibody “we compared guselkumab (CNTO 1959), an anti-interleukin-23 monoclonal antibody, with adalimumab in patients with moderate-to-severe plaque psoriasis.” PMID 26154787 ↗ Jul 2015
Route Intravenous “intravenous (IV) infusion” NCT00925574 ↗
Target IL23A “ECLIPSE is the first comparator study of an IL-23p19 inhibitor, guselkumab” PMID 31402114 ↗ Aug 2019