Drugs / Guselkumab
last change Aug 2026 re-read 2 minutes ago

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 · 10 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Label expansions (8) 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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20092010201120122013201420152016201720182019202020212022202320242025202620272028
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
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
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 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 No outcome recorded
Phase 2 NCT04633447 Dec 2020 → May 2024 temporal arteritis Janssen Research & Development, LLC Terminated No outcome recorded
Phase 2 NCT04376827 Sep 2020 → Feb 2023 lupus nephritis Janssen Research & Development, LLC Terminated No outcome recorded
Phase 2 NCT03975153 Oct 2019 → Aug 2022 pityriasis rubra pilaris Oregon Health and Science University Completed No outcome recorded
Phase 2/33 trials
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 No outcome recorded
Phase 2/3 NCT03466411 Apr 2018 → Oct 2023 overdue Crohn disease Janssen Research & Development, LLC Active not recruiting No outcome recorded
Phase 330 trials
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 No outcome recorded
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 No outcome recorded
Phase 3 NCT05528510 Sep 2022 → Apr 2024 overdue ulcerative colitis Janssen Research & Development, LLC Active not recruiting No outcome recorded
Phase 3 NCT05083182 Aug 2022 → Jan 2026 overdue arthritic joint disease Janssen Research & Development, LLC Active not recruiting No outcome recorded
Phase 417 trials
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 NCT07654751 Jun 2026 → Aug 2027 expected Crohn disease, psoriasis, psoriatic arthritis, ulcerative colitis Janssen Research & Development, LLC Not yet 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
Also used as a comparator or background therapy in 9 trials
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 35 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
Phase 42 trials
Phase 4 NCT06916390 Comparator Apr 2026 → May 2028 expected pouchitis Universitaire Ziekenhuizen KU Leuven Recruiting No outcome recorded
Phase 4 NCT04533737 Comparator Dec 2020 → Sep 2022 psoriasis LEO Pharma Terminated No outcome recorded
Phase not applicable1 trial
NCT07532486 Comparator Jul 2024 → Jul 2027 expected psoriasis Second Affiliated Hospital, School of Medicine, Zhejiang University Recruiting No outcome recorded
Phase not stated1 trial
NCT04948398 Background classic or attenuated familial adenomatous polyposis Janssen Research & Development, LLC No longer available No outcome recorded

Press releases naming this drug 1 release

DateIssuerRelease
2018-05-15 Novartis Pharmaceuticals Novartis ARROW trial to assess mechanistic superiority of direct IL-17A inhibition (Cosentyx®) over IL-23 inhibition (Tremfya®*) novartis.com

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

NCT06651489

NCT04617691

NCT05242484

NCT07577856

NCT07577843

NCT05535738

NCT05083078

NCT05004727

NCT04397263

NCT03975153

NCT04683029

NCT05125679

NCT02397382

NCT04936308

NCT04340076

NCT05347095

NCT06663332

NCT05197049

NCT05071664

NCT03818035

NCT05923073

NCT06039189

NCT02319759

NCT03158285

NCT04948398

NCT04394936

NCT03649971

NCT04084665

NCT03796858

NCT02203032

NCT04061395

NCT05503875

NCT02951533

NCT06408935

NCT04914429

NCT04633447

NCT07352566

NCT02570373

NCT03573323

NCT03451851

NCT06260163

NCT04033445

NCT03998683

NCT07138898

NCT04030533

NCT07532486

NCT04929210

NCT04147338

NCT07616687

NCT03466411

NCT05083182

NCT03628924

NCT07654751

NCT04704843

NCT04736966

NCT05669833

NCT06586281

NCT05272150

NCT03662542

NCT06563323

NCT05858632

NCT01866007

NCT05528510

NCT07141004

NCT02641730

NCT03090100

NCT04533737

NCT04882098

NCT06974474

NCT04376827

NCT05784129

NCT05242471

NCT07310095

NCT02207244

NCT02207231

NCT03536325

NCT06916390

NCT02905331

NCT06398106

NCT04645355

NCT03162796

NCT02343744

NCT07499232

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

NCT01483599

NCT01845987

NCT00925574

NCT02325219

NCT01484587

NCT01645280

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