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Last Updated: 11/04/2026
| Study Description and Select Baseline Characteristics | Results |
|---|---|
| Observational Study | |
| Iborra et al (2024)1 evaluated the efficacy and safety of STELARA in Spanish patients with refractory UC through an observational, multicenter, open-label, cohort study. Patients who received ≥1 IV infusion (6 mg/kg) were included. Of the 108 patients included in the study, 2 received only the first IV dose. The median (IQR) age at baseline was 44.2 (36.4-56.6) years, and the median (IQR) disease duration was 10.1 (6.01-14.9) years. At baseline, the median (IQR) PMS score was 5.00 (3.00-7.00). The median (IQR) FCP and CRP levels were 1260 (461-2560) µg/g and 4.25 (1.03-11.4) mg/L, respectively. | Efficacy |
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| Safety | |
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| Retrospective Studies | |
| Burbage et al (2025)2 A total of 185 patients with UC receiving STELARA were included. The mean age (SD) was 39.7 (12.9) years and the median disease duration was 2.3 (IQR 0.5-4.9) years. A total of 84.6% (n=121) had been treated with STELARA for at least 3 months. The median treatment duration was 8.9 months. STELARA was primarily used as monotherapy (81.6%, n=151). | Efficacy |
| •At the time of assessment, 53.0% (n=98) of patients were in remission according to the Mayo score, while 61.9% (n=109) were considered to be in clinical remission by physician assessment. •Among patients with available biochemical data, 55.0% (n=83) achieved biochemical remission. The median duration of physician-reported remission was 206.5 days (IQR 86.0-554.5 days). •Overall, of the 185 patients receiving STELARA, 53% (n=98) of patients were in remission, defined by a Mayo score <2 with no single item >1. •Physician reported remission, defined as reduction/absence of symptoms as determined by the physician, was reported in 61.9% (109/176) of patients. •Biochemical remission, defined as the absence of inflammation as indicated by laboratory tests on blood or stool samples, was reported in 55% (83/151) of patients. •Mayo score components also reflected symptomatic improvement, with 72.4% (n=134) of patients reporting no rectal bleeding and 47.0% (n=87) reporting a normal stool frequency at assessment. | |
| Holvoet et al (2025)3 The primary endpoint was steroid-free remission at week 16 (defined as a PMS of ≤2 with a RBS of 0, no subscore of >1, and absence of corticosteroid therapy). The secondary endpoints included clinical, endoscopic, histologic, and biochemical remission at weeks 8, 16, 52, and /or end of treatment. Clinical response was defined as a reduction in the partial Mayo score of ≥3 points and ≥30% from baseline, accompanied by either a decrease in the RBS of ≥1 point or an absolute rectal bleeding subscore of ≤1. Endoscopic remission was defined as an endoscopic Mayo score of 0, and endoscopic response was defined as an endoscopic Mayo score of ≤1. Biochemical remission was defined as a CRP level <5 mg/L or fecal calprotectin level <250 mg/kg, while biochemical response was defined as a ≥50% reduction in CRP or FCP from baseline. Histological response was defined as a Nancy score ≤1, and histological remission was defined as a Nancy score of 0. The median age (IQR) of 44.5 (19-89) years and median (IQR) disease duration of 11 (1-74) years. | Efficacy |
| •Steroid-free clinical remission was achieved in 34.2% (41/120) of patients at week 16 and 44.7% (38/85) at week 52. Clinical response rates were 72.5% (87/120) and 87.5% (49/85) at weeks 16 and 52, respectively. •Endoscopic response was achieved in 42.5% (51/120) and 50% (26/52) at week 16 and 52, respectively. Endoscopic remission was observed in 19.2% (23/120) and 25.0% (13/52) of patients, while histological remission was achieved in 8.1% (3/37) and 11.1% (5/45) at weeks 16 and 52, respectively. Histological response was achieved in 10.8% (4/37) and 26.7% (12/45) at weeks 16 and 52, respectively •Treatment discontinuation occurred primarily due to primary non-response (15%) or secondary loss of response (8%). | |
| Safety | |
| •Serious infections requiring hospitalization occurred in 4.2% (n=5), Clostridium difficile infection in 0.8% (n=1), herpes zoster in 0.8% (n=1), peri-anal abscess in 0.8% (n=1), candidiasis in 0.8% (n=1), COVID-19 infection in 0.8% (n=1), UC-related hospitalizations in 9.2% (n=11), arthralgia in 5.0% (n=6), urticaria in 0.8% (n=1), and local reaction to injection in 0.8% (n=1) of patients. •Malignancy occurred in two patients during follow-up (one cholangiocarcinoma [0.8%], one basal cell carcinoma [0.8%]) - neither required discontinuation of STELARA. •Toxic/allergic adverse events were reported in 4 patients (3.3%), with elevated liver enzymes the most frequent (2 patients, 1.6%). None of these events required cessation of STELARA treatment. •AEs led to discontinuation in 1.7% of patients. | |
| Yarur et al (2025)4 The primary outcome was the cumulative rate of steroid-free clinical and biochemical remission (PMS <2 while off steroids, with a normal CRP [<0.5 mg/dL to <1 mg/dL] and/or FCP [<150 ug/g]). Secondary outcomes were endoscopic remission (MES=0) and clinical remission (PMS <2 independent of biomarkers or steroid use). |
Colectomy was performed in 4.9% (n=12) of patients at the end of follow-up.
No SAEs or thrombotic or cardiovascular events were reported. |
| Ando et al (2024)5 Patients who received STELARA for induction of remission were included. Among the 125 patients included, the mean duration of disease was 75 months. | Efficacy |
| •Clinical response rates (clinical remission plus clinical improvement) in the overall population at weeks 8, 16, 32, and 56 were 72.8% (91/125), 71.1% (86/121), 71.7% (71/99), and 73.2% (60/82), respectively. •Clinical remission rates (partial Mayo score of ≤2 with a stool score of 0 or 1 and a rectal bleeding score of 0) in the overall population at weeks 8, 16, 32, and 56 were 56% (70/125), 53.7% (65/121), 60.6% (60/99), and 63.4% (52/82), respectively. | |
| Safety | |
| •AEs were reported in 6.4% (n=8) of patients. AEs included 1 case each of pulmonary embolism, arthritis, paranasal sinusitis and COVID-19, fatigue and headache, herpes zoster, infectious colitis, CMV colitis, and pneumocystis pneumonia. | |
| Chaparro et al (2024)6 Patient included were those had active disease (PMS >2) and received the first dose of STELARA ≥16 weeks prior. Overall, 620 patients were included in the study. | Efficacy |
| •Steroid-free remission was reported in 20% (N=561), 34% (N=561), and 40% (N=561) of patients at weeks 4, 8, and 16, respectively. •Steroid-free remission was reported in 50% (N=402), 49% (N=169), and 49% (N=78) of patients at 12, 24, and 36 months respectively | |
| Safety | |
| •AEs were reported in 28% (n=176) of patients (infections were the most common AE, [11%]). •The main reasons for discontinuation were primary nonresponse (39%) and loss of response (35%). | |
| Solitano et al (2024)7 Primary outcomes included clinical remission (partial Mayo score ≤2 points) and endoscopic remission (MES of 0). Secondary outcomes included clinical and endoscopic response, the composite of clinical and endoscopic response, loss of response. The mean (SD) disease duration was 10.9 (9.2) years. Overall, 198 patients were included in the study. | Efficacy |
| •At 3, 6, and 12 months, respectively, clinical remission was achieved in 41.3% (69/167), 38.1% (56/147), and 43.6% (58/133) of patients, and the clinical response rate was 47.3% (79/167), 42.2% (62/147), and 48.1% (64/133). •At 3, 6, and 12 months, respectively, endoscopic remission (MES=0) was observed in 8.0% (7/88), 18.7% (23/123), and 12.5% (11/88) of patients, and the endoscopic response (defined as any improvement in MES, or MES=0) rate was 23.9% (21/88), 42.3% (52/123), and 29.5% (26/88). •A combined clinical and endoscopic response was achieved in 50.8% of patients during final follow-up. Additionally, 73.7% of patients remained on STELARA therapy at the last follow-up. Loss of response occurred in 19.2% of patients. | |
| Safety | |
| •AEs were reported in 14.1% (n=28) of patients. Most patients (12.1%; 24/198) experienced only a single AE. •Mild to moderate AEs occurred in 8.1% (n=16) of patients, whereas severe AEs were reported in 6.1% (n=12) of patients. •The incidence of any infection while on the treatment was reported in 3.0% (6/198), infections requiring hospitalization occurred in 1.0% (2/198), Clostridium difficile infection in 3.0% (6/198), and UC-related hospitalization in 6.1% (12/198) of patients and other AEs in 7.6% (15/198). •The incidence of any infection was 3% (6/198) of patients. •Overall, 1.5% of patients discontinued STELARA because of side effects. | |
| Tursi et al (2024)8 Patients received a STELARA weight-based IV induction dose of ~6 mg/kg, followed by an SC maintenance dose of 90 mg q8w. The primary outcome was clinical remission (defined as a PMS of ≤1) at 8 and 24 weeks. Secondary outcomes included the following: •Clinical response (defined as a reduction of ≥2 points in the PMS) at 8 and 24 weeks •Steroid-free clinical remission (defined as a PMS of ≤1 plus absence of steroid treatment) at 8 and 24 weeks •Mucosal healing (defined as a Mayo endoscopic subscore of ≤1) at 24 weeks •Endoscopic response (defined as a change of ≥1 point in the MES at week 24 compared with week 0) at 24 weeks Overall, 256 patients who failed standard or biologic therapies or tofacitinib were included in the study. At baseline, the median (IQR) PMS, CRP level, and FCP level were 5.00 (4.00-6.00), 7 (3-19) mg/dL, and 663 (386-1425) μg/g, respectively. | Efficacy |
| •At 8 weeks, clinical remission, clinical response, and steroid-free clinical remission were achieved in 18.7% (44/235), 53.2% (125/235), and 18.3% (43/235) of patients, respectively. •At 24 weeks, clinical remission, clinical response, and steroid-free clinical remission were achieved in 27.6% (42/152), 61.8% (94/152), and 26.3% (40/152) of patients, respectively. •At 8 weeks, a statistically significant reduction from baseline was observed in CRP and FCP levels (P<0.0001 for both). •At 24 weeks, mucosal healing and endoscopic response were achieved in 52% (26/50) and 69.38% (34/49) of patients, respectively. | |
| Safety | |
•Four patients underwent colectomy (1 at 12 weeks, 2 at 24 weeks, and 1 at 48 weeks). •One death due to severe COVID-19 pneumonia was reported in an 84-year-old patient with comorbid hypertension. •One patient had CMV infection at the 8-week follow-up and another patient at 24 weeks. During the same timeframe, 1 case of itching post-STELARA administration, 2 cases of COVID-19 infection, and 1 case of cystitis were reported. | |
| Ando et al (2022)9 Outcomes evaluated included clinical remission (PMS of ≤2), clinical improvement (change in the PMS of -3 points and decreasing to ≥-30%), and clinical response (remission+ improvement). Among the 132 patients included in the study, the mean age was 41.3±16.2 years, and the mean duration of disease was 69.8±87.3 months. |
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| Dalal et al (2021)10 Clinical response (reduction from baseline in the SCCAI score of ≥2 points) at 12-16 weeks after induction and corticosteroid-free response were among the secondary outcomes assessed. Among the 108 patients included in the study, the median (IQR) age was 39 (30-56) years, median (IQR) disease duration was 9 (4-16) years, and the median (IQR) duration of follow-up was 290 (189-607) days after induction. |
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| Registries | |
| Thunberg et al (2022)11 The outcomes assessed included:
Among the 133 patients included in the study, the median (IQR) age was 38 (28-48) years, and the median (IQR) duration of disease was 7 (3-12) years. | Efficacy |
Outcomes at week 16
Outcomes at the last follow-up
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| Safety | |
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| Chaparro et al (2021)12 A total of 95 patients were included in the study with a median (IQR) time of exposure to STELARA of 31 (18-59) weeks. Patients received an IV dose of STELARA (∼6 mg/kg) and then standard maintenance doses (q12w or q8w). Patients who discontinued STELARA due to lack of therapeutic effect, an AE, or worsening of UC prior to their last visit were considered as not having achieved the endpoint (remission or response) at subsequent timepoints and were considered failures. | Efficacy |
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| Safety | |
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| Fumery et al (2021)13 evaluated the efficacy and safety of STELARA maintenance therapy through a multicenter cohort study from GETAID. Patients received 6 mg/kg IV STELARA at week 0 and then 90 mg SC q8w-q12w (per investigator’s discretion). The primary outcome was steroid-free clinical remission at 12 months. Clinical remission was defined as a PMS (including stool frequency, rectal bleeding, and PGA subscores) of ≤2, with a combined stool frequency and rectal bleeding subscore of ≤1. The secondary outcomes included Mayo clinic endoscopic subscore and UCEIS over the study period, colectomy, and occurrence of any AE or SAEs. Among the 103 patients included in the study, the median (IQR) age was 39.3 (29.1-52.3) years, and the median (IQR) duration of disease was 7.6 (3.6-12.9) years. | Efficacy |
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A literature search of MEDLINE®
Summarized in this response are data focused on clinical efficacy and safety from observational and retrospective studies with >100 patients receiving STELARA and registries.
| 1 | Iborra M, Ferreiro-Iglesias R, Maria Dolores MA, et al. Real-world long-term effectiveness of ustekinumab in ulcerative colitis: results from a spanish open-label cohort. Scand J Gastroenterol. 2024;59(3):260-268. |
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