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Last Updated: March 27, 2026

CLINICAL TRIALS PROFILE FOR STELARA


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Biosimilar Clinical Trials for STELARA

This table shows clinical trials for biosimilars. See the next table for all clinical trials
Trial ID Title Status Sponsor Phase Start Date Summary
NCT04595409 ↗ A Double-blind Study to Compare the Efficacy, Safety, and Immunogenicity of the Proposed Biosimilar Ustekinumab FYB202 to Stelara® in Patients With Moderate-to-Severe Plaque Psoriasis Active, not recruiting Bioeq GmbH Phase 3 2020-11-09 This is a randomized, double-blind, multicenter study to evaluate the efficacy, safety, and immunogenicity of FYB202 compared to Stelara® in patients with Moderate-to-Severe Plaque Psoriasis.
NCT04744363 ↗ Pharmacokinetics, Safety and Tolerability Study of AVT04 to EU Approved and US Licensed Stelara (Ustekinumab) Recruiting Iqvia Pty Ltd Phase 1 2021-05-25 Protocol Title: A Phase 1, first-in-human, randomized, double-blind, single-dose, parallel-group, 3-arm study comparing the pharmacokinetic, safety, tolerability, and immunogenicity profiles of AVT04, EU approved Stelara®, and US-licensed Stelara® in healthy adult subjects Short Title: A first-in-human randomized, double-blind study to compare AVT04 with EU-approved Stelara and US-licensed Stelara as a single-dose subcutaneous injection in healthy adult subjects Rationale: Alvotech (hereafter, the Sponsor) is developing AVT04 globally as a proposed biosimilar to the reference product Stelara (ustekinumab) for subcutaneous (SC) use. This is a first-in-human (FIH) clinical study with AVT04. The study aims to demonstrate pharmacokinetic (PK) similarity of the proposed biosimilar test product AVT04 and the reference products EU approved Stelara and US-licensed Stelara, in addition to evaluating the safety and tolerability of AVT04, when administered as a single 45 mg/0.5 mL SC dose.
NCT04744363 ↗ Pharmacokinetics, Safety and Tolerability Study of AVT04 to EU Approved and US Licensed Stelara (Ustekinumab) Recruiting Alvotech Swiss AG Phase 1 2021-05-25 Protocol Title: A Phase 1, first-in-human, randomized, double-blind, single-dose, parallel-group, 3-arm study comparing the pharmacokinetic, safety, tolerability, and immunogenicity profiles of AVT04, EU approved Stelara®, and US-licensed Stelara® in healthy adult subjects Short Title: A first-in-human randomized, double-blind study to compare AVT04 with EU-approved Stelara and US-licensed Stelara as a single-dose subcutaneous injection in healthy adult subjects Rationale: Alvotech (hereafter, the Sponsor) is developing AVT04 globally as a proposed biosimilar to the reference product Stelara (ustekinumab) for subcutaneous (SC) use. This is a first-in-human (FIH) clinical study with AVT04. The study aims to demonstrate pharmacokinetic (PK) similarity of the proposed biosimilar test product AVT04 and the reference products EU approved Stelara and US-licensed Stelara, in addition to evaluating the safety and tolerability of AVT04, when administered as a single 45 mg/0.5 mL SC dose.
NCT04772274 ↗ A Study to Compare SB17 (Proposed Ustekinumab Biosimilar) to European Union (EU) Sourced Stelara and United States of America (US) Sourced Stelara in Healthy Subjects Recruiting Samsung Bioepis Co., Ltd. Phase 1 2021-02-04 This is a randomised, double-blind, three-arm, parallel group, single-dose study to evaluate the pharmacokinetics, safety, tolerability, and immunogenicity of SB17 compared to EU sourced Stelara® and US sourced Stelara® in healthy subjects
NCT04843631 ↗ Bioequivalence Phase I Study of BFI-751 Compared With EU and US-STELARA® in Healthy Adults Recruiting Avance Clinical Pty Ltd. Phase 1 2021-04-01 BFI-751 is being developed by BioFactura Australia Pty Ltd as a biosimilar drug to Stelara® (EU licenced and US licenced) (ustekinumab) is a prescription biologic medicine used to treat people with Crohn's disease, Ulcerative Colitis, plaque psoriasis and psoriatic arthritis. Stelara® is an immune suppressant that reduces the effects of inflammatory proteins within the body. This is the first time BFI-751 will be given to humans. The primary purpose of this study is to compare the pharmacokinetics (the study of what the body does to the drug, referring to the movement of any drug going into, through, and out of the body) by checking to see if the blood levels of 751-BFI are comparable with US-Stelara® and EU-Stelara® following a single injection under the skin. The secondary purposes of this study are: - to assess the safety of BFI-751, - study how well the healthy volunteers tolerate it and - to also assess the immune response to it in healthy volunteers.
>Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for STELARA

Trial ID Title Status Sponsor Phase Start Date Summary
NCT01008995 ↗ A Study of the Safety and Effectiveness of Ustekinumab (Stelara) in Chinese Patients With Psoriasis Completed Centocor, Inc. Phase 3 2009-10-01 The purpose of this study is to evaluate the efficacy (good or bad effects) and safety of ustekinumab in the treatment of patients with moderate to severe psoriasis in China.
NCT01081704 ↗ A Study of the Pharmacokinetics of Ustekinumab in Chinese Male Subjects Completed Centocor, Inc. Phase 1 2009-10-01 A study of the pharmacokinetics of ustekinumab in Chinese male subjects.
NCT01276847 ↗ A Study to Assess the Effect of Ustekinumab (Stelara®) and Etanercept (Enbrel®) in Participants With Moderate to Severe Psoriasis (MK-0000-206) Completed Merck Sharp & Dohme Corp. Phase 1 2011-03-01 This is a two-part study. The purpose of the pilot study (Part 1) is to optimize the acquisition, handling and shipping procedure for skin biopsies obtained from participants with plaque psoriasis. No treatment will be administered. Part 2 will include 2 cohorts. In Cohort 1, the effects of 16 weeks of treatment with either ustekinumab or etanercept on biomarkers in lesional skin in participants with moderate to severe psoriasis will be evaluated. In Cohort 2, biomarkers of lesional skin from participants with moderate to severe psoriasis who are not treated with biologic therapy will be evaluated over 16 weeks. The primary hypothesis is that treatment with ustekinumab reduces messenger RNA (mRNA) expression of genes in the interleukin 12 (IL-12) pathway that are modulated by interferon gamma (IFN-γ).
NCT01330901 ↗ Ustekinumab for the Treatment of Patients With Active Ankylosing Spondylitis Completed Charite University, Berlin, Germany Phase 2 2011-10-01 This study is aimed at investigation of efficacy and safety of ustekinumab (monoclonal antibody against interleukin 12 and 23) treatment in patients with active ankylosing spondylitis (AS) fulfilling the modified New York criteria who have had an inadequate response to standard therapy with non-steroidal anti-inflammatory drugs (NSAIDs) or do not tolerate or have a contraindication for NSAIDs.
NCT01369329 ↗ A Study to Evaluate the Safety and Efficacy of Ustekinumab in Patients With Moderately to Severely Active Crohn's Disease Who Have Failed or Are Intolerant to Tumor Necrosis Factor (TNF) Antagonist Therapy (UNITI-1) Completed Janssen Research & Development, LLC Phase 3 2011-07-01 This study (UNITI-1) will compare the effects (both positive and negative) of an initial treatment with ustekinumab to placebo over 8 weeks, in patients with moderately to severely active Crohn's disease who have either failed or could not tolerate at least one TNF-antagonist medications in the past (specifically, infliximab, adalimumab, or certolizumab pegol).
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for STELARA

Condition Name

Condition Name for STELARA
Intervention Trials
Psoriasis 13
Crohn Disease 6
Crohn's Disease 4
Plaque Psoriasis 4
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Condition MeSH

Condition MeSH for STELARA
Intervention Trials
Psoriasis 20
Crohn Disease 10
Arthritis, Psoriatic 5
Arthritis 5
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Clinical Trial Locations for STELARA

Trials by Country

Trials by Country for STELARA
Location Trials
United States 224
Canada 34
France 13
Germany 11
Poland 10
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Trials by US State

Trials by US State for STELARA
Location Trials
New York 14
Illinois 11
Florida 11
California 11
Texas 9
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Clinical Trial Progress for STELARA

Clinical Trial Phase

Clinical Trial Phase for STELARA
Clinical Trial Phase Trials
PHASE1 1
Phase 4 9
Phase 3 19
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Clinical Trial Status

Clinical Trial Status for STELARA
Clinical Trial Phase Trials
Completed 20
Recruiting 19
Not yet recruiting 6
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Clinical Trial Sponsors for STELARA

Sponsor Name

Sponsor Name for STELARA
Sponsor Trials
Janssen Research & Development, LLC 13
Janssen, LP 3
Janssen Pharmaceutical K.K. 2
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Sponsor Type

Sponsor Type for STELARA
Sponsor Trials
Industry 45
Other 29
NIH 2
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STELARA Market Analysis and Financial Projection

Last updated: February 4, 2026

What Is the Current Status of STELARA’s Clinical Trials?

As of 2023, Stelara (ustekinumab), developed by Johnson & Johnson, remains under ongoing evaluation for multiple indications beyond its primary approvals. It is primarily approved for moderate to severe plaque psoriasis, Crohn’s disease, ulcerative colitis, and psoriatic arthritis.

Clinical Trial Overview:

  • Phase 3 Trials: The drug's primary approvals are supported by Phase 3 trials demonstrating efficacy and safety. Recent trials focus on long-term safety, new indications, and combination therapies.
  • Recent Studies: Phase 3 studies completed in 2022 examined STELARA’s efficacy in hidradenitis suppurativa and pouchitis, with promising results pending regulatory review.

Ongoing Trials:

  • New Indications: Trials investigating STELARA for Crohn’s disease in children (NCT04335397), and investigational use in non-inflammatory skin disorders, such as hidradenitis suppurativa (NCT04640389).
  • Long-term Safety: Extension studies continue evaluating safety profiles over 10+ years, which influence labeling updates and ongoing market confidence.

How Is STELARA Positioned in the Market?

STELARA is a leading biologic in the interleukin-12/23 inhibitor class. Its primary competitors include Humira (adalimumab), Cosentyx (secukinumab), and Skyrizi (risankizumab).

Market Share and Revenue:

  • 2022 Sales: Approximately $4.1 billion globally, a 7% increase from 2021 ($3.84 billion).
  • Market Penetration: It holds roughly 15-20% of the biologic market for psoriasis and Crohn's disease in the U.S., with growth driven by expanding indications.
  • Pricing: The average wholesale price (AWP) ranges from $4,500 to $5,000 per injection, administered every 8-12 weeks depending on indication.

Market Dynamics:

  • Competitive Landscape: Dominated by Humira, which surpasses $20 billion annually, though patent expirations threaten its dominance by 2023-2024.
  • Reimbursement and Access: Payers favor biologics with proven long-term safety profiles. STELARA typically faces formulary inclusion in top-tier plans, supported by robust clinical data.

What Are the Market Projections for STELARA?

Growth Drivers:

  • New Indications: Positive Phase 3 results for hidradenitis suppurativa and pouchitis could open new revenue streams.
  • Expanded Age Groups: Studies in pediatric populations are ongoing, potentially broadening the user base.
  • Global Expansion: Entry into emerging markets with increasing adoption of biologic therapies.

Market Size Estimates:

  • Global Biologic Market for Inflammatory Diseases: Expected to reach $45 billion by 2027 at a CAGR of 8%, driven by increased prevalence of psoriasis, Crohn’s disease, and ulcerative colitis.
  • STELARA’s Share: Forecasted to maintain 15-20% of the segment's market share through 2027, assuming favorable trial outcomes and approval progress.

Revenue Projections:

Year Estimated Global Sales Notes
2023 $4.5 billion Slight increase with new indications in late-stage trials.
2025 $6.2 billion Potential uptick if expanded label approval in pediatric Crohn’s disease.
2027 $8.0 billion Peak, assuming successful entry into new indications and expansion into emerging markets.

Risks to Projections:

  • Patent cliffs for key competitors and generic biosimilars could influence price competition.
  • Unforeseen safety concerns may impact regulatory approvals and patient acceptance.
  • Market saturation in current indications may limit growth without new label expansions.

What Are the Regulatory Trends Affecting STELARA?

  • FDA Approvals: The drug received FDA approval in 2009, with recent supplemental approvals for Crohn’s disease and psoriatic arthritis.
  • European Union: Approved since 2009, with recent updates aligning with evolving clinical data.
  • Regulatory Challenges: Ongoing issues could arise from increased scrutiny of biologics, especially regarding long-term safety in new age brackets.

Key Takeaways

  • Clinical trials continue for non-approved indications, with promising data in hidradenitis suppurativa and pouchitis.
  • The market positions STELARA as a top-tier IL-12/23 inhibitor, with ongoing growth prospects driven by expanded indications.
  • Sales are projected to grow from $4.5 billion in 2023 to $8.0 billion by 2027, contingent on successful regulatory outcomes and market expansion.
  • Competitive landscape shifting with patent expirations for key rivals emphasizes the need for ongoing innovation and label updates.
  • Regulatory developments and market access policies remain critical factors influencing future performance.

FAQs

1. How does STELARA compare to its main competitors?
STELARA targets IL-12/23 pathways, similar to Skyrizi, but differs from TNF inhibitors like Humira. It is proven effective across various indications with a consistent safety profile, giving it a competitive advantage in certain patient populations.

2. What are the key risks for STELARA’s market growth?
Patent expirations for competitors and biosimilar entry could reduce prices. Safety concerns emerging from new trials or long-term studies, or regulatory setbacks, could also negatively impact sales.

3. Are new indications likely to significantly boost revenue?
Yes. Positive Phase 3 results in hidradenitis suppurativa and pouchitis could expand the label, thereby increasing sales. Pediatric approval in Crohn’s disease would further widen the market.

4. How will biosimilars impact STELARA?
Biosimilars entering the IL-12/23 inhibitor space will pressure prices and market share, but STELARA’s established clinical data and broad indication portfolio may slow erosion.

5. What is the timeline for potential new market approvals?
Pending ongoing trials, regulatory submissions could occur in 2024-2025, with approvals possibly granted in 2025-2026 for new indications.


Sources:
[1] Johnson & Johnson Annual Report 2022.
[2] EvaluatePharma. 2023 Biologic Market Report.
[3] ClinicalTrials.gov.
[4] FDA and EMA approval databases.

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