Filgotinib Versus Placebo in Adults With Active Rheumatoid Arthritis (RA) Who Have an Inadequate Response to Biologic Disease-modifying Anti-rheumatic Drug(s) (DMARDs) Treatment

NCT ID: NCT02873936

Last Updated: 2021-05-13

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

449 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-07-27

Study Completion Date

2018-06-26

Brief Summary

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The primary objective of this study is to evaluate the effects of filgotinib versus placebo for the treatment of signs and symptoms of rheumatoid arthritis (RA) as measured by the percentage of participants achieving an American College of Rheumatology 20% improvement response (ACR20) at Week 12.

Detailed Description

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Conditions

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Rheumatoid Arthritis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Filgotinib 200 mg

Filgotinib 200 mg + placebo to match filgotinib 100 mg + stable dose of permitted csDMARD(s)

Group Type EXPERIMENTAL

Filgotinib

Intervention Type DRUG

Tablet(s) administered orally once daily

Placebo to match filgotinib

Intervention Type DRUG

Tablet(s) administered orally once daily

csDMARDs

Intervention Type DRUG

csDMARDs may include one or two of the following: methotrexate (MTX), hydroxychloroquine or chloroquine, sulfasalazine, and/or leflunomide (combination of leflunomide and MTX is not allowed)

Filgotinib 100 mg

Filgotinib 100 mg + placebo to match filgotinib 200 mg + stable dose of permitted csDMARD(s)

Group Type EXPERIMENTAL

Filgotinib

Intervention Type DRUG

Tablet(s) administered orally once daily

Placebo to match filgotinib

Intervention Type DRUG

Tablet(s) administered orally once daily

csDMARDs

Intervention Type DRUG

csDMARDs may include one or two of the following: methotrexate (MTX), hydroxychloroquine or chloroquine, sulfasalazine, and/or leflunomide (combination of leflunomide and MTX is not allowed)

Placebo

Placebo to match filgotinib 200 mg + placebo to match filgotinib 100 mg + stable dose of permitted csDMARD(s)

Group Type PLACEBO_COMPARATOR

Placebo to match filgotinib

Intervention Type DRUG

Tablet(s) administered orally once daily

csDMARDs

Intervention Type DRUG

csDMARDs may include one or two of the following: methotrexate (MTX), hydroxychloroquine or chloroquine, sulfasalazine, and/or leflunomide (combination of leflunomide and MTX is not allowed)

Interventions

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Filgotinib

Tablet(s) administered orally once daily

Intervention Type DRUG

Placebo to match filgotinib

Tablet(s) administered orally once daily

Intervention Type DRUG

csDMARDs

csDMARDs may include one or two of the following: methotrexate (MTX), hydroxychloroquine or chloroquine, sulfasalazine, and/or leflunomide (combination of leflunomide and MTX is not allowed)

Intervention Type DRUG

Other Intervention Names

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GS-6034

Eligibility Criteria

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Inclusion Criteria

* Have a diagnosis of RA (2010 American College of Rheumatology \[ACR\]/European League Against Rheumatism \[EULAR\] criteria for RA), and are ACR functional class I-III.
* Have ≥ 6 swollen joints (from a swollen joint count based on 66 joints \[SJC66\]) and ≥6 tender joints (from a tender joint count based on 68 joints \[TJC68\]) at screening and Day 1
* Ongoing treatment with a stable prescription of 1 or 2 csDMARDs
* Have received at least one biologic disease modifying antirheumatic drug (bDMARD) for the treatment of RA to which they have had an inadequate response or intolerance

Exclusion Criteria

* Previous treatment with any janus kinase (JAK) inhibitor
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Galapagos NV

INDUSTRY

Sponsor Role collaborator

Gilead Sciences

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Gilead Study Director

Role: STUDY_DIRECTOR

Gilead Sciences

Locations

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Huntsville, Alabama, United States

Site Status

Gilbert, Arizona, United States

Site Status

Covina, California, United States

Site Status

Hemet, California, United States

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La Jolla, California, United States

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Palm Desert, California, United States

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Palo Alto, California, United States

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Riverside, California, United States

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Upland, California, United States

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Victorville, California, United States

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Whittier, California, United States

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Aventura, Florida, United States

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DeBary, Florida, United States

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Jacksonville, Florida, United States

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Miami, Florida, United States

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Orlando, Florida, United States

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Plantation, Florida, United States

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Port Richey, Florida, United States

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Decatur, Georgia, United States

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Kansas City, Kansas, United States

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Wichita, Kansas, United States

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Elizabethtown, Kentucky, United States

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Lexington, Kentucky, United States

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Cumberland, Maryland, United States

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Frederick, Maryland, United States

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Worcester, Massachusetts, United States

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Detroit, Michigan, United States

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Saint Clair Shores, Michigan, United States

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Hattiesburg, Mississippi, United States

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Tupelo, Mississippi, United States

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St Louis, Missouri, United States

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Lincoln, Nebraska, United States

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Lebanon, New Hampshire, United States

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Freehold, New Jersey, United States

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Toms River, New Jersey, United States

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Brooklyn, New York, United States

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Charlotte, North Carolina, United States

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Greenville, North Carolina, United States

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Salisbury, North Carolina, United States

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Middleburg Heights, Ohio, United States

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Oklahoma City, Oklahoma, United States

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Tulsa, Oklahoma, United States

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Philadelphia, Pennsylvania, United States

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Wyomissing, Pennsylvania, United States

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Charleston, South Carolina, United States

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Columbia, South Carolina, United States

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Myrtle Beach, South Carolina, United States

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Orangeburg, South Carolina, United States

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Memphis, Tennessee, United States

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Beaumont, Texas, United States

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Corpus Christi, Texas, United States

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Mesquite, Texas, United States

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Plano, Texas, United States

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San Antonio, Texas, United States

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Webster, Texas, United States

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Buenos Aires, , Argentina

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Caba, , Argentina

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San Juan, , Argentina

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Victoria Park, Western Australia, Australia

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Ghent, , Belgium

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Leuven, , Belgium

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Merksem, , Belgium

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Montpellier, , France

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Berlin, , Germany

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Hamburg, , Germany

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Ratingen, , Germany

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Budapest, , Hungary

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Gyula, , Hungary

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Székesfehérvár, , Hungary

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Haifa, , Israel

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Ramat Gan, , Israel

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Hiroshima, , Japan

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Izumo, , Japan

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Katō, , Japan

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Kawagoe, , Japan

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Kumamoto, , Japan

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Narashino, , Japan

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Okayama, , Japan

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Sagamihara, , Japan

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Sapporo, , Japan

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Shinjuku-Ku, , Japan

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Takaoka, , Japan

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Takasaki, , Japan

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Tokorozawa, , Japan

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Tokyo, , Japan

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Tomigusuku, , Japan

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Chihuahua City, , Mexico

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Distrito Federal, , Mexico

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Mérida, , Mexico

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Bialystok, , Poland

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Poznan, , Poland

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Warsaw, , Poland

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Wroclaw, , Poland

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Seoul, , South Korea

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Madrid, , Spain

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Málaga, , Spain

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Sabadell, , Spain

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Valencia, , Spain

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Sankt Gallen, , Switzerland

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Doncaster, , United Kingdom

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Edinburgh, , United Kingdom

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Goodmayes, , United Kingdom

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Harlow, , United Kingdom

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Newcastle upon Tyne, , United Kingdom

Site Status

Countries

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United States Argentina Australia Belgium France Germany Hungary Israel Japan Mexico Poland South Korea Spain Switzerland United Kingdom

References

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Genovese MC, Kalunian KC, Walker D, Gottenberg JE, De Vlam K, Mozaffarian N, et al. Safety and Efficacy of Filgotinib in a Phase 3 Trial of Patients with Active Rheumatoid Arthritis and Inadequate Response or Intolerance to Biologic Dmards [Abstract No. L06]. ACR/ARHP Annual Meeting; 2018 19-24 October; Chicago, IL, USA.

Reference Type RESULT

Genovese MC, Kalunian K, Gottenberg JE, Mozaffarian N, Bartok B, Matzkies F, Gao J, Guo Y, Tasset C, Sundy JS, de Vlam K, Walker D, Takeuchi T. Effect of Filgotinib vs Placebo on Clinical Response in Patients With Moderate to Severe Rheumatoid Arthritis Refractory to Disease-Modifying Antirheumatic Drug Therapy: The FINCH 2 Randomized Clinical Trial. JAMA. 2019 Jul 23;322(4):315-325. doi: 10.1001/jama.2019.9055.

Reference Type RESULT
PMID: 31334793 (View on PubMed)

Taylor PC, Downie B, Han L, Hawtin R, Hertz A, Moots RJ, Takeuchi T. Patients with High Baseline Neutrophil-to-Lymphocyte Ratio Exhibit Better Response to Filgotinib as Treatment for Rheumatoid Arthritis. Rheumatol Ther. 2024 Oct;11(5):1383-1392. doi: 10.1007/s40744-024-00695-w. Epub 2024 Jul 10.

Reference Type DERIVED
PMID: 38985247 (View on PubMed)

Curtis JR, Emery P, Downie B, Zhong Y, Liu J, Han L, Hawtin RE, Burmester GR. Filgotinib Demonstrates Efficacy in Rheumatoid Arthritis Independent of Smoking Status: Post Hoc Analysis of Phase 3 Trials and Claims-Based Analysis. Rheumatol Ther. 2024 Feb;11(1):177-189. doi: 10.1007/s40744-023-00619-0. Epub 2023 Dec 6.

Reference Type DERIVED
PMID: 38057656 (View on PubMed)

Balsa A, Wassenberg S, Tanaka Y, Tournadre A, Orzechowski HD, Rajendran V, Lendl U, Stiers PJ, Watson C, Caporali R, Galloway J, Verschueren P. Effect of Filgotinib on Body Mass Index (BMI) and Effect of Baseline BMI on the Efficacy and Safety of Filgotinib in Rheumatoid Arthritis. Rheumatol Ther. 2023 Dec;10(6):1555-1574. doi: 10.1007/s40744-023-00599-1. Epub 2023 Sep 25.

Reference Type DERIVED
PMID: 37747626 (View on PubMed)

Combe B, Besuyen R, Gomez-Centeno A, Matsubara T, Sancho Jimenez JJ, Yin Z, Buch MH. Geographic Analysis of the Safety and Efficacy of Filgotinib in Rheumatoid Arthritis. Rheumatol Ther. 2023 Feb;10(1):35-51. doi: 10.1007/s40744-022-00494-1. Epub 2022 Oct 7.

Reference Type DERIVED
PMID: 36205910 (View on PubMed)

Bingham CO 3rd, Walker D, Nash P, Lee SJ, Ye L, Hu H, Khalid JM, Combe B. The impact of filgotinib on patient-reported outcomes and health-related quality of life for patients with active rheumatoid arthritis: a post hoc analysis of Phase 3 studies. Arthritis Res Ther. 2022 Jan 3;24(1):11. doi: 10.1186/s13075-021-02677-7.

Reference Type DERIVED
PMID: 34980223 (View on PubMed)

Takeuchi T, Matsubara T, Atsumi T, Amano K, Ishiguro N, Sugiyama E, Yamaoka K, Genovese MC, Kalunian K, Walker D, Gottenberg JE, de Vlam K, Bartok B, Pechonkina A, Kondo A, Gao J, Guo Y, Tasset C, Sundy JS, Tanaka Y. Efficacy and safety of filgotinib in Japanese patients with refractory rheumatoid arthritis: Subgroup analyses of a global phase 3 study (FINCH 2). Mod Rheumatol. 2022 Jan 5;32(1):59-67. doi: 10.1080/14397595.2020.1859675.

Reference Type DERIVED
PMID: 33274687 (View on PubMed)

Provided Documents

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Document Type: Study Protocol: Amendment 1

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2016-000569-21

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

GS-US-417-0302

Identifier Type: -

Identifier Source: org_study_id

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