Safety, Tolerability, and Efficacy of GS-9876 in Participants With Active Rheumatoid Arthritis on Background Therapy With Methotrexate

NCT ID: NCT02885181

Last Updated: 2018-09-19

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

83 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-09-21

Study Completion Date

2017-09-20

Brief Summary

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The primary objective of this study is to evaluate the effect of GS-9876 versus placebo for the treatment of signs and symptoms of rheumatoid arthritis (RA) in participants with active RA as measured by change from baseline in Disease Activity Score for 28 joint count using C-reactive protein (CRP) (DAS28 (CRP)) 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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GS-9876 - 30 mg

GS-9876 30 mg + filgotinib placebo for 12 weeks

Group Type EXPERIMENTAL

GS-9876

Intervention Type DRUG

One tablet administered orally once daily

Filgotinib placebo

Intervention Type DRUG

Two tablets administered orally once daily

Methotrexate

Intervention Type DRUG

Background therapy with methotrexate administered orally or parenterally once weekly

GS-9876 - 10 mg

GS-9876 10 mg + filgotinib placebo for 12 weeks

Group Type EXPERIMENTAL

GS-9876

Intervention Type DRUG

One tablet administered orally once daily

Filgotinib placebo

Intervention Type DRUG

Two tablets administered orally once daily

Methotrexate

Intervention Type DRUG

Background therapy with methotrexate administered orally or parenterally once weekly

Filgotinib

Filgotinib + GS-9876 placebo for 12 weeks

Group Type EXPERIMENTAL

Filgotinib

Intervention Type DRUG

Two tablets administered orally once daily

GS-9876 placebo

Intervention Type DRUG

One tablet administered orally once daily

Methotrexate

Intervention Type DRUG

Background therapy with methotrexate administered orally or parenterally once weekly

Placebo

GS-9876 placebo + filgotinib placebo for 12 weeks

Group Type PLACEBO_COMPARATOR

GS-9876 placebo

Intervention Type DRUG

One tablet administered orally once daily

Filgotinib placebo

Intervention Type DRUG

Two tablets administered orally once daily

Methotrexate

Intervention Type DRUG

Background therapy with methotrexate administered orally or parenterally once weekly

Interventions

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GS-9876

One tablet administered orally once daily

Intervention Type DRUG

Filgotinib

Two tablets administered orally once daily

Intervention Type DRUG

GS-9876 placebo

One tablet administered orally once daily

Intervention Type DRUG

Filgotinib placebo

Two tablets administered orally once daily

Intervention Type DRUG

Methotrexate

Background therapy with methotrexate administered orally or parenterally once weekly

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Active RA disease as defined by: a tender joint count (TJC) of ≥ 6 (out of 68), a swollen joint count (SJC) of ≥ 6 (out of 66) at screening and Day 1
* Inadequate response to treatment with oral or parenteral methotrexate (MTX) 7.5 to 25 mg/week continuously for at least 12 weeks
* No evidence of active or latent tuberculosis

Exclusion Criteria

* Prior treatment with B-cell depleting agents (eg, rituximab), unless more than 6 months prior to the first dose of study drug and documented return of CD19+ cells at screening
* Prior treatment with any commercially available or investigational spleen tyrosine kinase (SYK) inhibitor
* Concurrent treatment with any other conventional synthetic DMARD (csDMARD) other than MTX and/or hydroxychloroquine (HCQ) (prior csDMARD treatment allowed if appropriate wash out as defined in the protocol)
* Concurrent treatment with any biological disease modifying anti-rheumatic drug (bDMARD)(prior bDMARD treatment allowed if appropriate wash out as defined in the protocol). Prior failure to treatment with bDMARDs is not an exclusion criterion.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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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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Omega Research Consultants

DeBary, Florida, United States

Site Status

Sarasota Arthritis Research Center

Sarasota, Florida, United States

Site Status

Medical Associates of North Georgia

Canton, Georgia, United States

Site Status

Center For Arthritis and Osteoporosis

Elizabethtown, Kentucky, United States

Site Status

Albuquerque Center For Rheumatology

Albuquerque, New Mexico, United States

Site Status

Altoona Center for Clinical Research

Duncansville, Pennsylvania, United States

Site Status

Accurate Clinical Management - Najam

Houston, Texas, United States

Site Status

Accurate Clinical Research Inc.

Stafford, Texas, United States

Site Status

Medical Center Research LLC

Webster, Texas, United States

Site Status

MHAT-Plovdiv AD

Plovdiv, , Bulgaria

Site Status

Umhat Kaspela

Plovdiv, , Bulgaria

Site Status

NMTH Tsar Boris III

Sofia, , Bulgaria

Site Status

A-Shine s.r.o.

Pilsen, , Czechia

Site Status

Medical Plus, S.R.O.

Uherské Hradiště, , Czechia

Site Status

LLC Arensia Exploratory Medicine

T'bilisi, , Georgia

Site Status

ARENSIA Exploratory Medicine Phase I Unit, Republican Clinical Hospital

Chisinau, , Moldova

Site Status

ClinicMed Badurski i wspolnicy Spolka Jawna

Bialystok, , Poland

Site Status

Kharkiv City Hospital 8

Kharkiv, , Ukraine

Site Status

Medical Center_Clinic of International Institute of clinical Studies

Kyiv, , Ukraine

Site Status

Countries

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United States Bulgaria Czechia Georgia Moldova Poland Ukraine

Provided Documents

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Document Type: Study Protocol: Original

View Document

Document Type: Study Protocol: Amendment 1

View Document

Document Type: Study Protocol: Amendment 2

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2016-001496-75

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

GS-US-379-1582

Identifier Type: -

Identifier Source: org_study_id

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