Study to Evaluate the Efficacy and Safety of Filgotinib in the Treatment of Small Bowel Crohn's Disease (SBCD)

NCT ID: NCT03046056

Last Updated: 2021-08-23

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

78 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-04-11

Study Completion Date

2020-07-20

Brief Summary

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The primary objective of this study is to evaluate the efficacy of filgotinib, when compared to placebo, in establishing clinical remission defined as Crohn's disease activity index (CDAI) \< 150, at Week 24 in participants with small bowel Crohn's disease (CD). Participants will have the option to enter a separate long-term extension study if they meet eligibility requirements.

Detailed Description

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Conditions

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Small Bowel Crohn's Disease

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 tablet + placebo to match (PTM) filgotinib 100 mg tablet for up to 27 weeks.

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

Filgotinib 100 mg

Filgotinib 100 mg tablet + PTM filgotinib 200 mg tablet for up to 26.3 weeks.

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

Placebo

PTM filgotinib 200 mg tablet + PTM filgotinib 100 mg tablet for up to 28.7 weeks.

Group Type PLACEBO_COMPARATOR

Placebo to match filgotinib

Intervention Type DRUG

Tablet(s) administered orally once daily

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

Other Intervention Names

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GS-6034 GLPG0634

Eligibility Criteria

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Inclusion Criteria

* Males or non-pregnant, nonlactating females, ages 18 to 75 years, inclusive based on the date of screening visit
* Moderately or severely active CD
* Minimum duration of CD of at least 6 months
* Presence of diseased small bowel (SB) segments in at least 1 of the following segments: terminal ileum, distal ileum, or jejunum
* Patients with additional colonic involvement of CD are permitted in study as long as SBCD is present
* Previously demonstrated an inadequate clinical response, loss of response to, or intolerance to at least 1 of the following agents (depending on current country treatment recommendations/guidelines):

* Corticosteroids
* Immunomodulators
* Tumor necrosis factor-alpha (TNFα) antagonists
* Vedolizumab
* Ustekinumab
* Willing and able to undergo magnetic resonance enterography (MRE) per protocol requirements

Exclusion Criteria

* Presence of symptomatic or clinically significant (eg, obstructive or symptomatic) strictures or stenosis.
* Presence of fistulae
* Evidence of short bowel syndrome
* Presence of ulcerative colitis, indeterminate colitis, ischemic colitis, fulminant colitis, or toxic mega-colon
* History of total colectomy, subtotal-colectomy, presence of ileostomy or colostomy, or likely requirement for surgery during the study
* Use of any prohibited concomitant medications as described in the study protocol
* Active tuberculosis (TB) or history of latent TB that has not been treated
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 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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Gastroenterology Research of San Antonio

San Antonio, Texas, United States

Site Status

TDDC San Marcos

San Marcos, Texas, United States

Site Status

Texas Digestive Disease Consultants

Southlake, Texas, United States

Site Status

McGuire DVAMC

Richmond, Virginia, United States

Site Status

Medical University of Innsbruck, Department of Internal Medicine I

Innsbruck, , Austria

Site Status

University of Miami Crohn's and Colitis Center

Miami, Florida, United States

Site Status

Center for lnterventional Endoscopy- Florida Hospital

Orlando, Florida, United States

Site Status

University of South Florida South Tampa campus

Tampa, Florida, United States

Site Status

Indiana University Health University Hospital

Indianapolis, Indiana, United States

Site Status

University of Kansas Medical Center

Kansas City, Kansas, United States

Site Status

Gastro Center of Maryland

Columbia, Maryland, United States

Site Status

Meritus Center for Clinical Research

Hagerstown, Maryland, United States

Site Status

Clinical Research Institute of Michigan

Chesterfield, Michigan, United States

Site Status

Fargo Gastroenterology and Hepatology Clinic

Fargo, North Dakota, United States

Site Status

Gastro One

Germantown, Tennessee, United States

Site Status

Texas Clinical Research Institute

Arlington, Texas, United States

Site Status

Medical University of Vienna, Department of Internal Medicine III, Division Gastroenterology and Hepatology

Vienna, , Austria

Site Status

Universitair Ziekenhuis Antwerpen

Edegem, , Belgium

Site Status

Centre Hospitalier Chretien

Liège, , Belgium

Site Status

Mount Sinai Hospital

Toronto, , Canada

Site Status

PerCuro Clinical Research Ltd.

Victoria, , Canada

Site Status

Hepato-Gastroenterologie HK, s.r.o.

Hradec Králové, , Czechia

Site Status

CHU de Toulouse -Hopital Rangueil (Main Office)

Toulouse, Midi-Pyrenees, France

Site Status

Gastroenterologie, Hepatologie und Endokrinologie

Hanover, , Germany

Site Status

Universitatsklinikum Jena

Jena, , Germany

Site Status

Bugát Pál Kórház, Gasztroenterológiai osztály

Gyöngyös, Heves County, Hungary

Site Status

Békés Megyei Központi Kórház Dr. Réthy Pál Tagkórháza

Békéscsaba, , Hungary

Site Status

Azienda Ospedaliero - Universitaria Mater Domini

Catanzaro, , Italy

Site Status

Gastroenterologia, Policlinico Universitario Campus Bio-Medico di Roma

Rome, , Italy

Site Status

Hospital Universitario de Fuenlabrada

Fuenlabrada, Madrid, Spain

Site Status

Hospital Universitario Gran Canaria Dr. Negrin

Las Palmas de Gran Canaria, , Spain

Site Status

Ivano-Frankivsk Central City Clinical Hospital, Department of Therapy #1, SHEI Ivano-Frankivsk National Medical University

Ivano-Frankivsk, , Ukraine

Site Status

Communal Healthcare Institution Regional Hospital of War Veterans, Department of Therapy #1

Kharkiv, , Ukraine

Site Status

Communal Institution of Ternopil Regional Council Ternopil University Hospital. Regional Center of Gastroenterology

Ternopil, , Ukraine

Site Status

Queen Elizabeth University Hospital

Glasgow, Scotland, United Kingdom

Site Status

Royal Devon and Exeter Hospital, Department of Gastroenterology

Exeter, , United Kingdom

Site Status

St Georges Clinical Research Facility

London, , United Kingdom

Site Status

John Radcliffe Hospital

Oxford, , United Kingdom

Site Status

Countries

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United States Austria Belgium Canada Czechia France Germany Hungary Italy Spain Ukraine United Kingdom

References

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Riviere P, D'Haens G, Peyrin-Biroulet L, Baert F, Lambrecht G, Pariente B, Bossuyt P, Buisson A, Oldenburg B, Vermeire S, Laharie D. Location but Not Severity of Endoscopic Lesions Influences Endoscopic Remission Rates in Crohn's Disease: A Post Hoc Analysis of TAILORIX. Am J Gastroenterol. 2021 Jan 1;116(1):134-141. doi: 10.14309/ajg.0000000000000834.

Reference Type DERIVED
PMID: 33177349 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2016-003179-23

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

GS-US-419-4015

Identifier Type: -

Identifier Source: org_study_id

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