Study to Evaluate the Efficacy and Safety of Filgotinib in the Treatment of Perianal Fistulizing Crohn's Disease

NCT ID: NCT03077412

Last Updated: 2022-04-08

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

57 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-04-06

Study Completion Date

2021-02-17

Brief Summary

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The primary objective of this study is to evaluate the efficacy of filgotinib as compared to placebo in establishing combined fistula response at Week 24. Participants will have the option to enter a separate Long-Term Extension (LTE) study (GS-US-419-3896; NCT02914600) if they meet eligibility requirements.

Detailed Description

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Conditions

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Fistulizing 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 + placebo to match filgotinib 100 mg for 24 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 + placebo to match filgotinib 200 mg for 24 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

Placebo to match filgotinib 200 mg + placebo to match filgotinib 100 mg for 24 weeks

Group Type EXPERIMENTAL

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, non-lactating females, ages 18 to 75 years, inclusive based on the date of screening visit
* Diagnosis of Crohn's disease (CD) with a minimum duration of CD of at least 3 months
* Has draining perianal fistulae as a complication of CD, confirmed by magnetic resonance imaging (MRI) at screening
* Previously demonstrated an inadequate clinical response, loss of response to, or intolerance of at least 1 of the following agents (depending on current country treatment recommendations/guidelines):

* Antibiotics AND/OR
* Immunomodulators AND/OR
* Tumor necrosis factor α (TNFα) Antagonist
* Is willing and able to undergo MRI per protocol requirements
* Is willing and able to undergo flexible sigmoidoscopy per protocol requirements

Exclusion Criteria

* Presence of current rectovaginal anovaginal or enterovesicular fistulae
* Presence of ulcerative colitis (UC), indeterminate colitis, ischemic colitis, fulminant colitis, or toxic mega-colon
* History of total proctocolectomy, total 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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University of Miami Crohn's and Colitis Center

Miami, Florida, United States

Site Status

Center for Interventional Endoscopy - Florida Hospital

Orlando, Florida, United States

Site Status

University of South Florida South Tampa Campus

Tampa, Florida, United States

Site Status

Northwestern University Feinberg School of Medicine

Chicago, Illinois, United States

Site Status

University of Louisville Clinical Trials Unit

Louisville, Kentucky, United States

Site Status

John Hopkins Gastroenterology and Hepatology Services at the Green Spring Station Clinic

Baltimore, Maryland, United States

Site Status

Gastro Center of Maryland

Columbia, Maryland, United States

Site Status

Gastro One

Germantown, Tennessee, United States

Site Status

Vanderbilt University Medical Center - IBD Clinic

Nashville, Tennessee, United States

Site Status

Texas Clinical Research Institute

Arlington, Texas, United States

Site Status

DHAT Research Institute

Garland, Texas, United States

Site Status

Texas Digestive Disease Consultants

Southlake, Texas, United States

Site Status

McGuire DVAMC

Richmond, Virginia, United States

Site Status

Klinikum Klagenfurt am Wörthersee

Klagenfurt, , Austria

Site Status

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

Vienna, , Austria

Site Status

Universitaire Ziekenhuizen Leuven

Leuven, , Belgium

Site Status

Mount Sinai Hospital

Toronto, , Canada

Site Status

Toronto Digestive Disease Associates Inc.

Toronto, , Canada

Site Status

CHU Grenoble Alpes - Hopital Michallon (main office)

La Tronche, , France

Site Status

CHU de Rennes - Hôpital Pontchaillou (main office)

Rennes, , France

Site Status

CHU Nancy - Hopital de Brabois

Vandœuvre-lès-Nancy, , France

Site Status

Universitätsklinikum Carl Gustav Carus an der TU Dresden

Dresden, , Germany

Site Status

Universitatsklinkum Jena

Jena, , Germany

Site Status

Békés Megyei Központi Kórház Dr. Réthy Pál Tagkórháza

Békéscsaba, Bekes County, Hungary

Site Status

Bugát Pál Kórház, Gasztroenterológiai osztály

Gyöngyös, Heves County, Hungary

Site Status

Istituto Clinico Humanitas

Rozzano, , Italy

Site Status

Royal Devon and Exeter Hospital, Department of Gastroenterology

Exeter, , United Kingdom

Site Status

Countries

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United States Austria Belgium Canada France Germany Hungary Italy United Kingdom

References

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Reinisch W, Colombel JF, D'Haens GR, Rimola J, Masior T, McKevitt M, Ren X, Serone A, Schwartz DA, Gecse KB. Efficacy and Safety of Filgotinib for the Treatment of Perianal Fistulising Crohn's Disease [DIVERGENCE 2]: A Phase 2, Randomised, Placebo-controlled Trial. J Crohns Colitis. 2024 Jun 3;18(6):864-874. doi: 10.1093/ecco-jcc/jjae003.

Reference Type DERIVED
PMID: 38366672 (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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2016-003153-15

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

GS-US-419-4016

Identifier Type: -

Identifier Source: org_study_id

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