Study to Evaluate the Efficacy and Safety of Filgotinib in Participants With Active Psoriatic Arthritis Who Are Naive to Biologic DMARD Therapy

NCT ID: NCT04115748

Last Updated: 2022-05-16

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

67 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-12-03

Study Completion Date

2021-05-11

Brief Summary

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The primary objective of this study is to evaluate the effect of filgotinib compared to placebo as assessed by the American College of Rheumatology 20% improvement (ACR20) response in participants with active psoriatic arthritis who are naive to biologic disease-modifying anti-rheumatic drug (DMARD) therapy. The study consists of two parts, the Main Study and the Long Term Extension (LTE).

Detailed Description

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Conditions

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Psoriatic 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 (Main Study)

Participants will receive filgotinib 200 mg + placebo to match (PTM) filgotinib 100 mg + PTM adalimumab injection for up to 16 weeks.

Group Type EXPERIMENTAL

Filgotinib

Intervention Type DRUG

Tablets administered orally once daily with or without food

Placebo to match filgotinib

Intervention Type DRUG

Tablets administered orally once daily with or without food

Placebo to match adalimumab

Intervention Type DRUG

Injection administered subcutaneously once every 2 weeks

Filgotinib 100 mg (Main Study)

Participants will receive PTM filgotinib 200 mg + filgotinib 100 mg + PTM adalimumab for up to 16 weeks.

Group Type EXPERIMENTAL

Filgotinib

Intervention Type DRUG

Tablets administered orally once daily with or without food

Placebo to match filgotinib

Intervention Type DRUG

Tablets administered orally once daily with or without food

Placebo to match adalimumab

Intervention Type DRUG

Injection administered subcutaneously once every 2 weeks

Adalimumab (Main Study)

Participants will receive PTM filgotinib 200 mg + PTM filgotinib 100 mg + adalimumab 40 mg injection for up to 16 weeks.

Group Type ACTIVE_COMPARATOR

Adalimumab

Intervention Type DRUG

Injection administered subcutaneously once every 2 weeks

Placebo to match filgotinib

Intervention Type DRUG

Tablets administered orally once daily with or without food

Placebo (Main Study)

Participants will receive PTM filgotinib 200 mg + PTM filgotinib 100 mg + PTM adalimumab injection for up to 16 weeks.

Group Type PLACEBO_COMPARATOR

Placebo to match filgotinib

Intervention Type DRUG

Tablets administered orally once daily with or without food

Placebo to match adalimumab

Intervention Type DRUG

Injection administered subcutaneously once every 2 weeks

Filgotinib 200 mg (Long Term Extension [LTE])

Participants will receive filgotinib 200 mg + PTM filgotinib 100 mg for up to 34 weeks.

Group Type EXPERIMENTAL

Filgotinib

Intervention Type DRUG

Tablets administered orally once daily with or without food

Placebo to match filgotinib

Intervention Type DRUG

Tablets administered orally once daily with or without food

Filgotinib 100 mg (LTE)

Participants will receive PTM filgotinib 200 mg + filgotinib 100 mg for up to 34 weeks.

Group Type EXPERIMENTAL

Filgotinib

Intervention Type DRUG

Tablets administered orally once daily with or without food

Placebo to match filgotinib

Intervention Type DRUG

Tablets administered orally once daily with or without food

Interventions

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Filgotinib

Tablets administered orally once daily with or without food

Intervention Type DRUG

Adalimumab

Injection administered subcutaneously once every 2 weeks

Intervention Type DRUG

Placebo to match filgotinib

Tablets administered orally once daily with or without food

Intervention Type DRUG

Placebo to match adalimumab

Injection administered subcutaneously once every 2 weeks

Intervention Type DRUG

Other Intervention Names

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GS-6034 GLPG0634

Eligibility Criteria

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Inclusion Criteria

* Meet Classification Criteria for Psoriatic Arthritis (CASPAR) and have a history consistent with psoriatic arthritis (PsA) ≥ 6 months at Screening
* Have active PsA defined as ≥ 3 swollen joints (from a 66 swollen joint count \[SJC\]) and ≥ 3 tender joints (from a 68 tender joint count \[TJC\]) at Screening and Day 1; these may or may not be the same joints at Screening and Day 1
* Must have a documented history or active signs of at least one of the following at Screening:

* Plaque psoriasis
* Nail changes attributed to psoriasis
* Have had inadequate response or intolerance to ≥1 conventional synthetic disease-modifying anti-rheumatic drug (csDMARD), apremilast and / or NSAID, administered over the course of ≥ 12 weeks for the treatment of PsA, as per local guidelines / standard of care

Exclusion Criteria

* Prior PsA or psoriasis treatment with a biologic DMARD
* Prior exposure to a janus kinase (JAK) inhibitor \> 2 doses
* Any active / recent infection
* Any chronic and / or uncontrolled medical condition that would put the individual at increased risk during study participation or circumstances which may make an individual unlikely or unable to complete or comply with study procedures and requirements, per investigator judgement
* Any moderately to severely active musculoskeletal or skin disorder other than PsA or plaque psoriasis that would interfere with assessment of study parameters, as per judgement of investigator

NOTE: Prior history of reactive arthritis or axial spondyloarthritis is permitted if there is documentation of change in diagnosis to PsA or additional diagnosis of PsA

* Any history of an inflammatory arthropathy with onset before age 16 years old
* Active autoimmune disease that would interfere with assessment of study parameters or increase risk to the individual by participating in the study (e.g. uveitis, inflammatory bowel disease, uncontrolled thyroiditis, systemic vasculitis, transverse myelitis), per judgement of investigator
* Pregnancy or nursing females
* Active drug or alcohol abuse, as per judgement of investigator
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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Medvin Clinical Research

Covina, California, United States

Site Status

Bay Area Arthritis and Osteoporosis

Brandon, Florida, United States

Site Status

Omega Research Debary, LLC

DeBary, Florida, United States

Site Status

San Marcus Research Clinic, Inc.

Miami, Florida, United States

Site Status

Hmd Research Llc

Orlando, Florida, United States

Site Status

Arthritis Center, Inc.

Palm Harbor, Florida, United States

Site Status

ForCare Clinical Research

Tampa, Florida, United States

Site Status

BayCare Medical Group, Inc.

Tampa, Florida, United States

Site Status

North Georgia Rheumatology Group

Lawrenceville, Georgia, United States

Site Status

Klein & Associates, M.D., P.A.

Hagerstown, Maryland, United States

Site Status

Clinical Research Institute of Michigan, LLC

Saint Clair Shores, Michigan, United States

Site Status

St. Paul Rheumatology, P.A.

Eagan, Minnesota, United States

Site Status

Arthritis Consultants, Inc.

St Louis, Missouri, United States

Site Status

Physician Research Collaaboration, LLCs

Lincoln, Nebraska, United States

Site Status

Atlantic Coast Research

Toms River, New Jersey, United States

Site Status

Joint and Muscle Research Institute

Charlotte, North Carolina, United States

Site Status

Paramount Medical Research & Consulting, LLC

Middleburg Heights, Ohio, United States

Site Status

Clinical Research Source Inc

Perrysburg, Ohio, United States

Site Status

Altoona Center for Clinical Research

Duncansville, Pennsylvania, United States

Site Status

Articularis Healthcare Inc, dba, Columbia Arthritis Center, PA

Columbia, South Carolina, United States

Site Status

ACME Research, LLC

Orangeburg, South Carolina, United States

Site Status

Arthritis & Osteoporosis Clinic of Brazos Valley (Drug Shipment Address)

College Station, Texas, United States

Site Status

Southwest Rheumatology Research, LLC

Mesquite, Texas, United States

Site Status

West Virginia Research Institute PLLC

South Charleston, West Virginia, United States

Site Status

Genesis Research Services

Broadmeadow, New South Wales, Australia

Site Status

Rheumatology Research Unit

Maroochydore, Queensland, Australia

Site Status

Emeritus Research

Camberwell, Victoria, Australia

Site Status

University Multiprofile Hospital for Active Treatment - Plovdiv AD, Department Of Rheumatology

Plovdiv, , Bulgaria

Site Status

Multiprofile Hospital for Active Treatment "Lyulin" EAD, Department of Rheumatology

Sofia, , Bulgaria

Site Status

Diagnostic consultative center 17 Sofia EOOD

Sofia, , Bulgaria

Site Status

"Medical center Synexus Sofia" EOOD

Sofia, , Bulgaria

Site Status

"Medical center SYNEXUS SOFIA" EOOD, branch Stara Zagora

Stara Zagora, , Bulgaria

Site Status

G.R.M.O. (Groupe de recherche en maladies osseuses) Inc.

Québec, , Canada

Site Status

CCR Ostrava, s.r.o.

Ostrava, , Czechia

Site Status

Synexus (DRS) - Synexus Magyarorszag Kft. Budapest

Budapest, , Hungary

Site Status

Synexus (DRS) - Synexus Magyarorszag Kft. Gyula

Gyula, , Hungary

Site Status

National Hospital Organization Osaka Minami Medical Center

Kawachi-Nagano, , Japan

Site Status

Daido Clinic

Nagoya, , Japan

Site Status

Nagoya City University Hospital

Nagoya, , Japan

Site Status

Keio University Hospital

Tokyo, , Japan

Site Status

Waikato Hospital

Hamilton, WKO, New Zealand

Site Status

Optimal Clinical Trials

Auckland, , New Zealand

Site Status

Capital & Coast District Health Board

Newtown, , New Zealand

Site Status

Clinical Trials Unit, Timaru Hospital

Timaru, , New Zealand

Site Status

Gabinet Internistyczno-Reumatologiczny Piotr Adrian Klimiuk

Bialystok, Podlaskie, , Poland

Site Status

Szpital Uniwersytecki nr 2 im. dr Jana Biziela

Bydgoszcz, , Poland

Site Status

NSZOZ Unica CR

Dabrówka, , Poland

Site Status

Centrum Medyczne Pratia Gdynia

Gdynia, , Poland

Site Status

Malopolskie Badania Kliniczne SP Z O O Sp. k.

Krakow, , Poland

Site Status

NZOZ Lecznica MAK-MED s.c.

Nadarzyn, , Poland

Site Status

ETYKA Osrodek Badan Klinicznych

Olsztyn, , Poland

Site Status

Medycyna Kliniczna Marzena Waszczak-Jeka

Warsaw, , Poland

Site Status

Pheuma Medicus Zaklad Opieki Zdrowotnej

Warsaw, , Poland

Site Status

Centrum Medyczne AMED Warszawa

Warsaw, , Poland

Site Status

REUMATOLOG WARSZAWA Specjalistyczna Praktyka Lekarska Dr n. med. Jakub Trefler

Warsaw, , Poland

Site Status

ARS RHEUMATICA Sp. Z.o.o., "REUMATIKA-Centrum Reumatologii", NZOZ

Warszawa, Mazowieckie, , Poland

Site Status

Centrum Medyczne Oporow

Wroclaw, , Poland

Site Status

Ulitsa Delegatskaya, 20, Building 1, Ulitsa Kasatkina, 7 Moscow, Russia, 127473/129301

Moskva, , Russia

Site Status

LLC "Biomed"

Vladimir, , Russia

Site Status

Center for medical advice and research - PRACTICE LTD

Yaroslavl, , Russia

Site Status

CHA Bundang Medical Center, CHA University

Seongnam, , South Korea

Site Status

Seoul National University Hospital

Seoul, , South Korea

Site Status

SMG - SNU Boramae Medical Center

Seoul, , South Korea

Site Status

Hospital Universitario 12 de Octubre, Avenida de Cordoba s/n, Rheumatology Service, Madrid, Spain, 28041

Madrid, , Spain

Site Status

Corporacio Sanitaria Parc Tauli

Sabadell, , Spain

Site Status

Hospital Universitario Marques de Valdecilla, Rheumatology Service, Avda. Valdecilla s/n, Santander, Cantabria, 39008

Santander, , Spain

Site Status

Hospital Universitario Virgen Macarena

Seville, , Spain

Site Status

Buddhist Dalin Tzu Chi Hospital

Dailin Township, , Taiwan

Site Status

Chang Gung Medical Foundation Kaohsiung Chang Gung Memorial Hospital

Kaohsiung City, , Taiwan

Site Status

Chang Gung Medical Foundation Keelung Chang Gung Memorial Hospital

Keelung, , Taiwan

Site Status

Far Eastern Memorial Hospital

New Taipei City, , Taiwan

Site Status

National Cheng Kung University Hospital

Tainan City, , Taiwan

Site Status

Chi Mei Medical Center

Tainan City, , Taiwan

Site Status

Taipei Medical University Hospital

Taipei, , Taiwan

Site Status

Countries

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United States Australia Bulgaria Canada Czechia Hungary Japan New Zealand Poland Russia South Korea Spain Taiwan

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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2019-001996-35

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

JapicCTI-205202

Identifier Type: REGISTRY

Identifier Source: secondary_id

GS-US-431-4566

Identifier Type: -

Identifier Source: org_study_id

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