Study to Evaluate Safety, Tolerability, and Efficacy of GS-5718 in Participants With Active Rheumatoid Arthritis Who Have an Inadequate Response to Disease-modifying Antirheumatic Drug(s) (bDMARDs) Treatment

NCT ID: NCT05165771

Last Updated: 2022-05-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Clinical Phase

PHASE2

Study Classification

INTERVENTIONAL

Study Start Date

2022-07-31

Study Completion Date

2023-03-31

Brief Summary

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The primary objective of the study is to evaluate the effect of GS-5718 versus placebo for the treatment of rheumatoid arthritis (RA) as measured by change from baseline in Disease Activity Score (DAS) based on 28 joints 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-5718 Dose A

Participants will receive GS-5718 Dose A once daily + placebo to match (PTM) GS-5718 Dose B once daily + PTM tofacitinib twice daily for up to 12 weeks.

Group Type EXPERIMENTAL

GS-5718

Intervention Type DRUG

Tablets administered orally

Placebo to match GS-5718

Intervention Type DRUG

Tablets administered orally

Placebo to match Tofacitinib

Intervention Type DRUG

Tablets administered orally

GS-5718 Dose B

Participants will receive GS-5718 Dose B once daily + PTM GS-5718 Dose A once daily + PTM tofacitinib twice daily for up to 12 weeks.

Group Type EXPERIMENTAL

GS-5718

Intervention Type DRUG

Tablets administered orally

Placebo to match GS-5718

Intervention Type DRUG

Tablets administered orally

Placebo to match Tofacitinib

Intervention Type DRUG

Tablets administered orally

Tofacitinib

Participants will receive tofacitinib 5 mg twice daily + PTM GS-5718 (Dose A + Dose B) once daily for up to 12 weeks.

Group Type ACTIVE_COMPARATOR

Placebo to match GS-5718

Intervention Type DRUG

Tablets administered orally

Tofacitinib 5 mg

Intervention Type DRUG

Tablets administered orally

Placebo

Participants will receive PTM GS-5718 (Dose A + Dose B) once daily + PTM tofacitinib twice daily for up to 12 weeks.

Group Type PLACEBO_COMPARATOR

Placebo to match GS-5718

Intervention Type DRUG

Tablets administered orally

Placebo to match Tofacitinib

Intervention Type DRUG

Tablets administered orally

Interventions

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GS-5718

Tablets administered orally

Intervention Type DRUG

GS-5718

Tablets administered orally

Intervention Type DRUG

Placebo to match GS-5718

Tablets administered orally

Intervention Type DRUG

Tofacitinib 5 mg

Tablets administered orally

Intervention Type DRUG

Placebo to match Tofacitinib

Tablets administered orally

Intervention Type DRUG

Other Intervention Names

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XELJANZ®

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of rheumatoid arthritis (RA) ≥ 3 months prior to screening fulfilling the 2010 American College of Rheumatology (ACR)/European League Against Rheumatism (EULAR) classification criteria for RA
* Rheumatoid factor (RF) and/or anti-citrullinated protein antibodies (ACPA) positivity
* Individual fulfills all of the following minimum disease activity criteria:

* ≥ 6 swollen joints (from a swollen joint count based on 66 joints \[SJC66\]) provided this would also fulfill ≥ 4 swollen joints (from a swollen joint count based on 28 joints \[SJC28\]) at screening and Day 1, and
* ≥ 6 tender joints (from a tender joint count based on 68 joints \[TJC68\]), provided this would also fulfill ≥ 4 tender joints (from a tender joint count based on 28 joints \[TJC28\]) at screening and Day 1, and
* hsCRP \> upper limit of normal at screening
* Received at least one bDMARD for the treatment of RA to which there is a lack of efficacy and/or intolerance.

Exclusion Criteria

* Individuals who do not qualify per the tofacitinib label and/or local guidelines should not be enrolled.
* Prior exposure to any Janus kinase inhibitor
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

Related Links

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Other Identifiers

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2021-002664-52

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

GS-US-561-5898

Identifier Type: -

Identifier Source: org_study_id

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