Clinical Trials Logo

Clinical Trial Details — Status: Terminated

Administrative data

NCT number NCT03207815
Other study ID # GS-US-432-4097
Secondary ID 2017-001485-17
Status Terminated
Phase Phase 2
First received
Last updated
Start date July 26, 2017
Est. completion date April 22, 2021

Study information

Verified date December 2021
Source Gilead Sciences
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The primary objective of this study is to evaluate the efficacy of filgotinib versus placebo for the treatment of the signs and symptoms of noninfectious uveitis as measured by the percentage of participants failing treatment for active noninfectious uveitis by Week 24.


Recruitment information / eligibility

Status Terminated
Enrollment 74
Est. completion date April 22, 2021
Est. primary completion date December 29, 2020
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Key Inclusion Criteria: - Is diagnosed with active noninfectious intermediate-, posterior-, or pan-uveitis - Must have active uveitic disease at the Day 1/Baseline visit as defined by the presence of at least 1 of the following parameters in at least one eye despite 2 weeks of maintenance therapy with oral prednisone (= 10 mg/day to = 60 mg/day) or an oral corticosteroid equivalent: - Active, inflammatory, chorioretinal and/or inflammatory retinal vascular lesion - = 2+ anterior chamber cells per the Standardization of Uveitis Nomenclature (SUN) criteria - = 2+ vitreous haze per the National Eye Institute/Standardization of Uveitis Nomenclature (NEI/SUN) criteria - No evidence of active tuberculosis (TB) or untreated latent TB Key Exclusion Criteria: - Participants with elevated intraocular pressures and/or severe glaucoma - Confirmed or suspected infectious uveitis, including but not limited to infectious uveitis due to TB, cytomegalovirus (CMV), Human T-Lymphotropic Virus Type 1 (HTLV-1), Whipple's disease, Herpes Zoster virus (HZV), Lyme disease, toxoplasmosis and herpes simplex virus (HSV) Note: Other protocol defined Inclusion/ Exclusion criteria may apply.

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Filgotinib
Tablet(s) administered orally
Placebo to match filgotinib
Tablet(s) administered orally
Prednisone
Tablet(s) administered orally

Locations

Country Name City State
Australia Lions Eye Institute Nedlands Western Australia
Canada Retina Consultants Vancouver
Germany St. Franziskus Hospital Münster
Israel Hadassah Medical Center Jerusalem
New Zealand Auckland Eye Remuera
United Kingdom Royal Liverpool University Hospital Liverpool
United Kingdom Moorfields Eye Hospital NHS Foundation Trust London
United Kingdom Central Mancester Hospitals NHS Foundation Trust, Manchester Royal Eye Hospital Manchester
United Kingdom Eye Research Group Oxford, Oxford Eye Hospital Oxford
United States Ophthalmic Consultants of Boston Boston Massachusetts
United States Northwestern Medical Group Chicago Illinois
United States Cleveland Clinic Foundation-Cole Eye Institute Cleveland Ohio
United States Duke University Eye Center Durham North Carolina
United States Texas Retina Associates - Fort Worth Fort Worth Texas
United States Colorado Retina Associates PC Golden Colorado
United States university of Wisconsin-Madison Madison Wisconsin
United States Illinois Retina Associates Oak Park Illinois
United States Metropolitan Eye Research and Surgery Institute Palisades Park New Jersey
United States Stanford Byers Eye Institute Palo Alto California
United States Mid Atlantic Retina Philadelphia Pennsylvania
United States Oregon Health Science University-Casey Eye Institute Portland Oregon
United States Associated Retinal Consultants PC Royal Oak Michigan
United States Foresight Studies, LLC San Antonio Texas
United States Wake Forest Baptist Medical Center Winston-Salem North Carolina

Sponsors (2)

Lead Sponsor Collaborator
Gilead Sciences Galapagos NV

Countries where clinical trial is conducted

United States,  Australia,  Canada,  Germany,  Israel,  New Zealand,  United Kingdom, 

Outcome

Type Measure Description Time frame Safety issue
Primary Percentage of Participants Failing Treatment for Active NonInfectious Uveitis by Week 24 Treatment failure was a participant meeting at least 1 of these criteria in at least 1 eye: New active, inflammatory lesions relative to Day 1/Baseline (all visits starting Week (Wk) 6); Inability to achieve =Grade 0.5+ (at Wk 6) or 2-step increase (change of Grade 0 to Grade 2+/Grade 0.5+ to Grade 3+) (all visits after Wk 6) relative to best state (RBS) achieved in Anterior Chamber (AC) cell grade (Standardization of Uveitis Nomenclature [SUN] criteria)[AC cell grades range from 0 (0 cells) to 4+ (>50 cells), higher scores=severe uveitis]; Inability to achieve =Grade 0.5+ (at Wk 6) or 2-step increase (all visits after Wk 6) RBS achieved in Vitreous Haze (VH) grade (National Eye Institute [NEI]/SUN criteria)[VH grades range from 0 (no evident VH) to 4+ (optic nerve head is obscured), higher scores=severe uveitis]; Worsening of best corrected visual acuity (BCVA) by =15 letters RBS achieved (all visits starting Wk 6), measured by an eye chart, fewer correct letters=severe uveitis. Week 6 through Week 24
Secondary Time to Treatment Failure on or After Week 6 Treatment failure was a participant meeting at least 1 of these criteria in at least 1 eye: New active, inflammatory lesions relative to Day 1/Baseline (all visits starting Wk 6); Inability to achieve =Grade 0.5+ (at Wk 6) or 2-step increase (change of Grade 0 to Grade 2+/Grade 0.5+ to Grade 3+) (all visits after Wk 6) relative to best state (RBS) achieved in AC cell grade (SUN criteria) [AC cell grades range from 0 (0 cells) to 4+ (>50 cells), higher scores=severe uveitis]; Inability to achieve =Grade 0.5+ (at Wk 6) or 2-step increase (all visits after Wk 6) RBS achieved in VH grade (NEI/SUN criteria) [VH grades range from 0 (no evident VH) to 4+ (optic nerve head is obscured), higher scores=severe uveitis]; Worsening of BCVA by =15 letters RBS achieved (all visits starting Wk 6), measured by an eye chart, fewer correct letters=severe uveitis. Week 6 through Week 52
Secondary Change in Vitreous Haze (VH) Grade in Each Eye (NEI/SUN Criteria), From Best State Achieved Prior to Week 6 to Week 52 or End of Treatment (EOT) Visit or Early Termination (ET) Grading of VH was based on the publication from the NEI which has also been adapted by the SUN working group. VH grades range from 0 (no evident VH) to 4+ (optic nerve head is obscured), with higher scores indicating greater severity of uveitis. A negative change from best state value obtained prior to Week 6 indicates improvement. Prior to Week 6; Up to Week 52 or EOT or ET (maximum: 53 weeks)
Secondary Change in Anterior Chamber (AC) Cell Grade in Each Eye, From Best State Achieved Prior to Week 6 to Week 52 or EOT Visit or ET The number of AC cells observed within a 1 mm × 1 mm slit beam were recorded for each eye. The reported number was used to determine the grade according to the SUN criteria. AC cell grades range from 0 (0 cells in field) to 4+ (>50 cells in field), with higher scores indicating more cells visible in the AC and greater severity of uveitis. A negative change from best state value obtained prior to Week 6 indicates improvement. Prior to Week 6; Up to Week 52 or EOT or ET (maximum: 53 weeks)
Secondary Change in Logarithm of the Minimal Angle of Resolution (logMAR) Best Corrected Visual Acuity (BCVA) in Each Eye, From Best State Achieved Prior to Week 6 to Week 52 or EOT Visit or ET BCVA is the best possible vision that an eye can achieve with the set of glasses or contact lenses. A refraction test was performed to measure the appropriate lens strength to focus light on the retina. Using the appropriate corrective lenses based on that visit's refraction, participant's BCVA was measured using an Early Treatment Diabetic Retinopathy Study (ETDRS) chart. In the ETDRS system, 15 letters is equal to a change in 3 lines of visual acuity. If the participant is unable to read letters on a testing chart, visual acuity is described as ranging from ability to count fingers, recognize hand movements, or light perception. The smaller BVCA score indicates greater severity of uveitis. A positive change from best state value obtained prior to Week 6 indicates improvement. Prior to Week 6; Up to Week 52 or EOT or ET (maximum: 53 weeks)
Secondary Log Change in Central Retinal Thickness in Each Eye, From Best State Achieved Prior to Week 6 to Week 52 or EOT Visit or ET Central retinal thickness is measured by optical coherence tomography (OCT). Central retinal thickness is defined as the thickness of the retina in the center of the foveal pit (1 mm subfield). The larger central retinal thickness value indicates greater severity of uveitis. A negative change from best state value obtained prior to Week 6 indicates improvement. Prior to Week 6; Up to Week 52 or EOT or ET (maximum: 53 weeks)
Secondary Time to Development of Macular Edema in At Least One Eye on or After Week 6 Time in weeks until the development of Macular edema or Week 52 or EOT or ET. Macular edema is determined by OCT and is defined as central retinal thickness = 300 microns if using Cirrus machine, or = 315 microns if using Spectralis machine. Week 6 through Week 52
Secondary Plasma Concentration of Filgotinib Day 1 post dose, Weeks 4 and 6 predose, Week 12 post dose, Weeks 24, 36, 52 (EOT), ET at any time
Secondary Plasma Concentration of Metabolite, GS-829845 Day 1 post dose, Weeks 4 and 6 predose, Week 12 post dose, Weeks 24, 36, 52 (EOT), ET at any time
See also
  Status Clinical Trial Phase
Completed NCT01789320 - Safety Study of Suprachoroidal Triamcinolone Acetonide Via Microneedle to Treat Uveitis Phase 1/Phase 2
Completed NCT01243983 - Efficacy and Safety of Voclosporin to Treat Active Noninfectious Uveitis Phase 3