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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03046056
Other study ID # GS-US-419-4015
Secondary ID 2016-003179-23
Status Completed
Phase Phase 2
First received
Last updated
Start date April 11, 2017
Est. completion date July 20, 2020

Study information

Verified date August 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, 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.


Recruitment information / eligibility

Status Completed
Enrollment 78
Est. completion date July 20, 2020
Est. primary completion date July 20, 2020
Accepts healthy volunteers No
Gender All
Age group 18 Years to 75 Years
Eligibility Key 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 (TNFa) antagonists - Vedolizumab - Ustekinumab - Willing and able to undergo magnetic resonance enterography (MRE) per protocol requirements Key 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 Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Study Design


Related Conditions & MeSH terms


Intervention

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

Locations

Country Name City State
Austria Medical University of Innsbruck, Department of Internal Medicine I Innsbruck
Austria Medical University of Vienna, Department of Internal Medicine III, Division Gastroenterology and Hepatology Vienna
Belgium Universitair Ziekenhuis Antwerpen Edegem
Belgium Centre Hospitalier Chretien Liège
Canada Mount Sinai Hospital Toronto
Canada PerCuro Clinical Research Ltd. Victoria
Czechia Hepato-Gastroenterologie HK, s.r.o. Hradec Kralove
France CHU de Toulouse -Hopital Rangueil (Main Office) Toulouse Cedex 9 Midi-Pyrenees
Germany Gastroenterologie, Hepatologie und Endokrinologie Hannover
Germany Universitatsklinikum Jena Jena
Hungary Békés Megyei Központi Kórház Dr. Réthy Pál Tagkórháza Békéscsaba
Hungary Bugát Pál Kórház, Gasztroenterológiai osztály Gyöngyös Heves
Italy Azienda Ospedaliero - Universitaria Mater Domini Catanzaro
Italy Gastroenterologia, Policlinico Universitario Campus Bio-Medico di Roma Rome
Spain Hospital Universitario de Fuenlabrada Fuenlabrada Madrid
Spain Hospital Universitario Gran Canaria Dr. Negrin Las Palmas De Gran Canaria
Ukraine Ivano-Frankivsk Central City Clinical Hospital, Department of Therapy #1, SHEI Ivano-Frankivsk National Medical University Ivano-Frankivsk
Ukraine Communal Healthcare Institution Regional Hospital of War Veterans, Department of Therapy #1 Kharkiv
Ukraine Communal Institution of Ternopil Regional Council Ternopil University Hospital. Regional Center of Gastroenterology Ternopil
United Kingdom Royal Devon and Exeter Hospital, Department of Gastroenterology Exeter
United Kingdom Queen Elizabeth University Hospital Glasgow Scotland
United Kingdom St Georges Clinical Research Facility London
United Kingdom John Radcliffe Hospital Oxford
United States Texas Clinical Research Institute Arlington Texas
United States Clinical Research Institute of Michigan Chesterfield Michigan
United States Gastro Center of Maryland Columbia Maryland
United States Fargo Gastroenterology and Hepatology Clinic Fargo North Dakota
United States Gastro One Germantown Tennessee
United States Meritus Center for Clinical Research Hagerstown Maryland
United States Indiana University Health University Hospital Indianapolis Indiana
United States University of Kansas Medical Center Kansas City Kansas
United States University of Miami Crohn's and Colitis Center Miami Florida
United States Center for lnterventional Endoscopy- Florida Hospital Orlando Florida
United States McGuire DVAMC Richmond Virginia
United States Gastroenterology Research of San Antonio San Antonio Texas
United States TDDC San Marcos San Marcos Texas
United States Texas Digestive Disease Consultants Southlake Texas
United States University of South Florida South Tampa campus Tampa Florida

Sponsors (2)

Lead Sponsor Collaborator
Gilead Sciences Galapagos NV

Countries where clinical trial is conducted

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

Outcome

Type Measure Description Time frame Safety issue
Primary Percentage of Participants Who Achieved Clinical Remission at Week 24 The CDAI score is used to quantify the symptoms of participants with Crohn's Disease (CD). The score ranges from 0 to 600. Clinical remission by CDAI was defined as a score of < 150. A higher score indicates more severe disease. Week 24
Secondary Change From Baseline in Terminal Ileum Segmental Magnetic Resonance Index of Activity (MaRIA) Score at Week 24 Magnetic resonance enterography (MRE) is an imaging technique to evaluate disease activity in CD. MaRIA is an MRE-based scoring system. The MaRIA scoring system is a composite index of 4 components. These components are edema, ulcers, gut wall thickness, and relative contrast enhancement (RCE). A segmental MaRIA score can be calculated at screening (used as the baseline) and Week 24 as a weighted sum of these components for the terminal ileum segment of the small bowel. A segmental score of = 7 indicates active inflammation and a score of = 11 indicates the presence of an ulcer. Segmental scores less than 7 indicate remission. The MaRIA score ranges from approximately 0 to 31, for any given segment. A higher score indicates more severe disease. Difference in least squared means (Diff in LSM) were from analysis of covariance (ANCOVA) model. A negative change from baseline indicates improvement and a positive change from baseline indicates disease worsening. Baseline; Week 24
Secondary Change From Baseline in Distal Ileum Segmental MaRIA Score at Week 24 MRE is an imaging technique to evaluate disease activity in CD. MaRIA is an MRE-based scoring system. The MaRIA scoring system is a composite index of 4 components. These components are edema, ulcers, gut wall thickness, and RCE. A segmental MaRIA score can be calculated at Screening (used as the baseline) and Week 24 as a weighted sum of these 4 components for the distal ileum segment of the small bowel. A segmental score of = 7 indicates active inflammation and a score of = 11 indicates the presence of an ulcer. Segmental scores less than 7 indicate remission in that segment. The MaRIA score ranges from approximately 0 to 31, for any given segment. A higher score indicates more severe disease. Diff in LSM were from ANCOVA model. A negative change from baseline indicates improvement and a positive change from baseline indicates disease worsening. Baseline; Week 24
Secondary Change From Baseline in Jejunum Segmental MaRIA Score at Week 24 MRE is an imaging technique to evaluate disease activity in CD. MaRIA is an MRE-based scoring system.The MaRIA scoring system is a composite index of 4 components. These components are edema, ulcers, gut wall thickness, and RCE. A segmental MaRIA score can be calculated at Screening (used as the baseline) and Week 24 as a weighted sum of these 4 components for the jejunum segment of the small bowel. A segmental score of = 7 indicates active inflammation and a score of = 11 indicates the presence of an ulcer. Segmental scores less than 7 indicate remission in that segment. The MaRIA score ranges from approximately 0 to 31, for any given segment. A higher score indicates more severe disease. Diff in LSM were from ANCOVA model. A positive change from baseline indicates disease worsening. Baseline; Week 24
Secondary Percentage of Participants Who Achieved MaRIA Remission in Terminal Ileum Segment at Week 24 The MaRIA scoring system is a composite index of 4 components. These components are edema, ulcers, gut wall thickness, and RCE. A segmental MaRIA score can be calculated at screening (used as the baseline) and Week 24 as a weighted sum of these 4 components for the terminal ileum segment of the small bowel. The MaRIA score ranges from approximately 0 to 31, for any given segment. A higher score indicates more severe disease. MaRIA remission was defined as a segmental MaRIA score < 7 in terminal ileum segment at Week 24 among participants with MaRIA score = 7 in the same segment at baseline. A segmental score of = 7 indicates active inflammation and a score of = 11 indicates the presence of an ulcer. Week 24
Secondary Percentage of Participants Who Achieved MaRIA Remission in Distal Ileum Segment at Week 24 The MaRIA scoring system is a composite index of 4 components. These components are edema, ulcers, gut wall thickness, and RCE. A segmental MaRIA score can be calculated at screening (used as the baseline) and Week 24 as a weighted sum of these 4 components for the distal ileum segment of the small bowel. The MaRIA score ranges from approximately 0 to 31, for any given segment. A higher score indicates more severe disease. MaRIA remission was defined as a segmental MaRIA score < 7 in distal ileum segment at Week 24 among participants with MaRIA score = 7 in the same segment at baseline. A segmental score of = 7 indicates active inflammation and a score of = 11 indicates the presence of an ulcer. Week 24
Secondary Percentage of Participants Who Achieved MaRIA Remission in Jejunum Segment at Week 24 The MaRIA scoring system is a composite index of 4 components. These components are edema, ulcers, gut wall thickness, and RCE. A segmental MaRIA score can be calculated at screening (used as the baseline) and Week 24 as a weighted sum of these 4 components for the jejunum segment of the small bowel. The MaRIA score ranges from approximately 0 to 31, for any given segment. A higher score indicates more severe disease. MaRIA remission was defined as a segmental MaRIA score < 7 in jejunum segment at Week 24 among participants with MaRIA score = 7 in the same segment at baseline. A segmental score of = 7 indicates active inflammation and a score of = 11 indicates the presence of an ulcer. Week 24
Secondary Percentage of Participants Who Achieved MaRIA Response in Terminal Ileum Segment at Week 24 The MaRIA scoring system is a composite index of 4 components. These components are edema, ulcers, gut wall thickness, and RCE. A segmental MaRIA score can be calculated at screening (used as the baseline) and Week 24 as a weighted sum of these 4 components for the terminal ileum segment of the small bowel. The MaRIA score ranges from approximately 0 to 31, for any given segment. A higher score indicates more severe disease. MaRIA response was defined as a segmental MaRIA score < 11 with baseline score = 11, or a segmental MaRIA score < 7 with baseline score < 11, or = minimum detectable difference (MDD) units decrease from baseline score for segments with baseline MaRIA score = 7 in the terminal ileum. For segments with baseline MaRIA score = 15, the MDD is 6.5 units and for baseline MaRIA score < 15, the MDD is 4.0 units. Week 24
Secondary Percentage of Participants Who Achieved MaRIA Response in Distal Ileum Segment at Week 24 The MaRIA scoring system is a composite index of 4 components. These components are edema, ulcers, gut wall thickness, and RCE. A segmental MaRIA score can be calculated at screening (used as the baseline) and Week 24 as a weighted sum of these 4 components for the distal ileum segment of the small bowel. The MaRIA score ranges from approximately 0 to 31, for any given segment. A higher score indicates more severe disease. MaRIA response was defined as a segmental MaRIA score < 11 with baseline score = 11, or a segmental MaRIA score < 7 with baseline score < 11, or = MDD units decrease from baseline score for segments with baseline MaRIA score= 7 in the distal ileum. For segments with baseline MaRIA score = 15, the minimum detectable difference (MDD) is 6.5 units and for baseline MaRIA score < 15, the MDD is 4.0 units. Week 24
Secondary Percentage of Participants Who Achieved MaRIA Response in Jejunum Segment at Week 24 The MaRIA scoring system is a composite index of 4 components. These components are edema, ulcers, gut wall thickness, and RCE. A segmental MaRIA score can be calculated at screening (used as the baseline) and Week 24 as a weighted sum of these 4 components for the jejunum segment of the small bowel. The MaRIA score ranges from approximately 0 to 31, for any given segment. A higher score indicates more severe disease. MaRIA response was defined as a segmental MaRIA score < 11 with baseline score = 11, or a segmental MaRIA score < 7 with baseline score < 11, or = MDD units decrease from baseline score for segments with baseline MaRIA score = 7 in the jejunum. For segments with baseline MaRIA score = 15, the MDD is 6.5 units and for baseline MaRIA score < 15, the MDD is 4.0 units. Week 24
Secondary Percentage of Participants Who Achieved Participant Level Small Bowel MaRIA Remission at Week 24 The MaRIA scoring system is a composite index of 4 components. These components are edema, ulcers, gut wall thickness, and RCE. A segmental MaRIA score can be calculated at screening (used as the baseline) and Week 24 as a weighted sum of these 4 components for each of the 3 small bowel segments. The MaRIA score ranges from approximately 0 to 31, for any given segment. A higher score indicates more severe disease. Small bowel MaRIA remission was defined as MaRIA score < 7 at Week 24 in each of the 3 small bowel segments, among participants with MaRIA score = 7 in at least 1 small bowel segment at baseline. Week 24
Secondary Percentage of Participants Who Achieved Participant Level Small Bowel MaRIA Response at Week 24 The MaRIA scoring system is a composite index of 4 components. These components are edema, ulcers, gut wall thickness, and RCE. A segmental MaRIA score can be calculated at screening (used as the baseline) and Week 24 as a weighted sum of these 4 components for each of the 3 small bowel segments. The MaRIA score ranges from approximately 0 to 31, for any given segment. A higher score indicates more severe disease. Participant level small bowel MaRIA response was defined as all small bowel segments with baseline MaRIA score =7 achieve segment level MaRIA response, with no segment level disease worsening in any other segment(s) at Week 24, among participants with MaRIA score = 7 in at least 1 small bowel segment at baseline. Week 24
Secondary Percentage of Participants Who Achieved Early Clinical Remission by Crohn's Disease Activity Index (CDAI) at Week 10 The CDAI score is used to quantify the symptoms of participants with CD. The score ranges from 0 to 600. Clinical remission by CDAI was defined as a score of < 150. A higher score indicates more severe disease. Week 10
Secondary Change From Baseline in CDAI Scores at Week 10 The CDAI score is used to quantify the symptoms of participants with CD. The score ranges from 0 to 600. A score of < 150 indicates remission. A higher score indicates more severe disease. Difference in least squared means (Diff in LSM) were from analysis of covariance (ANCOVA) model. A negative change from baseline indicates improvement. Baseline; Week 10
Secondary Change From Baseline in CDAI Scores at Week 24 The CDAI score is used to quantify the symptoms of participants with Crohn's Disease. The score ranges from 0 to 600. A score of < 150 indicates remission. A higher score indicates more severe disease. Diff in LSM were from ANCOVA model. A negative change from baseline indicates improvement. Baseline; Week 24
See also
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Recruiting NCT03646708 - Response Assessment in SB CD