E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Moderately to Severely Active Crohn's Disease (CD) |
Enfermedad de Crohn (EC) de actividad de moderada a severa |
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E.1.1.1 | Medical condition in easily understood language |
Crohn's Disease |
Enfermedad de Crohn |
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E.1.1.2 | Therapeutic area | Diseases [C] - Digestive System Diseases [C06] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 19.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10013099 |
E.1.2 | Term | Disease Crohns |
E.1.2 | System Organ Class | 100000004856 |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To observe the long-term safety of filgotinib in subjects who have completed or met protocol specified efficacy discontinuation criteria in a prior Gilead-sponsored filgotinib treatment study in CD |
Observar la seguridad a largo plazo de filgotinib en pacientes que hayan completado un estudio previo de tratamiento con filgotinib patrocinado por Gilead para la EC |
|
E.2.2 | Secondary objectives of the trial |
To evaluate the effect of filgotinib on Patient Reported Outcomes (PRO2) and Crohn’s Disease Activity Index (CDAI) scores |
Evaluar el efecto de filgotinib en las puntuaciones del Índice de Actividad de la Enfermedad de Crohn (IAEC) y los Resultados Notificados por el Paciente (RNP2) |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
• Must have the ability to understand and sign a written ICF, which must be obtained prior to initiation of study procedures associated with this trial • Must have met all eligibility criteria from a Gilead-sponsored CD parent protocol • Females of childbearing potential must have a negative pregnancy test at Day 1 and must agree to continued monthly pregnancy testing during use of filgotinib treatment • Male subjects and female subjects of childbearing potential who engage in heterosexual intercourse must agree to use protocol specified method(s) of contraception • Willingness to refrain from live or attenuated vaccines during the study and for 12 weeks after last dose of study drug |
• Deben poder comprender y firmar un formulario de consentimiento informado (FCI) por escrito, que debe obtenerse antes de iniciar los procedimientos del estudio asociados con este ensayo • Debe haber cumplido con todos los criterios de elegibilidad de un protocolo principal de CD promovido por Gilead • Las pacientes de sexo femenino con capacidad de concebir deben obtener un resultado negativo en la prueba de embarazo del Día 1 y deben aceptar realizar pruebas de embarazo mensuales continuas durante el uso del tratamiento con filgotinib • Los pacientes de sexo masculino y las de sexo femenino con capacidad de concebir que mantengan relaciones sexuales heterosexuales deben aceptar el uso del método o métodos anticonceptivos especificados en el protocolo, según se describe en el Anexo 6, durante la duración indicada • Voluntad de abstenerse de recibir vacunas elaboradas con microbios vivos o atenuadas durante el estudio y durante 12 semanas tras la última dosis del fármaco del estudio |
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E.4 | Principal exclusion criteria |
• Subjects who are discontinued from a parent study for reasons other than disease worsening, or lack of response or remission; eg, subjects who discontinue for safety or tolerability issues are not eligible for the present study. • Known hypersensitivity to the study drug • Any chronic medical condition (including, but not limited to, cardiac or pulmonary disease, alcohol or drug abuse) that, in the opinion of the Investigator, would make the subject unsuitable for the study or would prevent compliance with the study protocol • Females who may wish to become pregnant and/or plan to undergo egg donation or egg harvesting for the purpose of current or future fertilization during the course of the study and for at least 35 days of the last dose of the study drug • Male subjects unwilling to refrain from sperm donation for at least 90 days after the last dose of study drug • Males or females of reproductive potential who are unwilling to abide by protocol-specified contraceptive methods as defined in the protocol • Use of prohibited medications as outlined in the protocol |
• Pacientes que interrumpan un estudio original por razones que no sean empeoramiento de la enfermedad o falta de respuesta o remisión; p. ej., los pacientes que lo interrumpan por motivos de tolerabilidad o seguridad no son aptos para este estudio • Hipersensibilidad conocida al fármaco del estudio • Cualquier afección médica crónica (entre otras, neumopatía o cardiopatía, alcoholismo o drogadicción) que, en opinión del investigador, haga que el paciente no sea apto para el estudio o impida el cumplimiento del protocolo del mismo • Pacientes de sexo femenino que deseen quedarse embarazadas y/o planeen someterse a donación de óvulos o su extracción con el objetivo de la fecundación, en el momento actual o en el futuro, durante el transcurso del estudio y durante al menos 35 días después de la última dosis del fármaco del estudio • Pacientes de sexo masculino que no estén dispuestos a abstenerse de donar esperma durante al menos 90 días después de la última dosis del fármaco del estudio • Pacientes de sexo masculino o de sexo femenino con potencial reproductivo que no estén dispuestos a seguir los métodos anticonceptivos especificados en el protocolo, según se describe en el Anexo 6 • Uso de medicamentos prohibidos, según se explica en la Sección 5.4 |
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E.5 End points |
E.5.1 | Primary end point(s) |
Safety, evaluated through AEs, clinical laboratory tests, and vital signs |
La seguridad, evaluada a partir de los AA, pruebas analíticas clínicas y constantes vitales |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
|
E.5.2 | Secondary end point(s) |
Change from baseline in PRO2 and CDAI scores |
Cambio desde el inicio en las puntuaciones de RNP2 y IAEC |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
|
E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | Yes |
E.8.1.7.1 | Other trial design description |
Sujeto a recibir IMP de etiqueta abierta o ciego dependiendo de larespuesta de la enfermedad |
Subject to receive open-label or blinded IMP depending on their disease response in the parent study |
|
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 3 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 16 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 180 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Argentina |
Australia |
Austria |
Belarus |
Belgium |
Brazil |
Bulgaria |
Canada |
Croatia |
Czech Republic |
France |
Georgia |
Germany |
Greece |
Hong Kong |
Hungary |
Iceland |
India |
Ireland |
Israel |
Italy |
Japan |
Korea, Republic of |
Malaysia |
Mexico |
Netherlands |
New Zealand |
Norway |
Poland |
Portugal |
Romania |
Russian Federation |
Serbia |
Singapore |
Slovakia |
South Africa |
Spain |
Sweden |
Switzerland |
Taiwan |
Ukraine |
United Kingdom |
United States |
|
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
End of Study is defined as when the last subject has completed 144 weeks of treatment plus 30 days follow-up. |
El fin de estudio se define como cuando el último sujeto ha completado 144semanas de tratamiento, más 30 días de seguimiento. |
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 5 |
E.8.9.1 | In the Member State concerned months | 3 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 5 |
E.8.9.2 | In all countries concerned by the trial months | 11 |
E.8.9.2 | In all countries concerned by the trial days | 2 |