E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Moderately to Severely Active Crohn's Disease (CD) |
Morbo di Crohn attivo di grado da moderato a severo |
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E.1.1.1 | Medical condition in easily understood language |
Crohn's Disease |
Morbo di 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 | 20.0 |
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 |
Osservare la sicurezza a lungo termine di filgotinib in soggetti che hanno portato a termine uno studio precedente di trattamento con filgotinib per il MC sponsorizzato da Gilead o ne hanno soddisfatto i criteri di interruzione per l'efficacia specificati dal protocollo |
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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 |
Valutare l'effetto di filgotinib sui punteggi degli esiti riferiti dai pazienti (Patient Reported Outcomes, PRO2) e dell'indice di attività del morbo di Crohn (Crohn’s Disease Activity Index, CDAI) |
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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
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• Devono essere in grado di comprendere e firmare un consenso informato scritto (ICF), che deve essere ottenuto prima dell'inizio delle procedure dello studio associato a questa sperimentazione. • Devono essere stati arruolati in uno studio Gilead sponsored con un protocolloper CD, GS-US-419-4015, GS-US-419-4016 o GS-US-419-3895 • Le donne in età fertile devono presentare un test di gravidanza negativo alla visita del Giorno 1 e devono acconsentire a sottoporsi a test di gravidanza mensili continuativi durante il trattamento con filgotinib. • I soggetti di sesso maschile e quelli di sesso femminile in età fertile che hanno rapporti eterosessuali devono acconsentire a utilizzare uno o più metodi contraccettivi specificati dal protocollo, come descritto nell'Appendice 6, per l'intera durata specificata. • Disponibilità ad astenersi dall'uso di vaccini vivi o attenuati durante lo studio e per le 12 settimane successive all'ultima dose di farmaco dello studio. |
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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 |
• I soggetti che hanno interrotto uno studio originario per motivi diversi dal peggioramento della malattia o dalla mancanza di risposta o di remissione, per es. i soggetti che si ritirano per problemi di sicurezza o di tollerabilità, non sono idonei allo studio. • Ipersensibilità nota al farmaco dello studio. • Qualsiasi condizione medica cronica (incluse, ma non limitate a, malattia cardiaca o polmonare, abuso di alcool o di farmaci) che, nel parere dello Sperimentatore, renderebbe il soggetto non idoneo allo studio o impedirebbe la conformità al protocollo dello studio. • Donne che potrebbero voler iniziare una gravidanza e/o prevedono di donare ovuli o di farsi prelevare ovuli per finalità di fertilizzazione attuale o futura durante lo svolgimento dello studio e per almeno 35 giorni dall'ultima dose di farmaco dello studio. • Uomini non disposti ad astenersi dalla donazione di sperma per almeno 90 giorni dall'ultima dose di farmaco dello studio. • Uomini o donne in età riproduttiva che non siano disposti a rispettare i metodi contraccettivi specificati nel protocollo e definiti nell'Appendice 6 • Uso di farmaci non ammessi, come descritto nel protocollo |
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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 |
Le valutazioni sulla sicurezza comprendono la documentazione degli AE, dell'esame fisico (orientato ai sintomi), dei segni vitali e delle analisi cliniche di laboratorio (ematologia, chimica ed esame delle urine). |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
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E.5.2 | Secondary end point(s) |
Change from baseline in PRO2 and CDAI scores |
L'efficacia sarà valutata in termini di variazioni dei punteggi di PRO2 e del CDAI. |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
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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 |
Subject to receive open-label or blinded IMP depending on their disease response in the parent study |
Subject to receive open-label or blinded IMP depending on their disease response in the parent study |
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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 | 17 |
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 | Information not present in EudraCT |
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 |
Australia |
Canada |
Georgia |
Hong Kong |
India |
Israel |
Japan |
Korea, Republic of |
Malaysia |
Mexico |
New Zealand |
Russian Federation |
Serbia |
Singapore |
South Africa |
Taiwan |
Ukraine |
United States |
Austria |
Belgium |
Bulgaria |
Croatia |
France |
Germany |
Greece |
Hungary |
Iceland |
Ireland |
Italy |
Netherlands |
Norway |
Poland |
Portugal |
Romania |
Slovakia |
Spain |
Sweden |
Switzerland |
United Kingdom |
Czechia |
Argentina |
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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
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End of study is defined as when teh last subject has completed 432 weeks ( or until filgotinib becomes commercially available, whichever comes first) or treatment plus Post Treatment (PTx) assessment 30 days after the last dose of study drug |
End of study is defined as when teh last subject has completed 432 weeks ( or until filgotinib becomes commercially available, whichever comes first) or treatment plus Post Treatment (PTx) assessment 30 days after the last dose of study drug |
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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 | 2 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 13 |
E.8.9.2 | In all countries concerned by the trial months | 2 |
E.8.9.2 | In all countries concerned by the trial days | 28 |