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    Clinical Trial Results:
    A Phase 2, Double-Blind, Randomized, Placebo-Controlled Study Evaluating the Efficacy and Safety of Filgotinib in the Treatment of Perianal Fistulizing Crohn’s Disease

    Summary
    EudraCT number
    2016-003153-15
    Trial protocol
    GB   HU   CZ   DE   PL   ES   AT   BE   IT  
    Global end of trial date
    17 Feb 2021

    Results information
    Results version number
    v2(current)
    This version publication date
    25 Apr 2022
    First version publication date
    08 Mar 2022
    Other versions
    v1
    Version creation reason
    • Correction of full data set
    Update to the estimation parameter mentioned in the statistical data of the outcome measures. Update to the time frame provided for the All-cause mortality. Update to the explanation given for the use of '9999' for one of the outcome measures.

    Trial information

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    Trial identification
    Sponsor protocol code
    GS-US-419-4016
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT03077412
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Gilead Sciences
    Sponsor organisation address
    333 Lakeside Drive, Foster City, CA, United States, 94404
    Public contact
    Gilead Clinical Study Information Center, Gilead Sciences, GileadClinicalTrials@gilead.com
    Scientific contact
    Gilead Clinical Study Information Center, Gilead Sciences, GileadClinicalTrials@gilead.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    17 Feb 2021
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    20 Jan 2021
    Global end of trial reached?
    Yes
    Global end of trial date
    17 Feb 2021
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The primary objective of this study was to evaluate the efficacy of filgotinib as compared to placebo in establishing combined fistula response at Week 24.
    Protection of trial subjects
    The protocol and consent/assent forms were submitted by each investigator to a duly constituted Independent Ethics Committee (IEC) or Institutional Review Board (IRB) for review and approval before study initiation. All revisions to the consent/assent forms (if applicable) after initial IEC/IRB approval were submitted by the investigator to the IEC/IRB for review and approval before implementation in accordance with regulatory requirements. This study was conducted in accordance with recognized international scientific and ethical standards, including but not limited to the International Conference on Harmonization guideline for Good Clinical Practice (ICH GCP) and the original principles embodied in the Declaration of Helsinki.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    06 Apr 2017
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Canada: 5
    Country: Number of subjects enrolled
    United States: 27
    Country: Number of subjects enrolled
    United Kingdom: 1
    Country: Number of subjects enrolled
    Austria: 8
    Country: Number of subjects enrolled
    Belgium: 3
    Country: Number of subjects enrolled
    France: 5
    Country: Number of subjects enrolled
    Germany: 4
    Country: Number of subjects enrolled
    Hungary: 3
    Country: Number of subjects enrolled
    Italy: 1
    Worldwide total number of subjects
    57
    EEA total number of subjects
    24
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    56
    From 65 to 84 years
    1
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Participants were enrolled at study sites in Europe and the United States. The first participant was screened on 06 April 2017. The last study visit occurred on 17 February 2021.

    Pre-assignment
    Screening details
    106 participants were screened. Participants who were non-responders, met disease worsening criteria or completed all procedures per protocol, were offered the option to continue into a separate Long Term Extension (LTE) study (GS-US-419-3896; NCT02914600), if deemed appropriate by the investigator.

    Period 1
    Period 1 title
    Overall Study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Filgotinib 200 mg
    Arm description
    Participants received filgotinib 200 milligrams (mg) and placebo to match (PTM) filgotinib 100 mg, once daily for 24 weeks.
    Arm type
    Experimental

    Investigational medicinal product name
    Filgotinib
    Investigational medicinal product code
    GS-6034, GLPG0634
    Other name
    Pharmaceutical forms
    Film-coated tablet
    Routes of administration
    Oral use
    Dosage and administration details
    200 mg administered once daily

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Film-coated tablet
    Routes of administration
    Oral use
    Dosage and administration details
    PTM filgotinib 100 mg administered once daily

    Arm title
    Filgotinib 100 mg
    Arm description
    Participants received filgotinib 100 mg and PTM filgotinib 200 mg, once daily for 24 weeks.
    Arm type
    Experimental

    Investigational medicinal product name
    Filgotinib
    Investigational medicinal product code
    GS-6034, GLPG0634
    Other name
    Pharmaceutical forms
    Film-coated tablet
    Routes of administration
    Oral use
    Dosage and administration details
    100 mg administered once daily

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Film-coated tablet
    Routes of administration
    Oral use
    Dosage and administration details
    PTM filgotinib 200 mg administered once daily

    Arm title
    Placebo
    Arm description
    Participants received PTM filgotinib 200 mg and PTM filgotinib 100 mg, once daily for 24 weeks.
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Film-coated tablet
    Routes of administration
    Oral use
    Dosage and administration details
    PTM filgotinib 100 mg administered once daily

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Film-coated tablet
    Routes of administration
    Oral use
    Dosage and administration details
    PTM filgotinib 200 mg administered once daily

    Number of subjects in period 1
    Filgotinib 200 mg Filgotinib 100 mg Placebo
    Started
    17
    25
    15
    Completed
    14
    12
    6
    Not completed
    3
    13
    9
         Withdrew Consent
    -
    2
    -
         Adverse Event
    1
    2
    2
         Non-Responder at Week 10
    1
    5
    3
         Protocol-Specified Disease Worsening
    1
    3
    3
         Investigator's Discretion
    -
    1
    1

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Filgotinib 200 mg
    Reporting group description
    Participants received filgotinib 200 milligrams (mg) and placebo to match (PTM) filgotinib 100 mg, once daily for 24 weeks.

    Reporting group title
    Filgotinib 100 mg
    Reporting group description
    Participants received filgotinib 100 mg and PTM filgotinib 200 mg, once daily for 24 weeks.

    Reporting group title
    Placebo
    Reporting group description
    Participants received PTM filgotinib 200 mg and PTM filgotinib 100 mg, once daily for 24 weeks.

    Reporting group values
    Filgotinib 200 mg Filgotinib 100 mg Placebo Total
    Number of subjects
    17 25 15 57
    Age categorical
    Units: Subjects
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    39 ( 11.2 ) 41 ( 14.0 ) 39 ( 11.8 ) -
    Gender categorical
    Units: Subjects
        Female
    9 10 4 23
        Male
    8 15 11 34
    Race
    Not Permitted = local regulators did not allow collection of race information.
    Units: Subjects
        American Indian or Alaska Native
    0 0 0 0
        Asian
    0 2 0 2
        Black or African American
    1 2 1 4
        Native Hawaiian or Pacific Islander
    0 0 0 0
        White
    15 19 14 48
        Other
    0 0 0 0
        Not Permitted
    1 2 0 3
    Ethnicity
    Not Permitted = local regulators did not allow collection of ethnicity information.
    Units: Subjects
        Not Hispanic or Latino
    17 23 15 55
        Hispanic or Latino
    0 1 0 1
        Not Permitted
    0 1 0 1

    End points

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    End points reporting groups
    Reporting group title
    Filgotinib 200 mg
    Reporting group description
    Participants received filgotinib 200 milligrams (mg) and placebo to match (PTM) filgotinib 100 mg, once daily for 24 weeks.

    Reporting group title
    Filgotinib 100 mg
    Reporting group description
    Participants received filgotinib 100 mg and PTM filgotinib 200 mg, once daily for 24 weeks.

    Reporting group title
    Placebo
    Reporting group description
    Participants received PTM filgotinib 200 mg and PTM filgotinib 100 mg, once daily for 24 weeks.

    Primary: Percentage of Participants who Achieved Combined Fistula Response at Week 24

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    End point title
    Percentage of Participants who Achieved Combined Fistula Response at Week 24
    End point description
    Combined fistula response at Week 24 was defined as reduction of greater than or equal to (≥) 1 from baseline in the number of draining external perianal fistula openings that were present at baseline, and absence of fluid collections > 1 centimeter (cm) on magnetic resonance imaging (MRI) pelvis at Week 24, among participants with at least 1 draining external perianal fistula opening at baseline. Participants in Full Analysis Set (all the randomized participants who received at least 1 dose of the study drug) with at least 1 draining external perianal fistula opening at baseline were analyzed.
    End point type
    Primary
    End point timeframe
    Week 24
    End point values
    Filgotinib 200 mg Filgotinib 100 mg Placebo
    Number of subjects analysed
    17
    24
    12
    Units: percentage of participants
        number (confidence interval 90%)
    47.1 (26.0 to 68.9)
    29.2 (14.6 to 47.9)
    25.0 (7.2 to 52.7)
    Statistical analysis title
    Filgotinib 200 mg vs Placebo
    Statistical analysis description
    The 90% exact CI was calculated based on binomial distribution (Clopper-Pearson method).
    Comparison groups
    Filgotinib 200 mg v Placebo
    Number of subjects included in analysis
    29
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    Method
    Parameter type
    Risk Difference in Percentages
    Point estimate
    22.1
    Confidence interval
         level
    90%
         sides
    2-sided
         lower limit
    -9.9
         upper limit
    50
    Statistical analysis title
    Filgotinib 100 mg vs Placebo
    Statistical analysis description
    The 90% exact CI was calculated based on binomial distribution (Clopper-Pearson method).
    Comparison groups
    Filgotinib 100 mg v Placebo
    Number of subjects included in analysis
    36
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    Method
    Parameter type
    Risk Difference in Percentages
    Point estimate
    4.2
    Confidence interval
         level
    90%
         sides
    2-sided
         lower limit
    -26.5
         upper limit
    34.3

    Secondary: Percentage of Participants Who Achieved Combined Fistula Remission at Week 24

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    End point title
    Percentage of Participants Who Achieved Combined Fistula Remission at Week 24
    End point description
    Combined fistula remission at Week 24 was defined as perianal fistula closure of all external openings that were draining at baseline, and absence of fluid collections > 1 cm on MRI pelvis at Week 24, among participants with at least 1 draining external perianal fistula opening at baseline. Participants in the Full Analysis Set with at least 1 draining external perianal fistula opening at baseline were analyzed.
    End point type
    Secondary
    End point timeframe
    Week 24
    End point values
    Filgotinib 200 mg Filgotinib 100 mg Placebo
    Number of subjects analysed
    17
    24
    12
    Units: percentage of participants
        number (confidence interval 90%)
    47.1 (26.0 to 68.9)
    25.0 (11.5 to 43.5)
    16.7 (3.0 to 43.8)
    Statistical analysis title
    Filgotinib 200 mg vs Placebo
    Statistical analysis description
    The 90% exact CI was calculated based on binomial distribution (Clopper-Pearson method).
    Comparison groups
    Filgotinib 200 mg v Placebo
    Number of subjects included in analysis
    29
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    Method
    Parameter type
    Risk Difference in Percentages
    Point estimate
    30.4
    Confidence interval
         level
    90%
         sides
    2-sided
         lower limit
    -1.3
         upper limit
    57.3
    Statistical analysis title
    Filgotinib 100 mg vs Placebo
    Statistical analysis description
    The 90% exact CI was calculated based on binomial distribution (Clopper-Pearson method).
    Comparison groups
    Filgotinib 100 mg v Placebo
    Number of subjects included in analysis
    36
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    Method
    Parameter type
    Risk Difference in Percentages
    Point estimate
    8.3
    Confidence interval
         level
    90%
         sides
    2-sided
         lower limit
    -22.5
         upper limit
    38.1

    Secondary: Time to Clinical Fistula Response up to Week 24

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    End point title
    Time to Clinical Fistula Response up to Week 24
    End point description
    Time to clinical fistula response was defined as the time interval in days from date of first dosing of study drug to the first observation (during scheduled or unscheduled clinical visits) when ≥ 1 of the draining external perianal fistula openings that were present at baseline achieved perianal fistula closure, among participants with at least 1 draining external perianal fistula opening at baseline. Participants not known to have a clinical fistula response had their clinical fistula response time censored at the last time that lack of clinical fistula response was documented. Participants in the Full Analysis Set with at least 1 draining external perianal fistula opening at baseline were analyzed.
    End point type
    Secondary
    End point timeframe
    Time from treatment start to first visit when ≥ 1 of the draining external perianal fistula openings that were present at baseline achieved perianal fistula closure up to Week 24
    End point values
    Filgotinib 200 mg Filgotinib 100 mg Placebo
    Number of subjects analysed
    17
    24
    12
    Units: days
        median (confidence interval 90%)
    15 (15 to 28)
    16 (15 to 71)
    35.5 (15 to 71)
    Statistical analysis title
    Filgotinib 200 mg vs Placebo
    Statistical analysis description
    Hazard ratio was derived from Cox Proportional-Hazards model.
    Comparison groups
    Filgotinib 200 mg v Placebo
    Number of subjects included in analysis
    29
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    Method
    Parameter type
    Hazard ratio (HR)
    Point estimate
    1.26
    Confidence interval
         level
    90%
         sides
    2-sided
         lower limit
    0.64
         upper limit
    2.49
    Statistical analysis title
    Filgotinib 100 mg vs Placebo
    Statistical analysis description
    Hazard ratio was derived from Cox Proportional-Hazards model.
    Comparison groups
    Filgotinib 100 mg v Placebo
    Number of subjects included in analysis
    36
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    Method
    Parameter type
    Hazard ratio (HR)
    Point estimate
    0.9
    Confidence interval
         level
    90%
         sides
    2-sided
         lower limit
    0.47
         upper limit
    1.75

    Secondary: Time to Clinical Fistula Remission up to Week 24

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    End point title
    Time to Clinical Fistula Remission up to Week 24
    End point description
    Time to clinical fistula remission was defined as the time interval in days from date of first dosing of study drug to the first observation (during schedule or unscheduled clinical visits) of perianal fistula closure of all external openings that were draining at baseline, among participants with at least 1 draining external perianal fistula opening at baseline. Participants not known to have a clinical fistula remission had their clinical fistula remission time censored at the last time that lack of clinical fistula remission was documented. Participants in the Full Analysis Set with at least 1 draining external perianal fistula opening at baseline were analyzed. 99999 signifies that not enough participants achieved clinical fistula remission to calculate upper 90% CI.
    End point type
    Secondary
    End point timeframe
    Time from treatment start to first visit when perianal fistula closure takes place of all external openings that were draining at baseline up to Week 24
    End point values
    Filgotinib 200 mg Filgotinib 100 mg Placebo
    Number of subjects analysed
    17
    24
    12
    Units: days
        median (confidence interval 90%)
    15 (15 to 70)
    29 (16 to 74)
    71 (26 to 99999)
    Statistical analysis title
    Filgotinib 200 mg vs Placebo
    Statistical analysis description
    Hazard ratio was derived from Cox Proportional-Hazards model.
    Comparison groups
    Filgotinib 200 mg v Placebo
    Number of subjects included in analysis
    29
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    Method
    Parameter type
    Hazard ratio (HR)
    Point estimate
    1.87
    Confidence interval
         level
    90%
         sides
    2-sided
         lower limit
    0.87
         upper limit
    4.01
    Statistical analysis title
    Filgotinib 100 mg vs Placebo
    Comparison groups
    Filgotinib 100 mg v Placebo
    Number of subjects included in analysis
    36
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    Method
    Parameter type
    Hazard ratio (HR)
    Point estimate
    1.37
    Confidence interval
         level
    90%
         sides
    2-sided
         lower limit
    0.65
         upper limit
    2.92

    Secondary: Percentage of Participants who Achieved Proctitis Remission at Week 24

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    End point title
    Percentage of Participants who Achieved Proctitis Remission at Week 24
    End point description
    The simple endoscopic score for Crohn's disease (SES-CD) score evaluates 4 endoscopic variables (ulcer size, ulcerated surface, affected surface, and presence of narrowings). The total SES-CD is calculated as the sum of the 4 variables for the required bowel segment. Values are given to each variable and for every examined bowel segment. The SES-CD size of ulcer subscore ranges from 0 (none) to 3 (very large) and for ulcerated surface subscore ranges from 0 (none) to 3 (>30 % of affected area). Higher value of the subscore indicates disease worsening. Proctitis remission at Week 24 was defined as a proctitis SES-CD score (sum of ulcer size and ulcerated surface SES-CD endoscopy subscores for the rectum and anal canal) of 0 assessed by centrally read flexible sigmoidoscopy at Week 24. Moderately to Severely Active Proctitis defined as proctitis SES-CD Score > 2. Participants in the Full Analysis Set who had moderately to severely active proctitis at baseline were analyzed.
    End point type
    Secondary
    End point timeframe
    Week 24
    End point values
    Filgotinib 200 mg Filgotinib 100 mg Placebo
    Number of subjects analysed
    10
    13
    7
    Units: percentage of participants
        number (confidence interval 90%)
    10.0 (0.5 to 39.4)
    15.4 (2.8 to 41.0)
    28.6 (5.3 to 65.9)
    Statistical analysis title
    Filgotinib 200 mg vs Placebo
    Statistical analysis description
    The 90% exact CI was calculated based on binomial distribution (Clopper-Pearson method).
    Comparison groups
    Filgotinib 200 mg v Placebo
    Number of subjects included in analysis
    17
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    Method
    Parameter type
    Risk Difference in Percentages
    Point estimate
    -18.6
    Confidence interval
         level
    90%
         sides
    2-sided
         lower limit
    -55.6
         upper limit
    21.3
    Statistical analysis title
    Filgotinib 100 mg vs Placebo
    Statistical analysis description
    The 90% exact CI was calculated based on binomial distribution (Clopper-Pearson method).
    Comparison groups
    Filgotinib 100 mg v Placebo
    Number of subjects included in analysis
    20
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    Method
    Parameter type
    Risk Difference in Percentages
    Point estimate
    -13.2
    Confidence interval
         level
    90%
         sides
    2-sided
         lower limit
    -51
         upper limit
    24.1

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    All-Cause Mortality: First dose date up to 24 weeks plus 30 days; Adverse Events: First dose date up to 24 weeks plus 30 days
    Adverse event reporting additional description
    All-Cause Mortality: All Randomized Set included all participants who were randomized in the study; Adverse Events: Safety Analysis Set included all participants who received at least 1 dose of study drug.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    23.1
    Reporting groups
    Reporting group title
    Filgotinib 200 mg
    Reporting group description
    Participants received filgotinib 200 mg and PTM filgotinib 100 mg, once daily for up to Week 26.

    Reporting group title
    Placebo
    Reporting group description
    Participants received PTM filgotinib 200 mg and PTM filgotinib 100 mg, once daily for up to Week 27.9.

    Reporting group title
    Filgotinib 100 mg
    Reporting group description
    Participants received filgotinib 100 mg and PTM filgotinib 200 mg, once daily for up to Week 29.3.

    Serious adverse events
    Filgotinib 200 mg Placebo Filgotinib 100 mg
    Total subjects affected by serious adverse events
         subjects affected / exposed
    5 / 17 (29.41%)
    1 / 15 (6.67%)
    2 / 25 (8.00%)
         number of deaths (all causes)
    0
    0
    0
         number of deaths resulting from adverse events
    0
    0
    0
    Gastrointestinal disorders
    Crohn's disease
         subjects affected / exposed
    1 / 17 (5.88%)
    0 / 15 (0.00%)
    2 / 25 (8.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Intestinal obstruction
         subjects affected / exposed
    1 / 17 (5.88%)
    0 / 15 (0.00%)
    0 / 25 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Large intestinal stenosis
         subjects affected / exposed
    1 / 17 (5.88%)
    0 / 15 (0.00%)
    0 / 25 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Infections and infestations
    Bronchitis
         subjects affected / exposed
    1 / 17 (5.88%)
    0 / 15 (0.00%)
    0 / 25 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Suspected COVID-19
         subjects affected / exposed
    1 / 17 (5.88%)
    0 / 15 (0.00%)
    0 / 25 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Vulval abscess
         subjects affected / exposed
    0 / 17 (0.00%)
    1 / 15 (6.67%)
    0 / 25 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Filgotinib 200 mg Placebo Filgotinib 100 mg
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    13 / 17 (76.47%)
    11 / 15 (73.33%)
    14 / 25 (56.00%)
    Vascular disorders
    Circulatory collapse
         subjects affected / exposed
    0 / 17 (0.00%)
    1 / 15 (6.67%)
    0 / 25 (0.00%)
         occurrences all number
    0
    1
    0
    General disorders and administration site conditions
    Fatigue
         subjects affected / exposed
    3 / 17 (17.65%)
    0 / 15 (0.00%)
    3 / 25 (12.00%)
         occurrences all number
    3
    0
    3
    Pyrexia
         subjects affected / exposed
    0 / 17 (0.00%)
    1 / 15 (6.67%)
    1 / 25 (4.00%)
         occurrences all number
    0
    1
    1
    Crying
         subjects affected / exposed
    0 / 17 (0.00%)
    1 / 15 (6.67%)
    0 / 25 (0.00%)
         occurrences all number
    0
    1
    0
    Exercise tolerance decreased
         subjects affected / exposed
    1 / 17 (5.88%)
    0 / 15 (0.00%)
    0 / 25 (0.00%)
         occurrences all number
    1
    0
    0
    Medical device pain
         subjects affected / exposed
    0 / 17 (0.00%)
    1 / 15 (6.67%)
    0 / 25 (0.00%)
         occurrences all number
    0
    1
    0
    Reproductive system and breast disorders
    Ovarian cyst
         subjects affected / exposed
    1 / 17 (5.88%)
    0 / 15 (0.00%)
    0 / 25 (0.00%)
         occurrences all number
    1
    0
    0
    Respiratory, thoracic and mediastinal disorders
    Oropharyngeal pain
         subjects affected / exposed
    1 / 17 (5.88%)
    1 / 15 (6.67%)
    2 / 25 (8.00%)
         occurrences all number
    1
    1
    3
    Pharyngeal hypoaesthesia
         subjects affected / exposed
    1 / 17 (5.88%)
    0 / 15 (0.00%)
    0 / 25 (0.00%)
         occurrences all number
    1
    0
    0
    Injury, poisoning and procedural complications
    Fall
         subjects affected / exposed
    0 / 17 (0.00%)
    1 / 15 (6.67%)
    0 / 25 (0.00%)
         occurrences all number
    0
    1
    0
    Contusion
         subjects affected / exposed
    1 / 17 (5.88%)
    1 / 15 (6.67%)
    0 / 25 (0.00%)
         occurrences all number
    1
    1
    0
    Muscle strain
         subjects affected / exposed
    1 / 17 (5.88%)
    0 / 15 (0.00%)
    0 / 25 (0.00%)
         occurrences all number
    1
    0
    0
    Road traffic accident
         subjects affected / exposed
    0 / 17 (0.00%)
    1 / 15 (6.67%)
    0 / 25 (0.00%)
         occurrences all number
    0
    1
    0
    Skin laceration
         subjects affected / exposed
    0 / 17 (0.00%)
    1 / 15 (6.67%)
    0 / 25 (0.00%)
         occurrences all number
    0
    1
    0
    Sunburn
         subjects affected / exposed
    1 / 17 (5.88%)
    0 / 15 (0.00%)
    0 / 25 (0.00%)
         occurrences all number
    1
    0
    0
    Cardiac disorders
    Palpitations
         subjects affected / exposed
    0 / 17 (0.00%)
    0 / 15 (0.00%)
    2 / 25 (8.00%)
         occurrences all number
    0
    0
    2
    Tachycardia
         subjects affected / exposed
    1 / 17 (5.88%)
    0 / 15 (0.00%)
    0 / 25 (0.00%)
         occurrences all number
    1
    0
    0
    Nervous system disorders
    Headache
         subjects affected / exposed
    1 / 17 (5.88%)
    1 / 15 (6.67%)
    1 / 25 (4.00%)
         occurrences all number
    1
    1
    1
    Dysaesthesia
         subjects affected / exposed
    1 / 17 (5.88%)
    0 / 15 (0.00%)
    0 / 25 (0.00%)
         occurrences all number
    1
    0
    0
    Mental impairment
         subjects affected / exposed
    0 / 17 (0.00%)
    1 / 15 (6.67%)
    0 / 25 (0.00%)
         occurrences all number
    0
    1
    0
    Taste disorder
         subjects affected / exposed
    0 / 17 (0.00%)
    1 / 15 (6.67%)
    0 / 25 (0.00%)
         occurrences all number
    0
    1
    0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    1 / 17 (5.88%)
    0 / 15 (0.00%)
    0 / 25 (0.00%)
         occurrences all number
    1
    0
    0
    Ear and labyrinth disorders
    Ear discomfort
         subjects affected / exposed
    0 / 17 (0.00%)
    1 / 15 (6.67%)
    0 / 25 (0.00%)
         occurrences all number
    0
    1
    0
    Eye disorders
    Photophobia
         subjects affected / exposed
    1 / 17 (5.88%)
    0 / 15 (0.00%)
    0 / 25 (0.00%)
         occurrences all number
    1
    0
    0
    Visual impairment
         subjects affected / exposed
    1 / 17 (5.88%)
    0 / 15 (0.00%)
    0 / 25 (0.00%)
         occurrences all number
    1
    0
    0
    Gastrointestinal disorders
    Anal fistula
         subjects affected / exposed
    2 / 17 (11.76%)
    2 / 15 (13.33%)
    2 / 25 (8.00%)
         occurrences all number
    2
    3
    2
    Crohn's disease
         subjects affected / exposed
    2 / 17 (11.76%)
    1 / 15 (6.67%)
    2 / 25 (8.00%)
         occurrences all number
    2
    1
    2
    Nausea
         subjects affected / exposed
    2 / 17 (11.76%)
    1 / 15 (6.67%)
    2 / 25 (8.00%)
         occurrences all number
    2
    1
    2
    Abdominal distension
         subjects affected / exposed
    1 / 17 (5.88%)
    1 / 15 (6.67%)
    0 / 25 (0.00%)
         occurrences all number
    1
    1
    0
    Abdominal pain
         subjects affected / exposed
    1 / 17 (5.88%)
    0 / 15 (0.00%)
    1 / 25 (4.00%)
         occurrences all number
    1
    0
    2
    Diarrhoea
         subjects affected / exposed
    1 / 17 (5.88%)
    0 / 15 (0.00%)
    1 / 25 (4.00%)
         occurrences all number
    2
    0
    1
    Vomiting
         subjects affected / exposed
    0 / 17 (0.00%)
    1 / 15 (6.67%)
    1 / 25 (4.00%)
         occurrences all number
    0
    1
    1
    Abdominal pain upper
         subjects affected / exposed
    0 / 17 (0.00%)
    1 / 15 (6.67%)
    0 / 25 (0.00%)
         occurrences all number
    0
    1
    0
    Constipation
         subjects affected / exposed
    1 / 17 (5.88%)
    0 / 15 (0.00%)
    0 / 25 (0.00%)
         occurrences all number
    1
    0
    0
    Faeces discoloured
         subjects affected / exposed
    0 / 17 (0.00%)
    1 / 15 (6.67%)
    0 / 25 (0.00%)
         occurrences all number
    0
    1
    0
    Food poisoning
         subjects affected / exposed
    1 / 17 (5.88%)
    0 / 15 (0.00%)
    0 / 25 (0.00%)
         occurrences all number
    1
    0
    0
    Gastrooesophageal reflux disease
         subjects affected / exposed
    1 / 17 (5.88%)
    0 / 15 (0.00%)
    0 / 25 (0.00%)
         occurrences all number
    1
    0
    0
    Hypoaesthesia oral
         subjects affected / exposed
    1 / 17 (5.88%)
    0 / 15 (0.00%)
    0 / 25 (0.00%)
         occurrences all number
    1
    0
    0
    Proctalgia
         subjects affected / exposed
    1 / 17 (5.88%)
    0 / 15 (0.00%)
    0 / 25 (0.00%)
         occurrences all number
    1
    0
    0
    Skin and subcutaneous tissue disorders
    Rash
         subjects affected / exposed
    1 / 17 (5.88%)
    2 / 15 (13.33%)
    1 / 25 (4.00%)
         occurrences all number
    1
    2
    2
    Alopecia
         subjects affected / exposed
    0 / 17 (0.00%)
    1 / 15 (6.67%)
    0 / 25 (0.00%)
         occurrences all number
    0
    1
    0
    Eczema
         subjects affected / exposed
    0 / 17 (0.00%)
    1 / 15 (6.67%)
    0 / 25 (0.00%)
         occurrences all number
    0
    1
    0
    Onychoclasis
         subjects affected / exposed
    0 / 17 (0.00%)
    1 / 15 (6.67%)
    0 / 25 (0.00%)
         occurrences all number
    0
    1
    0
    Skin lesion
         subjects affected / exposed
    1 / 17 (5.88%)
    0 / 15 (0.00%)
    0 / 25 (0.00%)
         occurrences all number
    1
    0
    0
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    3 / 17 (17.65%)
    0 / 15 (0.00%)
    2 / 25 (8.00%)
         occurrences all number
    3
    0
    2
    Back pain
         subjects affected / exposed
    1 / 17 (5.88%)
    0 / 15 (0.00%)
    1 / 25 (4.00%)
         occurrences all number
    1
    0
    1
    Muscle spasms
         subjects affected / exposed
    0 / 17 (0.00%)
    1 / 15 (6.67%)
    0 / 25 (0.00%)
         occurrences all number
    0
    1
    0
    Infections and infestations
    Influenza
         subjects affected / exposed
    3 / 17 (17.65%)
    2 / 15 (13.33%)
    1 / 25 (4.00%)
         occurrences all number
    3
    2
    1
    Anal abscess
         subjects affected / exposed
    3 / 17 (17.65%)
    1 / 15 (6.67%)
    0 / 25 (0.00%)
         occurrences all number
    3
    1
    0
    Nasopharyngitis
         subjects affected / exposed
    2 / 17 (11.76%)
    2 / 15 (13.33%)
    2 / 25 (8.00%)
         occurrences all number
    2
    2
    2
    Abscess limb
         subjects affected / exposed
    1 / 17 (5.88%)
    0 / 15 (0.00%)
    1 / 25 (4.00%)
         occurrences all number
    1
    0
    1
    Oral herpes
         subjects affected / exposed
    2 / 17 (11.76%)
    1 / 15 (6.67%)
    0 / 25 (0.00%)
         occurrences all number
    2
    1
    0
    Ear infection
         subjects affected / exposed
    0 / 17 (0.00%)
    1 / 15 (6.67%)
    1 / 25 (4.00%)
         occurrences all number
    0
    1
    1
    Pharyngitis streptococcal
         subjects affected / exposed
    0 / 17 (0.00%)
    1 / 15 (6.67%)
    1 / 25 (4.00%)
         occurrences all number
    0
    1
    1
    Upper respiratory tract infection
         subjects affected / exposed
    1 / 17 (5.88%)
    0 / 15 (0.00%)
    1 / 25 (4.00%)
         occurrences all number
    1
    0
    1
    Abscess
         subjects affected / exposed
    1 / 17 (5.88%)
    0 / 15 (0.00%)
    0 / 25 (0.00%)
         occurrences all number
    1
    0
    0
    Abscess soft tissue
         subjects affected / exposed
    0 / 17 (0.00%)
    1 / 15 (6.67%)
    0 / 25 (0.00%)
         occurrences all number
    0
    1
    0
    Anal fungal infection
         subjects affected / exposed
    1 / 17 (5.88%)
    0 / 15 (0.00%)
    0 / 25 (0.00%)
         occurrences all number
    1
    0
    0
    Fungal skin infection
         subjects affected / exposed
    0 / 17 (0.00%)
    1 / 15 (6.67%)
    0 / 25 (0.00%)
         occurrences all number
    0
    1
    0
    Gastroenteritis
         subjects affected / exposed
    1 / 17 (5.88%)
    0 / 15 (0.00%)
    0 / 25 (0.00%)
         occurrences all number
    1
    0
    0
    Pneumonia
         subjects affected / exposed
    0 / 17 (0.00%)
    1 / 15 (6.67%)
    0 / 25 (0.00%)
         occurrences all number
    0
    1
    0
    Sinusitis
         subjects affected / exposed
    1 / 17 (5.88%)
    0 / 15 (0.00%)
    0 / 25 (0.00%)
         occurrences all number
    1
    0
    0
    Viral infection
         subjects affected / exposed
    1 / 17 (5.88%)
    0 / 15 (0.00%)
    0 / 25 (0.00%)
         occurrences all number
    1
    0
    0
    Viral upper respiratory tract infection
         subjects affected / exposed
    1 / 17 (5.88%)
    0 / 15 (0.00%)
    0 / 25 (0.00%)
         occurrences all number
    1
    0
    0
    Vulvovaginal mycotic infection
         subjects affected / exposed
    0 / 17 (0.00%)
    1 / 15 (6.67%)
    0 / 25 (0.00%)
         occurrences all number
    0
    1
    0
    Metabolism and nutrition disorders
    Iron deficiency
         subjects affected / exposed
    1 / 17 (5.88%)
    0 / 15 (0.00%)
    0 / 25 (0.00%)
         occurrences all number
    1
    0
    0
    Malnutrition
         subjects affected / exposed
    1 / 17 (5.88%)
    0 / 15 (0.00%)
    0 / 25 (0.00%)
         occurrences all number
    1
    0
    0

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    06 Jan 2017
    Amendment 1: •Updated projected study centers based on recent site selection metrics •Added a secondary objective for the evaluation of proctitis remission • Updates made to 3 exploratory objectives •Added randomization stratum of proctitis status •Removed inclusion criterion of perianal CDAI(PDAI)>4 •Clarified inclusion criterion around the acceptability of non-perianal fistulae and concurrent noncutting perianal seton(s) removal prior to randomization •Added inclusion of participants that had previously demonstrated treatment failure to a 4-week regimen of antibiotics for the treatment of perianal fistulae •Removed corticosteroids and vedolizumab from the inclusion criterion for defining participants as inadequate clinical responders •Updated to clarify that administration of stable doses of permitted concomitant medications was mandatory •Extended requirement for stable doses of corticosteroid therapy prior to randomization •Decreased the maximum dose permitted for prednisone (or equivalent) •Removed inclusion criterion around participant willingness and ability to take antibiotic treatment for perianal fistulizing Crohn’s disease (CD) and > 3 draining fistula of any type •Updated exclusionary CD activity index (CDAI) value •Clarified that participants must have an intact rectum in order to assess active proctitis at baseline •Added flexible sigmoidoscopy procedure and Simple Endoscopic Score (SES)-CD scoring •Clarified LTE study eligibility requirements for participants who met responder criteria •Added text to clarify when study and/or study drug discontinuation was mandatory •Added a data monitoring committee •Updated table of definitions to include all new definitions in alignment with changes to the objectives of the study •Updated background section of the protocol, including rationale for this study •Added a secondary efficacy end point of the proportion of participants achieving proctitis remission at Week 24
    26 Jun 2017
    Amendment 2: • Added ClinicalTrials.gov identifier • Updated secondary objectives and end points to eliminate redundancy • Added study duration • Updated background information with emerging relevant clinical data and to ensure consistency with Edition 12 of the Investigator’s Brochure for filgotinib • Added formula for creatinine clearance calculation • Updated biomarker language to align with Gilead’s current protocol template • Updated inclusion criterion to clarify that QuantiFERON TB testing could not be repeated except in the case of a single repeat for indeterminate results • Added a new inclusion criterion to ensure standard of care colorectal cancer screening for patient population • Updated Exclusion 7 to remove tattoo as a contraindication to MRI examination • Updated exclusion criteria to clarify the required washout period before entry of participants who had been previously treated with ustekinumab • Added guidance for missed doses • Added guidance for initiation of new induction therapies prior to screening • Added instructions for budesonide taper • Added detailed descriptions of key assessments • Updated safety reporting language to align with Gilead’s current protocol template • Added wording to the informed consent process to ensure investigators counseled male participants on the associated risks of male infertility • Removed PDAI from screening • Added urinalysis to Week 24 • Separated fasting lipids from serum chemistry • Defined the duration of fasting • Removed fasting requirement from screening • Appendix 9 updated based on findings of drug-drug interaction study for filgotinib and hormonal contraceptives and to clarify the definitions of childbearing potential
    11 Oct 2018
    Amendment 3: • Further clarified the eligible participant population via updates to study inclusion/exclusion criteria • Ensured study end points were evaluable for early terminating participants by addition of assessments at the early termination (ET) visit • Updated study director and medical monitor contact information • Updated Data Monitoring Committee meeting schedule to reflect the committee charter
    11 Apr 2019
    Amendment 4: • Incorporated criteria for the assessment of non-response of perianal fistulae using patient reported symptom subscores of the PDAI • Allowed the concurrent use of vedolizumab therapy • Expanded the definition of dual refractory male participants in the United States • Replaced a stratification factor • Added an interim futility analysis for efficacy • Clarified that endoscopic assessment of anal canal was being conducted as part of the centrally read flexible sigmoidoscopy • Added a new exploratory objective for the study • Added a new exploratory end point for the study
    04 Feb 2020
    Amendment 5: • Included additional criteria for luminal disease non-response • Included discontinuation criteria for thromboembolic events at the request of the United States Food and Drug Administration (US FDA) • Included a criterion to trigger an ad hoc DMC meeting at the request of the US FDA • Described a cardiovascular safety end point adjudication committee (CVEAC) that Gilead established at the request of the FDA • Included new guidance for hepatitis B virus (HBV) deoxyribonucleic acid (DNA) screening and surveillance

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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