Clinical Trial Results:
A Randomized, Double-blind, Placebo-controlled Phase 2 Study to Evaluate the Testicular Safety of Filgotinib in Adult Males with Moderately to Severely Active Inflammatory Bowel Disease
Summary
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EudraCT number |
2017-000402-38 |
Trial protocol |
GB DE AT PT NL SE BE ES RO |
Global end of trial date |
24 Oct 2023
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Results information
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Results version number |
v3(current) |
This version publication date |
25 Sep 2024
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First version publication date |
20 Jul 2023
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Other versions |
v1 , v2 |
Version creation reason |
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Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
GS-US-418-4279
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
NCT03201445 | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
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Sponsor organisation name |
Galapagos NV
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Sponsor organisation address |
Generaal De Wittelaan L11 A3, Mechelen, Belgium, 2800
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Public contact |
Galapagos Medical Information, Galapagos NV, medicalinfo@glpg.com
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Scientific contact |
Galapagos Medical Information, Galapagos NV, medicalinfo@glpg.com
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
29 Jul 2024
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Is this the analysis of the primary completion data? |
No
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Global end of trial reached? |
Yes
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Global end of trial date |
24 Oct 2023
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Was the trial ended prematurely? |
Yes
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General information about the trial
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Main objective of the trial |
The main aim of this study was to evaluate the testicular safety of filgotinib in adult males with moderately to severely active inflammatory bowel disease (IBD).
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Protection of trial subjects |
This study is being conducted under a US investigational new drug (IND) application and in accordance with recognized international scientific and ethical standards, including but not limited to the International Council for Harmonisation (ICH) guideline for Good Clinical Practice (GCP), and the original principles embodied in the Declaration of Helsinki. These standards are consistent with the requirements of the US Code of Federal Regulations (CFR) Title 21, Part 312 (21CFR312), and the EU Clinical Trials Directive 2001/20/EC as well as other local legislation.
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Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
11 Jul 2017
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
Yes
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
Poland: 9
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Country: Number of subjects enrolled |
Romania: 1
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Country: Number of subjects enrolled |
United Kingdom: 1
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Country: Number of subjects enrolled |
Austria: 2
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Country: Number of subjects enrolled |
Germany: 5
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Country: Number of subjects enrolled |
India: 75
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Country: Number of subjects enrolled |
United States: 20
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Country: Number of subjects enrolled |
Ukraine: 17
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Country: Number of subjects enrolled |
Russian Federation: 7
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Country: Number of subjects enrolled |
Australia: 1
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Country: Number of subjects enrolled |
New Zealand: 1
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Worldwide total number of subjects |
139
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EEA total number of subjects |
17
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
0
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Adolescents (12-17 years) |
0
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Adults (18-64 years) |
139
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From 65 to 84 years |
0
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85 years and over |
0
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Recruitment
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Recruitment details |
Participants were enrolled at study sites in Australia, Austria, Germany, India, New Zealand, Poland, Romania, Russian Federation, Ukraine, United Kingdom, and United States. The first participant was screened on 11 July 2017. A total of 323 participants were screened of which 139 participants were randomized into the study. | |||||||||||||||||||||||||||||||||
Pre-assignment
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Screening details |
Study had 5 parts: Part A: Double-Blind Phase (DB Phase; Day 1 up to Week 13); Part B: DB Phase (Week 13 up to Week 26); Open-label (OL) Phase (after Week 13 study visit for up to 13 weeks); Monitoring Phase (MP; up to 52 weeks); and Long-term Extension (LTE) Phase (after Week 26 or end of OL Phase for up to 195 weeks). | |||||||||||||||||||||||||||||||||
Period 1
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Period 1 title |
Overall (overall period)
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Is this the baseline period? |
Yes | |||||||||||||||||||||||||||||||||
Allocation method |
Randomised - controlled
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Blinding used |
Double blind | |||||||||||||||||||||||||||||||||
Roles blinded |
Subject, Investigator | |||||||||||||||||||||||||||||||||
Arms
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Are arms mutually exclusive |
Yes
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Arm title
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Filgotinib | |||||||||||||||||||||||||||||||||
Arm description |
Participants received filgotinib 200 mg tablet, orally once daily (OD) up to Week 13 in DB phase (Part A). At Week 13, IBD responders, without meeting pre-specified sperm decrease thresholds, continued DB phase treatment up to Week 26 (Part B). IBD non-responders at Week 13 (end of Part A) or had disease worsening after Week 13 & prior to Week 26 (in Part B), & whose sperm parameters did not meet prespecified decrease threshold, entered the OL Phase, & received OL filgotinib 200 mg, tablet orally OD for up to Week 13 during the OL phase. At Week 26/OL Week 13, IBD responders & who had not experienced disease worsening, & whose sperm parameters did not meet prespecified decrease threshold, continued receiving the same study drug they were responding to, as part of LTE for up to 195 weeks. Participants who met prespecified sperm decrease threshold(s) discontinued study drug & switched to standard of care (SOC) regimen selected by investigator & entered the MP for up to 52 weeks. | |||||||||||||||||||||||||||||||||
Arm type |
Experimental | |||||||||||||||||||||||||||||||||
Investigational medicinal product name |
Filgotinib
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Investigational medicinal product code |
GS-6034
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Other name |
Jyseleca®
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Pharmaceutical forms |
Tablet
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Routes of administration |
Oral use
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Dosage and administration details |
200-mg tablet administered orally once daily
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Investigational medicinal product name |
Standard of Care
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Not assigned
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Routes of administration |
Not mentioned
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Dosage and administration details |
Locally approved treatment, accepted by medical experts as a proper treatment for IBD conditions, prescribed according to best clinical practice, with no known testicular toxicity.
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Arm title
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Placebo | |||||||||||||||||||||||||||||||||
Arm description |
Participants received placebo (matched to filgotinib) tablet, orally OD up to Week 13 in DB phase (Part A). At Week 13, IBD responders, without meeting pre-specified sperm decrease thresholds, continued DB phase treatment up to Week 26 (Part B). IBD non-responders at Week 13 (end of Part A) or had disease worsening after Week 13 and prior to Week 26 (in Part B), and whose sperm parameters did not meet prespecified decrease threshold, entered the OL Phase, and received OL filgotinib 200 mg, tablet orally OD for up to Week 13 during the OL phase. At Week 26/OL Week 13, IBD responders and who had not experienced disease worsening, and whose sperm parameters did not meet prespecified decrease threshold, continued receiving the same study drug they were responding to, as part of LTE for up to 195 weeks. Participants who met prespecified sperm decrease threshold(s) discontinued study drug and switched to SOC regimen selected by investigator and entered the MP for up to 52 weeks. | |||||||||||||||||||||||||||||||||
Arm type |
Placebo | |||||||||||||||||||||||||||||||||
Investigational medicinal product name |
Placebo
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Tablet
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Routes of administration |
Oral use
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Dosage and administration details |
Placebo to match filgotinib tablet administered orally once daily.
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Investigational medicinal product name |
Filgotinib
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Investigational medicinal product code |
GS-6034
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Other name |
Jyseleca®
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Pharmaceutical forms |
Tablet
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Routes of administration |
Oral use
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Dosage and administration details |
200-mg tablet administered orally once daily
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Investigational medicinal product name |
Standard of Care
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Not assigned
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Routes of administration |
Not mentioned
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Dosage and administration details |
Locally approved treatment, accepted by medical experts as a proper treatment for IBD conditions, prescribed according to best clinical practice, with no known testicular toxicity.
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Baseline characteristics reporting groups
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Reporting group title |
Filgotinib
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Reporting group description |
Participants received filgotinib 200 mg tablet, orally once daily (OD) up to Week 13 in DB phase (Part A). At Week 13, IBD responders, without meeting pre-specified sperm decrease thresholds, continued DB phase treatment up to Week 26 (Part B). IBD non-responders at Week 13 (end of Part A) or had disease worsening after Week 13 & prior to Week 26 (in Part B), & whose sperm parameters did not meet prespecified decrease threshold, entered the OL Phase, & received OL filgotinib 200 mg, tablet orally OD for up to Week 13 during the OL phase. At Week 26/OL Week 13, IBD responders & who had not experienced disease worsening, & whose sperm parameters did not meet prespecified decrease threshold, continued receiving the same study drug they were responding to, as part of LTE for up to 195 weeks. Participants who met prespecified sperm decrease threshold(s) discontinued study drug & switched to standard of care (SOC) regimen selected by investigator & entered the MP for up to 52 weeks. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Placebo
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Reporting group description |
Participants received placebo (matched to filgotinib) tablet, orally OD up to Week 13 in DB phase (Part A). At Week 13, IBD responders, without meeting pre-specified sperm decrease thresholds, continued DB phase treatment up to Week 26 (Part B). IBD non-responders at Week 13 (end of Part A) or had disease worsening after Week 13 and prior to Week 26 (in Part B), and whose sperm parameters did not meet prespecified decrease threshold, entered the OL Phase, and received OL filgotinib 200 mg, tablet orally OD for up to Week 13 during the OL phase. At Week 26/OL Week 13, IBD responders and who had not experienced disease worsening, and whose sperm parameters did not meet prespecified decrease threshold, continued receiving the same study drug they were responding to, as part of LTE for up to 195 weeks. Participants who met prespecified sperm decrease threshold(s) discontinued study drug and switched to SOC regimen selected by investigator and entered the MP for up to 52 weeks. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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End points reporting groups
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Reporting group title |
Filgotinib
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Reporting group description |
Participants received filgotinib 200 mg tablet, orally once daily (OD) up to Week 13 in DB phase (Part A). At Week 13, IBD responders, without meeting pre-specified sperm decrease thresholds, continued DB phase treatment up to Week 26 (Part B). IBD non-responders at Week 13 (end of Part A) or had disease worsening after Week 13 & prior to Week 26 (in Part B), & whose sperm parameters did not meet prespecified decrease threshold, entered the OL Phase, & received OL filgotinib 200 mg, tablet orally OD for up to Week 13 during the OL phase. At Week 26/OL Week 13, IBD responders & who had not experienced disease worsening, & whose sperm parameters did not meet prespecified decrease threshold, continued receiving the same study drug they were responding to, as part of LTE for up to 195 weeks. Participants who met prespecified sperm decrease threshold(s) discontinued study drug & switched to standard of care (SOC) regimen selected by investigator & entered the MP for up to 52 weeks. | ||
Reporting group title |
Placebo
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Reporting group description |
Participants received placebo (matched to filgotinib) tablet, orally OD up to Week 13 in DB phase (Part A). At Week 13, IBD responders, without meeting pre-specified sperm decrease thresholds, continued DB phase treatment up to Week 26 (Part B). IBD non-responders at Week 13 (end of Part A) or had disease worsening after Week 13 and prior to Week 26 (in Part B), and whose sperm parameters did not meet prespecified decrease threshold, entered the OL Phase, and received OL filgotinib 200 mg, tablet orally OD for up to Week 13 during the OL phase. At Week 26/OL Week 13, IBD responders and who had not experienced disease worsening, and whose sperm parameters did not meet prespecified decrease threshold, continued receiving the same study drug they were responding to, as part of LTE for up to 195 weeks. Participants who met prespecified sperm decrease threshold(s) discontinued study drug and switched to SOC regimen selected by investigator and entered the MP for up to 52 weeks. | ||
Subject analysis set title |
Filgotinib/DB Filgotinib (Responder)
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Subject analysis set type |
Sub-group analysis | ||
Subject analysis set description |
Participants received filgotinib 200 mg tablet, orally, once daily up to Week 13 in the DB phase (Part A). At Week 13, participants who were IBD responders, without meeting pre-specified sperm decrease thresholds, continued DB phase treatment up to Week 26 (Part B).
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Subject analysis set title |
Filgotinib/OL Filgotinib (Nonresponder)
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Subject analysis set type |
Sub-group analysis | ||
Subject analysis set description |
Participants received filgotinib 200 mg tablet, orally, once daily up to Week 13 in the DB phase (Part A). Participants who were IBD non-responders at Week 13 (end of Part A) or had disease worsening after Week 13 and prior to Week 26 (in Part B), and whose sperm parameters did not meet a prespecified decrease threshold, entered the OL Phase and received OL filgotinib 200 mg, tablet, orally, once daily for up to Week 13 during the OL phase.
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Subject analysis set title |
Placebo/DB Placebo (Responder)
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Subject analysis set type |
Sub-group analysis | ||
Subject analysis set description |
Participants received placebo (matched to filgotinib) tablet, orally, once daily up to Week 13 in the DB phase (Part A). At Week 13, participants who were IBD responders, without meeting pre-specified sperm decrease thresholds, continued DB phase treatment up to Week 26 (Part B).
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Subject analysis set title |
Placebo/OL Filgotinib (Nonresponder)
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Subject analysis set type |
Sub-group analysis | ||
Subject analysis set description |
Participants received placebo (matched to filgotinib) tablet, orally, once daily up to Week 13 in the DB phase (Part A). Participants who were IBD non-responders at Week 13 (end of Part A) or had disease worsening after Week 13 and prior to Week 26 (in Part B), and whose sperm parameters did not meet a prespecified decrease threshold, entered the OL Phase and received OL filgotinib 200 mg, tablet, orally, once daily for up to Week 13 during the OL phase.
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End point title |
Percentage of Participants With a ≥ 50% Decrease From Baseline in Sperm Concentration at Week 13 | ||||||||||||
End point description |
Baseline for sperm/semen parameters was the mean of 2 evaluable semen samples at screening. The normal range for sperm concentration is ≥15 million sperm cells/mL.
Percentage change = ([mean at Week 13 − baseline] / baseline) × 100; value at Week 13 was the mean of 2 evaluable samples collected at Week 13.
The Semen Analysis Set included all randomized and treated (≥ 1 dose of double-blind study drug) participants who had 2 semen samples that were eligible for mean calculation at baseline and at the Week 13 analysis visit with the date of the first chronologic semen sample used for purposes of assigning analysis visit windows.
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End point type |
Primary
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End point timeframe |
Baseline to Week 13
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Statistical analysis title |
Statistical Analysis 1 | ||||||||||||
Statistical analysis description |
Difference in percentage and 95% confidence interval (CI) was based on a stratified Mantel-Haenszel test.
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Comparison groups |
Filgotinib v Placebo
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Number of subjects included in analysis |
133
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Analysis specification |
Pre-specified
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Analysis type |
other | ||||||||||||
Method |
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Parameter type |
Difference in Percentage | ||||||||||||
Point estimate |
-7.8
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Confidence interval |
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level |
95% | ||||||||||||
sides |
2-sided
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lower limit |
-16.3 | ||||||||||||
upper limit |
0.7 |
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End point title |
Percentage of Participants With a ≥ 50% Decrease From Baseline in Sperm Concentration at Week 26 | ||||||||||||||||||||
End point description |
IBD responder: For ulcerative colitis (UC), a participant who had a reduction of ≥ 2 in partial Mayo Clinic Score (pMCS) compared with baseline at specified time. For Crohn's disease (CD), a participant who had a reduction of ≥ 100 points in total Crohn's Disease Activity Index (CDAI) score compared with baseline at specified time. A participant with a baseline total CDAI score of ≥ 220 to ≤250 was considered an IBD responder if a CDAI score of <150 was attained at specified time.
IBD nonresponder: For UC or CD, a participant who did not fulfil the definition of IBD responder at specified time.
pMCS score: Sum of 3 subscores (rectal bleeding, stool frequency, and physician's global assessment) excluding endoscopic subscore; ranging from 0 (none) to 9 (severe disease).
CDAI score: A weighted sum of 8 disease activity variables with scores ranging from 0 to over 600, where higher score = higher disease activity.
The normal range for sperm concentration is ≥15 million sperm cells/mL.
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End point type |
Secondary
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End point timeframe |
Baseline to Week 26
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No statistical analyses for this end point |
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End point title |
Change From Baseline in Sperm Total Motility at Week 13 | ||||||||||||
End point description |
The normal range for sperm total motility is ≥40%. Participants in the Semen Analysis Set were analyzed.
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End point type |
Secondary
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End point timeframe |
Baseline, Week 13
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Statistical analysis title |
Statistical Analysis 1 | ||||||||||||
Statistical analysis description |
Difference in Medians and 95% CI for change from baseline at Week 13 was based on quantile regression.
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Comparison groups |
Filgotinib v Placebo
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Number of subjects included in analysis |
133
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Analysis specification |
Pre-specified
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Analysis type |
other | ||||||||||||
Method |
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Parameter type |
Median difference (final values) | ||||||||||||
Point estimate |
-0.2
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Confidence interval |
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level |
95% | ||||||||||||
sides |
2-sided
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lower limit |
-2.1 | ||||||||||||
upper limit |
1.8 |
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End point title |
Change From Baseline in Sperm Total Motility at Week 26 | ||||||||||||||||||||
End point description |
IBD responder: For UC, a participant who had a reduction of ≥ 2 in pMCS compared with baseline at specified time. For CD, a participant who had a reduction of ≥ 100 points in total CDAI score compared with baseline at specified time. A participant with a baseline total CDAI score of ≥ 220 to ≤ 250 was considered an IBD responder if a CDAI score of <150 was attained at specified time.
IBD nonresponder: For UC or CD, a participant who did not fulfil the definition of IBD responder at specified time.
pMCS score: Sum of 3 subscores (rectal bleeding, stool frequency, and physician's global assessment) excluding endoscopic subscore; ranging from 0 (none) to 9 (severe disease).
CDAI score: A weighted sum of 8 disease activity variables with scores ranging from 0 to over 600, where higher score = higher disease activity.
The normal range for sperm total motility is ≥40%.
Participants in the Week 26 Semen Analysis Set with available data were analyzed.
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End point type |
Secondary
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End point timeframe |
Baseline, Week 26
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No statistical analyses for this end point |
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End point title |
Change From Baseline in Total Sperm Count at Week 13 | ||||||||||||
End point description |
The normal range for total sperm count is ≥ 39 million sperm cells/ejaculate. Participants in the Semen Analysis Set were analyzed.
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End point type |
Secondary
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End point timeframe |
Baseline, Week 13
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Statistical analysis title |
Statistical Analysis 1 | ||||||||||||
Statistical analysis description |
Difference in medians and 95% CI for change from baseline at Week 13 was based on quantile regression.
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Comparison groups |
Filgotinib v Placebo
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Number of subjects included in analysis |
133
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Analysis specification |
Pre-specified
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Analysis type |
other | ||||||||||||
Method |
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Parameter type |
Median difference (final values) | ||||||||||||
Point estimate |
5.7
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Confidence interval |
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level |
95% | ||||||||||||
sides |
2-sided
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lower limit |
-13.4 | ||||||||||||
upper limit |
24.7 |
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End point title |
Change From Baseline in Total Sperm Count at Week 26 | ||||||||||||||||||||
End point description |
IBD responder: For UC, a participant who had a reduction of ≥ 2 in pMCS compared with baseline at specified time. For CD, a participant who had a reduction of ≥ 100 points in total CDAI score compared with baseline at specified time. A participant with a baseline total CDAI score of ≥ 220 to ≤ 250 was considered an IBD responder if a CDAI score of <150 was attained at specified time.
IBD nonresponder: For UC or CD, a participant who did not fulfil the definition of IBD responder at specified time.
pMCS score: Sum of 3 subscores (rectal bleeding, stool frequency, and physician's global assessment) excluding endoscopic subscore; ranging from 0 (none) to 9 (severe disease).
CDAI score: A weighted sum of 8 disease activity variables with scores ranging from 0 to over 600, where higher score = higher disease activity.
The normal range for total sperm count is ≥ 39 million sperm cells/ejaculate.
Participants in the Week 26 Semen Analysis Set with available data were analyzed.
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End point type |
Secondary
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End point timeframe |
Baseline, Week 26
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No statistical analyses for this end point |
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End point title |
Change From Baseline in Sperm Concentration at Week 13 | ||||||||||||
End point description |
The normal range for sperm concentration is ≥15 million sperm cells/mL. Participants in the Semen Analysis Set were analyzed.
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End point type |
Secondary
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End point timeframe |
Baseline, Week 13
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Statistical analysis title |
Statistical Analysis 1 | ||||||||||||
Statistical analysis description |
Difference in Medians and 95% CI for change from baseline at Week 13 was based on quantile regression.
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Comparison groups |
Filgotinib v Placebo
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Number of subjects included in analysis |
133
|
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Analysis specification |
Pre-specified
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Analysis type |
other | ||||||||||||
Method |
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Parameter type |
Median difference (final values) | ||||||||||||
Point estimate |
1
|
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Confidence interval |
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level |
95% | ||||||||||||
sides |
2-sided
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lower limit |
-2.8 | ||||||||||||
upper limit |
4.9 |
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End point title |
Change From Baseline in Sperm Concentration at Week 26 | ||||||||||||||||||||
End point description |
IBD responder: For UC, a participant who had a reduction of ≥ 2 in pMCS compared with baseline at specified time. For CD, a participant who had a reduction of ≥ 100 points in total CDAI score compared with baseline at specified time. A participant with a baseline total CDAI score of ≥ 220 to ≤ 250 was considered an IBD responder if a CDAI score of <150 was attained at specified time.
IBD nonresponder: For UC or CD, a participant who did not fulfil the definition of IBD responder at specified time.
pMCS score: Sum of 3 subscores (rectal bleeding, stool frequency, and physician's global assessment) excluding endoscopic subscore; ranging from 0 (none) to 9 (severe disease).
CDAI score: A weighted sum of 8 disease activity variables with scores ranging from 0 to over 600, where higher score = higher disease activity.
The normal range for sperm concentration is ≥15 million sperm cells/mL.
Participants in the Week 26 Semen Analysis Set with available data were analyzed.
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End point type |
Secondary
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End point timeframe |
Baseline, Week 26
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No statistical analyses for this end point |
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End point title |
Change From Baseline in Ejaculate Volume at Week 13 | ||||||||||||
End point description |
The normal range for ejaculate volume is ≥1.5 mL. Participants in the Semen Analysis Set were analyzed.
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End point type |
Secondary
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End point timeframe |
Baseline, Week 13
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|
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Statistical analysis title |
Statistical Analysis 1 | ||||||||||||
Statistical analysis description |
Difference in Medians and 95% CI for change from baseline at Week 13 was based on quantile regression.
|
||||||||||||
Comparison groups |
Filgotinib v Placebo
|
||||||||||||
Number of subjects included in analysis |
133
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
other | ||||||||||||
Method |
|||||||||||||
Parameter type |
Median difference (final values) | ||||||||||||
Point estimate |
0.1
|
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Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
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lower limit |
-0.1 | ||||||||||||
upper limit |
0.3 |
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End point title |
Change From Baseline in Ejaculate Volume at Week 26 | ||||||||||||||||||||
End point description |
IBD responder: For UC, a participant who had a reduction of ≥ 2 in pMCS compared with baseline at specified time. For CD, a participant who had a reduction of ≥ 100 points in total CDAI score compared with baseline at specified time. A participant with a baseline total CDAI score of ≥ 220 to ≤ 250 was considered an IBD responder if a CDAI score of <150 was attained at specified time.
IBD nonresponder: For UC or CD, a participant who did not fulfil the definition of IBD responder at specified time.
pMCS score: Sum of 3 subscores (rectal bleeding, stool frequency, and physician's global assessment) excluding endoscopic subscore; ranging from 0 (none) to 9 (severe disease).
CDAI score: A weighted sum of 8 disease activity variables with scores ranging from 0 to over 600, where higher score = higher disease activity.
The normal range for ejaculate volume is ≥1.5 mL.
Participants in the Week 26 Semen Analysis Set with available data were analyzed.
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End point type |
Secondary
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End point timeframe |
Baseline, Week 26
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No statistical analyses for this end point |
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End point title |
Change From Baseline in Percent Normal Sperm Morphology at Week 13 | ||||||||||||
End point description |
The normal range for percent normal sperm morphology is ≥30% normal sperms. Participants in the Semen Analysis Set were analyzed.
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End point type |
Secondary
|
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End point timeframe |
Baseline, Week 13
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|
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Statistical analysis title |
Statistical Analysis 1 | ||||||||||||
Statistical analysis description |
Difference in Medians and 95% CI for change from baseline at Week 13 was based on quantile regression.
|
||||||||||||
Comparison groups |
Filgotinib v Placebo
|
||||||||||||
Number of subjects included in analysis |
133
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
other | ||||||||||||
Method |
|||||||||||||
Parameter type |
Median difference (final values) | ||||||||||||
Point estimate |
2
|
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Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
0 | ||||||||||||
upper limit |
4 |
|
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End point title |
Change From Baseline in Percent Normal Sperm Morphology at Week 26 | ||||||||||||||||||||
End point description |
IBD responder: For UC, a participant who had a reduction of ≥ 2 in pMCS compared with baseline at specified time. For CD, a participant who had a reduction of ≥ 100 points in total CDAI score compared with baseline at specified time. A participant with a baseline total CDAI score of ≥ 220 to ≤ 250 was considered an IBD responder if a CDAI score of <150 was attained at specified time.
IBD nonresponder: For UC or CD, a participant who did not fulfil the definition of IBD responder at specified time.
pMCS score: Sum of 3 subscores (rectal bleeding, stool frequency, and physician's global assessment) excluding endoscopic subscore; ranging from 0 (none) to 9 (severe disease).
CDAI score: A weighted sum of 8 disease activity variables with scores ranging from 0 to over 600, where higher score = higher disease activity.
The normal range for percent normal sperm morphology is ≥30% normal sperms.
Participants in the Week 26 Semen Analysis Set with available data were analyzed.
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End point type |
Secondary
|
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End point timeframe |
Baseline, Week 26
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No statistical analyses for this end point |
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Adverse events information
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Timeframe for reporting adverse events |
From first dose up to Week 226
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Adverse event reporting additional description |
All on-treatment safety data during the study were reported under the treatment received at the onset of the event (As-treated set).
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Assessment type |
Systematic | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary version |
26.0
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Reporting groups
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Reporting group title |
Placebo
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Reporting group description |
Participants received placebo (matched to filgotinib) tablet, orally OD up to Week 13 in DB phase (Part A). At Week 13, IBD responders, without meeting pre-specified sperm decrease thresholds, continued DB phase treatment up to Week 26 (Part B). IBD non-responders at Week 13 (end of Part A) or had disease worsening after Week 13 and prior to Week 26 (in Part B), and whose sperm parameters did not meet prespecified decrease threshold, entered the OL Phase, and received OL filgotinib 200 mg, tablet orally OD for up to Week 13 during the OL phase. At Week 26/OL Week 13, IBD responders and who had not experienced disease worsening, and whose sperm parameters did not meet prespecified decrease threshold, continued receiving the same study drug they were responding to, as part of LTE for up to 195 weeks. Participants who met prespecified sperm decrease threshold(s) discontinued study drug and switched to SOC regimen selected by investigator and entered the MP for up to 52 weeks. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Filgotinib
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Reporting group description |
Participants received filgotinib 200 mg tablet, orally OD up to Week 13 in DB phase (Part A). At Week 13, IBD responders, without meeting pre-specified sperm decrease thresholds, continued DB phase treatment up to Week 26 (Part B). IBD non-responders at Week 13 (end of Part A) or had disease worsening after Week 13 and prior to Week 26 (in Part B), and whose sperm parameters did not meet prespecified decrease threshold, entered the OL Phase, and received OL filgotinib 200 mg, tablet orally OD for up to Week 13 during the OL phase. At Week 26/OL Week 13, IBD responders and who had not experienced disease worsening, and whose sperm parameters did not meet prespecified decrease threshold, continued receiving the same study drug they were responding to, as part of LTE for up to 195 weeks. Participants who met prespecified sperm decrease threshold(s) discontinued study drug and switched to SOC regimen selected by investigator and entered the MP for up to 52 weeks. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Frequency threshold for reporting non-serious adverse events: 5% | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? Yes | |||
Date |
Amendment |
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06 Jul 2017 |
It included following changes: - Increased the target enrollment number from 200 to 250 to account for potential dropouts; - Clarified IBD nonresponders as those with a decrease in pMCS of < 2 points or an increase in pMCS; - After the Week 13 visit, IBD nonresponders discontinued study drug and commenced OL filgotinib 200 mg once daily; and at Week 26, if they did not have a ≥ 50% decrease in sperm concentration from baseline, had the option to continue receiving OL filgotinib as part of the LTE; - Any participants who demonstrated a ≥ 50% decrease in sperm concentration from baseline entered the MP regardless of when it occurred; - Clarified that participants would be allowed on conventional immunomodulators as defined by the inclusion criteria; - LTE defined as Week 26 to Week 221; - Updated the 30-day follow-up visit and the posttreatment visit to a safety follow-up visit; - Added a required safety follow-up visit 30 days after last dose of study drug at the end of the LTE and after an ET visit; - Clarified the inclusion criteria for tumor necrosis factor alpha (TNFα) antagonists; - Clarified for participants at screening who were taking allowed therapies for UC that they had to remain on stable doses for the noted times; - Excluded ustekinumab 12 weeks prior to screening; - Updated the inclusion criteria to require that semen volume be ≥ 1.5 mL, total sperm per ejaculate to be ≥ 39 M, and that participants be up to date on colorectal cancer surveillance as per local guidelines prior to screening; - Updated participants meeting the disease worsening criteria to be offered the option to commence OL filgotinib; - End of study defined as when the last participant completed the Week 225 visit or the last participant completed their last visit, whichever was sooner; - Updated study visit windows to ± 5 days for the primary study and ± 10 days during the LTE. |
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22 Aug 2018 |
It included following changes: - Revised study title from UC to IBD to encompass CD; - Increased the number of study centers from approximately 150 centers to approximately 175 centers worldwide; - Broadened the age range from 25 to 55 years of age (inclusive) to 21 to 65 years of age (inclusive); - Included ≥ 50% decrease in sperm total motility and/or sperm morphology as decision criteria for participants to enter the MP; - Removed Week 28 and Week 32 visits from LTE; - Amended the definition of evaluable participants; - Added the option of pooling the results of this study with a separate study being conducted in participants with rheumatic diseases (Study GLPG0634-CL-227 [2018-003933-14]) with the same objective, and having the total planned number of participants in both studies combined of up to approximately 250 participants. |
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18 Jan 2019 |
It included following changes: - Updated ejaculation-free period from ≥ 48 hours and < 5 days to ≥ 48 hours and ≤ 7 days, per the recommendation of the updated Food and Drug Administration (FDA) guidance for industry on testicular toxicity studies; - Clarified OL Week 13 study visit and visit schedule of LTE; - Amended lower threshold of baseline sperm concentration for inclusion (≥ 10 million sperm cells/mL changed to ≥ 15 million sperm cells/mL) in line with FDA recommendation, and amended corresponding sperm concentration randomization strata (lower range of stratum changed from 10 to 20 million sperm cells/mL to 15 to 25 million sperm cells/mL); - Added the option for an unblinded interim analyses when 200 participants (eg, pooled data from Studies GS-US-418-4279 and GLPG0634-CL-227) and/or when some defined subset(s) of participants had completed their Week 13 assessments. |
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17 Mar 2020 |
It included following changes: - Included discontinuation criteria for thromboembolic events; - Included a criterion to trigger an ad-hoc data monitoring committee (DMC) meeting; - Clarified that the CDAI score calculation excluded days that involved an endoscopy procedure or preparation for that procedure; - Added section on blinding procedures. |
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27 Jun 2022 |
The primary reason for this amendment was to change sponsorship from Gilead Sciences, Inc. to Galapagos NV. |
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09 Sep 2022 |
It included following changes: - Text was revised to specify the decommissioning of the DMC and transfer the role of the DMC to the Sponsor Safety Management Team (SSMT). All planned DMC reviews were completed, and no additional reviews were expected. At this advanced stage of the study, treatment assignments were unblinded for the majority of subjects, no longer requiring an external unblinded review committee in addition to the blinded Sponsor study team. Oversight by the SSMT included regular reviews of safety summary updates and provided similar options for escalated issue review as described in the DMC charter by following the SSMT standard procedures; - Text about blinding was revised to allow publication of the treatment assignments of subjects who completed the study before IA2; - A study drug interruption criterion for subjects experiencing moderate renal failure (estimated creatinine clearance ≥35 mL/min and <60 mL/min per Cockcroft-Gault formula) was added to align with the current Investigator’s Brochure; - Text was added to specify the decommissioning of the Internal Independent Safety Review Team as of this amendment. The internal independent SSMT covered the objectives of the DMC and the Internal Independent Safety Review Team. |
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Interruptions (globally) |
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Were there any global interruptions to the trial? No | |||
Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
The study was terminated based on the sponsor's decision for reasons other than safety. |