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
|
|
EudraCT number |
2017-000402-38 |
Trial protocol |
GB DE AT PT NL SE BE ES RO |
Global end of trial date |
|
Results information
|
|
Results version number |
v1 |
This version publication date |
20 Jul 2023
|
First version publication date |
20 Jul 2023
|
Other versions |
v2 , v3 |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
|
|||
Trial identification
|
|||
Sponsor protocol code |
GS-US-418-4279
|
||
Additional study identifiers
|
|||
ISRCTN number |
- | ||
US NCT number |
NCT03201445 | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
|
|||
Sponsor organisation name |
Galapagos NV
|
||
Sponsor organisation address |
Generaal De Wittelaan L11 A3, Mechelen, Belgium, 2800
|
||
Public contact |
Galapagos Medical Information, Galapagos NV, medicalinfo@glpg.com
|
||
Scientific contact |
Galapagos Medical Information, Galapagos NV, medicalinfo@glpg.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 |
Interim
|
||
Date of interim/final analysis |
20 Nov 2020
|
||
Is this the analysis of the primary completion data? |
No
|
||
Global end of trial reached? |
No
|
||
General information about the trial
|
|||
Main objective of the trial |
The main aim of this study is to evaluate the testicular safety of filgotinib in adult males with moderately to severely active inflammatory bowel disease (IBD).
|
||
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.
|
||
Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
11 Jul 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 |
Poland: 9
|
||
Country: Number of subjects enrolled |
Romania: 1
|
||
Country: Number of subjects enrolled |
United Kingdom: 1
|
||
Country: Number of subjects enrolled |
Austria: 2
|
||
Country: Number of subjects enrolled |
Germany: 5
|
||
Country: Number of subjects enrolled |
India: 75
|
||
Country: Number of subjects enrolled |
United States: 20
|
||
Country: Number of subjects enrolled |
Ukraine: 17
|
||
Country: Number of subjects enrolled |
Russian Federation: 7
|
||
Country: Number of subjects enrolled |
Australia: 1
|
||
Country: Number of subjects enrolled |
New Zealand: 1
|
||
Worldwide total number of subjects |
139
|
||
EEA total number of subjects |
17
|
||
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) |
139
|
||
From 65 to 84 years |
0
|
||
85 years and over |
0
|
|
||||||||||||||||||||||
Recruitment
|
||||||||||||||||||||||
Recruitment details |
The first participant was screened on 11 July 2017. A total of 323 participants were screened of which 139 participants were randomized. The study is ongoing. Results based on data cut-off date 20 November 2020 (up to Week 26/Open-label [OL] Week 13 analysis) are reported. | |||||||||||||||||||||
Pre-assignment
|
||||||||||||||||||||||
Screening details |
The study includes: 1) Part A: Double-Blind (DB Phase; Day 1 to Week 13); 2) Part B: DB Phase (after Week 13 to Week 26); 3) OL Filgotinib Phase (after Week 13 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 Filgotinib Phase for up to 195 weeks). | |||||||||||||||||||||
Period 1
|
||||||||||||||||||||||
Period 1 title |
Part A DB Phase (Through Week 13)
|
|||||||||||||||||||||
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
|
Filgonitib | |||||||||||||||||||||
Arm description |
Participants received filgotinib 200 milligrams (mg) tablet, orally, once daily up to Week 13 in the DB phase (Part A). | |||||||||||||||||||||
Arm type |
Experimental | |||||||||||||||||||||
Investigational medicinal product name |
Filgonitib
|
|||||||||||||||||||||
Investigational medicinal product code |
GS-6034
|
|||||||||||||||||||||
Other name |
Jyseleca®
|
|||||||||||||||||||||
Pharmaceutical forms |
Tablet
|
|||||||||||||||||||||
Routes of administration |
Oral use
|
|||||||||||||||||||||
Dosage and administration details |
200-mg tablet administered orally once daily
|
|||||||||||||||||||||
Arm title
|
Placebo | |||||||||||||||||||||
Arm description |
Participants received placebo (matched to filgotinib) tablet, orally, once daily up to Week 13 in the DB phase (Part A). | |||||||||||||||||||||
Arm type |
Placebo | |||||||||||||||||||||
Investigational medicinal product name |
Placebo
|
|||||||||||||||||||||
Investigational medicinal product code |
||||||||||||||||||||||
Other name |
||||||||||||||||||||||
Pharmaceutical forms |
Tablet
|
|||||||||||||||||||||
Routes of administration |
Oral use
|
|||||||||||||||||||||
Dosage and administration details |
Placebo to match filgotinib tablet administered orally once daily.
|
|||||||||||||||||||||
|
||||||||||||||||||||||
Period 2
|
||||||||||||||||||||||
Period 2 title |
Part B DB Phase (Week 13 to 26)
|
|||||||||||||||||||||
Is this the baseline period? |
No | |||||||||||||||||||||
Allocation method |
Randomised - controlled
|
|||||||||||||||||||||
Blinding used |
Double blind | |||||||||||||||||||||
Roles blinded |
Subject, Investigator | |||||||||||||||||||||
Arms
|
||||||||||||||||||||||
Are arms mutually exclusive |
Yes
|
|||||||||||||||||||||
Arm title
|
Filgonitib | |||||||||||||||||||||
Arm description |
At Week 13, participants who were IBD responders, without meeting prespecified sperm decrease thresholds, continued DB treatment up to Week 26. | |||||||||||||||||||||
Arm type |
Experimental | |||||||||||||||||||||
Investigational medicinal product name |
Filgonitib
|
|||||||||||||||||||||
Investigational medicinal product code |
GS-6034
|
|||||||||||||||||||||
Other name |
Jyseleca®
|
|||||||||||||||||||||
Pharmaceutical forms |
Tablet
|
|||||||||||||||||||||
Routes of administration |
Oral use
|
|||||||||||||||||||||
Dosage and administration details |
200-mg tablet administered orally once daily
|
|||||||||||||||||||||
Arm title
|
Placebo | |||||||||||||||||||||
Arm description |
At Week 13, participants who were IBD responders, without meeting prespecified sperm decrease thresholds, continued DB treatment up to Week 26. | |||||||||||||||||||||
Arm type |
Placebo | |||||||||||||||||||||
Investigational medicinal product name |
Placebo
|
|||||||||||||||||||||
Investigational medicinal product code |
||||||||||||||||||||||
Other name |
||||||||||||||||||||||
Pharmaceutical forms |
Tablet
|
|||||||||||||||||||||
Routes of administration |
Oral use
|
|||||||||||||||||||||
Dosage and administration details |
Placebo to match filgotinib tablet administered orally once daily.
|
|||||||||||||||||||||
|
||||||||||||||||||||||
Notes [1] - The number of subjects starting the period is not consistent with the number completing the preceding period. It is expected the number of subjects starting the subsequent period will be the same as the number completing the preceding period. Justification: 45 participants continued DB after Week 13, 1 participant switched to MP, 22 participants switched to OL 38 participants continued DB after Week 13, 6 participants switched to MP, 23 participants switched to OL 38 participants continued DB after Week 26, 2 participants stopped DB study drug at Week 26, 2 participants switched to MP 34 participants continued DB after Week 26, 1 participant stopped DB study drug at Week 26, 3 participants switched to MP |
||||||||||||||||||||||
Period 3
|
||||||||||||||||||||||
Period 3 title |
OL Phase (13 Weeks)
|
|||||||||||||||||||||
Is this the baseline period? |
No | |||||||||||||||||||||
Allocation method |
Not applicable
|
|||||||||||||||||||||
Blinding used |
Not blinded | |||||||||||||||||||||
Arms
|
||||||||||||||||||||||
Are arms mutually exclusive |
Yes
|
|||||||||||||||||||||
Arm title
|
Filgonitib | |||||||||||||||||||||
Arm description |
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 did not meet a prespecified sperm decrease threshold, entered OL Phase and received OL filgotinib 200 mg, once daily for up to Week 13. | |||||||||||||||||||||
Arm type |
Experimental | |||||||||||||||||||||
Investigational medicinal product name |
Filgonitib
|
|||||||||||||||||||||
Investigational medicinal product code |
GS-6034
|
|||||||||||||||||||||
Other name |
Jyseleca®
|
|||||||||||||||||||||
Pharmaceutical forms |
Tablet
|
|||||||||||||||||||||
Routes of administration |
Oral use
|
|||||||||||||||||||||
Dosage and administration details |
200-mg tablet administered orally once daily
|
|||||||||||||||||||||
Arm title
|
Placebo | |||||||||||||||||||||
Arm description |
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 did not meet a prespecified sperm decrease threshold, entered OL Phase and received OL filgotinib 200 mg, once daily for up to Week 13. | |||||||||||||||||||||
Arm type |
Placebo | |||||||||||||||||||||
Investigational medicinal product name |
Placebo
|
|||||||||||||||||||||
Investigational medicinal product code |
||||||||||||||||||||||
Other name |
||||||||||||||||||||||
Pharmaceutical forms |
Tablet
|
|||||||||||||||||||||
Routes of administration |
Oral use
|
|||||||||||||||||||||
Dosage and administration details |
Placebo to match filgotinib tablet administered orally once daily.
|
|||||||||||||||||||||
|
||||||||||||||||||||||
Notes [2] - The number of subjects starting the period is not consistent with the number completing the preceding period. It is expected the number of subjects starting the subsequent period will be the same as the number completing the preceding period. Justification: 2 additional participants in the filgotinib group who were responders discontinued study drug between Weeks 13 and 26 due to disease worsening and switched to OL filgotinib, per protocol. 18 participants continued OL filgotinib in LTE, 3 participants stopped OL filgotinib in LTE, 1 participant switched to MP 16 participants continued OL filgotinib in LTE, 2 participants stopped OL filgotinib in LTE, 2 participant switched to MP |
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Baseline characteristics reporting groups
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Filgonitib
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group description |
Participants received filgotinib 200 milligrams (mg) tablet, orally, once daily up to Week 13 in the DB phase (Part A). | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Placebo
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group description |
Participants received placebo (matched to filgotinib) tablet, orally, once daily up to Week 13 in the DB phase (Part A). | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|
|||
End points reporting groups
|
|||
Reporting group title |
Filgonitib
|
||
Reporting group description |
Participants received filgotinib 200 milligrams (mg) tablet, orally, once daily up to Week 13 in the DB phase (Part A). | ||
Reporting group title |
Placebo
|
||
Reporting group description |
Participants received placebo (matched to filgotinib) tablet, orally, once daily up to Week 13 in the DB phase (Part A). | ||
Reporting group title |
Filgonitib
|
||
Reporting group description |
At Week 13, participants who were IBD responders, without meeting prespecified sperm decrease thresholds, continued DB treatment up to Week 26. | ||
Reporting group title |
Placebo
|
||
Reporting group description |
At Week 13, participants who were IBD responders, without meeting prespecified sperm decrease thresholds, continued DB treatment up to Week 26. | ||
Reporting group title |
Filgonitib
|
||
Reporting group description |
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 did not meet a prespecified sperm decrease threshold, entered OL Phase and received OL filgotinib 200 mg, once daily for up to Week 13. | ||
Reporting group title |
Placebo
|
||
Reporting group description |
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 did not meet a prespecified sperm decrease threshold, entered OL Phase and received OL filgotinib 200 mg, once daily for up to Week 13. | ||
Subject analysis set title |
Filgotinib/DB Filgotinib (Responder)
|
||
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).
|
||
Subject analysis set title |
Filgotinib/OL Filgotinib (Nonresponder)
|
||
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.
|
||
Subject analysis set title |
Placebo/DB Placebo (Responder)
|
||
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).
|
||
Subject analysis set title |
Placebo/OL Filgotinib (Nonresponder)
|
||
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.
|
|
|||||||||||||
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.
|
||||||||||||
End point type |
Primary
|
||||||||||||
End point timeframe |
Baseline to Week 13
|
||||||||||||
|
|||||||||||||
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.
|
||||||||||||
Comparison groups |
Filgonitib v Placebo
|
||||||||||||
Number of subjects included in analysis |
133
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
other | ||||||||||||
Method |
|||||||||||||
Parameter type |
Difference in Percentage | ||||||||||||
Point estimate |
-7.8
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
-16.3 | ||||||||||||
upper limit |
0.7 |
|
|||||||||||||||||||||
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.
|
||||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||||
End point timeframe |
Baseline to Week 26
|
||||||||||||||||||||
|
|||||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||
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.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
Baseline, Week 13
|
||||||||||||
|
|||||||||||||
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 |
Filgonitib 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 |
-0.2
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
-2.1 | ||||||||||||
upper limit |
1.8 |
|
|||||||||||||||||||||
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.
|
||||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||||
End point timeframe |
Baseline, Week 26
|
||||||||||||||||||||
|
|||||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||
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.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
Baseline, Week 13
|
||||||||||||
|
|||||||||||||
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 |
Filgonitib 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 |
5.7
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
-13.4 | ||||||||||||
upper limit |
24.7 |
|
|||||||||||||||||||||
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.
|
||||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||||
End point timeframe |
Baseline, Week 26
|
||||||||||||||||||||
|
|||||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||
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.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
Baseline, Week 13
|
||||||||||||
|
|||||||||||||
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 |
Filgonitib 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 |
1
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
-2.8 | ||||||||||||
upper limit |
4.9 |
|
|||||||||||||||||||||
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.
|
||||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||||
End point timeframe |
Baseline, Week 26
|
||||||||||||||||||||
|
|||||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||
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.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
Baseline, Week 13
|
||||||||||||
|
|||||||||||||
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 |
Filgonitib 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
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
-0.1 | ||||||||||||
upper limit |
0.3 |
|
|||||||||||||||||||||
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.
|
||||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||||
End point timeframe |
Baseline, Week 26
|
||||||||||||||||||||
|
|||||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||
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.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
Baseline, Week 13
|
||||||||||||
|
|||||||||||||
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 |
Filgonitib 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
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
0 | ||||||||||||
upper limit |
4 |
|
|||||||||||||||||||||
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.
|
||||||||||||||||||||
End point type |
Secondary
|
||||||||||||||||||||
End point timeframe |
Baseline, Week 26
|
||||||||||||||||||||
|
|||||||||||||||||||||
No statistical analyses for this end point |
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Adverse events information
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Timeframe for reporting adverse events |
From first dose up to Week 26/OL Week 13
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Adverse event reporting additional description |
Safety results presented by combined treatment groups during DB phase in order to prevent accidental unblinding. If certain AEs are only reported in one treatment arm/if one specific AE is only reported once, public knowledge of treatment allocation would technically unblind those ongoing participants and compromise the integrity of ongoing trial.
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Assessment type |
Systematic | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary used for adverse event reporting
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary name |
MedDRA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary version |
24.0
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting groups
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
OL Phase: Filgotinib
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group description |
Participants who received filgotinib or placebo (matched to filgotinib) in DB phase and 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. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
DB Phase: Filgotinib + Placebo
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group description |
Participants received filgotinib 200 mg or 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). | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Frequency threshold for reporting non-serious adverse events: 5% | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|
|||
Substantial protocol amendments (globally) |
|||
Were there any global substantial amendments to the protocol? Yes | |||
Date |
Amendment |
||
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. |
||
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. |
||
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. |
||
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. |
||
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 |