search
Back to results

Dose-ranging Study With GLPG0634 in Methotrexate-refractory Active Rheumatoid Arthritis Patients

Primary Purpose

Rheumatoid Arthritis

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
GLPG0634
Placebo
Sponsored by
Galapagos NV
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Rheumatoid Arthritis focused on measuring Methotrexate insufficient responders

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Have active RA as shown by five or more swollen joints (from the 66-joint count), five or more tender joints (from 68-joint count), and a serum CRP ≥1.0 mg/dL;
  • Have received methotrexate for 12 weeks or longer and at a stable dose of 7.5 to 25 mg/week for at least 4 weeks prior to screening and willing to continue on this regimen for the duration of the study;
  • If taking oral steroids, these should be at a dose ≤10 mg/day of prednisone or prednisone equivalent and stable for at least 4 weeks prior to screening;
  • If taking non-steroidal anti-inflammatory drugs (NSAIDs), these must be at a stable dose for at least 2 weeks prior to screening;
  • Female subjects must have a negative pregnancy test unless they are surgically sterile or have been post-menopausal for at least one year;
  • Women of childbearing potential must use a medically acceptable means of birth control and agree to continue its use during the study and for at least 12 weeks after the last dose of study drug.
  • Sexually active men must agree to use a medically acceptable form of contraception during the study and continue its use for at least 3 months after the last dose of study drug; and
  • Able and willing to sign the informed consent prior to screening evaluations and agree to schedule of assessments.

Exclusion Criteria:

  • Treatment with disease-modifying antirheumatic drugs (DMARDs), other than background methotrexate;
  • Current or previous RA treatment with a biological agent, with the exception of biologics administered in a clinical study setting more than six months prior to screening (12 months for rituximab or other B cell depleting agents);
  • Previous treatment at any time with a cytotoxic agent, other than methotrexate, before screening;
  • Previous use of the study drug GLPG0634;
  • Receipt of an intra-articular or parenteral corticosteroid injection within 4 weeks prior to screening;
  • Known hypersensitivity to study drug ingredients or a significant allergic reaction to any drug as determined by the Investigator;
  • Positive serology for HIV1 or 2 or hepatitis B or C, or any history of hepatitis from any cause with the exception of hepatitis A;
  • History of any inflammatory rheumatological disorders other than RA;
  • History of tuberculosis (TB) infection

Sites / Locations

  • Budai Irgalamsrendi Korhaz, II. Reumatologia Osztaly
  • Orszagos Reumatologiai es Fizioterapias Intezet, I. Reumatologia Osztaly
  • Markhot Ferenc Korhaz, Reumatologiai Osztaly
  • Pest Megyei Flor Ferenc Korhaz, Reumatologiai es Fizioterapias Osztaly
  • IMSP Institutel de Cardiologie
  • State Healthcare Institution of city Moscow 'City Clinical Hospital #7'
  • State Healthcare Institution 'Ryazan Regional Cardiology Dispensary'
  • Saint-Petersburg State Healthcare Institution 'City Hospital #26'
  • Saint-Petersburg State Healthcare Institution 'City Mariinskiy Hospital'
  • Municipal Clinical Healthcare Institution 'Medical-Sanitary Unit of Novoyaroslavskiy Oil Refinery'
  • Chernivtsi Regional Clinical Hospital
  • State Institution 'Institute of Urgent and Recovery Surgery n.a. V.K. Gusaka' of AMS of Ukraine
  • Communal Institution of Healthcare
  • Institution of Therapy of AMS of Ukraine
  • State Institution 'Institute of Microbiology and Immunology of AMS of Ukraine'
  • State Institution 'Republican Clinical Hospital of MoH of Ukraine'
  • Lutsk City Clinical Hospital
  • Vinnytsa Regional Clinical Hospital
  • Zaporizhzhia Regional Clinical Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

capsule, 30mg GLPG0634 once a day

capsules, 75mg GLPG0634 once a day

capsules, 150mg GLPG0634 once a day

capsules, 300mg GLPG0634 once a day

capsules, placebo once a day

Arm Description

3 capsules of 10 mg once a day

3 capsules of 25mg once a day

3 capsules of 50mg once a day

3 capsules of 100mg once a day

3 capsules placebo once a day

Outcomes

Primary Outcome Measures

The number of patients with an ACR20 score at Week 4 as a measure of efficacy
To preliminary evaluate the efficacy of GLPG0634 compared to placebo in terms of the proportion of subjects achieving an ACR20 response at Week 4

Secondary Outcome Measures

The number of patients with ACR20/50/70 response, time to response and DAS28 score at every visit as a measure of efficacy
To evaluate the efficacy of GLPG0634 compared to placebo in terms of ACR response criteria at every visit (ACR20, ACR50, ACR70), time to response, and disease status (DAS28[C-reactive protein, CRP]
The number of patients with adverse events, abnormal lab tests, vital signs and ECG as a measure of safety and tolerability
To evaluate the safety and tolerability of GLPG0634 in comparison with placebo in terms of adverse events (AEs), laboratory test abnormalities, vital signs and electrocardiogram (ECG)
The plasma levels of GLPG0634 as a measure of PK
To characterize the pharmacokinetics (PK) of GLPG0634 by measuring the amount of GLPG0634 in the plasma
The plasma levels of GLPG0634 and MTX as a measure of PK
To explore the potential interaction of GLPG0634 on MTX by assessing steady state PK in an 8-hour sampling at Day -1 and at Week 2 or Week 4 visit in a subset of patients
The levels of immune- and inflammation-related parameters in plasma as a measure of PD
To characterize the pharmacodynamics (PD) of GLPG0634 by measuring the levels of immune- and inflammation-related parameters in plasma

Full Information

First Posted
August 14, 2012
Last Updated
June 26, 2013
Sponsor
Galapagos NV
search

1. Study Identification

Unique Protocol Identification Number
NCT01668641
Brief Title
Dose-ranging Study With GLPG0634 in Methotrexate-refractory Active Rheumatoid Arthritis Patients
Official Title
Randomized, Double-blind, Placebo-controlled, Multicenter, Phase II Study to Compare Four Dose Regimens of GLPG0634 Versus Placebo, in Combination With Methotrexate, Administered for 4 Weeks in the Treatment of Subjects With Active Rheumatoid Arthritis Who Have an Inadequate Response to Methotrexate Alone
Study Type
Interventional

2. Study Status

Record Verification Date
June 2013
Overall Recruitment Status
Completed
Study Start Date
May 2012 (undefined)
Primary Completion Date
September 2012 (Actual)
Study Completion Date
October 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Galapagos NV

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Ninety patients suffering from active rheumatoid arthritis despite continued treatment with methotrexate will be evaluated for improvement of disease activity when taking GLPG0634 (4 different doses will be evaluated) or matching placebo for 4 weeks. During the course of the study, patients will also be examined for any side effects that may occur, and the amount of GLPG0634 present in the blood as well as the effects of GLPG0634 on disease- and mechanism of action-related parameters in the blood will be determined.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Rheumatoid Arthritis
Keywords
Methotrexate insufficient responders

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
91 (Actual)

8. Arms, Groups, and Interventions

Arm Title
capsule, 30mg GLPG0634 once a day
Arm Type
Experimental
Arm Description
3 capsules of 10 mg once a day
Arm Title
capsules, 75mg GLPG0634 once a day
Arm Type
Experimental
Arm Description
3 capsules of 25mg once a day
Arm Title
capsules, 150mg GLPG0634 once a day
Arm Type
Experimental
Arm Description
3 capsules of 50mg once a day
Arm Title
capsules, 300mg GLPG0634 once a day
Arm Type
Experimental
Arm Description
3 capsules of 100mg once a day
Arm Title
capsules, placebo once a day
Arm Type
Placebo Comparator
Arm Description
3 capsules placebo once a day
Intervention Type
Drug
Intervention Name(s)
GLPG0634
Intervention Type
Drug
Intervention Name(s)
Placebo
Primary Outcome Measure Information:
Title
The number of patients with an ACR20 score at Week 4 as a measure of efficacy
Description
To preliminary evaluate the efficacy of GLPG0634 compared to placebo in terms of the proportion of subjects achieving an ACR20 response at Week 4
Time Frame
Week 4 (end of treatment visit)
Secondary Outcome Measure Information:
Title
The number of patients with ACR20/50/70 response, time to response and DAS28 score at every visit as a measure of efficacy
Description
To evaluate the efficacy of GLPG0634 compared to placebo in terms of ACR response criteria at every visit (ACR20, ACR50, ACR70), time to response, and disease status (DAS28[C-reactive protein, CRP]
Time Frame
From Day -1 up to end of treatment visit (week 4)
Title
The number of patients with adverse events, abnormal lab tests, vital signs and ECG as a measure of safety and tolerability
Description
To evaluate the safety and tolerability of GLPG0634 in comparison with placebo in terms of adverse events (AEs), laboratory test abnormalities, vital signs and electrocardiogram (ECG)
Time Frame
From screening up to 10 days after last dose
Title
The plasma levels of GLPG0634 as a measure of PK
Description
To characterize the pharmacokinetics (PK) of GLPG0634 by measuring the amount of GLPG0634 in the plasma
Time Frame
Week 1, week 2 and week 4 visits
Title
The plasma levels of GLPG0634 and MTX as a measure of PK
Description
To explore the potential interaction of GLPG0634 on MTX by assessing steady state PK in an 8-hour sampling at Day -1 and at Week 2 or Week 4 visit in a subset of patients
Time Frame
Day -1 and Week 2 or 4 visit (8 hour-sampling)
Title
The levels of immune- and inflammation-related parameters in plasma as a measure of PD
Description
To characterize the pharmacodynamics (PD) of GLPG0634 by measuring the levels of immune- and inflammation-related parameters in plasma
Time Frame
Day -1, Week 1, week 2 and week 4 visits

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Have active RA as shown by five or more swollen joints (from the 66-joint count), five or more tender joints (from 68-joint count), and a serum CRP ≥1.0 mg/dL; Have received methotrexate for 12 weeks or longer and at a stable dose of 7.5 to 25 mg/week for at least 4 weeks prior to screening and willing to continue on this regimen for the duration of the study; If taking oral steroids, these should be at a dose ≤10 mg/day of prednisone or prednisone equivalent and stable for at least 4 weeks prior to screening; If taking non-steroidal anti-inflammatory drugs (NSAIDs), these must be at a stable dose for at least 2 weeks prior to screening; Female subjects must have a negative pregnancy test unless they are surgically sterile or have been post-menopausal for at least one year; Women of childbearing potential must use a medically acceptable means of birth control and agree to continue its use during the study and for at least 12 weeks after the last dose of study drug. Sexually active men must agree to use a medically acceptable form of contraception during the study and continue its use for at least 3 months after the last dose of study drug; and Able and willing to sign the informed consent prior to screening evaluations and agree to schedule of assessments. Exclusion Criteria: Treatment with disease-modifying antirheumatic drugs (DMARDs), other than background methotrexate; Current or previous RA treatment with a biological agent, with the exception of biologics administered in a clinical study setting more than six months prior to screening (12 months for rituximab or other B cell depleting agents); Previous treatment at any time with a cytotoxic agent, other than methotrexate, before screening; Previous use of the study drug GLPG0634; Receipt of an intra-articular or parenteral corticosteroid injection within 4 weeks prior to screening; Known hypersensitivity to study drug ingredients or a significant allergic reaction to any drug as determined by the Investigator; Positive serology for HIV1 or 2 or hepatitis B or C, or any history of hepatitis from any cause with the exception of hepatitis A; History of any inflammatory rheumatological disorders other than RA; History of tuberculosis (TB) infection
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Frédéric Vanhoutte, MD
Organizational Affiliation
Galapagos NV
Official's Role
Study Director
Facility Information:
Facility Name
Budai Irgalamsrendi Korhaz, II. Reumatologia Osztaly
City
Budapest
Country
Hungary
Facility Name
Orszagos Reumatologiai es Fizioterapias Intezet, I. Reumatologia Osztaly
City
Budapest
Country
Hungary
Facility Name
Markhot Ferenc Korhaz, Reumatologiai Osztaly
City
Eger
Country
Hungary
Facility Name
Pest Megyei Flor Ferenc Korhaz, Reumatologiai es Fizioterapias Osztaly
City
Kistarcsa
Country
Hungary
Facility Name
IMSP Institutel de Cardiologie
City
Chisinau
Country
Moldova, Republic of
Facility Name
State Healthcare Institution of city Moscow 'City Clinical Hospital #7'
City
Moscow
Country
Russian Federation
Facility Name
State Healthcare Institution 'Ryazan Regional Cardiology Dispensary'
City
Ryazan
Country
Russian Federation
Facility Name
Saint-Petersburg State Healthcare Institution 'City Hospital #26'
City
Saint-Petersburg
Country
Russian Federation
Facility Name
Saint-Petersburg State Healthcare Institution 'City Mariinskiy Hospital'
City
Saint-Petersburg
Country
Russian Federation
Facility Name
Municipal Clinical Healthcare Institution 'Medical-Sanitary Unit of Novoyaroslavskiy Oil Refinery'
City
Yaroslavl
Country
Russian Federation
Facility Name
Chernivtsi Regional Clinical Hospital
City
Chernivtsi
Country
Ukraine
Facility Name
State Institution 'Institute of Urgent and Recovery Surgery n.a. V.K. Gusaka' of AMS of Ukraine
City
Donetsk
Country
Ukraine
Facility Name
Communal Institution of Healthcare
City
Kharkiv
Country
Ukraine
Facility Name
Institution of Therapy of AMS of Ukraine
City
Kharkiv
Country
Ukraine
Facility Name
State Institution 'Institute of Microbiology and Immunology of AMS of Ukraine'
City
Kharkiv
Country
Ukraine
Facility Name
State Institution 'Republican Clinical Hospital of MoH of Ukraine'
City
Kiev
Country
Ukraine
Facility Name
Lutsk City Clinical Hospital
City
Lutsk
Country
Ukraine
Facility Name
Vinnytsa Regional Clinical Hospital
City
Vinnytsa
Country
Ukraine
Facility Name
Zaporizhzhia Regional Clinical Hospital
City
Zaporizhzhia
Country
Ukraine

12. IPD Sharing Statement

Citations:
PubMed Identifier
28622463
Citation
Vanhoutte F, Mazur M, Voloshyn O, Stanislavchuk M, Van der Aa A, Namour F, Galien R, Meuleners L, van 't Klooster G. Efficacy, Safety, Pharmacokinetics, and Pharmacodynamics of Filgotinib, a Selective JAK-1 Inhibitor, After Short-Term Treatment of Rheumatoid Arthritis: Results of Two Randomized Phase IIa Trials. Arthritis Rheumatol. 2017 Oct;69(10):1949-1959. doi: 10.1002/art.40186. Epub 2017 Aug 31.
Results Reference
derived

Learn more about this trial

Dose-ranging Study With GLPG0634 in Methotrexate-refractory Active Rheumatoid Arthritis Patients

We'll reach out to this number within 24 hrs