Study to Evaluate the Efficacy and Safety of Filgotinib in the Induction and Maintenance of Remission in Adults With Moderately to Severely Active Ulcerative Colitis (SELECTION)
Ulcerative Colitis
About this trial
This is an interventional treatment trial for Ulcerative Colitis
Eligibility Criteria
Key Inclusion Criteria:
- Males or non-pregnant, non-lactating females, ages 18 to 75 years, inclusive based on the date of the screening visit
- Documented diagnosis of UC of at least 6 months AND with a minimum disease extent of 15 cm from the anal verge. Documentation should include endoscopic and histopathologic evidence of UC.
- A surveillance colonoscopy is required at screening in individuals with a history of UC for 8 or more years, if one was not performed in the prior 24 months
- Moderately to severely active UC
- Previously demonstrated an inadequate clinical response, loss of response to, or intolerance to at least 1 of the following agents (depending on current country treatment recommendations/guidelines): corticosteroids, immunomodulators, tumor necrosis factor alpha (TNFa) antagonists, or vedolizumab
Key Exclusion Criteria:
- Presence of Crohn's disease, indeterminate colitis, ischemic colitis, fulminant colitis, ulcerative proctitis, or toxic mega-colon
- Active tuberculosis (TB) or history of latent TB that has not been treated
- Use of any concomitant prohibited medications as described in the protocol
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Sites / Locations
- Digestive Health Specialists of the Southeast
- Mayo Clinic Arizona
- VA Long Beach Healthcare System
- Cedars Sinai Medical Center
- South Denver Gastroenterology, PC
- Connecticut GI PC-Research Division
- UF Health at Shands Hospital
- Florida Research Institute
- University of Miami Crohn's and Colitis Center
- Cordova Research Institute
- Gastroenterology Group of Naples
- Advanced Medical Research Center
- Tampa General Hospital
- Shafran Gastroenterology Center
- Florida Medical Clinic, P.A.
- Gastroenterology Associates of Central Georgia, LLC
- Gastrointestinal Specialists of Georgia
- Atlanta Gastroenterology Specialist, PC
- University of Iowa Hospitals and Clinics
- University of Louisville, Clinical Trials Unit
- Delta Research Partners, LLC
- Louisiana Research Center, LLC
- Investigative Clinical Research
- MGG Group Co., Inc., Chevy Chase Clinical Research
- Gastro Center of Maryland
- Meritus Center for Clinical Research
- Massachusetts General Hospital - Crohn's and Colitis Center
- Clinical Research Institute of Michigan, LLC
- Center for Digestive Health
- Mayo Clinic
- Kansas City Research Institute
- Washington University School of Medicine
- NY Scientific
- NYU Langone Long Island Clinical Research Associates
- Carolina's GI Research, LLC
- Fargo Gastroenterology and Hepatology Clinic
- Consultants for Clinical Research
- UC Health Physicians Clifton
- Great Lakes Gastroenterology Research, LLC
- Gastroenterology Associates of Orangeburg
- Rapid City Medical Center
- WR-ClinSearch, LLC
- Gastro One
- Quality Medical Research
- Vanderbilt University Medical Center - IBD Clinic
- San Antonio Military Medical Center
- DHAT Research Institute
- Baylor College of Medicine- Baylor Medical Center
- The University of Texas Health Science Center at Houston
- Clinical Associates in Research Therapeutics of America, LLC
- Gastroenterology Research of San Antonio
- Texas Digestive Disease Consultants
- Texas Digestive Disease Consultants
- Spring Gastroenterology
- HP Clinical Research
- University of Virginia Health System
- Gastroenterology Associates Of Tidewater
- Emeritas Research Group LLC
- McGuire DVAMC
- University of Wisconsin Hospital & Clinics
- Allegiance Research Specialists, LLC
- Instituto de Investigaciones Clinicas Mar del Plata
- Instituto Médico Cer
- St. Vincent's Hospital Sydney
- Nepean Hospital
- Coastal Digestive Health
- Mater Misericordiae Ltd
- Princess Alexandra Hospital
- The Queen Elizabeth Hospital
- Monash Medical Centre
- Footscray Hospital
- Austin Health
- Cabrini Hospital
- Alfred Hospital
- Universitatsklinik Innsbruck
- AKH-Medizinische Universitat Wien
- GZA Ziekenhuizen campus Sint-Vincentius
- CUB Hopital Erasme
- Universitair Ziekenhuis Leuven
- Centre Hospitalier Chretien (CHC) - Clinique Saint-Joseph
- MHAT Sveti Pantaleymon - Pleven OOD
- "MDHAT Dr. St.Cherkezov" AD
- MHAT "Sveta Petka" AD
- University of Calgary, Heritage Medical Research Clinic
- The Gordon and Leslie Diamond Health Care Centre
- Hamilton Health Sciences Corporation, McMaster University Medical Centre
- Royal University Hospital
- Toronto Digestive Disease Associates Inc.
- Clinical Hospital Dubrava
- University Hospital Center Zagreb
- Hepato-Gastroenterologie HK, s.r.o.
- Oblastni nemocnice Mlada Boleslav, a.s., nemocnice Stredoceskeho kraje, Gastroenterologicke oddeleni
- G.E.P. Clinic, s r.o.
- ISCARE a.s. (Klinicke centrum ISCARE), Klinicke a vyzkumne centrum pro strevni zanety
- CHU Amiens Picardie
- CHU de Caen
- CHU de Clermont-Ferrand - Hopital d'Estaing
- APHP - Hopital Beaujon - Clichy - Universite Paris VII
- CHU de Dijon Bourgogne - Hopital Francois Mitterand
- CHU Grenoble Alpes
- Hopital Universitaire de Bicetre
- Centre Hospitalier Regional Universitaire de Lille
- Hopital Nord
- CHU de Montpellier-Hopital Saint Eloi
- CHU Hotel-Dieu
- Hopital de l'Archet 2
- Institut Mutualiste Montsouris
- CHU de Bordeaux - Hopital Haut Leveque
- Centre Hospitalier Universitaire de Lyon Sud
- Centre Hospitalier Universitaire de Rennes - Hopital Pontchaillou
- CHU de Saint-Etienne - Hopital Nord
- CHU de Toulouse - Hopital Rangueil
- CHU de Nancy - Hopital Brabois Adultes
- Unimed Ajara LLC - Batumi Referral Hospital
- Medi Club Georgia LLC
- Ltd. Unimed Kakheti - Telavi Referral Hospital
- Charite Universitatsmedizin Berlin
- Charite - Universitatsmedizin Berlin
- DRK Kliniken Berlin - Westend - Klinik fuer Innere Medizin
- Stadtisches Klinikum Braunschweig gGmbH
- Agaplesion Markus Krankenhaus
- Universitatsklinikum Freiburg
- Asklepios Westklinikum Hamburg
- Medizinische Hochschule Hannover
- Gastroenterologische Gemeinschaftspraxis Herne
- Universitatsklinikum Jena
- Universitatsklinikum Schleswig-Holstein
- Universitaetsklinik Koln
- EUGASTRO GmbH
- Klinikum Luneburg
- Gastroenterologische Gemeinschaftspraxis Minden
- Klinikum der Universitat Munchen - Grosshadern
- Universitaetsklinikum Tuebingen
- Universitatsklinikum Ulm, Zentrum Fur Innere Medizin
- General Hospital of Athens "Hippokratio", 2nd Internal Medicine Clinic of Athens University, Hepato-gastroenterology Unit
- General Hospital of Nikaias "Agios Pentelleimon", Gastroenterology Department
- Princess Margaret Hospital
- Queen Mary Hospital
- Department of Medicine & Therapeutics, The Chinese University of Hong Kong, Prince of Wales Hospital
- Del-pesti Centrumkorhaz - Orszagos Hematologiai es Infektologiai Intezet, Kozponti Felnott Szakrendelo
- Szent Janos Korhaz es Eszak-budai Egitett Korhazak, I. Belgyogyaszati - Gasztroenterologiai Osztaly
- Bekes Megyei Kosponti Korhaz, Dr. Rethy Pal Tagkorhaz, IV. Belgyogyaszat - 2. Gasztroenterologia
- Debreceni Egyetem Klinikai Kozpont, II. sz. Belgyogyaszati Klinika, Gasztroenterologia
- Bugat Pal Korhaz, Belgyogyaszat
- Karolina Korhaz es Rendelointezet, Altalanos Belgyogyaszat-Gasztroenterologia
- Kaizen Hospital
- M S Ramaiah Medical College and Hospital
- Apollo Speciality Hospital
- VGM Hospital Institute of Gastroenterology
- Gleneagles Global Hospitals
- Citizens Specialty Hospital
- Centre for Liver Research & Diagnostics
- S.R.KallaMemorial Gastro.&General Hospital,
- S.M.S Medical College & Hospitals
- School of Digestive & Liver Diseases
- Dayanand Medical College & Hospital
- Kasturba Medical College (KMC) Hospital
- Lokmanya Tilak Municipal General Hospital
- Midas Multispeciality Hospital Pvt. Ltd
- Suretech Hospital & Research Centre Ltd
- All India Institute of Medical Sciences
- Grant Medical Foundation Ruby Hall Clinic
- Shree Giriraj Multispeciality Hospital
- Gandhi Hospital
- Institute of Gastroenterology & Liver Disease, Sunshine Hospitals
- Surat Institute of Digestive Sciences
- Kasturba Hospital Medical College
- Sterling Hospital
- Samvedana Hospital
- Beaumont Hospital
- Soroka Medical Center
- Bnai Zion Medical Center
- Rambam Health Care Campus
- Shaare Zedek Medical Center
- Hadassah Medical Center
- Rabin Medical Center
- UOC Gastroenterologia II
- U.O. Fisiopatologia Digestiva
- Ospedale Clinicizzato SS. Annunziata - Dipartimento di Medicina
- Endocsopia Digestiva Centralizzata - ASST Fatebenefratelli Sacco, Ospedale Fatebenefratelli e Oftalmico
- UOC Gastroenterologia
- Azienda Ospedaliero-Universitaria Pisana - Presidio Ospedaliero Cisanello
- UOC Gastroenterologia ed Endoscopia Digestiva
- Istituto Clinico Humanitas
- Medical Hospital, Tokyo Medical and Dental University
- Fukuoka University Chikushi Hospital
- Hokkaido P.W.F.A.C Sapporo-Kosei General Hospital
- Japanese Red Cross Fukuoka Hospital
- Tokai University Hachioji Hospital
- Hiroshima University Hospital
- Fukuoka University Hospital
- Ofuna Chuo Hospital
- Kitakyushu City Hospital Organization Kitakyushu Municipal Medical Center
- Yamanashi Prefectural Central Hospital
- Kurume University Hospital
- Hidaka Coloproctology Clinic
- University Hospital, Kyoto Prefectural University of Medicine
- The Jikei University Hospital
- Kitasato University Kitasato Institute Hospital
- Kyorin University Hospital
- Iwate Medical University Hospital
- Aichi Medical University Hospital
- Nagasaki University Hospital
- Saiseikai Niigata Daini Hospital
- Hyogo College of Medicine College Hospital
- Ishida IBD Clinic
- Okayama University Hospital
- Wakakusa-Daiichi Hospital
- Saga-Ken Medical Centre Koseikan
- Kitasato University Hospital, THE KITASATO INSTITUTE
- Saga University Hospital
- Tokito Clinic
- Toho University Sakura Medical Center
- Sapporo Higashi Tokushukai Hospital
- Sapporo Tokushukai Hospital
- National Hospital Organization Sendai Medical Center
- Tokyo Yamate Medical Center
- Osaka University Hospital
- Kagawa Prefectural Central Hospital
- National Hospital Organization Takasaki General Medical Center
- Osaka Medical College Hospital
- Ieda Hospital
- Wakayama Medical University Hospital
- Colo-proctology Center Matsushima Clinic
- Yokohama Health Medicine Association Kannai Suzuki Clinic
- Kinshukai Infusion Clinic
- Osaka City University Hospital
- Shiga University of Medical Science Hospital
- The Catholic University of Korea, St. Vincent's Hospital
- Pusan National University Hospital
- Yeungnam University Hospital
- Kangbuk Samsung Hospital
- Yonsei University Health System, Severance Hospital
- Asan Medical Center
- Division of Gastroenterology, Department of Medicine, Samsung Medical Center
- Hyung Hee University Hospital
- Yonsei University Wonju Severance Christian Hospital
- University Kebangsaan Malaysia Medical Centre
- Hospital Pulau Pinang
- Hospital Queen Elizabeth
- PCR-Phylasis Clinicas Research S. de R.L. de C.V.
- Academic Medical Center (AMC)
- Gelre Hospital
- University Medical Center Utrecht
- Christchurch Hospital
- Auckland City Hospital
- Waikato Hospital
- Wellington Hospital
- Bay of Plenty District Health Board - Tauranga Hospital
- Vestre Viken Hospital Trust, Baerum Hospital
- Akerskus University Hospital
- Uniwersytecki Szpital Kliniczny w Bialymstoku, Klinika Gastroenterologii i Chorob Wewnetrznych
- VITAMED Galaj i Cichomski spolka jawna
- Gabinet Lekarski Janusz Rudzinski
- NZOZ INTER-MED, Centrum Endoskopowe
- Niepubliczny Zaklad Opieki Zdrowotnej ALL-MEDICUS
- Gabinet Endoskopii Przewodu Pokarmowego
- Krakowskie Centrum Medyczne Sp. z o.o
- Centrum Opieki Zdrowotnej Orkan-Med Stec-Michalska Sp.J.
- Centrum Innowacyjnych Terapii Sp. z o.o.
- Clinical Research Center Spolka z organiczna odpowiedzialnoscia Medic-R Sp. k.
- Gabinet Lekarski Dr. Hab. N. Med. Bartosz Korczowski
- Endoskopia Sp. z o.o.
- Twoja Przychodnia-Szczecinskie Centrum Medyczne
- GASTROMED Kopon, Zmudzkinski i Wspolnicy Sp. j. Specjalistyczne Centrum Gastrologii i Endoskopii
- H-T.Centrum Medyczne Spolka z Ograniczona Odpowiedzialnoscia Sp.K.
- Centrum Zdrowia MDM
- Bodyclinic
- Centralny Szpital Kliniczny Ministerstwa Spraw Wewnetrznych i Administacji w Warszawie
- Niepubliczny Zaklad Opieki Zrodotnej VIVAMED Jadwige Miecz
- Centrum Medyczne Oporow
- Santa Familia, Centrum Badan, Profilaktyki i Leczenia
- Hospital da Senhora da Oliveira Guimaraes, E.P.E.
- Centro Hospitalar de Sao Joao, EPE
- SC MedLife SA, Gastroenterologie
- Spitalul Clinic Colentina - Sectia de Spitulal Clinic Colentina, Gastroenterologie
- Cabinet Medical Individual Dr Tirnaveanue Amelita, Gastroenterologie
- Cabinet Particular Policlinic Algomed SRL
- State Budgetary Healthcare Institution "Chelyabinski Regional Clinical Hospital"
- State Budgetary Institution of Health Irkustsk Order "Badge of Honor" Regional Clinical Hospital
- Federal State Budgetary Institution of Science Federal Research Center of Nutrition, Biotechnology and Food Safety
- State Budgetary Healthcare Institution of Moscow "City Clinical Hospital # 24 of Healthcare Department of Moscow"
- State Budgetary Healthcare Institution of Moscow Region "Moscow Regional Clinical Research Institute n.a. M.F. Vladimirskiy"
- State Budgetary Healthcare Institution of Nizhny Novgorod Region "Nizhny Novgorod Regional Clinical Hospital n.a. N.A.
- State Budgetary Institution of Health of Novosibirsk Region "City Clinical Hospital #12"
- State Budgetary Healthcare Institution of the Novosibirsk Region "State Novosibirsk Regional Clinical Hospital"
- "Riat" LLC
- "PolyClinic EXPERT" LLC
- Saint Petersburg State Budgetary Healthcare Institution "City Polyclinic #38"
- "Scientific Research Centre ECO-safety" LLC
- State Healthcare Institution "Regional Clinical Hospital"
- Treatment and Prevention Interdistrict Institution "Smolenskie kliniki" LLC
- State Autonomous Health Institution of the Tyumen Region "Multidisciplinary Consultative and Diagnostic Center"
- Zvezdara University Medical Center
- Singapore General Hospital
- KM Management, s.r.o., Gastroenterologicke a hepatologicke centrum Nitra
- Dr MJ Prins
- Peermed Clinical Trial Centre
- Centro Medico Teknon
- Hospital Clinico San Carlos
- Hospital Universitario de Fuenlabrada
- Hospital Universitario Central de Asturias
- Hospital Universitario Virgen del Rocio
- Danderyds Sjukhus AB
- Skane University Hospital
- Akademiska Sjukhuset
- Gastroenterologische Praxis Balsiger, Seibold und Partner
- Universitatsspital Zurich
- Changhua Christian Hospital
- National Taiwan University Hospital
- Mackay Memorial Hospital, Taipei
- Chang Gung Medical Foundation, Chang Gung Memorial Hospital, Linkou Branch
- Municipal Institution "Cherkasy Regional Hospital of Cherkasy Regional Council", Gastroenterology Department
- Municipal City Clinical Hospital of the Emergency Medical Care, 1 st Therapy Department. Danylo Halytsky Lviv National Medical
- Regional Municipal Institution "Chernivtsi Regional Clinical Hospital", Surgical Department
- State Institution "Institute of Gastroenterology of National Academy of Medical Sciences of Ukraine"
- Ivanto-Frankivsk Central City Clinic Hospital, Therapy Department #1. State Higher Education Institution Ivano-Frankivsk National
- Municipal Health Care Institution "Kharkiv City Clinical Hospital #2 named after prof. O. O. Shalimov", Proctology Department
- L.T. Mala State Institution "National Institute of Therapy of National Academy of Medical Sciences of Ukraine"
- Municipal Institution of Health Care "Regional Hospital of War Veterans", Therapeutic Department No1
- Treatment and Diagnostic Center of Private Enterprise of Private Production Company "Acinus"
- Kyiv City Clinical Hospital No. 18, Proctology Department
- Municipal Non-profit Enterprise "Consultative and Diagnostic Center" of Pechersk District of Kyiv, Therapy Department
- Odesa Clinical Railway Hospital Branch of "Healthcare Center" of Public joint stock company "Ukrainian Railway"
- Municipal Institution "Odesa Regional Clinical Hospital", Regional Gastroenterology Center based on Surgery Department
- Ternopil University Hospital, Regional Center of Gastroenterology with Hepatology
- Medical Center LLC "Health Clinic"
- Vinnytsia Regional Clinical Hospital of War Veterans, Therapy Department #1
- M.I. Pyrogov Vinnytsia Regional Clinical Hospital, Gastroenterology Department
- Municipal Institution "Zaporizhzhya Regional Clinical Hospital" of Zaporizhzhya Regional Council
- The Pennine Acute Hospitals NHS Trust
- Cambridge University Hospital NHS Foundation Trust
- Royal Derby Hospital
- NHS Lothian
- Glasgow Clinical Research Facility - Queen Elizabeth University Hospital
- NHS Greater Glasgow and Clyde
- Wycombe Hospital
- Imperial College Healthcare NHS Trust, St Mary's Hospital
- Norfolk and Norwich University Hospital NHS Foundation Trust
- Biomedical Research Unit
- Oxford University Hospitals NHS Foundation Trust
- St Helens and Knowsley Teaching Hospitals NHS Trust
- Southampton National Institute for Health Research, Wellcome Trust Clinical Research Facility
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm 7
Arm 8
Arm 9
Arm 10
Arm 11
Experimental
Experimental
Placebo Comparator
Experimental
Experimental
Placebo Comparator
Experimental
Placebo Comparator
Experimental
Placebo Comparator
Placebo Comparator
Induction Study (Cohort A): Filgotinib 200 mg
Induction Study (Cohort A): Filgotinib 100 mg
Induction Study (Cohort A): Placebo
Induction Study (Cohort B): Filgotinib 200 mg
Induction Study (Cohort B): Filgotinib 100 mg
Induction Study (Cohort B): Placebo
Maintenance Study: Filgotinib 200 mg From Induction Filgotinib 200 mg
Maintenance Study: Placebo From Induction Filgotinib 200 mg
Maintenance Study: Filgotinib 100 mg From Induction Filgotinib 100 mg
Maintenance Study: Placebo From Induction Filgotinib 100 mg
Maintenance Study: Placebo From Induction Placebo
Participants in Cohort A (biologic-naive) received filgotinib 200 milligrams (mg) and placebo-to-match (PTM) filgotinib 100 mg orally once daily for 10 weeks.
Participants in Cohort A (biologic-naive) received filgotinib 100 mg and PTM filgotinib 200 mg orally once daily for 10 weeks.
Participants in Cohort A (biologic-naive) received PTM filgotinib 200 mg and PTM filgotinib 100 mg orally once daily for 10 weeks.
Participants in Cohort B (biologic-experienced) received filgotinib 200 mg and PTM filgotinib 100 mg orally once daily for 10 weeks.
Participants in Cohort B (biologic-experienced) received filgotinib 100 mg and PTM filgotinib 200 mg orally once daily for 10 weeks.
Participants in Cohort B (biologic-experienced) received PTM filgotinib 200 mg and PTM filgotinib 100 mg orally once daily for 10 weeks.
Participants in the Filgotinib 200 mg arm who completed the Induction Study and achieved either Endoscopy/Bleeding/Stool Frequency (EBS) remission or Mayo Clinic Score (MCS) response at Week 10 were re-randomized at Week 11 into the Maintenance Study to receive filgotinib 200 mg and PTM filgotinib 100 mg for an additional 47 weeks (up to Week 58).
Participants in the Filgotinib 200 mg arm who completed the Induction Study and achieved either EBS remission or MCS response at Week 10 were re-randomized at Week 11 into the Maintenance Study to receive PTM filgotinib orally once daily for an additional 47 weeks (up to Week 58).
Participants in the Filgotinib 100 mg arm who completed the Induction Study and achieved either EBS remission or MCS response at Week 10 were re-randomized at Week 11 into the Maintenance Study to receive filgotinib 100 mg and PTM filgotinib 200 mg for an additional 47 weeks (up to Week 58).
Participants in the Filgotinib 100 mg arm who completed the Induction Study and achieved either EBS remission or MCS response at Week 10 were rerandomized at Week 11 into the Maintenance Study to receive PTM filgotinib orally once daily for an additional 47 weeks (up to Week 58).
Participants in the Placebo arm who completed the Induction Study and achieved either EBS remission or MCS response at Week 10 were re-randomized at Week 11 into the Maintenance Study to receive PTM filgotinib for an additional 47 weeks (up to Week 58).