AzTrials
AzTrials

Small Bowel Crohn's DiseasePhase 2DIVERGENCE 1NCT03046056

Study to Evaluate the Efficacy and Safety of Filgotinib in the Treatment of Small Bowel Crohn's Disease (SBCD)

A Phase 2 study testing Filgotinib in people with Small Bowel Crohn's Disease, run by Gilead Sciences at 38 sites in 12 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The primary objective of this study is to evaluate the efficacy of filgotinib, when compared to placebo, in establishing clinical remission defined as Crohn's disease activity index (CDAI) < 150, at Week 24 in participants with small bowel Crohn's disease (CD). Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Small Bowel Crohn's Disease
What is being tested?
Filgotinib
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
78 participants
Where
38 sitesin 12 countries
Study dates
11 Apr 2017to 20 Jul 2020
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Males or non-pregnant, nonlactating females, ages 18 to 75 years, inclusive based on the date of screening visit
  • Moderately or severely active CD
  • Minimum duration of CD of at least 6 months
  • Presence of diseased small bowel (SB) segments in at least 1 of the following segments: terminal ileum, distal ileum, or jejunum
  • Patients with additional colonic involvement of CD are permitted in study as long as SBCD is present
  • 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):
Show all 12Show fewer
  • Corticosteroids
  • Immunomodulators
  • Tumor necrosis factor-alpha (TNFα) antagonists
  • Vedolizumab
  • Ustekinumab
  • Willing and able to undergo magnetic resonance enterography (MRE) per protocol requirements

Who cannot join

  • Presence of symptomatic or clinically significant (eg, obstructive or symptomatic) strictures or stenosis.
  • Presence of fistulae
  • Evidence of short bowel syndrome
  • Presence of ulcerative colitis, indeterminate colitis, ischemic colitis, fulminant colitis, or toxic mega-colon
  • History of total colectomy, subtotal-colectomy, presence of ileostomy or colostomy, or likely requirement for surgery during the study
  • Use of any prohibited concomitant medications as described in the study protocol
  • Active tuberculosis (TB) or history of latent TB that has not been treated
  • Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

38 sites in 12 countries.

38 sites in 12 countries

United States15 sites
  • Texas Clinical Research Institute

    Arlington, Texas, 76012

  • Clinical Research Institute of Michigan

    Chesterfield, Michigan, 48047

  • Gastro Center of Maryland

    Columbia, Maryland, 21045

  • Fargo Gastroenterology and Hepatology Clinic

    Fargo, North Dakota, 58103

  • Gastro One

    Germantown, Tennessee, 38138

  • Meritus Center for Clinical Research

    Hagerstown, Maryland, 21742

  • Indiana University Health University Hospital

    Indianapolis, Indiana, 46202

  • University of Kansas Medical Center

    Kansas City, Kansas, 66160

  • University of Miami Crohn's and Colitis Center

    Miami, Florida, 33136

  • Center for lnterventional Endoscopy- Florida Hospital

    Orlando, Florida, 32804

  • McGuire DVAMC

    Richmond, Virginia, 23249

  • Gastroenterology Research of San Antonio

    San Antonio, Texas, 78229

  • TDDC San Marcos

    San Marcos, Texas, 78666

  • Texas Digestive Disease Consultants

    Southlake, Texas, 76092

  • University of South Florida South Tampa campus

    Tampa, Florida, 33606

Other trials in United States

United Kingdom4 sites
  • Royal Devon and Exeter Hospital, Department of Gastroenterology

    Exeter, EX2 5DW

  • Queen Elizabeth University Hospital

    Glasgow, Scotland, G51 4TF

  • St Georges Clinical Research Facility

    London, SW17 0QT

  • John Radcliffe Hospital

    Oxford, OX3 9DU

Other trials in United Kingdom

Ukraine3 sites
  • Ivano-Frankivsk Central City Clinical Hospital, Department of Therapy #1, SHEI Ivano-Frankivsk National Medical University

    Ivano-Frankivsk, 76018

  • Communal Healthcare Institution Regional Hospital of War Veterans, Department of Therapy #1

    Kharkiv, 61137

  • Communal Institution of Ternopil Regional Council Ternopil University Hospital. Regional Center of Gastroenterology

    Ternopil, 46002

Other trials in Ukraine

Austria2 sites
  • Medical University of Innsbruck, Department of Internal Medicine I

    Innsbruck, 6020

  • Medical University of Vienna, Department of Internal Medicine III, Division Gastroenterology and Hepatology

    Vienna, 1090

Other trials in Austria

Belgium2 sites
  • Universitair Ziekenhuis Antwerpen

    Edegem, 2650

  • Centre Hospitalier Chretien

    Liège, 4000

Other trials in Belgium

Canada2 sites
  • Mount Sinai Hospital

    Toronto, M5T 3L9

  • PerCuro Clinical Research Ltd.

    Victoria, V8V 3M9

Other trials in Canada

Germany2 sites
  • Gastroenterologie, Hepatologie und Endokrinologie

    Hanover, 30625

  • Universitatsklinikum Jena

    Jena, 07747

Other trials in Germany

Hungary2 sites
  • Békés Megyei Központi Kórház Dr. Réthy Pál Tagkórháza

    Békéscsaba, 5600

  • Bugát Pál Kórház, Gasztroenterológiai osztály

    Gyöngyös, Heves County, 3200

Other trials in Hungary

Italy2 sites
  • Azienda Ospedaliero - Universitaria Mater Domini

    Catanzaro, 88100

  • Gastroenterologia, Policlinico Universitario Campus Bio-Medico di Roma

    Rome, 00128

Other trials in Italy

Spain2 sites
  • Hospital Universitario de Fuenlabrada

    Fuenlabrada, Madrid, 28942

  • Hospital Universitario Gran Canaria Dr. Negrin

    Las Palmas de Gran Canaria, 35016

Other trials in Spain

Czechia1 site
  • Hepato-Gastroenterologie HK, s.r.o.

    Hradec Králové, 500 12

Other trials in Czechia

France1 site
  • CHU de Toulouse -Hopital Rangueil (Main Office)

    Toulouse, Midi-Pyrenees, 31059

Other trials in France

About this study

Official title: A Phase 2, Double-Blind, Randomized, Placebo-Controlled Study Evaluating the Efficacy and Safety of Filgotinib in the Treatment of Small Bowel Crohn's Disease (SBCD)

The primary objective of this study is to evaluate the efficacy of filgotinib, when compared to placebo, in establishing clinical remission defined as Crohn's disease activity index (CDAI) < 150, at Week 24 in participants with small bowel Crohn's disease (CD). Participants will have the option to enter a separate long-term extension study if they meet eligibility requirements.

Being tested
Filgotinib, Placebo to match filgotinib

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • FilgotinibDrug

    Also called GS-6034, GLPG0634

    Tablet(s) administered orally once daily

  • Placebo to match filgotinibDrug

    Tablet(s) administered orally once daily

Study groups in NCT03046056
Study groupRoleWhat they receive
Filgotinib 200 mgExperimentalFilgotinib 200 mg tablet + placebo to match (PTM) filgotinib 100 mg tablet for up to 27 weeks.
Receives: Drug: Filgotinib; Drug: Placebo to match filgotinib
Filgotinib 100 mgExperimentalFilgotinib 100 mg tablet + PTM filgotinib 200 mg tablet for up to 26.3 weeks.
Receives: Drug: Filgotinib; Drug: Placebo to match filgotinib
PlaceboPlacebo comparatorPTM filgotinib 200 mg tablet + PTM filgotinib 100 mg tablet for up to 28.7 weeks.
Receives: Drug: Placebo to match filgotinib

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants Who Achieved Clinical Remission at Week 24

    The CDAI score is used to quantify the symptoms of participants with Crohn's Disease (CD). The score ranges from 0 to 600. Clinical remission by CDAI was defined as a score of < 150. A higher score indicates more severe disease.

    Measured: Week 24

Secondary outcomes (14)
  1. Change From Baseline in Terminal Ileum Segmental Magnetic Resonance Index of Activity (MaRIA) Score at Week 24

    Magnetic resonance enterography (MRE) is an imaging technique to evaluate disease activity in CD. MaRIA is an MRE-based scoring system. The MaRIA scoring system is a composite index of 4 components. These components are edema, ulcers, gut wall thickness, and relative contrast enhancement (RCE). A segmental MaRIA score can be calculated at screening (used as the baseline) and Week 24 as a weighted sum of these components for the terminal ileum segment of the small bowel. A segmental score of ≥ 7 indicates active inflammation and a score of ≥ 11 indicates the presence of an ulcer. Segmental scores less than 7 indicate remission. The MaRIA score ranges from approximately 0 to 31, for any given segment. A higher score indicates more severe disease. Difference in least squared means (Diff in LSM) were from analysis of covariance (ANCOVA) model. A negative change from baseline indicates improvement and a positive change from baseline indicates disease worsening.

    Measured: Baseline; Week 24

  2. Change From Baseline in Distal Ileum Segmental MaRIA Score at Week 24

    MRE is an imaging technique to evaluate disease activity in CD. MaRIA is an MRE-based scoring system. The MaRIA scoring system is a composite index of 4 components. These components are edema, ulcers, gut wall thickness, and RCE. A segmental MaRIA score can be calculated at Screening (used as the baseline) and Week 24 as a weighted sum of these 4 components for the distal ileum segment of the small bowel. A segmental score of ≥ 7 indicates active inflammation and a score of ≥ 11 indicates the presence of an ulcer. Segmental scores less than 7 indicate remission in that segment. The MaRIA score ranges from approximately 0 to 31, for any given segment. A higher score indicates more severe disease. Diff in LSM were from ANCOVA model. A negative change from baseline indicates improvement and a positive change from baseline indicates disease worsening.

    Measured: Baseline; Week 24

  3. Change From Baseline in Jejunum Segmental MaRIA Score at Week 24

    MRE is an imaging technique to evaluate disease activity in CD. MaRIA is an MRE-based scoring system.The MaRIA scoring system is a composite index of 4 components. These components are edema, ulcers, gut wall thickness, and RCE. A segmental MaRIA score can be calculated at Screening (used as the baseline) and Week 24 as a weighted sum of these 4 components for the jejunum segment of the small bowel. A segmental score of ≥ 7 indicates active inflammation and a score of ≥ 11 indicates the presence of an ulcer. Segmental scores less than 7 indicate remission in that segment. The MaRIA score ranges from approximately 0 to 31, for any given segment. A higher score indicates more severe disease. Diff in LSM were from ANCOVA model. A positive change from baseline indicates disease worsening.

    Measured: Baseline; Week 24

  4. Percentage of Participants Who Achieved MaRIA Remission in Terminal Ileum Segment at Week 24

    The MaRIA scoring system is a composite index of 4 components. These components are edema, ulcers, gut wall thickness, and RCE. A segmental MaRIA score can be calculated at screening (used as the baseline) and Week 24 as a weighted sum of these 4 components for the terminal ileum segment of the small bowel. The MaRIA score ranges from approximately 0 to 31, for any given segment. A higher score indicates more severe disease. MaRIA remission was defined as a segmental MaRIA score < 7 in terminal ileum segment at Week 24 among participants with MaRIA score ≥ 7 in the same segment at baseline. A segmental score of ≥ 7 indicates active inflammation and a score of ≥ 11 indicates the presence of an ulcer.

    Measured: Week 24

  5. Percentage of Participants Who Achieved MaRIA Remission in Distal Ileum Segment at Week 24

    The MaRIA scoring system is a composite index of 4 components. These components are edema, ulcers, gut wall thickness, and RCE. A segmental MaRIA score can be calculated at screening (used as the baseline) and Week 24 as a weighted sum of these 4 components for the distal ileum segment of the small bowel. The MaRIA score ranges from approximately 0 to 31, for any given segment. A higher score indicates more severe disease. MaRIA remission was defined as a segmental MaRIA score < 7 in distal ileum segment at Week 24 among participants with MaRIA score ≥ 7 in the same segment at baseline. A segmental score of ≥ 7 indicates active inflammation and a score of ≥ 11 indicates the presence of an ulcer.

    Measured: Week 24

  6. Percentage of Participants Who Achieved MaRIA Remission in Jejunum Segment at Week 24

    The MaRIA scoring system is a composite index of 4 components. These components are edema, ulcers, gut wall thickness, and RCE. A segmental MaRIA score can be calculated at screening (used as the baseline) and Week 24 as a weighted sum of these 4 components for the jejunum segment of the small bowel. The MaRIA score ranges from approximately 0 to 31, for any given segment. A higher score indicates more severe disease. MaRIA remission was defined as a segmental MaRIA score < 7 in jejunum segment at Week 24 among participants with MaRIA score ≥ 7 in the same segment at baseline. A segmental score of ≥ 7 indicates active inflammation and a score of ≥ 11 indicates the presence of an ulcer.

    Measured: Week 24

  7. Percentage of Participants Who Achieved MaRIA Response in Terminal Ileum Segment at Week 24

    The MaRIA scoring system is a composite index of 4 components. These components are edema, ulcers, gut wall thickness, and RCE. A segmental MaRIA score can be calculated at screening (used as the baseline) and Week 24 as a weighted sum of these 4 components for the terminal ileum segment of the small bowel. The MaRIA score ranges from approximately 0 to 31, for any given segment. A higher score indicates more severe disease. MaRIA response was defined as a segmental MaRIA score < 11 with baseline score ≥ 11, or a segmental MaRIA score < 7 with baseline score < 11, or ≥ minimum detectable difference (MDD) units decrease from baseline score for segments with baseline MaRIA score ≥ 7 in the terminal ileum. For segments with baseline MaRIA score ≥ 15, the MDD is 6.5 units and for baseline MaRIA score < 15, the MDD is 4.0 units.

    Measured: Week 24

  8. Percentage of Participants Who Achieved MaRIA Response in Distal Ileum Segment at Week 24

    The MaRIA scoring system is a composite index of 4 components. These components are edema, ulcers, gut wall thickness, and RCE. A segmental MaRIA score can be calculated at screening (used as the baseline) and Week 24 as a weighted sum of these 4 components for the distal ileum segment of the small bowel. The MaRIA score ranges from approximately 0 to 31, for any given segment. A higher score indicates more severe disease. MaRIA response was defined as a segmental MaRIA score < 11 with baseline score ≥ 11, or a segmental MaRIA score < 7 with baseline score < 11, or ≥ MDD units decrease from baseline score for segments with baseline MaRIA score≥ 7 in the distal ileum. For segments with baseline MaRIA score ≥ 15, the minimum detectable difference (MDD) is 6.5 units and for baseline MaRIA score < 15, the MDD is 4.0 units.

    Measured: Week 24

  9. Percentage of Participants Who Achieved MaRIA Response in Jejunum Segment at Week 24

    The MaRIA scoring system is a composite index of 4 components. These components are edema, ulcers, gut wall thickness, and RCE. A segmental MaRIA score can be calculated at screening (used as the baseline) and Week 24 as a weighted sum of these 4 components for the jejunum segment of the small bowel. The MaRIA score ranges from approximately 0 to 31, for any given segment. A higher score indicates more severe disease. MaRIA response was defined as a segmental MaRIA score < 11 with baseline score ≥ 11, or a segmental MaRIA score < 7 with baseline score < 11, or ≥ MDD units decrease from baseline score for segments with baseline MaRIA score ≥ 7 in the jejunum. For segments with baseline MaRIA score ≥ 15, the MDD is 6.5 units and for baseline MaRIA score < 15, the MDD is 4.0 units.

    Measured: Week 24

  10. Percentage of Participants Who Achieved Participant Level Small Bowel MaRIA Remission at Week 24

    The MaRIA scoring system is a composite index of 4 components. These components are edema, ulcers, gut wall thickness, and RCE. A segmental MaRIA score can be calculated at screening (used as the baseline) and Week 24 as a weighted sum of these 4 components for each of the 3 small bowel segments. The MaRIA score ranges from approximately 0 to 31, for any given segment. A higher score indicates more severe disease. Small bowel MaRIA remission was defined as MaRIA score < 7 at Week 24 in each of the 3 small bowel segments, among participants with MaRIA score ≥ 7 in at least 1 small bowel segment at baseline.

    Measured: Week 24

  11. Percentage of Participants Who Achieved Participant Level Small Bowel MaRIA Response at Week 24

    The MaRIA scoring system is a composite index of 4 components. These components are edema, ulcers, gut wall thickness, and RCE. A segmental MaRIA score can be calculated at screening (used as the baseline) and Week 24 as a weighted sum of these 4 components for each of the 3 small bowel segments. The MaRIA score ranges from approximately 0 to 31, for any given segment. A higher score indicates more severe disease. Participant level small bowel MaRIA response was defined as all small bowel segments with baseline MaRIA score ≥7 achieve segment level MaRIA response, with no segment level disease worsening in any other segment(s) at Week 24, among participants with MaRIA score ≥ 7 in at least 1 small bowel segment at baseline.

    Measured: Week 24

  12. Percentage of Participants Who Achieved Early Clinical Remission by Crohn's Disease Activity Index (CDAI) at Week 10

    The CDAI score is used to quantify the symptoms of participants with CD. The score ranges from 0 to 600. Clinical remission by CDAI was defined as a score of < 150. A higher score indicates more severe disease.

    Measured: Week 10

  13. Change From Baseline in CDAI Scores at Week 10

    The CDAI score is used to quantify the symptoms of participants with CD. The score ranges from 0 to 600. A score of < 150 indicates remission. A higher score indicates more severe disease. Difference in least squared means (Diff in LSM) were from analysis of covariance (ANCOVA) model. A negative change from baseline indicates improvement.

    Measured: Baseline; Week 10

  14. Change From Baseline in CDAI Scores at Week 24

    The CDAI score is used to quantify the symptoms of participants with Crohn's Disease. The score ranges from 0 to 600. A score of < 150 indicates remission. A higher score indicates more severe disease. Diff in LSM were from ANCOVA model. A negative change from baseline indicates improvement.

    Measured: Baseline; Week 24

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Feb 2017 (estimated)
  2. Study start11 Apr 2017
  3. Primary completion20 Jul 2020
  4. Study completion20 Jul 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
78 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03046056
Sponsor's protocol ID
GS-US-419-4015
Other IDs
2016-003179-23, 2016
Acronym
DIVERGENCE 1
Status last verified
Aug 2021
First submitted
6 Feb 2017
Last updated
23 Aug 2021
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Riviere P, D'Haens G, Peyrin-Biroulet L, Baert F, Lambrecht G, Pariente B, Bossuyt P, Buisson A, Oldenburg B, Vermeire S, Laharie D. Location but Not Severity of Endoscopic Lesions Influences Endoscopic Remission Rates in Crohn's Disease: A Post Hoc Analysis of TAILORIX. Am J Gastroenterol. 2021 Jan 1;116(1):134-141. doi: 10.14309/ajg.0000000000000834.

    PubMed 33177349

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Filgotinib in people with Small Bowel Crohn's Disease, run by Gilead Sciences at 38 sites in 12 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 12 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 23 Aug 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 38 sites in United States, United Kingdom, Ukraine, Austria, Belgium and 7 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 9 Aug 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Participants Who Achieved Clinical Remission at Week 24 (time frame: Week 24). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03046056, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Aug 2021; AzTrials last refreshed its copy on 8 Nov 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in