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Psoriatic ArthritisPhase 2EQUATORNCT03101670

A Study to Assess Efficacy and Safety of Filgotinib in Active Psoriatic Arthritis

A Phase 2 study testing filgotinib in people with Psoriatic Arthritis, run by Lakefront Biotherapeutics NV at 25 sites in 7 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

This is a multicenter, Phase 2, double-blind, placebo-controlled study in subjects with moderately to severely active Psoriatic Arthritis (PsA) who have an inadequate response or are intolerant to conventional disease-modifying therapy. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Psoriatic Arthritis
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
131 participants
Where
25 sitesin 7 countries
Study dates
9 Mar 2017to 12 Mar 2018
Phase
Phase 2
Are there results?
None posted in the registry

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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female subjects who are ≥18 years of age, on the day of signing informed consent.
  • Diagnosis of psoriatic arthritis meeting Classification Criteria for Psoriatic Arthritis (CASPAR)
  • Have active psoriatic arthritis defined as ≥5 swollen joints (from a 66 swollen joint count [SJC]) and ≥5 tender joints (from a 68 tender joint count [TJC]) at Screening and Baseline (measurable dactylitis of a digit counts as a single swollen joint and if tender, then also a single tender joint).
  • Have had a history of documented plaque psoriasis or currently active plaque psoriasis
  • If using cDMARD therapy, subjects must have been on it for 12 weeks prior to screening, with a stable dose (including stable route of administration) for at least 4 weeks prior to baseline.
  • If using non-drug therapies (including physical therapies), thse should be kept sable during screening
  • Male and female subjects of childbearing potential who engage in heterosexual intercourse must agree to use highly effective methods of contraception as described in the protocol

Who cannot join

  • Use of JAK inhibitors, investigational or approved, at any time, including filgotinib;
  • Prior use of more than one TNF inhibitor, at any time.
  • Use of oral steroids at a dose >10 mg/day of prednisone or prednisone equivalent or at a dose that hasn't been stable for at least 4 weeks prior to Baseline;
  • Any therapy by intra-articular injections (e.g. corticosteroid, hyaluronate) within 4 weeks prior to screening;
  • Use of more than 1 NSAID or cyclooxygenase-2 (COX-2) inhibitor.
  • Have undergone surgical treatment for psoriatic arthritis including synovectomy and arthroplasty in more than 3 joints and/or within the last 12 weeks prior to screening
  • Presence of very poor functional status or unable to perform self-care.
  • Administration of a live or attenuated vaccine within 12 weeks prior to baseline

Trial locations and contacts

25 sites in 7 countries.

25 sites in 7 countries

Ukraine9 sites
  • CI of Healthcare Kharkiv CCH #8 Dept of Rheumatology Kharkiv MA of PGE of MOHU, Ch of Cardiology and Funct Diagnostics

    Kharkiv

  • CNI Consultative and Diagnostic Center of Pecherskyi District of Kyiv, Department of Therapy

    Kiev

  • SI NSС M.D. Strazhesko Institute of Cardiology of NAMSU, Unit of Non-coronary HD&Rh

    Kiev

  • CH of State Border Service of Ukraine (Military Base 2522) Dept of Therapy, D.Halytskyi Lviv NMU, Ch of Family Medicine & Dermatology, Venereology

    Lviv

  • M.V. Sklifosovskyi Poltava RCH Dept of Rheumatology HSEIU UMSA, Ch of Family Medicine and Therapy

    Poltava

  • CI of TRC

    Ternopil

  • M.I. Pyrogov VRCH Dept of Rheumatology M.I. Pyrogov VNMU, Ch of IM #1

    Vinnytsia

  • MCIC MC LLC Health Clinic, Unit of Cardiology and Rheumatology

    Vinnytsia

  • SRI of Invalid Rehabilitation (EST Complex) of Vinnytsia M.I.Pyrogov NMU MOHU, Un of Therapy and CRh Dept of Therapy

    Vinnytsia

Other trials in Ukraine

Bulgaria4 sites
  • UMHAT "Kaspela", EOOD

    Plovdiv

  • MHAT - Ruse, AD

    Rousse

  • UMHAT "SofiaMed", OOD, Block 1

    Sofia

  • UMHAT "Sv. Ivan Rilski", EAD

    Sofia

Other trials in Bulgaria

Poland4 sites
  • Twoja Przychodnia-Centrum Medyczne Nowa Sol

    Nowa Sól

  • Ai Centrum Medyczne sp. z o.o. sp.k.

    Poznan

  • Niepubliczny Zaklad Opieki Zdrowotnej "Nasz Lekarz" Praktyka Grupowa Lekarzy Rodzinnych z, Przychodnia Specjalistyczna

    Torun

  • Centrum Medyczne AMED, Warszawa Targowek

    Warsaw

Other trials in Poland

Estonia3 sites
  • Center for Clinical and Basic Research

    Tallinn

  • North Estonia Medical Centre Foundation

    Tallinn

  • OÜ Innomedica

    Tallinn

Other trials in Estonia

Czechia2 sites
  • CCBR Czech, a.s

    Pardubice

  • MEDICAL PLUS s.r.o.

    Uherské Hradiště

Other trials in Czechia

Spain2 sites
  • Hospital Universitario de Fuenlabrada, Servicio de Reumatologia

    Fuenlabrada

  • Hospital Infanta Luisa, Servicio de Reumatologia

    Seville

Other trials in Spain

Belgium1 site
  • ULB Hopital Erasme, Service de Rheumatology

    Brussels

Other trials in Belgium

About this study

Official title: A Randomized, Double-blind, Placebo-controlled, Multicenter, Phase II Study to Assess the Efficacy and Safety of Filgotinib Administered for 16 Weeks to Subjects With Moderately to Severely Active Psoriatic Arthritis

This is a multicenter, Phase 2, double-blind, placebo-controlled study in subjects with moderately to severely active Psoriatic Arthritis (PsA) who have an inadequate response or are intolerant to conventional disease-modifying therapy. A total of approximately 124 subjects will be randomized to one of 2 treatment arms in a 1:1 ratio: oral filgotinib tablets q.d. or matching placebo tablets q.d. The Screening visit will occur within 28 days before study drug administration. At Day 1 (Baseline), eligible subjects will be randomized to treatment for a duration of 16 weeks. The study is concluded with a Follow-up period lasting until 4 weeks after the last dose. Consequently, each subject will stay in the study for a maximum of 24 weeks (from Screening visit to Follow-up visit).

Being tested
filgotinib, Placebo Oral Tablet
Medical subject headings
Arthritis, Psoriatic

What participants receive

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

  • filgotinibDrug

    one filgotinib oral tablet q.d.

  • Placebo Oral TabletDrug

    one placebo oral tablet q.d.

Study groups in NCT03101670
Study groupRoleWhat they receive
filgotinibExperimentalNot described
Receives: Drug: filgotinib
placeboPlacebo comparatorNot described
Receives: Drug: Placebo Oral Tablet

What is being measured

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

  1. Percentage of subjects who have reached ACR20 response as compared to placebo

    To assess the effect of filogotinib on PsA as assessed by ACR20 in PsA patients

    Measured: Week 16

Secondary outcomes (32)
  1. Assessment of minimal disease activity (MDA) in filgotinib treated subjects as compared to placebo

    To assess the effect of filogotinib on MDA in PsA patients

    Measured: At each visit from screening until the final follow up visit (week 20)

  2. Percentage of subjects who have reached ACR50 response as compared to placebo

    To assess the effect of filogotinib on PsA as assessed by ACR50 in PsA patients

    Measured: At each visit from screening until the final follow up visit (week 20)

  3. Percentage of subjects who have reached ACR70 response as compared to placebo

    To assess the effect of filogotinib on PsA as assessed by ACR70 in PsA patients

    Measured: At each visit from screening until the final follow up visit (week 20)

  4. Percentage of subjects achieving DAS28(CRP) score as compared to placebo

    To assess the effect of filogotinib on PsA as assessed by DAS28 (CRP) in PsA patients

    Measured: At each visit from screening until the final follow up visit (week 20)

  5. Percentage of subjects achieving SDAI response as compared to placebo

    To assess the effect of filogotinib on PsA as assessed by SDAI response in PsA patients

    Measured: At each visit from screening until the final follow up visit (week 20)

  6. Percentage of subjects achieving CDAI response as compared to placebo

    To assess the effect of filgotinib on PsA as assessed by CDAI response in PsA patients

    Measured: At each visit from screening until the final follow up visit (week 20)

  7. Percentage of subjects achieving EULAR response as compared to placebo

    To assess the effect of filogotinib on PsA as assessed by EULAR response in PsA patients

    Measured: At each visit from screening until the final follow up visit (week 20)

  8. Assessment of psoriatic arthritis response criteria (PsARC) as compared to placebo

    To assess the effect of filogotinib on PsARC in PsA patients

    Measured: At each visit from screening until the final follow up visit (week 20)

  9. Assessment of physician's and patient's global assessment of disease activity as compared to placebo

    To assess the effect of filogotinib on physician's and patient's global assessment of disease activity in PsA patients

    Measured: At each visit from screening until the final follow up visit (week 20)

  10. Assessment of patient's global assessment of PsA pain intensity in filgotinib treated subjects as compared to placebo

    To assess the effect of filogotinib on on PsA pain intensity in PsA patients

    Measured: At each visit from screening until the final follow up visit (week 20)

  11. Assessment of joints for tenderness (68) and swelling (66) in filgotinib treated subjects as compared to placebo

    To assess the effect of filgotinib on joint tenderness and swelling in PsA patients

    Measured: At each visit from screening until the final follow up visit (week 20)

  12. Assessment of CRP in filgotinib treated subjects as compared to placebo

    To assess the effect of filogotinib on CRP in PsA patients

    Measured: At each visit from screening until the final follow up visit (week 20)

  13. Psoriasis as assessed by PASI in filgotinib treated subjects as compared to placebo

    To assess the effect of filgotinib on PASI in PsA patients

    Measured: At each visit from screening until the final follow up visit (week 20)

  14. Psoriasis as assessed by PASI50 in filgotinib treated subjects as compared to placebo

    To assess the effect of filgotinib on PASI50 in PsA patients

    Measured: At each visit from screening until the final follow up visit (week 20)

  15. Psoriasis as assessed by PASI75 in filgotinib treated subjects as compared to placebo

    To assess the affect of filgotinib on PASI75 in PsA patients

    Measured: At each visit from screening until the final follow up visit (week 20)

  16. Psoriasis as assessed by PASI90 in filgotinib treated subjects as compared to placebo

    To assess the affect of filgotinib on PASI90 in PsA patients

    Measured: At each visit from screening until the final follow up visit (week 20)

  17. Psoriasis as assessed by PASI100 in filgotinib treated subjects as compared to placebo

    To assess the affect of filgotinib on PASI100 in PsA patients

    Measured: At each visit from screening until the final follow up visit (week 20)

  18. Physician's and patient's global assessment of psoriasis in filgotinib treated subjects as compared to placebo

    To assess the affect of filgotinib on Physician's and patient's global assessment of psoriasis in PsA patients

    Measured: At each visit from screening until the final follow up visit (week 20)

  19. Assessment of mNAPSI in filgotinib treated subjects as compared to placebo

    To assess the effect of filgotinib on mNAPSI in PsA patients

    Measured: At each visit from screening until the final follow up visit (week 20)

  20. Assessment of pruritis NRS in filgotinib treated subjects as compared to placebo

    To assess the effect of filgotinib on NRS in PsA patients

    Measured: At each visit from screening until the final follow up visit (week 20)

  21. Enthesitis as assessed by SPARCC enthesitis index in filgotinib treated subjects as compared to placebo

    To assess the effect of filgotinib on SPARCC enthesitis index in PsA patients

    Measured: At each visit from screening until the final follow up visit (week 20)

  22. Dactilytis as assessed by LDI in filgotinib treated subjects as compared to placebo

    To assess the effect of filgotinib on Dactilytis in PsA patients

    Measured: At each visit from screening until the final follow up visit (week 20)

  23. Physical function as assessed by HAQ-DI in filgotinib treated subjects as compared to placebo

    To assess the effect of filgotinib on physical function in PsA patients

    Measured: At each visit from screening until the final follow up visit (week 20)

  24. FACIT-Fatigue scale in filgotinib treated subjects as compared to placebo

    To assess the effect of filgotinib on FACIT-Fatigue scale in PsA patients

    Measured: At each visit from screening until the final follow up visit (week 20)

  25. Assessment of SF-36 in filgotinib treated subjects as compared to placebo

    To assess the effect of filgotinib on SF-36 in PsA patients

    Measured: At each visit from screening until the final follow up visit (week 20)

  26. Assessment of Psoriatic Arthritis Impact of Disease Questionnaire (PsAID) in filgotinib treated subjects as compared to placebo

    To assess the effect of filgotinib on PsAID in PsA patients

    Measured: At each visit from screening until the final follow up visit (week 20)

  27. Difference between the number of filgotinib treated subjects and placebo subjects in the number of adverse events

    To evaluation safety and tolerability of filgotinib in PsA patients

    Measured: From screening until the final follow up visit (week 20)

  28. Difference between the number of filgotinib treated subjects and placebo subjects with abnormal clinical laboratory evaluations

    To evaluation safety and tolerability of filgotinib in PsA patients

    Measured: From screening until the final follow up visit (week 20)

  29. Difference between the number of filgotinib treated subjects and placebo subjects with abnormal vital signs

    To evaluation safety and tolerability of filgotinib in PsA patients

    Measured: From screening until the final follow up visit (week 20)

  30. Difference between the number of filgotinib treated subjects and placebo subjects with abnormal physical examination

    To evaluation safety and tolerability of filgotinib in PsA patients

    Measured: From screening until the final follow up visit (week 20)

  31. Difference between the number of filgotinib treated subjects and placebo subjects with abnormal ECG

    To evaluation safety and tolerability of filgotinib in PsA patients

    Measured: From screening until the final follow up visit (week 20)

  32. Difference between the number of filgotinib treated subjects and placebo subjects with abnormal radiographic assessment

    To evaluation safety and tolerability of filgotinib in PsA patients

    Measured: From screening until the final follow up visit (week 20)

Timeline

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

  1. First posted5 Apr 2017
  2. Study start9 Mar 2017
  3. Primary completion12 Mar 2018
  4. Study completion12 Mar 2018

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
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
131 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03101670
Sponsor's protocol ID
GLPG0634-CL-224
Acronym
EQUATOR
Status last verified
Apr 2018
First submitted
30 Mar 2017
Last updated
23 Apr 2018
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Chandran V, Malkov VA, Ito KL, Liu Y, Vestergaard L, Yoon OK, Liu J, Trivedi M, Hertz A, Gladman D. Pharmacodynamic effects of filgotinib treatment driving clinical improvement in patients with active psoriatic arthritis enrolled in the EQUATOR trial. RMD Open. 2023 Nov;9(4):e003550. doi: 10.1136/rmdopen-2023-003550.

    PubMed 37945284
  • Orbai AM, Ogdie A, Gossec L, Tillett W, Leung YY, Gao J, Trivedi M, Tasset C, Meuleners L, Besuyen R, Hendrikx T, Coates LC. Effect of filgotinib on health-related quality of life in active psoriatic arthritis: a randomized phase 2 trial (EQUATOR). Rheumatology (Oxford). 2020 Jul 1;59(7):1495-1504. doi: 10.1093/rheumatology/kez408.

    PubMed 31624837
  • Mease P, Coates LC, Helliwell PS, Stanislavchuk M, Rychlewska-Hanczewska A, Dudek A, Abi-Saab W, Tasset C, Meuleners L, Harrison P, Besuyen R, Van der Aa A, Mozaffarian N, Greer JM, Kunder R, Van den Bosch F, Gladman DD. Efficacy and safety of filgotinib, a selective Janus kinase 1 inhibitor, in patients with active psoriatic arthritis (EQUATOR): results from a randomised, placebo-controlled, phase 2 trial. Lancet. 2018 Dec 1;392(10162):2367-2377. doi: 10.1016/S0140-6736(18)32483-8. Epub 2018 Oct 22.

    PubMed 30360969

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing filgotinib in people with Psoriatic Arthritis, run by Lakefront Biotherapeutics NV at 25 sites in 7 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 7 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 Apr 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 25 sites in Ukraine, Bulgaria, Poland, Estonia, Czechia and 2 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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 subjects who have reached ACR20 response as compared to placebo (time frame: Week 16). 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 NCT03101670, which also lists 3 linked publications.

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 Apr 2018.

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