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Rheumatoid ArthritisPhase 2MANTA-RAyNCT03926195

Study to Evaluate the Effect of Filgotinib on Semen Parameters in Adult Males With Active Rheumatoid Arthritis, Psoriatic Arthritis, Ankylosing Spondylitis, or Non-radiographic Axial Spondyloarthritis

A Phase 2 study testing Filgotinib in people with Rheumatoid Arthritis and Psoriatic Arthritis, run by Lakefront Biotherapeutics NV at 71 sites in 8 countries.

Completed

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

Official record
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Trial summary

The primary objective of this study is to evaluate the effect of filgotinib on semen parameters in adult males with active rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, or non-radiographic axial spondyloarthritis. Read more about this study

Who is it for?
Ages 21 to 65 years, men only
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
109 participants
Where
71 sitesin 8 countries
Study dates
28 May 2019to 10 May 2023
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 21 to 65 years
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosis of active rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis or, non-radiographic axial spondyloarthritis for at least 12 weeks prior to screening, meeting the corresponding specific disease classification criteria as specified in the protocol

Who cannot join

  • Previously documented problems with male reproductive health
  • Prior diagnosis of male infertility
  • Use of any prohibited concomitant medication as outlined by protocol
  • Note: Other protocol-defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

71 sites in 8 countries.

71 sites in 8 countries

Ukraine21 sites
  • CI Dnipropetrovsk CMCH #4 RC

    Dnipro, 49102

  • Regional CH Dep of Rheumatology SHEI Ivano-Frankivsk NMU

    Ivano-Frankivsk, 76008

  • GI L.T.Malaya Therapy National Institute of the NAMS of Ukraine

    Kharkiv, 61039

  • CHI Kharkiv City Clinical Hospital #13

    Kharkiv, 61124

  • CI A.and O. Tropiny City Clinical Hospital

    Kherson, 73000

  • Medical Center of Limited Liability Company Medical Clinic Blagomed

    Kyiv, 01023

  • Med Center 'Ok!Clinic+' of International Institute of Clinical Trials LLC

    Kyiv, 02091

  • SI NSС M.D. Strazhesko Institute of Cardiology of NAMSU

    Kyiv, 03680

  • Limited Liability Company Medical Center Concilium Medical

    Kyiv, 04050

  • LLC Treatment-Diagnostic Center ADONIS plus

    Kyiv, 04050

  • Volyn Regional Clinical Hospital

    Lutsk, 43005

  • Lviv Regional Clinical Hospital Dept of Rheumatology NMU

    Lviv, 79000

  • Mil&Med Cl C of Lviv of the St Border Service of Ukraine

    Lviv, 79049

  • Center of Reconstructive & Restorative Medicine of Odessa National Medical University

    Odesa, 65000

  • M.V. Sklifosovskyi Poltava RCH Dept of Rheumatology HSEIU UMSA

    Poltava, 36011

  • Ternopil University Hospital, Dept. of Rheumatology, SHEI I.Ya.Horbachevskyi Ternopil SMU

    Ternopil, 46002

  • Private Small Enterprise Medical Center Pulse

    Vinnytsia, 21001

  • Vinnytsia M.I.Pyrogov RCH Dept of cardiology NMU

    Vinnytsia, 21018

  • MCIC Health Clinic BO LTD TDC Slaomed

    Vinnytsia, 21029

  • CI CCH #6 Dept of Therapy ZSMU

    Zaporizhzhya, 69035

  • CI Zaporizhzhia Regional Clinical Hospital of ZRC

    Zaporizhzhya, 69600

Other trials in Ukraine

Bulgaria12 sites
  • Medical center Medconsult Pleven OOD

    Pleven, 5800

  • UMHAT Pulmed OOD

    Plovdiv, 4000

  • UMHAT Sv. Georgi, EAD

    Plovdiv, 4000

  • MHAT "Eurohospital" - Plovdiv, OOD

    Plovdiv, 4002

  • Medical Center Teodora, EOOD

    Rousse, 7000

  • Medizinski Zentar-1-Sevlievo EOOD

    Sevlievo, 5400

  • Medical Center Excelsior, OOD

    Sofia, 1407

  • DCC Alexandrovska, EOOD

    Sofia, 1431

  • UMHAT Sv. Ivan Rilski, EAD

    Sofia, 1431

  • DCC 17 - Sofia EOOD

    Sofia, 1504

  • Meditsinski Centar - Izgrev EOOD

    Sofia, 1606

  • MC Synexus - Sofia, EOOD

    Sofia, 1784

Other trials in Bulgaria

Poland12 sites
  • Nasz Lekarz Osrodek Badan Klinicznych

    Bydgoszcz, 85-065

  • Szpital Uniwersytecki nr 2 im. dr J. Biziela

    Bydgoszcz, 85-168

  • Silmedic sp. z o.o

    Katowice, 40-282

  • Indywidualna Specjalistyczna Praktyka Lekarska Maciej Zymla

    Knurów, 44-190

  • Centrum Medyczne AMED

    Lodz, 91-363

  • Zespol Poradni Specjalistycznych REUMED

    Lublin, 20-607

  • SOLUMED Centrum Medyczne

    Poznan, 60-529

  • Centrum Badan Klinicznych S.C.

    Poznan, 60-773

  • Ai Centrum Medyczne Sp. Z O.O. Sp.K.

    Poznan, 61-113

  • RCMed

    Sochaczew, 96-500

  • Medycyna Kliniczna

    Warsaw, 00-874

  • Centrum Medyczne AMED

    Warsaw, 03-291

Other trials in Poland

Czechia11 sites
  • CCR Brno S.r.o.

    Brno, 60200

  • CCBR Ostrava s.r.o

    Ostrava, 702 00

  • Vesalion s.r.o.

    Ostrava, 702 00

  • MUDr. Rosypalova s.r.o.

    Ostrava, 708 00

  • Bioclinica Pardubice

    Pardubice, 530 02

  • CLINTRIAL s.r.o.

    Prague, 10000

  • Revmatologicky Ustav

    Prague, 128 52

  • Thomayerova nemocnice

    Prague, 140 59

  • MUDr Zuzana Stejfova Revmatologicka ambulance

    Prague, 14000

  • Affidea Praha s.r.o.

    Prague, 14800

  • MEDICAL PLUS s.r.o.

    Uherské Hradiště, 68601

Other trials in Czechia

Georgia8 sites
  • Chapidze Emergency Cardiology Center

    Tbilisi, 0159

  • Institute of Clinical Cardiology Ltd

    Tbilisi, 0159

  • National Institute of Endocrinology

    Tbilisi, 0159

  • Tbilisi Heart and Vascular Clinic Ltd

    Tbilisi, 0159

  • Aversi ClinicLtd.

    Tbilisi, 0160

  • Clinic on Mtskheta Street

    Tbilisi, 0179

  • Consilium Medulla-multiprofile clinic Ltd

    Tbilisi, 0186

  • Medicore Ltd.

    Tbilisi, 0186

Other trials in Georgia

Estonia5 sites
  • OÜ Innomedica

    Tallinn, 10117

  • Center for Clinical and Basic Research

    Tallinn, 10128

  • North Estonia Medical Centre Foundation

    Tallinn, 13419

  • Clinical Research Centre

    Tartu, 50106

  • Meditrials OU

    Tartu, 50406

Other trials in Estonia

Latvia1 site
  • M&M center

    Adazi, LV2164

Other trials in Latvia

Spain1 site
  • Clinica GAIAS

    Santiago, 15702

Other trials in Spain

About this study

Official title: A Randomized, Double-blind, Placebo-controlled Phase 2 Study to Evaluate the Effect of Filgotinib on Semen Parameters in Adult Males With Active Rheumatoid Arthritis, Psoriatic Arthritis, Ankylosing Spondylitis or Non-radiographic Axial Spondyloarthritis

The primary objective of this study is to evaluate the effect of filgotinib on semen parameters in adult males with active rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, or non-radiographic axial spondyloarthritis.

Results of this study may be pooled with the results of a separate study being conducted in participants with inflammatory bowel disease (Protocol GS-US-418-4279; NCT03201445) with the same objective.

Being tested
Filgotinib, Placebo, Standard of Care
Medical subject headings
Arthritis, Rheumatoid, Arthritis, Psoriatic, Spondylitis, Ankylosing

What participants receive

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

  • FilgotinibDrug

    Also called GS-6034, Jyseleca®

    200-mg tablet administered orally once daily

  • PlaceboDrug

    Placebo to match filgotinib tablet administered orally once daily

  • Standard of CareDrug

    Locally approved treatment, accepted by medical experts as a proper treatment for rheumatic conditions, prescribed according to best clinical practice, with no known testicular toxicity.

Study groups in NCT03926195
Study groupRoleWhat they receive
FilgotinibExperimentalParticipants received filgotinib 200 milligrams (mg) tablet, orally, once daily up to Week 13 in the double-blind (DB) phase. At Week 13, participants who were arthritis responders, were unblinded and received open-label (OL) treatment filgotinib 200 mg, tablet, orally, once daily up to approximately 143 weeks (until Week 156) in the extension (EXT) phase and participants who were arthritis nonresponders discontinued blinded study drug and started standard of care (SOC) treatment in the EXT phase. Participants on DB treatment or OL filgotinib who entered the monitoring phase (if their sperm parameters met ≥50% decrease threshold in pre-specified semen parameters) discontinued the study drug and started SOC for up to 52 weeks.
Receives: Drug: Filgotinib; Drug: Standard of Care
PlaceboPlacebo comparatorParticipants received placebo (matched to filgotinib) tablet, orally, once daily up to Week 13 in the DB phase. At Week 13, participants were unblinded and started SOC treatment in the EXT phase for up to approximately 143 weeks (until Week 156). Participants who entered the monitoring phase (if their sperm parameters met ≥50% decrease threshold in pre-specified semen parameters) continued on SOC treatment.
Receives: Drug: Placebo; Drug: Standard of Care

What is being measured

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

  1. Percentage of Participants With a ≥ 50% Decrease From Baseline in Sperm Concentration at Week 13

    Baseline for sperm/semen parameters was the mean of 2 evaluable semen samples at screening. The normal range for sperm concentration is ≥15 million sperms/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.

    Measured: Baseline to Week 13

Secondary outcomes (11)
  1. Percentage of Participants With a ≥ 50% Decrease From Baseline in Sperm Concentration at Week 26

    Arthritis responder: For rheumatoid arthritis (RA), psoriatic arthritis (PsA), ankylosing spondylitis (AS), and non-radiographic axial spondyloarthritis (nrAxSpA), a participant with an improvement in the Physician's Global Assessment of Disease Activity (PhGADA) of at least 20% compared with baseline (Day 1) at the specified assessment time.

    Arthritis nonresponder: For RA, PsA, AS, or nrAxSpA, a participant who did not fulfill the definition of arthritis responder at the specified assessment timepoint.

    PhGADA: Physician measured the participant's disease severity on a visual analogue scale (VAS) ranged from 0 (no disease)-100 (worst disease) millimeters (mm).

    Baseline value for sperm/semen parameters was the mean of 2 evaluable semen collections at the screening visit. The normal range for sperm concentration is ≥15 million sperms/mL.

    Percentage change = ([mean at Week 26 - baseline] / baseline) × 100; value at Week 26 was the mean of 2 evaluable samples collected at Week 26.

    Measured: Baseline to Week 26

  2. Change From Baseline in Sperm Total Motility at Week 13

    The normal range for sperm total motility is ≥40%.

    Measured: Baseline, Week 13

  3. Change From Baseline in Sperm Total Motility at Week 26

    Arthritis responder: For RA, PsA, AS, and nrAxSpA, a participant with an improvement in the PhGADA of at least 20% compared with baseline (Day 1) at the specified assessment time.

    Arthritis nonresponder: For RA, PsA, AS, or nrAxSpA, a participant who did not fulfill the definition of arthritis responder at the specified assessment timepoint.

    PhGADA: Physician measured the participant's disease severity on a VAS ranged from 0 (no disease)-100 (worst disease) mm.

    The normal range for sperm total motility is ≥40%.

    Measured: Baseline, Week 26

  4. Change From Baseline in Total Sperm Count at Week 13

    The normal range for total sperm count is ≥ 39 million sperms/ejaculate.

    Measured: Baseline, Week 13

  5. Change From Baseline in Total Sperm Count at Week 26

    Arthritis responder: For RA, PsA, AS, and nrAxSpA, a participant with an improvement in the PhGADA of at least 20% compared with baseline (Day 1) at the specified assessment time.

    Arthritis nonresponder: For RA, PsA, AS, or nrAxSpA, a participant who did not fulfill the definition of arthritis responder at the specified assessment timepoint.

    PhGADA: Physician measured the participant's disease severity on a VAS ranged from 0 (no disease)-100 (worst disease) mm.

    The normal range for total sperm count is ≥ 39 million sperms/ejaculate.

    Measured: Baseline, Week 26

  6. Change From Baseline in Sperm Concentration at Week 13

    The normal range for sperm concentration is ≥15 million sperms/mL.

    Measured: Baseline, Week 13

  7. Change From Baseline in Sperm Concentration at Week 26

    Arthritis responder: For RA, PsA, AS, and nrAxSpA, a participant with an improvement in the PhGADA of at least 20% compared with baseline (Day 1) at the specified assessment time.

    Arthritis nonresponder: For RA, PsA, AS, or nrAxSpA, a participant who did not fulfill the definition of arthritis responder at the specified assessment timepoint.

    PhGADA: Physician measured the participant's disease severity on a VAS ranged from 0 (no disease)-100 (worst disease) mm.

    The normal range for sperm concentration is ≥15 million sperms/mL.

    Measured: Baseline, Week 26

  8. Change From Baseline in Ejaculate Volume at Week 13

    The normal range for ejaculate volume is ≥1.5 mL.

    Measured: Baseline, Week 13

  9. Change From Baseline in Ejaculate Volume at Week 26

    Arthritis responder: For RA, PsA, AS, and nrAxSpA, a participant with an improvement in the PhGADA of at least 20% compared with baseline (Day 1) at the specified assessment time.

    Arthritis nonresponder: For RA, PsA, AS, or nrAxSpA, a participant who did not fulfill the definition of arthritis responder at the specified assessment timepoint.

    PhGADA: Physician measured the participant's disease severity on a VAS ranged from 0 (no disease)-100 (worst disease) mm.

    The normal range for ejaculate volume is ≥1.5 mL.

    Measured: Baseline, Week 26

  10. Change From Baseline in Percent Normal Sperm Morphology at Week 13

    The normal range for percent normal sperm morphology is ≥30% normal sperms.

    Measured: Baseline, Week 13

  11. Change From Baseline in Percent Normal Sperm Morphology at Week 26

    Arthritis responder: For RA, PsA, AS, and nrAxSpA, a participant with an improvement in the PhGADA of at least 20% compared with baseline (Day 1) at the specified assessment time.

    Arthritis nonresponder: For RA, PsA, AS, or nrAxSpA, a participant who did not fulfill the definition of arthritis responder at the specified assessment timepoint.

    PhGADA: Physician measured the participant's disease severity on a VAS ranged from 0 (no disease)-100 (worst disease) mm.

    The normal range for percent normal sperm morphology is ≥30% normal sperms.

    Measured: Baseline, Week 26

Timeline

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

  1. First posted24 Apr 2019
  2. Study start28 May 2019
  3. Primary completion14 Aug 2020
  4. Study completion10 May 2023

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
109 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03926195
Sponsor's protocol ID
GLPG0634-CL-227
Other IDs
2018-003933-14, 2018
Acronym
MANTA-RAy
Status last verified
Apr 2024
First submitted
19 Apr 2019
Last updated
30 Apr 2024
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Reinisch W, Hellstrom W, Dolhain RJEM, Sikka S, Westhovens R, Mehta R, Ritter T, Seidler U, Golovchenko O, Simanenkov V, Garmish O, Jeka S, Moravcova R, Rajendran V, Le Brun FO, Arterburn S, Watkins TR, Besuyen R, Vanderschueren D. Effects of filgotinib on semen parameters and sex hormones in male patients with inflammatory diseases: results from the phase 2, randomised, double-blind, placebo-controlled MANTA and MANTA-RAy studies. Ann Rheum Dis. 2023 Aug;82(8):1049-1058. doi: 10.1136/ard-2023-224017. Epub 2023 May 3.

    PubMed 37137672
  • Hellstrom WJG, Dolhain RJEM, Ritter TE, Watkins TR, Arterburn SJ, Dekkers G, Gillen A, Tonussi C, Gilles L, Oortwijn A, Van Beneden K, de Vries DE, Sikka SC, Vanderschueren D, Reinisch W. MANTA and MANTA-RAy: Rationale and Design of Trials Evaluating Effects of Filgotinib on Semen Parameters in Patients with Inflammatory Diseases. Adv Ther. 2022 Jul;39(7):3403-3422. doi: 10.1007/s12325-022-02168-4. Epub 2022 May 25.

    PubMed 35614292

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Filgotinib in people with Rheumatoid Arthritis and Psoriatic Arthritis, run by Lakefront Biotherapeutics NV at 71 sites in 8 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 1 inclusion and 4 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 30 Apr 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 71 sites in Ukraine, Bulgaria, Poland, Czechia, Georgia and 3 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 1 Aug 2023). 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 With a ≥ 50% Decrease From Baseline in Sperm Concentration at Week 13 (time frame: Baseline to Week 13). 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 NCT03926195, which also lists 2 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 30 Apr 2024.

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