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Completed

NCT Number: NCT03101670

A Study to Assess Efficacy and Safety of Filgotinib in 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).

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

ULB Hopital Erasme, Service de Rheumatology, Brussels, Belgium

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Key Inclusion Criteria:

  • 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

Key Exclusion Criteria:

  • 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

Treatment and study plan

Filgotinib

Drug

one filgotinib oral tablet q.d.

Placebo oral tablet

Drug

one placebo oral tablet q.d.

Primary outcomes

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

    Time frame: Week 16

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

Secondary outcomes

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

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

    To assess the effect of filogotinib on MDA in PsA patients

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    To assess the effect of filogotinib on PsARC in PsA patients

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

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

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

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

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

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

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

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

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

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

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

    To assess the effect of filogotinib on CRP in PsA patients

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

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

    To assess the effect of filgotinib on PASI in PsA patients

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

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

    To assess the effect of filgotinib on PASI50 in PsA patients

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

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

    To assess the affect of filgotinib on PASI75 in PsA patients

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

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

    To assess the affect of filgotinib on PASI90 in PsA patients

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

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

    To assess the affect of filgotinib on PASI100 in PsA patients

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

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

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

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

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

    To assess the effect of filgotinib on mNAPSI in PsA patients

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

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

    To assess the effect of filgotinib on NRS in PsA patients

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

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

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

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

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

    To assess the effect of filgotinib on Dactilytis in PsA patients

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

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

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

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

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

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

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

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

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

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

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

    To assess the effect of filgotinib on PsAID in PsA patients

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

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

    To evaluation safety and tolerability of filgotinib in PsA patients

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

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

    To evaluation safety and tolerability of filgotinib in PsA patients

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

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

    To evaluation safety and tolerability of filgotinib in PsA patients

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

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

    To evaluation safety and tolerability of filgotinib in PsA patients

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

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

    To evaluation safety and tolerability of filgotinib in PsA patients

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

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

    To evaluation safety and tolerability of filgotinib in PsA patients

Sponsors and collaborators

Lead sponsor

Lakefront Biotherapeutics NV

Industry

Registry information

Official study 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

Acronym: EQUATOR

Important dates

Study start
2017
Primary completion
2018
Study completion
2018
First posted
Apr 5, 2017
Registry last updated
Apr 23, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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