Safety, Tolerability, Pharmacokinetics, and Efficacy of Filgotinib for the Treatment of Polyarticular-course Juvenile Idiopathic Arthritis in Children and Adolescents

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age8-18
SponsorAlfasigma S.p.A.

About this trial

This is a multicenter Phase 3, open-label, single-arm study to evaluate the safety, tolerability, PK, and efficacy of orally administered filgotinib for up to 18 weeks.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Subject and/or parent/legal guardian must be able and willing to comply with the clinical study protocol requirements and must sign and date the ICF and assent (if required per local regulation) as approved by the Independent Ethics Committee / Institutional Review Board, prior to any screening evaluations.

Female or male subject 8 to <18 years of age, on the date of signing the informed consent and assent (per local regulation) form.

Extended oligoarthritis (i.e. affecting a total of more than 4 joints after the first 6 months of disease)

RF-positive polyarthritis

Disqualifiers

Subject with a body weight <15 kg.

Subject with persistent oligoarthritis (i.e. affecting not more than 4 joints throughout the disease course).

Subject with undifferentiated arthritis.

Subject with anterior uveitis (active or uncontrolled) ≤12 weeks prior to baseline.

Trial design

Design model

Single group

Treatments tested in this trial

  • Filgotinib

    Drug

    IP will be provided as commercially developed film-coated tablets or age-appropriate film- coated tablets for use in paediatric subjects aged at least 8 years and needs to be taken orally q.d. at approximately the same time every morning (with or without food)

Treatment groups

65 Participants
are divided into 1 treatment group
Group A: FilgotinibExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Frequency and severity of treatment-emergent adverse events (TEAEs), treatment-emergent serious adverse events (SAEs), and TEAEs leading to treatment discontinuation

Time frame
From baseline (Day 1) the study up to Week 22

Secondary outcomes

1

Percentage of subjects with juvenile idiopathic arthritis (JIA) American College of Rheumatology (ACR) 30 response

Time frame
Week 12 and Week 18
2

Percentage of subjects with JIA ACR inactive disease

Time frame
Week 12 and Week 18
3

Change from baseline in Juvenile Arthritis Disease Activity Score (JADAS)-27 erythrocyte sedimentation rate (ESR)

Time frame
Week 12 and Week 18
4

Change from baseline in Juvenile Arthritis Disease Activity Score JADAS-27 C-reactive protein (CRP)

Time frame
Week 12 and Week 18

Other outcomes

Sponsors and contacts

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