Evidence map›Paper›PMID 35263963›Full record

ArticleIntestinal research2023

Efficacy and safety of filgotinib as induction and maintenance therapy for Japanese patients with moderately to severely active ulcerative colitis: a post-hoc analysis of the phase 2b/3 SELECTION trial.

Toshifumi Hibi, Satoshi Motoya, Tadakazu Hisamatsu, Fumihito Hirai, Kenji Watanabe, Katsuyoshi Matsuoka, Masayuki Saruta, Taku Kobayashi, Brian G Feagan, Chantal Tasset and 6 more

Registry-linked trialOpen access · diamondAbstract read
In one paragraph

Article in Intestinal research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02914522 (Combined Phase 2b/3, Double-Blind, Randomized, Placebo-Controlled Studies Evaluating the Efficacy and Safety of Filgotinib in the Induction and Maintenance of Remission in Subjects With Moderately to Severely Active Ulcerative Colitis), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02914522 phase3completednot on this map

Combined Phase 2b/3, Double-Blind, Randomized, Placebo-Controlled Studies Evaluating the Efficacy and Safety of Filgotinib in the Induction and Maintenance of Remission in Subjects With Moderately to Severely Active Ulcerative Colitis

TypeinterventionalSponsorGilead SciencesRan2016 to 2020Enrolled1,351ConditionsUlcerative ColitisArmsFilgotinib, PTM filgotinib
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
  4. Observational
  5. Article
  6. Review
  7. Review
  8. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 12 institutions in 5 countries.

Toshifumi HibiCenter for Advanced IBD Research and Treatment, Kitasato University Kitasato Institute Hospital, Tokyo, Japan.
Satoshi MotoyaHokkaido Prefectural Welfare Federation of Agricultural Cooperatives, Sapporo-Kosei General Hospital, Sapporo, Japan.
Tadakazu HisamatsuKyorin University School of Medicine, Tokyo, Japan.
Fumihito HiraiFukuoka University, Fukuoka, Japan.
Kenji WatanabeHyogo College of Medicine, Nishinomiya, Japan.
Katsuyoshi MatsuokaToho University Sakura Medical Center, Sakura, Japan.
Masayuki SarutaThe Jikei University School of Medicine, Tokyo, Japan.
Taku KobayashiCenter for Advanced IBD Research and Treatment, Kitasato University Kitasato Institute Hospital, Tokyo, Japan.
Brian G FeaganAlimentiv Inc., London, ON, Canada.
Chantal TassetGalapagos NV, Mechelen, Belgium.
Robin BesuyenGalapagos NV, Leiden, Netherlands.
Chohee YunGilead Sciences, Inc., Foster City, CA, USA.
Gerald CransGilead Sciences, Inc., Foster City, CA, USA.
Jie ZhangGilead Sciences, Inc., Foster City, CA, USA.
Akira KondoGilead Sciences K.K., Tokyo, Japan.
Mamoru WatanabeTokyo Medical and Dental University, Tokyo, Japan.
Gilead Sciences (United States) · USKitasato Institute Hospital · JPFukuoka University · JPGalapagos (Belgium) · BEGalapagos (Netherlands) · NLHyogo Medical University · JPJikei University School of Medicine · JPKyorin University · JPSapporo Kosei General Hospital · JPToho University · JPTokyo Medical and Dental University · JPWestern University · CA

Funding

Galapagos (Mechelen, Belgium)Gilead Sciences, Inc. (Foster City, CA, USA)
6 · The paper itself

Abstract

BACKGROUND/

aimsThe safety and efficacy of filgotinib, a once-daily oral Janus kinase 1 preferential inhibitor, were evaluated in Japanese patients with ulcerative colitis (UC) in the phase 2b/3 SELECTION trial.

methodsSELECTION (NCT02914522) was a randomized, placebo-controlled trial comprising 2 induction studies and a maintenance study. Adults with moderately to severely active UC were randomized in induction study A (biologic-naïve) or B (biologic-experienced) to receive filgotinib 200 mg, 100 mg, or placebo once daily for 11 weeks. Patients in clinical remission or Mayo Clinic score response at week 10 entered the 47-week maintenance study. Efficacy and safety outcomes were assessed in Japanese patients enrolled in Japan.

resultsOverall, 37 and 72 Japanese patients were enrolled in Japan in induction studies A and B, respectively, and 54 entered the maintenance study. Numerically higher proportions of filgotinib 200 mg-treated than placebo-treated patients achieved clinical remission in induction study A (4/15 [26.7%] vs. 0/6 [0%]) and the maintenance study (5/20 [25.0%] vs. 0/9 [0%]), but not induction study B (1/29 [3.4%] vs. 1/14 [7.1%]). Both doses were well tolerated, and no new safety signals were noted. Herpes zoster was reported in 1 filgotinib 200 mg-treated patient in each of induction study A (2.3%, 1/44) and the maintenance study (5.0%, 1/20).

conclusionsThese data, alongside those of the overall SELECTION population, suggest the potential of filgotinib 200 mg as a viable treatment option for Japanese patients with UC. Owing to small patient numbers, data should be interpreted cautiously.

Indexed as

Colitis, ulcerativeFilgotinibJanus kinase inhibitorsJapan

Identifiers

PMID35263963
PMCPMC9911269
OpenAlexW4221031887

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.