Evidence map›Paper›PMID 36205910›Full record

ArticleRheumatology and therapy2023

Geographic Analysis of the Safety and Efficacy of Filgotinib in Rheumatoid Arthritis.

Bernard Combe, Robin Besuyen, Antonio Gómez-Centeno, Tsukasa Matsubara, Juan José Sancho Jimenez, Zhaoyu Yin, Maya H Buch

7 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Rheumatology and therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 7 registered trials, which are not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 38% 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.

NCT01888874 phase2completednot on this map

Randomized, Double-blind, Placebo-controlled, Multicenter, Phase IIb Dose Finding Study of GLPG0634 Administered for 24 Weeks in Combination With Methotrexate to Subjects With Moderately to Severely Active Rheumatoid Arthritis Who Have an Inadequate Response to Methotrexate Alone

TypeinterventionalSponsorLakefront Biotherapeutics NVRan2013 to 2015Enrolled599ConditionsRheumatoid ArthritisArmsGLPG0634, Placebo
NCT01894516 phase2completednot on this map

Randomized, Double-blind, Placebo-controlled, Multicenter, Phase IIb Dose Finding Study of GLPG0634 Administered for 24 Weeks as Monotherapy to Subjects With Moderately to Severely Active Rheumatoid Arthritis Who Have an Inadequate Response to Methotrexate (MTX) Alone

TypeinterventionalSponsorLakefront Biotherapeutics NVRan2013 to 2015Enrolled287ConditionsRheumatoid ArthritisArmsGLPG0634, Placebo
NCT02065700 phase2completednot on this map

A Multicenter, Open-label, Long-term Follow-up Safety and Efficacy Study of GLPG0634 Treatment in Subjects With Moderately to Severely Active Rheumatoid Arthritis

TypeinterventionalSponsorLakefront Biotherapeutics NVRan2014 to 2023Enrolled739ConditionsRheumatoid ArthritisArmsFilgotinib
NCT02873936 phase3completednot on this map

A Randomized, Double-blind, Placebo-controlled, Multicenter, Phase 3 Study to Assess the Efficacy and Safety of Filgotinib Administered for 24 Weeks in Combination With Conventional Synthetic Disease-modifying Anti-rheumatic Drug(s) (csDMARDs) to Subjects With Moderately to Severely Active Rheumatoid Arthritis Who Have an Inadequate Response to Biologic DMARD(s) Treatment

TypeinterventionalSponsorGilead SciencesRan2016 to 2018Enrolled449ConditionsRheumatoid ArthritisArmsFilgotinib, Placebo to match filgotinib, csDMARDs
NCT02886728 phase3completednot on this map

A Randomized, Double-blind, Placebo- and Active-controlled, Multicenter, Phase 3 Study to Assess the Efficacy and Safety of Filgotinib Administered for 52 Weeks Alone and in Combination With Methotrexate (MTX) to Subjects With Moderately to Severely Active Rheumatoid Arthritis Who Are Naïve to MTX Therapy

TypeinterventionalSponsorGilead SciencesRan2016 to 2019Enrolled1,252ConditionsRheumatoid ArthritisArmsFilgotinib, Placebo to match filgotinib, MTX, Placebo to match MTX
NCT02889796 phase3completednot on this map

A Randomized, Double-blind, Placebo- and Active-controlled, Multicenter, Phase 3 Study to Assess the Efficacy and Safety of Filgotinib Administered for 52 Weeks in Combination With Methotrexate to Subjects With Moderately to Severely Active Rheumatoid Arthritis Who Have an Inadequate Response to Methotrexate

TypeinterventionalSponsorGilead SciencesRan2016 to 2019Enrolled1,759ConditionsRheumatoid ArthritisArmsFilgotinib, Placebo to match filgotinib, Adalimumab, Placebo to match adalimumab, MTX
NCT03025308 phase3completednot on this map

A Multicenter, Open-label, Long Term Extension Study to Assess the Safety and Efficacy of Filgotinib in Subjects With Rheumatoid Arthritis

TypeinterventionalSponsorAlfasigma S.p.A.Ran2017 to 2025Enrolled2,731ConditionsRheumatoid ArthritisArmsFilgotinib, Placebo to match filgotinib
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Observational
  2. Article
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

7 authors at 6 institutions in 5 countries.

Bernard CombeUniversity of Montpellier, Montpellier, France.ORCID http://orcid.org/0000-0003-4002-1861
Robin BesuyenGalapagos BV, Leiden, The Netherlands.ORCID http://orcid.org/0000-0002-8699-4549
Antonio Gómez-CentenoHospital Universitari Parc Tauli, Sabadell, Barcelona, Spain.ORCID http://orcid.org/0000-0002-8674-6692
Tsukasa MatsubaraMatsubara Mayflower Hospital, Kato, Hyogo, Japan.ORCID http://orcid.org/0000-0002-3342-3419
Juan José Sancho JimenezGalapagos, Madrid, Spain.
Zhaoyu YinGilead Sciences, Inc., Foster City, CA, USA.
Maya H BuchNIHR Manchester Biomedical Research Centre, University of Manchester, AV Hill, Manchester, M13 9PT, UK. maya.buch@manchester.ac.uk.ORCID http://orcid.org/0000-0002-8962-5642
Deleted InstitutionGalapagos (Netherlands) · NLGilead Sciences (United States) · USMatsubara Mayflower Hospital · JPUniversité de Montpellier · FRUniversity of Manchester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionGlobal clinical trials in rheumatoid arthritis (RA) often do not recruit enough patients from diverse racial and ethnic backgrounds to identify any potential differences in treatment outcome across such groups. To overcome this limitation, using data from five previous clinical trials and two ongoing trial extensions, this study aimed to assess the efficacy and safety of filgotinib in patients with RA across geographic regions.

methodsThis was a post hoc, exploratory analysis of data from male and female patients with RA meeting the 2010 RA criteria as defined by the American College of Rheumatology (ACR) and European Alliance of Associations for Rheumatology. Data were analyzed from phase 2 (DARWIN 1-2) and phase 3 (FINCH 1-3) clinical trials, as well as two long-term extension studies (DARWIN 3, FINCH 4), of filgotinib. Efficacy endpoints included ACR 20%/50%/70% improvement (ACR20/50/70) responses, disease activity score in 28 joints using C-reactive protein [DAS28(CRP)], Clinical Disease Activity Index scores, Boolean remission, and change from baseline in Health Assessment Questionnaire-Disability Index (HAQ-DI). Safety data were presented as exposure-adjusted incidence rates per 100 patient-years of exposure of treatment-emergent adverse events.

resultsCompared with placebo, at week 12 a greater proportion of patients receiving filgotinib 200 mg (FIL200) or 100 mg (FIL100) achieved ACR20 (p < 0.01), with similar outcomes in most regions. Overall, the reduction in HAQ-DI with FIL200 or FIL100 was greater than with placebo (p < 0.05) at week 12. Compared with placebo, at week 24 the proportions of patients achieving DAS28(CRP) ≤ 3.2 were greater for both doses of FIL, as seen in most regions (p < 0.01). Safety outcomes did not indicate regional or ethnic differences in the safety profile of filgotinib.

conclusionFilgotinib efficacy and safety in patients with RA were generally consistent across geographic regions. CLINICALTRIALS: GOV TRIAL REGISTRATION NUMBERS: NCT02889796; NCT02873936; NCT02886728; NCT03025308; NCT01888874; NCT01894516; NCT02065700.

Indexed as

Adverse effectsDisease-modifying antirheumatic drugFilgotinibOutcomesRheumatoid arthritis

Identifiers

PMID36205910
PMCPMC9931958
OpenAlexW4303415420

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

and 1 more above

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.