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Sjogren's SyndromePhase 2NCT03100942

Study to Assess Safety and Efficacy of Filgotinib, Lanraplenib and Tirabrutinib in Adults With Active Sjogren's Syndrome

A Phase 2 study testing Lanraplenib, Filgotinib and Tirabrutinib in people with Sjogren's Syndrome, run by Gilead Sciences at 53 sites in 4 countries.

Completed

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

Official record
Search all trials

Trial summary

The primary objective of this study is to assess the efficacy of filgotinib, lanraplenib, and tirabrutinib in adults with active Sjogren's Syndrome (SjS). Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Sjogren's Syndrome
What is being tested?
Lanraplenib, Filgotinib and Tirabrutinib
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
152 participants
Where
53 sitesin 4 countries
Study dates
1 May 2017to 2 Oct 2019
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 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosed with primary or secondary SjS according to the 2002 American European Consensus Group (AECG) classification
  • Active SjS as defined by an European League Against Rheumatism (EULAR) Sjogren's syndrome disease activity index (ESSDAI) ≥ 5
  • Seropositivity for antibodies to SjS-associated antigens A and/or B (anti-SSA or anti-SSB)

Who cannot join

  • Concurrent treatment with any biologic disease modifying antirheumatic drug (bDMARD) (prior bDMARD treatment allowed with appropriate washout as per study protocol)
  • Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

53 sites in 4 countries.

53 sites in 4 countries

United States34 sites
  • Albuquerque Clinical Trials

    Albuquerque, New Mexico, 87102

  • Diagnostic Group Integrated Healthcare System, Pllc

    Beaumont, Texas, 77701

  • East Penn Rheumatology Associates, P.C.

    Bethlehem, Pennsylvania, 18015

  • Joint and Muscle Research Institute

    Charlotte, North Carolina, 28204

  • ClinSearch

    Chattanooga, Tennessee, 37421

  • The Center for Arthritis and Rheumatic Diseases, PC

    Chesapeake, Virginia, 23320

  • Clinical Research of West Florida, Inc.

    Clearwater, Florida, 33765

  • Medvin Clinical Research

    Covina, California, 91723

  • Omega Research Consultants LLC

    DeBary, Florida, 32713

  • Denver Arthritis Clinic

    Denver, Colorado, 80230

  • Altoona Center for Clinical Research

    Duncansville, Pennsylvania, 16635

  • Center for Arthritis & Osteoporosis

    Elizabethtown, Kentucky, 42701

  • Center for Rheumatology Immunology and Arthritis

    Fort Lauderdale, Florida, 33309

  • Accurate Clinical Research Inc.

    Houston, Texas, 77034

  • June DO, PC

    Lansing, Michigan, 48910

  • North Georgia Rheumatology Group, PC

    Lawrenceville, Georgia, 30046

  • Wasatch Peak Family Practice

    Layton, Utah, 84041

  • Cape Fear Arthritis Care, PLLC

    Leland, North Carolina, 28451

  • Physician Research Collaboration, LLC

    Lincoln, Nebraska, 68516

  • Ramesh C. Gupta, MD

    Memphis, Tennessee, 38119

  • AARR Arizona Arthritis & Rheumatology Research

    Mesa, Arizona, 85202

  • Southwest Rheumatology Research

    Mesquite, Texas, 75150

  • Suncoast Clinical Research, Inc.

    New Port Richey, Florida, 34668

  • AARR Arizona Arthritis & Rheumatology Research

    Phoenix, Arizona, 85032

  • Trinity Universal Research Associates

    Plano, Texas, 75024

  • IRIS Research and Development, LLC

    Plantation, Florida, 33324

  • PMG Research of Salisbury

    Salisbury, North Carolina, 28144

  • Arthritis Northwest

    Spokane, Washington, 99204

  • Springfield Clinic

    Springfield, Illinois, 62703

  • Clayton Medical Associates

    St Louis, Missouri, 63117

  • North Mississippi Medical Clinics, Inc. - Clinical Research

    Tupelo, Mississippi, 38801

  • Inland Rheumatology Clinical Trials, Inc.

    Upland, California, 91786

  • Arthritis & Osteoporosis Clinic

    Waco, Texas, 76710

  • Clinical Research Center of Reading, LLC

    Wyomissing, Pennsylvania, 19610

Other trials in United States

Spain8 sites
  • Hospital de la Santa Creu i Sant Pau

    Barcelona, 08025

  • Hospital General Universitario De Elche

    Elche, 03203

  • Hospital Universitario de Fuenlabrada

    Fuenlabrada, 28942

  • Hospital Regional Universitario de Malaga

    Málaga, 29009

  • Hospital De Merida

    Mérida, 6800

  • Corporacio Sanitaria Parc Taulí de Sabadell

    Sabadell, 08208

  • Hospital Clinico Universitario de Salamanca

    San Vicente, 37007

  • Hospital Quironsalud Infanta Luisa

    Seville, 41010

Other trials in Spain

Poland6 sites
  • Centrum Kliniczno-Badawcze

    Elblag, 82-300

  • Intermedius

    Kościan, 64-000

  • Centrum Badan Klinicznych S.C

    Poznan, 60-733

  • Ai Centrum Medyczne

    Poznan, 61-113

  • Centrum Medyczne Amed Warszawa Targowek

    Warsaw, 03-921

  • Centrum Medyczne Oporow

    Wroclaw, 52-416

Other trials in Poland

United Kingdom5 sites
  • Doncaster Royal Infirmary

    Doncaster, DN2 5LT

  • Western General Hospital

    Edinburgh, EX4 2XU

  • Princess Alexandra Hospital

    Harlow, CM20 1QX

  • Great Western Hospital

    Swindon, SN3 6BB

  • Warrington Hospital

    Warrington, WA5 1QG

Other trials in United Kingdom

About this study

Official title: A Randomized, Phase 2, Double-blind, Placebo-controlled Study to Assess the Safety and Efficacy of Filgotinib, GS-9876 and GS-4059 in Adult Subjects With Active Sjogren's Syndrome

The primary objective of this study is to assess the efficacy of filgotinib, lanraplenib, and tirabrutinib in adults with active Sjogren's Syndrome (SjS).

Being tested
Lanraplenib, Filgotinib, Tirabrutinib, Lanraplenib placebo, Filgotinib placebo
Medical subject headings
Sjogren's Syndrome

What participants receive

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

  • LanraplenibDrug

    Also called GS-9876

    1 x 30 mg tablet administered orally once daily

  • FilgotinibDrug

    Also called GS-6034

    1 x 200 mg tablet administered orally once daily

  • TirabrutinibDrug

    Also called GS-4059

    1 x 40 mg tablet administered orally once daily

  • Lanraplenib placeboDrug

    1 x tablet administered orally once daily

  • Filgotinib placeboDrug

    1 x tablet administered orally once daily

  • Tirabrutinib placeboDrug

    1 x tablet administered orally once daily

Study groups in NCT03100942
Study groupRoleWhat they receive
LanraplenibExperimentalLanraplenib + filgotinib placebo + tirabrutinib placebo for up to 49.4 weeks.
Receives: Drug: Lanraplenib; Drug: Filgotinib placebo; Drug: Tirabrutinib placebo
FilgotinibExperimentalFilgotinib + lanraplenib placebo + tirabrutinib placebo for up to 50.4 weeks.
Receives: Drug: Filgotinib; Drug: Lanraplenib placebo; Drug: Tirabrutinib placebo
TirabrutinibExperimentalTirabrutinib + filgotinib placebo + lanraplenib placebo for up to 50.3 weeks.
Receives: Drug: Tirabrutinib; Drug: Lanraplenib placebo; Drug: Filgotinib placebo
Placebo, then active treatmentPlacebo comparatorFilgotinib placebo + lanraplenib placebo + tirabrutinib placebo for 24 weeks. Following completion of the Week 24 assessments and procedures, participants will be rerandomized 1:1:1, in a blinded fashion and receive either of the following study drugs through Week 48: * filgotinib + lanraplenib placebo + tirabrutinib placebo * lanraplenib + filgotinib placebo + tirabrutinib placebo * tirabrutinib + filgotinib placebo + lanraplenib placebo
Receives: Drug: Lanraplenib; Drug: Filgotinib; Drug: Tirabrutinib; Drug: Lanraplenib placebo; Drug: Filgotinib placebo; Drug: Tirabrutinib placebo

What is being measured

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

  1. Percentage of Participants Fulfilling Protocol-Specified Response Criteria at Week 12, as Compared to Baseline

    Response was defined as: Improvement ≥ 20% in ≥ 3 of 5 participant-reported Sjogren's syndrome (SjS) related visual analogue score (VAS) measures (participant's assessment of global disease, pain, oral dryness, ocular dryness and fatigue), with no increase defined as > 30 mm from baseline (Day 1) in any of the above 5 VAS measures, AND either ≥ 20% improvement in high sensitivity C-reactive protein (hsCRP) (if hsCRP ≥ 1.5 x upper limit of normal [ULN] on Day 1) or no increase in hsCRP to ≥ 1.5 x ULN (if hsCRP < 1.5 x ULN on Day 1).

    Measured: Week 12

Secondary outcomes (4)
  1. Change From Baseline in European League Against Rheumatism (EULAR) Sjogren's Syndrome Disease Activity Index (ESSDAI) at Week 12

    The ESSDAI is a physician-administered tool designed to measure disease activity. It consists of 12 organ-specific 'domains' contributing to disease activity associated with the participant's Sjogren's Syndrome only (constitutional, lymphadenopathy, articular, muscular, cutaneous, glandular, pulmonary, renal, peripheral nervous system, central nervous system, hematological, biological). Each domain is assessed for activity level (i.e., no, low, moderate, high) and assigned a numerical score based on pre-determined weighting of each individual domain. Overall score (ranges from 0 (no activity) to 123 (worst activity)) is calculated as sum of all individual weighted domain scores. A negative change from baseline value indicates improvement.

    Measured: Baseline; Week 12

  2. Change From Baseline in EULAR Sjogren's Syndrome Patient Reported Index (ESSPRI) at Week 12

    The ESSPRI is a participant-reported questionnaire to assess subjective participant symptoms and includes 3 domains (dryness, pain, and fatigue). Each domain is scored on scale of 0-10 (0 = no symptom at all and 10 = worst symptom imaginable), and an overall score is calculated as the mean of the three individual domains where all domains carry the same weight. Minimum score can be 0 and maximum score can be 10. A negative change from baseline value indicates improvement.

    Measured: Baseline; Week 12

  3. Change From Baseline in ESSDAI at Week 24

    The ESSDAI is a physician-administered tool designed to measure disease activity. It consists of 12 organ-specific 'domains' contributing to disease activity associated with the participant's Sjogren's Syndrome only (constitutional, lymphadenopathy, articular, muscular, cutaneous, glandular, pulmonary, renal, peripheral nervous system, central nervous system, hematological, biological). Each domain is assessed for activity level (i.e., no, low, moderate, high) and assigned a numerical score based on pre-determined weighting of each individual domain. Overall score (ranges from 0 (no activity) to 123 (worst activity)) is calculated as sum of all individual weighted domain scores. A negative change from baseline value indicates improvement.

    Measured: Baseline; Week 24

  4. Change From Baseline in ESSPRI at Week 24

    The ESSPRI is a participant-reported questionnaire to assess subjective participant symptoms and includes 3 domains (dryness, pain, and fatigue). Each domain is scored on scale of 0-10 (0 = no symptom at all and 10 = worst symptom imaginable), and an overall score is calculated as the mean of the three individual domains where all domains carry the same weight. Minimum score can be 0 and maximum score can be 10. A negative change from baseline value indicates improvement.

    Measured: Baseline; Week 24

Timeline

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

  1. First posted4 Apr 2017
  2. Study start1 May 2017
  3. Primary completion10 Jan 2019
  4. Study completion2 Oct 2019

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
152 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03100942
Sponsor's protocol ID
GS-US-445-4189
Other IDs
2016-003558-34, 2016
Status last verified
Oct 2020
First submitted
31 Mar 2017
Last updated
23 Oct 2020
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Price E, Bombardieri M, Kivitz A, Matzkies F, Gurtovaya O, Pechonkina A, Jiang W, Downie B, Mathur A, Mozaffarian A, Mozaffarian N, Gottenberg JE. Safety and efficacy of filgotinib, lanraplenib and tirabrutinib in Sjogren's syndrome: a randomized, phase 2, double-blind, placebo-controlled study. Rheumatology (Oxford). 2022 Nov 28;61(12):4797-4808. doi: 10.1093/rheumatology/keac167.

    PubMed 35377447

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Lanraplenib, Filgotinib and Tirabrutinib in people with Sjogren's Syndrome, run by Gilead Sciences at 53 sites in 4 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 3 inclusion and 2 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 23 Oct 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 53 sites in United States, Spain, Poland, United Kingdom. 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 22 Jan 2020). 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 Fulfilling Protocol-Specified Response Criteria at Week 12, as Compared to Baseline (time frame: Week 12). 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 NCT03100942, which also lists 1 linked publication.

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 23 Oct 2020.

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