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CompletedNCT02885181Updated Sep 19, 2018Results posted

Safety, Tolerability, and Efficacy of GS-9876 in Participants With Active Rheumatoid Arthritis on Background Therapy With Methotrexate

A Phase 2 interventional study of GS-9876 and Filgotinib in Rheumatoid Arthritis, sponsored by Gilead Sciences. Completed at 19 sites in 7 countries. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2018-09-19.

Sponsored by Gilead Sciences · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
83
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The primary objective of this study is to evaluate the effect of GS-9876 versus placebo for the treatment of signs and symptoms of rheumatoid arthritis (RA) in participants with active RA as measured by change from baseline in Disease Activity Score for 28 joint count using C-reactive protein (CRP) (DAS28 (CRP)) at Week 12.

02

Conditions studied

  • Rheumatoid Arthritis
03

In context

Arthritis

3,554 studies on the registry are indexed under Arthritis; 317 are open to participants now.

This study's enrollment of 83 is close to the median of 90 across 2,377 interventional studies indexed under Arthritis.

Browse Arthritis studies →

Lead sponsor

Gilead Sciences is the lead sponsor of 680 studies on the registry; 24 are open to participants now.

Of its 259 completed or terminated interventional studies of FDA-regulated products, 249 (96%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  • Active RA disease as defined by: a tender joint count (TJC) of ≥ 6 (out of 68), a swollen joint count (SJC) of ≥ 6 (out of 66) at screening and Day 1
  • Inadequate response to treatment with oral or parenteral methotrexate (MTX) 7.5 to 25 mg/week continuously for at least 12 weeks
  • No evidence of active or latent tuberculosis

Key Exclusion Criteria:

  • Prior treatment with B-cell depleting agents (eg, rituximab), unless more than 6 months prior to the first dose of study drug and documented return of CD19+ cells at screening
  • Prior treatment with any commercially available or investigational spleen tyrosine kinase (SYK) inhibitor
  • Concurrent treatment with any other conventional synthetic DMARD (csDMARD) other than MTX and/or hydroxychloroquine (HCQ) (prior csDMARD treatment allowed if appropriate wash out as defined in the protocol)
  • Concurrent treatment with any biological disease modifying anti-rheumatic drug (bDMARD)(prior bDMARD treatment allowed if appropriate wash out as defined in the protocol). Prior failure to treatment with bDMARDs is not an exclusion criterion.

Note: Other protocol defined Inclusion/ Exclusion criteria may apply.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
83 participants (actual)

Study arms

  • Experimental
    GS-9876 - 30 mg

    GS-9876 30 mg + filgotinib placebo for 12 weeks

    Drug: GS-9876 · Drug: Filgotinib placebo · Drug: Methotrexate

  • Experimental
    GS-9876 - 10 mg

    GS-9876 10 mg + filgotinib placebo for 12 weeks

    Drug: GS-9876 · Drug: Filgotinib placebo · Drug: Methotrexate

  • Experimental
    Filgotinib

    Filgotinib + GS-9876 placebo for 12 weeks

    Drug: Filgotinib · Drug: GS-9876 placebo · Drug: Methotrexate

  • Placebo comparator
    Placebo

    GS-9876 placebo + filgotinib placebo for 12 weeks

    Drug: GS-9876 placebo · Drug: Filgotinib placebo · Drug: Methotrexate

Interventions

  • DrugGS-9876

    One tablet administered orally once daily

  • DrugFilgotinib

    Two tablets administered orally once daily

  • DrugGS-9876 placebo

    One tablet administered orally once daily

  • DrugFilgotinib placebo

    Two tablets administered orally once daily

  • DrugMethotrexate

    Background therapy with methotrexate administered orally or parenterally once weekly

06

What researchers measure

Primary outcomes

  1. Change From Baseline in Disease Activity Score 28 C-Reactive Protein (DAS28 (CRP)) at Week 12

    Disease Activity Score 28 C-Reactive Protein (DAS28 (CRP)) is a measure of the participant's disease activity calculated using the tender joint counts (28 joints), swollen joint counts (28 joints), participant's global assessment of disease activity (visual analog scale: 0 = no disease activity to 100 = maximum disease activity) and C-Reactive Protein (CRP) for a total possible score of 1 to 9.4. Higher values indicate higher disease activity. A negative change from baseline indicates improvement.

    Time frame: Baseline; Week 12

Secondary outcomes

  1. Percentage of Participants Who Achieved American College of Rheumatology (ACR)20 Improvement at Week 12

    American College of Rheumatology (ACR)20 response was defined as having ≥ 20% improvement from baseline in the number of tender and the number of swollen joints, and a 20% improvement in at least 3 of the following 5 criteria: Physician's Global Assessment of Disease Activity (PhGA), Participant's Global Assessment of Disease Activity (PtGA), Participant's pain assessment, Participant's assessment of physical function (HAQ-DI) score, and C-reactive protein (CRP).

    Time frame: Week 12

  2. Percentage of Participants Who Achieved ACR50 Improvement at Week 12

    ACR50 response was defined as having ≥ 50% improvement from baseline in the number of tender and the number of swollen joints, and a 50% improvement in at least 3 of the following 5 criteria: PhGA, PtGA, Participant's pain assessment, HAQ-DI score, and CRP.

    Time frame: Week 12

  3. Percentage of Participants Who Achieved ACR70 Improvement at Week 12

    ACR70 response was defined as having ≥ 70% improvement from baseline in the number of tender and the number of swollen joints, and a 70% improvement in at least 3 of the following 5 criteria: PhGA, PtGA, Participant's pain assessment, HAQ-DI score, and CRP.

    Time frame: Week 12

  4. Change From Baseline in The Health Assessment Questionnaire - Disability Index (HAQ-DI) Score at Week 12

    The Health Assessment Questionnaire - Disability Index (HAQ-DI) is a self-reported tool used to assess the ability to perform tasks in 8 functional categories: dressing and grooming, arising, eating, walking, hygiene, reach, grip, and common daily activities. Responses in each functional category were collected as 0 (without any difficulty) to 3 (unable to do a task in that area). The HAQ-DI score ranges from 0 (no disability) to 3 (completely disabled), when 6 or more categories are non-missing.

    Time frame: Baseline; Week 12

07

Results

Posted Sep 19, 2018

Participant flow

Participants were enrolled at study sites in the United States and Europe. The first participant was screened on 21 September 2016. The last study visit occurred on 20 September 2017.

Participant flow — Overall Study
MilestoneGS-9876 30 mgGS-9876 10 mgFilgotinibPlacebo
Started20202122
Completed20192119
Not completed0103
Withdrew: Investigator's discretion0101
Withdrew: Adverse event0001
Withdrew: Withdrawal by subject0001

Outcome measures

PrimaryChange From Baseline in Disease Activity Score 28 C-Reactive Protein (DAS28 (CRP)) at Week 12

Disease Activity Score 28 C-Reactive Protein (DAS28 (CRP)) is a measure of the participant's disease activity calculated using the tender joint counts (28 joints), swollen joint counts (28 joints), participant's global assessment of disease activity (visual analog scale: 0 = no disease activity to 100 = maximum disease activity) and C-Reactive Protein (CRP) for a total possible score of 1 to 9.4. Higher values indicate higher disease activity. A negative change from baseline indicates improvement.

Time frame:
Baseline; Week 12
Reported as:
Mean · units on a scale
Change From Baseline in Disease Activity Score 28 C-Reactive Protein (DAS28 (CRP)) at Week 12
units on a scaleGS-9876 30 mgGS-9876 10 mgFilgotinibPlacebo
Change From Baseline in Disease Activity Score 28 C-Reactive Protein (DAS28 (CRP)) at Week 12-1.26 ± 1.276-0.78 ± 1.119-2.46 ± 1.242-1.36 ± 1.044
Statistical analysis
  • GS-9876 30 mg vs Placebo · Cochran-Mantel-Haenszel · p = 0.978 · Least squares (ls) means of differences: 0.01 · 95% CI - 0.74 to 0.76
  • GS-9876 10 mg vs Placebo · Cochran-Mantel-Haenszel · p = 0.300 · Ls means of differences: 0.40 · 95% CI - 0.36 to 1.16
  • Filgotinib vs Placebo · Cochran-Mantel-Haenszel · p = 0.002 · Ls means of differences: - 1.18 · 95% CI - 1.92 to - 0.43
SecondaryPercentage of Participants Who Achieved American College of Rheumatology (ACR)20 Improvement at Week 12

American College of Rheumatology (ACR)20 response was defined as having ≥ 20% improvement from baseline in the number of tender and the number of swollen joints, and a 20% improvement in at least 3 of the following 5 criteria: Physician's Global Assessment of Disease Activity (PhGA), Participant's Global Assessment of Disease Activity (PtGA), Participant's pain assessment, Participant's assessment of physical function (HAQ-DI) score, and C-reactive protein (CRP).

Time frame:
Week 12
Reported as:
Number · percentage of participants
Percentage of Participants Who Achieved American College of Rheumatology (ACR)20 Improvement at Week 12
percentage of participantsGS-9876 30 mgGS-9876 - 10 mgFilgotinibPlacebo
Percentage of Participants Who Achieved American College of Rheumatology (ACR)20 Improvement at Week 1235.025.081.040.9
Statistical analysis
  • GS-9876 30 mg vs Placebo · Cochran-Mantel-Haenszel · p = 0.660 · Difference in response rates: -5.9 · 95% CI -36.0 to 24.0
  • GS-9876 - 10 mg vs Placebo · Cochran-Mantel-Haenszel · p = 0.277 · Difference in response rates: -15.9 · 95% CI -44.7 to 13.8
  • Filgotinib vs Placebo · Cochran-Mantel-Haenszel · p = 0.009 · Difference in response rates: 40.0 · 95% CI 10.7 to 65.6
SecondaryPercentage of Participants Who Achieved ACR50 Improvement at Week 12

ACR50 response was defined as having ≥ 50% improvement from baseline in the number of tender and the number of swollen joints, and a 50% improvement in at least 3 of the following 5 criteria: PhGA, PtGA, Participant's pain assessment, HAQ-DI score, and CRP.

Time frame:
Week 12
Reported as:
Number · percentage of participants
Percentage of Participants Who Achieved ACR50 Improvement at Week 12
percentage of participantsGS-9876 30 mgGS-9876 - 10 mgFilgotinibPlacebo
Percentage of Participants Who Achieved ACR50 Improvement at Week 1220.020.047.622.7
Statistical analysis
  • GS-9876 30 mg vs Placebo · Cochran-Mantel-Haenszel · p = 0.853 · Difference in response rates: -2.7 · 95% CI -32.0 to 27.5
  • GS-9876 - 10 mg vs Placebo · Cochran-Mantel-Haenszel · p = 0.852 · Difference in response rates: -2.7 · 95% CI -32.0 to 27.5
  • Filgotinib vs Placebo · Cochran-Mantel-Haenszel · p = 0.092 · Difference in response rates: 24.9 · 95% CI -6.6 to 51.5
SecondaryPercentage of Participants Who Achieved ACR70 Improvement at Week 12

ACR70 response was defined as having ≥ 70% improvement from baseline in the number of tender and the number of swollen joints, and a 70% improvement in at least 3 of the following 5 criteria: PhGA, PtGA, Participant's pain assessment, HAQ-DI score, and CRP.

Time frame:
Week 12
Reported as:
Number · percentage of participants
Percentage of Participants Who Achieved ACR70 Improvement at Week 12
percentage of participantsGS-9876 30 mgGS-9876 10 mgFilgotinibPlacebo
Percentage of Participants Who Achieved ACR70 Improvement at Week 125.015.038.113.6
Statistical analysis
  • GS-9876 30 mg vs Placebo · Cochran-Mantel-Haenszel · p = 0.360 · Difference in response rates: -8.6 · 95% CI -37.9 to 22.5
  • GS-9876 10 mg vs Placebo · Cochran-Mantel-Haenszel · p = 0.896 · Difference in response rates: 1.4 · 95% CI -28.0 to 31.7
  • Filgotinib vs Placebo · Cochran-Mantel-Haenszel · p = 0.072 · Difference in response rates: 24.5 · 95% CI -6.6 to 50.1
SecondaryChange From Baseline in The Health Assessment Questionnaire - Disability Index (HAQ-DI) Score at Week 12

The Health Assessment Questionnaire - Disability Index (HAQ-DI) is a self-reported tool used to assess the ability to perform tasks in 8 functional categories: dressing and grooming, arising, eating, walking, hygiene, reach, grip, and common daily activities. Responses in each functional category were collected as 0 (without any difficulty) to 3 (unable to do a task in that area). The HAQ-DI score ranges from 0 (no disability) to 3 (completely disabled), when 6 or more categories are non-missing.

Time frame:
Baseline; Week 12
Reported as:
Mean · units on a scale
Change From Baseline in The Health Assessment Questionnaire - Disability Index (HAQ-DI) Score at Week 12
units on a scaleGS-9876 30 mgGS-9876 10 mgFilgotinibPlacebo
Change From Baseline in The Health Assessment Questionnaire - Disability Index (HAQ-DI) Score at Week 12-0.46 ± 0.480-0.18 ± 0.800-0.70 ± 0.649-0.39 ± 0.389
Statistical analysis
  • GS-9876 30 mg vs Placebo · Cochran-Mantel-Haenszel · p = 0.528 · Ls means of differences: -0.12 · 95% CI -0.49 to 0.25
  • GS-9876 10 mg vs Placebo · Cochran-Mantel-Haenszel · p = 0.293 · Ls means of differences: 0.20 · 95% CI -0.17 to 0.57
  • Filgotinib vs Placebo · Cochran-Mantel-Haenszel · p = 0.072 · Ls means of differences: -0.33 · 95% CI -0.70 to 0.03

Adverse events

Collected over Up to 12 weeks + 30 days. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
GS-9876 30 mg0/20 (0%)0/20 (0%)7/20 (35%)
GS-9876 10 mg0/20 (0%)0/20 (0%)8/20 (40%)
Filgotinib0/21 (0%)0/21 (0%)4/21 (19%)
Placebo0/22 (0%)0/22 (0%)1/22 (4.5%)
Most frequent other events
Showing 10 of 25
Most frequent other events
EventGS-9876 30 mgGS-9876 10 mgFilgotinibPlacebo
HypothyroidismEndocrine disorders2/200/200/210/22
DyspepsiaGastrointestinal disorders0/202/201/210/22
Condition aggravatedGeneral disorders0/202/200/210/22
AstheniaGeneral disorders0/200/202/210/22
LymphopeniaBlood and lymphatic system disorders0/201/200/210/22
Angina unstableCardiac disorders1/200/200/210/22
Meniere's diseaseEar and labyrinth disorders0/201/200/210/22
HypermetropiaEye disorders1/200/200/210/22
Abdominal discomfortGastrointestinal disorders0/201/200/210/22
Epigastric discomfortGastrointestinal disorders1/200/200/211/22

Baseline characteristics

Safety Analysis Set: participants who received at least 1 dose of study drug.

Age, Continuous
Age, Continuous(years)GS-9876 30 mgGS-9876 10 mgFilgotinibPlaceboTotal
Mean58 ± 7.056 ± 11.453 ± 15.454 ± 10.955 ± 11.5
Sex: Female, Male
Sex: Female, Male(Participants)GS-9876 30 mgGS-9876 10 mgFilgotinibPlaceboTotal
Female1516172169
Male544114
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)GS-9876 30 mgGS-9876 10 mgFilgotinibPlaceboTotal
Hispanic or Latino11204
Not Hispanic or Latino1919192279
Unknown or Not Reported00000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)GS-9876 30 mgGS-9876 10 mgFilgotinibPlaceboTotal
American Indian or Alaska Native01001
Asian00011
Native Hawaiian or Other Pacific Islander00000
Black or African American02024
White2017211977
More than one race00000
Unknown or Not Reported000000
Region of Enrollment
Region of Enrollment(Participants)GS-9876 30 mgGS-9876 10 mgFilgotinibPlaceboTotal
United States888933
Czechia11013
Ukraine21216
Poland12036
Moldova356418
Georgia422210
Bulgaria11327
Disease Activity Score 28 C-Reactive Protein (DAS28 CRP)
Disease Activity Score 28 C-Reactive Protein (DAS28 CRP)(units on a scale)GS-9876 30 mgGS-9876 10 mgFilgotinibPlaceboTotal
Mean5.78 ± 0.6915.65 ± 0.9416.09 ± 1.1125.51 ± 1.0035.75 ± 0.961
Health Assessment Questionnaire Disease Index (HAQ-DI)
Health Assessment Questionnaire Disease Index (HAQ-DI)(units on a scale)GS-9876 30 mgGS-9876 10 mgFilgotinibPlaceboTotal
Mean1.38 ± 0.6501.47 ± 0.4251.61 ± 0.5911.51 ± 0.5771.49 ± 0.563
08

Study locations

19 sites
  • Omega Research Consultants
    DeBary, Florida 32713, United States
  • Sarasota Arthritis Research Center
    Sarasota, Florida 34239, United States
  • Medical Associates of North Georgia
    Canton, Georgia 30114, United States
  • Center For Arthritis and Osteoporosis
    Elizabethtown, Kentucky 42701, United States
  • Albuquerque Center For Rheumatology
    Albuquerque, New Mexico 87102, United States
  • Altoona Center for Clinical Research
    Duncansville, Pennsylvania 16635, United States
  • Accurate Clinical Management - Najam
    Houston, Texas 77084, United States
  • Accurate Clinical Research Inc.
    Stafford, Texas 77477, United States
  • Medical Center Research LLC
    Webster, Texas 77598, United States
  • MHAT-Plovdiv AD
    Plovdiv, 4000, Bulgaria
  • Umhat Kaspela
    Plovdiv, 4003, Bulgaria
  • NMTH Tsar Boris III
    Sofia, 1233, Bulgaria
  • A-Shine s.r.o.
    Plzen, 31200, Czechia
  • Medical Plus, S.R.O.
    Uherske Hradiste, 68601, Czechia
  • LLC Arensia Exploratory Medicine
    T'bilisi, 0112, Georgia
  • ARENSIA Exploratory Medicine Phase I Unit, Republican Clinical Hospital
    Chisinau, MD-2025, Moldova, Republic of
  • ClinicMed Badurski i wspolnicy Spolka Jawna
    Bialystok, 15-879, Poland
  • Kharkiv City Hospital 8
    Kharkiv, 140176, Ukraine
  • Medical Center_Clinic of International Institute of clinical Studies
    Kyiv, 2068, Ukraine
09

References and documents

Study documents

  • Study protocol · Apr 8, 2016
  • Study protocol · Jun 27, 2016
  • Study protocol · Jul 11, 2016
  • Statistical analysis plan · Oct 26, 2017

Documents are hosted by the registry — open the source record to download them.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 19, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02885181
Lead sponsor
Gilead Sciences
Responsible party
Sponsor
First posted
Aug 31, 2016
Start date
Sep 21, 2016
Primary completion
Aug 22, 2017
Completion
Sep 20, 2017
Results posted
Sep 19, 2018
Last update
Sep 19, 2018

Study contacts

Gilead Study Director
study director · Gilead Sciences

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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