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RecruitingNCT07554495GALAHOPPERUpdated Jun 12, 2026

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

A Phase 3 interventional study of Filgotinib in Polyarticular Course Juvenile Idiopathic Arthritis, sponsored by Alfasigma S.p.A.. Recruiting at 14 sites in 9 countries. Open to participants aged 8 Years to 18 Years. Per ClinicalTrials.gov, last updated 2026-06-12.

Sponsored by Alfasigma S.p.A. · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started May 2026; still recruiting 5 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
65
Allocation
Not applicable
Ages
8 Years to 18 Years
Sex
All
01

Study summary

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.

02

Conditions studied

  • Polyarticular Course Juvenile Idiopathic Arthritis

Browse trials for

03

In context

Arthritis, Juvenile

365 studies on the registry are indexed under Arthritis, Juvenile; 101 are open to participants now.

This study's planned enrollment of 65 is above the median of 52 across 230 interventional studies indexed under Arthritis, Juvenile.

Browse Arthritis, Juvenile studies →

Lead sponsor

Alfasigma S.p.A. is the lead sponsor of 24 studies on the registry; 3 are open to participants now.

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

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • 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 and assent (per local regulation) form.
  • Subject must meet the ILAR classification and have moderately to severely active disease for one of the following categories that is not adequately controlled with his/her current therapy (see Protocol Appendix 1 for disease activity assessment criteria):

    • Extended oligoarthritis (i.e. affecting a total of more than 4 joints after the first 6 months of disease)
    • RF-positive polyarthritis
    • RF-negative polyarthritis
    • PsA
    • ERA
  • Subject with intolerance or a history of inadequate response to at least one of the following medications for the treatment of pJIA, administered for at least 3 months, based on current treatment guidelines: conventional synthetic disease modifying anti rheumatic drugs (csDMARDs; including methotrexate) and/or biologic disease modifying anti-rheumatic drugs (bDMARDs) administered per local label, and/or non steroidal anti-inflammatory drugs for ERA and PsA subtypes.
  • Female subject of who is sexually active and at risk for pregnancy must agree to use /preventive exposure measures as described in the protocol.

Exclusion criteria

Exclusion Criteria:

  • 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.
  • Subject with systemic JIA.
  • Subject with any other rheumatic disease, inflammatory, or immunologic disease (e.g. inflammatory bowel disease, hypogammaglobulinemia, or systemic lupus erythematosus).
  • Subject has any condition or circumstances (including abnormalities in laboratory parameters) that, in the opinion of the investigator, may make a subject unlikely or unable to complete the study or comply with study procedures and requirements.
  • Subject has an active infection. • Subject with a history of complicated herpes zoster infection (with multi dermatomal, disseminated, ophthalmic, or central nervous system involvement).
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
65 participants (estimated)

Study arms

  • Experimental
    Filgotinib

    Filgotinib

    Drug: Filgotinib

Interventions

  • 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)

06

What researchers measure

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

  5. Incidence of uveitis at various timepoints (including occurrence, type, and severity)

    Time frame: Week 1, Week 4, Week 8, Week 12, Week 18

  6. PK parameters of filgotinib and its primary metabolite GS-829845 including maximum observed plasma concentration at steady-state [Cmax,ss]

    Time frame: Week 4, Week 12 and Week 18

  7. PK parameters of filgotinib and its primary metabolite GS-829845 including area under the plasma concentration-time curve over the dosing interval at steady-state [AUC0-24,ss]

    Time frame: Week 4, Week 12 and Week 18

  8. PK parameters of filgotinib and its primary metabolite GS-829845 including area under the plasma concentration-time curve over the dosing interval at steady-state for the effective exposure [AUCeff,ss]

    Time frame: Week 4, Week 12 and Week 18

  9. Acceptability of the age-appropriate pediatric formulation and the adult commercially developed film-coated tablet formulation assessed by Pediatric Oral Medicine Acceptability Questionnaire for Patients (POMAQ-P)

    Time frame: Week 4 and Week 18

07

Study locations

14 of 14 sites recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 12, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07554495
Lead sponsor
Alfasigma S.p.A.
Responsible party
Sponsor
First posted
Apr 28, 2026
Start date
May 21, 2026
Primary completion
Jun 2027 (estimated)
Completion
Jun 2027 (estimated)
Last update
Jun 12, 2026

Study contacts

Medical Information
Contact
medicalinfo@alfasigma.com
00800 7878 1345
Catherine Vincent
study director · Alfasigma S.p.A.

Oversight

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

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Studies of the drug tested here: GLPG0634

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