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-- Filgotinib 100 mg and 200 mg Doses Demonstrated Significantly Higher ACR20/50/70 Responses than Placebo in Patients with Prior Inadequate Methotrexate Response --
-- Significant Inhibition of Radiographic Progression Demonstrated with Both Doses of Filgotinib versus Placebo --
-- Safety Profile of Filgotinib Consistent with Previously Reported Results --
The proportion of patients achieving ACR50 and ACR70 response was also significantly greater for filgotinib compared with placebo at Week 12, for both doses. Patients receiving filgotinib 100 mg or 200 mg had a statistically significant reduction in the Health Assessment Questionnaire Disability Index (HAQ-DI) at Week 12 compared with those receiving placebo. The proportions of patients achieving clinical remission (DAS28(CRP)
Top-line FINCH 1 efficacy† data are summarized in the table below.
Filgotinib200 mg+MTX (n=475)& |
Filgotinib100 mg+MTX (n=480)& |
Adalimumab 40 mg+MTX (n=325)& |
Placebo+MTX (n=475)& | |
ACR20 (%) | 76.6*** | 69.8*** | 70.8 | 49.9 |
ACR50 (%) | 47.2*** | 36.3*** | 35.1 | 19.8 |
ACR70 (%) | 26.3*** | 18.5*** | 14.2 | 6.7 |
DAS28(CRP) ≤ 3.2(Low disease activity) (%) | 49.7***$ | 38.8*** | 43.4 | 23.4 |
DAS28(CRP) (Clinical remission) (%) | 33.9*** ¥# | 23.8*** £# | 23.7 | 9.3 |
HAQ-DI change | -0.69*** | -0.56*** | -0.61 | -0.42 |
mTSS change | 0.13*** | 0.17*** | 0.16 | 0.38 |
†All efficacy time points assessed at Week 12 except mTSS which was assessed at Week 24 |
&Number of patients randomized to each treatment group and who received at least one dose of study drug |
ACR20/50/70 represents American College of Rheumatology 20%/50%/70% improvements. |
*** p |
$ p |
£ p |
¥ p |
# Comparison not adjusted for multiplicity |
The safety profile of filgotinib in FINCH 1 is consistent with prior studies up to Week 24. Serious adverse events occurred in 4.4 percent, 5.0 percent, 4.3 percent and 4.2 percent of the patients in the filgotinib 200 mg, filgotinib 100 mg, adalimumab and placebo groups, respectively. There were five deaths, two patients were assigned to the placebo group, two to the filgotinib 200 mg group and one to the filgotinib 100 mg group. Five patients with a malignancy were also reported -- three receiving placebo, one receiving adalimumab and one receiving filgotinib 100 mg, respectively. Three venous thrombotic events were observed (two in the placebo group, one in the filgotinib 200 mg group), and there were four adjudicated major adverse cardiovascular events, two in the placebo, one in the adalimumab and one in the filgotinib 100 mg groups. The proportion of patients with herpes zoster was similar across treatment groups (filgotinib 200 mg = 0.4 percent, filgotinib 100 mg = 0.4 percent, adalimumab = 0.6 percent, placebo = 0.4 percent), as was the rate of serious infections (filgotinib 200 mg = 1.7 percent, filgotinib 100 mg = 1.7 percent, adalimumab = 2.5 percent, placebo = 0.8 percent).
“These FINCH 1 data add to the favorable results obtained previously in
the FINCH 2 study in patients with a prior inadequate response to
biologic agents and reinforce the evidence supporting the potential of
filgotinib to address unmet treatment needs in patients with rheumatoid
arthritis,” said
“Many patients living with rheumatoid arthritis are in need of new treatment options that are effective, well-tolerated, and convenient. We are excited about the strong efficacy and tolerability results with both doses of filgotinib,” said Dr. Walid Abi-Saab, Chief Medical Officer, Galapagos. “We are particularly pleased with the results filgotinib shows on clinically meaningful endpoints such as clinical remission, ACR70 and radiographic progression, as well as with the encouraging safety profile.”
Detailed findings from FINCH 1 will be submitted for presentation at a future scientific conference. Filgotinib is an investigational agent and not approved anywhere globally. Its efficacy and safety have not been established.
About FINCH 1
FINCH 1 is an ongoing 52-week randomized, double-blind, placebo- and
active-controlled study, enrolling 1,759 adult patients with moderately
to severely active RA who have an inadequate response to MTX. Eligible
patients were randomized (3:3:2:3) to receive filgotinib 200 mg (n=477),
filgotinib 100 mg (n=480), adalimumab (n=325) or placebo (n=477) in
addition to a stable dose of MTX. The primary endpoint of the study is
the proportion of patients who achieve an
More information about clinical trials with filgotinib can be accessed at: www.clinicaltrials.gov.
About the Galapagos – Gilead Collaboration
Galapagos and Gilead entered into a global collaboration for the development and commercialization of filgotinib in inflammatory indications. The FINCH studies are among several clinical trials of filgotinib in inflammatory diseases, including the EQUATOR Phase 2 program in psoriatic arthritis, the TORTUGA study in ankylosing spondylitis, the DIVERSITY Phase 3 trial in Crohn’s disease (also small bowel and fistulizing Crohn’s disease Phase 2 studies) and the Phase 3 SELECTION trial in ulcerative colitis.
About Galapagos
This press release contains inside information within the meaning of
Regulation (EU) No 596/2014 of the European Parliament and of the
Council of
About
Galapagos Forward-Looking Statements
This release may contain forward-looking statements with respect to
Galapagos, including statements regarding Galapagos’ strategic
ambitions, the mechanism of action and potential safety and efficacy of
filgotinib, the anticipated timing of clinical studies with filgotinib
and the progression and results of such studies. Galapagos cautions the
reader that forward-looking statements are not guarantees of future
performance. Forward-looking statements involve known and unknown risks,
uncertainties and other factors which might cause the actual results,
financial condition and liquidity, performance or achievements of
Galapagos, or industry results, to be materially different from any
historic or future results, financial conditions and liquidity,
performance or achievements expressed or implied by such forward-looking
statements. In addition, even if Galapagos’ results, performance,
financial condition and liquidity, and the development of the industry
in which it operates are consistent with such forward-looking
statements, they may not be predictive of results or developments in
future periods. Among the factors that may result in differences are the
inherent uncertainties associated with competitive developments,
clinical trial and product development activities and regulatory
approval requirements (including that data from the ongoing and planned
clinical research programs may not support registration or further
development of filgotinib due to safety, efficacy or other reasons),
Galapagos’ reliance on collaborations with third parties (including its
collaboration partner for filgotinib, Gilead), and estimating the
commercial potential of Galapagos’ product candidates. A further list
and description of these risks, uncertainties and other risks can be
found in Galapagos’
Gilead Forward-Looking Statement
This press release includes forward-looking statements within the
meaning of the Private Securities Litigation Reform Act of 1995 that are
subject to risks, uncertainties and other factors, including the
possibility of unfavorable results from ongoing and additional clinical
trials involving filgotinib. Further, it is possible that the parties
may make a strategic decision to discontinue development of filgotinib,
and as a result, filgotinib may never be successfully commercialized.
All statements other than statements of historical fact are statements
that could be deemed forward-looking statements. These risks,
uncertainties and other factors could cause actual results to differ
materially from those referred to in the forward-looking statements. The
reader is cautioned not to rely on these forward-looking statements.
These and other risks are described in detail in Gilead’s Annual Report
on Form 10-K for the year ended
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Source:
GalapagosInvestors:Elizabeth GoodwinVP IR+1-781-460-1784
Sofie Van GijselDirector IR+32 485 19 14 15ir@glpg.com
Media:Carmen VroonenSenior Director Communications+32 473 824 874
Evelyn FoxDirector Communications+31 6 53 591 999communications@glpg.com
GileadInvestors:Sung Lee+1 650-524-7792
Media:Nathan Kaiser+1 650-522-1853
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