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Trial · NCT02889796

Filgotinib in Combination With Methotrexate in Adults With Moderately to Severely Active Rheumatoid Arthritis Who Have an Inadequate Response to Methotrexate

NCT02889796, Phase 3, Completed, Gilead Sciences; results first posted 2021-01-19

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Filgotinib in Combination With Methotrexate in Adults With Moderately to Severely Active Rheumatoid Arthritis Who Have an Inadequate Response to Methotrexate. Trials, record NCT02889796. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02889796

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Filgotinib in Combination With Methotrexate in Adults With Moderately to Severely Active Rheumatoid Arthritis Who Have an Inadequate Response to Methotrexate
NCT number
NCT02889796
Status
Completed
Phases
Phase 3
Enrollment
1,759 participants, actual
Lead sponsor
Gilead Sciences
Conditions
Rheumatoid Arthritis
Interventions
Filgotinib, Placebo to match filgotinib, Adalimumab, Placebo to match adalimumab, MTX
First posted
2016-09-07
Last updated
2021-06-09
Other registries' IDs
eudract:2016-000568-41
Results first posted
2021-01-19

Source ClinicalTrials.gov

Registered outcomes80

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryPercentage of Participants Who Achieved an American College of Rheumatology (ACR) 20% Improvement (ACR20) Response at Week 12Week 12
ACR20 response is achieved when the participant has: ≥20% improvement (reduction) from baseline in tender joint count based on 68 joints (TJC68), swollen joint count based on 66 joints (SJC66) and in at least 3 of the following 5 items: physician's global assessment of disease activity (PGA) and subject's global assessment of disease activity (SGA) assessed using visual analog scale (VAS) on a scale of 0-100 (0 and 100 indicating no disease activity and maximum disease activity)participant's pain assessment using VAS on a scale of 0-100 (0 and 100 indicating no pain and unbearable pain) health assessment questionnaire-disability index (HAQ-DI) score contains 20 questions,8 components: dressing/ grooming, arising, eating, walking, hygiene, reach, grip and activities and scored on a scale of 0-3 (0 and 3 indicating without difficulty and unable to do); high-sensitivity C-reactive protein (hsCRP). Participants with missing outcomes were set as non-responders.
SecondaryChange From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Week 12Baseline; Week 12
The HAQ-DI score is defined as the average of the scores of eight functional categories (dressing and grooming, arising, eating, walking, hygiene, reach, grip, and other activities), usually completed by the participant. Responses in each functional category are collected as 0 (without any difficulty) to 3 (unable to do a task in that area), with or without aids or devices. The eight category scores are averaged into an overall HAQ-DI score on a scale from 0 (no disability) to 3 (completely disabled). When 6 or more categories are non-missing, total possible score is 3. If more than 2 categories are missing, the HAQ-DI score is set to missing. Negative change from baseline indicates improvement (less disability).
SecondaryPercentage of Participants Who Achieved Disease Activity Score for 28 Joint Count Using C-Reactive Protein [DAS28 (CRP)] < 2.6 at Week 12Week 12
The DAS28 score is a measure of the participant's disease activity calculated using the tender joint counts (28 joints), swollen joint counts (28 joints), SGA (VAS: 0 = no disease activity to 100 = maximum disease activity), and hsCRP (CRP = hsCRP) for a total possible score of 1 to 9.4. Higher values indicate higher disease activity. Participants with missing outcomes were set as non-responders.
SecondaryChange From Baseline in Modified Total Sharp Score (mTSS) at Week 24Baseline; Week 24
Participant's radiographs of bilateral hands, wrists and feet are taken and evaluated through central review using the mTSS method. The mTSS (range \[0-448\]) is defined as the erosion score (range \[0-280\]) plus the joint space narrowing (JSN) score (range \[0-168\]). An erosion score of 0 to 5 is given to each joint in the hands and wrists, and a score of 0 to 10 is given to each joint in the feet where 0 indicates no erosion while 5 or 10 indicates extensive loss of bone (maximum erosion). JSN is scored from 0 to 4, with 0 indicating normal or no narrowing and 4 indicating complete loss of joint space. The maximal TSS is 448. Negative change in value indicates improvement (less erosion of bone, normal joint spaces).
SecondaryPercentage of Participants Who Achieved DAS28 (CRP) ≤ 3.2 at Week 12Week 12
The DAS28 score is a measure of the participant's disease activity calculated using the tender joint counts (28 joints), swollen joint counts (28 joints), SGA (VAS: 0 = no disease activity to 100 = maximum disease activity), and hsCRP for a total possible score of 1 to 9.4. Higher values indicate higher disease activity. Participants with missing outcomes were set as non-responders.
SecondaryChange From Baseline in 36-Item Short Form Survey (SF-36) Physical Component Summary (PCS) Score at Week 12Baseline; Week 12
The SF-36 is a 36-item, self-reported, generic, comprehensive, and health-related quality of life questionnaire based on 8 health domains in 2 components: physical well-being (physical functioning, role-physical, bodily pain, general health perceptions), mental well-being (vitality, social functioning, role-emotional, and mental health). Each domain is scored by summing the individual items and transforming the scores into a 0 to 100 scale with highest possible score of 100. Higher scores indicate better health status or functioning. Positive change in value indicates improvement and better quality of life.
SecondaryChange From Baseline in Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue Score at Week 12Baseline; Week 12
FACIT-Fatigue scale is a brief, 13-item, symptom-specific questionnaire that specifically assesses the self-reported severity of fatigue and its impact upon daily activities and functioning in the past 7 days. The FACIT-Fatigue uses 0 (not at all) to 4 (very much) numeric rating scales for a total possible score of 0 to 52. Positive change in value indicates improvement (no or less severity of fatigue).
SecondaryPercentage of Participants Who Achieved ACR 50% Improvement (ACR50) at Weeks 2, 4, 12, and 24Weeks 2, 4, 12, and 24
ACR50 response is achieved when the participant has: ≥50% improvement (reduction) from baseline in TJC68, SJC66 and in at least 3 of the following 5 items: PGA and SGA assessed using VAS on a scale of 0-100 \[0 and 100 indicating no disease activity and maximum disease activity\]; subject's pain assessment using VAS on a scale of 0-100 \[0 and 100 indicating no pain and unbearable pain\]; HAQ-DI score contains 20 questions, 8 components: dressing/grooming, arising, eating, walking, hygiene, reach, grip and activities and scored on a scale of 0-3 \[0 and 3 indicating without difficulty and unable to do\]; hsCRP. Participants with missing outcomes were set as non-responders.
SecondaryPercentage of Participants Who Achieved ACR50 at Weeks 36, and 52Weeks 36, and 52
ACR50 response is achieved when the participant has: ≥50% improvement (reduction) from baseline in TJC68, SJC66 and in at least 3 of the following 5 items: PGA and SGA assessed using VAS on a scale of 0-100 \[0 and 100 indicating no disease activity and maximum disease activity\]; subject's pain assessment using VAS on a scale of 0-100 \[0 and 100 indicating no pain and unbearable pain\]; HAQ-DI score contains 20 questions, 8 components: dressing/grooming, arising, eating, walking, hygiene, reach, grip and activities and scored on a scale of 0-3 \[0 and 3 indicating without difficulty and unable to do\]; hsCRP. Participants with missing outcomes were set as non-responders.
SecondaryPercentage of Participants Who Achieved ACR 70% Improvement (ACR70) at Weeks 2, 4, 12, and 24Weeks 2, 4, 12, and 24
ACR70 response is achieved when the participant has: ≥70% improvement (reduction) from baseline in TJC68, SJC66 and in at least 3 of the following 5 items: PGA and SGA assessed using VAS on a scale of 0-100 \[0 and 100 indicating no disease activity and maximum disease activity\]; subject's pain assessment using VAS on a scale of 0-100 \[0 and 100 indicating no pain and unbearable pain\]; HAQ-DI score contains 20 questions, 8 components: dressing/grooming, arising, eating, walking, hygiene, reach, grip and activities and scored on a scale of 0-3 \[0 and 3 indicating without difficulty and unable to do\]; hsCRP. Participants with missing outcomes were set as non-responders.

Outcomes80

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of Participants Who Achieved an American College of Rheumatology (ACR) 20% Improvement (ACR20) Response at Week 12Week 12The Full Analysis Set included participants who were randomized and received at least 1 dose of study drug.percentage of participantsNUMBER
SECONDARYChange From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Week 12Baseline; Week 12Participants in the Full Analysis Set with available data were analyzed.score on a scaleMEAN
SECONDARYPercentage of Participants Who Achieved Disease Activity Score for 28 Joint Count Using C-Reactive Protein [DAS28 (CRP)] < 2.6 at Week 12Week 12Participants in the Full Analysis Set were analyzed.percentage of participantsNUMBER
SECONDARYChange From Baseline in Modified Total Sharp Score (mTSS) at Week 24Baseline; Week 24Participants in the Full Analysis Set with available data were analyzed.score on a scaleMEAN
SECONDARYPercentage of Participants Who Achieved DAS28 (CRP) ≤ 3.2 at Week 12Week 12Participants in the Full Analysis Set were analyzed.percentage of participantsNUMBER
SECONDARYChange From Baseline in 36-Item Short Form Survey (SF-36) Physical Component Summary (PCS) Score at Week 12Baseline; Week 12Participants in the Full Analysis Set with available data were analyzed.score on a scaleMEAN
SECONDARYChange From Baseline in Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue Score at Week 12Baseline; Week 12Participants in the Full Analysis Set with available data were analyzed.score on a scaleMEAN
SECONDARYPercentage of Participants Who Achieved ACR 50% Improvement (ACR50) at Weeks 2, 4, 12, and 24Weeks 2, 4, 12, and 24Participants in the Full Analysis Set were analyzed.percentage of participantsNUMBER
SECONDARYPercentage of Participants Who Achieved ACR50 at Weeks 36, and 52Weeks 36, and 52Participants in the Full Analysis Set were analyzed.percentage of participantsNUMBER
SECONDARYPercentage of Participants Who Achieved ACR 70% Improvement (ACR70) at Weeks 2, 4, 12, and 24Weeks 2, 4, 12, and 24Participants in the Full Analysis Set were analyzed.percentage of participantsNUMBER

Results by group1,641

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Percentage of Participants Who Achieved an American College of Rheumatology (ACR) 20% Improvement (ACR20) Response at Week 12Filgotinib 200 mg76.695% Confidence Interval 72.7 to 80.5percentage of participants
Percentage of Participants Who Achieved an American College of Rheumatology (ACR) 20% Improvement (ACR20) Response at Week 12Filgotinib 100 mg69.895% Confidence Interval 65.6 to 74.0percentage of participants
Percentage of Participants Who Achieved an American College of Rheumatology (ACR) 20% Improvement (ACR20) Response at Week 12Adalimumab70.595% Confidence Interval 65.3 to 75.6percentage of participants
Percentage of Participants Who Achieved an American College of Rheumatology (ACR) 20% Improvement (ACR20) Response at Week 12Placebo49.995% Confidence Interval 45.3 to 54.5percentage of participants
Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Week 12Filgotinib 200 mgBaseline1.59Standard Deviation 0.611score on a scale
Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Week 12Filgotinib 100 mgBaseline1.55Standard Deviation 0.625score on a scale
Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Week 12AdalimumabBaseline1.59Standard Deviation 0.600score on a scale
Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Week 12PlaceboBaseline1.63Standard Deviation 0.613score on a scale
Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Week 12Filgotinib 200 mgChange from Baseline at Week 12-0.69Standard Deviation 0.613score on a scale
Change From Baseline in the Health Assessment Questionnaire-Disability Index (HAQ-DI) Score at Week 12Filgotinib 100 mgChange from Baseline at Week 12-0.56Standard Deviation 0.564score on a scale

Participant flow18

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDFilgotinib 200 mg477
Overall StudySTARTEDFilgotinib 100 mg480
Overall StudySTARTEDAdalimumab325
Overall StudySTARTEDPlacebo to Filgotinib 200 mg190
Overall StudySTARTEDPlacebo to Filgotinib 100 mg191
Overall StudySTARTEDPlacebo Never Received Filgotinib96
Overall StudyCOMPLETEDFilgotinib 200 mg424
Overall StudyCOMPLETEDFilgotinib 100 mg422
Overall StudyCOMPLETEDAdalimumab281
Overall StudyCOMPLETEDPlacebo to Filgotinib 200 mg181

Adverse events792

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherNauseaGastrointestinal disordersFilgotinib 200 mg26475
otherNauseaGastrointestinal disordersFilgotinib 100 mg16480
otherNauseaGastrointestinal disordersAdalimumab6325
otherNauseaGastrointestinal disordersPlacebo to Filgotinib 200 mg4190
otherNauseaGastrointestinal disordersPlacebo to Filgotinib 100 mg1191
otherNauseaGastrointestinal disordersPlacebo7475
otherNasopharyngitisInfections and infestationsFilgotinib 200 mg43475
otherNasopharyngitisInfections and infestationsFilgotinib 100 mg48480
otherNasopharyngitisInfections and infestationsAdalimumab24325
otherNasopharyngitisInfections and infestationsPlacebo to Filgotinib 200 mg7190

Adverse event totals18

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityFilgotinib 200 mg3475
Total, all-cause mortalityFilgotinib 100 mg1480
Total, all-cause mortalityAdalimumab1325
Total, all-cause mortalityPlacebo to Filgotinib 200 mg1190
Total, all-cause mortalityPlacebo to Filgotinib 100 mg1191
Total, all-cause mortalityPlacebo2475
Total, other adverse eventsFilgotinib 200 mg128475
Total, other adverse eventsFilgotinib 100 mg142480
Total, other adverse eventsAdalimumab82325
Total, other adverse eventsPlacebo to Filgotinib 200 mg36190

Papers10

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
33504485DERIVEDPubMed
34980223DERIVEDPubMed
36205910DERIVEDPubMed
36327094DERIVEDPubMed
37490202DERIVEDPubMed
37747626DERIVEDPubMed
38057656DERIVEDPubMed
38985247DERIVEDPubMed
39331638DERIVEDPubMed
39592547DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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Read this trial from software.

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GET https://conductscience.org/api/trials/v1/NCT02889796/registered?page=2