Phase 2
Completed N=594
Dose-finding Study of GLPG0634 as add-on to Methotrexate in Active Rheumatoid Arthritis Participants (DARWIN1)
Source: ClinicalTrials.gov NCT01888874 ↗Enrolled (actual)
594
Serious AEs
2.3%
Results posted
Nov 2020
Primary outcomePrimary: Percentage of Participants Achieving an American College of Rheumatology (ACR) 20 Response at Week 12 — 44.2; 56.1; 63.5; 68.6 percentage of participants — p=0.1236
Summary
Participants suffering from active rheumatoid arthritis despite continued treatment with methotrexate were evaluated for improvement of disease activity (efficacy) when taking GLPG0634 (3 different doses - 50 milligram [mg], 100 mg and 200 mg daily -, each evaluated as once daily [QD] and twice daily [BID] regimen) or matching placebo for 24 weeks.
•During the course of the study, patients were also examined for any side effects that could occur (safety and tolerability), and the amount of GLPG0634 present in the blood (Pharmacokinetics) as well as the effects of GLPG0634 on disease- and mechanism of action-related parameters in the blood (Pharmacodynamics) were determined. Also, the effects of different doses and dose regiments of GLPG0634 administration on participants' disability, fatigue, and quality of life were evaluated.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Percentage of Participants Achieving an American College of Rheumatology (ACR) 20 Response at Week 12 |
44.2; 56.1; 63.5; 68.6; 57; 60 | 0.1236 |
| SECONDARY Percentage of Participants Achieving an ACR20 Response at Week 24 |
41.9; 54.9; 61.2; 73.3; 55.8; 60 | — |
| SECONDARY Percentage of Participants Achieving an ACR50 Response at Weeks 1, 2, 4, 8, 12, and 24 |
1.2; 2.4; 4.7; 4.7; 3.5; 7.1 | — |
| SECONDARY Percentage of Participants Achieving an ACR70 Response at Weeks 1, 2, 4, 8, 12, and 24 |
1.2; 0; 0; 1.2; 1.2; 2.4 | — |
| SECONDARY ACR N% Improvement (ACR-N) Response at Weeks 1, 2, 4, 8, 12, and 24 |
9.27; 10.31; 14.69; 14.25; 9.01; 11.36 | — |
| SECONDARY Percentage of Participants With Disease Activity Score 28 Joints Corrected for CRP (DAS28 (CRP)) European League Against Rheumatism (EULAR) Response at Weeks 1, 2, 4, 8, 12, and 24 |
73; 61; 58; 42; 63; 64 | — |
| SECONDARY Percentage of Participants Achieving ACR/EULAR Remission at Weeks 2, 4, 8, 12, and 24 |
0; 0; 3.5; 0; 0; 0 | — |
| SECONDARY Change From Baseline in Simplified Disease Activity Index (SDAI) at Weeks 1, 2, 4, 8, 12, and 24 |
43.756; 43.77; 45.42; 45.611; 43.951; 44.794 | — |
| SECONDARY Change From Baseline in Clinical Disease Activity Index (CDAI) at Weeks 1, 2, 4, 8, 12, and 24 |
42.131; 40.999; 42.966; 42.901; 41.347; 42.333 | — |
| SECONDARY Change From Baseline in Quality of Life Using the Functional Assessment of Chronic Illness Therapy (FACIT) at Weeks 4, 12, and 24 |
26.2; 26.2; 26.6; 25.2; 28.1; 26.2 | — |
| SECONDARY Change From Baseline in Quality of Life Using the Short Form-36 (SF-36) Scores at Weeks 4, 12, and 24 |
32.999; 32.691; 31.636; 31.625; 31.364; 31.332 | — |
Eligibility Criteria
Inclusion Criteria
- have a diagnosis of RA since at least 6 months and meeting the 2010 ACR/EULAR criteria of RA and ACR functional class I-III,
- have ≥6 swollen joints (from a 66 joint count) and ≥8 tender joints (from a 68 joint count) at Screening and at Baseline,
- Screening serum c-reactive protein ≥0.7 x upper limit of laboratory normal range (ULN),
- have received MTX for ≥6 months and have been on a stable dose (15 to 25 mg/week) of MTX for at least 4 weeks prior to Screening and willing to continue on their current regimen for the duration of the study. Stable doses of MTX as low as 10 mg/week are allowed when there is documented evidence of intolerance or safety issues at higher doses.
Exclusion Criteria
- current therapy with any disease-modifying anti-rheumatic drugs (DMARD) other than MTX,
- current or previous RA treatment with a biologic DMARD, with the exception of biologic DMARDs administered in a single clinical study setting more than 6 months prior to Screening (12 months for rituximab or other B cell depleting agents), where the biologic DMARD was effective, and if discontinued, this should not be due to lack of efficacy,
- previous treatment at any time with a cytotoxic agent, other than MTX, before Screening.
Data sourced from ClinicalTrials.gov (NCT01888874). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.