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Filgotinib

Phase 3

Ulcerative Colitis | Small molecule | Immunology |Gilead Sciences, Inc.|Last Updated: May 22, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment2,524
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02914535Filgotinib in Long-Term Extension Study of Adults With Ulcerative ColitisPHASE3 ACTIVE NOT_RECRUITING 1,173Feb 23, 2017Sep 1, 2026May 22, 2026323 United States, Argentina +37
NCT02914522Study to Evaluate the Efficacy and Safety of Filgotinib in the Induction and Maintenance of Remission in Adults With Moderately to Severely Active Ulcerative ColitisPHASE3 COMPLETED 1,351Nov 14, 2016Mar 31, 2020Apr 21, 2021343 United States, Argentina +38
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Study Endpoints
Primary Endpoints
Overall Safety Profile of Filgotinib Evaluated by Proportion of Participants Experiencing Adverse Events and Abnormal Clinical Laboratory Tests
Up to 336 weeks plus 30 days
Induction Study: Percentage of Participants Who Achieved Endoscopy/Bleeding/Stool Frequency (EBS) Remission at Week 10
Week 10

EBS remission was defined as an endoscopic subscore of 0 or 1; rectal bleeding subscore of 0; and at least a 1-point decrease in stool frequency from baseline to achieve a subscore of 0 or 1. Endoscopic subscore range: 0 to 3, where 0 = normal or inactive disease and 3 = severe disease (spontaneous bleeding, ulceration); rectal bleeding subscore range: 0 to 3, where 0 = no blood seen and 3 = blood alone passes; stool frequency subscore range: 0 to 3, where 0 = normal number of stools and 3 = at least 5 stools more than normal. Total score for EBS ranged from 0 to 9 (sum of all subscores), with higher scores indicating more severe disease.

Maintenance Study: Percentage of Participants Who Achieved EBS Remission at Week 58
Week 58

EBS remission was defined as an endoscopic subscore of 0 or 1; rectal bleeding subscore of 0; and at least a 1-point decrease in stool frequency from baseline to achieve a subscore of 0 or 1. Endoscopic subscore range: 0 to 3, where 0 = normal or inactive disease and 3 = severe disease (spontaneous bleeding, ulceration); rectal bleeding subscore range: 0 to 3, where 0 = no blood seen and 3 = blood alone passes; stool frequency subscore range: 0 to 3, where 0 = normal number of stools and 3 = at least 5 stools more than normal. Total score for EBS ranged from 0 to 9 (sum of all subscores), with higher scores indicating more severe disease.

Secondary Endpoints
Change From Baseline in Components of Mayo Clinic Score (MCS)
Baseline and up to 336 weeks
Induction Study: Percentage of Participants Who Achieved MCS Remission at Week 10
Week 10
Induction Study: Percentage of Participants Who Achieved an Endoscopic Subscore of 0 at Week 10
Week 10
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Filgotinib 200 mg (blinded dosing)EXPERIMENTALFilgotinib 200 mg + placebo to match filgotinib 100 mg for up to 336 weeks
Filgotinib 100 mg (blinded dosing)EXPERIMENTALFilgotinib 100 mg + placebo to match filgotinib 200 mg for up to 336 weeks
Placebo (blinded dosing)PLACEBO_COMPARATORPlacebo to match filgotinib 200 mg + placebo to match filgotinib 100 mg for up to 336 weeks
Filgotinib 200 mg (open-label)EXPERIMENTALFilgotinib 200 mg for up to 336 weeks
Filgotinib 100 mg (open-label)EXPERIMENTALFilgotinib 100 mg for up to 336 weeks
Induction Study (Cohort A): Filgotinib 200 mgEXPERIMENTALParticipants in Cohort A (biologic-naive) received filgotinib 200 milligrams (mg) and placebo-to-match (PTM) filgotinib 100 mg orally once daily for 10 weeks.
Induction Study (Cohort A): Filgotinib 100 mgEXPERIMENTALParticipants in Cohort A (biologic-naive) received filgotinib 100 mg and PTM filgotinib 200 mg orally once daily for 10 weeks.
Induction Study (Cohort A): PlaceboPLACEBO_COMPARATORParticipants in Cohort A (biologic-naive) received PTM filgotinib 200 mg and PTM filgotinib 100 mg orally once daily for 10 weeks.
Induction Study (Cohort B): Filgotinib 200 mgEXPERIMENTALParticipants in Cohort B (biologic-experienced) received filgotinib 200 mg and PTM filgotinib 100 mg orally once daily for 10 weeks.
Induction Study (Cohort B): Filgotinib 100 mgEXPERIMENTALParticipants in Cohort B (biologic-experienced) received filgotinib 100 mg and PTM filgotinib 200 mg orally once daily for 10 weeks.
Induction Study (Cohort B): PlaceboPLACEBO_COMPARATORParticipants in Cohort B (biologic-experienced) received PTM filgotinib 200 mg and PTM filgotinib 100 mg orally once daily for 10 weeks.
Maintenance Study: Filgotinib 200 mg From Induction Filgotinib 200 mgEXPERIMENTALParticipants in the Filgotinib 200 mg arm who completed the Induction Study and achieved either Endoscopy/Bleeding/Stool Frequency (EBS) remission or Mayo Clinic Score (MCS) response at Week 10 were re-randomized at Week 11 into the Maintenance Study to receive filgotinib 200 mg and PTM filgotinib 100 mg for an additional 47 weeks (up to Week 58).
Maintenance Study: Placebo From Induction Filgotinib 200 mgPLACEBO_COMPARATORParticipants in the Filgotinib 200 mg arm who completed the Induction Study and achieved either EBS remission or MCS response at Week 10 were re-randomized at Week 11 into the Maintenance Study to receive PTM filgotinib orally once daily for an additional 47 weeks (up to Week 58).
Maintenance Study: Filgotinib 100 mg From Induction Filgotinib 100 mgEXPERIMENTALParticipants in the Filgotinib 100 mg arm who completed the Induction Study and achieved either EBS remission or MCS response at Week 10 were re-randomized at Week 11 into the Maintenance Study to receive filgotinib 100 mg and PTM filgotinib 200 mg for an additional 47 weeks (up to Week 58).
Maintenance Study: Placebo From Induction Filgotinib 100 mgPLACEBO_COMPARATORParticipants in the Filgotinib 100 mg arm who completed the Induction Study and achieved either EBS remission or MCS response at Week 10 were rerandomized at Week 11 into the Maintenance Study to receive PTM filgotinib orally once daily for an additional 47 weeks (up to Week 58).
Maintenance Study: Placebo From Induction PlaceboPLACEBO_COMPARATORParticipants in the Placebo arm who completed the Induction Study and achieved either EBS remission or MCS response at Week 10 were re-randomized at Week 11 into the Maintenance Study to receive PTM filgotinib for an additional 47 weeks (up to Week 58).
Interventions
NameTypeDescription
FilgotinibDRUGTablet(s) administered orally once daily
PlaceboDRUGTablet(s) administered orally once daily
PTM filgotinibDRUGTablet(s) administered orally once daily
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites323

Key Inclusion Criteria: * Must have the ability to understand and sign a written informed consent form (ICF), which must be obtained prior to initiation of study procedures associated with this trial * Must have enrolled in Gilead-sponsored UC parent protocol GS US 418-3898 or any other Gilead/Gala...

Countries:United StatesArgentinaAustraliaAustriaBelgiumBulgariaCanadaCroatiaCzechiaFranceGeorgiaGermanyGreeceHong KongHungaryIndiaIrelandIsraelItalyJapanMalaysiaMexicoNetherlandsNew ZealandPolandPortugalRomaniaRussiaSerbiaSingaporeSlovakiaSouth AfricaSouth KoreaSpainSwedenSwitzerlandTaiwanUkraineUnited KingdomNorway
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT02914535primaryCompletionDate: changed
LOWMay 24, 2026NCT02914535studyFirstPostDate: changed