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GS-9876

Phase 2

Rheumatoid Arthritis | Small molecule | Immunology |Gilead Sciences, Inc.|Trials Updated: Oct 23, 2020

GS-9876 development status

Highest phase Phase 2
Registered trials 6 across 2 sponsors since Aug 2016

GS-9876 target and mechanism

ModalitySmall molecule

Also known as Lanraplenib

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials4
Total Enrollment318

FDA Designations

No designations recorded

GS-9876 clinical trials

GS-9876 · 4 trials · 4 indications

Phase 2 3Phase 1 1
NCT03134222Study to Evaluate Safety and Efficacy of Filgotinib and Lanraplenib in Females With Moderately-to-Severely Active Cutaneous Lupus Erythematosus (CLE)Cutaneous Lupus Erythematosus
COMPLETED47 Analytics
NCT03100942Study to Assess Safety and Efficacy of Filgotinib, Lanraplenib and Tirabrutinib in Adults With Active Sjogren's SyndromeSjogren's Syndrome
COMPLETED152 Analytics
NCT02885181Safety, Tolerability, and Efficacy of GS-9876 in Participants With Active Rheumatoid Arthritis on Background Therapy With MethotrexateRheumatoid Arthritis
COMPLETED83 Analytics
PHASE2COMPLETED
Study to Evaluate Safety and Efficacy of Filgotinib and Lanraplenib in Females With Moderately-to-Severely Active Cutaneous Lupus Erythematosus (CLE)
Cutaneous Lupus ErythematosusUnlock trial analytics
PHASE2COMPLETED
Study to Assess Safety and Efficacy of Filgotinib, Lanraplenib and Tirabrutinib in Adults With Active Sjogren's Syndrome
Sjogren's SyndromeUnlock trial analytics
PHASE2COMPLETED
Safety, Tolerability, and Efficacy of GS-9876 in Participants With Active Rheumatoid Arthritis on Background Therapy With Methotrexate
Rheumatoid ArthritisUnlock trial analytics

Study Endpoints

Primary Endpoints

Change in Cutaneous Lupus Erythematosus Disease Area and Severity Index (CLASI) Activity Score From Baseline to Week 12
Baseline; Week 12

CLASI Activity is scored based on erythema, scale/hyperkeratosis, mucous membrane involvement, acute hair loss and nonscarring alopecia. Evaluation of erythema and scale/hyperkeratosis is based on a table: rows represent anatomical areas and columns represent major clinical symptoms. The extent of involvement for each of the skin symptoms is documented for each anatomic area. The total score ranges from 0-70, with higher scores indicating more severe skin disease.

Percentage of Participants Fulfilling Protocol-Specified Response Criteria at Week 12, as Compared to Baseline
Week 12

Response was defined as: Improvement ≥ 20% in ≥ 3 of 5 participant-reported Sjogren's syndrome (SjS) related visual analogue score (VAS) measures (participant's assessment of global disease, pain, oral dryness, ocular dryness and fatigue), with no increase defined as \> 30 mm from baseline (Day 1) in any of the above 5 VAS measures, AND either ≥ 20% improvement in high sensitivity C-reactive protein (hsCRP) (if hsCRP ≥ 1.5 x upper limit of normal \[ULN\] on Day 1) or no increase in hsCRP to ≥ 1.5 x ULN (if hsCRP \< 1.5 x ULN on Day 1).

Change From Baseline in Disease Activity Score 28 C-Reactive Protein (DAS28 (CRP)) at Week 12
Baseline; Week 12

Disease Activity Score 28 C-Reactive Protein (DAS28 (CRP)) is a measure of the participant's disease activity calculated using the tender joint counts (28 joints), swollen joint counts (28 joints), participant's global assessment of disease activity (visual analog scale: 0 = no disease activity to 100 = maximum disease activity) and C-Reactive Protein (CRP) for a total possible score of 1 to 9.4. Higher values indicate higher disease activity. A negative change from baseline indicates improvement.

Pharmacokinetic (PK) Parameter: AUClast of Lanraplenib Presented Based on Range of CLcr
0 (predose), 0.5, 1, 2, 3, 4, 5, 6, 8, 12, 16, 24, 36, 48, 60, 72, 96 and 120 hours postdose on Day 1

AUClast is defined as the concentration of drug from time zero to the last observable concentration. CLcr was estimated using the CG equation for renal function as recommended by the FDA and international guidance documents. CG equation: For men: CLcr (mL/min) = (\[140-age in years\] × \[body weight in kg\])/(72 × serum creatinine in mg/dL) For women: CLcr (mL/min) = 0.85 × (\[140-age in years\] × \[body weight in kg\])/(72 × serum creatinine in mg/dL) Participants were classified based on estimated CLcr as: Moderate renal impairment: CLcr 30-59 mL/min Severe renal impairment: CLcr 15-29 mL/min Healthy control: CLcr ≥ 90 mL/min

PK Parameter: AUCinf of Lanraplenib Presented Based on Range of CLcr
0 (predose), 0.5, 1, 2, 3, 4, 5, 6, 8, 12, 16, 24, 36, 48, 60, 72, 96 and 120 hours postdose on Day 1

AUCinf is defined as the concentration of drug extrapolated to infinite time. CLcr was estimated using the CG equation for renal function as recommended by the FDA and international guidance documents. CG equation: For men: CLcr (mL/min) = (\[140-age in years\] × \[body weight in kg\])/(72 × serum creatinine in mg/dL) For women: CLcr (mL/min) = 0.85 × (\[140-age in years\] × \[body weight in kg\])/(72 × serum creatinine in mg/dL) Participants were classified based on estimated CLcr as: Moderate renal impairment: CLcr 30-59 mL/min Severe renal impairment: CLcr 15-29 mL/min Healthy control: CLcr ≥ 90 mL/min

PK Parameter: Cmax of Lanraplenib Presented Based on Range of CLcr
0 (predose), 0.5, 1, 2, 3, 4, 5, 6, 8, 12, 16, 24, 36, 48, 60, 72, 96 and 120 hours postdose on Day 1

Cmax is defined as the maximum concentration of drug. CLcr was estimated using the CG equation for renal function as recommended by the FDA and international guidance documents. CG equation: For men: CLcr (mL/min) = (\[140-age in years\] × \[body weight in kg\])/(72 × serum creatinine in mg/dL) For women: CLcr (mL/min) = 0.85 × (\[140-age in years\] × \[body weight in kg\])/(72 × serum creatinine in mg/dL) Participants were classified based on estimated CLcr as: Moderate renal impairment: CLcr 30-59 mL/min Severe renal impairment: CLcr 15-29 mL/min Healthy control: CLcr ≥ 90 mL/min

Secondary Endpoints

Percentage of Participants at Week 12 With Decrease of ≥ 5 Points in CLASI Activity Score From Baseline
Baseline; Week 12
Percentage of Participants at Week 12 With No Worsening in CLASI Activity Score From Baseline
Baseline; Week 12
Percentage of Participants at Week 24 With Decrease of ≥ 5 Points in CLASI Activity Score From Baseline
Baseline; Week 24
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Lanraplenib 30 mgEXPERIMENTALLanraplenib + filgotinib placebo for 48 weeks
Filgotinib 200 mgEXPERIMENTALFilgotinib + lanraplenib placebo for 48 weeks
PlaceboPLACEBO_COMPARATORFilgotinib placebo + lanraplenib placebo for 12 weeks
Placebo to Lanraplenib 30 mgEXPERIMENTALAfter Week 12 Visit, participants on placebo will be rerandomized 1:1 and receive lanraplenib + filgotinib placebo in a blinded fashion through Week 48.
Placebo to Filgotinib 200 mgEXPERIMENTALAfter Week 12 Visit, participants on placebo will be rerandomized 1:1 and receive filgotinib + lanraplenib placebo in a blinded fashion through Week 48.
LanraplenibEXPERIMENTALLanraplenib + filgotinib placebo + tirabrutinib placebo for up to 49.4 weeks.
FilgotinibEXPERIMENTALFilgotinib + lanraplenib placebo + tirabrutinib placebo for up to 50.4 weeks.
TirabrutinibEXPERIMENTALTirabrutinib + filgotinib placebo + lanraplenib placebo for up to 50.3 weeks.
Placebo, then active treatmentPLACEBO_COMPARATORFilgotinib placebo + lanraplenib placebo + tirabrutinib placebo for 24 weeks. Following completion of the Week 24 assessments and procedures, participants will be rerandomized 1:1:1, in a blinded fashion and receive either of the following study drugs through Week 48: * filgotinib + lanraplenib placebo + tirabrutinib placebo * lanraplenib + filgotinib placebo + tirabrutinib placebo * tirabrutinib + filgotinib placebo + lanraplenib placebo
GS-9876 - 30 mgEXPERIMENTALGS-9876 30 mg + filgotinib placebo for 12 weeks
GS-9876 - 10 mgEXPERIMENTALGS-9876 10 mg + filgotinib placebo for 12 weeks
Moderate Renal Impairment (Cohort 1)EXPERIMENTALParticipants with moderate renal impairment and matched healthy controls will receive a single dose of lanraplenib
Severe Renal Impairment (Adaptive Cohort 2)EXPERIMENTALParticipants with severe renal impairment and matched healthy controls will receive a single dose of lanraplenib
Mild Renal Impairment (Adaptive Cohort 3)EXPERIMENTALParticipants with mild renal impairment and matched healthy controls will receive a single dose of lanraplenib

Interventions

NameTypeDescription
LanraplenibDRUG30 mg tablets administered orally once daily with or without food
FilgotinibDRUG200 mg tablets administered orally once daily with or without food
Lanraplenib placeboDRUGTablets administered orally once daily with or without food
Filgotinib placeboDRUGTablets administered orally once daily with or without food
TirabrutinibDRUG1 x 40 mg tablet administered orally once daily
Tirabrutinib placeboDRUG1 x tablet administered orally once daily
GS-9876DRUGOne tablet administered orally once daily
GS-9876 placeboDRUGOne tablet administered orally once daily
MethotrexateDRUGBackground therapy with methotrexate administered orally or parenterally once weekly
Lanraplenib.DRUG20 mg (2 X 10 mg) tablets administered orally in a fasted state on Day 1
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Eligibility Criteria

Age Range18 Years to 75 Years
SexFEMALE
Healthy VolunteersNo
Study Sites16

Key Inclusion Criteria: * Must have a diagnosis of CLE, either chronic (e.g., discoid) or subacute CLE per investigator evaluation, with the following: * Moderately-to-severely active CLE (Cutaneous lupus erythematosus disease area and severity index \[CLASI\] activity score ≥ 10) at screening a...

Countries:United StatesCanadaPolandSpainUnited KingdomBulgariaCzechiaGeorgiaMoldovaUkraineGermanyNew Zealand
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Frequently asked questions about GS-9876

What is GS-9876 used for in rheumatoid arthritis?

GS-9876 is an investigational small molecule being studied for the treatment of active rheumatoid arthritis. It is designed to be used in combination with background methotrexate therapy. The drug is currently in Phase 2 clinical development and has not been approved by regulatory authorities.

What does GS-9876 target?

GS-9876 is a small molecule developed by Gilead Sciences for rheumatoid arthritis. While its specific molecular target is not publicly disclosed in the available clinical trial information, it is being evaluated for its safety, tolerability, and efficacy in patients with active disease who are on background methotrexate therapy.

Who makes GS-9876?

GS-9876 is being developed by Gilead Sciences, Inc., a biopharmaceutical company traded on NASDAQ under the ticker symbol GILD. The company is conducting clinical research to evaluate the drug's potential as a treatment for rheumatoid arthritis.

What phase is GS-9876 in?

GS-9876 is in Phase 2 clinical development. A Phase 2 clinical trial has been completed to assess its safety, tolerability, and efficacy in participants with active rheumatoid arthritis. The drug remains investigational and is not yet approved for any use.

What clinical trials is GS-9876 in?

GS-9876 has been studied in one completed Phase 2 clinical trial, identified as NCT02885181. This randomized, double-blind, placebo-controlled trial enrolled 83 participants with active rheumatoid arthritis on background methotrexate therapy, across multiple countries including the United States, Bulgaria, Czechia, Georgia, Moldova, Poland, and Ukraine.

Is GS-9876 the same as any other drug?

GS-9876 is the investigational code name used by Gilead Sciences for this small molecule. No alternative brand names or other designations have been disclosed in the clinical trial information. It is distinct from other drugs and is being evaluated specifically for rheumatoid arthritis.