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GLPG2222

Phase 2

Cystic Fibrosis | Small molecule | Respiratory |Galapagos NV|Last Updated: Apr 8, 2019

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-BlindCONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment69
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03119649A Study to Evaluate Multiple Doses of GLPG2222 in Adult Subjects With Cystic FibrosisPHASE2 COMPLETED 59Mar 18, 2017Oct 19, 2017Nov 16, 201823 United States, Belgium +4
NCT03540524A Study Looking at the Safety, Tolerability and Efficacy of the Combination of the Study Drugs GLPG2451 and GLPG2222 With or Without GLPG2737 in Patients With Cystic Fibrosis.PHASE1 COMPLETED 10May 31, 2018Mar 11, 2019Apr 8, 201920 Belgium, Bulgaria +6
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Study Endpoints
Primary Endpoints
Number of Participants With Treatment-Emergent Adverse Events
First administration (Day 1) through Follow-up (Day 43)

Number of participants with any treatment-emergent adverse events (TEAEs) and serious or treatment-related TEAEs, as well as number of patients with TEAEs by worst intensity reported (mild, moderate, or severe).

Number of subjects with adverse events.
Up to 24 weeks after the last dose

To assess safety and tolerability of doses of GLPG2451 and GLPG2222 with or without GLPG2737 (Study Part I and Part II).

Maximum observed plasma concentration (Cmax).
Day 14

To characterize the pharmacokinetics (PK) of GLPG2451 and GLPG2222 with or without GLPG2737 (Study Part I).

Area under the plasma concentration-time curve from time zero until 24 hours (AUC0-24h).
Day 14

To characterize the PK of GLPG2451 and GLPG2222 with or without GLPG2737 (Study Part I).

Trough plasma concentration observed at the end of the dosing interval (24 hours post-dose) (Ctrough).
Between Day 2 and Day 28

To characterize the PK of GLPG2451 and GLPG2222 with or without GLPG2737 (Study Part I and Part II).

Change from baseline in sweat chloride concentration.
Between Day 1 pre-dose and Day 28

To assess changes in sweat chloride concentration after administration of the combination of GLPG2451 and GLPG2222 with or without GLPG2737 (Study Part II).

Change from baseline in percent predicted FEV1.
Between Day 1 pre-dose and Day 28

To assess changes in percent predicted FEV1 after administration of the combination of GLPG2451 and GLPG2222 with or without GLPG2737 (Study Part II).

Secondary Endpoints
Mean Change From Baseline in Sweat Chloride Concentration at Day 29
Prior to dosing on Days 1 and 29, or at early discontinuation
Mean Change From Baseline in Percent (%) Predicted FEV1 (%FEV1) at Day 29
Predose and between 1 and 2 hours postdose on Days 1 and 29, or at early discontinuation
Mean Change From Baseline in the Respiratory Domain of the Cystic Fibrosis Questionnaire-Revised (CFQ-R) at Day 29
Prior to dosing on Days 1 and 29, or at early discontinuation
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Cohort A: GLPG2222 50 mg once daily (QD)EXPERIMENTALParticipants received a single GLPG2222 50 mg tablet and two matching placebo tablets orally, QD for 29 days.
Cohort A: GLPG2222 100 mg QDEXPERIMENTALParticipants received a single GLPG2222 100 mg tablet and two matching placebo tablets orally, QD for 29 days.
Cohort B: GLPG2222 200 mg QDEXPERIMENTALParticipants received two GLPG2222 100 mg tablets and one matching placebo tablet orally, QD for 29 days.
Cohort B: GLPG2222 400 mg QDEXPERIMENTALParticipants received two GLPG2222 150 mg tablets and one GLPG2222 100 mg tablet orally, QD for 29 days.
Cohort A PlaceboPLACEBO_COMPARATORParticipants received three matching placebo tablets, orally, QD for 29 days.
Cohort B PlaceboPLACEBO_COMPARATORParticipants received three matching placebo tablets, orally, QD for 29 days.
Cohort A - F508del homozygousEXPERIMENTALDual combination (GLPG2451 and GLPG2222) will be administered for 14 days, followed by the triple combination (GLPG2451, GLPG2222 and GLPG2737) for 14 days, without washout in between the sequential treatment periods.( Study Part I)
Cohort B - F508del heterozygous/potentiator nonresponsiveEXPERIMENTALDual combination (GLPG2451 and GLPG2222) will be administered for 14 days, followed by the triple combination (GLPG2451, GLPG2222 and GLPG2737) for 14 days, without washout in between the sequential treatment periods. (study Part II)
Cohort C - F508del homozygousEXPERIMENTALDual combination (GLPG2451 and GLPG2222) will be administered for 14 days, followed by the triple combination (GLPG2451, GLPG2222 and GLPG2737) for 14 days, without washout in between the sequential treatment periods. (Study Part II)
Interventions
NameTypeDescription
GLPG2222 50 mgDRUGOral tablet(s) containing GLPG2222
GLPG2222 100 mgDRUGOral tablet(s) containing GLPG2222
PlaceboDRUGMatching oral tablet(s) containing placebo
GLPG2222 200 mgDRUGOral tablet(s) containing GLPG2222
GLPG2222 400 mgDRUGOral tablet(s) containing GLPG2222
GLPG2451 dose regimen ADRUGGLPG2451 oral suspension, daily.
GLPG2451 dose regimen BDRUGGLPG2451 oral suspension, daily.
GLPG2222DRUGGLPG2222 tablet for oral use, daily.
GLPG2737DRUGGLPG2737 capsules for oral use, daily.
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Eligibility Criteria
Age Range18 Years — 99 Years
SexALL
Healthy VolunteersNo
Study Sites23

Inclusion Criteria: 1. Male or female subject ≥ 18 years of age, on the day of signing the Informed Consent Form (ICF). 2. A confirmed clinical diagnosis of CF and homozygous for the F508del CFTR mutation 3. Weight ≥ 40 kg. 4. Stable concomitant treatment for at least 4 weeks (28 days) prior to bas...

Countries:United StatesBelgiumNetherlandsSerbiaSpainUnited KingdomBulgariaGermanyGreeceSweden
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