Clinical trial Recruiting at 2 sites Phase 3 Interventional Ages 8 to 18

Open-label extension with filgotinib for juvenile idiopathic arthritis

Official title: Open-label Extension (OLE), Multiple Dose Study to Evaluate Safety, Tolerability, and Efficacy of Filgotinib in Children and Adolescents From 8 Years to Less Than 18 Years of Age With Juvenile Idiopathic Arthritis (JIA)

Run by Alfasigma S.p.A. · NCT07553182 · Data updated 2026-11-12

This long-term open-label extension sees if filgotinib stays safe and continues to control symptoms in children aged 8–17 with polyarticular or systemic juvenile idiopathic arthritis who benefited from earlier treatment.

More Juvenile Idiopathic Arthritis (JIA) trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages8 Years to 18 Years
SexAll
Enrollment80 (estimated)
SponsorAlfasigma S.p.A.
Industry-sponsored
Drugs / interventionsfilgotinib
Locations4 sites (Le Kremlin-Bicêtre and 3 other locations)
StatusRecruiting
StartedApril 20, 2026
Main results expectedDecember 2027
Study endsDecember 2027
Registry record updatedAugust 10, 2026
Trial IDNCT07553182 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are children 8 to <18 years with polyarticular or systemic JIA who completed a parent filgotinib study, demonstrated clinical benefit, and can adhere to study visits and contraceptive requirements if applicable.

Probably not a fit

Patients who did not respond to filgotinib in the parent studies, who developed disqualifying safety issues, who have active significant infection, or who are pregnant would be unlikely to benefit from this extension.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This open-label extension enrolls children aged 8 to <18 years with polyarticular or systemic juvenile idiopathic arthritis who completed a parent filgotinib study and demonstrated clinical benefit. Participants continue on filgotinib and are followed over time with regular clinic visits to monitor long-term safety, tolerability, and sustained control of signs and symptoms. The protocol includes safety monitoring by clinical assessment and laboratory testing and excludes patients who developed conditions during the parent study that would preclude safe continuation, those with active significant infection, or pregnancy. Data collected will document adverse events, laboratory abnormalities, and clinical measures of disease activity to characterize extended treatment outcomes.

Why it matters

Potential benefit: If successful, this extension could show that long-term filgotinib keeps disease under control and has an acceptable safety profile in children, supporting continued use when needed.

How similar studies have gone: Adult rheumatoid arthritis trials and the pediatric parent filgotinib studies have shown clinical benefit with manageable safety, supporting the rationale for this open-label extension.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Subject must have completed treatment with filgotinib in at least one parent study and achieved a clinical benefit at the end of the parent protocols
* Subject and/or parent/legal guardian must be able and willing to comply with the clinical study protocol requirements and must sign and date the informed consent form and assent (if required per local regulation) as approved by the Independent Ethics Committee/ Institutional Review Board, prior to any protocol evaluations
* Female or male subject 8 to \<18 years of age, on the date of signing the informed consent and assent (per local regulation) form
* Female subject of childbearing potential who is sexually active and at risk for pregnancy must agree to use contraception/preventive exposure measures as described in the clinical study protocol.

Exclusion Criteria:

* Development of any condition during the parent study that would preclude safe continuation
* Pregnancy
* Active infection that is clinically significant, as per Investigator's judgement
* Subject with known hypersensitivity to the components of potential study therapy
* Subjects with any condition or circumstances (including abnormalities in laboratory parameters) that, in the opinion of the investigator, may make a subject unlikely or unable to complete the study or comply with study procedures and requirements

Where it's running

  • Bicetre Hospital
    Le Kremlin-Bicêtre, France
    Recruiting
  • Hamburger Zentrum für Kinder- und Jugendrheumatologie
    Hamburg, Germany
    Recruiting
  • Asklepios Klinik Sankt Augustin GmbH
    Sankt Augustin, Germany
    Not yet recruiting
  • Great Ormond Street Hospital for Children
    London, United Kingdom
    Not yet recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.