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A Study to Assess Efficacy and Safety of GLPG1972/S201086 in Participants With Knee Osteoarthritis

Efficacy and Safety of 3 Doses of S201086/GLPG1972 Administered Orally Once Daily in Patients With Knee Osteoarthritis. A 52-week International, Multi-regional, Multi-center, Randomized, Double-blind, Placebo-controlled, Dose-ranging Study

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03595618
Acronym
Roccella
Enrollment
932
Registered
2018-07-23
Start date
2018-08-14
Completion date
2020-07-14
Last updated
2021-07-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Osteoarthritis

Brief summary

This study is a phase 2, 52-week international, multi-regional, multi-center, randomized, double-blind, placebo-controlled dose-ranging study for the treatment of osteoarthritis.

Interventions

Film-coated tablets of GLPG1972 for oral use.

DRUGPlacebo

Film-coated tablets of matching placebo for oral use.

Sponsors

Institut de Recherches Internationales Servier
CollaboratorOTHER
Galapagos NV
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
40 Years to 75 Years
Healthy volunteers
No

Inclusion criteria

* Male participants or female participants of non-childbearing potential and not breastfeeding. * Body weight \> 40 kg, body mass index (BMI) \< 40 kg/m\^2. * Diagnosed for knee osteoarthritis based on clinical and radiological criteria of the American College of Rheumatology. * History of knee pain for at least 6 months and on the majority of days (\> 50%) during the preceding month. * Symptom severity defined by a pain ≥ 40 mm and ≤ 90 mm on visual analogue scale (VAS, 100 mm) at screening and inclusion visits. * Documented need for symptomatic as needed-treatment for osteoarthritis (OA) in the target knee with systemic non-steroidal anti-inflammatory drugs (NSAIDs) and/or other analgesics

Exclusion criteria

* Severe clinical knee malalignment according to the investigator. * Knee prosthesis already implanted (\< 1 year) or not well-tolerated (contralateral side). * Knee prosthesis already foreseen within the study period (whichever side). * Hip prosthesis recently implanted (\< 1 year) or foreseen within the study period (whichever side). * Previous osteotomy on the inferior limbs (whichever side). * Surgical operation on the target knee within the 12 months prior to the screening visit or planned during the study. * Diagnostic arthroscopy of the target knee within the 6 months prior to the screening visit or planned during the study. * Other pathologies affecting the target knee. * Any contraindication to magnetic resonance imaging (MRI) including the inability to undergo a knee MRI exam because of inability to fit in the scanner or knee coil.

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in Cartilage Thickness of the cMTFC as Assessed by qMRI on the Target Knee to Week 52Baseline, Week 52Reduction in cartilage loss was assessed by cartilage thickness as measured in the medial cMTFC of the target knee using qMRI.

Secondary

MeasureTime frameDescription
Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Total Score and Subscales Scores for Pain, Function, and Stiffness to Week 52Baseline, Week 52Western Ontario and McMaster Universities Osteoarthritis Index is a questionnaire designed to assess health status and health outcomes in participants with OA of the knee. The questionnaire contains 24 questions targeting areas of pain, stiffness, and physical function. Pain subscale includes 5 items rated on a Likert scale of 0 (none) to 4 (extreme) with a total range of 0-20 with higher scores indicating worse symptoms and function. Stiffness subscale includes 2 items rated on a Likert scale of 0 (none) to 4 (extreme) with a total range of 0-8 with higher scores indicating worse symptoms and function. Physical function subscale includes 17 items rated on a Likert scale of 0 (none) to 4 (extreme) with a total range of 0-68 with higher scores indicating worse symptoms and function. The total score is the sum of all subscales (range: 0 to 96) with higher scores indicating worse symptoms and function.
Change From Baseline in Pain Assessment in the Target Knee as Measured by Visual Analog Scale (VAS) to Week 52Baseline, Week 52The participant was asked how would you rate the pain felt in the selected knee within the last 48 hours?. The participants rated the pain by marking the level of pain on a 100-mm VAS, with 0 being no pain and 100 being extreme pain. Higher score indicated higher pain intensity.
Change From Baseline in Patient Global Assessment (PGA) of Disease Activity as Measured by VAS to Week 52Baseline, Week 52The participant was asked Considering all the ways in which your knee osteoarthritis affects you, please rate on this 100 mm scale how well you are doing today. The participants rated the disease activity by marking on a 100-mm VAS, with 0 being no pain and 100 being extreme pain. Higher score indicated higher disease activity.
Number of Participants Who Were Responders Based on the Outcome Measures in Rheumatology - Osteoarthritis Research Society International (OMERACT-OARSI) CriteriaWeek 52OMERACT-OARSI criteria involves improvement based on WOMAC pain and function subscales and PGA. The responders according to OMERACT-OARSI criteria were participants who had: * A high improvement in pain or in function ≥ 50% and absolute change ≥ 20, OR * Improvement in at least 2 of the 3 following: * Pain ≥ 20% and absolute change ≥ 10 * Function ≥ 20% and absolute change ≥ 10 * Patient's global assessment ≥ 20% and absolute change ≥ 10. WOMAC pain subscale score: range of 0 to 20, higher scores indicating more pain, WOMAC physical function subscale score: range of 0 to 68, higher scores indicating worse physical function), PGA: The participant was asked Considering all the ways in which your knee osteoarthritis affects you, please rate on this 100 mm scale how well you are doing today. The participants rated disease activity by marking on a 100-mm VAS, with 0 being no pain and 100 being extreme pain. Higher score indicated higher disease activity.
Change From Baseline in Cartilage Thickness of the Total Tibiofemoral Compartment (tTFC) of the Target Knee by qMRI to Week 52Baseline, Week 52Reduction of cartilage loss was measured by cartilage thickness of the tTFC of the target knee using qMRI.
Number of Participants Who Were Osteoarthritis (OA) Structural Progressors Based on Cartilage Thickness in the cMTFC Assessed by qMRI on the Target KneeWeek 52A structural progressor was defined as a participant who had an 8% cartilage loss in cMTFC. Number of participants who met the criteria of structural progressor at Week 52 are provided.
Change From Baseline in Bone Area of the Medial Femoral Condyle Surface of the Target Knee by qMRI to Week 52Baseline, Week 52
Change From Baseline in Joint Space Width (JSW) of the Target Knee to Week 52Baseline, Week 52The JSW is the space measured between the 2 bones in the knee joint and this is assessed by x-ray.
Number of Participants Who Have Used at Least 1 Systemic Analgesic During the StudyBaseline up to Week 52Systemic analgesics included anti-inflammatory and anti-rheumatic products; analgesics; anti-diarrheals, intestinal, anti-inflammatory/anti-infective agents; and drugs for functional gastrointestinal disorders.
Plasma Concentrations of GLPG1972Pre-dose at Weeks 4, 12, and 52; Pre-dose and one post-dose sample (2-4 hours interval) at Week 28; one post dose sample (interval 4-8 hours) at Week 40
Number of Participants With Treatment-emergent Adverse Event (TEAE)Baseline up to 2-weeks after last dose of IMP (up to Week 54)TEAEs were defined as all adverse events (AEs) that occurred: * between first IMP intake date (included) and last visit of participant, or * before first IMP intake date and that worsened (in terms of intensity) or became serious according to investigator opinion between first IMP intake date (included) and last visit of participant. Number of participants with at least 1 TEAE (serious or non-serious) are reported.
Change From Baseline in Bone Area of the Medial Femoral Condyle Surface of the Target Knee by qMRI to Week 28Baseline, Week 28

Countries

United States

Participant flow

Recruitment details

The first participant was screened on 14 August 2018. The last study visit occurred on 14 July 2020. Due to the exceptional circumstances in relation to the COVID-19 pandemic, the Sponsor decided in accordance with competent regulatory authorities' guidelines to implement some precautionary measures in order to mitigate the risk of infection.

Pre-assignment details

A total of 3319 participants were screened and 932 participants were randomized and 931 participants were treated.

Participants by arm

ArmCount
GLPG1972 75 mg
Participants received 1 film-coated tablet of GLPG1972 75 mg and 3 GLPG1972 matching placebo tablets, orally once daily for 52 weeks.
234
GLPG1972 150 mg
Participants received 2 film-coated tablets of GLPG1972 75 mg (total dose 150 mg) and 2 GLPG1972 matching placebo tablets, orally once daily for 52 weeks.
231
GLPG1972 300 mg
Participants received 4 film-coated tablets of GLPG1972 75 mg (total dose 300 mg), orally once daily for 52 weeks.
233
Placebo
Participants received 4 film-coated tablets of GLPG1972 matching placebo, orally once daily for 52 weeks.
234
Total932

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyAdverse Event1617208
Overall StudyLost to Follow-up6456
Overall StudyMiscellaneous75106
Overall StudyPhysician Decision0012
Overall StudyProtocol Violation2062
Overall StudyWithdrawal by Subject12141410

Baseline characteristics

CharacteristicGLPG1972 75 mgGLPG1972 150 mgGLPG1972 300 mgPlaceboTotal
Age, Continuous62.9 Years
STANDARD_DEVIATION 7.5
63.2 Years
STANDARD_DEVIATION 7.2
62.1 Years
STANDARD_DEVIATION 7.4
63.3 Years
STANDARD_DEVIATION 7.1
62.9 Years
STANDARD_DEVIATION 7.3
Cartilage Thickness of the Central Medial Tibiofemoral Compartment (cMTFC) of the Target Knee3.25316 mm
STANDARD_DEVIATION 0.75857
3.23101 mm
STANDARD_DEVIATION 0.75531
3.33075 mm
STANDARD_DEVIATION 0.79839
3.18554 mm
STANDARD_DEVIATION 0.81513
3.24996 mm
STANDARD_DEVIATION 0.78289
Ethnicity (NIH/OMB)
Hispanic or Latino
52 Participants52 Participants36 Participants53 Participants193 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
182 Participants179 Participants197 Participants181 Participants739 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants0 Participants2 Participants0 Participants3 Participants
Race (NIH/OMB)
Asian
31 Participants28 Participants30 Participants32 Participants121 Participants
Race (NIH/OMB)
Black or African American
27 Participants19 Participants25 Participants25 Participants96 Participants
Race (NIH/OMB)
More than one race
8 Participants6 Participants8 Participants6 Participants28 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants1 Participants0 Participants0 Participants1 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
167 Participants177 Participants168 Participants171 Participants683 Participants
Sex: Female, Male
Female
164 Participants165 Participants154 Participants163 Participants646 Participants
Sex: Female, Male
Male
70 Participants66 Participants79 Participants71 Participants286 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
0 / 2341 / 2310 / 2320 / 234
other
Total, other adverse events
114 / 234124 / 231105 / 232130 / 234
serious
Total, serious adverse events
17 / 23417 / 23118 / 23218 / 234

Outcome results

Primary

Change From Baseline in Cartilage Thickness of the cMTFC as Assessed by qMRI on the Target Knee to Week 52

Reduction in cartilage loss was assessed by cartilage thickness as measured in the medial cMTFC of the target knee using qMRI.

Time frame: Baseline, Week 52

Population: Analysis was based on the mRS. Overall number of participants analyzed included participants with available data of cartilage thickness in the cMTFC at baseline and Week 52.

ArmMeasureValue (MEAN)Dispersion
GLPG1972 75 mgChange From Baseline in Cartilage Thickness of the cMTFC as Assessed by qMRI on the Target Knee to Week 52-0.06791 mmStandard Deviation 0.20169
GLPG1972 150 mgChange From Baseline in Cartilage Thickness of the cMTFC as Assessed by qMRI on the Target Knee to Week 52-0.09693 mmStandard Deviation 0.26839
GLPG1972 300 mgChange From Baseline in Cartilage Thickness of the cMTFC as Assessed by qMRI on the Target Knee to Week 52-0.08545 mmStandard Deviation 0.21697
PlaceboChange From Baseline in Cartilage Thickness of the cMTFC as Assessed by qMRI on the Target Knee to Week 52-0.11562 mmStandard Deviation 0.27275
Comparison: Estimate (Standard Error) of adjusted difference from baseline to last post baseline value between treatment groups means: GLPG1972 dose minus placebo using mixed-effects model for repeated measures (MMRM) including fixed, categorical effects of treatment, region (Asia and Rest of the World), time and treatment-by-time interaction, as well as continuous, fixed covariates of baseline and time-by-baseline interaction preceded by multiple imputation step for participants without post baseline valuep-value: 0.16595% CI: [-0.00317, 0.09345]Mixed Models Analysis
Comparison: Estimate (Standard Error) of adjusted difference from baseline to last post baseline value between treatment groups means: GLPG1972 dose minus placebo using MMRM including fixed, categorical effects of treatment, region (Asia and Rest of the World), time and treatment-by-time interaction, as well as continuous, fixed covariates of baseline and time-by-baseline interaction preceded by multiple imputation step for participants without post baseline value.p-value: 0.93995% CI: [-0.03868, 0.06267]Mixed Models Analysis
Comparison: Estimate (Standard Error) of adjusted difference from baseline to last post baseline value between treatment groups means: GLPG1972 dose minus placebo using MMRM including fixed, categorical effects of treatment, region (Asia and Rest of the World), time and treatment-by-time interaction, as well as continuous, fixed covariates of baseline and time-by-baseline interaction preceded by multiple imputation step for participants without post baseline value.p-value: 0.68295% CI: [-0.02641, 0.073]Mixed Models Analysis
Secondary

Change From Baseline in Bone Area of the Medial Femoral Condyle Surface of the Target Knee by qMRI to Week 28

Time frame: Baseline, Week 28

Population: Analysis was based on mRS. Overall number of participants analyzed included participants with available data of bone area of the medial femoral condyle surface of the target knee at baseline. Number of participants analyzed for change from baseline to Week 28 included participants with available data of bone area of the medial femoral condyle surface of the target knee at baseline and Week 28.

ArmMeasureGroupValue (MEAN)Dispersion
GLPG1972 75 mgChange From Baseline in Bone Area of the Medial Femoral Condyle Surface of the Target Knee by qMRI to Week 28Baseline2343.32026 mm^2Standard Deviation 371.23246
GLPG1972 75 mgChange From Baseline in Bone Area of the Medial Femoral Condyle Surface of the Target Knee by qMRI to Week 28Change from baseline to Week 288.21893 mm^2Standard Deviation 31.81812
GLPG1972 150 mgChange From Baseline in Bone Area of the Medial Femoral Condyle Surface of the Target Knee by qMRI to Week 28Change from baseline to Week 2811.11178 mm^2Standard Deviation 33.14557
GLPG1972 150 mgChange From Baseline in Bone Area of the Medial Femoral Condyle Surface of the Target Knee by qMRI to Week 28Baseline2346.17547 mm^2Standard Deviation 373.46086
GLPG1972 300 mgChange From Baseline in Bone Area of the Medial Femoral Condyle Surface of the Target Knee by qMRI to Week 28Baseline2354.77368 mm^2Standard Deviation 385.91599
GLPG1972 300 mgChange From Baseline in Bone Area of the Medial Femoral Condyle Surface of the Target Knee by qMRI to Week 28Change from baseline to Week 287.63991 mm^2Standard Deviation 33.60899
PlaceboChange From Baseline in Bone Area of the Medial Femoral Condyle Surface of the Target Knee by qMRI to Week 28Baseline2333.67525 mm^2Standard Deviation 362.46041
PlaceboChange From Baseline in Bone Area of the Medial Femoral Condyle Surface of the Target Knee by qMRI to Week 28Change from baseline to Week 2811.43549 mm^2Standard Deviation 29.6081
Comparison: Estimate (Standard Error) of the adjusted difference from baseline to last post baseline value between treatment groups means: Placebo minus GLPG1972 dose regimen using an analysis of covariance (ANCOVA) including the factors treatment and region with baseline as covariate and no interaction, after a Multiple Imputation for missing data.p-value: 0.62795% CI: [-3.02464, 9.27252]ANCOVA
Comparison: Estimate (Standard Error) of the adjusted difference from baseline to last post baseline value between treatment groups means: Placebo minus GLPG1972 dose regimen using an ANCOVA including the factors treatment and region with baseline as covariate and no interaction, after a Multiple Imputation for missing data.p-value: 0.99895% CI: [-5.82659, 6.76343]ANCOVA
Comparison: Estimate (Standard Error) of the adjusted difference from baseline to last post baseline value between treatment groups means: Placebo minus GLPG1972 dose regimen using an ANCOVA including the factors treatment and region with baseline as covariate and no interaction, after a Multiple Imputation for missing data.p-value: 0.44995% CI: [-2.30536, 10.54049]ANCOVA
Secondary

Change From Baseline in Bone Area of the Medial Femoral Condyle Surface of the Target Knee by qMRI to Week 52

Time frame: Baseline, Week 52

Population: Analysis was based on mRS. Overall number of participants analyzed included participants with available data of bone area of the medial femoral condyle surface of the target knee at baseline. Number of participants analyzed for change from baseline to Week 52 included participants with available data of bone area of the medial femoral condyle surface of the target knee at baseline and Week 52.

ArmMeasureGroupValue (MEAN)Dispersion
GLPG1972 75 mgChange From Baseline in Bone Area of the Medial Femoral Condyle Surface of the Target Knee by qMRI to Week 52Baseline2343.32026 mm^2Standard Deviation 371.23246
GLPG1972 75 mgChange From Baseline in Bone Area of the Medial Femoral Condyle Surface of the Target Knee by qMRI to Week 52Change from baseline to Week 5215.45592 mm^2Standard Deviation 31.22629
GLPG1972 150 mgChange From Baseline in Bone Area of the Medial Femoral Condyle Surface of the Target Knee by qMRI to Week 52Change from baseline to Week 5222.06801 mm^2Standard Deviation 42.85848
GLPG1972 150 mgChange From Baseline in Bone Area of the Medial Femoral Condyle Surface of the Target Knee by qMRI to Week 52Baseline2346.17547 mm^2Standard Deviation 373.46086
GLPG1972 300 mgChange From Baseline in Bone Area of the Medial Femoral Condyle Surface of the Target Knee by qMRI to Week 52Baseline2354.77368 mm^2Standard Deviation 385.91599
GLPG1972 300 mgChange From Baseline in Bone Area of the Medial Femoral Condyle Surface of the Target Knee by qMRI to Week 52Change from baseline to Week 5220.78279 mm^2Standard Deviation 34.96462
PlaceboChange From Baseline in Bone Area of the Medial Femoral Condyle Surface of the Target Knee by qMRI to Week 52Baseline2333.67525 mm^2Standard Deviation 362.46041
PlaceboChange From Baseline in Bone Area of the Medial Femoral Condyle Surface of the Target Knee by qMRI to Week 52Change from baseline to Week 5218.08990 mm^2Standard Deviation 35.9365
Comparison: Estimate (Standard Error) of the adjusted difference from baseline to last post baseline value between treatment groups means: placebo minus GLPG1972 dose regimen using a MMRM including the fixed, categorical effects of treatment, region (Asia and Rest of the World), time and treatment-by-time interaction, as well as the continuous, fixed covariates of baseline and time-by-baseline interaction preceded by a Multiple Imputation step for participants without post-baseline measurement.p-value: 0.78995% CI: [-4.51643, 10.21205]Mixed Models Analysis
Comparison: Estimate (Standard Error) of the adjusted difference from baseline to last post baseline value between treatment groups means: placebo minus GLPG1972 dose regimen using a MMRM including the fixed, categorical effects of treatment, region (Asia and Rest of the World), time and treatment-by-time interaction, as well as the continuous, fixed covariates of baseline and time-by-baseline interaction preceded by a Multiple Imputation step for participants without post-baseline measurement.p-value: 0.66195% CI: [-11.19071, 3.89553]Mixed Models Analysis
Comparison: Estimate (Standard Error) of the adjusted difference from baseline to last post baseline value between treatment groups means: placebo minus GLPG1972 dose regimen using a MMRM including the fixed, categorical effects of treatment, region (Asia and Rest of the World), time and treatment-by-time interaction, as well as the continuous, fixed covariates of baseline and time-by-baseline interaction preceded by a Multiple Imputation step for participants without post-baseline measurement.p-value: 0.84395% CI: [-10.04053, 4.93701]Mixed Models Analysis
Secondary

Change From Baseline in Cartilage Thickness of the Total Tibiofemoral Compartment (tTFC) of the Target Knee by qMRI to Week 52

Reduction of cartilage loss was measured by cartilage thickness of the tTFC of the target knee using qMRI.

Time frame: Baseline, Week 52

Population: Analysis was based on mRS. Overall number of participants analyzed included participants with available data of cartilage thickness of the tTFC of the target knee at baseline. Number of participants analyzed for change from baseline to Week 52 included participants with available data of cartilage thickness of the tTFC of the target knee at baseline and Week 52.

ArmMeasureGroupValue (MEAN)Dispersion
GLPG1972 75 mgChange From Baseline in Cartilage Thickness of the Total Tibiofemoral Compartment (tTFC) of the Target Knee by qMRI to Week 52Baseline6.49218 mmStandard Deviation 1.02749
GLPG1972 75 mgChange From Baseline in Cartilage Thickness of the Total Tibiofemoral Compartment (tTFC) of the Target Knee by qMRI to Week 52Change from baseline to Week 52-0.03572 mmStandard Deviation 0.17673
GLPG1972 150 mgChange From Baseline in Cartilage Thickness of the Total Tibiofemoral Compartment (tTFC) of the Target Knee by qMRI to Week 52Change from baseline to Week 52-0.02401 mmStandard Deviation 0.20766
GLPG1972 150 mgChange From Baseline in Cartilage Thickness of the Total Tibiofemoral Compartment (tTFC) of the Target Knee by qMRI to Week 52Baseline6.57424 mmStandard Deviation 1.02706
GLPG1972 300 mgChange From Baseline in Cartilage Thickness of the Total Tibiofemoral Compartment (tTFC) of the Target Knee by qMRI to Week 52Baseline6.51256 mmStandard Deviation 0.97704
GLPG1972 300 mgChange From Baseline in Cartilage Thickness of the Total Tibiofemoral Compartment (tTFC) of the Target Knee by qMRI to Week 52Change from baseline to Week 52-0.01678 mmStandard Deviation 0.20934
PlaceboChange From Baseline in Cartilage Thickness of the Total Tibiofemoral Compartment (tTFC) of the Target Knee by qMRI to Week 52Baseline6.45879 mmStandard Deviation 1.01774
PlaceboChange From Baseline in Cartilage Thickness of the Total Tibiofemoral Compartment (tTFC) of the Target Knee by qMRI to Week 52Change from baseline to Week 52-0.06447 mmStandard Deviation 0.2348
Comparison: Estimate (Standard Error) of the adjusted difference from baseline to last post baseline value between treatment groups means: placebo minus GLPG1972 dose regimen using a MMRM including the fixed, categorical effects of treatment, region (Asia and Rest of the World), time and treatment-by-time interaction, as well as the continuous, fixed covariates of baseline and time-by-baseline interaction preceded by a Multiple Imputation step for participants without post-baseline measurement.p-value: 0.19395% CI: [-0.00448, 0.08005]Mixed Models Analysis
Comparison: Estimate (Standard Error) of the adjusted difference from baseline to last post baseline value between treatment groups means: placebo minus GLPG1972 dose regimen using a MMRM including the fixed, categorical effects of treatment, region (Asia and Rest of the World), time and treatment-by-time interaction, as well as the continuous, fixed covariates of baseline and time-by-baseline interaction preceded by a Multiple Imputation step for participants without post-baseline measurement.p-value: 0.25695% CI: [-0.00801, 0.07962]Mixed Models Analysis
Comparison: Estimate (Standard Error) of the adjusted difference from baseline to last post baseline value between treatment groups means: placebo minus GLPG1972 dose regimen using a MMRM including the fixed, categorical effects of treatment, region (Asia and Rest of the World), time and treatment-by-time interaction, as well as the continuous, fixed covariates of baseline and time-by-baseline interaction preceded by a Multiple Imputation step for participants without post-baseline measurement.p-value: 0.20195% CI: [-0.00514, 0.08281]Mixed Models Analysis
Secondary

Change From Baseline in Joint Space Width (JSW) of the Target Knee to Week 52

The JSW is the space measured between the 2 bones in the knee joint and this is assessed by x-ray.

Time frame: Baseline, Week 52

Population: Analysis was based on mRS. Overall number of participants analyzed included participants with available data of JSW at baseline. Number of participants analyzed for change from baseline to Week 52 included participants with available data of JSW at baseline and Week 52.

ArmMeasureGroupValue (MEAN)Dispersion
GLPG1972 75 mgChange From Baseline in Joint Space Width (JSW) of the Target Knee to Week 52Baseline2.504 mmStandard Deviation 0.779
GLPG1972 75 mgChange From Baseline in Joint Space Width (JSW) of the Target Knee to Week 52Change from baseline to Week 52-0.087 mmStandard Deviation 0.397
GLPG1972 150 mgChange From Baseline in Joint Space Width (JSW) of the Target Knee to Week 52Change from baseline to Week 52-0.167 mmStandard Deviation 0.506
GLPG1972 150 mgChange From Baseline in Joint Space Width (JSW) of the Target Knee to Week 52Baseline2.500 mmStandard Deviation 0.783
GLPG1972 300 mgChange From Baseline in Joint Space Width (JSW) of the Target Knee to Week 52Baseline2.577 mmStandard Deviation 0.84
GLPG1972 300 mgChange From Baseline in Joint Space Width (JSW) of the Target Knee to Week 52Change from baseline to Week 52-0.113 mmStandard Deviation 0.464
PlaceboChange From Baseline in Joint Space Width (JSW) of the Target Knee to Week 52Baseline2.483 mmStandard Deviation 0.859
PlaceboChange From Baseline in Joint Space Width (JSW) of the Target Knee to Week 52Change from baseline to Week 52-0.174 mmStandard Deviation 0.47
Comparison: Estimate (Standard Error) of the adjusted difference from baseline to last post baseline value between treatment groups means: GLPG1972 dose regimen minus placebo using an ANCOVA including the factors treatment and region with baseline as covariate and no interaction, after a Multiple Imputation for missing data.p-value: 0.14195% CI: [-0.0028, 0.1929]ANCOVA
Comparison: Estimate (Standard Error) of the adjusted difference from baseline to last post baseline value between treatment groups means: GLPG1972 dose regimen minus placebo using an ANCOVA including the factors treatment and region with baseline as covariate and no interaction, after a Multiple Imputation for missing data.p-value: 0.98195% CI: [-0.0861, 0.1177]ANCOVA
Comparison: Estimate (Standard Error) of the adjusted difference from baseline to last post baseline value between treatment groups means: GLPG1972 dose regimen minus placebo using an ANCOVA including the factors treatment and region with baseline as covariate and no interaction, after a Multiple Imputation for missing data.p-value: 0.34995% CI: [-0.0286, 0.1792]ANCOVA
Secondary

Change From Baseline in Pain Assessment in the Target Knee as Measured by Visual Analog Scale (VAS) to Week 52

The participant was asked how would you rate the pain felt in the selected knee within the last 48 hours?. The participants rated the pain by marking the level of pain on a 100-mm VAS, with 0 being no pain and 100 being extreme pain. Higher score indicated higher pain intensity.

Time frame: Baseline, Week 52

Population: Analysis was based on mRS. Overall number of participants analyzed included participants with available data of VAS at baseline. Number of participants analyzed for change from baseline to Week 52 included participants with available data of VAS at baseline and Week 52.

ArmMeasureGroupValue (MEAN)Dispersion
GLPG1972 75 mgChange From Baseline in Pain Assessment in the Target Knee as Measured by Visual Analog Scale (VAS) to Week 52Baseline63.3 mmStandard Deviation 11.4
GLPG1972 75 mgChange From Baseline in Pain Assessment in the Target Knee as Measured by Visual Analog Scale (VAS) to Week 52Change from baseline to Week 52-27.2 mmStandard Deviation 24.3
GLPG1972 150 mgChange From Baseline in Pain Assessment in the Target Knee as Measured by Visual Analog Scale (VAS) to Week 52Change from baseline to Week 52-25.6 mmStandard Deviation 26.9
GLPG1972 150 mgChange From Baseline in Pain Assessment in the Target Knee as Measured by Visual Analog Scale (VAS) to Week 52Baseline63.8 mmStandard Deviation 11.5
GLPG1972 300 mgChange From Baseline in Pain Assessment in the Target Knee as Measured by Visual Analog Scale (VAS) to Week 52Baseline63.3 mmStandard Deviation 12.1
GLPG1972 300 mgChange From Baseline in Pain Assessment in the Target Knee as Measured by Visual Analog Scale (VAS) to Week 52Change from baseline to Week 52-28.2 mmStandard Deviation 27.1
PlaceboChange From Baseline in Pain Assessment in the Target Knee as Measured by Visual Analog Scale (VAS) to Week 52Baseline63.5 mmStandard Deviation 11
PlaceboChange From Baseline in Pain Assessment in the Target Knee as Measured by Visual Analog Scale (VAS) to Week 52Change from baseline to Week 52-28.9 mmStandard Deviation 25
Comparison: Estimate (Standard Error) of the adjusted difference from baseline to last post baseline value between treatment groups means: placebo minus GLPG1972 dose regimen using a MMRM including the fixed, categorical effects of treatment, region (Asia and Rest of the World), time and treatment-by-time interaction, as well as the continuous, fixed covariates of baseline and time-by-baseline interaction preceded by a Multiple Imputation step for participants without post-baseline measurement.p-value: 0.70595% CI: [-7.1, 2.7]Mixed Models Analysis
Comparison: Estimate (Standard Error) of the adjusted difference from baseline to last post baseline value between treatment groups means: placebo minus GLPG1972 dose regimen using a MMRM including the fixed, categorical effects of treatment, region (Asia and Rest of the World), time and treatment-by-time interaction, as well as the continuous, fixed covariates of baseline and time-by-baseline interaction preceded by a Multiple Imputation step for participants without post-baseline measurement.p-value: 0.24395% CI: [-9, 0.8]Mixed Models Analysis
Comparison: Estimate (Standard Error) of the adjusted difference from baseline to last post baseline value between treatment groups means: placebo minus GLPG1972 dose regimen using a MMRM including the fixed, categorical effects of treatment, region (Asia and Rest of the World), time and treatment-by-time interaction, as well as the continuous, fixed covariates of baseline and time-by-baseline interaction preceded by a Multiple Imputation step for participants without post-baseline measurement.p-value: 0.94995% CI: [-6.1, 3.9]Mixed Models Analysis
Secondary

Change From Baseline in Patient Global Assessment (PGA) of Disease Activity as Measured by VAS to Week 52

The participant was asked Considering all the ways in which your knee osteoarthritis affects you, please rate on this 100 mm scale how well you are doing today. The participants rated the disease activity by marking on a 100-mm VAS, with 0 being no pain and 100 being extreme pain. Higher score indicated higher disease activity.

Time frame: Baseline, Week 52

Population: Analysis was based on mRS. Overall number of participants analyzed included participants with available data of PGA score at baseline. Number of participants analyzed for change from baseline to Week 52 included participants with available data of PGA score at baseline and Week 52.

ArmMeasureGroupValue (MEAN)Dispersion
GLPG1972 75 mgChange From Baseline in Patient Global Assessment (PGA) of Disease Activity as Measured by VAS to Week 52Baseline47.1 mmStandard Deviation 18.3
GLPG1972 75 mgChange From Baseline in Patient Global Assessment (PGA) of Disease Activity as Measured by VAS to Week 52Change from baseline to Week 5219.4 mmStandard Deviation 30
GLPG1972 150 mgChange From Baseline in Patient Global Assessment (PGA) of Disease Activity as Measured by VAS to Week 52Change from baseline to Week 5214.3 mmStandard Deviation 30.7
GLPG1972 150 mgChange From Baseline in Patient Global Assessment (PGA) of Disease Activity as Measured by VAS to Week 52Baseline47.9 mmStandard Deviation 19
GLPG1972 300 mgChange From Baseline in Patient Global Assessment (PGA) of Disease Activity as Measured by VAS to Week 52Baseline49.4 mmStandard Deviation 17.5
GLPG1972 300 mgChange From Baseline in Patient Global Assessment (PGA) of Disease Activity as Measured by VAS to Week 52Change from baseline to Week 5214.1 mmStandard Deviation 28.4
PlaceboChange From Baseline in Patient Global Assessment (PGA) of Disease Activity as Measured by VAS to Week 52Baseline50.4 mmStandard Deviation 19.2
PlaceboChange From Baseline in Patient Global Assessment (PGA) of Disease Activity as Measured by VAS to Week 52Change from baseline to Week 5214.0 mmStandard Deviation 31.3
Comparison: Estimate (Standard Error) of the adjusted difference from baseline to last post baseline value between treatment groups means: GLPG1972 dose regimen minus placebo using a MMRM including the fixed, categorical effects of treatment, region (Asia and Rest of the World), time and treatment-by-time interaction, as well as the continuous, fixed covariates of baseline and time-by-baseline interaction preceded by a Multiple Imputation step for participants without post-baseline measurement.p-value: 0.8995% CI: [-3.4, 6.3]Mixed Models Analysis
Comparison: Estimate (Standard Error) of the adjusted difference from baseline to last post baseline value between treatment groups means: GLPG1972 dose regimen minus placebo using a MMRM including the fixed, categorical effects of treatment, region (Asia and Rest of the World), time and treatment-by-time interaction, as well as the continuous, fixed covariates of baseline and time-by-baseline interaction preceded by a Multiple Imputation step for participants without post-baseline measurement.p-value: 0.68295% CI: [-7.1, 2.6]Mixed Models Analysis
Comparison: Estimate (Standard Error) of the adjusted difference from baseline to last post baseline value between treatment groups means: GLPG1972 dose regimen minus placebo using a MMRM including the fixed, categorical effects of treatment, region (Asia and Rest of the World), time and treatment-by-time interaction, as well as the continuous, fixed covariates of baseline and time-by-baseline interaction preceded by a Multiple Imputation step for participants without post-baseline measurement.p-value: 195% CI: [-4.8, 5]Mixed Models Analysis
Secondary

Change From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Total Score and Subscales Scores for Pain, Function, and Stiffness to Week 52

Western Ontario and McMaster Universities Osteoarthritis Index is a questionnaire designed to assess health status and health outcomes in participants with OA of the knee. The questionnaire contains 24 questions targeting areas of pain, stiffness, and physical function. Pain subscale includes 5 items rated on a Likert scale of 0 (none) to 4 (extreme) with a total range of 0-20 with higher scores indicating worse symptoms and function. Stiffness subscale includes 2 items rated on a Likert scale of 0 (none) to 4 (extreme) with a total range of 0-8 with higher scores indicating worse symptoms and function. Physical function subscale includes 17 items rated on a Likert scale of 0 (none) to 4 (extreme) with a total range of 0-68 with higher scores indicating worse symptoms and function. The total score is the sum of all subscales (range: 0 to 96) with higher scores indicating worse symptoms and function.

Time frame: Baseline, Week 52

Population: Analysis was based on mRS. Overall number of participants analyzed included participants with available data of WOMAC score at baseline. Number of participants analyzed for change from baseline to Week 52 included participants with available data of WOMAC score at baseline and Week 52.

ArmMeasureGroupValue (MEAN)Dispersion
GLPG1972 75 mgChange From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Total Score and Subscales Scores for Pain, Function, and Stiffness to Week 52Total score: Baseline48.0 score on a scaleStandard Deviation 15.2
GLPG1972 75 mgChange From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Total Score and Subscales Scores for Pain, Function, and Stiffness to Week 52Total score: Change from baseline to Week 52-16.3 score on a scaleStandard Deviation 17.7
GLPG1972 75 mgChange From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Total Score and Subscales Scores for Pain, Function, and Stiffness to Week 52Pain subscore: Baseline10.2 score on a scaleStandard Deviation 3.2
GLPG1972 75 mgChange From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Total Score and Subscales Scores for Pain, Function, and Stiffness to Week 52Pain subscore: Change from baseline to Week 52-3.9 score on a scaleStandard Deviation 4.1
GLPG1972 75 mgChange From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Total Score and Subscales Scores for Pain, Function, and Stiffness to Week 52Physical function subscore: Baseline33.8 score on a scaleStandard Deviation 11.2
GLPG1972 75 mgChange From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Total Score and Subscales Scores for Pain, Function, and Stiffness to Week 52Physical function subscore: Change from baseline to Week 52-11.2 score on a scaleStandard Deviation 12.7
GLPG1972 75 mgChange From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Total Score and Subscales Scores for Pain, Function, and Stiffness to Week 52Stiffness subscore: Baseline4.0 score on a scaleStandard Deviation 1.7
GLPG1972 75 mgChange From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Total Score and Subscales Scores for Pain, Function, and Stiffness to Week 52Stiffness subscore: Change from baseline to Week 52-1.2 score on a scaleStandard Deviation 2.1
GLPG1972 150 mgChange From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Total Score and Subscales Scores for Pain, Function, and Stiffness to Week 52Physical function subscore: Change from baseline to Week 52-11.9 score on a scaleStandard Deviation 13
GLPG1972 150 mgChange From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Total Score and Subscales Scores for Pain, Function, and Stiffness to Week 52Physical function subscore: Baseline34.3 score on a scaleStandard Deviation 11.2
GLPG1972 150 mgChange From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Total Score and Subscales Scores for Pain, Function, and Stiffness to Week 52Total score: Change from baseline to Week 52-16.9 score on a scaleStandard Deviation 17.7
GLPG1972 150 mgChange From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Total Score and Subscales Scores for Pain, Function, and Stiffness to Week 52Stiffness subscore: Change from baseline to Week 52-1.3 score on a scaleStandard Deviation 2
GLPG1972 150 mgChange From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Total Score and Subscales Scores for Pain, Function, and Stiffness to Week 52Stiffness subscore: Baseline4.3 score on a scaleStandard Deviation 1.7
GLPG1972 150 mgChange From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Total Score and Subscales Scores for Pain, Function, and Stiffness to Week 52Pain subscore: Change from baseline to Week 52-3.7 score on a scaleStandard Deviation 4
GLPG1972 150 mgChange From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Total Score and Subscales Scores for Pain, Function, and Stiffness to Week 52Pain subscore: Baseline10.0 score on a scaleStandard Deviation 3.1
GLPG1972 150 mgChange From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Total Score and Subscales Scores for Pain, Function, and Stiffness to Week 52Total score: Baseline48.7 score on a scaleStandard Deviation 15
GLPG1972 300 mgChange From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Total Score and Subscales Scores for Pain, Function, and Stiffness to Week 52Stiffness subscore: Baseline4.2 score on a scaleStandard Deviation 1.6
GLPG1972 300 mgChange From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Total Score and Subscales Scores for Pain, Function, and Stiffness to Week 52Pain subscore: Baseline9.8 score on a scaleStandard Deviation 3.1
GLPG1972 300 mgChange From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Total Score and Subscales Scores for Pain, Function, and Stiffness to Week 52Pain subscore: Change from baseline to Week 52-3.7 score on a scaleStandard Deviation 4.2
GLPG1972 300 mgChange From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Total Score and Subscales Scores for Pain, Function, and Stiffness to Week 52Physical function subscore: Baseline33.0 score on a scaleStandard Deviation 11.6
GLPG1972 300 mgChange From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Total Score and Subscales Scores for Pain, Function, and Stiffness to Week 52Physical function subscore: Change from baseline to Week 52-10.9 score on a scaleStandard Deviation 14.7
GLPG1972 300 mgChange From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Total Score and Subscales Scores for Pain, Function, and Stiffness to Week 52Stiffness subscore: Change from baseline to Week 52-1.4 score on a scaleStandard Deviation 2
GLPG1972 300 mgChange From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Total Score and Subscales Scores for Pain, Function, and Stiffness to Week 52Total score: Baseline47.0 score on a scaleStandard Deviation 15.2
GLPG1972 300 mgChange From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Total Score and Subscales Scores for Pain, Function, and Stiffness to Week 52Total score: Change from baseline to Week 52-16.1 score on a scaleStandard Deviation 19.8
PlaceboChange From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Total Score and Subscales Scores for Pain, Function, and Stiffness to Week 52Pain subscore: Baseline10.0 score on a scaleStandard Deviation 3.2
PlaceboChange From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Total Score and Subscales Scores for Pain, Function, and Stiffness to Week 52Pain subscore: Change from baseline to Week 52-4.1 score on a scaleStandard Deviation 4.1
PlaceboChange From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Total Score and Subscales Scores for Pain, Function, and Stiffness to Week 52Total score: Change from baseline to Week 52-18.4 score on a scaleStandard Deviation 18.9
PlaceboChange From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Total Score and Subscales Scores for Pain, Function, and Stiffness to Week 52Total score: Baseline48.3 score on a scaleStandard Deviation 14.5
PlaceboChange From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Total Score and Subscales Scores for Pain, Function, and Stiffness to Week 52Physical function subscore: Baseline34.1 score on a scaleStandard Deviation 10.7
PlaceboChange From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Total Score and Subscales Scores for Pain, Function, and Stiffness to Week 52Stiffness subscore: Change from baseline to Week 52-1.5 score on a scaleStandard Deviation 2
PlaceboChange From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Total Score and Subscales Scores for Pain, Function, and Stiffness to Week 52Stiffness subscore: Baseline4.2 score on a scaleStandard Deviation 1.6
PlaceboChange From Baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Total Score and Subscales Scores for Pain, Function, and Stiffness to Week 52Physical function subscore: Change from baseline to Week 52-12.7 score on a scaleStandard Deviation 13.9
Comparison: Total score: Estimate (Standard Error) of adjusted difference from baseline to last post baseline value between treatment groups means: placebo minus GLPG1972 dose using MMRM including fixed, categorical effects of treatment, region (Asia and Rest of the World), time and treatment-by-time interaction, as well as continuous, fixed covariates of baseline and time-by-baseline interaction preceded by multiple imputation step for participants without post baseline value.p-value: 0.46795% CI: [-5.6, 1.3]Mixed Models Analysis
Comparison: Total score: Estimate (Standard Error) of adjusted difference from baseline to last post baseline value between treatment groups means: placebo minus GLPG1972 dose using MMRM including fixed, categorical effects of treatment, region (Asia and Rest of the World), time and treatment-by-time interaction, as well as continuous, fixed covariates of baseline and time-by-baseline interaction preceded by multiple imputation step for participants without post baseline value.p-value: 0.55795% CI: [-5.4, 1.5]Mixed Models Analysis
Comparison: Total score: Estimate (Standard Error) of adjusted difference from baseline to last post baseline value between treatment groups means: placebo minus GLPG1972 dose using MMRM including fixed, categorical effects of treatment, region (Asia and Rest of the World), time and treatment-by-time interaction, as well as continuous, fixed covariates of baseline and time-by-baseline interaction preceded by multiple imputation step for participants without post baseline value.p-value: 0.59395% CI: [-5.3, 1.6]Mixed Models Analysis
Comparison: Pain subscore: Estimate (Standard Error) of adjusted difference from baseline to last post baseline value between treatment groups means: placebo minus GLPG1972 dose using MMRM including fixed, categorical effects of treatment, region (Asia and Rest of the World), time and treatment-by-time interaction, as well as continuous, fixed covariates of baseline and time-by-baseline interaction preceded by multiple imputation step for participants without post baseline value.p-value: 0.77695% CI: [-1, 0.4]Mixed Models Analysis
Comparison: Pain subscore: Estimate (Standard Error) of adjusted difference from baseline to last post baseline value between treatment groups means: placebo minus GLPG1972 dose using MMRM including fixed, categorical effects of treatment, region (Asia and Rest of the World), time and treatment-by-time interaction, as well as continuous, fixed covariates of baseline and time-by-baseline interaction preceded by multiple imputation step for participants without post baseline value.p-value: 0.44695% CI: [-1.2, 0.3]Mixed Models Analysis
Comparison: Pain subscore: Estimate (Standard Error) of adjusted difference from baseline to last post baseline value between treatment groups means: placebo minus GLPG1972 dose using MMRM including fixed, categorical effects of treatment, region (Asia and Rest of the World), time and treatment-by-time interaction, as well as continuous, fixed covariates of baseline and time-by-baseline interaction preceded by multiple imputation step for participants without post baseline value.p-value: 0.64995% CI: [-1.1, 0.4]Mixed Models Analysis
Comparison: Physical function subscore: Estimate (Standard Error) of adjusted difference from baseline to last post baseline value between treatment groups means: placebo minus GLPG1972 dose using MMRM including fixed, categorical effects of treatment, region (Asia and Rest of the World), time and treatment-by-time interaction, as well as continuous, fixed covariates of baseline and time-by-baseline interaction preceded by multiple imputation step for participants without post baseline value.p-value: 0.45295% CI: [-4.1, 0.9]Mixed Models Analysis
Comparison: Physical Function subscore: Estimate (Standard Error) of adjusted difference from baseline to last post baseline value between treatment groups means: placebo minus GLPG1972 dose using MMRM including fixed, categorical effects of treatment, region (Asia and Rest of the World), time and treatment-by-time interaction, as well as continuous, fixed covariates of baseline and time-by-baseline interaction preceded by multiple imputation step for participants without post baseline value.p-value: 0.66595% CI: [-3.7, 1.3]Mixed Models Analysis
Comparison: Physical Function subscore: Estimate (Standard Error) of adjusted difference from baseline to last post baseline value between treatment groups means: placebo minus GLPG1972 dose using MMRM including fixed, categorical effects of treatment, region (Asia and Rest of the World), time and treatment-by-time interaction, as well as continuous, fixed covariates of baseline and time-by-baseline interaction preceded by multiple imputation step for participants without post baseline value.p-value: 0.59895% CI: [-3.9, 1.2]Mixed Models Analysis
Comparison: Stiffness subscore: Estimate (Standard Error) of adjusted difference from baseline to last post baseline value between treatment groups means: placebo minus GLPG1972 dose using MMRM including fixed, categorical effects of treatment, region (Asia and Rest of the World), time and treatment-by-time interaction, as well as continuous, fixed covariates of baseline and time-by-baseline interaction preceded by multiple imputation step for participants without post baseline value.p-value: 0.495% CI: [-0.6, 0.1]Mixed Models Analysis
Comparison: Stiffness subscore: Estimate (Standard Error) of adjusted difference from baseline to last post baseline value between treatment groups means: placebo minus GLPG1972 dose using MMRM including fixed, categorical effects of treatment, region (Asia and Rest of the World), time and treatment-by-time interaction, as well as continuous, fixed covariates of baseline and time-by-baseline interaction preceded by multiple imputation step for participants without post baseline value.p-value: 0.39395% CI: [-0.6, 0.1]Mixed Models Analysis
Comparison: Stiffness subscore: Estimate (Standard Error) of adjusted difference from baseline to last post baseline value between treatment groups means: placebo minus GLPG1972 dose using MMRM including fixed, categorical effects of treatment, region (Asia and Rest of the World), time and treatment-by-time interaction, as well as continuous, fixed covariates of baseline and time-by-baseline interaction preceded by multiple imputation step for participants without post baseline value.p-value: 0.85895% CI: [-0.5, 0.2]Mixed Models Analysis
Secondary

Number of Participants Who Have Used at Least 1 Systemic Analgesic During the Study

Systemic analgesics included anti-inflammatory and anti-rheumatic products; analgesics; anti-diarrheals, intestinal, anti-inflammatory/anti-infective agents; and drugs for functional gastrointestinal disorders.

Time frame: Baseline up to Week 52

Population: Analysis was based on mRS.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
GLPG1972 75 mgNumber of Participants Who Have Used at Least 1 Systemic Analgesic During the StudyAnti-diarrheals, intestinal anti-inflammatory/anti-infective agents0 Participants
GLPG1972 75 mgNumber of Participants Who Have Used at Least 1 Systemic Analgesic During the StudyAnti-inflammatory and anti-rheumatic products173 Participants
GLPG1972 75 mgNumber of Participants Who Have Used at Least 1 Systemic Analgesic During the StudyDrugs for functional gastrointestinal disorders1 Participants
GLPG1972 75 mgNumber of Participants Who Have Used at Least 1 Systemic Analgesic During the StudyAnalgesics127 Participants
GLPG1972 75 mgNumber of Participants Who Have Used at Least 1 Systemic Analgesic During the StudyParticipants with at least one treatment216 Participants
GLPG1972 150 mgNumber of Participants Who Have Used at Least 1 Systemic Analgesic During the StudyAnalgesics135 Participants
GLPG1972 150 mgNumber of Participants Who Have Used at Least 1 Systemic Analgesic During the StudyAnti-diarrheals, intestinal anti-inflammatory/anti-infective agents1 Participants
GLPG1972 150 mgNumber of Participants Who Have Used at Least 1 Systemic Analgesic During the StudyDrugs for functional gastrointestinal disorders0 Participants
GLPG1972 150 mgNumber of Participants Who Have Used at Least 1 Systemic Analgesic During the StudyAnti-inflammatory and anti-rheumatic products167 Participants
GLPG1972 150 mgNumber of Participants Who Have Used at Least 1 Systemic Analgesic During the StudyParticipants with at least one treatment213 Participants
GLPG1972 300 mgNumber of Participants Who Have Used at Least 1 Systemic Analgesic During the StudyAnalgesics118 Participants
GLPG1972 300 mgNumber of Participants Who Have Used at Least 1 Systemic Analgesic During the StudyParticipants with at least one treatment211 Participants
GLPG1972 300 mgNumber of Participants Who Have Used at Least 1 Systemic Analgesic During the StudyAnti-inflammatory and anti-rheumatic products180 Participants
GLPG1972 300 mgNumber of Participants Who Have Used at Least 1 Systemic Analgesic During the StudyAnti-diarrheals, intestinal anti-inflammatory/anti-infective agents1 Participants
GLPG1972 300 mgNumber of Participants Who Have Used at Least 1 Systemic Analgesic During the StudyDrugs for functional gastrointestinal disorders0 Participants
PlaceboNumber of Participants Who Have Used at Least 1 Systemic Analgesic During the StudyAnti-diarrheals, intestinal anti-inflammatory/anti-infective agents1 Participants
PlaceboNumber of Participants Who Have Used at Least 1 Systemic Analgesic During the StudyAnti-inflammatory and anti-rheumatic products178 Participants
PlaceboNumber of Participants Who Have Used at Least 1 Systemic Analgesic During the StudyParticipants with at least one treatment212 Participants
PlaceboNumber of Participants Who Have Used at Least 1 Systemic Analgesic During the StudyAnalgesics128 Participants
PlaceboNumber of Participants Who Have Used at Least 1 Systemic Analgesic During the StudyDrugs for functional gastrointestinal disorders0 Participants
Secondary

Number of Participants Who Were Osteoarthritis (OA) Structural Progressors Based on Cartilage Thickness in the cMTFC Assessed by qMRI on the Target Knee

A structural progressor was defined as a participant who had an 8% cartilage loss in cMTFC. Number of participants who met the criteria of structural progressor at Week 52 are provided.

Time frame: Week 52

Population: Analysis was based on the mRS. Overall number of participants analyzed included participants with available data of cartilage thickness in the cMTFC at Week 52.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
GLPG1972 75 mgNumber of Participants Who Were Osteoarthritis (OA) Structural Progressors Based on Cartilage Thickness in the cMTFC Assessed by qMRI on the Target Knee22 Participants
GLPG1972 150 mgNumber of Participants Who Were Osteoarthritis (OA) Structural Progressors Based on Cartilage Thickness in the cMTFC Assessed by qMRI on the Target Knee34 Participants
GLPG1972 300 mgNumber of Participants Who Were Osteoarthritis (OA) Structural Progressors Based on Cartilage Thickness in the cMTFC Assessed by qMRI on the Target Knee25 Participants
PlaceboNumber of Participants Who Were Osteoarthritis (OA) Structural Progressors Based on Cartilage Thickness in the cMTFC Assessed by qMRI on the Target Knee35 Participants
Comparison: Estimate (Standard Error of log \[estimate\]) of the adjusted odds ratio between GLPG1972 dose regimen and placebo: between the proportions of participants with response: placebo versus GLPG1972 dose regimenp-value: 0.39695% CI: [0.84, 2.58]Logistic Model
Comparison: Estimate (Standard Error of log \[estimate\]) of the adjusted odds ratio between GLPG1972 dose regimen and placebo: between the proportions of participants with response: placebo versus GLPG1972 dose regimenp-value: 0.95195% CI: [0.53, 1.5]Logistic Model
Comparison: Estimate (Standard Error of log \[estimate\]) of the adjusted odds ratio between GLPG1972 dose regimen and placebo: between the proportions of participants with response: placebo versus GLPG1972 dose regimenp-value: 0.98595% CI: [0.64, 1.83]Logistic Model
Secondary

Number of Participants Who Were Responders Based on the Outcome Measures in Rheumatology - Osteoarthritis Research Society International (OMERACT-OARSI) Criteria

OMERACT-OARSI criteria involves improvement based on WOMAC pain and function subscales and PGA. The responders according to OMERACT-OARSI criteria were participants who had: * A high improvement in pain or in function ≥ 50% and absolute change ≥ 20, OR * Improvement in at least 2 of the 3 following: * Pain ≥ 20% and absolute change ≥ 10 * Function ≥ 20% and absolute change ≥ 10 * Patient's global assessment ≥ 20% and absolute change ≥ 10. WOMAC pain subscale score: range of 0 to 20, higher scores indicating more pain, WOMAC physical function subscale score: range of 0 to 68, higher scores indicating worse physical function), PGA: The participant was asked Considering all the ways in which your knee osteoarthritis affects you, please rate on this 100 mm scale how well you are doing today. The participants rated disease activity by marking on a 100-mm VAS, with 0 being no pain and 100 being extreme pain. Higher score indicated higher disease activity.

Time frame: Week 52

Population: Analysis was based on the mRS. Overall number of participants analyzed included participants with available data of WOMAC pain and function subscales and PGA at Week 52.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
GLPG1972 75 mgNumber of Participants Who Were Responders Based on the Outcome Measures in Rheumatology - Osteoarthritis Research Society International (OMERACT-OARSI) Criteria125 Participants
GLPG1972 150 mgNumber of Participants Who Were Responders Based on the Outcome Measures in Rheumatology - Osteoarthritis Research Society International (OMERACT-OARSI) Criteria119 Participants
GLPG1972 300 mgNumber of Participants Who Were Responders Based on the Outcome Measures in Rheumatology - Osteoarthritis Research Society International (OMERACT-OARSI) Criteria103 Participants
PlaceboNumber of Participants Who Were Responders Based on the Outcome Measures in Rheumatology - Osteoarthritis Research Society International (OMERACT-OARSI) Criteria127 Participants
Comparison: Estimate (Standard Error of log \[estimate\]) of the adjusted odds ratio between GLPG1972 dose regimen and placebo: between the proportions of participants with response: placebo versus GLPG1972 dose regimen.p-value: 0.99195% CI: [0.7, 1.58]Logistic Model
Comparison: Estimate (Standard Error of log \[estimate\]) of the adjusted odds ratio between GLPG1972 dose regimen and placebo: between the proportions of participants with response: placebo versus GLPG1972 dose regimen.p-value: 0.99295% CI: [0.64, 1.43]Logistic Model
Comparison: Estimate (Standard Error of log \[estimate\]) of the adjusted odds ratio between GLPG1972 dose regimen and placebo: between the proportions of participants with response: placebo versus GLPG1972 dose regimen.p-value: 0.65395% CI: [0.55, 1.23]Logistic Model
Secondary

Number of Participants With Treatment-emergent Adverse Event (TEAE)

TEAEs were defined as all adverse events (AEs) that occurred: * between first IMP intake date (included) and last visit of participant, or * before first IMP intake date and that worsened (in terms of intensity) or became serious according to investigator opinion between first IMP intake date (included) and last visit of participant. Number of participants with at least 1 TEAE (serious or non-serious) are reported.

Time frame: Baseline up to 2-weeks after last dose of IMP (up to Week 54)

Population: Safety Set: All participants having taken at least one dose of IMP.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
GLPG1972 75 mgNumber of Participants With Treatment-emergent Adverse Event (TEAE)174 Participants
GLPG1972 150 mgNumber of Participants With Treatment-emergent Adverse Event (TEAE)177 Participants
GLPG1972 300 mgNumber of Participants With Treatment-emergent Adverse Event (TEAE)174 Participants
PlaceboNumber of Participants With Treatment-emergent Adverse Event (TEAE)174 Participants
Secondary

Plasma Concentrations of GLPG1972

Time frame: Pre-dose at Weeks 4, 12, and 52; Pre-dose and one post-dose sample (2-4 hours interval) at Week 28; one post dose sample (interval 4-8 hours) at Week 40

Population: Overall number of participants included participants with available data for plasma concentrations of GLPG1972. Number of participants analyzed included participants with available data for plasma concentrations of GLPG1972 at individual timepoints. As participants in the placebo arm did not receive GLPG1972, measurement of plasma concentrations of GLPG1972 for placebo arm is not applicable.

ArmMeasureGroupValue (MEAN)Dispersion
GLPG1972 75 mgPlasma Concentrations of GLPG1972Week 4: Pre-dose0.445 μg/mLStandard Deviation 0.319
GLPG1972 75 mgPlasma Concentrations of GLPG1972Week 12: Pre-dose0.474 μg/mLStandard Deviation 0.685
GLPG1972 75 mgPlasma Concentrations of GLPG1972Week 28: Pre-dose0.457 μg/mLStandard Deviation 0.409
GLPG1972 75 mgPlasma Concentrations of GLPG1972Week 28: 2-4 hours post-dose1.399 μg/mLStandard Deviation 0.668
GLPG1972 75 mgPlasma Concentrations of GLPG1972Week 40: 4-8 hours post-dose1.54 μg/mLStandard Deviation 0.678
GLPG1972 75 mgPlasma Concentrations of GLPG1972Week 52: Pre-dose0.603 μg/mLStandard Deviation 0.6
GLPG1972 150 mgPlasma Concentrations of GLPG1972Week 52: Pre-dose1.12 μg/mLStandard Deviation 1.048
GLPG1972 150 mgPlasma Concentrations of GLPG1972Week 4: Pre-dose1 μg/mLStandard Deviation 0.946
GLPG1972 150 mgPlasma Concentrations of GLPG1972Week 28: 2-4 hours post-dose2.609 μg/mLStandard Deviation 1.022
GLPG1972 150 mgPlasma Concentrations of GLPG1972Week 40: 4-8 hours post-dose3.13 μg/mLStandard Deviation 1.2
GLPG1972 150 mgPlasma Concentrations of GLPG1972Week 12: Pre-dose0.952 μg/mLStandard Deviation 0.794
GLPG1972 150 mgPlasma Concentrations of GLPG1972Week 28: Pre-dose0.857 μg/mLStandard Deviation 0.696
GLPG1972 300 mgPlasma Concentrations of GLPG1972Week 12: Pre-dose1.788 μg/mLStandard Deviation 1.51
GLPG1972 300 mgPlasma Concentrations of GLPG1972Week 28: Pre-dose1.714 μg/mLStandard Deviation 1.206
GLPG1972 300 mgPlasma Concentrations of GLPG1972Week 52: Pre-dose2.132 μg/mLStandard Deviation 1.597
GLPG1972 300 mgPlasma Concentrations of GLPG1972Week 28: 2-4 hours post-dose4.764 μg/mLStandard Deviation 1.912
GLPG1972 300 mgPlasma Concentrations of GLPG1972Week 4: Pre-dose2.013 μg/mLStandard Deviation 1.468
GLPG1972 300 mgPlasma Concentrations of GLPG1972Week 40: 4-8 hours post-dose5.664 μg/mLStandard Deviation 2.425

Source: ClinicalTrials.gov · Data processed: Feb 21, 2026