• A Phase III trial (DIVERSITY) of filgotinib in Crohn's disease showed mixed results, failing to meet several primary endpoints for clinical remission and endoscopic response in induction studies.
• In biologic-experienced patients, filgotinib 200mg achieved statistically significant clinical remission at week 10 compared to placebo (30% vs 18%, P=0.0039), but not in biologic-naive patients.
• During the maintenance phase at 58 weeks, filgotinib 200mg demonstrated significant clinical and endoscopic remission compared to placebo (44% vs 26%, P=0.038 and 30% vs 9%, P=0.0038, respectively).
• Experts suggest study design limitations, such as early endoscopic assessment and high corticosteroid use, may have masked filgotinib's efficacy, warranting further investigation.