A Study of the Efficacy of Canakinumab in Prevention of Acute Flares in Chronic Gout Patients Initiating Allopurinol Therapy (Core Study) and a Long-term Study of the Efficacy and Safety of Canakinumab in Patients With Gout (Extension Study)
Status: | Completed |
---|---|
Conditions: | Gout |
Therapuetic Areas: | Rheumatology |
Healthy: | No |
Age Range: | 18 - 80 |
Updated: | 7/19/2018 |
Start Date: | December 2008 |
End Date: | August 2010 |
A 24-week, Dose-ranging, Multicenter, Double-blind, Double-dummy, Active-controlled Core Study to Evaluate Canakinumab for Prophylaxis of Signs and Symptoms of Acute Flares in Chronic Gout Patients Initiating Allopurinol Therapy and a 24-week Open-label, Multicenter Extension Study to Assess Safety, Tolerability and Efficacy of Canakinumab in Patients With Gout Who Are Given Canakinumab at the Time of Gout Flare
The 24-week, dose-ranging, multi-center, double-blind, double-dummy, active-controlled core
study investigated the prophylactic effect of canakinumab on the signs and symptoms of acute
flares in chronic gout patients initiating allopurinol therapy. The core study was followed
by a 24-week open-label, multicenter extension study to assess the safety, tolerability, and
efficacy of canakinumab in patients with gout who were given canakinumab at the time of gout
flare.
study investigated the prophylactic effect of canakinumab on the signs and symptoms of acute
flares in chronic gout patients initiating allopurinol therapy. The core study was followed
by a 24-week open-label, multicenter extension study to assess the safety, tolerability, and
efficacy of canakinumab in patients with gout who were given canakinumab at the time of gout
flare.
Core study
Inclusion Criteria:
- Signed written informed consent before any study procedure is performed.
- History of at least 2 gout flares in the year prior to Screening (Visit 1, based on
patient history), thus, candidates for initiating uric acid lowering therapy.
- Confirmed diagnosis of gout meeting the American College of Rheumatology (ACR) 1977
preliminary criteria for the classification of arthritis of primary gout.
- Body Mass Index (BMI) ≤ 40 kg/m^2.
- Willingness to initiate allopurinol therapy as urate lowering agent for their gout
therapy or having initiated allopurinol therapy within ≤ 1 month before Screening
(Visit 1) or willing to re-initiate allopurinol therapy if this was stopped > 2 months
before Screening (Visit 1) for reasons different to toxicity/ intolerance or lack of
efficacy.
Exclusion Criteria:
- Acute gout flare within 2 weeks of Screening (Visit 1) and during the Screening
period.
- History of allergy or contraindication to colchicine or allopurinol.
- History of intolerance to allopurinol or to oral colchicine in appropriate dose for
prophylactic use.
- History of bone marrow suppression.
- Absolute or relative contraindication to both naproxen and oral prednisolone/
prednisone.
Extension study
Inclusion criteria:
- Patients who completed the core study. A patient is defined as completing the core
study if he/she completed the study up to and including the last visit (Visit 9).
- Patients who have signed a written informed consent before any trial procedure is
performed.
Exclusion Criteria:
- Patients for whom continuation in the extension study is not considered appropriate by
the treating physician.
- Pregnant or nursing (lactating) women, where pregnancy is defined as the state of a
female after conception and until the termination of gestation, confirmed by a
positive pregnancy test (serum or urine).
Other protocol-defined inclusion/exclusion criteria applied to the study.
We found this trial at
20
sites
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