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

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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.


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
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30 Pointe Circle
Greenville, South Carolina 29615
(864)255-3540
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6804 South Canton
Tulsa, Oklahoma 74136
918-524-5205
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Albuquerque, New Mexico
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Baton Rouge, Louisiana 70809
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Columbia, South Carolina 29201
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Duncansville, Pennsylvania 16635
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Honolulu, Hawaii 96814
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Huntington Beach, California 92646
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Johnson City, Tennessee 37601
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Jupiter, Florida 33458
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Oklahoma City, Oklahoma 73103
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Omaha, Nebraska 68134
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Overland Park, Kansas 66215
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Rochester, New York 14609
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29200 Harper Avenue
Saint Clair Shores, Michigan 48081
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San Antonio, Texas 78228
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Shreveport, Louisiana 71115
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Topeka, KS
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