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)
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
2 other identifiers
interventional
432
18 countries
89
Brief Summary
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Dec 2008
89 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 1, 2008
CompletedFirst Submitted
Initial submission to the registry
January 8, 2009
CompletedFirst Posted
Study publicly available on registry
January 9, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2010
CompletedResults Posted
Study results publicly available
May 6, 2011
CompletedJuly 17, 2018
June 1, 2018
1.7 years
January 8, 2009
February 28, 2011
June 19, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Core Study: Mean Number of Gout Flares Per Participant
A gout flare was defined as an increase in participant-reported gout pain in the most affected joint during a gout attack.
Baseline of the core study to Week 16
Secondary Outcomes (11)
Core Study: Mean Number of Gout Flares for the Repeat Dose Regimen of Canakinumab as Compared to the Single Doses of Canakinumab
up to 16 weeks after randomization
Core Study: Percentage of Participants With at Least 1 Gout Flare Within 16 Weeks After Randomization
Baseline of the core study to Week 16
Core Study: Percentage of Participants With Gout Flare at Different Time Points
Days 2, 4, 6, and Weeks 2, 4, 6, 10, and 16 of the core study
Core Study: Participant's Assessment of Gout Pain on a 0-100 mm Visual Analog Scale up to Day 7 of All Gout Flares
Baseline of the core study to Week 16
Core Study: Participant's Assessment of Gout Pain on a 5-point Likert Scale up to Day 7 of All Gout Flares
Baseline of the core study to Week 16
- +6 more secondary outcomes
Study Arms (11)
Core study: Canakinumab 25 mg
EXPERIMENTALCanakinumab 25 mg subcutaneously (sc) once at Day 1, placebo sc at Days 29, 57, and 85 plus daily placebo capsules for 16 weeks. Allopurinol treatment was initiated at the latest at baseline (Visit 2) according to the patient's renal function / estimated creatinine clearance at screening (Visit 1). Allopurinol was administered orally to all randomized patients once daily (100 mg-300 mg) for 24 weeks.
Core study: Canakinumab 50 mg
EXPERIMENTALCanakinumab 50 mg sc once at Day 1, placebo sc at Days 29, 57, and 85 plus daily placebo capsules for 16 weeks. Allopurinol treatment was initiated at the latest at baseline (Visit 2) according to the patient's renal function / estimated creatinine clearance at screening (Visit 1). Allopurinol was administered orally to all randomized patients once daily (100 mg-300 mg) for 24 weeks.
Core study: Canakinumab 100 mg
EXPERIMENTALCanakinumab 100 mg sc once at Day 1, placebo sc at Days 29, 57, and 85 plus daily placebo capsules for 16 weeks. Allopurinol treatment was initiated at the latest at baseline (Visit 2) according to the patient's renal function / estimated creatinine clearance at screening (Visit 1). Allopurinol was administered orally to all randomized patients once daily (100 mg-300 mg) for 24 weeks.
Core study: Canakinumab 200 mg
EXPERIMENTALCanakinumab 100 mg sc once at Day 1, placebo sc at Days 29, 57, and 85 plus daily placebo capsules for 16 weeks. Allopurinol treatment was initiated at the latest at baseline (Visit 2) according to the patient's renal function / estimated creatinine clearance at screening (Visit 1). Allopurinol was administered orally to all randomized patients once daily (100 mg-300 mg) for 24 weeks.
Core study: Canakinumab 300 mg
EXPERIMENTALCanakinumab 300 mg sc once at Day 1, placebo sc at Days 29, 57, and 85 plus daily placebo capsules for 16 weeks. Allopurinol treatment was initiated at the latest at baseline (Visit 2) according to the patient's renal function / estimated creatinine clearance at screening (Visit 1). Allopurinol was administered orally to all randomized patients once daily (100 mg-300 mg) for 24 weeks.
Core study: Canakinumab q4wk
EXPERIMENTALCanakinumab 50 mg sc at Days 1, and 29 followed by canakinumab 25 mg sc on Days 57, and 85 plus daily placebo capsules for 16 weeks, repeated every 4 week (q4wk). Allopurinol treatment was initiated at the latest at baseline (Visit 2) according to the patient's renal function / estimated creatinine clearance at screening (Visit 1). Allopurinol was administered orally to all randomized patients once daily (100 mg-300 mg) for 24 weeks.
Core study: Colchicine 0.5 mg
ACTIVE COMPARATORColchicine 0.5 mg capsule orally once daily throughout the whole treatment phase of 16 weeks plus placebo matching canakinumab s.c. at Days 1, 29, 57, and 85. Allopurinol treatment was initiated at the latest at baseline (Visit 2) according to the patient's renal function / estimated creatinine clearance at screening (Visit 1). Allopurinol was administered orally to all randomized patients once daily (100 mg-300 mg) for 24 weeks.
Extension study: Group A
EXPERIMENTALParticipants who were randomized to canakinumab in the core study and were treated with canakinumab for at least 1 flare in the extension study.
Extension study: Group B
EXPERIMENTALPatients who were randomized to canakinumab in the core study but did not receive treatment with canakinumab in the extension study.
Extension study: Group C
EXPERIMENTALPatients who were randomized to colchicine in the core study and were treated with canakinumab for at least 1 flare in the extension study.
Extension study: Group D
EXPERIMENTALPatients who were randomized to colchicine in the core study but did not receive treatment with canakinumab in the extension study.
Interventions
Canakinumab was supplied in glass vials as a lyophilized powder.
0.5 mg capsule orally once daily for 16 weeks.
100-300 mg orally once daily for 24 weeks.
Subcutaneous injection.
Capsule orally once daily for 16 weeks.
Eligibility Criteria
You may qualify if:
- 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.
You may not qualify if:
- 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
- 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.
- 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).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (89)
Talbert Medical Group
Huntington Beach, California, 92646, United States
San Diego Arthritis & Osteoporosis Medical clinic
San Diego, California, United States
Health Awareness
Jupiter, Florida, 33458, United States
East-West Medical Research institute
Honolulu, Hawaii, 96814, United States
Pinnacle Medical Research
Overland Park, Kansas, 66215, United States
Cotton O'Neil Clinical Research Institute
Topeka, Kansas, United States
Dolby Research, LLC
Baton Rouge, Louisiana, 70809, United States
The Family Doctors
Shreveport, Louisiana, 71115, United States
Shores Rheumatology
Saint Clair Shores, Michigan, 48081, United States
Heartland Clinical Research, Inc.
Omaha, Nebraska, United States
NM Clinical Research & Osteoporosis Ct.
Albuquerque, New Mexico, United States
Rochester clinical Research
Rochester, New York, 14609, United States
Health Research of Oklahoma, PLLC
Oklahoma City, Oklahoma, 73103, United States
Castlerock Clinical Research Consultants, LLC
Tulsa, Oklahoma, 74136, United States
Altoona Center for Clinical Research
Duncansville, Pennsylvania, 16635, United States
Columbia Clinical Research
Columbia, South Carolina, 29201, United States
Upstate Pharmaceutical Research
Greenville, South Carolina, 29615, United States
MultiSpecialty Clinical Research
Johnson City, Tennessee, United States
iMED Internal medicine, PA
San Antonio, Texas, 78228, United States
Novartis Investigative site
Buenos Aires, Argentina
Novartis Investigative Site
Córdoba, Argentina
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Rosario, Argentina
Novartis Investigative Site
Gozée, Belgium
Novartis Investigative site
Oostham, Belgium
Novartis Investigative Site
Bacaramanga, Colombia
Novartis Investigative Site
Barranquilla, Colombia
Novartis Investigative Site
Bogotá, Colombia
Fundación Cardiovascular de Colombia
Florida Blanca, Colombia
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Havířov, Czechia
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Ostrava, Czechia
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Pardubice, Czechia
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Uherské Hradiště, Czechia
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Zlín, Czechia
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Bautzen, Germany
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Chemnitz, Germany
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Dresden, Germany
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Frankfurt, Germany
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Georgensgmünd, Germany
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Göttingen, Germany
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Hamburg, Germany
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Magdeburg, Germany
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Messkirch, Germany
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München, Germany
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Riedlhuette, Germany
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Schwabach, Germany
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Guatemala City, Guatemala
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Debrecen, Hungary
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Eger, Hungary
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Kistarcsa, Hungary
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Zalaegerszeg, Hungary
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Poznan, Poland
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Wroclaw, Poland
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Coimbra, Portugal
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Lisbon, Portugal
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Ponte de Lima, Portugal
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Chelyabinsk, Russia
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Moscow, Russia
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Petrozavodsk, Russia
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Saint Petersburg, Russia
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Yaroslavl, Russia
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Yekaterinburg, Russia
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Singapore, Singapore
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Banská Bystrica, Slovakia
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Bratislava, Slovakia
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Košice, Slovakia
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Nové Zámky, Slovakia
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Piešťany, Slovakia
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Považská Bystrica, Slovakia
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Trebišov, Slovakia
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Cape Town, South Africa
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Panorama, South Africa
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Port Elizabeth, South Africa
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Barakaldo, Spain
Novartis Investigative site
Madrid, Spain
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Mérida, Spain
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Valencia, Spain
Novartis Investigative site
Kaohsiung City, Taiwan
Novartis Investigative site
Taichung, Taiwan
Novartis Investigative site
Taipei, Taiwan
Baskent University Medical Faculty
Adana, Turkey (Türkiye)
Baskent University Medical Faculty
Ankara, Turkey (Türkiye)
Adnan Menderes University Medical Faculty
Aydin, Turkey (Türkiye)
Cukurova University Medical Faculty
Balcali Adana, Turkey (Türkiye)
Pamukkale University medical Faculty
Denizli Kampus, Turkey (Türkiye)
Gaziantep University Medical Faculty
Gaziantep, Turkey (Türkiye)
Dokuz Eylul University Medical Faculty
Izmir, Turkey (Türkiye)
Celal Bayar University Medical Faculty
Manisa, Turkey (Türkiye)
Gables Medicentre
Coventry, United Kingdom
Flyde Coast Clinical Research Ltd
Lancashire, United Kingdom
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Study Director
- Organization
- Novartis Pharmaceuticals
Study Officials
- STUDY DIRECTOR
Novartis Pharmaceuticals
Novartis Pharmaceuticals
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 8, 2009
First Posted
January 9, 2009
Study Start
December 1, 2008
Primary Completion
August 1, 2010
Study Completion
August 1, 2010
Last Updated
July 17, 2018
Results First Posted
May 6, 2011
Record last verified: 2018-06