NCT00819585

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

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
432

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Dec 2008

Geographic Reach
18 countries

89 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

December 1, 2008

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

January 8, 2009

Completed
1 day until next milestone

First Posted

Study publicly available on registry

January 9, 2009

Completed
1.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2010

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2010

Completed
9 months until next milestone

Results Posted

Study results publicly available

May 6, 2011

Completed
Last Updated

July 17, 2018

Status Verified

June 1, 2018

Enrollment Period

1.7 years

First QC Date

January 8, 2009

Results QC Date

February 28, 2011

Last Update Submit

June 19, 2018

Conditions

Keywords

GoutChronic goutGouty arthritisGout flares

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

EXPERIMENTAL

Canakinumab 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.

Drug: CanakinumabDrug: AllopurinolDrug: Placebo Matching CanakinumabDrug: Placebo Matching Colchicine

Core study: Canakinumab 50 mg

EXPERIMENTAL

Canakinumab 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.

Drug: CanakinumabDrug: AllopurinolDrug: Placebo Matching CanakinumabDrug: Placebo Matching Colchicine

Core study: Canakinumab 100 mg

EXPERIMENTAL

Canakinumab 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.

Drug: CanakinumabDrug: AllopurinolDrug: Placebo Matching CanakinumabDrug: Placebo Matching Colchicine

Core study: Canakinumab 200 mg

EXPERIMENTAL

Canakinumab 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.

Drug: CanakinumabDrug: AllopurinolDrug: Placebo Matching CanakinumabDrug: Placebo Matching Colchicine

Core study: Canakinumab 300 mg

EXPERIMENTAL

Canakinumab 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.

Drug: CanakinumabDrug: AllopurinolDrug: Placebo Matching CanakinumabDrug: Placebo Matching Colchicine

Core study: Canakinumab q4wk

EXPERIMENTAL

Canakinumab 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.

Drug: CanakinumabDrug: AllopurinolDrug: Placebo Matching Colchicine

Core study: Colchicine 0.5 mg

ACTIVE COMPARATOR

Colchicine 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.

Drug: ColchicineDrug: AllopurinolDrug: Placebo Matching Canakinumab

Extension study: Group A

EXPERIMENTAL

Participants who were randomized to canakinumab in the core study and were treated with canakinumab for at least 1 flare in the extension study.

Drug: Canakinumab

Extension study: Group B

EXPERIMENTAL

Patients who were randomized to canakinumab in the core study but did not receive treatment with canakinumab in the extension study.

Drug: Canakinumab

Extension study: Group C

EXPERIMENTAL

Patients who were randomized to colchicine in the core study and were treated with canakinumab for at least 1 flare in the extension study.

Drug: CanakinumabDrug: Colchicine

Extension study: Group D

EXPERIMENTAL

Patients who were randomized to colchicine in the core study but did not receive treatment with canakinumab in the extension study.

Drug: Colchicine

Interventions

Canakinumab was supplied in glass vials as a lyophilized powder.

Core study: Canakinumab 100 mgCore study: Canakinumab 200 mgCore study: Canakinumab 25 mgCore study: Canakinumab 300 mgCore study: Canakinumab 50 mgCore study: Canakinumab q4wkExtension study: Group AExtension study: Group BExtension study: Group C

0.5 mg capsule orally once daily for 16 weeks.

Core study: Colchicine 0.5 mgExtension study: Group CExtension study: Group D

100-300 mg orally once daily for 24 weeks.

Core study: Canakinumab 100 mgCore study: Canakinumab 200 mgCore study: Canakinumab 25 mgCore study: Canakinumab 300 mgCore study: Canakinumab 50 mgCore study: Canakinumab q4wkCore study: Colchicine 0.5 mg

Subcutaneous injection.

Core study: Canakinumab 100 mgCore study: Canakinumab 200 mgCore study: Canakinumab 25 mgCore study: Canakinumab 300 mgCore study: Canakinumab 50 mgCore study: Colchicine 0.5 mg

Capsule orally once daily for 16 weeks.

Core study: Canakinumab 100 mgCore study: Canakinumab 200 mgCore study: Canakinumab 25 mgCore study: Canakinumab 300 mgCore study: Canakinumab 50 mgCore study: Canakinumab q4wk

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

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

Location

San Diego Arthritis & Osteoporosis Medical clinic

San Diego, California, United States

Location

Health Awareness

Jupiter, Florida, 33458, United States

Location

East-West Medical Research institute

Honolulu, Hawaii, 96814, United States

Location

Pinnacle Medical Research

Overland Park, Kansas, 66215, United States

Location

Cotton O'Neil Clinical Research Institute

Topeka, Kansas, United States

Location

Dolby Research, LLC

Baton Rouge, Louisiana, 70809, United States

Location

The Family Doctors

Shreveport, Louisiana, 71115, United States

Location

Shores Rheumatology

Saint Clair Shores, Michigan, 48081, United States

Location

Heartland Clinical Research, Inc.

Omaha, Nebraska, United States

Location

NM Clinical Research & Osteoporosis Ct.

Albuquerque, New Mexico, United States

Location

Rochester clinical Research

Rochester, New York, 14609, United States

Location

Health Research of Oklahoma, PLLC

Oklahoma City, Oklahoma, 73103, United States

Location

Castlerock Clinical Research Consultants, LLC

Tulsa, Oklahoma, 74136, United States

Location

Altoona Center for Clinical Research

Duncansville, Pennsylvania, 16635, United States

Location

Columbia Clinical Research

Columbia, South Carolina, 29201, United States

Location

Upstate Pharmaceutical Research

Greenville, South Carolina, 29615, United States

Location

MultiSpecialty Clinical Research

Johnson City, Tennessee, United States

Location

iMED Internal medicine, PA

San Antonio, Texas, 78228, United States

Location

Novartis Investigative site

Buenos Aires, Argentina

Location

Novartis Investigative Site

Córdoba, Argentina

Location

Novartis Investigative site

Rosario, Argentina

Location

Novartis Investigative Site

Gozée, Belgium

Location

Novartis Investigative site

Oostham, Belgium

Location

Novartis Investigative Site

Bacaramanga, Colombia

Location

Novartis Investigative Site

Barranquilla, Colombia

Location

Novartis Investigative Site

Bogotá, Colombia

Location

Fundación Cardiovascular de Colombia

Florida Blanca, Colombia

Location

Novartis Investigative site

Havířov, Czechia

Location

Novartis Investigative site

Ostrava, Czechia

Location

Novartis Investigative site

Pardubice, Czechia

Location

Novartis Investigative site

Uherské Hradiště, Czechia

Location

Novartis Investigative site

Zlín, Czechia

Location

Novartis Investigative Site

Bautzen, Germany

Location

Novartis Investigative Site

Chemnitz, Germany

Location

Novartis Investigative Site

Dresden, Germany

Location

Novartis Investigative Site

Frankfurt, Germany

Location

Novartis Investigative Site

Georgensgmünd, Germany

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Novartis Investigative Site

Göttingen, Germany

Location

Novartis Investigative Site

Hamburg, Germany

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Novartis Investigative Site

Magdeburg, Germany

Location

Novartis Investigative Site

Messkirch, Germany

Location

Novartis Investigative Site

München, Germany

Location

Novartis Investigative Site

Riedlhuette, Germany

Location

Novartis Investigative Site

Schwabach, Germany

Location

Novartis Investigative site

Guatemala City, Guatemala

Location

Novartis Investigative Site

Debrecen, Hungary

Location

Novartis Investigative Site

Eger, Hungary

Location

Novartis Investigative Site

Kistarcsa, Hungary

Location

Novartis Investigative Site

Zalaegerszeg, Hungary

Location

Novartis Investigative Site

Poznan, Poland

Location

Novartis Investigative Site

Wroclaw, Poland

Location

Novartis Investigative site

Coimbra, Portugal

Location

Novartis Investigative site

Lisbon, Portugal

Location

Novartis Investigative site

Ponte de Lima, Portugal

Location

Novartis Investigative Site

Chelyabinsk, Russia

Location

Novartis Investigative site

Moscow, Russia

Location

Novartis Investigative Site

Petrozavodsk, Russia

Location

Novartis Investigative Site

Saint Petersburg, Russia

Location

Novartis Investigative Site

Yaroslavl, Russia

Location

Novartis Investigative Site

Yekaterinburg, Russia

Location

Novartis Investigative site

Singapore, Singapore

Location

Novartis Investigative Site

Banská Bystrica, Slovakia

Location

Novartis Investigative Site

Bratislava, Slovakia

Location

Novartis Investigative Site

Košice, Slovakia

Location

Novartis Investigative Site

Nové Zámky, Slovakia

Location

Novartis Investigative Site

Piešťany, Slovakia

Location

Novartis Investigative Site

Považská Bystrica, Slovakia

Location

Novartis Investigative site

Trebišov, Slovakia

Location

Novartis Investigative site

Cape Town, South Africa

Location

Novartis Investigative site

Panorama, South Africa

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Novartis Investigative site

Port Elizabeth, South Africa

Location

Novartis Investigative Site

Barakaldo, Spain

Location

Novartis Investigative site

Madrid, Spain

Location

Novartis Investigative site

Mérida, Spain

Location

Novartis Investigative site

Valencia, Spain

Location

Novartis Investigative site

Kaohsiung City, Taiwan

Location

Novartis Investigative site

Taichung, Taiwan

Location

Novartis Investigative site

Taipei, Taiwan

Location

Baskent University Medical Faculty

Adana, Turkey (Türkiye)

Location

Baskent University Medical Faculty

Ankara, Turkey (Türkiye)

Location

Adnan Menderes University Medical Faculty

Aydin, Turkey (Türkiye)

Location

Cukurova University Medical Faculty

Balcali Adana, Turkey (Türkiye)

Location

Pamukkale University medical Faculty

Denizli Kampus, Turkey (Türkiye)

Location

Gaziantep University Medical Faculty

Gaziantep, Turkey (Türkiye)

Location

Dokuz Eylul University Medical Faculty

Izmir, Turkey (Türkiye)

Location

Celal Bayar University Medical Faculty

Manisa, Turkey (Türkiye)

Location

Gables Medicentre

Coventry, United Kingdom

Location

Flyde Coast Clinical Research Ltd

Lancashire, United Kingdom

Location

MeSH Terms

Conditions

GoutArthritis, Gouty

Interventions

canakinumabColchicineAllopurinol

Condition Hierarchy (Ancestors)

ArthritisJoint DiseasesMusculoskeletal DiseasesCrystal ArthropathiesRheumatic DiseasesPurine-Pyrimidine Metabolism, Inborn ErrorsMetabolism, Inborn ErrorsGenetic Diseases, InbornCongenital, Hereditary, and Neonatal Diseases and AbnormalitiesMetabolic DiseasesNutritional and Metabolic Diseases

Intervention Hierarchy (Ancestors)

AlkaloidsHeterocyclic CompoundsPurinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-Ring

Results Point of Contact

Title
Study Director
Organization
Novartis Pharmaceuticals

Study Officials

  • Novartis Pharmaceuticals

    Novartis Pharmaceuticals

    STUDY DIRECTOR

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

Locations