NCT01477346

Brief Summary

The purpose of this study is to determine in community-derived patients with gout the effectiveness, and cost effectiveness, of a nurse-led complex intervention that reflects recommended best practice (including patient information concerning gout, its prognosis and its non-pharmacological and drug options).

Trial Health

87
On Track

Trial Health Score

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

Enrollment
517

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Mar 2013

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

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

First Submitted

Initial submission to the registry

November 14, 2011

Completed
8 days until next milestone

First Posted

Study publicly available on registry

November 22, 2011

Completed
1.3 years until next milestone

Study Start

First participant enrolled

March 1, 2013

Completed
3.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2016

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2016

Completed
Last Updated

January 5, 2017

Status Verified

January 1, 2017

Enrollment Period

3.6 years

First QC Date

November 14, 2011

Last Update Submit

January 4, 2017

Conditions

Outcome Measures

Primary Outcomes (1)

  • Reduction in serum uric acid levels

    2 years

Secondary Outcomes (2)

  • Reduction in number of self reported acute attacks during year 2

    2 years

  • Improved Quality of Life scores at study end

    2 years

Study Arms (2)

Nurse intervention

OTHER

Nurse led package of care based on current recommended best practice.

Other: Nurse intervention

Standard care

OTHER

Continuing standard general practitioner led care

Other: Standard care

Interventions

Complex package of care involving patient information and advice concerning lifestyle modification and recommended drug therapy.

Nurse intervention

Continuing standard General Practitioner led care.

Standard care

Eligibility Criteria

Age21 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Diagnosis of gout
  • At least one acute attack of gout within previous 12 months

You may not qualify if:

  • \- Inability to give informed consent and known terminal or mental illness

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Academic Rheumatology, University of Nottingham

Nottingham, NG5 1PB, United Kingdom

Location

Related Publications (2)

  • Stamp LK, Frampton C, Morillon MB, Taylor WJ, Dalbeth N, Singh JA, Doherty M, Zhang W, Richardson H, Sarmanova A, Christensen R. Association between serum urate and flares in people with gout and evidence for surrogate status: a secondary analysis of two randomised controlled trials. Lancet Rheumatol. 2022 Jan;4(1):e53-e60. doi: 10.1016/S2665-9913(21)00319-2. Epub 2021 Nov 5.

  • Doherty M, Jenkins W, Richardson H, Sarmanova A, Abhishek A, Ashton D, Barclay C, Doherty S, Duley L, Hatton R, Rees F, Stevenson M, Zhang W. Efficacy and cost-effectiveness of nurse-led care involving education and engagement of patients and a treat-to-target urate-lowering strategy versus usual care for gout: a randomised controlled trial. Lancet. 2018 Oct 20;392(10156):1403-1412. doi: 10.1016/S0140-6736(18)32158-5.

MeSH Terms

Conditions

Gout

Interventions

Standard of Care

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)

Quality Indicators, Health CareQuality of Health CareHealth Services AdministrationHealth Care Quality, Access, and Evaluation

Study Officials

  • Michael Doherty, MA MD FRCP

    University of Nottingham

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 14, 2011

First Posted

November 22, 2011

Study Start

March 1, 2013

Primary Completion

October 1, 2016

Study Completion

October 1, 2016

Last Updated

January 5, 2017

Record last verified: 2017-01

Data Sharing

IPD Sharing
Will not share

Locations