Targeted Dose Finding of Canakinumab (ACZ885) for Management of Acute Flare in Refractory or Contraindicated Gout Patients

NCT ID: NCT00798369

Last Updated: 2012-04-10

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-11-30

Study Completion Date

2009-08-31

Brief Summary

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This 8-week study is designed to determine the target dose of canakinumab (ACZ885) for the management of acute flare in gout patients who are contraindicated to Non-Steroidal anti-inflammatory drugs and/or colchicine. The efficacy of ACZ885 will be compared to the corticosteroid triamcinolone acetonide.

Detailed Description

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Conditions

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Acute Gout

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Canakinumab 10 mg

Canakinumab 10 mg subcutaneous (s.c) once. The s.c. injection could be administered into the arm or thigh. Randomized patients received one s.c. injection of canakinumab and placebo matching triamcinolone acetonide (0.9% sodium chloride) intramuscularly (i.m.) once, on Day 1. The i.m. injection was recommended to be administered deeply into the gluteal muscle.

Group Type EXPERIMENTAL

Canakinumab

Intervention Type DRUG

Randomized patients received one s.c. injection of canakinumab and placebo matching triamcinolone acetonide (0.9% sodium chloride) intramuscularly (i.m.) once, on Day 1. The i.m. injection was recommended to be administered deeply into the gluteal muscle.

Canakinumab 25 mg

Canakinumab 25 mg subcutaneous (s.c) once. The s.c. injection could be administered into the arm or thigh. Randomized patients received one s.c. injection of canakinumab and placebo matching triamcinolone acetonide (0.9% sodium chloride) intramuscularly (i.m.) once, on Day 1. The i.m. injection was recommended to be administered deeply into the gluteal muscle.

Group Type EXPERIMENTAL

Canakinumab

Intervention Type DRUG

Randomized patients received one s.c. injection of canakinumab and placebo matching triamcinolone acetonide (0.9% sodium chloride) intramuscularly (i.m.) once, on Day 1.

Canakinumab 50 mg

Canakinumab 50 mg subcutaneous (s.c) once. The s.c. injection could be administered into the arm or thigh. Randomized patients received one s.c. injection of canakinumab and placebo matching triamcinolone acetonide (0.9% sodium chloride) intramuscularly (i.m.) once, on Day 1. The i.m. injection was recommended to be administered deeply into the gluteal muscle.

Group Type EXPERIMENTAL

Canakinumab

Intervention Type DRUG

Randomized patients received one s.c. injection of canakinumab and placebo matching triamcinolone acetonide (0.9% sodium chloride) intramuscularly (i.m.) once, on Day 1.

Canakinumab 90 mg

Canakinumab 90 mg subcutaneous (s.c) once. The s.c. injection could be administered into the arm or thigh. Randomized patients received one s.c. injection of canakinumab and placebo matching triamcinolone acetonide (0.9% sodium chloride) intramuscularly (i.m.) once, on Day 1. The i.m. injection was recommended to be administered deeply into the gluteal muscle.

Group Type EXPERIMENTAL

Canakinumab

Intervention Type DRUG

Randomized patients received one s.c. injection of canakinumab and placebo matching triamcinolone acetonide (0.9% sodium chloride) intramuscularly (i.m.) once, on Day 1.

Canakinumab 150 mg

Canakinumab 150 mg subcutaneous (s.c) once. The s.c. injection could be administered into the arm or thigh. Randomized patients received one s.c. injection of canakinumab and placebo matching triamcinolone acetonide (0.9% sodium chloride) intramuscularly (i.m.) once, on Day 1. The i.m. injection was recommended to be administered deeply into the gluteal muscle.

Group Type EXPERIMENTAL

Canakinumab

Intervention Type DRUG

Randomized patients received one s.c. injection of canakinumab and placebo matching triamcinolone acetonide (0.9% sodium chloride) intramuscularly (i.m.) once, on Day 1.

Triamcinolone acetonide 40 mg

Triamcinolone acetonide 40 mg intramuscularly (i.m) once. The i.m. injection was recommended to be administered deeply into the gluteal muscle. Randomized patients received triamcinolone acetonide 40 mg i.m. once and placebo matching canakinumab s.c. once, on Day 1.

Group Type ACTIVE_COMPARATOR

Triamcinolone acetonide

Intervention Type DRUG

Randomized patients received triamcinolone acetonide 40 mg i.m. once and placebo matching canakinumab s.c. once, on Day 1.

Interventions

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Canakinumab

Randomized patients received one s.c. injection of canakinumab and placebo matching triamcinolone acetonide (0.9% sodium chloride) intramuscularly (i.m.) once, on Day 1. The i.m. injection was recommended to be administered deeply into the gluteal muscle.

Intervention Type DRUG

Canakinumab

Randomized patients received one s.c. injection of canakinumab and placebo matching triamcinolone acetonide (0.9% sodium chloride) intramuscularly (i.m.) once, on Day 1.

Intervention Type DRUG

Canakinumab

Randomized patients received one s.c. injection of canakinumab and placebo matching triamcinolone acetonide (0.9% sodium chloride) intramuscularly (i.m.) once, on Day 1.

Intervention Type DRUG

Canakinumab

Randomized patients received one s.c. injection of canakinumab and placebo matching triamcinolone acetonide (0.9% sodium chloride) intramuscularly (i.m.) once, on Day 1.

Intervention Type DRUG

Canakinumab

Randomized patients received one s.c. injection of canakinumab and placebo matching triamcinolone acetonide (0.9% sodium chloride) intramuscularly (i.m.) once, on Day 1.

Intervention Type DRUG

Triamcinolone acetonide

Randomized patients received triamcinolone acetonide 40 mg i.m. once and placebo matching canakinumab s.c. once, on Day 1.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* History of at least 1 gout flare prior to the Screening Visit
* Meeting the American College of Rheumatology (ACR) 1977 preliminary criteria for the classification of acute arthritis of primary gout.
* Presence of acute gout flare for no longer than 5 days.
* Baseline pain intensity \> or = to 50 mm on the 0-100 mm VAS.
* Contraindicated for, intolerant or unresponsive to NSAIDs, colchicine or both.

Exclusion Criteria

* Rheumatoid arthritis, evidence/suspicion of infectious/septic arthritis, or other acute inflammatory arthritis.
* Presence of severe renal function impairment
* Contraindication to intramuscular injection
* Known presence or suspicion of active or recurrent bacterial, fungal or viral infection at the time of enrollment
* Evidence of active pulmonary disease
* Live vaccinations within 3 months prior to the start of the study
* Use of forbidden therapy
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novartis

INDUSTRY

Sponsor Role lead

Responsible Party

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Novartis Pharmaceuticals

Locations

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Pinnacle Research Group, LLC

Anniston, Alabama, United States

Site Status

University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

Associated Pharmaceutical Research

Buena Park, California, United States

Site Status

Northern California Institute for Bone Health

Oakland, California, United States

Site Status

San Diego Arthritis & Osteoporosis Medical Clinic

San Diego, California, United States

Site Status

Center for Clinical Trials of San Gabriel

West Covina, California, United States

Site Status

Tampa Medical Group, P.A.

Tampa, Florida, United States

Site Status

Florida Medical Clinic, PA

Zephyrhills, Florida, United States

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Harbin Clinic

Rome, Georgia, United States

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Intermountain Orthopedics

Boise, Idaho, United States

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Northwest Clinical Trials

Boise, Idaho, United States

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The Arthritis Center

Springfield, Illinois, United States

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Cotton O'Neil Clinic

Topeka, Kansas, United States

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Arthritis and Diabetes Clinic

Monroe, Louisiana, United States

Site Status

Arthritis Consultants, Inc.

St Louis, Missouri, United States

Site Status

Billings Clinic Research Center

Billings, Montana, United States

Site Status

Montana Medical Research

Missoula, Montana, United States

Site Status

Heartland Clinical Research, Inc.

Omaha, Nebraska, United States

Site Status

New Mexico Clinical Research & Osteoporosis Center, Inc.

Albuquerque, New Mexico, United States

Site Status

Regional Clinical Research Rheumatology Assoc.

Binghamton, New York, United States

Site Status

Altoona Center for Clinical Research

Duncansville, Pennsylvania, United States

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Community Research Partners, Inc.

Varnville, South Carolina, United States

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Comprehensive Rheumatology

Hendersonville, Tennessee, United States

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MultiSpecialty Clinical Research

Johnson City, Tennessee, United States

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Integrity Clinical Research, LLC

Milan, Tennessee, United States

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Southwest Rheumatology

Mesquite, Texas, United States

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Health Research of Hampton Roads

Newport News, Virginia, United States

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Novartis Investigative site

Rosario, , Argentina

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Gozée, , Belgium

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Novartis Investigative site

Moncton, , Canada

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Mount Pearl, , Canada

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St. John's, , Canada

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Paris, , France

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Bad Nauheim, , Germany

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Bautzen, , Germany

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Berlin, , Germany

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Chemnitz, , Germany

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Dachau, , Germany

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Dresden, , Germany

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Frankfurt, , Germany

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Georgensgmünd, , Germany

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Hamburg, , Germany

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Leipzig, , Germany

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Löhne, , Germany

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Magdeburg, , Germany

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Messkirch, , Germany

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Munich, , Germany

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Schwabach, , Germany

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Zerbst, , Germany

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Poznan, , Poland

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Szczecin, , Poland

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Wroclaw, , Poland

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Chelyabinsk, , Russia

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Moscow, , Russia

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Saint Petersburg, , Russia

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Tyumen, , Russia

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Yaroslavl, , Russia

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Yekaterinburg, , Russia

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Baden, , Switzerland

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Basel, , Switzerland

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Bern, , Switzerland

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Lausanne, , Switzerland

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Adana, , Turkey (Türkiye)

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Ankara, , Turkey (Türkiye)

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Antalya, , Turkey (Türkiye)

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Aydin, , Turkey (Türkiye)

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Gaziantep, , Turkey (Türkiye)

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Istanbul, , Turkey (Türkiye)

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Izmir, , Turkey (Türkiye)

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Manisa, , Turkey (Türkiye)

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Sihhiye/Ankara, , Turkey (Türkiye)

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Novartis Investigative Site

Antrim, , United Kingdom

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Coventry, , United Kingdom

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Novartis Investigative Site

Lancashire, , United Kingdom

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Novartis Investigative Site

Wellingborough, , United Kingdom

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Countries

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United States Argentina Belgium Canada France Germany Poland Russia Switzerland Turkey (Türkiye) United Kingdom

References

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Chakraborty A, Van LM, Skerjanec A, Floch D, Klein UR, Krammer G, Sunkara G, Howard D. Pharmacokinetic and pharmacodynamic properties of canakinumab in patients with gouty arthritis. J Clin Pharmacol. 2013 Dec;53(12):1240-51. doi: 10.1002/jcph.162. Epub 2013 Sep 30.

Reference Type DERIVED
PMID: 24122883 (View on PubMed)

Schlesinger N, De Meulemeester M, Pikhlak A, Yucel AE, Richard D, Murphy V, Arulmani U, Sallstig P, So A. Canakinumab relieves symptoms of acute flares and improves health-related quality of life in patients with difficult-to-treat Gouty Arthritis by suppressing inflammation: results of a randomized, dose-ranging study. Arthritis Res Ther. 2011 Mar 25;13(2):R53. doi: 10.1186/ar3297.

Reference Type DERIVED
PMID: 21439048 (View on PubMed)

So A, De Meulemeester M, Pikhlak A, Yucel AE, Richard D, Murphy V, Arulmani U, Sallstig P, Schlesinger N. Canakinumab for the treatment of acute flares in difficult-to-treat gouty arthritis: Results of a multicenter, phase II, dose-ranging study. Arthritis Rheum. 2010 Oct;62(10):3064-76. doi: 10.1002/art.27600.

Reference Type DERIVED
PMID: 20533546 (View on PubMed)

Other Identifiers

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EudraCT 2008-004666-61

Identifier Type: -

Identifier Source: secondary_id

CACZ885H2255

Identifier Type: -

Identifier Source: org_study_id

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