Study Utilizing Rilonacept in Gout Exacerbations

NCT ID: NCT00855920

Last Updated: 2017-04-28

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

PHASE3

Total Enrollment

225 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-03-31

Study Completion Date

2010-02-28

Brief Summary

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This purpose of this clinical research was to determine the efficacy and safety of an experimental drug called Rilonacept in participants with an acute gout attack. Participants participated in this study for 30 days. Rilonacept alone was being compared with Indomethacin alone and the combination of Rilonacept plus Indomethacin in treating acute gout flares.

Detailed Description

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Conditions

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Acute Gout Flare

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Placebo (for Rilonacept) and Indomethacin

Two subcutaneous injections of Placebo (for Rilonacept) on Day 1 with Indomethacin orally thrice a day (TID) for 12 days (Indomethacin 50 mg for first 3 days and then, Indomethacin 25 mg for next 9 days).

Group Type ACTIVE_COMPARATOR

Indomethacin

Intervention Type DRUG

Indomethacin orally TID for 12 days (Indomethacin 50 mg for first 3 days and then, Indomethacin 25 mg for next 9 days).

Placebo (for Rilonacept)

Intervention Type OTHER

Two subcutaneous injections of Placebo (for Rilonacept) on Day 1 (Baseline).

Rilonacept and Indomethacin

Two subcutaneous injections of Rilonacept 160 mg (for a total of 320 mg) on Day 1 with Indomethacin orally TID for 12 days (Indomethacin 50 mg for first 3 days and then, Indomethacin 25 mg for next 9 days).

Group Type ACTIVE_COMPARATOR

Rilonacept

Intervention Type DRUG

Two subcutaneous injections of Rilonacept 160 mg (for a total of 320 mg) on Day 1 (Baseline).

Indomethacin

Intervention Type DRUG

Indomethacin orally TID for 12 days (Indomethacin 50 mg for first 3 days and then, Indomethacin 25 mg for next 9 days).

Rilonacept and Placebo (for Indomethacin)

Two subcutaneous injections of Rilonacept 160 mg (for a total of 320 mg) on Day 1 with Placebo (for Indomethacin) orally TID for 12 days.

Group Type ACTIVE_COMPARATOR

Rilonacept

Intervention Type DRUG

Two subcutaneous injections of Rilonacept 160 mg (for a total of 320 mg) on Day 1 (Baseline).

Placebo (for Indomethacin)

Intervention Type OTHER

Placebo (for Indomethacin) orally TID for 12 days.

Interventions

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Rilonacept

Two subcutaneous injections of Rilonacept 160 mg (for a total of 320 mg) on Day 1 (Baseline).

Intervention Type DRUG

Indomethacin

Indomethacin orally TID for 12 days (Indomethacin 50 mg for first 3 days and then, Indomethacin 25 mg for next 9 days).

Intervention Type DRUG

Placebo (for Indomethacin)

Placebo (for Indomethacin) orally TID for 12 days.

Intervention Type OTHER

Placebo (for Rilonacept)

Two subcutaneous injections of Placebo (for Rilonacept) on Day 1 (Baseline).

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Male or female 18 - 70 years of age
2. Previously met the preliminary criteria of ARA for the classification of the acute arthritis of primary gout
3. Presenting with an acute attack (flare) of gout within 48 hours of pain onset and pain of at least moderate severity
4. Must have at least 1 on the 0-3 scale for the swelling and the tenderness assessments of the gouty index joint
5. Current presentation of acute gout flare in 3 joints or less

Exclusion Criteria

1. Treatment with any non-steroidal anti-inflammatory drug (NSAIDs) or opiates within 48 hours prior to baseline assessments. Treatment with long-acting NSAIDs within 1 month prior to baseline visit. Treatment with naproxen, meloxicam, nabumetone, celecoxib and indomethacin SR within 5 days prior to baseline visit.
2. Treatment with oral analgesics within 6 hours before baseline assessments. Treatment with topical analgesics within 12 hours before baseline assessments
3. History of NSAID intolerance
4. Participants with history of chronic, gouty arthritis
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Regeneron Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Robert Evans, PharmD

Role: STUDY_DIRECTOR

Regeneron Pharmaceuticals

Locations

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Birmingham, Alabama, United States

Site Status

Huntsville, Alabama, United States

Site Status

Mesa, Arizona, United States

Site Status

Phoenix, Arizona, United States

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Sierra Vista, Arizona, United States

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Burbank, California, United States

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Whittier, California, United States

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Clearwater, Florida, United States

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DeBary, Florida, United States

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DeLand, Florida, United States

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Jupiter, Florida, United States

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Orange Park, Florida, United States

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Orlando, Florida, United States

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Oviedo, Florida, United States

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Boise, Idaho, United States

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Elizabethtown, Kentucky, United States

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Baltimore, Maryland, United States

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Wheaton, Maryland, United States

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Detroit, Michigan, United States

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Stevenville, Michigan, United States

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Billings, Montana, United States

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Albuquerque, New Mexico, United States

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Albany, New York, United States

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Burlington, North Carolina, United States

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Cary, North Carolina, United States

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Raleigh, North Carolina, United States

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Raleigh, North Carolina, United States

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Wilmington, North Carolina, United States

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Willoughby Hills, Ohio, United States

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Oklahoma City, Oklahoma, United States

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Lake Oswego, Oregon, United States

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Portland, Oregon, United States

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Johnstown, Pennsylvania, United States

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Limerick, Pennsylvania, United States

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Norristown, Pennsylvania, United States

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Greenville, South Carolina, United States

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Bristol, Tennessee, United States

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Dallas, Texas, United States

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Forth Worth, Texas, United States

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Houston, Texas, United States

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Irving, Texas, United States

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Mesquite, Texas, United States

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North Richland Hills, Texas, United States

Site Status

San Antonio, Texas, United States

Site Status

Countries

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United States

References

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Terkeltaub RA, Schumacher HR, Carter JD, Baraf HS, Evans RR, Wang J, King-Davis S, Weinstein SP. Rilonacept in the treatment of acute gouty arthritis: a randomized, controlled clinical trial using indomethacin as the active comparator. Arthritis Res Ther. 2013 Feb 1;15(1):R25. doi: 10.1186/ar4159.

Reference Type DERIVED
PMID: 23375025 (View on PubMed)

Other Identifiers

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IL1T-GA-0814

Identifier Type: -

Identifier Source: org_study_id

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