Efficacy and Safety of Simiaowan in Prevention of Acute Flares in Chronic Gout Patients Initiating Febuxostat Therapy

NCT ID: NCT04069325

Last Updated: 2019-08-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

72 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-09-01

Study Completion Date

2020-07-28

Brief Summary

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The aim of this study is to evaluate the efficacy and safety of simiaowan in prevention of acute flares in chronic gout patients initiating febuxostat therapy.

Detailed Description

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The study is a multicenter, randomized, double-blind, placebo-controlled, 12-week trial. To determine whether oral simiaowan at standard clinical doses (6g twice daily), compared to placebo, can reduce the incidence of acute gout flares and decrease the serum uric acid level.

Conditions

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Gout Flare

Keywords

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gout acute flares prevention febuxostat

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

72 subjects will be randomized to two parallel groups (36 subjects per group) to receive simiaowan 6g twice daily or placebo. All subjects will be given febuxostat 40mg once daily as background therapy. Placebo will be administered to individuals randomized to that treatment group in a form identical to the simiaowan. The first investigational medicinal product dose will be administered the day after the randomization.
Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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simiaowan 6g + febuxostat 40mg

Group Type EXPERIMENTAL

simiaowan

Intervention Type DRUG

pills, 6g twice daily (BID), oral, 12 weeks

febuxostat

Intervention Type DRUG

tablets, 40 mg once daily (QD), oral, 12 weeks

placebo 6g + febuxostat 40mg

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type DRUG

pills, 6g twice daily (BID), oral, 12 weeks

febuxostat

Intervention Type DRUG

tablets, 40 mg once daily (QD), oral, 12 weeks

Interventions

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simiaowan

pills, 6g twice daily (BID), oral, 12 weeks

Intervention Type DRUG

placebo

pills, 6g twice daily (BID), oral, 12 weeks

Intervention Type DRUG

febuxostat

tablets, 40 mg once daily (QD), oral, 12 weeks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male or female subjects aged 18 to 75 years (time of get informed consent)
* Meet the American College of Rheumatology/The European League Against Rheumatism criteria (2015) for the classification of acute arthritis of primary gout
* Pain Visual Analogue Scale Score (VAS) ≤ 3 at screening
* Serum uric acid ≥7 mg/dL (420μmol/L) at screening
* Self-reported history of at least 2 gout flares within 12 months prior to screening
* Normal electrocardiogram (ECG), or no clinical significant at screening
* Be capable of understanding and complying with protocol requirements

Exclusion Criteria

* Occurrence of an acute gout flare ongoing at screening or within 2 weeks prior to screening
* Known or suspected of secondary hyperuricemia (e.g. due to renal disorder, hematological disorder, drugs, radiotherapy, chemotherapy or organ transplant)
* Use of colchicine, allopurinol, probenecid, benzbromarone, febuxostat or history of intra-articular steroid injection within 4 weeks prior to screening
* Use of glucocorticoids, nonsteroidal antiinflammatory drugs (NSAIDs), or cyclooxygenase-2 (COX-2) inhibitors within 1 week prior to screening
* History of stroke, transient ischemic attack (TIA), acute myocardial infarction (MI), heart failure (NYHA Class II-IV), coronary intervention procedure (including but not limited to angioplasty, stent placement, coronary revascularization) prior to screening
* History of gastrointestinal (GI) bleeding, peptic ulcer disease prior to screening
* History of malignancy and/or mental disorder prior to screening
* Active infection with hepatitis B, hepatitis C, or has aspartate transaminase (AST), alanine aminotransferase (ALT) or gamma-glutamyl transpeptidase (GGT) values ≥1.2 times the upper limit of normal (×ULN) during the screening period
* Presence of severe renal function impairment, or has serum creatinine (sCr) values ≥1.2 (×ULN) during the screening period
* History of allergy or intolerance to febuxostat, diclofenac sodium, simiaowan and/or the placebo
* History of aspirin-induced asthma, or any other form of allergy to aspirin and other NSAIDs
* Other (non-gout) chronic arthritis, acute inflammatory arthritis, autoimmune diseases with arthritis at screening
* Being treated with simiaowan at screening
* Being treated with azathioprine, mercaptopurine, theophylline, cytotoxic agents at screening
* Diagnosis of drug or alcohol dependence or abuse or any condition requiring chronic daily use of pain medication
* Pregnant or nursing, or planning to become pregnant or father a child within 3 months after receiving the last dose of study drug
* Subjects who participated in another clinical study or clinical trial within 3 months prior to screening
* Any other condition(s) that will compromise the safety of the patient, prevent compliance with the study protocol, or compromise the quality of the clinical study, as judged by the investigator
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Affiliated Hospital of Nanjing University of Chinese Medicine

OTHER

Sponsor Role collaborator

The Second Affiliated Hospital of Dalian Medical University

OTHER

Sponsor Role collaborator

Guang'anmen Hospital of China Academy of Chinese Medical Sciences

OTHER

Sponsor Role lead

Responsible Party

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Quan Jiang

Director, Devision of Rheumatology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jiang Quan, Doctor

Role: PRINCIPAL_INVESTIGATOR

Guang'anmen Hospital of China Academy of Chinese Medical Sciences

Locations

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Guang'anmen Hospital

Beijing, Beijing Municipality, China

Site Status

Countries

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China

Central Contacts

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Jiang Quan, Doctor

Role: CONTACT

Phone: 86-010-88001132

Email: [email protected]

Facility Contacts

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Quan Jiang, Doctor

Role: primary

Other Identifiers

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WD-18-F02

Identifier Type: -

Identifier Source: org_study_id