Rasburicase Treatment in Chronic Gouty Arthritis

NCT ID: NCT05312268

Last Updated: 2023-05-09

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

PHASE4

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-06-15

Study Completion Date

2025-04-15

Brief Summary

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The study will establish efficacy and safety of rasburicase in chronic gouty arthritis

Detailed Description

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The study hypothesis is that the proportion of patients who achieved the primary endpoint after 12 weeks of treatment with rasburicase combined with oral urate-lowering therapy is superior to 12 weeks of treatment with oral urate-lowering therapy.

Conditions

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Chronic Gout

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Group A

Rasburicase treatment at week 1, 4 and 8 with stable dose oral urate-lowering therapy for 24 weeks.

Group Type OTHER

Rasburicase

Intervention Type DRUG

Rasburicase 1.5 mg/day for 3 consecutive days at scheduled times.

Group B

Rasburicase treatment at week 12, 16 and 20 with stable dose oral urate-lowering therapy for 24 weeks.

Group Type OTHER

Rasburicase

Intervention Type DRUG

Rasburicase 1.5 mg/day for 3 consecutive days at scheduled times.

Interventions

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Rasburicase

Rasburicase 1.5 mg/day for 3 consecutive days at scheduled times.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Written informed consent must be obtained before any assessment is performed, able to understand and comply with the requirements of the study;
* Male and female patients 18 to 70 years of age;
* Fulfill the ACR/EULAR 2015 gout classification criteria;
* Tophi detected by physical examination;
* Serum urate\>300μmol/L (5mg/dl) after one-month maximum dose of urate-lowering therapy (allopurinol 600mg/d or febuxostat 80mg/d in combination with benzbromarone 100mg/d) unless intolerable OR no reduction in size of tophi after serum urate\<300μmol/L (5mg/dl) for six month;

Exclusion Criteria

* Pregnant women, lactating women, and men or women who have recently prepared for pregnancy;
* Abnormal liver function with AST, ALT, and GGT \>3 times ULN;
* Blood WBC\<4.0×10\^9/L, and/or hemoglobin \<90g/L, and/or platelets;\<100×10\^9/L; or other hematologic disorders;
* eGFR\<15 ml/min;
* Receive following medications: azathioprine, mercaptopurine, cyclosporine, pyrazinamide, ethambutol and sulfamethoxazole
* Psychiatric disorders, history of alcoholism, drug or other substance abuse
* Immunodeficiency diseases, uncontrolled infection, etc;
* Sericosis, glucose-6-phosphate dehydrogenase activity deficiency
* Allergy to biological agents and chronic active urticaria.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Qianhua Li, M.D.&Ph.D

Role: PRINCIPAL_INVESTIGATOR

Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University

Locations

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Shunde Hospital of Southern Medical University

Foshan, Guangdong, China

Site Status NOT_YET_RECRUITING

Sun Yat-sen Memorial Hospital, Sun Yat-sen University

Guangzhou, Guangdong, China

Site Status RECRUITING

Panyu Central Hospital

Guangzhou, Guangdong, China

Site Status NOT_YET_RECRUITING

Shenshan Medical Center

Shanwei, Guangdong, China

Site Status NOT_YET_RECRUITING

Countries

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China

Central Contacts

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Qianhua Li, M.D.&Ph.D

Role: CONTACT

862081332572

Facility Contacts

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Bin Yang, M.D.&Ph.D

Role: primary

2075722318000

Li Qianhua

Role: primary

862081332572

Haijun Liu, M.D.&Ph.D

Role: primary

862034858888

Yingqian Mo, M.D.&Ph.D

Role: primary

866603863000

Other Identifiers

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2021-KY-097-001

Identifier Type: -

Identifier Source: org_study_id

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