Targeted Dose Finding of Canakinumab (ACZ885) for Management of Acute Flare in Refractory or Contraindicated Gout Patients
Acute Gout
About this trial
This is an interventional treatment trial for Acute Gout focused on measuring Acute flares, Gout, Anti-interleukin-1β monoclonal antibody, Colchicine, Triamcinolone acetonide
Eligibility Criteria
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
Other protocol-defined inclusion/exclusion criteria applied
Sites / Locations
- Pinnacle Research Group, LLC
- University of Alabama at Birmingham
- Associated Pharmaceutical Research
- Northern California Institute for Bone Health
- San Diego Arthritis & Osteoporosis Medical Clinic
- Center for Clinical Trials of San Gabriel
- Tampa Medical Group, P.A.
- Florida Medical Clinic, PA
- Harbin Clinic
- Intermountain Orthopedics
- Northwest Clinical Trials
- The Arthritis Center
- Cotton O'Neil Clinic
- Arthritis and Diabetes Clinic
- Arthritis Consultants, Inc.
- Billings Clinic Research Center
- Montana Medical Research
- Heartland Clinical Research, Inc.
- New Mexico Clinical Research & Osteoporosis Center, Inc.
- Regional Clinical Research Rheumatology Assoc.
- Altoona Center for Clinical Research
- Community Research Partners, Inc.
- Comprehensive Rheumatology
- MultiSpecialty Clinical Research
- Integrity Clinical Research, LLC
- Southwest Rheumatology
- Health Research of Hampton Roads
- Novartis Investigative site
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Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Experimental
Experimental
Experimental
Experimental
Experimental
Active Comparator
Canakinumab 10 mg
Canakinumab 25 mg
Canakinumab 50 mg
Canakinumab 90 mg
Canakinumab 150 mg
Triamcinolone acetonide 40 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.
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.
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.
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.
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.
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.