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Lesinurad Monotherapy in Gout Subjects Intolerant to Xanthine Oxidase Inhibitors (LIGHT)

Primary Purpose

Gout

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
lesinurad
Placebo
Sponsored by
Ardea Biosciences, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Gout focused on measuring Gout

Eligibility Criteria

18 Years - 85 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Subject is able to understand the study procedures, the risks involved and willing to provide written informed consent before the first study related activity.
  • Subject meets the diagnosis of gout as per the American Rheumatism Association Criteria for the Classification of Acute Arthritis of Primary Gout.
  • Subject has an sUA level ≥ 6.5 mg/dL at the Screening and Day -7 Visits.
  • Subject must be able to take gout flare prophylaxis with colchicine or NSAID (including Cox-2 selective NSAID) ± PPI.
  • Subject has a history (either by medical record or subject interview) of intolerance or a contraindication to either allopurinol or febuxostat.
  • Body mass index (BMI) < 45 kg/m2

Exclusion Criteria:

  • Subject who is taking any other approved urate-lowering medication that is indicated for the treatment of gout at the Screening Visit.
  • Subject with a documented history or suspicion of kidney stones.
  • Subject who is pregnant or breastfeeding.
  • Subject who consumes more than 14 drinks of alcohol per week (eg, 1 drink = 5 oz [150 mL] of wine, 12 oz [360 mL] of beer, or 1.5 oz [45 mL] of hard liquor).
  • Subject with a history or suspicion of drug abuse within the past 5 years.
  • Subject that requires or may require systemic immunosuppressive or immunomodulatory treatment.
  • Subject with a known or suspected human immunodeficiency virus (HIV) infection.
  • Subject with a positive test for active hepatitis B or hepatitis C infection.
  • Subject with a history of malignancy within the previous 5 years with the exception of non-melanoma skin cancer that has been treated with no evidence of recurrence, treated cervical dysplasia or treated in situ Grade 1 cervical cancer.
  • Subject within the last 12 months with: unstable angina, New York Heart Association class III or IV heart failure, myocardial infarction, stroke, or deep venous thrombosis; or subjects currently receiving anticoagulants.
  • Subject with uncontrolled hypertension.
  • Subject with an estimated creatinine clearance < 30 mL/min.
  • Subject with active peptic ulcer disease requiring treatment.
  • Subject with active liver disease, or hepatic dysfunction.
  • Subject receiving chronic treatment with more than 325 mg salicylates per day.
  • Subject taking valpromide, progabide, or valproic acid.
  • Subject who has received an investigational therapy within 8 weeks or 5 half-lives (whichever is longer) prior to the Screening Visit.
  • Subject with any other medical or psychological condition, which in the opinion of the Investigator and/or Medical Monitor, might create undue risk to the subject or interfere with the subject's ability to comply with the protocol requirements, or to complete the study.

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

lesinurad 400 mg

placebo

Arm Description

Outcomes

Primary Outcome Measures

Number of Subjects With an sUA Level That is < 6.0 mg/dL

Secondary Outcome Measures

Full Information

First Posted
January 10, 2012
Last Updated
January 14, 2016
Sponsor
Ardea Biosciences, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01508702
Brief Title
Lesinurad Monotherapy in Gout Subjects Intolerant to Xanthine Oxidase Inhibitors
Acronym
LIGHT
Official Title
A Phase 3 Randomized, Double-Blind, Multicenter, Placebo- Controlled Study to Assess the Efficacy and Safety of Lesinurad Monotherapy Compared to Placebo in Subjects With Gout and an Intolerance or Contraindication to a Xanthine Oxidase Inhibitor
Study Type
Interventional

2. Study Status

Record Verification Date
July 2015
Overall Recruitment Status
Completed
Study Start Date
January 2012 (undefined)
Primary Completion Date
October 2013 (Actual)
Study Completion Date
November 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Ardea Biosciences, Inc.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study will assess the serum uric acid lowering effects and safety of lesinurad compared to placebo in patients who are intolerant or have a contraindication to allopurinol or febuxostat.
Detailed Description
Allopurinol is the standard of care for the treatment of gout. In practice, approximately 20% of patients report side effects with allopurinol and 5% discontinue allopurinol due to side effects. Allopurinol can cause gastrointestinal intolerance, such as nausea and diarrhea, which appears to be dosedependent. Rash develops in about 2% of patients treated with allopurinol, and in about 20% of patients treated with allopurinol and ampicillin or amoxicillin. Allopurinol hypersensitivity syndrome remains a major concern among physicians. Mortality has been estimated to be up to nearly one quarter of AHS cases, with multiorgan system disease including hepatocellular changes and renal failure being a serious concern. Allopurinol is also relatively contraindicated for use in combination with 6-mercaptopurine and azathioprine, for which 1/4 to 1/3 lower doses must be given in order to avoid hematologic toxicity. Febuxostat, in clinical trials, has shown a similar AE profile to allopurinol. Liver function abnormalities, nausea, arthralgia and rash were the most commonly reported AEs. In postmarketing experience, Stevens Johnson Syndrome and hypersensitivity rashes have been reported (febuxostat prescribing information). Withdrawals due to AEs were similar in frequency to allopurinol as well. Relative contraindications in combination with 6-mercaptopurine and azathioprine are similar to allopurinol as well. Lesinurad may be an important therapeutic option for patients who either cannot tolerate or who have a contraindication to the use of allopurinol or febuxostat.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Gout
Keywords
Gout

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
214 (Actual)

8. Arms, Groups, and Interventions

Arm Title
lesinurad 400 mg
Arm Type
Experimental
Arm Title
placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
lesinurad
Intervention Description
Tablets, 400 mg QD
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Tablets, Placebo QD
Primary Outcome Measure Information:
Title
Number of Subjects With an sUA Level That is < 6.0 mg/dL
Time Frame
6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject is able to understand the study procedures, the risks involved and willing to provide written informed consent before the first study related activity. Subject meets the diagnosis of gout as per the American Rheumatism Association Criteria for the Classification of Acute Arthritis of Primary Gout. Subject has an sUA level ≥ 6.5 mg/dL at the Screening and Day -7 Visits. Subject must be able to take gout flare prophylaxis with colchicine or NSAID (including Cox-2 selective NSAID) ± PPI. Subject has a history (either by medical record or subject interview) of intolerance or a contraindication to either allopurinol or febuxostat. Body mass index (BMI) < 45 kg/m2 Exclusion Criteria: Subject who is taking any other approved urate-lowering medication that is indicated for the treatment of gout at the Screening Visit. Subject with a documented history or suspicion of kidney stones. Subject who is pregnant or breastfeeding. Subject who consumes more than 14 drinks of alcohol per week (eg, 1 drink = 5 oz [150 mL] of wine, 12 oz [360 mL] of beer, or 1.5 oz [45 mL] of hard liquor). Subject with a history or suspicion of drug abuse within the past 5 years. Subject that requires or may require systemic immunosuppressive or immunomodulatory treatment. Subject with a known or suspected human immunodeficiency virus (HIV) infection. Subject with a positive test for active hepatitis B or hepatitis C infection. Subject with a history of malignancy within the previous 5 years with the exception of non-melanoma skin cancer that has been treated with no evidence of recurrence, treated cervical dysplasia or treated in situ Grade 1 cervical cancer. Subject within the last 12 months with: unstable angina, New York Heart Association class III or IV heart failure, myocardial infarction, stroke, or deep venous thrombosis; or subjects currently receiving anticoagulants. Subject with uncontrolled hypertension. Subject with an estimated creatinine clearance < 30 mL/min. Subject with active peptic ulcer disease requiring treatment. Subject with active liver disease, or hepatic dysfunction. Subject receiving chronic treatment with more than 325 mg salicylates per day. Subject taking valpromide, progabide, or valproic acid. Subject who has received an investigational therapy within 8 weeks or 5 half-lives (whichever is longer) prior to the Screening Visit. Subject with any other medical or psychological condition, which in the opinion of the Investigator and/or Medical Monitor, might create undue risk to the subject or interfere with the subject's ability to comply with the protocol requirements, or to complete the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Chris Storgard, MD
Organizational Affiliation
Ardea Biosciences, Inc.
Official's Role
Study Director
Facility Information:
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35211
Country
United States
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35294
Country
United States
City
Glendale
State/Province
Arizona
ZIP/Postal Code
85308
Country
United States
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85050
Country
United States
City
Tucson
State/Province
Arizona
ZIP/Postal Code
85724
Country
United States
City
Jonesboro
State/Province
Arkansas
ZIP/Postal Code
72401
Country
United States
City
Little Rock
State/Province
Arkansas
ZIP/Postal Code
72205
Country
United States
City
Anaheim
State/Province
California
ZIP/Postal Code
92805
Country
United States
City
Carmichael
State/Province
California
ZIP/Postal Code
95608
Country
United States
City
Covina
State/Province
California
ZIP/Postal Code
91723
Country
United States
City
Huntington Park
State/Province
California
ZIP/Postal Code
90255
Country
United States
City
Irvine
State/Province
California
ZIP/Postal Code
92618
Country
United States
City
Colorado Springs
State/Province
Colorado
ZIP/Postal Code
80922
Country
United States
City
Denver
State/Province
Colorado
ZIP/Postal Code
80220
Country
United States
City
Denver
State/Province
Colorado
ZIP/Postal Code
80230
Country
United States
City
Englewood
State/Province
Colorado
ZIP/Postal Code
80113
Country
United States
City
Milford
State/Province
Connecticut
ZIP/Postal Code
06460
Country
United States
City
Trumbull
State/Province
Connecticut
ZIP/Postal Code
06611
Country
United States
City
Boynton Beach
State/Province
Florida
ZIP/Postal Code
33472
Country
United States
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32216
Country
United States
City
Miami
State/Province
Florida
ZIP/Postal Code
33135
Country
United States
City
Miami
State/Province
Florida
ZIP/Postal Code
33143
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United States
City
Plant City
State/Province
Florida
ZIP/Postal Code
33563
Country
United States
City
Port Orange
State/Province
Florida
ZIP/Postal Code
32127
Country
United States
City
Tampa
State/Province
Florida
ZIP/Postal Code
33607
Country
United States
City
Winter Haven
State/Province
Florida
ZIP/Postal Code
33880
Country
United States
City
Newman
State/Province
Georgia
ZIP/Postal Code
30265
Country
United States
City
Honolulu
State/Province
Hawaii
ZIP/Postal Code
96814
Country
United States
City
Meridian
State/Province
Idaho
ZIP/Postal Code
83646
Country
United States
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60624
Country
United States
City
Elizabethtown
State/Province
Kentucky
ZIP/Postal Code
42701
Country
United States
City
Lexington
State/Province
Kentucky
ZIP/Postal Code
40504
Country
United States
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40213
Country
United States
City
Metairie
State/Province
Louisiana
ZIP/Postal Code
70006
Country
United States
City
South Traverse
State/Province
Michigan
ZIP/Postal Code
49684
Country
United States
City
Jackson
State/Province
Mississippi
ZIP/Postal Code
39202
Country
United States
City
Olive Branch
State/Province
Mississippi
ZIP/Postal Code
38654
Country
United States
City
Southfield
State/Province
Missouri
ZIP/Postal Code
48034
Country
United States
City
Washington
State/Province
Missouri
ZIP/Postal Code
63090
Country
United States
City
Albuquerque
State/Province
New Mexico
ZIP/Postal Code
87102
Country
United States
City
Albuquerque
State/Province
New Mexico
ZIP/Postal Code
87106
Country
United States
City
Brooklyn
State/Province
New York
ZIP/Postal Code
11201
Country
United States
City
Hartsdale
State/Province
New York
ZIP/Postal Code
10530
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United States
City
New Windsor
State/Province
New York
ZIP/Postal Code
12553
Country
United States
City
New York
State/Province
New York
ZIP/Postal Code
10016
Country
United States
City
Hickory
State/Province
North Carolina
ZIP/Postal Code
28602
Country
United States
City
Raleigh
State/Province
North Carolina
ZIP/Postal Code
27612
Country
United States
City
Winston-Salem
State/Province
North Carolina
ZIP/Postal Code
27103
Country
United States
City
Fargo
State/Province
North Dakota
ZIP/Postal Code
58103
Country
United States
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45224
Country
United States
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45242
Country
United States
City
Middleburgh Heights
State/Province
Ohio
ZIP/Postal Code
44130
Country
United States
City
Perrysburgh
State/Province
Ohio
ZIP/Postal Code
43551
Country
United States
City
Willoughby Hills
State/Province
Ohio
ZIP/Postal Code
44904
Country
United States
City
Norman
State/Province
Oklahoma
ZIP/Postal Code
73069
Country
United States
City
Jenkintown
State/Province
Pennsylvania
ZIP/Postal Code
19046
Country
United States
City
Lancaster
State/Province
Pennsylvania
ZIP/Postal Code
17601
Country
United States
City
Lansdale
State/Province
Pennsylvania
ZIP/Postal Code
19446
Country
United States
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15237
Country
United States
City
Reading
State/Province
Pennsylvania
ZIP/Postal Code
19606
Country
United States
City
Sellersville
State/Province
Pennsylvania
ZIP/Postal Code
18960
Country
United States
City
Myrtle Beach
State/Province
South Carolina
ZIP/Postal Code
29588
Country
United States
City
Rock Hill
State/Province
South Carolina
ZIP/Postal Code
29732
Country
United States
City
Spartanburg
State/Province
South Carolina
ZIP/Postal Code
29303
Country
United States
City
Brentwood
State/Province
Tennessee
ZIP/Postal Code
37027
Country
United States
City
Spring Hill
State/Province
Tennessee
ZIP/Postal Code
37174
Country
United States
City
Dallas
State/Province
Texas
ZIP/Postal Code
75235
Country
United States
City
Houston
State/Province
Texas
ZIP/Postal Code
77098
Country
United States
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
City
Victoria
State/Province
Texas
ZIP/Postal Code
77901
Country
United States
City
South Bountiful
State/Province
Utah
ZIP/Postal Code
84010
Country
United States
City
West Jordon
State/Province
Utah
ZIP/Postal Code
84088
Country
United States
City
West Layton
State/Province
Utah
ZIP/Postal Code
84041
Country
United States
City
Chesapeake
State/Province
Virginia
ZIP/Postal Code
23320
Country
United States
City
Richmond
State/Province
Virginia
ZIP/Postal Code
23235
Country
United States
City
Suffolk
State/Province
Virginia
ZIP/Postal Code
23435
Country
United States
City
Seattle
State/Province
Washington
ZIP/Postal Code
98104
Country
United States
City
Spokane
State/Province
Washington
ZIP/Postal Code
99208
Country
United States
City
Morgantown
State/Province
West Virginia
ZIP/Postal Code
26505
Country
United States
City
Butterfield
State/Province
Queensland
ZIP/Postal Code
4029
Country
Australia
City
Hobart
State/Province
Tasmania
ZIP/Postal Code
7000
Country
Australia
City
Tasmania
ZIP/Postal Code
7000
Country
Australia
City
Anderlecht
State/Province
Brussels
ZIP/Postal Code
1070
Country
Belgium
City
Genk
State/Province
Limburg
ZIP/Postal Code
3600
Country
Belgium
City
Gozee
ZIP/Postal Code
6534
Country
Belgium
City
Kortrijk
ZIP/Postal Code
8500
Country
Belgium
City
Yvoir
ZIP/Postal Code
5530
Country
Belgium
City
Coquitiam
State/Province
British Columbia
ZIP/Postal Code
V3K 3P4
Country
Canada
City
Coquitlam
State/Province
British Columbia
ZIP/Postal Code
V3K 3P4
Country
Canada
City
Victoria
State/Province
British Columbia
ZIP/Postal Code
V8V 3N7
Country
Canada
City
London
State/Province
Ontario
ZIP/Postal Code
N6A 5R8
Country
Canada
City
Mississauga
State/Province
Ontario
ZIP/Postal Code
L5M 2V8
Country
Canada
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M9W 4L6
Country
Canada
City
Rimouski
State/Province
Quebec
ZIP/Postal Code
G5L 8W1
Country
Canada
City
Quebec
ZIP/Postal Code
G1V 3M7
Country
Canada
City
Dresden
State/Province
Saxony
ZIP/Postal Code
01307
Country
Germany
City
Leipzig
State/Province
Saxony
ZIP/Postal Code
04109
Country
Germany
City
Dresden
ZIP/Postal Code
01069
Country
Germany
City
Tauranga
State/Province
Bay of Plenty
ZIP/Postal Code
3143
Country
New Zealand
City
Auckland
ZIP/Postal Code
1010
Country
New Zealand
City
Auckland
ZIP/Postal Code
1023
Country
New Zealand
City
Durban
ZIP/Postal Code
4092
Country
South Africa
City
Pretoria
ZIP/Postal Code
0002
Country
South Africa
City
Rondebosch
ZIP/Postal Code
7700
Country
South Africa
City
Stellenbosch
ZIP/Postal Code
7600
Country
South Africa
City
Thabazimbi
ZIP/Postal Code
0380
Country
South Africa

12. IPD Sharing Statement

Citations:
PubMed Identifier
35835008
Citation
Topless R, Noorbaloochi S, Merriman TR, Singh JA. Change in serum urate level with urate-lowering therapy initiation associates in the immediate term with patient-reported outcomes in people with gout. Semin Arthritis Rheum. 2022 Oct;56:152057. doi: 10.1016/j.semarthrit.2022.152057. Epub 2022 Jun 29.
Results Reference
derived
PubMed Identifier
29029210
Citation
Tausche AK, Alten R, Dalbeth N, Kopicko J, Fung M, Adler S, Bhakta N, Storgard C, Baumgartner S, Saag K. Lesinurad monotherapy in gout patients intolerant to a xanthine oxidase inhibitor: a 6 month phase 3 clinical trial and extension study. Rheumatology (Oxford). 2017 Dec 1;56(12):2170-2178. doi: 10.1093/rheumatology/kex350.
Results Reference
derived
Links:
URL
http://www.gouttrial.com
Description
Related Info

Learn more about this trial

Lesinurad Monotherapy in Gout Subjects Intolerant to Xanthine Oxidase Inhibitors

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