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A Study of the Efficacy of Canakinumab in Prevention of Acute Flares in Chronic Gout Patients Initiating Allopurinol Therapy (Core Study) and a Long-term Study of the Efficacy and Safety of Canakinumab in Patients With Gout (Extension Study)

Primary Purpose

Gout

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Canakinumab
Colchicine
Allopurinol
Placebo Matching Canakinumab
Placebo Matching Colchicine
Sponsored by
Novartis Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Gout focused on measuring Gout, Chronic gout, Gouty arthritis, Gout flares

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Core study

Inclusion Criteria:

  • Signed written informed consent before any study procedure is performed.
  • History of at least 2 gout flares in the year prior to Screening (Visit 1, based on patient history), thus, candidates for initiating uric acid lowering therapy.
  • Confirmed diagnosis of gout meeting the American College of Rheumatology (ACR) 1977 preliminary criteria for the classification of arthritis of primary gout.
  • Body Mass Index (BMI) ≤ 40 kg/m^2.
  • Willingness to initiate allopurinol therapy as urate lowering agent for their gout therapy or having initiated allopurinol therapy within ≤ 1 month before Screening (Visit 1) or willing to re-initiate allopurinol therapy if this was stopped > 2 months before Screening (Visit 1) for reasons different to toxicity/ intolerance or lack of efficacy.

Exclusion Criteria:

  • Acute gout flare within 2 weeks of Screening (Visit 1) and during the Screening period.
  • History of allergy or contraindication to colchicine or allopurinol.
  • History of intolerance to allopurinol or to oral colchicine in appropriate dose for prophylactic use.
  • History of bone marrow suppression.
  • Absolute or relative contraindication to both naproxen and oral prednisolone/ prednisone.

Extension study

Inclusion criteria:

  • Patients who completed the core study. A patient is defined as completing the core study if he/she completed the study up to and including the last visit (Visit 9).
  • Patients who have signed a written informed consent before any trial procedure is performed.

Exclusion Criteria:

  • Patients for whom continuation in the extension study is not considered appropriate by the treating physician.
  • Pregnant or nursing (lactating) women, where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive pregnancy test (serum or urine).

Other protocol-defined inclusion/exclusion criteria applied to the study.

Sites / Locations

  • Talbert Medical Group
  • San Diego Arthritis & Osteoporosis Medical clinic
  • Health Awareness
  • East-West Medical Research institute
  • Pinnacle Medical Research
  • Cotton O'Neil Clinical Research Institute
  • Dolby Research, LLC
  • The Family Doctors
  • Shores Rheumatology
  • Heartland Clinical Research, Inc.
  • NM Clinical Research & Osteoporosis Ct.
  • Rochester clinical Research
  • Health Research of Oklahoma, PLLC
  • Castlerock Clinical Research Consultants, LLC
  • Altoona Center for Clinical Research
  • Columbia Clinical Research
  • Upstate Pharmaceutical Research
  • MultiSpecialty Clinical Research
  • iMED Internal medicine, PA
  • Novartis Investigative site
  • Novartis Investigative Site
  • Novartis Investigative site
  • Novartis Investigative Site
  • Novartis Investigative site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Fundación Cardiovascular de Colombia
  • Novartis Investigative site
  • Novartis Investigative site
  • Novartis Investigative site
  • Novartis Investigative site
  • Novartis Investigative site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative site
  • Novartis Investigative site
  • Novartis Investigative site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative site
  • Novartis Investigative site
  • Novartis Investigative site
  • Novartis Investigative site
  • Novartis Investigative Site
  • Novartis Investigative site
  • Novartis Investigative site
  • Novartis Investigative site
  • Novartis Investigative site
  • Novartis Investigative site
  • Novartis Investigative site
  • Baskent University Medical Faculty
  • Baskent University Medical Faculty
  • Adnan Menderes University Medical Faculty
  • Cukurova University Medical Faculty
  • Pamukkale University medical Faculty
  • Gaziantep University Medical Faculty
  • Dokuz Eylul University Medical Faculty
  • Celal Bayar University Medical Faculty
  • Gables Medicentre
  • Flyde Coast Clinical Research Ltd

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm 9

Arm 10

Arm 11

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Active Comparator

Experimental

Experimental

Experimental

Experimental

Arm Label

Core study: Canakinumab 25 mg

Core study: Canakinumab 50 mg

Core study: Canakinumab 100 mg

Core study: Canakinumab 200 mg

Core study: Canakinumab 300 mg

Core study: Canakinumab q4wk

Core study: Colchicine 0.5 mg

Extension study: Group A

Extension study: Group B

Extension study: Group C

Extension study: Group D

Arm Description

Canakinumab 25 mg subcutaneously (sc) once at Day 1, placebo sc at Days 29, 57, and 85 plus daily placebo capsules for 16 weeks. Allopurinol treatment was initiated at the latest at baseline (Visit 2) according to the patient's renal function / estimated creatinine clearance at screening (Visit 1). Allopurinol was administered orally to all randomized patients once daily (100 mg-300 mg) for 24 weeks.

Canakinumab 50 mg sc once at Day 1, placebo sc at Days 29, 57, and 85 plus daily placebo capsules for 16 weeks. Allopurinol treatment was initiated at the latest at baseline (Visit 2) according to the patient's renal function / estimated creatinine clearance at screening (Visit 1). Allopurinol was administered orally to all randomized patients once daily (100 mg-300 mg) for 24 weeks.

Canakinumab 100 mg sc once at Day 1, placebo sc at Days 29, 57, and 85 plus daily placebo capsules for 16 weeks. Allopurinol treatment was initiated at the latest at baseline (Visit 2) according to the patient's renal function / estimated creatinine clearance at screening (Visit 1). Allopurinol was administered orally to all randomized patients once daily (100 mg-300 mg) for 24 weeks.

Canakinumab 100 mg sc once at Day 1, placebo sc at Days 29, 57, and 85 plus daily placebo capsules for 16 weeks. Allopurinol treatment was initiated at the latest at baseline (Visit 2) according to the patient's renal function / estimated creatinine clearance at screening (Visit 1). Allopurinol was administered orally to all randomized patients once daily (100 mg-300 mg) for 24 weeks.

Canakinumab 300 mg sc once at Day 1, placebo sc at Days 29, 57, and 85 plus daily placebo capsules for 16 weeks. Allopurinol treatment was initiated at the latest at baseline (Visit 2) according to the patient's renal function / estimated creatinine clearance at screening (Visit 1). Allopurinol was administered orally to all randomized patients once daily (100 mg-300 mg) for 24 weeks.

Canakinumab 50 mg sc at Days 1, and 29 followed by canakinumab 25 mg sc on Days 57, and 85 plus daily placebo capsules for 16 weeks, repeated every 4 week (q4wk). Allopurinol treatment was initiated at the latest at baseline (Visit 2) according to the patient's renal function / estimated creatinine clearance at screening (Visit 1). Allopurinol was administered orally to all randomized patients once daily (100 mg-300 mg) for 24 weeks.

Colchicine 0.5 mg capsule orally once daily throughout the whole treatment phase of 16 weeks plus placebo matching canakinumab s.c. at Days 1, 29, 57, and 85. Allopurinol treatment was initiated at the latest at baseline (Visit 2) according to the patient's renal function / estimated creatinine clearance at screening (Visit 1). Allopurinol was administered orally to all randomized patients once daily (100 mg-300 mg) for 24 weeks.

Participants who were randomized to canakinumab in the core study and were treated with canakinumab for at least 1 flare in the extension study.

Patients who were randomized to canakinumab in the core study but did not receive treatment with canakinumab in the extension study.

Patients who were randomized to colchicine in the core study and were treated with canakinumab for at least 1 flare in the extension study.

Patients who were randomized to colchicine in the core study but did not receive treatment with canakinumab in the extension study.

Outcomes

Primary Outcome Measures

Core Study: Mean Number of Gout Flares Per Participant
A gout flare was defined as an increase in participant-reported gout pain in the most affected joint during a gout attack.

Secondary Outcome Measures

Core Study: Mean Number of Gout Flares for the Repeat Dose Regimen of Canakinumab as Compared to the Single Doses of Canakinumab
Core Study: Percentage of Participants With at Least 1 Gout Flare Within 16 Weeks After Randomization
The percentage of participants experiencing at least 1 gout flare within 16 weeks after randomization. A gout flare was defined as an increase in participant-reported gout pain in the most affected joint during a gout attack.
Core Study: Percentage of Participants With Gout Flare at Different Time Points
A gout flare was defined as an increase in participant-reported gout pain in the most affected joint during a gout attack.
Core Study: Participant's Assessment of Gout Pain on a 0-100 mm Visual Analog Scale up to Day 7 of All Gout Flares
Participants rated the intensity of pain in the most affected joint on a 0-100 mm visual analog scale, which ranged from no pain (left end, 0) to unbearable pain (right end, 100). Participants assessed pain intensity on the day of onset of the gout flare and in the morning of the 6 following days.
Core Study: Participant's Assessment of Gout Pain on a 5-point Likert Scale up to Day 7 of All Gout Flares
Participants assessed the intensity of pain in the most affected joint on a 5-point Likert scale, which ranged from 1 to 5 (1=None, 2=Mild, 3=Moderate, 4=Severe, 5=Extreme). Participants assessed pain intensity on the day of onset of the gout flare and in the morning of the 6 following days.
Core Study: Physician's Global Assessment of Response to Therapy on a 5-point Likert Scale
The study physician made a global assessment of the participant's response to treatment on a 5-point Likert scale (Very good, Good, Fair, Poor, Very poor) at Days 15, 29, 57, 85, 113, and 141. The category 'Not assessed' includes missing data and 'not done'. The number of participants in each of the 5 categories of the Likert scale are reported.
Extension Study: Participant's Assessment of Gout Pain on a 100 mm Visual Analog Scale During the First Flare
Participant's rated the intensity of pain in the most affected joint during the first flare on a 0-100 mm visual analog scale, which ranged from no pain (left end, 0) to unbearable pain (right end, 100). Assessments were made pre-dose and 24 hours, 3 days, 4 days, and an average of 5-7 days post-dose
Extension Study: Participant's Global Assessment of Response to Treatment on a 5-point Likert Scale
Study participants made a global assessment of their response to treatment on a 5-point Likert scale (Excellent, Good, Acceptable, Slight, Poor) at the control visit 7±2 days following each of their first 3 flares. The number of participants in each of the 5 categories of the Likert scale are reported.
Extension Study: Physician's Global Assessment of Response to Treatment on a 5-point Likert Scale
The study physician made a global assessment of the participant's response to treatment on a 5-point Likert scale (Very good, Good, Fair, Poor, Very poor) at the control visit 7±2 days following each of the first 3 flares. The category 'Not assessed' includes missing data and 'not done'. The number of participants in each of the 5 categories of the Likert scale are reported.
Extension Study: Physician's Assessment of Tenderness, Swelling, and Erythema in the Most Affected Joint During the First Flare
Tenderness was rated on a 0-3 point scale: 0="no pain", 1=patient states that "there is pain", 2=patient states "there is pain and winces", and 3=patient states "there is pain, winces and withdraws" on palpation or passive movement of the most affected joint. Swelling was rated on a 0-3 point scale: 0="no swelling", 1="palpable", 2="visible", and 3=bulging beyond the joint margins". Erythema was rated as present, absent, or not assessable. Assessments were performed at the flare and control visits.
Extension Study: Amount of Rescue Medication Taken
The amount of naproxen and prednisolone taken after receiving treatment for each of the first 3 flares was recorded.

Full Information

First Posted
January 8, 2009
Last Updated
June 19, 2018
Sponsor
Novartis Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT00819585
Brief Title
A Study of the Efficacy of Canakinumab in Prevention of Acute Flares in Chronic Gout Patients Initiating Allopurinol Therapy (Core Study) and a Long-term Study of the Efficacy and Safety of Canakinumab in Patients With Gout (Extension Study)
Official Title
A 24-week, Dose-ranging, Multicenter, Double-blind, Double-dummy, Active-controlled Core Study to Evaluate Canakinumab for Prophylaxis of Signs and Symptoms of Acute Flares in Chronic Gout Patients Initiating Allopurinol Therapy and a 24-week Open-label, Multicenter Extension Study to Assess Safety, Tolerability and Efficacy of Canakinumab in Patients With Gout Who Are Given Canakinumab at the Time of Gout Flare
Study Type
Interventional

2. Study Status

Record Verification Date
June 2018
Overall Recruitment Status
Completed
Study Start Date
December 2008 (undefined)
Primary Completion Date
August 2010 (Actual)
Study Completion Date
August 2010 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Novartis Pharmaceuticals

4. Oversight

5. Study Description

Brief Summary
The 24-week, dose-ranging, multi-center, double-blind, double-dummy, active-controlled core study investigated the prophylactic effect of canakinumab on the signs and symptoms of acute flares in chronic gout patients initiating allopurinol therapy. The core study was followed by a 24-week open-label, multicenter extension study to assess the safety, tolerability, and efficacy of canakinumab in patients with gout who were given canakinumab at the time of gout flare.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Gout
Keywords
Gout, Chronic gout, Gouty arthritis, Gout flares

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
432 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Core study: Canakinumab 25 mg
Arm Type
Experimental
Arm Description
Canakinumab 25 mg subcutaneously (sc) once at Day 1, placebo sc at Days 29, 57, and 85 plus daily placebo capsules for 16 weeks. Allopurinol treatment was initiated at the latest at baseline (Visit 2) according to the patient's renal function / estimated creatinine clearance at screening (Visit 1). Allopurinol was administered orally to all randomized patients once daily (100 mg-300 mg) for 24 weeks.
Arm Title
Core study: Canakinumab 50 mg
Arm Type
Experimental
Arm Description
Canakinumab 50 mg sc once at Day 1, placebo sc at Days 29, 57, and 85 plus daily placebo capsules for 16 weeks. Allopurinol treatment was initiated at the latest at baseline (Visit 2) according to the patient's renal function / estimated creatinine clearance at screening (Visit 1). Allopurinol was administered orally to all randomized patients once daily (100 mg-300 mg) for 24 weeks.
Arm Title
Core study: Canakinumab 100 mg
Arm Type
Experimental
Arm Description
Canakinumab 100 mg sc once at Day 1, placebo sc at Days 29, 57, and 85 plus daily placebo capsules for 16 weeks. Allopurinol treatment was initiated at the latest at baseline (Visit 2) according to the patient's renal function / estimated creatinine clearance at screening (Visit 1). Allopurinol was administered orally to all randomized patients once daily (100 mg-300 mg) for 24 weeks.
Arm Title
Core study: Canakinumab 200 mg
Arm Type
Experimental
Arm Description
Canakinumab 100 mg sc once at Day 1, placebo sc at Days 29, 57, and 85 plus daily placebo capsules for 16 weeks. Allopurinol treatment was initiated at the latest at baseline (Visit 2) according to the patient's renal function / estimated creatinine clearance at screening (Visit 1). Allopurinol was administered orally to all randomized patients once daily (100 mg-300 mg) for 24 weeks.
Arm Title
Core study: Canakinumab 300 mg
Arm Type
Experimental
Arm Description
Canakinumab 300 mg sc once at Day 1, placebo sc at Days 29, 57, and 85 plus daily placebo capsules for 16 weeks. Allopurinol treatment was initiated at the latest at baseline (Visit 2) according to the patient's renal function / estimated creatinine clearance at screening (Visit 1). Allopurinol was administered orally to all randomized patients once daily (100 mg-300 mg) for 24 weeks.
Arm Title
Core study: Canakinumab q4wk
Arm Type
Experimental
Arm Description
Canakinumab 50 mg sc at Days 1, and 29 followed by canakinumab 25 mg sc on Days 57, and 85 plus daily placebo capsules for 16 weeks, repeated every 4 week (q4wk). Allopurinol treatment was initiated at the latest at baseline (Visit 2) according to the patient's renal function / estimated creatinine clearance at screening (Visit 1). Allopurinol was administered orally to all randomized patients once daily (100 mg-300 mg) for 24 weeks.
Arm Title
Core study: Colchicine 0.5 mg
Arm Type
Active Comparator
Arm Description
Colchicine 0.5 mg capsule orally once daily throughout the whole treatment phase of 16 weeks plus placebo matching canakinumab s.c. at Days 1, 29, 57, and 85. Allopurinol treatment was initiated at the latest at baseline (Visit 2) according to the patient's renal function / estimated creatinine clearance at screening (Visit 1). Allopurinol was administered orally to all randomized patients once daily (100 mg-300 mg) for 24 weeks.
Arm Title
Extension study: Group A
Arm Type
Experimental
Arm Description
Participants who were randomized to canakinumab in the core study and were treated with canakinumab for at least 1 flare in the extension study.
Arm Title
Extension study: Group B
Arm Type
Experimental
Arm Description
Patients who were randomized to canakinumab in the core study but did not receive treatment with canakinumab in the extension study.
Arm Title
Extension study: Group C
Arm Type
Experimental
Arm Description
Patients who were randomized to colchicine in the core study and were treated with canakinumab for at least 1 flare in the extension study.
Arm Title
Extension study: Group D
Arm Type
Experimental
Arm Description
Patients who were randomized to colchicine in the core study but did not receive treatment with canakinumab in the extension study.
Intervention Type
Drug
Intervention Name(s)
Canakinumab
Intervention Description
Canakinumab was supplied in glass vials as a lyophilized powder.
Intervention Type
Drug
Intervention Name(s)
Colchicine
Intervention Description
0.5 mg capsule orally once daily for 16 weeks.
Intervention Type
Drug
Intervention Name(s)
Allopurinol
Intervention Description
100-300 mg orally once daily for 24 weeks.
Intervention Type
Drug
Intervention Name(s)
Placebo Matching Canakinumab
Intervention Description
Subcutaneous injection.
Intervention Type
Drug
Intervention Name(s)
Placebo Matching Colchicine
Intervention Description
Capsule orally once daily for 16 weeks.
Primary Outcome Measure Information:
Title
Core Study: Mean Number of Gout Flares Per Participant
Description
A gout flare was defined as an increase in participant-reported gout pain in the most affected joint during a gout attack.
Time Frame
Baseline of the core study to Week 16
Secondary Outcome Measure Information:
Title
Core Study: Mean Number of Gout Flares for the Repeat Dose Regimen of Canakinumab as Compared to the Single Doses of Canakinumab
Time Frame
up to 16 weeks after randomization
Title
Core Study: Percentage of Participants With at Least 1 Gout Flare Within 16 Weeks After Randomization
Description
The percentage of participants experiencing at least 1 gout flare within 16 weeks after randomization. A gout flare was defined as an increase in participant-reported gout pain in the most affected joint during a gout attack.
Time Frame
Baseline of the core study to Week 16
Title
Core Study: Percentage of Participants With Gout Flare at Different Time Points
Description
A gout flare was defined as an increase in participant-reported gout pain in the most affected joint during a gout attack.
Time Frame
Days 2, 4, 6, and Weeks 2, 4, 6, 10, and 16 of the core study
Title
Core Study: Participant's Assessment of Gout Pain on a 0-100 mm Visual Analog Scale up to Day 7 of All Gout Flares
Description
Participants rated the intensity of pain in the most affected joint on a 0-100 mm visual analog scale, which ranged from no pain (left end, 0) to unbearable pain (right end, 100). Participants assessed pain intensity on the day of onset of the gout flare and in the morning of the 6 following days.
Time Frame
Baseline of the core study to Week 16
Title
Core Study: Participant's Assessment of Gout Pain on a 5-point Likert Scale up to Day 7 of All Gout Flares
Description
Participants assessed the intensity of pain in the most affected joint on a 5-point Likert scale, which ranged from 1 to 5 (1=None, 2=Mild, 3=Moderate, 4=Severe, 5=Extreme). Participants assessed pain intensity on the day of onset of the gout flare and in the morning of the 6 following days.
Time Frame
Baseline of the core study to Week 16
Title
Core Study: Physician's Global Assessment of Response to Therapy on a 5-point Likert Scale
Description
The study physician made a global assessment of the participant's response to treatment on a 5-point Likert scale (Very good, Good, Fair, Poor, Very poor) at Days 15, 29, 57, 85, 113, and 141. The category 'Not assessed' includes missing data and 'not done'. The number of participants in each of the 5 categories of the Likert scale are reported.
Time Frame
Days 15, 29, 57, 85, 113, and 141 of the core study
Title
Extension Study: Participant's Assessment of Gout Pain on a 100 mm Visual Analog Scale During the First Flare
Description
Participant's rated the intensity of pain in the most affected joint during the first flare on a 0-100 mm visual analog scale, which ranged from no pain (left end, 0) to unbearable pain (right end, 100). Assessments were made pre-dose and 24 hours, 3 days, 4 days, and an average of 5-7 days post-dose
Time Frame
Baseline of the extension study until 7 days after the onset of the first gout flare (up to 24 weeks)
Title
Extension Study: Participant's Global Assessment of Response to Treatment on a 5-point Likert Scale
Description
Study participants made a global assessment of their response to treatment on a 5-point Likert scale (Excellent, Good, Acceptable, Slight, Poor) at the control visit 7±2 days following each of their first 3 flares. The number of participants in each of the 5 categories of the Likert scale are reported.
Time Frame
Baseline of the extension study until the end of the study (up to 24 weeks)
Title
Extension Study: Physician's Global Assessment of Response to Treatment on a 5-point Likert Scale
Description
The study physician made a global assessment of the participant's response to treatment on a 5-point Likert scale (Very good, Good, Fair, Poor, Very poor) at the control visit 7±2 days following each of the first 3 flares. The category 'Not assessed' includes missing data and 'not done'. The number of participants in each of the 5 categories of the Likert scale are reported.
Time Frame
Baseline of the extension study until the end of the study (up to 24 weeks)
Title
Extension Study: Physician's Assessment of Tenderness, Swelling, and Erythema in the Most Affected Joint During the First Flare
Description
Tenderness was rated on a 0-3 point scale: 0="no pain", 1=patient states that "there is pain", 2=patient states "there is pain and winces", and 3=patient states "there is pain, winces and withdraws" on palpation or passive movement of the most affected joint. Swelling was rated on a 0-3 point scale: 0="no swelling", 1="palpable", 2="visible", and 3=bulging beyond the joint margins". Erythema was rated as present, absent, or not assessable. Assessments were performed at the flare and control visits.
Time Frame
Baseline of the extension study until the end of the study (up to 24 weeks)
Title
Extension Study: Amount of Rescue Medication Taken
Description
The amount of naproxen and prednisolone taken after receiving treatment for each of the first 3 flares was recorded.
Time Frame
Baseline of the extension study until the end of the study (up to 24 weeks)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Core study Inclusion Criteria: Signed written informed consent before any study procedure is performed. History of at least 2 gout flares in the year prior to Screening (Visit 1, based on patient history), thus, candidates for initiating uric acid lowering therapy. Confirmed diagnosis of gout meeting the American College of Rheumatology (ACR) 1977 preliminary criteria for the classification of arthritis of primary gout. Body Mass Index (BMI) ≤ 40 kg/m^2. Willingness to initiate allopurinol therapy as urate lowering agent for their gout therapy or having initiated allopurinol therapy within ≤ 1 month before Screening (Visit 1) or willing to re-initiate allopurinol therapy if this was stopped > 2 months before Screening (Visit 1) for reasons different to toxicity/ intolerance or lack of efficacy. Exclusion Criteria: Acute gout flare within 2 weeks of Screening (Visit 1) and during the Screening period. History of allergy or contraindication to colchicine or allopurinol. History of intolerance to allopurinol or to oral colchicine in appropriate dose for prophylactic use. History of bone marrow suppression. Absolute or relative contraindication to both naproxen and oral prednisolone/ prednisone. Extension study Inclusion criteria: Patients who completed the core study. A patient is defined as completing the core study if he/she completed the study up to and including the last visit (Visit 9). Patients who have signed a written informed consent before any trial procedure is performed. Exclusion Criteria: Patients for whom continuation in the extension study is not considered appropriate by the treating physician. Pregnant or nursing (lactating) women, where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive pregnancy test (serum or urine). Other protocol-defined inclusion/exclusion criteria applied to the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Novartis Pharmaceuticals
Organizational Affiliation
Novartis Pharmaceuticals
Official's Role
Study Director
Facility Information:
Facility Name
Talbert Medical Group
City
Huntington Beach
State/Province
California
ZIP/Postal Code
92646
Country
United States
Facility Name
San Diego Arthritis & Osteoporosis Medical clinic
City
San Diego
State/Province
California
Country
United States
Facility Name
Health Awareness
City
Jupiter
State/Province
Florida
ZIP/Postal Code
33458
Country
United States
Facility Name
East-West Medical Research institute
City
Honolulu
State/Province
Hawaii
ZIP/Postal Code
96814
Country
United States
Facility Name
Pinnacle Medical Research
City
Overland Park
State/Province
Kansas
ZIP/Postal Code
66215
Country
United States
Facility Name
Cotton O'Neil Clinical Research Institute
City
Topeka
State/Province
Kansas
Country
United States
Facility Name
Dolby Research, LLC
City
Baton Rouge
State/Province
Louisiana
ZIP/Postal Code
70809
Country
United States
Facility Name
The Family Doctors
City
Shreveport
State/Province
Louisiana
ZIP/Postal Code
71115
Country
United States
Facility Name
Shores Rheumatology
City
Saint Clair Shores
State/Province
Michigan
ZIP/Postal Code
48081
Country
United States
Facility Name
Heartland Clinical Research, Inc.
City
Omaha
State/Province
Nebraska
Country
United States
Facility Name
NM Clinical Research & Osteoporosis Ct.
City
Albuquerque
State/Province
New Mexico
Country
United States
Facility Name
Rochester clinical Research
City
Rochester
State/Province
New York
ZIP/Postal Code
14609
Country
United States
Facility Name
Health Research of Oklahoma, PLLC
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73103
Country
United States
Facility Name
Castlerock Clinical Research Consultants, LLC
City
Tulsa
State/Province
Oklahoma
ZIP/Postal Code
74136
Country
United States
Facility Name
Altoona Center for Clinical Research
City
Duncansville
State/Province
Pennsylvania
ZIP/Postal Code
16635
Country
United States
Facility Name
Columbia Clinical Research
City
Columbia
State/Province
South Carolina
ZIP/Postal Code
29201
Country
United States
Facility Name
Upstate Pharmaceutical Research
City
Greenville
State/Province
South Carolina
ZIP/Postal Code
29615
Country
United States
Facility Name
MultiSpecialty Clinical Research
City
Johnson City
State/Province
Tennessee
Country
United States
Facility Name
iMED Internal medicine, PA
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78228
Country
United States
Facility Name
Novartis Investigative site
City
Buenos Aires
Country
Argentina
Facility Name
Novartis Investigative Site
City
Cordoba
Country
Argentina
Facility Name
Novartis Investigative site
City
Rosario
Country
Argentina
Facility Name
Novartis Investigative Site
City
Gozée
Country
Belgium
Facility Name
Novartis Investigative site
City
Oostham
Country
Belgium
Facility Name
Novartis Investigative Site
City
Bacaramanga
Country
Colombia
Facility Name
Novartis Investigative Site
City
Barranquilla
Country
Colombia
Facility Name
Novartis Investigative Site
City
Bogota
Country
Colombia
Facility Name
Fundación Cardiovascular de Colombia
City
Florida Blanca
Country
Colombia
Facility Name
Novartis Investigative site
City
Havirov
Country
Czechia
Facility Name
Novartis Investigative site
City
Ostrava
Country
Czechia
Facility Name
Novartis Investigative site
City
Pardubice
Country
Czechia
Facility Name
Novartis Investigative site
City
Uherske Hradiste
Country
Czechia
Facility Name
Novartis Investigative site
City
Zlin
Country
Czechia
Facility Name
Novartis Investigative Site
City
Bautzen
Country
Germany
Facility Name
Novartis Investigative Site
City
Chemnitz
Country
Germany
Facility Name
Novartis Investigative Site
City
Dresden
Country
Germany
Facility Name
Novartis Investigative Site
City
Frankfurt
Country
Germany
Facility Name
Novartis Investigative Site
City
Georgensgmuend
Country
Germany
Facility Name
Novartis Investigative Site
City
Goettingen
Country
Germany
Facility Name
Novartis Investigative Site
City
Hamburg
Country
Germany
Facility Name
Novartis Investigative Site
City
Magdeburg
Country
Germany
Facility Name
Novartis Investigative Site
City
Messkirch
Country
Germany
Facility Name
Novartis Investigative Site
City
Muenchen
Country
Germany
Facility Name
Novartis Investigative Site
City
Riedlhuette
Country
Germany
Facility Name
Novartis Investigative Site
City
Schwabach
Country
Germany
Facility Name
Novartis Investigative site
City
Guatemala City
Country
Guatemala
Facility Name
Novartis Investigative Site
City
Debrecen
Country
Hungary
Facility Name
Novartis Investigative Site
City
Eger
Country
Hungary
Facility Name
Novartis Investigative Site
City
Kistarcsa
Country
Hungary
Facility Name
Novartis Investigative Site
City
Zalaegerszeg
Country
Hungary
Facility Name
Novartis Investigative Site
City
Poznan
Country
Poland
Facility Name
Novartis Investigative Site
City
Wroclaw
Country
Poland
Facility Name
Novartis Investigative site
City
Coimbra
Country
Portugal
Facility Name
Novartis Investigative site
City
Lisboa
Country
Portugal
Facility Name
Novartis Investigative site
City
Ponte de Lima
Country
Portugal
Facility Name
Novartis Investigative Site
City
Chelyabinsk
Country
Russian Federation
Facility Name
Novartis Investigative Site
City
Ekaterinburg
Country
Russian Federation
Facility Name
Novartis Investigative site
City
Moscow
Country
Russian Federation
Facility Name
Novartis Investigative Site
City
Petrozavodsk
Country
Russian Federation
Facility Name
Novartis Investigative Site
City
St. Petersburg
Country
Russian Federation
Facility Name
Novartis Investigative Site
City
Yaroslavl
Country
Russian Federation
Facility Name
Novartis Investigative site
City
Singapore
Country
Singapore
Facility Name
Novartis Investigative Site
City
Banska Bystrica
Country
Slovakia
Facility Name
Novartis Investigative Site
City
Bratislava
Country
Slovakia
Facility Name
Novartis Investigative Site
City
Kosice
Country
Slovakia
Facility Name
Novartis Investigative Site
City
Nove Zamky
Country
Slovakia
Facility Name
Novartis Investigative Site
City
Piestany
Country
Slovakia
Facility Name
Novartis Investigative Site
City
Povazska Bystrica
Country
Slovakia
Facility Name
Novartis Investigative site
City
Trebisova
Country
Slovakia
Facility Name
Novartis Investigative site
City
Cape Town
Country
South Africa
Facility Name
Novartis Investigative site
City
Panorama
Country
South Africa
Facility Name
Novartis Investigative site
City
Port Elizabeth
Country
South Africa
Facility Name
Novartis Investigative Site
City
Barakaldo
Country
Spain
Facility Name
Novartis Investigative site
City
Madrid
Country
Spain
Facility Name
Novartis Investigative site
City
Merida
Country
Spain
Facility Name
Novartis Investigative site
City
Valencia
Country
Spain
Facility Name
Novartis Investigative site
City
Kaohsiung
Country
Taiwan
Facility Name
Novartis Investigative site
City
Taichung
Country
Taiwan
Facility Name
Novartis Investigative site
City
Taipei
Country
Taiwan
Facility Name
Baskent University Medical Faculty
City
Adana
Country
Turkey
Facility Name
Baskent University Medical Faculty
City
Ankara
Country
Turkey
Facility Name
Adnan Menderes University Medical Faculty
City
Aydin
Country
Turkey
Facility Name
Cukurova University Medical Faculty
City
Balcali Adana
Country
Turkey
Facility Name
Pamukkale University medical Faculty
City
Denizli Kampus
Country
Turkey
Facility Name
Gaziantep University Medical Faculty
City
Gaziantep
Country
Turkey
Facility Name
Dokuz Eylul University Medical Faculty
City
Izmir
Country
Turkey
Facility Name
Celal Bayar University Medical Faculty
City
Manisa
Country
Turkey
Facility Name
Gables Medicentre
City
Coventry
Country
United Kingdom
Facility Name
Flyde Coast Clinical Research Ltd
City
Lancashire
Country
United Kingdom

12. IPD Sharing Statement

Learn more about this trial

A Study of the Efficacy of Canakinumab in Prevention of Acute Flares in Chronic Gout Patients Initiating Allopurinol Therapy (Core Study) and a Long-term Study of the Efficacy and Safety of Canakinumab in Patients With Gout (Extension Study)

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