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Allopurinol Outcome Study (LASSO)

Primary Purpose

Gout

Status
Completed
Phase
Phase 4
Locations
International
Study Type
Interventional
Intervention
Allopurinol
Sponsored by
Ardea Biosciences, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Gout

Eligibility Criteria

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

Inclusion Criteria:

  • Meets the diagnosis of gout according to the American Rheumatism Association (ARA) Criteria for the Classification of Acute Arthritis of Primary Gout.
  • Not on a urate lowering therapy (ULT) must have an sUA level ≥ 8.0 mg/dL at screening.
  • If on concomitant ULT must have an sUA level ≥ 6.5 mg/dL at screening.
  • Must have had at least 2 gout flares in the past year.

Exclusion Criteria:

  • Consumption of 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).
  • History or suspicion of drug abuse.
  • History of autoimmune disease requiring systemic treatment.
  • Known or suspected human immunodeficiency virus (HIV), hepatitis C antibody (HCV), or hepatitis B antibody (HBsAg) infection.
  • History of malignancy within the previous 5 years (with the exception of nonmelanoma skin cancer that has been treated with no evidence of recurrence, treated cervical dysplasia or treated in situ Grade 1 cervical cancer).
  • Myocardial infarction, unstable angina, New York Heart Association (NYHA) class III or IV heart failure, or stroke within the last 12 months.
  • Uncontrolled hypertension (systolic pressure above 160 mm Hg or diastolic pressure above 95 mm Hg).
  • Estimated creatinine clearance < 30 mL/min by Cockcroft-Gault formula.
  • Kidney or other organ transplant.
  • Active peptic ulcer disease requiring treatment.
  • History of xanthinuria, active liver disease, or hepatic dysfunction.
  • If unable to take gout flare prophylaxis of either colchicine or nonsteroidal anti-inflammatory drugs (NSAIDs) due to contraindication (e.g. toxicity, renal function, use of contraindicated medications).
  • Known hypersensitivity or allergy to allopurinol.

Sites / Locations

Arms of the Study

Arm 1

Arm Type

Other

Arm Label

Allopurinol

Arm Description

Treatment.

Outcomes

Primary Outcome Measures

Safety of Allopurinol
Proportion of subjects who experienced at least one Treatment Emergent Adverse Event (TEAE) during the study.

Secondary Outcome Measures

Proportion of Subjects With Serum Urate (sUA) Less Than 6.0 mg/dL
Proportion of subjects with serum urate (sUA) less than 6.0 mg/dL at Month 6 using Last Observation Carried Forward (LOCF) for subjects with missing values at Month 6.
Incidence of Gout Flares
Proportion of subjects who experienced at least one gout flare requiring treatment during the study.
Mean Change From Baseline to Month 6 in SF-36 PCS+MCS
The SF-36 is a short-form health survey with 36 questions that yields an 8-scale profile of functional health and well-being scores as well as psychometrically-based physical (PCS) and mental health (MCS) summary. Each scale is directly transformed into a 0-100 scale. The lower the score the more disability. The higher the score the less disability. The component scores (PCS and MCS) are norm-based to a standard population with a mean of 50 and a standard deviation of 10.

Full Information

First Posted
July 7, 2011
Last Updated
May 16, 2014
Sponsor
Ardea Biosciences, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01391325
Brief Title
Allopurinol Outcome Study
Acronym
LASSO
Official Title
Long-term Allopurinol Safety Study Evaluating Outcomes in Gout Patients (LASSO)
Study Type
Interventional

2. Study Status

Record Verification Date
May 2014
Overall Recruitment Status
Completed
Study Start Date
July 2011 (undefined)
Primary Completion Date
January 2013 (Actual)
Study Completion Date
March 2013 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a study of allopurinol in gout patients with hyperuricemia that will evaluate the safety and serum urate (sUA) lowering capability of allopurinol as a urate lowering therapy (ULT) for up to six months. Allopurinol will be dosed according to the local product label, at the discretion of the Investigator, to achieve an optimal, medically appropriate dose for each patient.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
1735 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Allopurinol
Arm Type
Other
Arm Description
Treatment.
Intervention Type
Drug
Intervention Name(s)
Allopurinol
Intervention Description
Commercially available allopurinol 100 mg and 300 mg oral tablets will be prescribed by the Investigator according to the approved product label.
Primary Outcome Measure Information:
Title
Safety of Allopurinol
Description
Proportion of subjects who experienced at least one Treatment Emergent Adverse Event (TEAE) during the study.
Time Frame
Every month for 6 months.
Secondary Outcome Measure Information:
Title
Proportion of Subjects With Serum Urate (sUA) Less Than 6.0 mg/dL
Description
Proportion of subjects with serum urate (sUA) less than 6.0 mg/dL at Month 6 using Last Observation Carried Forward (LOCF) for subjects with missing values at Month 6.
Time Frame
Month 6
Title
Incidence of Gout Flares
Description
Proportion of subjects who experienced at least one gout flare requiring treatment during the study.
Time Frame
Every month for 6 months.
Title
Mean Change From Baseline to Month 6 in SF-36 PCS+MCS
Description
The SF-36 is a short-form health survey with 36 questions that yields an 8-scale profile of functional health and well-being scores as well as psychometrically-based physical (PCS) and mental health (MCS) summary. Each scale is directly transformed into a 0-100 scale. The lower the score the more disability. The higher the score the less disability. The component scores (PCS and MCS) are norm-based to a standard population with a mean of 50 and a standard deviation of 10.
Time Frame
Month 6

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: Meets the diagnosis of gout according to the American Rheumatism Association (ARA) Criteria for the Classification of Acute Arthritis of Primary Gout. Not on a urate lowering therapy (ULT) must have an sUA level ≥ 8.0 mg/dL at screening. If on concomitant ULT must have an sUA level ≥ 6.5 mg/dL at screening. Must have had at least 2 gout flares in the past year. Exclusion Criteria: Consumption of 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). History or suspicion of drug abuse. History of autoimmune disease requiring systemic treatment. Known or suspected human immunodeficiency virus (HIV), hepatitis C antibody (HCV), or hepatitis B antibody (HBsAg) infection. History of malignancy within the previous 5 years (with the exception of nonmelanoma skin cancer that has been treated with no evidence of recurrence, treated cervical dysplasia or treated in situ Grade 1 cervical cancer). Myocardial infarction, unstable angina, New York Heart Association (NYHA) class III or IV heart failure, or stroke within the last 12 months. Uncontrolled hypertension (systolic pressure above 160 mm Hg or diastolic pressure above 95 mm Hg). Estimated creatinine clearance < 30 mL/min by Cockcroft-Gault formula. Kidney or other organ transplant. Active peptic ulcer disease requiring treatment. History of xanthinuria, active liver disease, or hepatic dysfunction. If unable to take gout flare prophylaxis of either colchicine or nonsteroidal anti-inflammatory drugs (NSAIDs) due to contraindication (e.g. toxicity, renal function, use of contraindicated medications). Known hypersensitivity or allergy to allopurinol.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
S Baumgartner, MD
Organizational Affiliation
Ardea Biosciences, Inc.
Official's Role
Study Director
Facility Information:
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35242
Country
United States
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35294
Country
United States
City
Bringham
State/Province
Alabama
ZIP/Postal Code
35216
Country
United States
City
Calera
State/Province
Alabama
ZIP/Postal Code
35040
Country
United States
City
Huntsville
State/Province
Alabama
ZIP/Postal Code
35801
Country
United States
City
Mobile
State/Province
Alabama
ZIP/Postal Code
36608
Country
United States
City
Chandlers
State/Province
Arizona
ZIP/Postal Code
85224
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United States
City
Green Valley
State/Province
Arizona
ZIP/Postal Code
85614
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United States
City
Jonesboro
State/Province
Arizona
ZIP/Postal Code
72401
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United States
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Phoenix
State/Province
Arizona
ZIP/Postal Code
85028
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United States
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85050
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United States
City
Tucson
State/Province
Arizona
ZIP/Postal Code
85704
Country
United States
City
Little Rock
State/Province
Arkansas
ZIP/Postal Code
72204
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United States
City
Little Rock
State/Province
Arkansas
ZIP/Postal Code
72205
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United States
City
Anaheim
State/Province
California
ZIP/Postal Code
92805
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United States
City
Carmichael
State/Province
California
ZIP/Postal Code
95608
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United States
City
Covina
State/Province
California
ZIP/Postal Code
91723
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United States
City
Hemet
State/Province
California
ZIP/Postal Code
92543
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United States
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Irvine
State/Province
California
ZIP/Postal Code
92618
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United States
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Los Angeles
State/Province
California
ZIP/Postal Code
90048
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United States
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Mission Viejo
State/Province
California
ZIP/Postal Code
92691
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United States
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Pasadena
State/Province
California
ZIP/Postal Code
91107
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United States
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Sacramento
State/Province
California
ZIP/Postal Code
95816
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United States
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San Diego
State/Province
California
ZIP/Postal Code
92108
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United States
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San Ramon
State/Province
California
ZIP/Postal Code
94583
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United States
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Santa Maria
State/Province
California
ZIP/Postal Code
93454
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United States
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Weslake Village
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California
ZIP/Postal Code
91361
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United States
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Denver
State/Province
Colorado
ZIP/Postal Code
80220
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United States
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Englewood
State/Province
Colorado
ZIP/Postal Code
80113
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United States
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Danbury
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Connecticut
ZIP/Postal Code
06810
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United States
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Trumbull
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Connecticut
ZIP/Postal Code
06611
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United States
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Brandenton
State/Province
Florida
ZIP/Postal Code
34208
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United States
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Brandon
State/Province
Florida
ZIP/Postal Code
33511
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United States
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Brooksville
State/Province
Florida
ZIP/Postal Code
34601
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United States
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East Brandenton
State/Province
Florida
ZIP/Postal Code
34208
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United States
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Fleming Island
State/Province
Florida
ZIP/Postal Code
32003
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United States
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Jacksonville
State/Province
Florida
ZIP/Postal Code
32205
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United States
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Jacksonville
State/Province
Florida
ZIP/Postal Code
32216
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United States
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Jupiter
State/Province
Florida
ZIP/Postal Code
33458
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United States
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Miami
State/Province
Florida
ZIP/Postal Code
33135
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United States
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Oldsmar
State/Province
Florida
ZIP/Postal Code
34677
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United States
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Orlando
State/Province
Florida
ZIP/Postal Code
32804
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United States
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Ormond Beach
State/Province
Florida
ZIP/Postal Code
32174
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United States
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Plant City
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Florida
ZIP/Postal Code
33563
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United States
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Port Orange
State/Province
Florida
ZIP/Postal Code
32127
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United States
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Sanford
State/Province
Florida
ZIP/Postal Code
32771
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United States
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St. Petersburg
State/Province
Florida
ZIP/Postal Code
33709
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United States
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Tampa
State/Province
Florida
ZIP/Postal Code
33606
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United States
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Vero Beach
State/Province
Florida
ZIP/Postal Code
32960
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United States
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Winter Haven
State/Province
Florida
ZIP/Postal Code
33880
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United States
City
Zephyrhills
State/Province
Florida
ZIP/Postal Code
33542
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United States
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Atlanta
State/Province
Georgia
ZIP/Postal Code
30308
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United States
City
Newnan
State/Province
Georgia
ZIP/Postal Code
30265
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United States
City
Honolulu
State/Province
Hawaii
ZIP/Postal Code
96814
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United States
City
Meridian
State/Province
Idaho
ZIP/Postal Code
83646
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United States
City
Addison
State/Province
Illinois
ZIP/Postal Code
60101
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United States
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60612
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United States
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60637
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United States
City
Gurnee
State/Province
Illinois
ZIP/Postal Code
60031
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United States
City
Evansville
State/Province
Indiana
ZIP/Postal Code
47713
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United States
City
Elizabethtown
State/Province
Kentucky
ZIP/Postal Code
42701
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United States
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Lexington
State/Province
Kentucky
ZIP/Postal Code
40504
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United States
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Louisville
State/Province
Kentucky
ZIP/Postal Code
40213
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United States
City
Monroe
State/Province
Louisiana
ZIP/Postal Code
71203
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United States
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Cumberland
State/Province
Maryland
ZIP/Postal Code
21502
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United States
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Frederick
State/Province
Maryland
ZIP/Postal Code
21702
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United States
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Hagerstown
State/Province
Maryland
ZIP/Postal Code
21740
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United States
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Wheaton
State/Province
Maryland
ZIP/Postal Code
20902
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United States
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Hyannis
State/Province
Massachusetts
ZIP/Postal Code
02601
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United States
City
Worcester
State/Province
Massachusetts
ZIP/Postal Code
01605
Country
United States
City
South Traverse City
State/Province
Michigan
ZIP/Postal Code
49684
Country
United States
City
Rochester
State/Province
Minnesota
ZIP/Postal Code
55905
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United States
City
Olive Branch
State/Province
Mississippi
ZIP/Postal Code
38654
Country
United States
City
Florissant
State/Province
Missouri
ZIP/Postal Code
63031
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United States
City
Kansas City
State/Province
Missouri
ZIP/Postal Code
64114
Country
United States
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63117
Country
United States
City
St. Louis
State/Province
Missouri
ZIP/Postal Code
63128
Country
United States
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68114
Country
United States
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89119
Country
United States
City
Reno
State/Province
Nevada
ZIP/Postal Code
89502
Country
United States
City
Nashua
State/Province
New Hampshire
ZIP/Postal Code
03060
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
Albany
State/Province
New York
ZIP/Postal Code
12206
Country
United States
City
Endwell
State/Province
New York
ZIP/Postal Code
13760
Country
United States
City
Hartsdale
State/Province
New York
ZIP/Postal Code
10530
Country
United States
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28210
Country
United States
City
Harrisburg
State/Province
North Carolina
ZIP/Postal Code
28075
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United States
City
Hickory
State/Province
North Carolina
ZIP/Postal Code
28602
Country
United States
City
Raleigh
State/Province
North Carolina
ZIP/Postal Code
27609
Country
United States
City
Raleigh
State/Province
North Carolina
ZIP/Postal Code
27612
Country
United States
City
Wilmington
State/Province
North Carolina
ZIP/Postal Code
28401
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
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United States
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44122
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United States
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43203
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United States
City
Dayton
State/Province
Ohio
ZIP/Postal Code
45417
Country
United States
City
Middleburg Heights
State/Province
Ohio
ZIP/Postal Code
44130
Country
United States
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73103
Country
United States
City
Eugene
State/Province
Oregon
ZIP/Postal Code
97402
Country
United States
City
Portland
State/Province
Oregon
ZIP/Postal Code
97220
Country
United States
City
Altoona
State/Province
Pennsylvania
ZIP/Postal Code
16602
Country
United States
City
Duncansville
State/Province
Pennsylvania
ZIP/Postal Code
16635
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United States
City
Lancaster
State/Province
Pennsylvania
ZIP/Postal Code
17601
Country
United States
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29407
Country
United States
City
Mount Pleasant
State/Province
South Carolina
ZIP/Postal Code
29464
Country
United States
City
Spartanburg
State/Province
South Carolina
ZIP/Postal Code
29303
Country
United States
City
Jackson
State/Province
Tennessee
ZIP/Postal Code
38305
Country
United States
City
Spring Hill
State/Province
Tennessee
ZIP/Postal Code
37174
Country
United States
City
Dallas
State/Province
Texas
ZIP/Postal Code
75216
Country
United States
City
Dallas
State/Province
Texas
ZIP/Postal Code
75235
Country
United States
City
Houston
State/Province
Texas
ZIP/Postal Code
77074
Country
United States
City
Houston
State/Province
Texas
ZIP/Postal Code
77088
Country
United States
City
Irving
State/Province
Texas
ZIP/Postal Code
75061
Country
United States
City
Mesquite
State/Province
Texas
ZIP/Postal Code
75150
Country
United States
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
City
Sugar Land
State/Province
Texas
ZIP/Postal Code
77479
Country
United States
City
Bountiful
State/Province
Utah
ZIP/Postal Code
84010
Country
United States
City
West Jordan
State/Province
Utah
ZIP/Postal Code
84088
Country
United States
City
Arlington
State/Province
Virginia
ZIP/Postal Code
22205
Country
United States
City
Richmond
State/Province
Virginia
ZIP/Postal Code
23294
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United States
City
Port Orchard
State/Province
Washington
ZIP/Postal Code
98366
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United States
City
Seattle
State/Province
Washington
ZIP/Postal Code
98122
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United States
City
Spokane
State/Province
Washington
ZIP/Postal Code
99208
Country
United States
City
Tacoma
State/Province
Washington
ZIP/Postal Code
98405
Country
United States
City
Morgantown
State/Province
West Virginia
ZIP/Postal Code
26505
Country
United States
City
Camperdown
State/Province
New South Wales
ZIP/Postal Code
2050
Country
Australia
City
Wollongong
State/Province
New South Wales
ZIP/Postal Code
2522
Country
Australia
City
Birsbane
State/Province
Queensland
ZIP/Postal Code
4152
Country
Australia
City
Daw Park
State/Province
South Australia
ZIP/Postal Code
5041
Country
Australia
City
Woodville South
State/Province
South Australia
ZIP/Postal Code
5011
Country
Australia
City
Hobart
State/Province
Tasmania
ZIP/Postal Code
7000
Country
Australia
City
Clayton
State/Province
Victoria
ZIP/Postal Code
3168
Country
Australia
City
Heidelberg
State/Province
Victoria
ZIP/Postal Code
3081
Country
Australia
City
North Ballarat
State/Province
Victoria
ZIP/Postal Code
3353
Country
Australia
City
Perth
State/Province
Western Australia
ZIP/Postal Code
6000
Country
Australia
City
Malvern East
ZIP/Postal Code
VIC3145
Country
Australia
City
Bruxelles
ZIP/Postal Code
1070
Country
Belgium
City
Gozee
ZIP/Postal Code
6534
Country
Belgium
City
Kortrijk
ZIP/Postal Code
8500
Country
Belgium
City
Mouscron
ZIP/Postal Code
7700
Country
Belgium
City
Yvoir
ZIP/Postal Code
5530
Country
Belgium
City
Coquitlam
State/Province
British Columbia
ZIP/Postal Code
V3K 3P4
Country
Canada
City
Kelowna
State/Province
British Columbia
ZIP/Postal Code
V1Y 3G8
Country
Canada
City
Penticton
State/Province
British Columbia
ZIP/Postal Code
V2A 5C8
Country
Canada
City
Ottawa
State/Province
Ontario
ZIP/Postal Code
K1S 1L2
Country
Canada
City
Thornhill
State/Province
Ontario
ZIP/Postal Code
L4J 1W3
Country
Canada
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M9W 4L6
Country
Canada
City
Quebec
ZIP/Postal Code
G1V 3M7
Country
Canada
City
Altenburg
ZIP/Postal Code
04600
Country
Germany
City
Dresden
ZIP/Postal Code
01307
Country
Germany
City
Eichstatt
ZIP/Postal Code
85072
Country
Germany
City
Christchurch
State/Province
Canterbury
ZIP/Postal Code
8024
Country
New Zealand
City
Auckland
ZIP/Postal Code
1010
Country
New Zealand
City
Hamilton
ZIP/Postal Code
3240
Country
New Zealand
City
Papatoetoe
ZIP/Postal Code
2525
Country
New Zealand
City
Rotorua
ZIP/Postal Code
3010
Country
New Zealand
City
Tauranga
ZIP/Postal Code
3110
Country
New Zealand
City
Bloemfontein
ZIP/Postal Code
9301
Country
South Africa
City
Durban
ZIP/Postal Code
4037
Country
South Africa
City
Durban
ZIP/Postal Code
4067
Country
South Africa
City
Durban
ZIP/Postal Code
4092
Country
South Africa
City
East London
ZIP/Postal Code
5201
Country
South Africa
City
Johannesburg
ZIP/Postal Code
1724
Country
South Africa
City
Johannesburg
ZIP/Postal Code
2113
Country
South Africa
City
Paarl
ZIP/Postal Code
7646
Country
South Africa
City
Pretoria
ZIP/Postal Code
0084
Country
South Africa
City
Pretoria
ZIP/Postal Code
2000
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
City
Worcester
ZIP/Postal Code
6850
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
26190562
Citation
Becker MA, Fitz-Patrick D, Choi HK, Dalbeth N, Storgard C, Cravets M, Baumgartner S. An open-label, 6-month study of allopurinol safety in gout: The LASSO study. Semin Arthritis Rheum. 2015 Oct;45(2):174-83. doi: 10.1016/j.semarthrit.2015.05.005. Epub 2015 May 21.
Results Reference
derived

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Allopurinol Outcome Study

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