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Safety and Efficacy of Oral Febuxostat in Subjects With Gout

Primary Purpose

Gout

Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Febuxostat
Allopurinol
Sponsored by
Xijing Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Gout focused on measuring Gout, Uric Acid, Xanthine oxidase, Febuxostat

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Hyperuricemia (serum urate ≥8.0 mg/dL) and gout by Chinese Rheumatism Association Criteria;
  • Renal function defined as a serum creatinine level of < 2.0 mg/dL and creatinine clearance of > 20 milliliters per minute (mL/min) by Cockcroft and Gault formula;
  • No gout flare 2 weeks beforehand during 2-week screening period.

Exclusion Criteria:

  • Pregnancy or lactation;
  • Concurrent therapy with urate lowering agents, azathioprine, 6-mercaptopurine, thiazide diuretics, or medications containing aspirin (>325 mg) or other salicylates;
  • Body Mass Index (BMI) >50 kilogram per meter²(kg/m²);
  • A history of active liver disease, or hepatic dysfunction;
  • A history of bronchial asthma;
  • A history of renal calculi or thyroid disease;
  • Secondary gout Joint diseases induced by rheumatoid arthritis, psoriatic arthritis and bone tumor;
  • Intolerance to allopurinol and Ibuprofen;
  • Alcohol intake of ≥ 14 drinks/week;
  • Clinically significant medical condition.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Experimental

    Experimental

    Active Comparator

    Arm Label

    Febuxostat 40 mg QD

    Febuxostat 80 mg QD

    Allopurinol 100mg QD

    Arm Description

    Febuxostat 40 mg, orally, once daily for up to 24 weeks

    Febuxostat 80 mg, orally, once daily for up to 24 weeks

    Allopurinol 100mg, orally, three times daily for up to 24 weeks

    Outcomes

    Primary Outcome Measures

    Percentage of Subjects Whose Last Three Serum Urate Levels Are <6.0 Milligram Per Deciliter (mg/dL)

    Secondary Outcome Measures

    Percentage of Subjects Whose Serum Urate Levels Are <6.0 mg/dL at Final Visit

    Full Information

    First Posted
    March 6, 2014
    Last Updated
    December 30, 2015
    Sponsor
    Xijing Hospital
    Collaborators
    Qingdao Shengbang Pharmaceutical Co., Ltd.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02082769
    Brief Title
    Safety and Efficacy of Oral Febuxostat in Subjects With Gout
    Official Title
    A Phase 3, Randomized, Multicenter, Allopurinol-Controlled Study Assessing the Safety and Efficacy of Oral Febuxostat in Subjects With Gout
    Study Type
    Interventional

    2. Study Status

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

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Xijing Hospital
    Collaborators
    Qingdao Shengbang Pharmaceutical Co., Ltd.

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    The purpose of this study is to compare febuxostat allopurinol in subjects with gout.
    Detailed Description
    A randomized, double-blind, multicenter, allopurinol-controlled and parallel-assigned study comparing 40 mg, 80 mg of febuxostat, and allopurinol 300 mg in subjects with gout. Subjects will receive treatment for 24 weeks.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Gout
    Keywords
    Gout, Uric Acid, Xanthine oxidase, Febuxostat

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    504 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Febuxostat 40 mg QD
    Arm Type
    Experimental
    Arm Description
    Febuxostat 40 mg, orally, once daily for up to 24 weeks
    Arm Title
    Febuxostat 80 mg QD
    Arm Type
    Experimental
    Arm Description
    Febuxostat 80 mg, orally, once daily for up to 24 weeks
    Arm Title
    Allopurinol 100mg QD
    Arm Type
    Active Comparator
    Arm Description
    Allopurinol 100mg, orally, three times daily for up to 24 weeks
    Intervention Type
    Drug
    Intervention Name(s)
    Febuxostat
    Intervention Type
    Drug
    Intervention Name(s)
    Allopurinol
    Primary Outcome Measure Information:
    Title
    Percentage of Subjects Whose Last Three Serum Urate Levels Are <6.0 Milligram Per Deciliter (mg/dL)
    Time Frame
    Last 3 visits (any last 3 visits up to week 26)
    Secondary Outcome Measure Information:
    Title
    Percentage of Subjects Whose Serum Urate Levels Are <6.0 mg/dL at Final Visit
    Time Frame
    Final Visit (up to 26 weeks)
    Other Pre-specified Outcome Measures:
    Title
    Absolute Change in the Serum Urate Level at the Final Visit Relative to Baseline
    Time Frame
    Baseline and Final Visit (up to 26 weeks)

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    70 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Hyperuricemia (serum urate ≥8.0 mg/dL) and gout by Chinese Rheumatism Association Criteria; Renal function defined as a serum creatinine level of < 2.0 mg/dL and creatinine clearance of > 20 milliliters per minute (mL/min) by Cockcroft and Gault formula; No gout flare 2 weeks beforehand during 2-week screening period. Exclusion Criteria: Pregnancy or lactation; Concurrent therapy with urate lowering agents, azathioprine, 6-mercaptopurine, thiazide diuretics, or medications containing aspirin (>325 mg) or other salicylates; Body Mass Index (BMI) >50 kilogram per meter²(kg/m²); A history of active liver disease, or hepatic dysfunction; A history of bronchial asthma; A history of renal calculi or thyroid disease; Secondary gout Joint diseases induced by rheumatoid arthritis, psoriatic arthritis and bone tumor; Intolerance to allopurinol and Ibuprofen; Alcohol intake of ≥ 14 drinks/week; Clinically significant medical condition.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Shenren Chen, M.D.
    Organizational Affiliation
    The Second Affiliated Hospital of Shantou University Medical College
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Yangang Wang, M.D.
    Organizational Affiliation
    The Affiliated Hospital of Qingdao University
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Xiumei Liu, M.D.
    Organizational Affiliation
    The First Affiliated Hospital of Shanxi Medical University
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Hong Liu, M.D.
    Organizational Affiliation
    First Affiliated Hospital of Guangxi Medical University
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Yongde Peng, M.D.
    Organizational Affiliation
    Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Jianqin Wang, M.D.
    Organizational Affiliation
    Second Hospital of Lanzhou University
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Jinying Lin, M.D.
    Organizational Affiliation
    People's Hospital of Guangxi
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Haiwang Ji, M.D.
    Organizational Affiliation
    Shaanxi Provincial People's Hospital
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Bin Liu, M.D.
    Organizational Affiliation
    The First Hospital of Jilin University
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Ying Lu, M.D.
    Organizational Affiliation
    Zhejiang Provincial Tongde Hospital
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Peng Liu, M.D.
    Organizational Affiliation
    Guangxi Ruikang Hospital
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Yonghong Zhang, M.D.
    Organizational Affiliation
    Luoyang Orthopedic-Traumatological Hospital
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    26013187
    Citation
    Xu S, Liu X, Ming J, Chen S, Wang Y, Liu X, Liu H, Peng Y, Wang J, Lin J, Ji H, Liu B, Lu Y, Liu P, Zhang Y, Ji Q. A phase 3, multicenter, randomized, allopurinol-controlled study assessing the safety and efficacy of oral febuxostat in Chinese gout patients with hyperuricemia. Int J Rheum Dis. 2015 Jul;18(6):669-78. doi: 10.1111/1756-185X.12648. Epub 2015 May 27.
    Results Reference
    derived

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    Safety and Efficacy of Oral Febuxostat in Subjects With Gout

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