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Study of of URC102 to Assess the Efficacy and Safety in Gout Patients (URC102)

Primary Purpose

Gout

Status
Completed
Phase
Phase 2
Locations
Korea, Republic of
Study Type
Interventional
Intervention
arm 0
arm 1
arm 2
arm 3
arm 4
Sponsored by
JW Pharmaceutical
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Gout

Eligibility Criteria

19 Years - 69 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Screening Inclusion Criteria The subjects must meet all the following criteria to be eligible for articipation in this study.

    1. Subjects who are aged ≥19 and <70 years at the time of providing written informed consent
    2. Subjects who are diagnosed with gout according to American College of Rheumatology (1977) criteria for the classification of acute arthritis of primary gout.
    3. Subjects who have the ability and willingness to actively conduct TLC recommended in this study
    4. Subjects who provided written informed consent to voluntarily participate in the study
  • Randomization Inclusion Criterion. Subjects who meet the screening inclusion criteria will be randomly assigned to the following criteria.

    1. sUA ≥ 7.0 mg/dL at Visit 2

      Exclusion Criteria:

    1. Subjects who have medical history or comorbidity as follow; (1) Active malignancy or history of malignancy within the past 5 years at the time of screening (2) Urolithiasis (3) Clinically important allergic disease (anaphylactic shock, etc.) (4) Lesch-Nyhan syndrome (5) Hereditary problems such as galactose intolerance, Lapp lactase deficiency or glucose-galactose malabsorption (6) Ischemic heart diseases or congestive heart failure (7) Organ transplantation (recipient or scheduled to receipt)
    2. Subjects who have comorbidity or abnormality of lab results as follows; (1) Uncontrolled diabetes mellitus with drug therapy

      • HbA1c ≥ 9% or
      • Fasting plasma glucose (FPG) ≥160 mg/dL (2) Uncontrolled hypertension with treatment
      • Systolic blood pressure (SBP) ≥180 mmHg or
      • Diastolic blood pressure (DBP) ≥ 110 mmHg (3) Uncontrolled dyslipidemia with treatment
      • Total cholesterol ≥ 250 mg/dL (at least 8 hours of fasting) (4) Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) ≥ 2 X upper limit of normal (ULN) or Total bilirubin ≥ 1.5 X ULN (5) eGFR* < 60 mL/min/1.73m2 * eGFR (MDRD equation) GFR(ml/min/1.73m2) = 186 × (SCr)-1.154 × (age)-0.203 × (0.742 if female) × (1.210 if African American) (6) Uncontrolled thyroid function with treatment (thyroid-stimulating hormone (TSH) ≥ 1.5 X UNL
    3. Subjects who are judged by the investigator to have a clinical cardiovascular disease that may affect the study based on the 12-lead ECG obtained at screening or those suspected to be at such risk
    4. Patients who have received or plan to receive any XOI or uricosuric agents within 3 weeks prior to study treatment
    5. Patients who have received or plan to receive diuretics or any medication action on human Uric Acid Transporter 1(hURAT1) such as indomethacin, pyrazinamide, fenofibrate, atorvastatin, amlodipine, losartan, captopril, enalapril, salicylates etc. within 2 weeks prior to study treatment However, those who have been on stable doses as below are allowed to participate in the study, if the administration method and dosage remain the same during the study period (1) Diuretics (thiazide only or thiazide-based combination, etc.) and antihypertensive agents (losartan etc.) used for the treatment of hypertension (2) Fenofibrate or lipid lowering drugs (atorvastatin) used for hyperlipidemia (3) Salicylates (aspirin)
    6. Patients who have been administered or plan to administer Mercaptopurine, Azathioprine, Theophyline within 1 week or within more than 5 times of its half-life prior to the Visit 1
    7. HIV Ag/Ab, HBs Ag or HCV Ab positive at screening
    8. Subjects who have known hypersensitivity or allergy to IPs (URC102 or febuxostat) or any components in their formulations
    9. Subjects who have childbearing or nursing
    10. Subjects who agree to use methods of birth control* during the study period and for up to 7 days after the final administration of the IP

      * Methods of birth control: ① intrauterine device or birth control implant, ② dual protection (condom with spermicide and contraceptive diaphragm or contraceptive sponge or cervical cap ③ surgical sterilization (vasectomy or tubal ligation or etc.)

    11. Subjects who have been administered any other IP or investigational device by participating in other studieswithin 4 weeks or within more than 5 times of its halflife prior to the Visit 1
    12. Subjects who have a history of drug or alcohol abuse within 5 years prior to the Visit 1
    13. Subjects who have any other reason that may affect the study or those who are judged by the investigator to be ineligible for participation in the study

Sites / Locations

  • JW Pharmaceutical
  • Chung-Ang University Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Placebo Comparator

Active Comparator

Active Comparator

Active Comparator

Other

Arm Label

Placebo

URC102 3mg

URC102 6mg

URC102 9mg

Febuxostat 80 mg

Arm Description

maintain the initial dose, without increasing the dose.

Administer 3 mg of URC102 for 12 weeks

Administer 3 mg of URC102 for 1 week and 6 mg of URC102 for 11 Weeks.

Administer 3 mg of URC102 for 1 week and 6 mg of URC102 for 1 Weeks, maintain 9 mg of URC102 dose

maintain the initial dose, without increasing the dose.

Outcomes

Primary Outcome Measures

Serum uric acid response rate (< 6.0 mg/dL) at week 4 after the IP administration.

Secondary Outcome Measures

Serum uric acid response rate (< 5.0 mg/dL) at week 4 after the IP administration.
Percent Change in Serum Uric Acid from Baseline to week 4
Change in Serum Uric Acid at week 4 from Baseline
The Incidence rate of gout attack from baseline to week 4
Serum uric acid response rate(< 6.0 mg/dL) at week 8 and week 12 after the IP administration
serum uric acid response rate(< 5.0 mg/dL) at week 8 and week 12 after the IP administration
Percent Change in Serum Uric Acid from Baseline to week 8 and week 12
Change in Serum Uric Acid at week 8 and 12 from Baseline
The Incidence rate of gout attack from baseline to week 8 and 12

Full Information

First Posted
November 15, 2020
Last Updated
March 16, 2021
Sponsor
JW Pharmaceutical
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1. Study Identification

Unique Protocol Identification Number
NCT04804111
Brief Title
Study of of URC102 to Assess the Efficacy and Safety in Gout Patients
Acronym
URC102
Official Title
A Multi-center, Randomized, Double-blind, Placebo-controlled, Dose-finding Phase 2b Clinical Trial to Evaluate the Efficacy and Safety of URC102 in Patient With Gout
Study Type
Interventional

2. Study Status

Record Verification Date
November 2020
Overall Recruitment Status
Completed
Study Start Date
January 21, 2019 (Actual)
Primary Completion Date
September 4, 2020 (Actual)
Study Completion Date
November 29, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
JW Pharmaceutical

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
To confirm the safety and efficacy (dose response and optimal dose according to the serum uric acid response rate) of URC102 when orally-administered to patients with gout and gout-related hyperuricemia in comparison with placebo. Therapeutic dose-finding study, Placebo-controlled, randomized, double-blind, multicenter, phase 2 clinical trial.
Detailed Description
Placebo-controlled, randomized, double-blind, multicenter, phase 2 clinical trial.

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 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
171 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
maintain the initial dose, without increasing the dose.
Arm Title
URC102 3mg
Arm Type
Active Comparator
Arm Description
Administer 3 mg of URC102 for 12 weeks
Arm Title
URC102 6mg
Arm Type
Active Comparator
Arm Description
Administer 3 mg of URC102 for 1 week and 6 mg of URC102 for 11 Weeks.
Arm Title
URC102 9mg
Arm Type
Active Comparator
Arm Description
Administer 3 mg of URC102 for 1 week and 6 mg of URC102 for 1 Weeks, maintain 9 mg of URC102 dose
Arm Title
Febuxostat 80 mg
Arm Type
Other
Arm Description
maintain the initial dose, without increasing the dose.
Intervention Type
Drug
Intervention Name(s)
arm 0
Intervention Description
placebo group
Intervention Type
Drug
Intervention Name(s)
arm 1
Intervention Description
3 mg of the URC102 group
Intervention Type
Drug
Intervention Name(s)
arm 2
Intervention Description
6 mg of the URC102 group
Intervention Type
Drug
Intervention Name(s)
arm 3
Intervention Description
9 mg of the URC102 group
Intervention Type
Drug
Intervention Name(s)
arm 4
Intervention Description
Febuxostat 80 mg
Primary Outcome Measure Information:
Title
Serum uric acid response rate (< 6.0 mg/dL) at week 4 after the IP administration.
Time Frame
Week 4
Secondary Outcome Measure Information:
Title
Serum uric acid response rate (< 5.0 mg/dL) at week 4 after the IP administration.
Time Frame
Week 4
Title
Percent Change in Serum Uric Acid from Baseline to week 4
Time Frame
Week 4
Title
Change in Serum Uric Acid at week 4 from Baseline
Time Frame
Week 4
Title
The Incidence rate of gout attack from baseline to week 4
Time Frame
week 4
Title
Serum uric acid response rate(< 6.0 mg/dL) at week 8 and week 12 after the IP administration
Time Frame
Week 8, Week 12
Title
serum uric acid response rate(< 5.0 mg/dL) at week 8 and week 12 after the IP administration
Time Frame
Week 8, Week 12
Title
Percent Change in Serum Uric Acid from Baseline to week 8 and week 12
Time Frame
Week 8, Week 12
Title
Change in Serum Uric Acid at week 8 and 12 from Baseline
Time Frame
Week 8, Week 12
Title
The Incidence rate of gout attack from baseline to week 8 and 12
Time Frame
Week 8, Week 12

10. Eligibility

Sex
All
Minimum Age & Unit of Time
19 Years
Maximum Age & Unit of Time
69 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Screening Inclusion Criteria The subjects must meet all the following criteria to be eligible for articipation in this study. Subjects who are aged ≥19 and <70 years at the time of providing written informed consent Subjects who are diagnosed with gout according to American College of Rheumatology (1977) criteria for the classification of acute arthritis of primary gout. Subjects who have the ability and willingness to actively conduct TLC recommended in this study Subjects who provided written informed consent to voluntarily participate in the study Randomization Inclusion Criterion. Subjects who meet the screening inclusion criteria will be randomly assigned to the following criteria. sUA ≥ 7.0 mg/dL at Visit 2 Exclusion Criteria: Subjects who have medical history or comorbidity as follow; (1) Active malignancy or history of malignancy within the past 5 years at the time of screening (2) Urolithiasis (3) Clinically important allergic disease (anaphylactic shock, etc.) (4) Lesch-Nyhan syndrome (5) Hereditary problems such as galactose intolerance, Lapp lactase deficiency or glucose-galactose malabsorption (6) Ischemic heart diseases or congestive heart failure (7) Organ transplantation (recipient or scheduled to receipt) Subjects who have comorbidity or abnormality of lab results as follows; (1) Uncontrolled diabetes mellitus with drug therapy HbA1c ≥ 9% or Fasting plasma glucose (FPG) ≥160 mg/dL (2) Uncontrolled hypertension with treatment Systolic blood pressure (SBP) ≥180 mmHg or Diastolic blood pressure (DBP) ≥ 110 mmHg (3) Uncontrolled dyslipidemia with treatment Total cholesterol ≥ 250 mg/dL (at least 8 hours of fasting) (4) Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) ≥ 2 X upper limit of normal (ULN) or Total bilirubin ≥ 1.5 X ULN (5) eGFR* < 60 mL/min/1.73m2 * eGFR (MDRD equation) GFR(ml/min/1.73m2) = 186 × (SCr)-1.154 × (age)-0.203 × (0.742 if female) × (1.210 if African American) (6) Uncontrolled thyroid function with treatment (thyroid-stimulating hormone (TSH) ≥ 1.5 X UNL Subjects who are judged by the investigator to have a clinical cardiovascular disease that may affect the study based on the 12-lead ECG obtained at screening or those suspected to be at such risk Patients who have received or plan to receive any XOI or uricosuric agents within 3 weeks prior to study treatment Patients who have received or plan to receive diuretics or any medication action on human Uric Acid Transporter 1(hURAT1) such as indomethacin, pyrazinamide, fenofibrate, atorvastatin, amlodipine, losartan, captopril, enalapril, salicylates etc. within 2 weeks prior to study treatment However, those who have been on stable doses as below are allowed to participate in the study, if the administration method and dosage remain the same during the study period (1) Diuretics (thiazide only or thiazide-based combination, etc.) and antihypertensive agents (losartan etc.) used for the treatment of hypertension (2) Fenofibrate or lipid lowering drugs (atorvastatin) used for hyperlipidemia (3) Salicylates (aspirin) Patients who have been administered or plan to administer Mercaptopurine, Azathioprine, Theophyline within 1 week or within more than 5 times of its half-life prior to the Visit 1 HIV Ag/Ab, HBs Ag or HCV Ab positive at screening Subjects who have known hypersensitivity or allergy to IPs (URC102 or febuxostat) or any components in their formulations Subjects who have childbearing or nursing Subjects who agree to use methods of birth control* during the study period and for up to 7 days after the final administration of the IP * Methods of birth control: ① intrauterine device or birth control implant, ② dual protection (condom with spermicide and contraceptive diaphragm or contraceptive sponge or cervical cap ③ surgical sterilization (vasectomy or tubal ligation or etc.) Subjects who have been administered any other IP or investigational device by participating in other studieswithin 4 weeks or within more than 5 times of its halflife prior to the Visit 1 Subjects who have a history of drug or alcohol abuse within 5 years prior to the Visit 1 Subjects who have any other reason that may affect the study or those who are judged by the investigator to be ineligible for participation in the study
Facility Information:
Facility Name
JW Pharmaceutical
City
Seoul
ZIP/Postal Code
06725
Country
Korea, Republic of
Facility Name
Chung-Ang University Hospital
City
Seoul
Country
Korea, Republic of

12. IPD Sharing Statement

Learn more about this trial

Study of of URC102 to Assess the Efficacy and Safety in Gout Patients

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