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Febuxostat Versus Allopurinol Control Trial in Subjects With Gout (FACT)
This study has been completed.
Study NCT00102440   Information provided by Takeda Global Research & Development Center, Inc.

First Received on January 29, 2005.   Last Updated on January 31, 2012   History of Changes
Results First Received: March 12, 2009  
Study Type: Interventional
Study Design: Allocation: Randomized;   Endpoint Classification: Safety/Efficacy Study;   Intervention Model: Parallel Assignment;   Masking: Double Blind (Subject, Investigator, Outcomes Assessor);   Primary Purpose: Treatment
Condition: Gout
Interventions: Drug: Febuxostat
Drug: Allopurinol

  Participant Flow
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Recruitment Details
Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations
Subjects were enrolled at 112 investigative sites, 106 in the United States and 6 in Canada, from 11 July 2002 to 20 February 2004.

Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
Subjects currently receiving urate-lowering therapy discontinued those urate-lowering therapies and initiated prophylactic medications before enrollment in once daily (QD) treatment groups.

Reporting Groups
  Description
Febuxostat 80 mg QD Febuxostat 80 mg, orally, once daily for up to 52 weeks.
Febuxostat 120 mg QD Febuxostat 120 mg, orally, once daily for up to 52 weeks.
Allopurinol 300 mg QD Allopurinol 300 mg, orally, once daily for up to 52 weeks.

Participant Flow:   Overall Study
    Febuxostat 80 mg QD     Febuxostat 120 mg QD     Allopurinol 300 mg QD  
STARTED     256     251     253  
COMPLETED     168     153     187  
NOT COMPLETED     88     98     66  
Lost to Follow-up                 25                 18                 21  
Adverse Event                 16                 23                 8  
Gout Flare                 10                 28                 9  
Personal Reason(s)                 19                 13                 13  
Other                 11                 14                 14  
Protocol Violation                 7                 2                 1  



  Baseline Characteristics
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Reporting Groups
  Description
Febuxostat 80 mg QD Febuxostat 80 mg, orally, once daily for up to 52 weeks.
Febuxostat 120 mg QD Febuxostat 120 mg, orally, once daily for up to 52 weeks.
Allopurinol 300 mg QD Allopurinol 300 mg, orally, once daily for up to 52 weeks.

Baseline Measures
    Febuxostat 80 mg QD     Febuxostat 120 mg QD     Allopurinol 300 mg QD     Total  
Number of Participants  
[units: participants]
  256     251     253     760  
Age, Customized  
[units: subjects]
       
<45 years     75     71     84     230  
45 years to <65 years     140     133     125     398  
≥65 years     41     47     44     132  
Age  
[units: years]
Mean ± Standard Deviation
  51.8  ± 11.69     52.0  ± 12.12     51.6  ± 12.63     51.8  ± 12.13  
Gender  
[units: subjects]
       
Female     13     8     10     31  
Male     243     243     243     729  
Body Mass Index  
[units: subjects]
       
<18.5 kilogram per meter² (kg/m²)     0     0     0     0  
18.5 kg/m² to <25 kg/m²     15     12     7     34  
25 kg/m² to <30 kg/m²     75     87     89     251  
≥30 kg/m²     166     152     154     472  
missing     0     0     3     3  
Calculated Creatinine Clearance [1]
[units: subjects]
       
<50 milliliters per minute (mL/min)     13     8     13     34  
50 mL/min to <80 mL/min     77     90     68     235  
80 mL/min to <120 mL/min     138     130     140     408  
≥120 mL/min     28     23     29     80  
missing     0     0     3     3  
Presence of Primary Palpable Tophus  
[units: subjects]
       
Yes     52     53     46     151  
No, but other tophi present     1     2     3     6  
No and no other tophi present     203     196     204     603  
Race/Ethnicity  
[units: subjects]
       
White     193     199     195     587  
Black or African American     24     20     18     62  
Hispanic     22     17     19     58  
Asian     10     9     6     25  
Other     7     6     15     28  
[1] Calculated creatinine clearance based on the Cockcroft-Gault equation using ideal body weight.



  Outcome Measures
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1.  Primary:   Percentage of Subjects With the Last 3 Serum Urate Levels <6.0 Milligrams Per Deciliter (mg/dL)   [ Time Frame: Last 3 Visits (up to 52 weeks) ]

2.  Secondary:   Percentage of Subjects With Serum Urate <6.0 mg/dL at Week 28 Visit   [ Time Frame: Week 28 ]

3.  Secondary:   Percentage of Subjects With Serum Urate <6.0 mg/dL at Week 52 Visit   [ Time Frame: Week 52 ]

4.  Secondary:   Percentage of Subjects With Serum Urate <6.0 mg/dL at Final Visit   [ Time Frame: Final Visit (up to 52 weeks) ]

5.  Secondary:   Percent Change From Baseline in Serum Urate Levels at Week 28.   [ Time Frame: Baseline and Week 28 ]

6.  Secondary:   Percent Change From Baseline in Serum Urate Levels at Week 52.   [ Time Frame: Baseline and Week 52 ]

7.  Secondary:   Percent Change From Baseline in Serum Urate Levels at Final Visit   [ Time Frame: Baseline and Final Visit (up to 52 weeks) ]

8.  Secondary:   Percent Change From Baseline in Tophus Size at Week 28, as Determined by Physical Measurement, in Subjects With a Palpable Primary Tophus at Screening.   [ Time Frame: Baseline and Week 28 ]

9.  Secondary:   Percent Change From Baseline in Tophus Size at Week 52, as Determined by Physical Measurement, in Subjects With a Palpable Primary Tophus at Screening.   [ Time Frame: Baseline and Week 52 ]

10.  Secondary:   Percent Change From Baseline in Tophus Size at Final Visit, as Determined by Physical Measurement, in Subjects With a Palpable Primary Tophus at Screening.   [ Time Frame: Baseline and Final Visit (up to 52 weeks) ]

11.  Secondary:   Change From Baseline in Total Number of Tophi at Week 28 in Subjects With Palpable Tophi at Screening.   [ Time Frame: Baseline and Week 28 ]

12.  Secondary:   Change From Baseline in Total Number of Tophi at Week 52 in Subjects With Palpable Tophi at Screening.   [ Time Frame: Baseline and Week 52 ]

13.  Secondary:   Change From Baseline in Total Number of Tophi at Final Visit in Subjects With Palpable Tophi at Screening.   [ Time Frame: Baseline and Final Visit (up to 52 weeks) ]

14.  Secondary:   Percentage of Subjects Requiring Treatment for Gout Flares Between Weeks 8 and 52.   [ Time Frame: Weeks 8 through 52 ]


  Serious Adverse Events
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  Other Adverse Events
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  More Information
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Certain Agreements:  
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.
The agreement is:
unchecked The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 60 days. The sponsor cannot require changes to the communication and cannot extend the embargo.
unchecked The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days. The sponsor cannot require changes to the communication and cannot extend the embargo.


Limitations and Caveats
Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data
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Results Point of Contact:  
Name/Title: Sr. VP, Clinical Science
Organization: Takeda Global Research & Development Center, Inc.
phone: 800-778-2860
e-mail: clinicaltrialregistry@tpna.com


Publications of Results:

Responsible Party: Takeda Global Research & Development Center, Inc.
ClinicalTrials.gov Identifier: NCT00102440     History of Changes
Other Study ID Numbers: C02-010, U1111-1114-0184
Study First Received: January 29, 2005
Results First Received: March 12, 2009
Last Updated: January 31, 2012
Health Authority: United States: Food and Drug Administration