Efficacy and Safety of a Single Dose of Canakinumab (ACZ885) in Hospitalized Patients With Acute Gout

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Novartis
ClinicalTrials.gov Identifier:
NCT00663169
First received: April 18, 2008
Last updated: December 4, 2012
Last verified: December 2012
Results First Received: August 30, 2012  
Study Type: Interventional
Study Design: Allocation: Randomized;   Endpoint Classification: Safety/Efficacy Study;   Intervention Model: Parallel Assignment;   Masking: Double Blind (Subject, Investigator);   Primary Purpose: Treatment
Condition: Arthritis, Gouty
Interventions: Biological: canakinumab
Drug: dexamethasone
Other: placebo matching canakinumab
Other: placebo matching dexamethasone

  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
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Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
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Reporting Groups
  Description
Canakinumab Canakinumab 10 mg/kg intravenous infusion and placebo matching dexamethasone intravenous infusion on Day 1.
Dexamethasone Dexamethasone 12 mg intravenous infusion and placebo matching canakinumab on Day 1.

Participant Flow:   Overall Study
    Canakinumab     Dexamethasone  
STARTED     3     3  
COMPLETED     3     3  
NOT COMPLETED     0     0  



  Baseline Characteristics
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Reporting Groups
  Description
Canakinumab Canakinumab 10 mg/kg intravenous infusion and placebo matching dexamethasone intravenous infusion on Day 1.
Dexamethasone Dexamethasone 12 mg intravenous infusion and placebo matching canakinumab on Day 1.
Total Total of all reporting groups

Baseline Measures
    Canakinumab     Dexamethasone     Total  
Number of Participants  
[units: participants]
  3     3     6  
Age  
[units: years]
Mean ± Standard Deviation
  46.7  ± 10.97     46.0  ± 3.46     46.3  ± 7.28  
Gender  
[units: participants]
     
Female     0     1     1  
Male     3     2     5  



  Outcome Measures
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1.  Primary:   Percentage of Participants With Improvement in Gout at 72 Hours Post-dose Using a Likert Scale   [ Time Frame: 72 hours ]

2.  Secondary:   Non-inferiority of a Single Dose of Canakinumab Compared to Dexamethasone During Treatment Period   [ Time Frame: 72 hours ]

3.  Secondary:   Time to Recurrence of the Symptoms of Acute Gout (if Applicable) During Treatment Period   [ Time Frame: 4 months ]

4.  Secondary:   Time to Walk Independently (if Applicable) During Treatment Period   [ Time Frame: 4 months ]

5.  Secondary:   Number of Participants With Discontinuation of Treatment Due to Adverse Events, Deaths or Serious Adverse Events During the Study   [ Time Frame: 4 months ]

6.  Secondary:   Change in C-reactive Protein (CRP) From Baseline at Month 4   [ Time Frame: Baseline, Month 4 ]

7.  Secondary:   Change in Serum Amyloid A Protein (SAA) From Baseline at Month 4   [ Time Frame: Baseline, Month 4 ]

8.  Secondary:   ACZ885 (Canakinumab) Pharmacokinetics (PK) Serum Concentration During the Treatment Period   [ Time Frame: Baseline, Days 0.25, 1, 3, 6, 20, 34, 55 and 119 ]

9.  Secondary:   Change From Baseline in Pain Using a Visual Analog Scale at Month 4   [ Time Frame: Baseline, Month 4 ]

10.  Secondary:   Number of Patients Who Took Rescue Medication   [ Time Frame: 4 months ]


  Serious Adverse Events


  Other Adverse Events


  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: Study Director
Organization: Novartis Pharmaceuticals
phone: 862-778-8300


No publications provided


Responsible Party: Novartis
ClinicalTrials.gov Identifier: NCT00663169     History of Changes
Other Study ID Numbers: CACZ885A2212
Study First Received: April 18, 2008
Results First Received: August 30, 2012
Last Updated: December 4, 2012
Health Authority: United States: Food and Drug Administration
Switzerland: Swissmedic
United Kingdom: Medicines and Healthcare Products Regulatory Agency