- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT01356498
Open-Label Extension Study for Patients Who Completed a Phase 3 Double-blind Study of PEG-uricase for Symptomatic Gout
Multicenter, Open Label Extension Study of 8 mg PEG-uricase in Subjects Who Completed Protocols C0405 or C0406 for Symptomatic Gout
Studieöversikt
Studietyp
Inskrivning (Faktisk)
Fas
- Fas 3
Kontakter och platser
Studieorter
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California
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San Francisco, California, Förenta staterna, 94118
- Kaiser Permanente Medical Center, Clinical Trials Unit
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Santa Maria, California, Förenta staterna, 93454
- Pacific Arthritis Center Medical Group
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Whittier, California, Förenta staterna, 90606
- Agilence Arthritis & Osteoporosis Medical Center
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District of Columbia
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Washington, District of Columbia, Förenta staterna, 20422
- Veterans Affairs Medical Center
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Florida
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Aventura, Florida, Förenta staterna, 33180
- Arthritis & Rheumatic Disease Specialties
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Ocala, Florida, Förenta staterna, 34474
- Ocala Rheumatology Research Center
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St. Petersburg, Florida, Förenta staterna, 33703
- St. Petersburg Arthritis Center
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Illinois
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Chicago, Illinois, Förenta staterna, 60637
- The University of Chicago
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Kentucky
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Bowling Green, Kentucky, Förenta staterna, 42101
- Graves Gilbert Clinic
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Maryland
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Baltimore, Maryland, Förenta staterna, 21239
- Peter A. Holt, M.D.
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Wheaton, Maryland, Förenta staterna, 20902
- Center for Rheumatology and Bone Research
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Michigan
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Lansing, Michigan, Förenta staterna, 48910
- Justus J. Fiechtner, MD, PC
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Minnesota
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St. Cloud, Minnesota, Förenta staterna, 56377
- CentraCare Clinic
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New Jersey
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Teaneck, New Jersey, Förenta staterna, 07666
- Rheumatology Associates of North Jersey
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North Carolina
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Durham, North Carolina, Förenta staterna, 27302
- Duke University Medical Center
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Ohio
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Cincinnati, Ohio, Förenta staterna, 45242
- New Horizons Clinical Research
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Columbus, Ohio, Förenta staterna, 43210
- The Ohio State University
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Dayton, Ohio, Förenta staterna, 45402
- STAT Research, Inc.
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Mayfield Village, Ohio, Förenta staterna, 44143
- David R. Mandel, MD, Inc.
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Pennsylvania
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Duncansville, Pennsylvania, Förenta staterna, 16635
- Altoona Center for Clinical Research
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Philadelphia, Pennsylvania, Förenta staterna, 19154
- Mid Atlantic Research Assoc.
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Washington
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Spokane, Washington, Förenta staterna, 99204
- Arthritis Northwest, PLLC
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-
Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Beskrivning
Inclusion Criteria:
- Completed treatment in one of two double-blind, placebo controlled studies of PEG-uricase in subjects with hyperuricemia and symptomatic gout
Exclusion Criteria:
- unstable angina
- uncontrolled arrhythmia
- uncontrolled hypertension
- end stage renal disease requiring dialysis
- anemia
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: Icke-randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Ingen (Open Label)
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
|
Experimentell: q2 RCT
Pegloticase every 2 wk arm of Randomized Controlled Trial(RCT), continued to receive pegloticase every 2 weeks (q2 wk) or every 4 weeks (q4 wk) in Open Label Extention (OLE) study
|
8 mg intravenous infusion
|
|
Experimentell: q4 RCT
Pegloticase every 4 wk arm of Randomized Controlled Trial (RCT), continued to receive pegloticase every 2 weeks (q2 wk) or every 4 weeks (q4 wk) in Open Label Extention (OLE) study
|
8 mg intravenous infusion
|
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Experimentell: Placebo in RCT
Placebo arm in Randomized Controlled Trial (RCT), received pegloticase every 2 weeks (q2 wk) or every 4 weeks (q4 wk) in OLE
|
8 mg intravenous infusion
|
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Uric Acid (mg/dL)
Tidsram: Week 13, Week 25, Week 53, Week 101
|
Uric acid measured at 3 month-intervals
|
Week 13, Week 25, Week 53, Week 101
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Tophus Response
Tidsram: Up to 2 years
|
Target tophi evaluated during the randomized, controlled study were followed for response at 3, 6, 12, 18 and 24 months in this open-label extention study.
Results from each participant's final assessment on drug are reported (as last observation carried forward).
Complete response=complete disappearance of at least one tophus with no new or worsening tophus.
Partial Response=a 50% or more decrease in at least one tophus with no new or worsening tophus.
|
Up to 2 years
|
|
Patient Reported Outcome: SF-36 Physical Component Summary Score
Tidsram: RCT Week 25; OLE Week 25; OLE Week 53, OLE Week 77, OLE Week 101
|
SF-36 is the Medical Outcomes Survey Short Form-36, a 36-item self-reported questionnaire which assesses health-related limitations in 8 dimensions. The Physical Component Summary Score (PCS) is a composite summary score derived from the dimensions related to physical functioning outcomes: Physical Function, Role Physical, General Health and Bodily Pain (each with a 0 to 100 scale where 0=worst, 100=best). The Summary Score is constructed as a T-score with a mean of 50 and standard deviation of 10, where higher scores indicate a better health status. |
RCT Week 25; OLE Week 25; OLE Week 53, OLE Week 77, OLE Week 101
|
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Gout Flare Frequency
Tidsram: Up to 2 years
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The the mean number of flares per subject (flare frequency)was assessed over 3-month periods for up to 2 years of treatment
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Up to 2 years
|
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Gout Flare Incidence
Tidsram: Assessed in 3-month intervals up to 2 years
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Percentage of participants remaining in the study during the specified interval who experienced a gout flare during this interval.
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Assessed in 3-month intervals up to 2 years
|
Samarbetspartners och utredare
Sponsor
Utredare
- Studierektor: Medical Director, M.D., Savient Pharmaceuticals, Inc.
Publikationer och användbara länkar
Allmänna publikationer
- Pillinger MH, Fields TR, Yeo AE, Lipsky PE. Dissociation Between Clinical Benefit and Persistent Urate Lowering in Patients with Chronic Refractory Gout Treated with Pegloticase. J Rheumatol. 2020 Apr;47(4):605-612. doi: 10.3899/jrheum.190161. Epub 2019 Jun 15.
- Lipsky PE, Calabrese LH, Kavanaugh A, Sundy JS, Wright D, Wolfson M, Becker MA. Pegloticase immunogenicity: the relationship between efficacy and antibody development in patients treated for refractory chronic gout. Arthritis Res Ther. 2014 Mar 4;16(2):R60. doi: 10.1186/ar4497.
- Baraf HS, Becker MA, Gutierrez-Urena SR, Treadwell EL, Vazquez-Mellado J, Rehrig CD, Ottery FD, Sundy JS, Yood RA. Tophus burden reduction with pegloticase: results from phase 3 randomized trials and open-label extension in patients with chronic gout refractory to conventional therapy. Arthritis Res Ther. 2013 Sep 26;15(5):R137. doi: 10.1186/ar4318.
Studieavstämningsdatum
Studera stora datum
Studiestart
Primärt slutförande (Faktisk)
Avslutad studie (Faktisk)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Uppskatta)
Uppdateringar av studier
Senaste uppdatering publicerad (Uppskatta)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Nyckelord
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- C0407
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