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Study of the Safety and Effectiveness of Rilonacept for the Prevention of Gout Flares

A Multi-Center, Randomized, Double-Blind, Placebo Controlled Study, Tolerability, and Efficacy of Rilonacept for the Prevention of Gout Flares During Initiation of Allopurinol Therapy

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00610363
Enrollment
83
Registered
2008-02-07
Start date
2007-11-30
Completion date
2008-10-31
Last updated
2017-05-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Gout

Brief summary

This was a clinical research study to determine the safety and effectiveness of an experimental drug called rilonacept in participants with gout who were beginning another additional treatment. Participants participated in this study for approximately 24 weeks. Rilonacept was being studied for use in preventing gout attacks in participants who had gout.

Interventions

BIOLOGICALRilonacept

Rilonacept 320 mg loading dose on Day 1 followed by Rilonacept 160 mg/2 mL injections qw for 17 weeks.

Placebo loading dose on Day 1 followed by single placebo injections (2 mL) qw for 17 weeks.

Sponsors

Regeneron Pharmaceuticals
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Male or female greater than 18 years of age; * Previously met the preliminary criteria of the American Rheumatism Association (ARA) for the classification of the acute arthritis of primary gout; * At least 2 gout flares in the year prior to the screening visit.

Exclusion criteria

* Acute gout flare within 2 weeks of the screening visit and during screening; * Persistent chronic or active infections; * History of an allergic reaction to allopurinol; * History or presence of cancer within 5 years of the screening visit.

Design outcomes

Primary

MeasureTime frameDescription
Number of Gout Flares Per Participant Assessed From Day 1 to Day 84 (Week 12)Day 1 (Baseline) to Day 84 (Week 12)A gout flare was defined as participant reported acute articular pain typical of a gout attack that required treatment with an anti-inflammatory therapeutic: had at least 3 of the following 4 signs or symptoms: joint swelling, tenderness, redness, and pain and with at least 1 of the following: rapid onset of pain, decreased range of motion, joint warmth or other symptoms similar to a prior gout flare. Number of gout flares per participant was reported for this outcome measure. For drop-outs, only flares occurred before Day 84 were counted, regardless whether the flares occurred during the treatment period or not.

Secondary

MeasureTime frameDescription
Mean Number of Gout Flares Per Month Per Participant From Day 1 to Day 84 (Week 12)Day 1 (Baseline) to Day 84 (Week 12)Gout flare was defined as acute articular pain typical of a gout attack that required treatment with an anti-inflammatory therapeutic: had at least 3 of the following 4 signs or symptoms: joint swelling, tenderness, redness, and pain, and with at least 1 of the following: rapid onset of pain, decreased range of motion, joint warmth or other symptoms similar to a prior gout flare. Mean number of flares per month = (total number of flares observed)/ (total number of days subject was in the period/28 days).
Mean Number of Gout Flare Days Per Participant From Day 1 to Day 84 (Week 12)Day 1 (Baseline) to Day 84 (Week 12)Gout flare was defined as acute articular pain typical of a gout attack that required treatment with an anti-inflammatory therapeutic: had at least 3 of the following 4 signs or symptoms: joint swelling, tenderness, redness, and pain, and with at least 1 of the following: rapid onset of pain, decreased range of motion, joint warmth or other symptoms similar to a prior gout flare. Mean number of gout flare days per participant was reported for this outcome measure.
Percentage of Participants With at Least One Gout Flare From Day 1 to Day 84 (Week 12)Day 1 (Baseline) to Day 84 (Week 12)Gout flare was defined as acute articular pain typical of a gout attack that required treatment with an anti-inflammatory therapeutic: had at least 3 of the following 4 signs or symptoms: joint swelling, tenderness, redness, and pain; and with at least 1 of the following: rapid onset of pain, decreased range of motion, joint warmth or other symptoms similar to a prior gout flare. Percentage of participants with at least one gout flare was reported for this outcome measure.
Number of Gout Flare Days With Participant's Pain Score of 5 or More (From Daily Diary) Per Participant From Day 1 to Day 84 (Week 12)Day 1 (Baseline) to Day 84 (Week 12)Participants were asked to complete a telephone diary by calling the IVRS daily beginning at the baseline visit (Day 1) through the follow-up visit (Day 154) and reported their general well-being, gout symptoms, and weekly study drug administrations. At the onset of pain from a gout flare, participants were to answer additional diary questions regarding their gout flare and had to continue daily flare assessments until they reported the flare had ended. If a flare occurred just prior to the follow-up visit (Day 154), participants were to continue completing the daily diary until the flare resolved. Gout flare pain was assessed on a scale from 0 to 10 (with 0=no pain and 10=severe pain) within the past 24 hours.
Number of Gout Flare Days With Participant's Pain Score of 5 or More (From Daily Diary) Per Month Per Participant From Day 1 to Day 84 (Week 12)Day 1 (Baseline) to Day 84 (Week 12)Participants were asked to complete a telephone diary by calling the IVRS daily beginning at the baseline visit (Day 1) through the follow-up visit (Day 141) and reported their general well-being, gout symptoms, and weekly study drug administrations. At the onset of pain from a gout flare, participants were to answer additional diary questions regarding their gout flare and had to continue daily flare assessments until they reported the flare had ended. If a flare occurred just prior to the follow-up visit (Day 141), participants were to continue completing the daily diary until the flare resolved. Gout flare pain was assessed on a scale from 0 to 10 (with 0=no pain and 10=severe pain) within the past 24 hours.
Mean Number of Gout Flare Days Per Month Per Participant From Day 1 to Day 84 (Week 12)Day 1 (Baseline) to Day 84 (Week 12)Gout flare was defined as acute articular pain typical of a gout attack that required treatment with an anti-inflammatory therapeutic: had at least 3 of the following 4 signs or symptoms: joint swelling, tenderness, redness, and pain, and with at least 1 of the following: rapid onset of pain, decreased range of motion, joint warmth or other symptoms similar to a prior gout flare. Mean number of gout flare days per month per participant was reported for this outcome measure.

Countries

United States

Participant flow

Recruitment details

The study was conducted at 27 study sites in United States (US) between 19 November 2007 and 16 October 2008. A total of 154 participants were screened in the study.

Pre-assignment details

Out of 154 participants, 83 were randomized and treated in the study. Participants were randomized in 1:1 ratio to receive either Placebo or Rilonacept 160 mg.

Participants by arm

ArmCount
Placebo
Two subcutaneous injections of Placebo (for Rilonacept) as a loading dose on Day 1 followed by a single injection qw from Week 1 to Week 16.
42
Rilonacept 160 mg
Two subcutaneous injections of Rilonacept 160 mg (for a total of 320 mg) as a loading dose on Day 1, followed by a single 160 mg injection of Rilonacept qw from Week 1 to Week 16.
41
Total83

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event31
Overall StudyLack of Efficacy20
Overall StudyLost to Follow-up40
Overall StudyNon-compliance with protocol01
Overall StudyOther than specified above11
Overall StudyWithdrawal by Subject10

Baseline characteristics

CharacteristicRilonacept 160 mgTotalPlacebo
Age, Continuous51.9 years
STANDARD_DEVIATION 10.61
51.0 years
STANDARD_DEVIATION 11.09
50.1 years
STANDARD_DEVIATION 11.59
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants2 Participants1 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
40 Participants81 Participants41 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
2 Participants2 Participants0 Participants
Race (NIH/OMB)
Black or African American
2 Participants5 Participants3 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants2 Participants1 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
36 Participants74 Participants38 Participants
Sex: Female, Male
Female
1 Participants3 Participants2 Participants
Sex: Female, Male
Male
40 Participants80 Participants40 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
8 / 426 / 41
serious
Total, serious adverse events
2 / 421 / 41

Outcome results

Primary

Number of Gout Flares Per Participant Assessed From Day 1 to Day 84 (Week 12)

A gout flare was defined as participant reported acute articular pain typical of a gout attack that required treatment with an anti-inflammatory therapeutic: had at least 3 of the following 4 signs or symptoms: joint swelling, tenderness, redness, and pain and with at least 1 of the following: rapid onset of pain, decreased range of motion, joint warmth or other symptoms similar to a prior gout flare. Number of gout flares per participant was reported for this outcome measure. For drop-outs, only flares occurred before Day 84 were counted, regardless whether the flares occurred during the treatment period or not.

Time frame: Day 1 (Baseline) to Day 84 (Week 12)

Population: Full analysis set (FAS) that included all randomized participants who received any study medication and was based on treatment allocated by IVRS at randomization (as randomized).

ArmMeasureValue (MEAN)Dispersion
PlaceboNumber of Gout Flares Per Participant Assessed From Day 1 to Day 84 (Week 12)0.79 Number of gout flares per participantStandard Deviation 1.071
Rilonacept 160 mgNumber of Gout Flares Per Participant Assessed From Day 1 to Day 84 (Week 12)0.15 Number of gout flares per participantStandard Deviation 0.358
Secondary

Mean Number of Gout Flare Days Per Month Per Participant From Day 1 to Day 84 (Week 12)

Gout flare was defined as acute articular pain typical of a gout attack that required treatment with an anti-inflammatory therapeutic: had at least 3 of the following 4 signs or symptoms: joint swelling, tenderness, redness, and pain, and with at least 1 of the following: rapid onset of pain, decreased range of motion, joint warmth or other symptoms similar to a prior gout flare. Mean number of gout flare days per month per participant was reported for this outcome measure.

Time frame: Day 1 (Baseline) to Day 84 (Week 12)

Population: Full analysis set (FAS) that included all randomized participants who received any study medication and was based on treatment allocated by IVRS at randomization (as randomized).

ArmMeasureValue (MEAN)Dispersion
PlaceboMean Number of Gout Flare Days Per Month Per Participant From Day 1 to Day 84 (Week 12)2.09 Gout flare daysStandard Deviation 3.608
Rilonacept 160 mgMean Number of Gout Flare Days Per Month Per Participant From Day 1 to Day 84 (Week 12)0.52 Gout flare daysStandard Deviation 1.779
Secondary

Mean Number of Gout Flare Days Per Participant From Day 1 to Day 84 (Week 12)

Gout flare was defined as acute articular pain typical of a gout attack that required treatment with an anti-inflammatory therapeutic: had at least 3 of the following 4 signs or symptoms: joint swelling, tenderness, redness, and pain, and with at least 1 of the following: rapid onset of pain, decreased range of motion, joint warmth or other symptoms similar to a prior gout flare. Mean number of gout flare days per participant was reported for this outcome measure.

Time frame: Day 1 (Baseline) to Day 84 (Week 12)

Population: Full analysis set (FAS) that included all randomized participants who received any study medication and was based on treatment allocated by IVRS at randomization (as randomized).

ArmMeasureValue (MEAN)Dispersion
PlaceboMean Number of Gout Flare Days Per Participant From Day 1 to Day 84 (Week 12)5.17 Gout flare daysStandard Deviation 8.015
Rilonacept 160 mgMean Number of Gout Flare Days Per Participant From Day 1 to Day 84 (Week 12)1.41 Gout flare daysStandard Deviation 5.23
Secondary

Mean Number of Gout Flares Per Month Per Participant From Day 1 to Day 84 (Week 12)

Gout flare was defined as acute articular pain typical of a gout attack that required treatment with an anti-inflammatory therapeutic: had at least 3 of the following 4 signs or symptoms: joint swelling, tenderness, redness, and pain, and with at least 1 of the following: rapid onset of pain, decreased range of motion, joint warmth or other symptoms similar to a prior gout flare. Mean number of flares per month = (total number of flares observed)/ (total number of days subject was in the period/28 days).

Time frame: Day 1 (Baseline) to Day 84 (Week 12)

Population: Full analysis set (FAS) that included all randomized participants who received any study medication and was based on treatment allocated by IVRS at randomization (as randomized).

ArmMeasureValue (MEAN)Dispersion
PlaceboMean Number of Gout Flares Per Month Per Participant From Day 1 to Day 84 (Week 12)0.30 number of gout flaresStandard Deviation 0.424
Rilonacept 160 mgMean Number of Gout Flares Per Month Per Participant From Day 1 to Day 84 (Week 12)0.06 number of gout flaresStandard Deviation 0.178
Secondary

Number of Gout Flare Days With Participant's Pain Score of 5 or More (From Daily Diary) Per Month Per Participant From Day 1 to Day 84 (Week 12)

Participants were asked to complete a telephone diary by calling the IVRS daily beginning at the baseline visit (Day 1) through the follow-up visit (Day 141) and reported their general well-being, gout symptoms, and weekly study drug administrations. At the onset of pain from a gout flare, participants were to answer additional diary questions regarding their gout flare and had to continue daily flare assessments until they reported the flare had ended. If a flare occurred just prior to the follow-up visit (Day 141), participants were to continue completing the daily diary until the flare resolved. Gout flare pain was assessed on a scale from 0 to 10 (with 0=no pain and 10=severe pain) within the past 24 hours.

Time frame: Day 1 (Baseline) to Day 84 (Week 12)

Population: Full analysis set (FAS) that included all randomized participants who received any study medication and was based on treatment allocated by IVRS at randomization (as randomized).

ArmMeasureValue (MEAN)Dispersion
PlaceboNumber of Gout Flare Days With Participant's Pain Score of 5 or More (From Daily Diary) Per Month Per Participant From Day 1 to Day 84 (Week 12)0.87 Gout flare daysStandard Deviation 2.05
Rilonacept 160 mgNumber of Gout Flare Days With Participant's Pain Score of 5 or More (From Daily Diary) Per Month Per Participant From Day 1 to Day 84 (Week 12)0.07 Gout flare daysStandard Deviation 0.26
Secondary

Number of Gout Flare Days With Participant's Pain Score of 5 or More (From Daily Diary) Per Participant From Day 1 to Day 84 (Week 12)

Participants were asked to complete a telephone diary by calling the IVRS daily beginning at the baseline visit (Day 1) through the follow-up visit (Day 154) and reported their general well-being, gout symptoms, and weekly study drug administrations. At the onset of pain from a gout flare, participants were to answer additional diary questions regarding their gout flare and had to continue daily flare assessments until they reported the flare had ended. If a flare occurred just prior to the follow-up visit (Day 154), participants were to continue completing the daily diary until the flare resolved. Gout flare pain was assessed on a scale from 0 to 10 (with 0=no pain and 10=severe pain) within the past 24 hours.

Time frame: Day 1 (Baseline) to Day 84 (Week 12)

Population: Full analysis set (FAS) that included all randomized participants who received any study medication and was based on treatment allocated by IVRS at randomization (as randomized).

ArmMeasureValue (MEAN)Dispersion
PlaceboNumber of Gout Flare Days With Participant's Pain Score of 5 or More (From Daily Diary) Per Participant From Day 1 to Day 84 (Week 12)2.02 Gout flare daysStandard Deviation 4.51
Rilonacept 160 mgNumber of Gout Flare Days With Participant's Pain Score of 5 or More (From Daily Diary) Per Participant From Day 1 to Day 84 (Week 12)0.22 Gout flare daysStandard Deviation 0.79
Secondary

Percentage of Participants With at Least One Gout Flare From Day 1 to Day 84 (Week 12)

Gout flare was defined as acute articular pain typical of a gout attack that required treatment with an anti-inflammatory therapeutic: had at least 3 of the following 4 signs or symptoms: joint swelling, tenderness, redness, and pain; and with at least 1 of the following: rapid onset of pain, decreased range of motion, joint warmth or other symptoms similar to a prior gout flare. Percentage of participants with at least one gout flare was reported for this outcome measure.

Time frame: Day 1 (Baseline) to Day 84 (Week 12)

Population: Full analysis set (FAS) that included all randomized participants who received any study medication and was based on treatment allocated by IVRS at randomization (as randomized).

ArmMeasureValue (NUMBER)
PlaceboPercentage of Participants With at Least One Gout Flare From Day 1 to Day 84 (Week 12)45.2 percentage of participants
Rilonacept 160 mgPercentage of Participants With at Least One Gout Flare From Day 1 to Day 84 (Week 12)14.6 percentage of participants

Source: ClinicalTrials.gov · Data processed: Mar 29, 2026