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Study of the Safety and Efficacy of Long-Term Rilonacept Treatment for the Prevention of Gout Flares

A Multi-Center, Randomized, Double-Blind, Placebo-Controlled Study of the Safety and Efficacy of Long-Term Rilonacept Treatment for the Prevention of Gout Flares

Status
Terminated
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01459796
Acronym
UPSURGE
Enrollment
220
Registered
2011-10-26
Start date
2011-11-30
Completion date
2013-06-30
Last updated
2017-07-18

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

Conditions

Gout

Brief summary

The purpose of this study was to determine the safety and tolerability of rilonacept for participants with gout who were initiating allopurinol.

Interventions

DRUGRilonacept

Rilonacept 160 mg loading dose followed by Rilonacept 80 mg/2 mL injections qw for 52 weeks.

DRUGPlacebo

Placebo loading dose followed by placebo injections (2 mL) qw for 52 weeks.

DRUGAllopurinol

Allopurinol 50 or 100 mg, orally daily for 52 weeks as background treatment.

Sponsors

Regeneron Pharmaceuticals
Lead SponsorINDUSTRY

Study design

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

Eligibility

Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

Key Inclusion criteria: * Male or female participants aged 18 to 80 years; * Previously met the preliminary criteria of the ARA for the classification of the acute arthritis of primary gout; * Serum uric acid greater than or equal to 7.5 mg/dL at the screening visit; * A self-reported history of at least 2 gout flares in the year prior to screening.

Exclusion criteria

Key

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With Treatment Emergent Adverse Events (TEAEs)Day 1 to Day 392 (Week 56)Any untoward medical occurrence in a participant who received investigational medicinal product (IMP) was considered an AE without regard to possibility of causal relationship with this treatment. TEAEs were defined as AEs that developed or worsened or became serious during on-treatment period (time from the administration of first dose of study drug up to and including 35 days after the last dose of study drug). A serious adverse event (SAE) was defined as any untoward medical occurrence that resulted in any of the following outcomes: death, life-threatening, required initial or prolonged in-patient hospitalization, persistent or significant disability/incapacity, congenital anomaly/birth defect, or considered as medically important event. Any TEAE included participants with both serious and non-serious AEs.

Secondary

MeasureTime frameDescription
Percentage of Participants With at Least One Gout Flare From Day 1 to Day 168 (Week 24)Day 1 to Day 168 (Week 24)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 at Week 24 was to be reported for this outcome measure.
Percentage of Participants With at Least Two Gout Flares From Day 1 to Day 168 (Week 24)Day 1 to Day 168 (Week 24)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 two gout flares at Week 24 was to be reported for this outcome measure.
Percentage of Participants With at Least One Gout Flare From Day 1 to Day 364 (Week 52)Day 1 to Day 364 (Week 52)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 at Week 52 was to be reported for this outcome measure.
Percentage of Participants With at Least Two Gout Flares From Day 1 to Day 364 (Week 52)Day 1 to Day 364 (Week 52)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 two gout flares at Week 52 was to be reported for this outcome measure.
Percentage of Participants With Rescue Medication From Day 1 to Day 364 (Week 52)Day 1 to Day 364 (Week 52)Participants who required rescue medication after having 2 or more gout flares during the treatment period were evaluated.

Countries

United States

Participant flow

Recruitment details

The study was conducted at 60 study sites in the United States (US) from 12 November 2011 to 02 November 2012. A total of 485 participants were screened in the study.

Pre-assignment details

Out of 485 participants, 220 were randomized and treated in the study. Participants were randomized in 4:3 ratio to receive either Rilonacept 80 mg or Placebo.

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 51.
94
Rilonacept 80 mg
Two subcutaneous injections of Rilonacept 80 mg (for a total of 160 mg) as a loading dose on Day 1, followed by a single 80 mg injection of Rilonacept qw from Week 1 to Week 51.
126
Total220

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event55
Overall StudyDecision by the sponsor75108
Overall StudyLost to Follow-up54
Overall StudyNon compliance with protocol24
Overall StudyReason unspecified12
Overall StudyWithdrawal by Subject63

Baseline characteristics

CharacteristicPlaceboRilonacept 80 mgTotal
Age, Continuous51.5 years
STANDARD_DEVIATION 10.69
52.1 years
STANDARD_DEVIATION 11.18
51.9 years
STANDARD_DEVIATION 10.95
Ethnicity (NIH/OMB)
Hispanic or Latino
7 Participants6 Participants13 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
87 Participants120 Participants207 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants0 Participants1 Participants
Race (NIH/OMB)
Asian
2 Participants9 Participants11 Participants
Race (NIH/OMB)
Black or African American
16 Participants27 Participants43 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants3 Participants3 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
75 Participants87 Participants162 Participants
Sex: Female, Male
Female
8 Participants15 Participants23 Participants
Sex: Female, Male
Male
86 Participants111 Participants197 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
31 / 9443 / 126
serious
Total, serious adverse events
5 / 945 / 126

Outcome results

Primary

Percentage of Participants With Treatment Emergent Adverse Events (TEAEs)

Any untoward medical occurrence in a participant who received investigational medicinal product (IMP) was considered an AE without regard to possibility of causal relationship with this treatment. TEAEs were defined as AEs that developed or worsened or became serious during on-treatment period (time from the administration of first dose of study drug up to and including 35 days after the last dose of study drug). A serious adverse event (SAE) was defined as any untoward medical occurrence that resulted in any of the following outcomes: death, life-threatening, required initial or prolonged in-patient hospitalization, persistent or significant disability/incapacity, congenital anomaly/birth defect, or considered as medically important event. Any TEAE included participants with both serious and non-serious AEs.

Time frame: Day 1 to Day 392 (Week 56)

Population: Safety analysis set (SAF) that included all randomized participants who received any study medication and was based on the treatment received (as treated).

ArmMeasureGroupValue (NUMBER)
PlaceboPercentage of Participants With Treatment Emergent Adverse Events (TEAEs)With TEAEs related to study drug12.8 percentage of participants
PlaceboPercentage of Participants With Treatment Emergent Adverse Events (TEAEs)With TEAEs resulting in study drug discontinuation10.6 percentage of participants
PlaceboPercentage of Participants With Treatment Emergent Adverse Events (TEAEs)With serious TEAEs5.3 percentage of participants
PlaceboPercentage of Participants With Treatment Emergent Adverse Events (TEAEs)With TEAEs resulting in death0.0 percentage of participants
PlaceboPercentage of Participants With Treatment Emergent Adverse Events (TEAEs)With at least one TEAE68.1 percentage of participants
Rilonacept 80 mgPercentage of Participants With Treatment Emergent Adverse Events (TEAEs)With TEAEs resulting in death0.0 percentage of participants
Rilonacept 80 mgPercentage of Participants With Treatment Emergent Adverse Events (TEAEs)With at least one TEAE68.3 percentage of participants
Rilonacept 80 mgPercentage of Participants With Treatment Emergent Adverse Events (TEAEs)With TEAEs related to study drug19.0 percentage of participants
Rilonacept 80 mgPercentage of Participants With Treatment Emergent Adverse Events (TEAEs)With serious TEAEs4.0 percentage of participants
Rilonacept 80 mgPercentage of Participants With Treatment Emergent Adverse Events (TEAEs)With TEAEs resulting in study drug discontinuation6.3 percentage of participants
Secondary

Percentage of Participants With at Least One Gout Flare From Day 1 to Day 168 (Week 24)

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 at Week 24 was to be reported for this outcome measure.

Time frame: Day 1 to Day 168 (Week 24)

Population: As per sponsor's discretion, the study was discontinued due to which data for this outcome measure was not collected and hence, not analyzed and reported.

Secondary

Percentage of Participants With at Least One Gout Flare From Day 1 to Day 364 (Week 52)

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 at Week 52 was to be reported for this outcome measure.

Time frame: Day 1 to Day 364 (Week 52)

Population: As per sponsor's discretion, the study was discontinued due to which data for this outcome measure was not collected and hence, not analyzed and reported.

Secondary

Percentage of Participants With at Least Two Gout Flares From Day 1 to Day 168 (Week 24)

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 two gout flares at Week 24 was to be reported for this outcome measure.

Time frame: Day 1 to Day 168 (Week 24)

Population: As per sponsor's discretion, the study was discontinued due to which data for this outcome measure was not collected and hence, not analyzed and reported.

Secondary

Percentage of Participants With at Least Two Gout Flares From Day 1 to Day 364 (Week 52)

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 two gout flares at Week 52 was to be reported for this outcome measure.

Time frame: Day 1 to Day 364 (Week 52)

Population: As per sponsor's discretion, the study was discontinued due to which data for this outcome measure was not collected and hence, not analyzed and reported.

Secondary

Percentage of Participants With Rescue Medication From Day 1 to Day 364 (Week 52)

Participants who required rescue medication after having 2 or more gout flares during the treatment period were evaluated.

Time frame: Day 1 to Day 364 (Week 52)

Population: Safety analysis set (SAF) that included all randomized participants who received any study medication and was based on the treatment received (as treated).

ArmMeasureValue (NUMBER)
PlaceboPercentage of Participants With Rescue Medication From Day 1 to Day 364 (Week 52)22.3 percentage of participants
Rilonacept 80 mgPercentage of Participants With Rescue Medication From Day 1 to Day 364 (Week 52)8.7 percentage of participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026