Acute Gouty Arthritis
Conditions
Keywords
Frequent flares, Frequent attacks, gout, gouty arthritis, Chronic kidney disease, renal impairment, Anti-interleukin-1β monoclonal antibody, anti-inflammatory therapy
Brief summary
The purpose of this study is to confirm the efficacy and safety results obtained in a chronic kidney disease (CKD) subgroup of patients participating in Phase III studies in a larger, independent patient population with difficult to treat gouty arthritis and moderate to severe CKD (stage 3 - 4).
Interventions
Canakinumab 150 mg s.c.
Triamcinelone acetonide 40 mg i.m.
Sponsors
Study design
Eligibility
Inclusion criteria
* Confirmed diagnosis of gouty arthritis History of ≥ 3 gouty arthritis flares within the previous 12 months * Confirmed diagnosis/ documented history of chronic kidney disease (CKD) Stages 3or4 * Onset of current acute gouty arthritis flare within 3 days prior to randomization
Exclusion criteria
* Hemodialysis CKD Stage 5 Organ transplantation * Rheumatoid arthritis, evidence/suspicion of infectious/septic arthritis, or other acute inflammatory arthritis * Live vaccinations within 3 months prior to randomization Other protocol-defined inclusion/
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of patients experiencing new gouty arthritis flares during 12-week follow-up from dosing | 12 Weeks |
Secondary
| Measure | Time frame |
|---|---|
| The time to the first new gout flare | 12 Weeks |
| Score on Visual Analog Scale at 72 hours to measure gouty arthritis pain intensity and resolution | 12 weeks |
| Number of patients needing rescue medication use during acute gouty arthritis flare(s) | 12 Weeks |
| Measurement of efficacy using inflammatory markers | 12 Weeks |
| Time to 50% reduction of baseline pain intensity in the most affected joint | 12 weeks |