A Randomized, Double-Blind, Dose-Ranging, Placebo-Controlled, Multicenter, Phase 2a Study to Assess the Efficacy, Safety, and Pharmacokinetics of ABP-671 Monotherapy in Patients With Gout or Hyperuricemia
Overview
- Phase
- Phase 2
- Intervention
- ABP-671
- Conditions
- Gout
- Sponsor
- Jiangsu Atom Bioscience and Pharmaceutical Co., Ltd.
- Enrollment
- 60
- Locations
- 5
- Primary Endpoint
- Mean percentage change in serum uric acid (sUA) levels
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
This is a Phase 2a, multicenter, randomized, double-blind, placebo-controlled, dose-ranging study to evaluate the efficacy, safety, and pharmacokinetics study of 6 different dose regimens of ABP-671 compared with placebo. The study will consist of three sequential groups with escalating total daily ABP-671 doses. Each group is further divided into two dose cohorts with either QD or BID dosing. Each dose group will have 3 stages following screening: Run-in, Dose Evaluation, and Follow-up.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Subject is able to understand the study procedures, the risks involved and willing to provide written informed consent before the first study related activity.
- •Subject meets the diagnosis of gout as per the American College of Rheumatism/ European League Against Rheumatism (EULAR) Gout Classification Criteria or diagnosis of hyperuricemia.
- •Subject has an sUA level ≥ 7.0 mg/dL at baseline.
- •Subject must be willing to discontinue any other UA-lowering medication (e.g., allopurinol, febuxostat, and probenecid) and take gout prophylaxis medication during the study.
- •Body mass index (BMI) ≤ 40 kg/m2.
Exclusion Criteria
- •Subject with a documented history of rheumatoid arthritis or other autoimmune disease.
- •Subject with any clinically significant hepatic, cardiovascular, renal, neoplastic, psychiatric illness, or hematological disorders such as polycythemia vera, sickle cell disease, or myelodysplastic disorder.
- •Subject with a history of alcohol or drug abuse within the past 1 year prior to screening, or current evidence of substance dependence or abuse.
- •Subject with a positive test for active hepatitis B, hepatitis C infection or human immunodeficiency virus (HIV) infection.
- •Subject with active liver disease, or hepatic dysfunction.
- •Subject with an inadequate renal function with estimated serum creatinine \> 1.5 mg/dL (\> 0.133 mmol/L) or creatinine clearance \< 60 mL/min (by Cockcroft-Gault formula).
- •Subject with a history of malignancy within the previous 5 years with the exception of non-melanoma skin cancer that has been treated with no evidence of recurrence, treated cervical dysplasia or treated in situ Grade 1 cervical cancer.
- •Subject with unstable angina, New York Heart Association class III or IV heart failure, myocardial infarction, stroke, or deep venous thrombosis within the last 12 months; or subjects currently receiving anticoagulants.
- •Subject with QT interval corrected for heart rate according to Fridericia's formula \> 470 msec (females) and \> 450 msec (males) during the Screening Period, confirmed by a repeat assessment.
- •Subject with uncontrolled hypertension
Arms & Interventions
ABP-671
The study will consist of three sequential groups with escalating total daily ABP-671 doses. Each group is further divided into two dose cohorts with either QD or BID dosing.
Intervention: ABP-671
Placebo
Intervention: Placebo
Outcomes
Primary Outcomes
Mean percentage change in serum uric acid (sUA) levels
Time Frame: Baseline to the end of the 4-week Dose Evaluation Period
Secondary Outcomes
- Change in mean sUA(Baseline to the end of the 4-week Dose Evaluation Period)
- Mean percentage change and change in mean sUA between cohorts(Baseline to the end of the 4-week Dose Evaluation Period)
- Percentage of patients achieving sUA of < 6.0 mg/dL (0.357 mmol/L), < 5.0 mg/dL (0.297 mmol/L), and < 4.0 mg/dL (0.238 mmol/L)(Baseline to the end of the 4-week Dose Evaluation Period)
- Change in mean sUA compared between BID and QD dosing(Baseline to the end of the 4-week Dose Evaluation Period)