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临床试验/ISRCTN79392964
ISRCTN79392964已完成2 期

Omega–3 fatty acids for the prophylaxis of acute attacks of gout on initiating urate-lowering treatment – a feasibility study for a randomised controlled trial

ottingham University Hospital NHS Trust0 个研究点目标入组 60 人开始时间: 2019年8月8日最近更新:
适应症

试验速览

阶段
2 期
状态
已完成
发起方
入组人数
60

研究概览

简要总结

2022 Results article in https://pubmed.ncbi.nlm.nih.gov/36407800/ (added 22/11/2022)

研究设计

研究类型
Interventional

入排标准

性别
All

入选标准

  • 1. GP/physician-diagnosed gout
  • 2. Meets the American College of Rheumatology/European League against Rheumatism (EULAR) classification criteria for gout
  • 3. Willing to commence on urate-lowering treatment
  • 4. Serum uric acid = 360 µmol/L at the screening visit
  • 5. Age = 21 years at the screening visit
  • 6. Able to give informed consent
  • 7. No change in the average weekly dose of analgesics for at least 4 weeks prior to the screening visit
  • 8. Be able to adhere to the study visit schedule and other protocol requirements
  • 9. Subjects able to communicate well with the investigator or designee, to understand and comply with the requirements of the study and to understand and sign the written informed consent

排除标准

  • 1. Other defined inflammatory arthritis e.g. reactive arthritis, rheumatoid arthritis, psoriatic arthritis, seronegative spondyloarthropathy, Lyme’s disease, or plaque psoriasis
  • 2. Other autoimmune inflammatory conditions like moderate/severe asthma or inflammatory bowel disease requiring corticosteroids or immune-suppressing treatments
  • 3. Active solid organ cancer
  • 4. Dementia
  • 5. Serious co-morbidities preventing prescription of treatment
  • 6. On regular daily NSAIDs, prednisolone, and unable to discontinue them
  • 7. On long-term anticoagulation: Because of the mild increase in bleeding time with 4 gm/day omega-3 fatty acids, there is a potential interaction with warfarin and an increased possibility of haemorrhage in patients at high risk because of severe trauma, surgery, etc. Patients receiving anticoagulant therapy will therefore be excluded.
  • 8. Oral, intramuscular, intra-arterial, or intravenous corticosteroids during the last 1 month
  • 9. Known allergy to omega-3 fatty acids, gelatine, olive oil, and soya
  • 10. Pregnant or planning to become pregnant during the treatment period
  • 11. Use of any investigational (unlicensed) drug within 3 month prior to screening or within 5 half-lives of the investigational agent, whichever is longer
  • 12. Evidence of serious uncontrolled concomitant medical condition, including cardiovascular, nervous system, pulmonary, renal, hepatic, endocrine, gastro-intestinal disease or epilepsy, which in the opinion of the investigator makes them unsuitable for the study
  • 13. Significant haematological or biochemical abnormality:
  • 13.1. Haemoglobin <85 g/L
  • 13.2. WCC <3.5 x 109/L
  • 13.3. Neutrophils <1.5 x 109/L
  • 13.4. Platelets <100 x 109/L
  • 13.5. ALT >1.5 times upper limit of normal
  • 13.6. Creatinine >2 times upper limit of normal
  • Potential participants deemed ineligible at the screening will be allowed a second screening visit if the ineligibility status is temporary e.g. recent corticosteroid use

研究者

发起方
ottingham University Hospital NHS Trust

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