Efficacy and Safety of Colchicine for the Prevention of Gout Flares During the Initiation of Allopurinol
Phase 4
Completed
- Conditions
- Intercritical Gout
- Interventions
- Registration Number
- NCT01451645
- Lead Sponsor
- Regeneron Pharmaceuticals
- Brief Summary
The purpose of this study is to determine if once-daily treatment with colchicine, compared to placebo, is effective in preventing gout flares in patients who are initiating therapy with allopurinol.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 82
Inclusion Criteria
Inclusion criteria include, but are not limited to the following:
- Men and postmenopausal women between the ages of 18 and 70
- Meets the ARA criteria for classification of acute gout
- Tophi present and/or a history of gout attacks in 2 or 3 joints
- Self-reported history of at least 2 gout flares in the prior 12 months
- Serum uric acid greater than or equal to 7.5 mg/dL at the first visit
Exclusion Criteria
Exclusion criteria include, but are not limited to the following:
- Patients with an acute gout flare within 2 weeks prior to the first visit
- Patients with chronic, active gout with at least 1 continuously inflamed joint for at least 4 weeks
- Patients with more than three joints affected by gout
- History of intolerance or allergy to colchicine or allopurinol
- Use of allopurinol, benzbromarone, febuxostat, probenecid, or sulfinpyrazone less than 3 months prior to entering the study
- Use of colchicine less than 14 days prior to entering the study
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description placebo placebo daily placebo dosing for 16 weeks with background allopurinol therapy Colchicine (Colcrys®) Colchicine (Colcrys®) daily 0.6 mg colchicine dosing for 16 weeks with background allopurinol therapy placebo allopurinol daily placebo dosing for 16 weeks with background allopurinol therapy Colchicine (Colcrys®) allopurinol daily 0.6 mg colchicine dosing for 16 weeks with background allopurinol therapy
- Primary Outcome Measures
Name Time Method Number of Gout Flares Per Participant From Day 1 to Week 16 Day 1 to Week 16
- Secondary Outcome Measures
Name Time Method Percentage of Participants With at Least 1 Gout Flare From Day 1 to Week 16 Day 1 to Week 16 Percentage of Participants With at Least 2 Gout Flares From Day 1 to Week 16 Day 1 to Week 16 Mean Number of Gout Flare Days Per Participant Assessed From Day 1 to Week 16 Day 1 to Week 16
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
What molecular mechanisms underlie colchicine's efficacy in preventing gout flares during allopurinol initiation?
How does colchicine compare to NSAIDs or febuxostat in preventing gout flares during urate-lowering therapy?
Which biomarkers correlate with response to colchicine in intercritical gout patients starting allopurinol?
What are the gastrointestinal adverse event rates of colchicine vs. placebo in NCT01451645 and mitigation strategies?
What combination therapies with allopurinol show promise in gout flare prevention beyond colchicine in Phase 4 trials?