Allopurinol Combination Study

Last updated: January 23, 2017
Sponsor: Ardea Biosciences, Inc.
Overall Status: Completed

Phase

2

Condition

Arthritis And Arthritic Pain (Pediatric)

Joint Injuries

Collagen Vascular Diseases

Treatment

N/A

Clinical Study ID

NCT01001338
RDEA594-203
  • Ages 18-80
  • All Genders

Study Summary

To compare the proportion of subjects whose serum urate (sUA) levels are < 6.0 mg/dL following 4 weeks of continuous treatment of RDEA594 in combination with allopurinol to allopurinol alone in subjects with documented inadequate hypouricemic response with standard doses of allopurinol.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Male or a post-menopausal or surgically sterile female.

  2. 18 - 80 years of age.

  3. Has been taking allopurinol as the sole urate lowering therapy for hyperuricemia forat least 6 weeks at a dose between 200 mg and 600 mg per day without an adequateresponse.

  4. Has a sUA level ≥ 6 mg/dL at screening.

  5. Meets criteria for the diagnosis of gout as per the American Rheumatism Association (ARA) Criteria for the Classification of Acute Arthritis of Primary Gout.

  6. Willing and able to give informed consent and adhere to visit/protocol schedules (informed consent must be given before the first study procedure is performed).

  7. Subjects entering the optional Extension Period must have completed 28 days of dosingin the Double-Blind Treatment Period and the Day 42 Visit in the Follow-up Periodwithin 4 months and must not have experienced any serious adverse events consideredpossibly related to study drug.

  8. Subjects entering the optional Open-Label Extension Period must continue to becompliant with the protocol through Week 44 of the Double-Blind Extension Period andmust not have experienced any serious adverse events considered possibly related tostudy drug.

Exclusion

Exclusion Criteria:

  1. Consumes more than 14 drinks of alcohol per week (e.g., 1 drink = 5 oz [150 ml] ofwine, 12 oz [360 ml] of beer, or 1.5 oz [45 ml] of hard liquor).

  2. History or suspicion of drug abuse.

  3. History of documented or suspected kidney stones.

  4. Has rheumatoid arthritis or other autoimmune disease requiring treatment.

  5. Documented or suspicion of HIV infection.

  6. Positive serology to HCV antibodies (Abs), and/or hepatitis B surface antigen (HBsAg).

  7. History of malignancy within 5 years prior to the first dose of study medication,other than non-melanomatous skin cancer or cervical dysplasia.

  8. History of cardiac abnormalities, including abnormal and clinically relevant ECGchanges

  9. Any condition predisposing to QT prolongation including pathological Q-wave (definedas Q-wave >40 msec or depth > 0.4-0.5 mV).

  10. Any use of concomitant medications that prolong the QT/QTc interval within the 14 daysprior to Baseline (Day 1).

  11. QT interval corrected for heart rate according to Fridericia (QTcF) > 450 msec atScreening or pre-dose at Baseline (Day 1).

  12. Uncontrolled hypertension (above 150/95).

  13. Inadequate renal function [serum creatinine >1.5 mg/dL or creatinine clearance < 60mL/min (by Cockroft-Gault formula)].

  14. Hemoglobin < 10 g/dL (males) or < 9 g/dL (females).

  15. Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > 2.5 x upper limitof normal (ULN).

  16. Gamma glutamyl transferase (GGT) > 3 x ULN.

  17. Active peptic ulcer disease requiring treatment.

  18. History of xanthinuria, active liver disease, or hepatic dysfunction.

  19. Requires therapy with any other urate-lowering medication, other than the studymedications.

  20. Requires long-term use of salicylates; diuretics; losartan; azathioprine;mercaptopurine; theophylline; intravenous colchicine; cyclosporine; cyclophosphamide;pyrazinamide; sulfamethoxazole; or trimethoprim.

  21. Taking medications known as enzyme inducers (see section 3.7 for listing).

  22. Reports receiving a strong or moderate inhibitor of CYP3A4 or a P-gp inhibitor within 1 month prior to study drug dosing, due to potential interactions with colchicine.

  23. Acute gout flare (exclusive of chronic synovitis/ arthritis) during theScreening-Period that has not resolved one week prior to the Baseline Visit (Day 0).

  24. Pregnant or breast feeding.

  25. Has received an investigational medication within 4 weeks prior to the screening visitfor this study.

  26. Previously participated in a clinical study involving RDEA806 or RDEA594.

  27. Known hypersensitivity or allergy to RDEA594, allopurinol or colchicine or anycomponents in their formulations.

  28. Body mass index (BMI) >48 kg/m2.

  29. Taking greater than 1000 mg/day of Vitamin C.

  30. Any other medical or psychological condition, which in the opinion of the Investigatorand/or Medical Monitor, might create undue risk to the subject or interfere with thesubject's ability to comply with the protocol requirements, or to complete the study.

  31. Inadequate renal function after completing the Double-Blind Treatment period prior toentering Double-Blind Extension Period.

  32. Requiring treatment with prohibited medications noted in exclusion criteria numbers 20-23 after completing the Double-Blind Treatment Period prior to entering theExtension Period.

  33. Clinically relevant medical event as determined by the investigator in consultationwith medical monitor prior to entering the Extension Period.

Study Design

Total Participants: 227
Study Start date:
October 01, 2009
Estimated Completion Date:
August 31, 2016

Connect with a study center

  • Coquitlam, British Columbia V3K 3P4
    Canada

    Site Not Available

  • Kelowna, British Columbia V1Y8E7
    Canada

    Site Not Available

  • St. John's, Newfoundland and Labrador A1A 3R5
    Canada

    Site Not Available

  • Thornhill, Ontario L4J 6W6
    Canada

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  • Toronto, Ontario M9W 4L6
    Canada

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  • Mirabel, Quebec J7J 2K8
    Canada

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    Tbilisi, 0102
    Georgia

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  • Bydgoszcz, 85-168
    Poland

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  • Elblag, 82-300
    Poland

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  • Lublin, 20-607
    Poland

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  • Poznan, 60-773
    Poland

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  • Radom, 26-610
    Poland

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  • Torun, 87-100
    Poland

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  • Bilbao, 48903
    Spain

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  • Donetsk, 83045
    Ukraine

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  • Kharkiv, 61176
    Ukraine

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  • Kyiv, 02125
    Ukraine

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  • Vinnytsya, 21081
    Ukraine

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  • Blackpool, Lancashire FY4 3AD
    United Kingdom

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    Chandler, Arizona 85224
    United States

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  • Phoenix, Arizona 85050
    United States

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    Tucson, Arizona 85704
    United States

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  • La Jolla, California 92037
    United States

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  • Los Angeles, California 90017
    United States

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  • Stanford, California 94305
    United States

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  • Boca Raton, Florida 33432
    United States

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  • DeLand, Florida 32720
    United States

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  • Fort Lauderdale, Florida 33334
    United States

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  • Jupiter, Florida 33458
    United States

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  • Meridan, Idaho 83642
    United States

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  • Lexington, Kentucky 40504
    United States

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  • Wheaton, Maryland 20902
    United States

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  • Las Vegas, Nevada 89183
    United States

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  • Reno, Nevada 89502
    United States

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  • Harrisburg, North Carolina 28075
    United States

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    Raleigh, North Carolina 27612
    United States

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  • Cincinnati, Ohio 45242
    United States

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  • Cleveland, Ohio 44122
    United States

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  • Mayfield Village, Ohio 44143
    United States

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  • Durham, South Carolina 27710
    United States

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  • Rock Hill, South Carolina 29732
    United States

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  • Germantown, Tennessee 38138
    United States

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  • Jackson, Tennessee 38305
    United States

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  • Dallas, Texas 75231
    United States

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    Houston, Texas 77074
    United States

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  • San Antonio, Texas 78221
    United States

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  • West Jordan, Utah 84088
    United States

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  • Chesapeake, Virginia 23320
    United States

    Site Not Available

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