EURELIA2: Tigulixostat, Phase 3 Study, Allopurinol Controlled in Gout Patients

Sponsor
LG Chem (Industry)
Overall Status
Not yet recruiting
CT.gov ID
NCT05586971
Collaborator
(none)
2,542
5
35

Study Details

Study Description

Brief Summary

The aim of this 12-month randomized multi-regional double-blind parallel group allopurinol and placebo-controlled phase 3 study is to assess the efficacy and safety of three different doses of Tigulixostat in gout patients with hyperuricemia.

Condition or Disease Intervention/Treatment Phase
Phase 3

Study Design

Study Type:
Interventional
Anticipated Enrollment :
2542 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Randomized, Multi-regional, Double-blind, Double-dummy Parallel-group, Placebo and Allopurinol-controlled Phase 3 Study to Assess the Efficacy and Safety of Tigulixostat in Gout Patients With Hyperuricemia
Anticipated Study Start Date :
Jan 1, 2023
Anticipated Primary Completion Date :
Jul 1, 2025
Anticipated Study Completion Date :
Dec 1, 2025

Arms and Interventions

Arm Intervention/Treatment
Experimental: Tigulixostat 100mg

Tigulixostat 100mg, Once a day (QD) for up to 12 months

Drug: Tigulixostat
Xanthine Oxidase Inhibitor
Other Names:
  • LC350189
  • Experimental: Tigulixostat 200mg

    Tigulixostat 200mg, Once a day (QD) for up to 12 months

    Drug: Tigulixostat
    Xanthine Oxidase Inhibitor
    Other Names:
  • LC350189
  • Experimental: Tigulixostat 300mg

    Tigulixostat 300mg (100mg + 200mg), Once a day (QD) for up to 12 months

    Drug: Tigulixostat
    Xanthine Oxidase Inhibitor
    Other Names:
  • LC350189
  • Active Comparator: Titrated allopurinol (100-800mg)

    Allopurinol 100-800mg, three times a day (TID) for up to 12 months. The allopurinol dose will be increased in 100 mg increments up to 800mg.

    Drug: Allopurinol
    Xanthine Oxidase Inhibitor

    Placebo Comparator: Placebo

    Placebo, three times a day (TID) for up to 6 months.

    Drug: Placebo
    Matching placebo

    Outcome Measures

    Primary Outcome Measures

    1. The proportion of subjects with sUA levels <6.0 mg/dL sustained at months 4, 5, and 6 [Up to Month 6]

      Serum uric acid (sUA) level will be measured at Month 4,5, and 6

    Secondary Outcome Measures

    1. The proportion of subjects with sUA levels <5.0 mg/dL sustained at months 4, 5, and 6 [Up to Month 6]

      Serum uric acid (sUA) level will be measured at Month 4,5, and 6

    2. Proportion of subjects with at least one gout flare from Month 6 to Month 12. [From Month 6 to Month 12]

      Gout flare (intense pain, swelling, or/and tenderness in the joint area) will be assessed from baseline up to 12 months

    3. Proportion of subjects with complete resolution of ≥1 target tophus by Month 12 [Up to Month 12]

      Tophi will be measured by independent central blind reader

    4. Incidence rate of adverse event [Up to Month 12]

      Safety assessment

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 85 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Male or female subjects between the ages of 18 85 years, inclusive.

    • Subjects with hyperuricemia and a history or presence of gout per American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) 2015 criteria.

    • Subjects who are currently on urate-lowering therapies (ULT) with an sUA level ≥6.0 mg/dL at screening (Visit 1); or subjects who are currently not on ULT with an sUA level ≥7.0 mg/dL at screening (Visit 1). Subjects currently on ULT will undergo washout and must have an sUA level ≥7.0 mg/dL at Visit 3 to be randomized and participate in the study.

    • Subjects with a Body Mass Index ≤50 kg/m2 and estimated glomerular filtration rate (eGFR) ≥30 mL/min/1.73 m2 at screening (Visit 1).

    Exclusion Criteria:
    • Subjects with secondary hyperuricemia and enzymatic defects.

    • Subjects experiencing an acute gout attack (intense pain, swelling, or/and tenderness in the joint area) within 2 weeks prior to screening (Visit 1).

    • Subjects who have received pegloticase to treat gout which has not responded to the usual treatments.

    • Subjects who have not been receiving stable doses of drugs known to affect sUA levels for the last 3 weeks prior to screening (Visit 1).

    • Subjects with a history of xanthinuria (elevated levels of xanthine in the urine).

    Contacts and Locations

    Locations

    No locations specified.

    Sponsors and Collaborators

    • LG Chem

    Investigators

    • Study Director: Jisoo Lee, MD, LG Chem

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    LG Chem
    ClinicalTrials.gov Identifier:
    NCT05586971
    Other Study ID Numbers:
    • LG-GDCL010
    First Posted:
    Oct 19, 2022
    Last Update Posted:
    Jan 11, 2023
    Last Verified:
    Jan 1, 2023
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by LG Chem
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Jan 11, 2023