Open-Label Extension Study for Patients Who Completed a Phase 3 Double-blind Study of PEG-uricase for Symptomatic Gout

Sponsor
Savient Pharmaceuticals (Industry)
Overall Status
Completed
CT.gov ID
NCT01356498
Collaborator
(none)
151
22
3
37
6.9
0.2

Study Details

Study Description

Brief Summary

This is an open-label extension phase of two double-blind, placebo-controled Phase 3 protocols evaluating PEG-uricase in the treatment of hyperuricemic subjects with symptomatic gout. The purpose of this study is to provide a continuation of treatment to subjects completing the double-blind studies and obtain long-term safety and efficacy data.

Condition or Disease Intervention/Treatment Phase
  • Biological: pegloticase
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
151 participants
Allocation:
Non-Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Multicenter, Open Label Extension Study of 8 mg PEG-uricase in Subjects Who Completed Protocols C0405 or C0406 for Symptomatic Gout
Study Start Date :
Dec 1, 2006
Actual Primary Completion Date :
Jan 1, 2010
Actual Study Completion Date :
Jan 1, 2010

Arms and Interventions

Arm Intervention/Treatment
Experimental: q2 RCT

Pegloticase every 2 wk arm of Randomized Controlled Trial(RCT), continued to receive pegloticase every 2 weeks (q2 wk) or every 4 weeks (q4 wk) in Open Label Extention (OLE) study

Biological: pegloticase
8 mg intravenous infusion

Experimental: q4 RCT

Pegloticase every 4 wk arm of Randomized Controlled Trial (RCT), continued to receive pegloticase every 2 weeks (q2 wk) or every 4 weeks (q4 wk) in Open Label Extention (OLE) study

Biological: pegloticase
8 mg intravenous infusion

Experimental: Placebo in RCT

Placebo arm in Randomized Controlled Trial (RCT), received pegloticase every 2 weeks (q2 wk) or every 4 weeks (q4 wk) in OLE

Biological: pegloticase
8 mg intravenous infusion

Outcome Measures

Primary Outcome Measures

  1. Uric Acid (mg/dL) [Week 13, Week 25, Week 53, Week 101]

    Uric acid measured at 3 month-intervals

Secondary Outcome Measures

  1. Tophus Response [Up to 2 years]

    Target tophi evaluated during the randomized, controlled study were followed for response at 3, 6, 12, 18 and 24 months in this open-label extention study. Results from each participant's final assessment on drug are reported (as last observation carried forward). Complete response=complete disappearance of at least one tophus with no new or worsening tophus. Partial Response=a 50% or more decrease in at least one tophus with no new or worsening tophus.

  2. Patient Reported Outcome: SF-36 Physical Component Summary Score [RCT Week 25; OLE Week 25; OLE Week 53, OLE Week 77, OLE Week 101]

    SF-36 is the Medical Outcomes Survey Short Form-36, a 36-item self-reported questionnaire which assesses health-related limitations in 8 dimensions. The Physical Component Summary Score (PCS) is a composite summary score derived from the dimensions related to physical functioning outcomes: Physical Function, Role Physical, General Health and Bodily Pain (each with a 0 to 100 scale where 0=worst, 100=best). The Summary Score is constructed as a T-score with a mean of 50 and standard deviation of 10, where higher scores indicate a better health status.

  3. Gout Flare Frequency [Up to 2 years]

    The the mean number of flares per subject (flare frequency)was assessed over 3-month periods for up to 2 years of treatment

  4. Gout Flare Incidence [Assessed in 3-month intervals up to 2 years]

    Percentage of participants remaining in the study during the specified interval who experienced a gout flare during this interval.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Completed treatment in one of two double-blind, placebo controlled studies of PEG-uricase in subjects with hyperuricemia and symptomatic gout
Exclusion Criteria:
  • unstable angina

  • uncontrolled arrhythmia

  • uncontrolled hypertension

  • end stage renal disease requiring dialysis

  • anemia

Contacts and Locations

Locations

Site City State Country Postal Code
1 Kaiser Permanente Medical Center, Clinical Trials Unit San Francisco California United States 94118
2 Pacific Arthritis Center Medical Group Santa Maria California United States 93454
3 Agilence Arthritis & Osteoporosis Medical Center Whittier California United States 90606
4 Veterans Affairs Medical Center Washington District of Columbia United States 20422
5 Arthritis & Rheumatic Disease Specialties Aventura Florida United States 33180
6 Ocala Rheumatology Research Center Ocala Florida United States 34474
7 St. Petersburg Arthritis Center St. Petersburg Florida United States 33703
8 The University of Chicago Chicago Illinois United States 60637
9 Graves Gilbert Clinic Bowling Green Kentucky United States 42101
10 Peter A. Holt, M.D. Baltimore Maryland United States 21239
11 Center for Rheumatology and Bone Research Wheaton Maryland United States 20902
12 Justus J. Fiechtner, MD, PC Lansing Michigan United States 48910
13 CentraCare Clinic St. Cloud Minnesota United States 56377
14 Rheumatology Associates of North Jersey Teaneck New Jersey United States 07666
15 Duke University Medical Center Durham North Carolina United States 27302
16 New Horizons Clinical Research Cincinnati Ohio United States 45242
17 The Ohio State University Columbus Ohio United States 43210
18 STAT Research, Inc. Dayton Ohio United States 45402
19 David R. Mandel, MD, Inc. Mayfield Village Ohio United States 44143
20 Altoona Center for Clinical Research Duncansville Pennsylvania United States 16635
21 Mid Atlantic Research Assoc. Philadelphia Pennsylvania United States 19154
22 Arthritis Northwest, PLLC Spokane Washington United States 99204

Sponsors and Collaborators

  • Savient Pharmaceuticals

Investigators

  • Study Director: Medical Director, M.D., Savient Pharmaceuticals, Inc.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Savient Pharmaceuticals
ClinicalTrials.gov Identifier:
NCT01356498
Other Study ID Numbers:
  • C0407
First Posted:
May 19, 2011
Last Update Posted:
Dec 2, 2011
Last Verified:
Oct 1, 2011
Keywords provided by Savient Pharmaceuticals
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details Subjects completing one of the randomized, controlled Phase 3 clinical trials (RCTs) of pegloticase [C0405 and C0406 (NCT00325195)] were invited to participate in this open-label extension study.
Pre-assignment Detail Participants made the decision, along with the treating investigator, of which dose to receive in this study while remaining blinded to treatment received and results during the RCT. Cohort designations are based on participants' initial RCT treatment and whether uric acid remained <6 mg/dL for 80% of the time during months 3 and 6 in the RCT.
Arm/Group Title q2 RCT, Responder q4 RCT, Responder Placebo in RCT, q2 in OLE q2 RCT, Non-responder q4 RCT Non-responder Placebo in RCT, q4 in OLE
Arm/Group Description Responder in Pegloticase every 2 wk arm of Randomized Controlled Trial (RCT), continued to receive pegloticase every 2 weeks (q2 wk) or every 4 weeks (q4 wk) in Open Label Extension (OLE) study Responder in Pegloticase every 4 wk arm of Randomized Controlled Trial, continued to receive pegloticase every 2 weeks (q2 wk)or every 4 weeks (q4 wk)in Open Label Extension (OLE) study Placebo arm in Randomized Controlled Trial (RCT), initiated pegloticase treatment every 2 weeks (q2 wk)in Open Label Extension (OLE) study Non-responder in Pegloticase every 2 wk arm of Randomized Controlled Trial, continued to receive pegloticase every 2 weeks (q2 wk)or every 4 weeks (q4 wk)in Open Label Extension (OLE) study Non-responder in Pegloticase every 4 wk arm of Randomized Controlled Trial, continued to receive pegloticase every 2 weeks (q2 wk)or every 4 weeks (q4 wk)in Open Label Extension (OLE) study Placebo arm in Randomized Controlled Trial (RCT), initiated pegloticase treatment every 4 weeks (q4 wk)in Open Label Extension (OLE) study
Period Title: Overall Study
STARTED 35 25 23 22 28 16
COMPLETED 24 17 11 8 8 2
NOT COMPLETED 11 8 12 14 20 14

Baseline Characteristics

Arm/Group Title q2 RCT, Responder q4 RCT, Responder Placebo in RCT, q2 in OLE q2 RCT, Non-responder q4 RCT Non-responder Placebo in RCT, q4 in OLE Total
Arm/Group Description Responder in Pegloticase every 2 wk arm of Randomized Controlled Trial (RCT), continued to receive pegloticase every 2 weeks (q2 wk) or every 4 weeks (q4 wk) in Open Label Extension (OLE) study Responder in Pegloticase every 4 wk arm of Randomized Controlled Trial, continued to receive pegloticase every 2 weeks (q2 wk)or every 4 weeks (q4 wk)in Open Label Extension (OLE) study Placebo arm in Randomized Controlled Trial (RCT), initiated pegloticase treatment every 2 weeks (q2 wk)in Open Label Extension (OLE) study Non-responder in Pegloticase every 2 wk arm of Randomized Controlled Trial, continued to receive pegloticase every 2 weeks (q2 wk)or every 4 weeks (q4 wk)in Open Label Extension (OLE) study Non-responder in Pegloticase every 4 wk arm of Randomized Controlled Trial, continued to receive pegloticase every 2 weeks (q2 wk)or every 4 weeks (q4 wk)in Open Label Extension (OLE) study Placebo arm in Randomized Controlled Trial (RCT), initiated pegloticase treatment every 4 weeks (q4 wk)in Open Label Extension (OLE) study Total of all reporting groups
Overall Participants 35 25 23 22 28 16 149
Age (Count of Participants)
<=18 years
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
Between 18 and 65 years
20
57.1%
17
68%
18
78.3%
16
72.7%
23
82.1%
11
68.8%
105
70.5%
>=65 years
15
42.9%
8
32%
5
21.7%
6
27.3%
5
17.9%
5
31.3%
44
29.5%
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
62.4
(13.66)
58.6
(13.59)
56.6
(10.53)
52.0
(13.12)
53.5
(12.25)
54.6
(13.62)
56.8
(13.19)
Sex: Female, Male (Count of Participants)
Female
10
28.6%
7
28%
4
17.4%
4
18.2%
4
14.3%
3
18.8%
32
21.5%
Male
25
71.4%
18
72%
19
82.6%
18
81.8%
24
85.7%
13
81.3%
117
78.5%
Region of Enrollment (participants) [Number]
United States
32
91.4%
22
88%
22
95.7%
17
77.3%
27
96.4%
13
81.3%
133
89.3%
Canada
0
0%
1
4%
1
4.3%
0
0%
0
0%
0
0%
2
1.3%
Mexico
3
8.6%
2
8%
0
0%
5
22.7%
1
3.6%
3
18.8%
14
9.4%

Outcome Measures

1. Primary Outcome
Title Uric Acid (mg/dL)
Description Uric acid measured at 3 month-intervals
Time Frame Week 13, Week 25, Week 53, Week 101

Outcome Measure Data

Analysis Population Description
ITT
Arm/Group Title q2 RCT, Responder q4 RCT, Responder Placebo in RCT, q2 in OLE q2 RCT, Non-responder q4 RCT Non-responder Placebo in RCT, q4 in OLE
Arm/Group Description Responder in Pegloticase every 2 wk arm of Randomized Controlled Trial (RCT), continued to receive pegloticase every 2 weeks (q2 wk) or every 4 weeks (q4 wk) in Open Label Extension (OLE) study Responder in Pegloticase every 4 wk arm of Randomized Controlled Trial, continued to receive pegloticase every 2 weeks (q2 wk)or every 4 weeks (q4 wk)in Open Label Extension (OLE) study Placebo arm in Randomized Controlled Trial (RCT), initiated pegloticase treatment every 2 weeks (q2 wk)in Open Label Extension (OLE) study Non-responder in Pegloticase every 2 wk arm of Randomized Controlled Trial, continued to receive pegloticase every 2 weeks (q2 wk)or every 4 weeks (q4 wk)in Open Label Extension (OLE) study Non-responder in Pegloticase every 4 wk arm of Randomized Controlled Trial, continued to receive pegloticase every 2 weeks (q2 wk)or every 4 weeks (q4 wk)in Open Label Extension (OLE) study Placebo arm in Randomized Controlled Trial (RCT), initiated pegloticase treatment every 4 weeks (q4 wk)in Open Label Extension (OLE) study
Measure Participants 31 24 18 17 22 10
OLE Week 13
1.33
(3.103)
1.91
(4.082)
5.06
(4.538)
9.76
(1.346)
9.66
(2.529)
8.08
(3.561)
OLE Week 25
1.4
(3.196)
1.95
(3.761)
4.69
(4.454)
8.89
(3.984)
9.94
(2.646)
8.09
(3.536)
OLE Week 53
0.87
(2.327)
1.55
(3.690)
2.7
(4.255)
9.18
(2.946)
9.59
(2.782)
6.45
(3.248)
OLE Week 101
0.84
(2.619)
1.47
(3.317)
4.29
(3.985)
7.7
(4.244)
9.42
(1.961)
8.5
(NA)
2. Secondary Outcome
Title Tophus Response
Description Target tophi evaluated during the randomized, controlled study were followed for response at 3, 6, 12, 18 and 24 months in this open-label extention study. Results from each participant's final assessment on drug are reported (as last observation carried forward). Complete response=complete disappearance of at least one tophus with no new or worsening tophus. Partial Response=a 50% or more decrease in at least one tophus with no new or worsening tophus.
Time Frame Up to 2 years

Outcome Measure Data

Analysis Population Description
ITT, Last observation(on drug) carried forward showing patients with an Overall Tophus Response of Complete or Partial Response.
Arm/Group Title q2 RCT, Responder q4 RCT, Responder Placebo in RCT, q2 in OLE q2 RCT, Non-responder q4 RCT Non-responder Placebo in RCT, q4 in OLE
Arm/Group Description Responder in Pegloticase every 2 wk arm of Randomized Controlled Trial (RCT), continued to receive pegloticase every 2 weeks (q2 wk) or every 4 weeks (q4 wk) in Open Label Extension (OLE) study Responder in Pegloticase every 4 wk arm of Randomized Controlled Trial, continued to receive pegloticase every 2 weeks (q2 wk)or every 4 weeks (q4 wk)in Open Label Extension (OLE) study Placebo arm in Randomized Controlled Trial (RCT), initiated pegloticase treatment every 2 weeks (q2 wk)in Open Label Extension (OLE) study Non-responder in Pegloticase every 2 wk arm of Randomized Controlled Trial, continued to receive pegloticase every 2 weeks (q2 wk)or every 4 weeks (q4 wk)in Open Label Extension (OLE) study Non-responder in Pegloticase every 4 wk arm of Randomized Controlled Trial, continued to receive pegloticase every 2 weeks (q2 wk)or every 4 weeks (q4 wk)in Open Label Extension (OLE) study Placebo arm in Randomized Controlled Trial (RCT), initiated pegloticase treatment every 4 weeks (q4 wk)in Open Label Extension (OLE) study
Measure Participants 23 14 16 16 20 5
Complete Response
19
54.3%
13
52%
10
43.5%
4
18.2%
7
25%
3
18.8%
Partial Response
4
11.4%
0
0%
3
13%
4
18.2%
2
7.1%
1
6.3%
3. Secondary Outcome
Title Patient Reported Outcome: SF-36 Physical Component Summary Score
Description SF-36 is the Medical Outcomes Survey Short Form-36, a 36-item self-reported questionnaire which assesses health-related limitations in 8 dimensions. The Physical Component Summary Score (PCS) is a composite summary score derived from the dimensions related to physical functioning outcomes: Physical Function, Role Physical, General Health and Bodily Pain (each with a 0 to 100 scale where 0=worst, 100=best). The Summary Score is constructed as a T-score with a mean of 50 and standard deviation of 10, where higher scores indicate a better health status.
Time Frame RCT Week 25; OLE Week 25; OLE Week 53, OLE Week 77, OLE Week 101

Outcome Measure Data

Analysis Population Description
Number of participants was the subset of the ITT population with SF-36 baseline data
Arm/Group Title q2 RCT, Responder q4 RCT Responder Placebo in RCT, q2 in OLE q2 RCT, Non-responder q4 RCT, Non-responder Placebo in RCT, q4 in OLE
Arm/Group Description Responder in Pegloticase every 2 wk arm of RCT, continued to received pegloticase (q2 wk or q4 wk) in OLE REsponder in Pegloticase every 4 wk arm of RCT, contuned to received pegloticase (q2 wk or q4 wk) in OLE Placebo arm in RCT, initiated pegloticase treatment q2 wk in OLE Non-responder in pegloticase every 2 wk arm of RCT, continued to received pegloticase (q2 wk or q4 wk) in OLE Non-responder in Pegloticase every 4 wk arm of RCT, continued to received pegloticase (q2 wk or q4 wk) in OLE Placebo arm in RCT, initiated pegloticase treatment q4 wk in OLE
Measure Participants 34 25 23 19 26 15
Baseline value (pre-pegloticase)
34.92
(10.988)
34.11
(10.022)
27.55
(11.405)
33.71
(11.581)
32.8
(10.129)
36.2
(11.926)
Final Visit value (LOCF)
40.40
(13.393)
40.82
(7.482)
30.34
(11.132)
37.68
(10.298)
34.76
(11.413)
38.8
(13.155)
4. Secondary Outcome
Title Gout Flare Frequency
Description The the mean number of flares per subject (flare frequency)was assessed over 3-month periods for up to 2 years of treatment
Time Frame Up to 2 years

Outcome Measure Data

Analysis Population Description
Analysis is based on ITT population, and is presented by intervals of time on pegloticase
Arm/Group Title q2 RCT, Responder q4 RCT, Responder Placebo in RCT, q2 in OLE q2 RCT, Non-responder q4 RCT Non-responder Placebo in RCT, q4 in OLE
Arm/Group Description Responder in Pegloticase every 2 wk arm of Randomized Controlled Trial (RCT), continued to receive pegloticase every 2 weeks (q2 wk) or every 4 weeks (q4 wk) in Open Label Extension (OLE) study Responder in Pegloticase every 4 wk arm of Randomized Controlled Trial, continued to receive pegloticase every 2 weeks (q2 wk)or every 4 weeks (q4 wk)in Open Label Extension (OLE) study Placebo arm in Randomized Controlled Trial (RCT), initiated pegloticase treatment every 2 weeks (q2 wk)in Open Label Extension (OLE) study Non-responder in Pegloticase every 2 wk arm of Randomized Controlled Trial, continued to receive pegloticase every 2 weeks (q2 wk)or every 4 weeks (q4 wk)in Open Label Extension (OLE) study Non-responder in Pegloticase every 4 wk arm of Randomized Controlled Trial, continued to receive pegloticase every 2 weeks (q2 wk)or every 4 weeks (q4 wk)in Open Label Extension (OLE) study Placebo arm in Randomized Controlled Trial (RCT), initiated pegloticase treatment every 4 weeks (q4 wk)in Open Label Extension (OLE) study
Measure Participants 35 25 23 22 28 16
Months 1-3
0.4
(0.69)
0.8
(0.90)
2.3
(2.91)
0.6
(0.90)
1.3
(1.49)
1.5
(1.41)
Months 4-6
0.4
(0.96)
0.7
(0.95)
1.3
(2.17)
1.0
(1.73)
0.8
(0.94)
0.8
(1.18)
Months 7-9
0.0
(0.17)
0.3
(0.54)
1.2
(1.80)
0.6
(1.20)
0.6
(0.97)
0.4
(1.01)
Months 10-12
0.1
(0.30)
0.2
(0.51)
0.6
(1.18)
0.9
(1.34)
0.9
(1.46)
0.4
(0.63)
Months 16-18
0.1
(0.25)
.3
(0.44)
0.2
(0.40)
0.7
(1.18)
0.6
(0.85)
0.4
(0.89)
Months 22-24
0.1
(0.37)
0.1
(0.23)
0.4
(0.67)
0.3
(0.65)
0.6
(0.53)
0.7
(1.15)
5. Secondary Outcome
Title Gout Flare Incidence
Description Percentage of participants remaining in the study during the specified interval who experienced a gout flare during this interval.
Time Frame Assessed in 3-month intervals up to 2 years

Outcome Measure Data

Analysis Population Description
The flare incidence is reported as the percentage of participants reporting flares during each 3-month interval.
Arm/Group Title q2 RCT, Responder q4 RCT, Responder Placebo in RCT, q2 in OLE q2 RCT, Non-responder q4 RCT Non-responder Placebo in RCT, q4 in OLE
Arm/Group Description Responder in Pegloticase every 2 wk arm of Randomized Controlled Trial (RCT), continued to receive pegloticase every 2 weeks (q2 wk) or every 4 weeks (q4 wk) in Open Label Extension (OLE) study Responder in Pegloticase every 4 wk arm of Randomized Controlled Trial, continued to receive pegloticase every 2 weeks (q2 wk)or every 4 weeks (q4 wk)in Open Label Extension (OLE) study Placebo arm in Randomized Controlled Trial (RCT), initiated pegloticase treatment every 2 weeks (q2 wk)in Open Label Extension (OLE) study Non-responder in Pegloticase every 2 wk arm of Randomized Controlled Trial, continued to receive pegloticase every 2 weeks (q2 wk)or every 4 weeks (q4 wk)in Open Label Extension (OLE) study Non-responder in Pegloticase every 4 wk arm of Randomized Controlled Trial, continued to receive pegloticase every 2 weeks (q2 wk)or every 4 weeks (q4 wk)in Open Label Extension (OLE) study Placebo arm in Randomized Controlled Trial (RCT), initiated pegloticase treatment every 4 weeks (q4 wk)in Open Label Extension (OLE) study
Measure Participants 35 25 23 22 28 16
Months 1-3
25.7
73.4%
56.0
224%
65.2
283.5%
45.5
206.8%
67.9
242.5%
68.8
430%
Months 4-6
23.5
67.1%
40.0
160%
45.0
195.7%
35.0
159.1%
50.0
178.6%
38.5
240.6%
Months 7-9
3.0
8.6%
24.0
96%
43.8
190.4%
27.8
126.4%
42.9
153.2%
22.2
138.8%
Months 10-12
9.4
26.9%
16.7
66.8%
28.6
124.3%
47.1
214.1%
45.0
160.7%
28.6
178.8%
Months 16-18
6.5
18.6%
25.0
100%
18.2
79.1%
33.3
151.4%
38.9
138.9%
20.0
125%
Months 22-24
3.4
9.7%
5.3
21.2%
27.3
118.7%
25.0
113.6%
55.6
198.6%
33.3
208.1%

Adverse Events

Time Frame Up to 30 days post-treatment (maximum of 32 months)
Adverse Event Reporting Description Serious Adverse Events are reported for subjects during the On-pegloticase period, and includes events reported through 30 days after the last exposure to pegloticase.
Arm/Group Title q2 RCT, Responder q4 RCT, Responder Placebo in RCT, q2 in OLE q2 RCT, Non-responder q4 RCT Non-responder Placebo in RCT, q4 in OLE
Arm/Group Description Responder in Pegloticase every 2 wk arm of Randomized Controlled Trial (RCT), continued to receive pegloticase every 2 weeks (q2 wk) or every 4 weeks (q4 wk) in Open Label Extension (OLE) study Responder in Pegloticase every 4 wk arm of Randomized Controlled Trial, continued to receive pegloticase every 2 weeks (q2 wk)or every 4 weeks (q4 wk)in Open Label Extension (OLE) study Placebo arm in Randomized Controlled Trial (RCT), initiated pegloticase treatment every 2 weeks (q2 wk)in Open Label Extension (OLE) study Non-responder in Pegloticase every 2 wk arm of Randomized Controlled Trial, continued to receive pegloticase every 2 weeks (q2 wk)or every 4 weeks (q4 wk)in Open Label Extension (OLE) study Non-responder in Pegloticase every 4 wk arm of Randomized Controlled Trial, continued to receive pegloticase every 2 weeks (q2 wk)or every 4 weeks (q4 wk)in Open Label Extension (OLE) study Placebo arm in Randomized Controlled Trial (RCT), initiated pegloticase treatment every 4 weeks (q4 wk)in Open Label Extension (OLE) study
All Cause Mortality
q2 RCT, Responder q4 RCT, Responder Placebo in RCT, q2 in OLE q2 RCT, Non-responder q4 RCT Non-responder Placebo in RCT, q4 in OLE
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN)
Serious Adverse Events
q2 RCT, Responder q4 RCT, Responder Placebo in RCT, q2 in OLE q2 RCT, Non-responder q4 RCT Non-responder Placebo in RCT, q4 in OLE
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 9/35 (25.7%) 7/25 (28%) 8/23 (34.8%) 7/22 (31.8%) 12/28 (42.9%) 8/16 (50%)
Blood and lymphatic system disorders
Anaemia 0/35 (0%) 1/25 (4%) 0/23 (0%) 0/22 (0%) 1/28 (3.6%) 0/16 (0%)
Cardiac disorders
Cardiac Failure Congestive 1/35 (2.9%) 0/25 (0%) 1/23 (4.3%) 0/22 (0%) 1/28 (3.6%) 0/16 (0%)
Myocardial Infarction 0/35 (0%) 1/25 (4%) 0/23 (0%) 1/22 (4.5%) 0/28 (0%) 0/16 (0%)
Endocrine disorders
Goitre 0/35 (0%) 1/25 (4%) 0/23 (0%) 0/22 (0%) 0/28 (0%) 0/16 (0%)
Eye disorders
Glaucoma 0/35 (0%) 0/25 (0%) 0/23 (0%) 0/22 (0%) 0/28 (0%) 1/16 (6.3%)
Gastrointestinal disorders
Diarrhoea 0/35 (0%) 1/25 (4%) 2/23 (8.7%) 0/22 (0%) 0/28 (0%) 0/16 (0%)
Vomiting 0/35 (0%) 1/25 (4%) 1/23 (4.3%) 0/22 (0%) 0/28 (0%) 0/16 (0%)
Constipation 1/35 (2.9%) 0/25 (0%) 0/23 (0%) 0/22 (0%) 0/28 (0%) 0/16 (0%)
Diverticular Performation 0/35 (0%) 0/25 (0%) 0/23 (0%) 1/22 (4.5%) 0/28 (0%) 0/16 (0%)
Gastrointestinal Haemorrhage 0/35 (0%) 0/25 (0%) 1/23 (4.3%) 0/22 (0%) 0/28 (0%) 0/16 (0%)
Peritonitis 0/35 (0%) 0/25 (0%) 0/23 (0%) 0/22 (0%) 1/28 (3.6%) 0/16 (0%)
General disorders
Infusion related reaction 1/35 (2.9%) 0/25 (0%) 4/23 (17.4%) 1/22 (4.5%) 3/28 (10.7%) 3/16 (18.8%)
Chest pain 0/35 (0%) 1/25 (4%) 0/23 (0%) 0/22 (0%) 2/28 (7.1%) 0/16 (0%)
Asthenia 0/35 (0%) 0/25 (0%) 0/23 (0%) 0/22 (0%) 1/28 (3.6%) 0/16 (0%)
Infections and infestations
Osteomyelitis 0/35 (0%) 0/25 (0%) 1/23 (4.3%) 1/22 (4.5%) 1/28 (3.6%) 0/16 (0%)
Appendicitis 0/35 (0%) 0/25 (0%) 0/23 (0%) 0/22 (0%) 0/28 (0%) 1/16 (6.3%)
Bronchitis 0/35 (0%) 0/25 (0%) 0/23 (0%) 0/22 (0%) 1/28 (3.6%) 0/16 (0%)
Cellulitis 0/35 (0%) 0/25 (0%) 0/23 (0%) 0/22 (0%) 1/28 (3.6%) 0/16 (0%)
Gastroenteritis Viral 0/35 (0%) 0/25 (0%) 1/23 (4.3%) 0/22 (0%) 0/28 (0%) 0/16 (0%)
Sepsis 0/35 (0%) 0/25 (0%) 0/23 (0%) 0/22 (0%) 1/28 (3.6%) 0/16 (0%)
Staphylococcal Infection 0/35 (0%) 0/25 (0%) 0/23 (0%) 0/22 (0%) 1/28 (3.6%) 0/16 (0%)
Urinary Tract Infection Bacterial 0/35 (0%) 0/25 (0%) 0/23 (0%) 0/22 (0%) 1/28 (3.6%) 0/16 (0%)
Urosepsis 0/35 (0%) 0/25 (0%) 0/23 (0%) 1/22 (4.5%) 0/28 (0%) 0/16 (0%)
Injury, poisoning and procedural complications
Arthritis Bacterial 0/35 (0%) 0/25 (0%) 0/23 (0%) 1/22 (4.5%) 0/28 (0%) 0/16 (0%)
Hip Fracture 0/35 (0%) 0/25 (0%) 1/23 (4.3%) 0/22 (0%) 1/28 (3.6%) 0/16 (0%)
Ankle Fracture 0/35 (0%) 1/25 (4%) 0/23 (0%) 0/22 (0%) 0/28 (0%) 0/16 (0%)
Humerus Fracture 0/35 (0%) 0/25 (0%) 0/23 (0%) 0/22 (0%) 1/28 (3.6%) 0/16 (0%)
Intentional Overdose 0/35 (0%) 0/25 (0%) 0/23 (0%) 1/22 (4.5%) 0/28 (0%) 0/16 (0%)
Metabolism and nutrition disorders
Hypoglycaemia 1/35 (2.9%) 0/25 (0%) 0/23 (0%) 1/22 (4.5%) 0/28 (0%) 0/16 (0%)
Fluid Overload 0/35 (0%) 1/25 (4%) 0/23 (0%) 0/22 (0%) 0/28 (0%) 0/16 (0%)
Hyperkalaemia 1/35 (2.9%) 0/25 (0%) 0/23 (0%) 0/22 (0%) 0/28 (0%) 0/16 (0%)
Musculoskeletal and connective tissue disorders
Arthralgia 0/35 (0%) 1/25 (4%) 0/23 (0%) 0/22 (0%) 0/28 (0%) 0/16 (0%)
Fasciitis 0/35 (0%) 0/25 (0%) 0/23 (0%) 0/22 (0%) 0/28 (0%) 1/16 (6.3%)
Gout 0/35 (0%) 0/25 (0%) 0/23 (0%) 1/22 (4.5%) 0/28 (0%) 0/16 (0%)
Gouty Arthritis 1/35 (2.9%) 0/25 (0%) 0/23 (0%) 0/22 (0%) 0/28 (0%) 0/16 (0%)
Lumbar Spinal Stenosis 0/35 (0%) 1/25 (4%) 0/23 (0%) 0/22 (0%) 0/28 (0%) 0/16 (0%)
Muscular Weakness 0/35 (0%) 1/25 (4%) 0/23 (0%) 0/22 (0%) 0/28 (0%) 0/16 (0%)
Musculoskeletal Pain 0/35 (0%) 0/25 (0%) 0/23 (0%) 1/22 (4.5%) 0/28 (0%) 0/16 (0%)
Myositis 0/35 (0%) 0/25 (0%) 0/23 (0%) 0/22 (0%) 0/28 (0%) 1/16 (6.3%)
Pain in Extremity 0/35 (0%) 1/25 (4%) 0/23 (0%) 0/22 (0%) 0/28 (0%) 0/16 (0%)
Rheumatoid Arthritis 0/35 (0%) 0/25 (0%) 0/23 (0%) 1/22 (4.5%) 0/28 (0%) 0/16 (0%)
Rotator Cuff Syndrome 0/35 (0%) 0/25 (0%) 0/23 (0%) 1/22 (4.5%) 0/28 (0%) 0/16 (0%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Myeloproliferative Disorder 1/35 (2.9%) 0/25 (0%) 0/23 (0%) 0/22 (0%) 0/28 (0%) 0/16 (0%)
Nervous system disorders
Carotid Artery Stenosis 0/35 (0%) 0/25 (0%) 0/23 (0%) 0/22 (0%) 1/28 (3.6%) 0/16 (0%)
Hepatic Encephalopathy 1/35 (2.9%) 0/25 (0%) 0/23 (0%) 0/22 (0%) 0/28 (0%) 0/16 (0%)
Lumbar Radiculopathy 0/35 (0%) 0/25 (0%) 0/23 (0%) 0/22 (0%) 0/28 (0%) 1/16 (6.3%)
Syncope 0/35 (0%) 1/25 (4%) 0/23 (0%) 0/22 (0%) 0/28 (0%) 0/16 (0%)
Psychiatric disorders
Depression 0/35 (0%) 0/25 (0%) 0/23 (0%) 1/22 (4.5%) 0/28 (0%) 0/16 (0%)
Stress 0/35 (0%) 0/25 (0%) 0/23 (0%) 0/22 (0%) 1/28 (3.6%) 0/16 (0%)
Suicide Attempt 0/35 (0%) 0/25 (0%) 0/23 (0%) 1/22 (4.5%) 0/28 (0%) 0/16 (0%)
Renal and urinary disorders
Renal Failure Acute 1/35 (2.9%) 0/25 (0%) 0/23 (0%) 1/22 (4.5%) 1/28 (3.6%) 1/16 (6.3%)
Renal Failure 0/35 (0%) 1/25 (4%) 0/23 (0%) 0/22 (0%) 1/28 (3.6%) 0/16 (0%)
Renal Failure Chronic 0/35 (0%) 0/25 (0%) 1/23 (4.3%) 0/22 (0%) 1/28 (3.6%) 0/16 (0%)
Azotemia 0/35 (0%) 0/25 (0%) 1/23 (4.3%) 0/22 (0%) 0/28 (0%) 0/16 (0%)
Nephrolithiasis 0/35 (0%) 0/25 (0%) 0/23 (0%) 0/22 (0%) 1/28 (3.6%) 0/16 (0%)
Reproductive system and breast disorders
Breast pain 0/35 (0%) 1/25 (4%) 0/23 (0%) 0/22 (0%) 0/28 (0%) 0/16 (0%)
Respiratory, thoracic and mediastinal disorders
Pulmonary Embolism 2/35 (5.7%) 0/25 (0%) 0/23 (0%) 0/22 (0%) 0/28 (0%) 0/16 (0%)
Chronic Obstructive Pulmonary Disease 1/35 (2.9%) 0/25 (0%) 0/23 (0%) 0/22 (0%) 0/28 (0%) 0/16 (0%)
Nasal Septum Deviation 1/35 (2.9%) 0/25 (0%) 0/23 (0%) 0/22 (0%) 0/28 (0%) 0/16 (0%)
Skin and subcutaneous tissue disorders
Skin Necrosis 0/35 (0%) 1/25 (4%) 0/23 (0%) 0/22 (0%) 0/28 (0%) 0/16 (0%)
Surgical and medical procedures
Inguinal Hernia Repair 1/35 (2.9%) 0/25 (0%) 0/23 (0%) 0/22 (0%) 0/28 (0%) 0/16 (0%)
Vascular disorders
Deep Vein Thrombosis 0/35 (0%) 0/25 (0%) 2/23 (8.7%) 0/22 (0%) 1/28 (3.6%) 0/16 (0%)
Femoral Artery Occlusion 0/35 (0%) 1/25 (4%) 0/23 (0%) 0/22 (0%) 0/28 (0%) 0/16 (0%)
Hypertension 0/35 (0%) 1/25 (4%) 0/23 (0%) 0/22 (0%) 0/28 (0%) 0/16 (0%)
Hypotension 0/35 (0%) 0/25 (0%) 0/23 (0%) 0/22 (0%) 1/28 (3.6%) 0/16 (0%)
Other (Not Including Serious) Adverse Events
q2 RCT, Responder q4 RCT, Responder Placebo in RCT, q2 in OLE q2 RCT, Non-responder q4 RCT Non-responder Placebo in RCT, q4 in OLE
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 34/35 (97.1%) 25/25 (100%) 23/23 (100%) 21/22 (95.5%) 28/28 (100%) 15/16 (93.8%)
Eye disorders
Cataract 2/35 (5.7%) 3/25 (12%) 1/23 (4.3%) 0/22 (0%) 2/28 (7.1%) 0/16 (0%)
Gastrointestinal disorders
Diarrhoea 7/35 (20%) 6/25 (24%) 3/23 (13%) 2/22 (9.1%) 4/28 (14.3%) 0/16 (0%)
Nausea 3/35 (8.6%) 5/25 (20%) 2/23 (8.7%) 2/22 (9.1%) 5/28 (17.9%) 0/16 (0%)
Vomiting 3/35 (8.6%) 3/25 (12%) 1/23 (4.3%) 2/22 (9.1%) 3/28 (10.7%) 0/16 (0%)
Constipation 3/35 (8.6%) 1/25 (4%) 3/23 (13%) 1/22 (4.5%) 2/28 (7.1%) 1/16 (6.3%)
Abdominal Pain 2/35 (5.7%) 2/25 (8%) 2/23 (8.7%) 0/22 (0%) 1/28 (3.6%) 0/16 (0%)
General disorders
Infusion Related Reaction 7/35 (20%) 6/25 (24%) 13/23 (56.5%) 8/22 (36.4%) 19/28 (67.9%) 12/16 (75%)
Oedema Peripheral 7/35 (20%) 6/25 (24%) 5/23 (21.7%) 1/22 (4.5%) 2/28 (7.1%) 0/16 (0%)
Fatigue 7/35 (20%) 3/25 (12%) 5/23 (21.7%) 0/22 (0%) 0/28 (0%) 0/16 (0%)
Chest Pain 1/35 (2.9%) 1/25 (4%) 2/23 (8.7%) 2/22 (9.1%) 4/28 (14.3%) 0/16 (0%)
Infections and infestations
Upper Respiratory Tract Invection 8/35 (22.9%) 8/25 (32%) 4/23 (17.4%) 3/22 (13.6%) 4/28 (14.3%) 0/16 (0%)
Urinary Tract Infection 7/35 (20%) 5/25 (20%) 2/23 (8.7%) 2/22 (9.1%) 4/28 (14.3%) 0/16 (0%)
Nasopharyngitis 3/35 (8.6%) 5/25 (20%) 1/23 (4.3%) 1/22 (4.5%) 4/28 (14.3%) 1/16 (6.3%)
Sinusitits 4/35 (11.4%) 2/25 (8%) 1/23 (4.3%) 5/22 (22.7%) 3/28 (10.7%) 0/16 (0%)
Cellulitis 2/35 (5.7%) 1/25 (4%) 2/23 (8.7%) 3/22 (13.6%) 3/28 (10.7%) 1/16 (6.3%)
Bronchitis 6/35 (17.1%) 0/25 (0%) 2/23 (8.7%) 0/22 (0%) 2/28 (7.1%) 1/16 (6.3%)
Gastroenteritis Viral 1/35 (2.9%) 2/25 (8%) 3/23 (13%) 3/22 (13.6%) 1/28 (3.6%) 0/16 (0%)
Influenza 0/35 (0%) 3/25 (12%) 1/23 (4.3%) 3/22 (13.6%) 2/28 (7.1%) 1/16 (6.3%)
Localised Infection 2/35 (5.7%) 1/25 (4%) 3/23 (13%) 0/22 (0%) 1/28 (3.6%) 0/16 (0%)
Injury, poisoning and procedural complications
Fall 3/35 (8.6%) 3/25 (12%) 2/23 (8.7%) 0/22 (0%) 0/28 (0%) 0/16 (0%)
Skin Laceration 2/35 (5.7%) 0/25 (0%) 1/23 (4.3%) 2/22 (9.1%) 3/28 (10.7%) 0/16 (0%)
Metabolism and nutrition disorders
Diabetes Mellitus 2/35 (5.7%) 0/25 (0%) 2/23 (8.7%) 1/22 (4.5%) 0/28 (0%) 2/16 (12.5%)
Musculoskeletal and connective tissue disorders
Gout 15/35 (42.9%) 19/25 (76%) 19/23 (82.6%) 16/22 (72.7%) 24/28 (85.7%) 13/16 (81.3%)
Arthralgia 7/35 (20%) 7/25 (28%) 6/23 (26.1%) 1/22 (4.5%) 8/28 (28.6%) 0/16 (0%)
Pain in Extremity 5/35 (14.3%) 8/25 (32%) 4/23 (17.4%) 1/22 (4.5%) 6/28 (21.4%) 2/16 (12.5%)
Back Pain 5/35 (14.3%) 4/25 (16%) 9/23 (39.1%) 3/22 (13.6%) 3/28 (10.7%) 1/16 (6.3%)
Bursitis 3/35 (8.6%) 2/25 (8%) 1/23 (4.3%) 0/22 (0%) 3/28 (10.7%) 0/16 (0%)
Osteoarthritis 2/35 (5.7%) 4/25 (16%) 1/23 (4.3%) 0/22 (0%) 2/28 (7.1%) 0/16 (0%)
Musculoskeletal pain 2/35 (5.7%) 2/25 (8%) 1/23 (4.3%) 1/22 (4.5%) 1/28 (3.6%) 0/16 (0%)
Shoulder Pain 2/35 (5.7%) 2/25 (8%) 1/23 (4.3%) 1/22 (4.5%) 1/28 (3.6%) 0/16 (0%)
Tendonitis 2/35 (5.7%) 0/25 (0%) 1/23 (4.3%) 2/22 (9.1%) 2/28 (7.1%) 0/16 (0%)
Nervous system disorders
Headache 4/35 (11.4%) 5/25 (20%) 4/23 (17.4%) 2/22 (9.1%) 0/28 (0%) 1/16 (6.3%)
Dizziness 1/35 (2.9%) 3/25 (12%) 0/23 (0%) 2/22 (9.1%) 1/28 (3.6%) 0/16 (0%)
Psychiatric disorders
Depression 1/35 (2.9%) 1/25 (4%) 1/23 (4.3%) 1/22 (4.5%) 2/28 (7.1%) 2/16 (12.5%)
Renal and urinary disorders
Haematuria 2/35 (5.7%) 1/25 (4%) 1/23 (4.3%) 1/22 (4.5%) 2/28 (7.1%) 0/16 (0%)
Nephrolithiasis 0/35 (0%) 1/25 (4%) 1/23 (4.3%) 1/22 (4.5%) 3/28 (10.7%) 1/16 (6.3%)
Respiratory, thoracic and mediastinal disorders
Cough 8/35 (22.9%) 2/25 (8%) 3/23 (13%) 0/22 (0%) 0/28 (0%) 1/16 (6.3%)
Dyspnoea 1/35 (2.9%) 2/25 (8%) 1/23 (4.3%) 1/22 (4.5%) 1/28 (3.6%) 1/16 (6.3%)
Skin and subcutaneous tissue disorders
Rash 2/35 (5.7%) 4/25 (16%) 2/23 (8.7%) 1/22 (4.5%) 1/28 (3.6%) 1/16 (6.3%)
Pruritus 1/35 (2.9%) 3/25 (12%) 2/23 (8.7%) 1/22 (4.5%) 1/28 (3.6%) 0/16 (0%)
Vascular disorders
Hypertension 3/35 (8.6%) 2/25 (8%) 3/23 (13%) 3/22 (13.6%) 1/28 (3.6%) 0/16 (0%)
Flushing 1/35 (2.9%) 3/25 (12%) 1/23 (4.3%) 2/22 (9.1%) 1/28 (3.6%) 0/16 (0%)
Hypotension 1/35 (2.9%) 2/25 (8%) 1/23 (4.3%) 0/22 (0%) 3/28 (10.7%) 0/16 (0%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days. The sponsor cannot require changes to the communication and cannot extend the embargo.

Results Point of Contact

Name/Title Chief Medical Officer
Organization Savient Pharmaceuticals, Inc.
Phone 732-418-9300
Email
Responsible Party:
Savient Pharmaceuticals
ClinicalTrials.gov Identifier:
NCT01356498
Other Study ID Numbers:
  • C0407
First Posted:
May 19, 2011
Last Update Posted:
Dec 2, 2011
Last Verified:
Oct 1, 2011