Long Term Study of Canakinumab (ACZ885) in Patients With Gout

Sponsor
Novartis Pharmaceuticals (Industry)
Overall Status
Completed
CT.gov ID
NCT00927810
Collaborator
(none)
341
45
1
14
7.6
0.5

Study Details

Study Description

Brief Summary

This 24-week open-label extension study is designed to provide additional long-term safety data up to a total of 1-year for patients rolling over from the core study, and to collect further efficacy and tolerability data for all the patients, irrespective whether they have an acute flare of gout or not. Patients will be treated on demand with canakinumab (ACZ885) in this extension study.

Condition or Disease Intervention/Treatment Phase
Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
341 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A 24-week Open-label, Multicenter, Follow-up and Extension Study to CACZ885H2251, to Assess Safety, Tolerability and Efficacy of Canakinumab (ACZ885) in Patients With Gout Who Were Given Canakinumab at the Time of Gout Flare
Actual Study Start Date :
Jun 5, 2009
Actual Primary Completion Date :
Aug 4, 2010
Actual Study Completion Date :
Aug 4, 2010

Arms and Interventions

Arm Intervention/Treatment
Experimental: canakinumab

Drug: Canakinumab

Outcome Measures

Primary Outcome Measures

  1. Number of Participants With Adverse Events and Serious Adverse Events [From start of study up to study completion (up to 14 months)]

    Adverse events (AEs) were defined as any unfavourable and unintended diagnosis, symptom, sign (including an abnormal laboratory finding), syndrome or disease which either occurs during study, having been absent at baseline, or, if present at baseline, appears to worsen. Serious adverse events (SAEs) were defined as any untoward medical occurrences that result in death, are life threatening, require (or prolong) hospitalisation, cause persistent or significant disability/incapacity, result in congenital anomalies or birth defects, or are other conditions which in judgement of investigators represent significant hazards

Secondary Outcome Measures

  1. Difference Change From Baseline in Participant's Gout Pain During First Flare [Baseline and Day 7]

    Gout pain was assessed using Visual analogue scale (VAS) with a range of 0 to 100 where 0= no pain, 100= unbearable pain. Difference from time of study drug administration (pre-dose) was reported.

  2. Number of Participants Achieved Patient's Global Assessment of Response to Treatment (5-Point Likert Scale) Based on First, Second, Third Gout Flare Category [24 weeks]

    Patient's global assessment of response to treatment is 5-point Likert scale:1.Excellent, 2.Good, 3.Acceptable, 4.Slight, 5.Poor. Lower the score better the outcome.

  3. Number of Participants Achieved Physician's Global Assessment of Response to Treatment (5-Point Likert Scale) Based on First, Second, Third Gout Flare Category [24 weeks]

    Physician's global assessment of response to treatment is 5-point Likert scale:1.Very good, 2.Good, 3.Fair, 4.Poor, 5.Very poor. Lower the score better the outcome.

  4. Number of Participants Reported No Pain, No Swelling, Absent Erythema on Physician's Assessment of Tenderness, Swelling and Erythema in Most Affected Joint During the First Flare in Participants Treated With Canakinumab by Parameter, Visit and Group [24 weeks]

    Tenderness was rated on a 0-3 point scale: 0="no pain", 1=patient states that "there is pain", 2=patient states "there is pain and winces", and 3=patient states "there is pain, winces and withdraws" on palpation or passive movement of the most affected joint. Swelling was rated on a 0-3 point scale: 0="no swelling", 1="palpable", 2="visible", and 3=bulging beyond the joint margins". Erythema was rated as present, absent, or not assessable. Assessments were performed at the flare and control visits.

  5. Amount of Rescue Medication After Study Drug Intake in Participants Treated With Canakinumab by Flare Order, Medication and Group [24 weeks]

    The amount of naproxen and prednisolone taken after receiving treatment for each of the first 3 flares was recorded.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 80 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Patients who completed the core study CACZ885H2251. A patient is defined as completing the core study if he/she completed the study up to and including the last visit (Visit 9).

  • Patients who have signed a written informed consent before any trial procedure is performed.

Exclusion Criteria:
  • Patients for whom continuation in the extension 1 is not considered appropriate by the treating physician.

  • Pregnant or nursing (lactating) women, where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive pregnancy test (serum or urine).

  • Female patients who were physiologically capable of becoming pregnant, unless they were:

  • Female patients whose career, lifestyle, or sexual orientation precluded intercourse with a male partner.

  • Female patients whose partners had been sterilized by vasectomy or other means.

  • Using an acceptable method of contraception with a failure rate (Pearl Index (PI)) < 1.

  • Reliable contraception had to be maintained throughout the study and for 2 months after study drug discontinuation.

Other protocol defined inclusion/exclusion criteria may apply

Contacts and Locations

Locations

Site City State Country Postal Code
1 Novartis Investigative site Seattle Washington United States 98101
2 Novartis Investigative site Capital Federal Buenos Aires Argentina 1027
3 Novartis Investigative site Jette Belgium 1090
4 Novartis Investigative site Barranquilla Colombia
5 Novartis Investigative site Bogotá Colombia
6 Novartis Investigative site Bucaramanga Colombia
7 Novartis Investigative site Floridablanca Colombia
8 Novartis Investigative site Praha 5 Czech Republic Czechia 15006
9 Novartis Investigative site Sachsen Dresden / Schützenhöhe 16 Germany D-01099
10 Novartis Investigative site Bayern München / Mühlbaurstraße 16 Germany D-81677
11 Novartis Investigative site Dessau Roßlau / Kühnauer Straße 70 Sachsen- Anhalt Germany D-06846
12 Novartis Investigative site Guatemala City Guatemala 01015
13 Novartis Investigative site Debrecen Bartók B U 2-26 Hungary 4043
14 Novartis Investigative site Kistarcsa Semmelweis Tér 1. Hungary 2143
15 Novartis Investigative site Eger Széchenyi U 27-29 Hungary 3301
16 Novartis Investigative site Zalaegerszeg Zrínyi U 1 Hungary 8900
17 Novartis Investigative site Poznań Poland NA 61- 734
18 Novartis Investigative site Wrocław Poland NA 50-333
19 Novartis Investigative site Lisboa Portugal 1749-004
20 Novartis Investigative site Chelyabinsk Russian Federation 454047
21 Novartis Investigative site Moscow Russian Federation 115522
22 Novartis Investigative site Moscow Russian Federation 127473
23 Novartis Investigative site Petrozavodsk Russian Federation
24 Novartis Investigative site Saint Petersburg Russian Federation 190068
25 Novartis Investigative site Saint Petersburg Russian Federation 193015
26 Novartis Investigative site Yaroslavl Russian Federation 150003
27 Novartis Investigative site Singapore Singapore 169611
28 Novartis Investigative site Bratislava Slovakia N/A 813 69
29 Novartis Investigative site Košice Slovakia N/A 042 66
30 Novartis Investigative site Nitra Slovakia N/A 949 01
31 Novartis Investigative site Piešťany Slovakia N/A 921 12
32 Novartis Investigative site Trenčín Slovakia N/A 911 50
33 Novartis Investigative site Pretoria Gauteng South Africa 0153
34 Novartis Investigative site Madrid Spain 28046
35 Novartis Investigative site Kaohsiung Taiwan 80756
36 Novartis Investigative site Kaohsiung Taiwan 81346
37 Novartis Investigative site Taichung Taiwan 40705
38 Novartis Investigative site Taipei Taiwan 11217
39 Novartis Investigative site Ankara Bahcellievler Turkey 06490
40 Novartis Investigative site Adana Balcali Turkey 01330
41 Novartis Investigative site İzmir Inciraltı Turkey 35340
42 Novartis Investigative site Aydın Merkez Turkey 09100
43 Novartis Investigative site Manisa Merkez Turkey 45010
44 Novartis Investigative site Gaziantep Sehitkamil Turkey 27310
45 Novartis Investigative site Jarrow Tyne & Wear United Kingdom NE32 3DT

Sponsors and Collaborators

  • Novartis Pharmaceuticals

Investigators

  • Study Director: Novartis Pharmaceuticals, Novartis Pharmaceuticals

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Novartis Pharmaceuticals
ClinicalTrials.gov Identifier:
NCT00927810
Other Study ID Numbers:
  • CACZ885H2251E1
First Posted:
Jun 25, 2009
Last Update Posted:
Jul 2, 2021
Last Verified:
Jun 1, 2021
Keywords provided by Novartis Pharmaceuticals
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details The study was conducted at 75 centers in 18 countries.
Pre-assignment Detail A total of 341 participants enrolled in the study, out of which 330 participants completed the study.
Arm/Group Title Core: Canakinumab, Extension: 150 mg Canakinumab Core: Canakinumab, Extension: No Canakinumab Core: Colchicine, Extension: 150 mg Canakinumab Core: Colchicine, Extension: No Canakinumab
Arm/Group Description Participants who were randomized to canakinumab in the core study (NCT00819585 [CACZ885H2251]), received single subcutaneous (SC) dose of 150 milligrams (mg) canakinumab (ACZ885) for at least one flare in this extension study (NCT00927810 [CACZ885H2251E1]). Participants who were randomized to canakinumab in the core study (NCT00819585 [CACZ885H2251]) and who did not received canakinumab in this extension study (NCT00927810 [CACZ885H2251E1]). Participants who were randomized to colchicine in the core study (NCT00819585 [CACZ885H2251]), received single SC dose of 150 mg Canakinumab (ACZ885) for at least one flare in this extension study (NCT00927810 [CACZ885H2251E1]). Participants who were randomized to colchicine in the core study (NCT00819585 [CACZ885H2251]) and who did not receive canakinumab in this extension study (NCT00927810 [CACZ885H2251E1]).
Period Title: Overall Study
STARTED 75 181 25 60
COMPLETED 75 173 24 58
NOT COMPLETED 0 8 1 2

Baseline Characteristics

Arm/Group Title Core: Canakinumab, Extension: 150 mg Canakinumab Core: Canakinumab, Extension: No Canakinumab Core: Colchicine, Extension: 150 mg Canakinumab Core: Colchicine, Extension: No Canakinumab Total
Arm/Group Description Participants who were randomized to canakinumab in the core study (NCT00819585 [CACZ885H2251]), received single subcutaneous (SC) dose of 150 milligrams (mg) canakinumab (ACZ885) for at least one flare in this extension study (NCT00927810 [CACZ885H2251E1]). Participants who were randomized to canakinumab in the core study (NCT00819585 [CACZ885H2251]) and who did not received canakinumab in this extension study (NCT00927810 [CACZ885H2251E1]). Participants who were randomized to colchicine in the core study (NCT00819585 [CACZ885H2251]), received single subcutaneous (SC) dose of 150 milligrams (mg) Canakinumab (ACZ885) for at least one flare in this extension study (NCT00927810 [CACZ885H2251E1]). Participants who were randomized to colchicine in the core study (NCT00819585 [CACZ885H2251]) and who did not received canakinumab in this extension study (NCT00927810 [CACZ885H2251E1]). Total of all reporting groups
Overall Participants 75 181 25 60 341
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
50.7
(10.20)
53.8
(11.39)
52.0
(11.00)
51.5
(9.45)
52.6
(10.83)
Sex: Female, Male (Count of Participants)
Female
2
2.7%
13
7.2%
0
0%
7
11.7%
22
6.5%
Male
73
97.3%
168
92.8%
25
100%
53
88.3%
319
93.5%
Race/Ethnicity, Customized (Count of Participants)
Caucasian
46
61.3%
143
79%
19
76%
49
81.7%
257
75.4%
Black
2
2.7%
6
3.3%
1
4%
1
1.7%
10
2.9%
Asian
11
14.7%
10
5.5%
2
8%
2
3.3%
25
7.3%
Native American
1
1.3%
3
1.7%
0
0%
1
1.7%
5
1.5%
Pacific islander
0
0%
0
0%
0
0%
2
3.3%
2
0.6%
Other
15
20%
19
10.5%
3
12%
5
8.3%
42
12.3%

Outcome Measures

1. Primary Outcome
Title Number of Participants With Adverse Events and Serious Adverse Events
Description Adverse events (AEs) were defined as any unfavourable and unintended diagnosis, symptom, sign (including an abnormal laboratory finding), syndrome or disease which either occurs during study, having been absent at baseline, or, if present at baseline, appears to worsen. Serious adverse events (SAEs) were defined as any untoward medical occurrences that result in death, are life threatening, require (or prolong) hospitalisation, cause persistent or significant disability/incapacity, result in congenital anomalies or birth defects, or are other conditions which in judgement of investigators represent significant hazards
Time Frame From start of study up to study completion (up to 14 months)

Outcome Measure Data

Analysis Population Description
Safety Set 1 consisted of all participants from the core study who entered the extension study.
Arm/Group Title Core: Canakinumab, Extension: 150 mg Canakinumab Core: Canakinumab, Extension: No Canakinumab Core: Colchicine, Extension: 150 mg Canakinumab Core: Colchicine, Extension: No Canakinumab
Arm/Group Description Participants who were randomized to canakinumab in the core study (NCT00819585 [CACZ885H2251]), received single subcutaneous (SC) dose of 150 milligrams (mg) canakinumab (ACZ885) for at least one flare in this extension study (NCT00927810 [CACZ885H2251E1]). Participants who were randomized to canakinumab in the core study (NCT00819585 [CACZ885H2251]) and who did not received canakinumab in this extension study (NCT00927810 [CACZ885H2251E1]). Participants who were randomized to colchicine in the core study (NCT00819585 [CACZ885H2251]), received single subcutaneous (SC) dose of 150 milligrams (mg) Canakinumab (ACZ885) for at least one flare in this extension study (NCT00927810 [CACZ885H2251E1]). Participants who were randomized to colchicine in the core study (NCT00819585 [CACZ885H2251]) and who did not received canakinumab in this extension study (NCT00927810 [CACZ885H2251E1]).
Measure Participants 75 181 25 60
Count of Participants [Participants]
31
41.3%
52
28.7%
9
36%
15
25%
2. Secondary Outcome
Title Difference Change From Baseline in Participant's Gout Pain During First Flare
Description Gout pain was assessed using Visual analogue scale (VAS) with a range of 0 to 100 where 0= no pain, 100= unbearable pain. Difference from time of study drug administration (pre-dose) was reported.
Time Frame Baseline and Day 7

Outcome Measure Data

Analysis Population Description
Efficacy Set consisted of all participants who received at least one dose of canakinumab in this extension study (NCT00927810 [CACZ885H2251E1]. Here the number of participants analyzed signifies participants who were evaluable for this measure.
Arm/Group Title Core: Canakinumab, Extension: 150 mg Canakinumab Core: Colchicine, Extension: 150 mg Canakinumab
Arm/Group Description Participants who were randomized to canakinumab in the core study (NCT00819585 [CACZ885H2251]), received single subcutaneous (SC) dose of 150 milligrams (mg) canakinumab (ACZ885) for at least one flare in this extension study (NCT00927810 [CACZ885H2251E1]). Participants who were randomized to colchicine in the core study (NCT00819585 [CACZ885H2251]), received single subcutaneous (SC) dose of 150 milligrams (mg) Canakinumab (ACZ885) for at least one flare in this extension study (NCT00927810 [CACZ885H2251E1]).
Measure Participants 52 13
Mean (Standard Deviation) [units on a scale]
-51.7
(15.86)
-67.4
(21.69)
3. Secondary Outcome
Title Number of Participants Achieved Patient's Global Assessment of Response to Treatment (5-Point Likert Scale) Based on First, Second, Third Gout Flare Category
Description Patient's global assessment of response to treatment is 5-point Likert scale:1.Excellent, 2.Good, 3.Acceptable, 4.Slight, 5.Poor. Lower the score better the outcome.
Time Frame 24 weeks

Outcome Measure Data

Analysis Population Description
Efficacy Set consisted of all participants who received at least one dose of canakinumab in this extension study (NCT00927810 [CACZ885H2251E1]. Here the number of participants analyzed signifies participants who were evaluable for this measure.
Arm/Group Title Core: Canakinumab, Extension: 150 mg Canakinumab Core: Colchicine, Extension: 150 mg Canakinumab
Arm/Group Description Participants who were randomized to canakinumab in the core study (NCT00819585 [CACZ885H2251]), received single subcutaneous (SC) dose of 150 milligrams (mg) canakinumab (ACZ885) for at least one flare in this extension study (NCT00927810 [CACZ885H2251E1]). Participants who were randomized to colchicine in the core study (NCT00819585 [CACZ885H2251]), received single subcutaneous (SC) dose of 150 milligrams (mg) Canakinumab (ACZ885) for at least one flare in this extension study (NCT00927810 [CACZ885H2251E1]).
Measure Participants 63 21
1. Gout Flare: Excellent
40
53.3%
7
3.9%
1. Gout Flare: Good
17
22.7%
14
7.7%
1. Gout Flare: Acceptable
5
6.7%
0
0%
1. Gout Flare: Slight
1
1.3%
0
0%
1. Gout Flare: Poor
0
0%
0
0%
2. Gout Flare: Excellent
4
5.3%
4
2.2%
2. Gout Flare: Good
6
8%
1
0.6%
2. Gout Flare: Acceptable
1
1.3%
0
0%
2. Gout Flare: Slight
0
0%
0
0%
2. Gout Flare: Poor
0
0%
0
0%
3. Gout Flare: Excellent
2
2.7%
0
0%
3. Gout Flare: Good
1
1.3%
1
0.6%
3. Gout Flare: Acceptable
0
0%
0
0%
3. Gout Flare: Slight
0
0%
0
0%
3. Gout Flare: Poor
0
0%
0
0%
4. Secondary Outcome
Title Number of Participants Achieved Physician's Global Assessment of Response to Treatment (5-Point Likert Scale) Based on First, Second, Third Gout Flare Category
Description Physician's global assessment of response to treatment is 5-point Likert scale:1.Very good, 2.Good, 3.Fair, 4.Poor, 5.Very poor. Lower the score better the outcome.
Time Frame 24 weeks

Outcome Measure Data

Analysis Population Description
Efficacy Set consisted of all participants who received at least one dose of canakinumab in this extension study (NCT00927810 [CACZ885H2251E1]. Here the number of participants analyzed signifies participants who were evaluable for this measure.
Arm/Group Title Core: Canakinumab, Extension: 150 mg Canakinumab Core: Colchicine, Extension: 150 mg Canakinumab
Arm/Group Description Participants who were randomized to canakinumab in the core study (NCT00819585 [CACZ885H2251]), received single subcutaneous (SC) dose of 150 milligrams (mg) canakinumab (ACZ885) for at least one flare in this extension study (NCT00927810 [CACZ885H2251E1]). Participants who were randomized to colchicine in the core study (NCT00819585 [CACZ885H2251]), received single subcutaneous (SC) dose of 150 milligrams (mg) Canakinumab (ACZ885) for at least one flare in this extension study (NCT00927810 [CACZ885H2251E1]).
Measure Participants 69 23
1. Gout Flare: Very Good
37
49.3%
13
7.2%
1. Gout Flare: Good
28
37.3%
10
5.5%
1. Gout Flare: Fair
2
2.7%
0
0%
1. Gout Flare: Poor
2
2.7%
0
0%
1. Gout Flare: Very Poor
0
0%
0
0%
2. Gout Flare: Very good
5
6.7%
3
1.7%
2. Gout Flare: Good
7
9.3%
2
1.1%
2. Gout Flare: Fair
0
0%
0
0%
2. Gout Flare: Poor
0
0%
0
0%
2. Gout Flare: Very poor
0
0%
0
0%
3. Gout Flare: Very Good
1
1.3%
0
0%
3. Gout Flare: Good
2
2.7%
1
0.6%
3. Gout Flare: Fair
0
0%
0
0%
3. Gout Flare: Poor
0
0%
0
0%
3. Gout Flare: Very poor
0
0%
0
0%
5. Secondary Outcome
Title Number of Participants Reported No Pain, No Swelling, Absent Erythema on Physician's Assessment of Tenderness, Swelling and Erythema in Most Affected Joint During the First Flare in Participants Treated With Canakinumab by Parameter, Visit and Group
Description Tenderness was rated on a 0-3 point scale: 0="no pain", 1=patient states that "there is pain", 2=patient states "there is pain and winces", and 3=patient states "there is pain, winces and withdraws" on palpation or passive movement of the most affected joint. Swelling was rated on a 0-3 point scale: 0="no swelling", 1="palpable", 2="visible", and 3=bulging beyond the joint margins". Erythema was rated as present, absent, or not assessable. Assessments were performed at the flare and control visits.
Time Frame 24 weeks

Outcome Measure Data

Analysis Population Description
Efficacy Set consisted of all participants who received at least one dose of canakinumab in this extension study (NCT00927810 [CACZ885H2251E1]. Here the number of participants analyzed signifies participants who were evaluable for this measure.
Arm/Group Title Core: Canakinumab, Extension: 150 mg Canakinumab Core: Colchicine, Extension: 150 mg Canakinumab
Arm/Group Description Participants who were randomized to canakinumab in the core study (NCT00819585 [CACZ885H2251]), received single subcutaneous (SC) dose of 150 milligrams (mg) canakinumab (ACZ885) for at least one flare in this extension study (NCT00927810 [CACZ885H2251E1]). Participants who were randomized to colchicine in the core study (NCT00819585 [CACZ885H2251]), received single subcutaneous (SC) dose of 150 milligrams (mg) Canakinumab (ACZ885) for at least one flare in this extension study (NCT00927810 [CACZ885H2251E1]).
Measure Participants 69 24
Tenderness-Flare Visit- No pain
2
2.7%
0
0%
Tenderness-Control Visit- No pain
60
80%
21
11.6%
Joint swelling-Flare Visit-No swelling
5
6.7%
0
0%
Joint swelling-Control Visit-No swelling
61
81.3%
22
12.2%
Erythema-Flare Visit-Absent
21
28%
4
2.2%
Erythema-Control Visit-Absent
66
88%
24
13.3%
6. Secondary Outcome
Title Amount of Rescue Medication After Study Drug Intake in Participants Treated With Canakinumab by Flare Order, Medication and Group
Description The amount of naproxen and prednisolone taken after receiving treatment for each of the first 3 flares was recorded.
Time Frame 24 weeks

Outcome Measure Data

Analysis Population Description
Efficacy Set consisted of all participants who received at least one dose of canakinumab in this extension study (NCT00927810 [CACZ885H2251E1]. Here the number of participants analyzed signifies participants who were evaluable for this measure.
Arm/Group Title Core: Canakinumab, Extension: 150 mg Canakinumab Core: Colchicine, Extension: 150 mg Canakinumab
Arm/Group Description Participants who were randomized to canakinumab in the core study (NCT00819585 [CACZ885H2251]), received single subcutaneous (SC) dose of 150 milligrams (mg) canakinumab (ACZ885) for at least one flare in this extension study (NCT00927810 [CACZ885H2251E1]). Participants who were randomized to colchicine in the core study (NCT00819585 [CACZ885H2251]), received single subcutaneous (SC) dose of 150 milligrams (mg) Canakinumab (ACZ885) for at least one flare in this extension study (NCT00927810 [CACZ885H2251E1]).
Measure Participants 68 24
1.Gout flare-Naproxen
1086.8
(1592.72)
954.6
(1130.19)
1.Gout flare-Prednisolone
4.6
(20.84)
4.2
(20.41)
2.Gout flare-Naproxen
650.0
(642.79)
200.0
(447.21)
2.Gout flare-Prednisolone
1.3
(3.11)
0.0
(0.00)
3.Gout flare-Naproxen
250.0
(500.00)
0.0
(0)
3.Gout flare-Prednisolone
0.0
(0.00)
0.0
(0)

Adverse Events

Time Frame From start of study up to study completion (up to 14 months)
Adverse Event Reporting Description
Arm/Group Title Core: Canakinumab 25 mg Core: Canakinumab 50 mg Core: Canakinumab 100 mg Core: Canakinumab 200 mg Core: Canakinumab 300 mg Core : Canakinumab Q4wk mg Core : Colchicine 0.5 mg Core: Canakinumab, Extension: 150 mg Canakinumab Core: Canakinumab, Extension: No Canakinumab Core: Colchicine, Extension: 150 mg Canakinumab Core: Colchicine, Extension: No Canakinumab
Arm/Group Description Participants received canakinumab 25 mg subcutaneously (sc) on Day 1; canakinumab placebo sc on Days 29, 57, and 85; and colchicine placebo orally once daily for 16 weeks. Participants received canakinumab 50 mg sc on Day 1; canakinumab placebo sc on Days 29, 57, and 85; and colchicine placebo orally once daily for 16 weeks. Participants received canakinumab 100 mg sc on Day 1; canakinumab placebo sc on Days 29, 57, and 85; and colchicine placebo orally once daily for 16 weeks. Participants received canakinumab 200 mg sc on Day 1; canakinumab placebo sc on Days 29, 57, and 85; and colchicine placebo orally once daily for 16 weeks. Participants received canakinumab 300 mg sc on Day 1; canakinumab placebo sc on Days 29, 57, and 85; and colchicine placebo orally once daily for 16 weeks. Participants received canakinumab 50 mg sc on Days 1 and 29; canakinumab 25 mg sc on Days 57 and 85; and colchicine placebo orally once daily for 16 weeks. Participants received colchicine 0.5 mg orally once daily for 16 weeks and canakinumab placebo sc on Days 1, 29, 57, and 85. Participants who were randomized to canakinumab in the core study (NCT00819585 [CACZ885H2251]), received single subcutaneous (SC) dose of 150 milligrams (mg) canakinumab (ACZ885) for at least one flare in this extension study (NCT00927810 [CACZ885H2251E1]). Participants who were randomized to canakinumab in the core study (NCT00819585 [CACZ885H2251]) and who did not received canakinumab in this extension study (NCT00927810 [CACZ885H2251E1]). Participants who were randomized to colchicine in the core study (NCT00819585 [CACZ885H2251]), received single subcutaneous (SC) dose of 150 milligrams (mg) Canakinumab (ACZ885) for at least one flare in this extension study (NCT00927810 [CACZ885H2251E1]). Participants who were randomized to colchicine in the core study (NCT00819585 [CACZ885H2251]) and who did not received canakinumab in this extension study (NCT00927810 [CACZ885H2251E1]).
All Cause Mortality
Core: Canakinumab 25 mg Core: Canakinumab 50 mg Core: Canakinumab 100 mg Core: Canakinumab 200 mg Core: Canakinumab 300 mg Core : Canakinumab Q4wk mg Core : Colchicine 0.5 mg Core: Canakinumab, Extension: 150 mg Canakinumab Core: Canakinumab, Extension: No Canakinumab Core: Colchicine, Extension: 150 mg Canakinumab Core: Colchicine, Extension: No Canakinumab
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events 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 0/55 (0%) 0/54 (0%) 0/54 (0%) 0/54 (0%) 0/53 (0%) 0/53 (0%) 1/108 (0.9%) 0/75 (0%) 2/181 (1.1%) 0/25 (0%) 0/60 (0%)
Serious Adverse Events
Core: Canakinumab 25 mg Core: Canakinumab 50 mg Core: Canakinumab 100 mg Core: Canakinumab 200 mg Core: Canakinumab 300 mg Core : Canakinumab Q4wk mg Core : Colchicine 0.5 mg Core: Canakinumab, Extension: 150 mg Canakinumab Core: Canakinumab, Extension: No Canakinumab Core: Colchicine, Extension: 150 mg Canakinumab Core: Colchicine, Extension: No Canakinumab
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events 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 2/55 (3.6%) 2/54 (3.7%) 3/54 (5.6%) 3/54 (5.6%) 3/53 (5.7%) 1/53 (1.9%) 6/108 (5.6%) 4/75 (5.3%) 6/181 (3.3%) 0/25 (0%) 1/60 (1.7%)
Cardiac disorders
Acute myocardial infarction 0/55 (0%) 0/54 (0%) 0/54 (0%) 1/54 (1.9%) 0/53 (0%) 0/53 (0%) 0/108 (0%) 0/75 (0%) 0/181 (0%) 0/25 (0%) 0/60 (0%)
Angina pectoris 0/55 (0%) 0/54 (0%) 0/54 (0%) 0/54 (0%) 0/53 (0%) 0/53 (0%) 1/108 (0.9%) 0/75 (0%) 0/181 (0%) 0/25 (0%) 0/60 (0%)
Myocardial fibrosis 0/55 (0%) 0/54 (0%) 0/54 (0%) 0/54 (0%) 0/53 (0%) 0/53 (0%) 0/108 (0%) 0/75 (0%) 1/181 (0.6%) 0/25 (0%) 0/60 (0%)
Myocardial infarction 0/55 (0%) 0/54 (0%) 0/54 (0%) 0/54 (0%) 0/53 (0%) 0/53 (0%) 1/108 (0.9%) 0/75 (0%) 0/181 (0%) 0/25 (0%) 0/60 (0%)
Gastrointestinal disorders
Abdominal hernia 0/55 (0%) 0/54 (0%) 0/54 (0%) 0/54 (0%) 0/53 (0%) 0/53 (0%) 0/108 (0%) 0/75 (0%) 1/181 (0.6%) 0/25 (0%) 0/60 (0%)
Abdominal pain 0/55 (0%) 0/54 (0%) 0/54 (0%) 0/54 (0%) 0/53 (0%) 0/53 (0%) 1/108 (0.9%) 0/75 (0%) 0/181 (0%) 0/25 (0%) 0/60 (0%)
Colitis ulcerative 0/55 (0%) 0/54 (0%) 0/54 (0%) 0/54 (0%) 1/53 (1.9%) 0/53 (0%) 0/108 (0%) 0/75 (0%) 0/181 (0%) 0/25 (0%) 0/60 (0%)
Gastritis 0/55 (0%) 0/54 (0%) 0/54 (0%) 1/54 (1.9%) 0/53 (0%) 0/53 (0%) 0/108 (0%) 0/75 (0%) 0/181 (0%) 0/25 (0%) 0/60 (0%)
Haemorrhoidal haemorrhage 0/55 (0%) 1/54 (1.9%) 0/54 (0%) 0/54 (0%) 0/53 (0%) 0/53 (0%) 0/108 (0%) 0/75 (0%) 0/181 (0%) 0/25 (0%) 0/60 (0%)
Inguinal hernia 0/55 (0%) 0/54 (0%) 0/54 (0%) 0/54 (0%) 0/53 (0%) 0/53 (0%) 0/108 (0%) 1/75 (1.3%) 0/181 (0%) 0/25 (0%) 0/60 (0%)
Umbilical hernia 0/55 (0%) 0/54 (0%) 0/54 (0%) 0/54 (0%) 0/53 (0%) 0/53 (0%) 1/108 (0.9%) 0/75 (0%) 0/181 (0%) 0/25 (0%) 0/60 (0%)
Hepatobiliary disorders
Cholelithiasis 0/55 (0%) 0/54 (0%) 0/54 (0%) 0/54 (0%) 0/53 (0%) 0/53 (0%) 1/108 (0.9%) 0/75 (0%) 0/181 (0%) 0/25 (0%) 0/60 (0%)
Infections and infestations
Diverticulitis 0/55 (0%) 0/54 (0%) 0/54 (0%) 0/54 (0%) 0/53 (0%) 0/53 (0%) 0/108 (0%) 1/75 (1.3%) 0/181 (0%) 0/25 (0%) 0/60 (0%)
Ear infection 0/55 (0%) 0/54 (0%) 0/54 (0%) 0/54 (0%) 0/53 (0%) 1/53 (1.9%) 0/108 (0%) 0/75 (0%) 0/181 (0%) 0/25 (0%) 0/60 (0%)
Erysipelas 1/55 (1.8%) 0/54 (0%) 0/54 (0%) 0/54 (0%) 0/53 (0%) 0/53 (0%) 0/108 (0%) 0/75 (0%) 0/181 (0%) 0/25 (0%) 0/60 (0%)
Gangrene 0/55 (0%) 0/54 (0%) 0/54 (0%) 1/54 (1.9%) 0/53 (0%) 0/53 (0%) 0/108 (0%) 0/75 (0%) 0/181 (0%) 0/25 (0%) 0/60 (0%)
Pneumonia 0/55 (0%) 0/54 (0%) 0/54 (0%) 0/54 (0%) 0/53 (0%) 1/53 (1.9%) 0/108 (0%) 0/75 (0%) 0/181 (0%) 0/25 (0%) 0/60 (0%)
Sepsis 0/55 (0%) 0/54 (0%) 0/54 (0%) 1/54 (1.9%) 0/53 (0%) 0/53 (0%) 0/108 (0%) 0/75 (0%) 0/181 (0%) 0/25 (0%) 0/60 (0%)
Tonsillitis 0/55 (0%) 0/54 (0%) 0/54 (0%) 1/54 (1.9%) 0/53 (0%) 0/53 (0%) 0/108 (0%) 0/75 (0%) 0/181 (0%) 0/25 (0%) 0/60 (0%)
Injury, poisoning and procedural complications
Femur fracture 0/55 (0%) 0/54 (0%) 0/54 (0%) 0/54 (0%) 0/53 (0%) 0/53 (0%) 1/108 (0.9%) 0/75 (0%) 0/181 (0%) 0/25 (0%) 0/60 (0%)
Gun shot wound 0/55 (0%) 0/54 (0%) 0/54 (0%) 0/54 (0%) 0/53 (0%) 0/53 (0%) 0/108 (0%) 0/75 (0%) 1/181 (0.6%) 0/25 (0%) 0/60 (0%)
Hand fracture 0/55 (0%) 0/54 (0%) 0/54 (0%) 0/54 (0%) 0/53 (0%) 0/53 (0%) 1/108 (0.9%) 0/75 (0%) 0/181 (0%) 0/25 (0%) 0/60 (0%)
Heat exhaustion 0/55 (0%) 0/54 (0%) 0/54 (0%) 0/54 (0%) 0/53 (0%) 0/53 (0%) 0/108 (0%) 0/75 (0%) 1/181 (0.6%) 0/25 (0%) 0/60 (0%)
Incisional hernia 0/55 (0%) 0/54 (0%) 0/54 (0%) 0/54 (0%) 0/53 (0%) 0/53 (0%) 0/108 (0%) 0/75 (0%) 1/181 (0.6%) 0/25 (0%) 0/60 (0%)
Ligament rupture 0/55 (0%) 0/54 (0%) 0/54 (0%) 0/54 (0%) 1/53 (1.9%) 0/53 (0%) 0/108 (0%) 0/75 (0%) 0/181 (0%) 0/25 (0%) 0/60 (0%)
Meniscus lesion 0/55 (0%) 0/54 (0%) 0/54 (0%) 0/54 (0%) 0/53 (0%) 0/53 (0%) 0/108 (0%) 0/75 (0%) 0/181 (0%) 0/25 (0%) 1/60 (1.7%)
Radius fracture 0/55 (0%) 0/54 (0%) 0/54 (0%) 0/54 (0%) 0/53 (0%) 0/53 (0%) 1/108 (0.9%) 0/75 (0%) 0/181 (0%) 0/25 (0%) 0/60 (0%)
Tibia fracture 1/55 (1.8%) 0/54 (0%) 0/54 (0%) 0/54 (0%) 0/53 (0%) 0/53 (0%) 0/108 (0%) 0/75 (0%) 0/181 (0%) 0/25 (0%) 0/60 (0%)
Ulna fracture 0/55 (0%) 0/54 (0%) 0/54 (0%) 0/54 (0%) 0/53 (0%) 0/53 (0%) 1/108 (0.9%) 0/75 (0%) 0/181 (0%) 0/25 (0%) 0/60 (0%)
Musculoskeletal and connective tissue disorders
Gouty tophus 0/55 (0%) 0/54 (0%) 0/54 (0%) 0/54 (0%) 0/53 (0%) 0/53 (0%) 0/108 (0%) 1/75 (1.3%) 0/181 (0%) 0/25 (0%) 0/60 (0%)
Osteoarthritis 0/55 (0%) 0/54 (0%) 1/54 (1.9%) 0/54 (0%) 0/53 (0%) 0/53 (0%) 0/108 (0%) 0/75 (0%) 0/181 (0%) 0/25 (0%) 0/60 (0%)
Tendonitis 0/55 (0%) 0/54 (0%) 0/54 (0%) 0/54 (0%) 0/53 (0%) 0/53 (0%) 1/108 (0.9%) 0/75 (0%) 0/181 (0%) 0/25 (0%) 0/60 (0%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Prostate cancer 0/55 (0%) 0/54 (0%) 0/54 (0%) 0/54 (0%) 1/53 (1.9%) 0/53 (0%) 0/108 (0%) 0/75 (0%) 0/181 (0%) 0/25 (0%) 0/60 (0%)
Renal cancer 0/55 (0%) 0/54 (0%) 0/54 (0%) 0/54 (0%) 0/53 (0%) 0/53 (0%) 1/108 (0.9%) 0/75 (0%) 0/181 (0%) 0/25 (0%) 0/60 (0%)
Nervous system disorders
Stupor 0/55 (0%) 0/54 (0%) 1/54 (1.9%) 0/54 (0%) 0/53 (0%) 0/53 (0%) 0/108 (0%) 0/75 (0%) 0/181 (0%) 0/25 (0%) 0/60 (0%)
Transient ischaemic attack 0/55 (0%) 0/54 (0%) 0/54 (0%) 0/54 (0%) 0/53 (0%) 0/53 (0%) 0/108 (0%) 0/75 (0%) 1/181 (0.6%) 0/25 (0%) 0/60 (0%)
Renal and urinary disorders
Haematuria 0/55 (0%) 0/54 (0%) 1/54 (1.9%) 1/54 (1.9%) 0/53 (0%) 0/53 (0%) 0/108 (0%) 0/75 (0%) 0/181 (0%) 0/25 (0%) 0/60 (0%)
Nephrolithiasis 0/55 (0%) 1/54 (1.9%) 0/54 (0%) 0/54 (0%) 0/53 (0%) 0/53 (0%) 0/108 (0%) 0/75 (0%) 0/181 (0%) 0/25 (0%) 0/60 (0%)
Nephrotic syndrome 0/55 (0%) 0/54 (0%) 0/54 (0%) 1/54 (1.9%) 0/53 (0%) 0/53 (0%) 0/108 (0%) 0/75 (0%) 0/181 (0%) 0/25 (0%) 0/60 (0%)
Renal failure 0/55 (0%) 0/54 (0%) 0/54 (0%) 1/54 (1.9%) 0/53 (0%) 0/53 (0%) 0/108 (0%) 0/75 (0%) 0/181 (0%) 0/25 (0%) 0/60 (0%)
Reproductive system and breast disorders
Prostatitis 0/55 (0%) 0/54 (0%) 0/54 (0%) 0/54 (0%) 0/53 (0%) 0/53 (0%) 0/108 (0%) 1/75 (1.3%) 0/181 (0%) 0/25 (0%) 0/60 (0%)
Vascular disorders
Deep vein thrombosis 0/55 (0%) 0/54 (0%) 0/54 (0%) 0/54 (0%) 0/53 (0%) 0/53 (0%) 0/108 (0%) 1/75 (1.3%) 0/181 (0%) 0/25 (0%) 0/60 (0%)
Other (Not Including Serious) Adverse Events
Core: Canakinumab 25 mg Core: Canakinumab 50 mg Core: Canakinumab 100 mg Core: Canakinumab 200 mg Core: Canakinumab 300 mg Core : Canakinumab Q4wk mg Core : Colchicine 0.5 mg Core: Canakinumab, Extension: 150 mg Canakinumab Core: Canakinumab, Extension: No Canakinumab Core: Colchicine, Extension: 150 mg Canakinumab Core: Colchicine, Extension: No Canakinumab
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events 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 21/55 (38.2%) 15/54 (27.8%) 14/54 (25.9%) 14/54 (25.9%) 15/53 (28.3%) 14/53 (26.4%) 21/108 (19.4%) 21/75 (28%) 19/181 (10.5%) 6/25 (24%) 4/60 (6.7%)
Gastrointestinal disorders
Diarrhoea 3/55 (5.5%) 1/54 (1.9%) 2/54 (3.7%) 3/54 (5.6%) 1/53 (1.9%) 0/53 (0%) 2/108 (1.9%) 2/75 (2.7%) 1/181 (0.6%) 0/25 (0%) 0/60 (0%)
Nausea 2/55 (3.6%) 1/54 (1.9%) 3/54 (5.6%) 0/54 (0%) 0/53 (0%) 1/53 (1.9%) 1/108 (0.9%) 0/75 (0%) 1/181 (0.6%) 0/25 (0%) 0/60 (0%)
Infections and infestations
Nasopharyngitis 5/55 (9.1%) 2/54 (3.7%) 2/54 (3.7%) 0/54 (0%) 0/53 (0%) 3/53 (5.7%) 1/108 (0.9%) 0/75 (0%) 1/181 (0.6%) 0/25 (0%) 2/60 (3.3%)
Upper respiratory tract infection 2/55 (3.6%) 1/54 (1.9%) 2/54 (3.7%) 3/54 (5.6%) 1/53 (1.9%) 3/53 (5.7%) 4/108 (3.7%) 5/75 (6.7%) 4/181 (2.2%) 1/25 (4%) 0/60 (0%)
Investigations
Alanine aminotransferase increased 3/55 (5.5%) 1/54 (1.9%) 0/54 (0%) 1/54 (1.9%) 0/53 (0%) 0/53 (0%) 1/108 (0.9%) 0/75 (0%) 0/181 (0%) 0/25 (0%) 0/60 (0%)
Aspartate aminotransferase increased 3/55 (5.5%) 1/54 (1.9%) 0/54 (0%) 1/54 (1.9%) 0/53 (0%) 0/53 (0%) 1/108 (0.9%) 0/75 (0%) 1/181 (0.6%) 0/25 (0%) 0/60 (0%)
Metabolism and nutrition disorders
Hypertriglyceridaemia 0/55 (0%) 0/54 (0%) 0/54 (0%) 2/54 (3.7%) 1/53 (1.9%) 0/53 (0%) 0/108 (0%) 0/75 (0%) 1/181 (0.6%) 2/25 (8%) 0/60 (0%)
Musculoskeletal and connective tissue disorders
Arthralgia 4/55 (7.3%) 5/54 (9.3%) 4/54 (7.4%) 2/54 (3.7%) 3/53 (5.7%) 2/53 (3.8%) 3/108 (2.8%) 4/75 (5.3%) 6/181 (3.3%) 0/25 (0%) 1/60 (1.7%)
Back pain 3/55 (5.5%) 3/54 (5.6%) 1/54 (1.9%) 3/54 (5.6%) 0/53 (0%) 0/53 (0%) 4/108 (3.7%) 1/75 (1.3%) 2/181 (1.1%) 0/25 (0%) 0/60 (0%)
Nervous system disorders
Headache 4/55 (7.3%) 3/54 (5.6%) 1/54 (1.9%) 2/54 (3.7%) 6/53 (11.3%) 3/53 (5.7%) 6/108 (5.6%) 3/75 (4%) 2/181 (1.1%) 1/25 (4%) 0/60 (0%)
Respiratory, thoracic and mediastinal disorders
Cough 0/55 (0%) 1/54 (1.9%) 2/54 (3.7%) 2/54 (3.7%) 1/53 (1.9%) 0/53 (0%) 0/108 (0%) 4/75 (5.3%) 0/181 (0%) 0/25 (0%) 0/60 (0%)
Sinus congestion 0/55 (0%) 0/54 (0%) 0/54 (0%) 0/54 (0%) 3/53 (5.7%) 0/53 (0%) 1/108 (0.9%) 0/75 (0%) 0/181 (0%) 0/25 (0%) 0/60 (0%)
Skin and subcutaneous tissue disorders
Rash 1/55 (1.8%) 1/54 (1.9%) 0/54 (0%) 0/54 (0%) 0/53 (0%) 3/53 (5.7%) 1/108 (0.9%) 1/75 (1.3%) 0/181 (0%) 0/25 (0%) 1/60 (1.7%)
Vascular disorders
Hypertension 6/55 (10.9%) 2/54 (3.7%) 2/54 (3.7%) 5/54 (9.3%) 4/53 (7.5%) 2/53 (3.8%) 1/108 (0.9%) 6/75 (8%) 3/181 (1.7%) 2/25 (8%) 0/60 (0%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

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

The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of the pooled data (i.e., data from all sites) in the clinical trial.

Results Point of Contact

Name/Title Study Director
Organization Novartis Pharmaceuticals
Phone +1 (862) 778-8300
Email novartis.email@novartis.com
Responsible Party:
Novartis Pharmaceuticals
ClinicalTrials.gov Identifier:
NCT00927810
Other Study ID Numbers:
  • CACZ885H2251E1
First Posted:
Jun 25, 2009
Last Update Posted:
Jul 2, 2021
Last Verified:
Jun 1, 2021