ZEST: Zurig (Febuxostat) 40mg Efficacy and Safety Trial
Study Details
Study Description
Brief Summary
Febuxostat is a potent, nonpurine, selective inhibitor of Xanthine oxidase that exhibits antihyperuricemic activity by reducing the formation of uric acid. The investigators conducted an interventional, two-arm, randomized, open label pilot study on patients with serum urate level ≥ 6.8 mg/dL. Patients were treated with Febuxostat 40 mg Tablets or Allopurinol 300 mg Tablets once daily dose for 90 days to determine the efficacy and safety of Febuxostat in comparison with Allopurinol in Hyperuricemic Subjects with or without Gout.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 4 |
Detailed Description
Patients with hyperuricemia (with or without Gout) were randomized into two groups. One was treated with Febuxostat 40 mg Tablets and other with Allopurinol 300 mg Tablets once daily for 3 months period.
Gender, age, height, weight, creatinine and ALT levels, co-morbidities and other complications were monitored at screening and as per eligibility criteria 50 patients were enrolled in the study. Efficacy was determined by monitoring serum uric acid levels during and at the end of treatment. The safety profile has also been monitored during the treatment period. Investigator collected and recorded all the data of visits in CRF which was analyzed through SPSS version 20.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: Allopurinol Allopurinol 300mg Tablets once daily for 90 days |
Drug: Allopurinol
Comparison of two anti-hyperuricemic molecules
|
Experimental: Febuxostat Febuxostat 40mg Tablets once daily for 90 days |
Drug: Febuxostat
Comparison of two anti-hyperuricemic molecules
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Serum uric acid levels [3 months]
To determine the efficacy of Febuxostat once daily with Allopurinol once daily in hyperuricemic subjects for 3 months
Secondary Outcome Measures
- Safety Assessment: number of participant with adverse events [At week 2, week 4 and week 12]
To determine the number of patients treated with Febuxostat once daily with Allopurinol once daily who experience any adverse drug reaction. All ADR are reported as per patient information leaflet
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Both genders from 18 to 75 years of age
-
Must have a serum urate level ≥ 6.8 milligram per deciliter (mg/dL) and/or subjects recruited with Gout; must meet American College of Rheumatology criteria for Gout.
-
Females of childbearing potential who are sexually active must agree to use adequate contraception, and can neither be pregnant nor lactating from Screening throughout the duration of the study.
-
Patient willingly provides written informed consent
Exclusion Criteria:
-
History of significant concomitant illness
-
Active liver disease (SGPT> 1.5 times the upper limit of normal range)
-
Severe renal impairment (Serum Creatinine level >2mg/dl)
-
Any other significant medical condition that would interfere with the treatment, safety or compliance with the protocol, as defined by the investigator
-
Cardiac disease or stroke (current or previous history)
-
Has a known history of infection with hepatitis B, hepatitis C, or HIV
-
Has a history of cancer within 5 years prior to the first dose of study medication
-
Has a known hypersensitivity to febuxostat or allopurinol or any components of their formulation
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Dow University of Health Sciences | Karachi | Sindh | Pakistan | 74900 |
Sponsors and Collaborators
- Getz Pharma
Investigators
- Principal Investigator: Khalid Mahmood, FCPS, Dow University of Health Sciences
Study Documents (Full-Text)
None provided.More Information
Publications
- Khanna D, Fitzgerald JD, Khanna PP, Bae S, Singh MK, Neogi T, Pillinger MH, Merill J, Lee S, Prakash S, Kaldas M, Gogia M, Perez-Ruiz F, Taylor W, Lioté F, Choi H, Singh JA, Dalbeth N, Kaplan S, Niyyar V, Jones D, Yarows SA, Roessler B, Kerr G, King C, Levy G, Furst DE, Edwards NL, Mandell B, Schumacher HR, Robbins M, Wenger N, Terkeltaub R; American College of Rheumatology. 2012 American College of Rheumatology guidelines for management of gout. Part 1: systematic nonpharmacologic and pharmacologic therapeutic approaches to hyperuricemia. Arthritis Care Res (Hoboken). 2012 Oct;64(10):1431-46. doi: 10.1002/acr.21772.
- Krishnan E, Svendsen K, Neaton JD, Grandits G, Kuller LH; MRFIT Research Group. Long-term cardiovascular mortality among middle-aged men with gout. Arch Intern Med. 2008 May 26;168(10):1104-10. doi: 10.1001/archinte.168.10.1104.
- DUHS-GTZ-MD-001-13