An Open-label Extension Study With Canakinumab on the Treatment and Prevention of Gout Flares up to 3 Years (B-Relieved)

This study is currently recruiting participants.
Verified May 2012 by Novartis
Sponsor:
Information provided by (Responsible Party):
Novartis ( Novartis Pharmaceuticals )
ClinicalTrials.gov Identifier:
NCT01470989
First received: August 16, 2011
Last updated: May 18, 2012
Last verified: May 2012
  Purpose

The purpose of this third extension study is to provide additional long-term safety and tolerability data of canakinumab over an 18-month time period on patients who have completed the extension studies CACZ885H2356E2 and CACZ885H2357E2. Overall, the treatment and follow-up period from the initial baseline visit in the core studies, and all subsequent extensions will amount to a total of up to 3 years.The study will provide additional safety data of repeated treatment with on-demand use of canakinumab in patients with gouty arthritis. The study may further be used to optimize patients' Urate Lowering Therapy (ULT) as needed, and collect further safety data on the concomitant use of canakinumab with different ULT regimens.


Condition Intervention Phase
Chronic Gouty Arthritis
Biological: canakinumab
Phase 3

Study Type: Interventional
Study Design: Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: An Open-label Extension Study of CACZ885H2356E2 and CACZ885H2357E2 on the Treatment and Prevention of Gout Flares in Patients With Frequent Flares for Whom NSAIDs and/or Colchicine Are Contraindicated, Not Tolerated or Ineffective

Resource links provided by NLM:


Further study details as provided by Novartis:

Primary Outcome Measures:
  • Safety and tolerability of canakinumab [ Time Frame: 18 months ] [ Designated as safety issue: No ]
    Safety and tolerability will be evaluated by summarizing adverse events (including infections and malignancies), vital signs and laboratory data in patients exposed to canakinumab


Secondary Outcome Measures:
  • Long-term efficacy of canakinumab defined as frequency of new flares [ Time Frame: 18 months ] [ Designated as safety issue: No ]
    Flare rate will be calculated as the number of new gout flares over the period of observations in years

  • Long-term efficacy of canakinumab defined as Patient's assessment of gout pain intensity (Likert scale) [ Time Frame: 18 months ] [ Designated as safety issue: No ]
    Patient's assessment of gout pain intensity (Likert scale) will be measured on a daily basis over 14 days after each new flare starting one day after re-dosing until control visit

  • Long-term efficacy of canakinumab defined as global assessment of response to treatment (Likert scale) [ Time Frame: 18 months ] [ Designated as safety issue: No ]
    Global assessment of response to treatment (Likert scale) will be measured on a daily basis over 14 days after each new flare starting one day after re-dosing until control visit

  • Long-term efficacy of canakinumab with regards to inflammatory markers (high sensitivity C-reactive protein) [ Time Frame: 18 months ] [ Designated as safety issue: No ]
    hsCRP will be measured at scheduled (every 6 months) and unscheduled visits (flare/control visits)

  • Immunogenicity of canakinumab [ Time Frame: 18 months ] [ Designated as safety issue: No ]
    Immunogenicity will be assessed at scheduled (every 6 months) and unscheduled visits (flare visits)

  • Safety in the concomitant use of canakinumab with different urate lowering therapy regimens [ Time Frame: 18 months ] [ Designated as safety issue: No ]
    Safety in the concomitant use with different ULT regimens will be evaluated by summarizing adverse events (including infections and malignancies), urate lowering concomitant medications, vital signs and laboratory data in patients initiating or modifying their urate lowering therapy while exposed canakinumab


Estimated Enrollment: 200
Study Start Date: November 2011
Estimated Primary Completion Date: August 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Canakinumab Biological: canakinumab
Canakinumab 150 mg

  Eligibility

Ages Eligible for Study:   18 Years to 85 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion criteria:

  • Patients who have completed the second extension studies
  • Patients who have already been treated with canakinumab in the core studies or subsequent extensions

Exclusion criteria:

  • Continuation in this extension study is considered inappropriate by the treating physician
  • Other protocol-defined inclusion/exclusion criteria may apply
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01470989

Contacts
Contact: Novartis Pharmaceuticals 862-778-8300

  Hide Study Locations
Locations
United States, Alabama
Novartis Investigative site Not yet recruiting
Mobile, Alabama, United States, 36608
Contact: Novartis Pharmaceuticals     862-778-8300        
United States, California
Novartis Investigative site Not yet recruiting
Burbank, California, United States, 91505
Contact: Novartis Pharmaceuticals     862-778-8300        
United States, Florida
Novartis Investigative site Recruiting
Clearwater, Florida, United States, 33756
Contact: Novartis Pharmaceuticals     862-778-8300        
United States, Georgia
Novartis Investigative site Not yet recruiting
Decatur, Georgia, United States, 30035
Contact: Novartis Pharmaceuticals     862-778-8300        
United States, Idaho
Novartis Investigative site Not yet recruiting
Boise, Idaho, United States, 83702
Contact: Novartis Pharmaceuticals     862-778-8300        
United States, Kansas
Novartis Investigative site Not yet recruiting
Overland Park, Kansas, United States, 66215
Contact: Novartis Pharmaceuticals     862-778-8300        
United States, Louisiana
Novartis Investigative site Not yet recruiting
Baton Rouge, Louisiana, United States, 70808
Contact: Novartis Pharmaceuticals     862-778-8300        
United States, Michigan
Novartis Investigative site Not yet recruiting
Clarkston, Michigan, United States, 48346
Contact: Novartis Pharmaceuticals     862-778-8300        
United States, Mississippi
Novartis Investigative site Not yet recruiting
Jackson, Mississippi, United States, 39209
Contact: Novartis Pharmaceuticals     862-778-8300        
United States, Nebraska
Novartis Investigative site Not yet recruiting
Omaha, Nebraska, United States, 68114
Contact: Novartis Pharmaceuticals     862-778-8300        
United States, North Carolina
Novartis Investigative site Not yet recruiting
Charlotte, North Carolina, United States, 28209
Contact: Novartis Pharmaceuticals     862-778-8300        
United States, Ohio
Novartis Investigative site Not yet recruiting
Dayton, Ohio, United States, 45417
Contact: Novartis Pharmaceuticals     862-778-8300        
United States, Oklahoma
Novartis Investigative site Not yet recruiting
Oklahoma City, Oklahoma, United States, 73109
Contact: Novartis Pharmaceuticals     862-778-8300        
United States, Pennsylvania
Novartis Investigative site Not yet recruiting
Duncansville, Pennsylvania, United States, 16635
Contact: Novartis Pharmaceuticals     862-778-8300        
United States, South Carolina
Novartis Investigative site Not yet recruiting
Charleston, South Carolina, United States, 29407
Contact: Novartis Pharmaceuticals     862-778-8300        
United States, Tennessee
Novartis Investigative site Not yet recruiting
Bristol, Tennessee, United States, 37620
Contact: Novartis Pharmaceuticals     862-778-8300        
United States, Texas
Novartis Investigative site Not yet recruiting
Lake Jackson, Texas, United States, 77566
Contact: Novartis Pharmaceuticals     862-778-8300        
United States, Virginia
Novartis Investigative site Not yet recruiting
Danville, Virginia, United States, 24541
Contact: Novartis Pharmaceuticals     862-778-8300        
Australia
Novartis Investigative site Not yet recruiting
Darlinghurst, Australia
Contact: Novartis Pharmaceuticals     41613241111        
Canada
Novartis Investigative site Not yet recruiting
Quebec, Canada
Contact: Novartis Pharmaceuticals     41613241111        
Novartis Investigative site Not yet recruiting
St Johns, Canada
Contact: Novartis Pharmaceuticals     41613241111        
Estonia
Novartis Investigative site Not yet recruiting
Parnu, Estonia
Contact: Novartis Pharmaceuticals     41613241111        
Novartis Investigative site Not yet recruiting
Tallinn, Estonia
Contact: Novartis Pharmaceuticals     41613241111        
Germany
Novartis Investigative site Not yet recruiting
Augsburg, Germany
Contact: Novartis Pharmaceuticals     41613241111        
Novartis Investigative site Not yet recruiting
Loehne, Germany
Contact: Novartis Pharmaceuticals     41613241111        
Novartis Investigative site Not yet recruiting
Magdeburg, Germany
Contact: Novartis Pharmaceuticals     41613241111        
Latvia
Novartis Investigative site Not yet recruiting
Riga, Latvia
Contact: Novartis Pharmaceuticals     41613241111        
Novartis Investigative site Not yet recruiting
Valmiera, Latvia
Contact: Novartis Pharmaceuticals     41613241111        
Lithuania
Novartis Investigative site Not yet recruiting
Kaunas, Lithuania
Contact: Novartis Pharmaceuticals     41613241111        
Novartis Investigative site Not yet recruiting
Kedainiai, Lithuania
Contact: Novartis Pharmaceuticals     41613241111        
Novartis Investigative site Not yet recruiting
Klaipeda, Lithuania
Contact: Novartis Pharmaceuticals     41613241111        
Novartis Investigative site Not yet recruiting
Siauliai, Lithuania
Contact: Novartis Pharmaceuticals     41613241111        
Novartis Investigative site Not yet recruiting
Vilnius, Lithuania
Contact: Novartis Pharmaceuticals     41613241111        
Russian Federation
Novartis Investigative site Not yet recruiting
Ekaterinburg, Russian Federation
Contact: Novartis Pharmaceuticals     41613241111        
Novartis Investigative site Not yet recruiting
Moscow, Russian Federation
Contact: Novartis Pharmaceuticals     41613241111        
Novartis Investigative site Not yet recruiting
Petrozavodsk, Russian Federation
Contact: Novartis Pharmaceuticals     41613241111        
Novartis Investigative site Not yet recruiting
St Petersburg, Russian Federation
Contact: Novartis Pharmaceuticals     41613241111        
Novartis Investigative site Not yet recruiting
Tver, Russian Federation
Contact: Novartis Pharmaceuticals     41613241111        
Novartis Investigative site Not yet recruiting
Yaroslavi, Russian Federation
Contact: Novartis Pharmaceuticals     41613241111        
Ukraine
Novartis Investigative site Not yet recruiting
Lviv, Ukraine
Contact: Novartis Pharmaceuticals     41613241111        
Novartis Investigative site Not yet recruiting
Uzhgorod, Ukraine
Contact: Novartis Pharmaceuticals     41613241111        
Novartis Investigative site Not yet recruiting
Zaporizhzhya, Ukraine
Contact: Novartis Pharmaceuticals     41613241111        
Sponsors and Collaborators
Novartis Pharmaceuticals
Investigators
Study Director: Novartis Pharmaceticals Novartis Pharmaceuticals
  More Information

No publications provided

Responsible Party: Novartis ( Novartis Pharmaceuticals )
ClinicalTrials.gov Identifier: NCT01470989     History of Changes
Other Study ID Numbers: CACZ885H2357E3, 2011-003414-17
Study First Received: August 16, 2011
Last Updated: May 18, 2012
Health Authority: Australia: Department of Health and Ageing Therapeutic Goods Administration
Canada: Health Canada
Estonia: The State Agency of Medicine
Germany: Ministry of Work, Health and Social Affairs in North Rhine-Westph
Latvia: State Agency of Medicines
Lithuania: State Medicine Control Agency - Ministry of Health
Russia: Pharmacological Committee, Ministry of Health
United States: Food and Drug Administration
Ukraine: Ministry of Health

Keywords provided by Novartis:
Gout
inflammatory gout
acute gout flares

Additional relevant MeSH terms:
Arthritis
Arthritis, Gouty
Joint Diseases
Musculoskeletal Diseases
Gout
Rheumatic Diseases
Purine-Pyrimidine Metabolism, Inborn Errors
Metabolism, Inborn Errors
Genetic Diseases, Inborn
Metabolic Diseases
Antibodies, Monoclonal
Immunologic Factors
Physiological Effects of Drugs
Pharmacologic Actions

ClinicalTrials.gov processed this record on May 19, 2013