Trial Outcomes & Findings for Does Allopurinol Prolong a Treated, Acute Gout Flare? (NCT NCT01988402)
NCT ID: NCT01988402
Last Updated: 2018-02-14
Results Overview
The primary outcome unit of measurement is time (in days) to resolution of the acute gout attack
COMPLETED
PHASE4
35 participants
1-28 Days
2018-02-14
Participant Flow
35 patients were enrolled which achieved a completer number of 31. This was one short of the original completer target of 32. Power analysis suggested that a much larger number would have been required to achieve statistical power, and that enrolling 1-2 more subjects would not have contributed to the data.
Participant milestones
| Measure |
Allopurinol
Patients in this arm receive allopurinol, 100 mg daily for 14 days and then 200 mg daily for 14 days
allopurinol
|
Sugar Pill (Placebo)
Patients in this arm receive one placebo (sugar) pill per day for 14 days then 2 placebo pills for 14 days.
Placebo (sugar pill)
|
|---|---|---|
|
Overall Study
STARTED
|
16
|
19
|
|
Overall Study
COMPLETED
|
14
|
17
|
|
Overall Study
NOT COMPLETED
|
2
|
2
|
Reasons for withdrawal
| Measure |
Allopurinol
Patients in this arm receive allopurinol, 100 mg daily for 14 days and then 200 mg daily for 14 days
allopurinol
|
Sugar Pill (Placebo)
Patients in this arm receive one placebo (sugar) pill per day for 14 days then 2 placebo pills for 14 days.
Placebo (sugar pill)
|
|---|---|---|
|
Overall Study
Adverse Event
|
1
|
2
|
|
Overall Study
Withdrawal by Subject
|
1
|
0
|
Baseline Characteristics
Does Allopurinol Prolong a Treated, Acute Gout Flare?
Baseline characteristics by cohort
| Measure |
Allopurinol
n=16 Participants
Patients in this arm receive allopurinol, 100 mg daily for 14 days and then 200 mg daily for 14 days
allopurinol
|
Sugar Pill (Placebo)
n=19 Participants
Patients in this arm receive one placebo (sugar) pill per day for 14 days then 2 placebo pills for 14 days.
Placebo (sugar pill)
|
Total
n=35 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Continuous
|
61 Years
n=99 Participants
|
53 Years
n=107 Participants
|
57 Years
n=206 Participants
|
|
Sex: Female, Male
Female
|
2 Participants
n=99 Participants
|
0 Participants
n=107 Participants
|
2 Participants
n=206 Participants
|
|
Sex: Female, Male
Male
|
14 Participants
n=99 Participants
|
19 Participants
n=107 Participants
|
33 Participants
n=206 Participants
|
|
Disease duration
|
5.5 years
n=99 Participants
|
4.9 years
n=107 Participants
|
5.2 years
n=206 Participants
|
|
number of prior attacks
|
3.7 number
n=99 Participants
|
6.58 number
n=107 Participants
|
5.2 number
n=206 Participants
|
|
participants with history of nephrolithiasis
|
4 participants
n=99 Participants
|
1 participants
n=107 Participants
|
5 participants
n=206 Participants
|
|
participants with tophi
|
6 participants
n=99 Participants
|
6 participants
n=107 Participants
|
12 participants
n=206 Participants
|
|
Participants with erosions
|
4 participants
n=99 Participants
|
4 participants
n=107 Participants
|
8 participants
n=206 Participants
|
PRIMARY outcome
Timeframe: 1-28 DaysThe primary outcome unit of measurement is time (in days) to resolution of the acute gout attack
Outcome measures
| Measure |
Allopurinol
n=14 Participants
Patients in this arm receive allopurinol, 100 mg daily for 14 days and then 200 mg daily for 14 days
allopurinol
|
Sugar Pill (Placebo)
n=17 Participants
Patients in this arm receive one placebo (sugar) pill per day for 14 days then 2 placebo pills for 14 days.
Placebo (sugar pill)
|
|---|---|---|
|
Resolution of the Acute Gout Attack
|
15.4 days
Standard Deviation 7.9
|
13.4 days
Standard Deviation 7.8
|
SECONDARY outcome
Timeframe: Pateints are assessed at five time intervals over 28 days: days 1, 3-4, 10-15, 20-25, and 28; Day 28 reportedPatient rated pain on a Likert pain score of 0-10
Outcome measures
| Measure |
Allopurinol
n=16 Participants
Patients in this arm receive allopurinol, 100 mg daily for 14 days and then 200 mg daily for 14 days
allopurinol
|
Sugar Pill (Placebo)
n=19 Participants
Patients in this arm receive one placebo (sugar) pill per day for 14 days then 2 placebo pills for 14 days.
Placebo (sugar pill)
|
|---|---|---|
|
Pain Day 28
|
1.79 units on a Likert scale
Interval 0.0 to 4.0
|
2.0 units on a Likert scale
Interval 0.0 to 4.0
|
SECONDARY outcome
Timeframe: Pateints are assessed at five time intervals over 28 days: days 1, 3-4, 10-15, 20-25, and 28; Day 28 reportedPhysician rated gout activity is measured on a Likert scale 0-10.
Outcome measures
| Measure |
Allopurinol
n=16 Participants
Patients in this arm receive allopurinol, 100 mg daily for 14 days and then 200 mg daily for 14 days
allopurinol
|
Sugar Pill (Placebo)
n=19 Participants
Patients in this arm receive one placebo (sugar) pill per day for 14 days then 2 placebo pills for 14 days.
Placebo (sugar pill)
|
|---|---|---|
|
Physician Global Assessment of Gout Activity at Day 28
|
0 units on a Likert scale
Interval 0.0 to 0.0
|
0 units on a Likert scale
Interval 0.0 to 0.0
|
SECONDARY outcome
Timeframe: day 28Blood test (serum) for uric acid level
Outcome measures
| Measure |
Allopurinol
n=14 Participants
Patients in this arm receive allopurinol, 100 mg daily for 14 days and then 200 mg daily for 14 days
allopurinol
|
Sugar Pill (Placebo)
n=17 Participants
Patients in this arm receive one placebo (sugar) pill per day for 14 days then 2 placebo pills for 14 days.
Placebo (sugar pill)
|
|---|---|---|
|
Serum Uric Acid Level
|
6.4 mg/dl
Standard Error 1.0
|
8.2 mg/dl
Standard Error 1.0
|
Adverse Events
Allopurinol
Sugar Pill (Placebo)
Serious adverse events
| Measure |
Allopurinol
n=16 participants at risk
Patients in this arm receive allopurinol, 100 mg daily for 14 days and then 200 mg daily for 14 days
allopurinol
|
Sugar Pill (Placebo)
n=19 participants at risk
Patients in this arm receive one placebo (sugar) pill per day for 14 days then 2 placebo pills for 14 days.
Placebo (sugar pill)
|
|---|---|---|
|
Respiratory, thoracic and mediastinal disorders
epistaxis
|
6.2%
1/16 • Number of events 1 • 28 days
|
0.00%
0/19 • 28 days
|
|
Gastrointestinal disorders
elevated liver enzymes
|
0.00%
0/16 • 28 days
|
5.3%
1/19 • 28 days
|
|
Gastrointestinal disorders
nausea and vomiting
|
0.00%
0/16 • 28 days
|
5.3%
1/19 • 28 days
|
Other adverse events
Adverse event data not reported
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place