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

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

35 participants

Primary outcome timeframe

1-28 Days

Results posted on

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

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

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

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 Days

The primary outcome unit of measurement is time (in days) to resolution of the acute gout attack

Outcome measures

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 reported

Patient rated pain on a Likert pain score of 0-10

Outcome measures

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 reported

Physician rated gout activity is measured on a Likert scale 0-10.

Outcome measures

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 28

Blood test (serum) for uric acid level

Outcome measures

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

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

Sugar Pill (Placebo)

Serious events: 2 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

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

Jay B Higgs,

San Antonio Military Medical Center

Phone: 2109160797

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place