This is an open-label extension phase of two double-blind, placebo-controled Phase 3 protocols evaluating PEG-uricase in the treatment of hyperuricemic subjects with symptomatic gout. The purpose of this study is to provide a continuation of treatment to subjects completing the double-blind studies and obtain long-term safety and efficacy data.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
151
8 mg intravenous infusion
Kaiser Permanente Medical Center, Clinical Trials Unit
San Francisco, California, United States
Uric Acid (mg/dL)
Uric acid measured at 3 month-intervals
Time frame: Week 13, Week 25, Week 53, Week 101
Tophus Response
Target tophi evaluated during the randomized, controlled study were followed for response at 3, 6, 12, 18 and 24 months in this open-label extention study. Results from each participant's final assessment on drug are reported (as last observation carried forward). Complete response=complete disappearance of at least one tophus with no new or worsening tophus. Partial Response=a 50% or more decrease in at least one tophus with no new or worsening tophus.
Time frame: Up to 2 years
Patient Reported Outcome: SF-36 Physical Component Summary Score
SF-36 is the Medical Outcomes Survey Short Form-36, a 36-item self-reported questionnaire which assesses health-related limitations in 8 dimensions. The Physical Component Summary Score (PCS) is a composite summary score derived from the dimensions related to physical functioning outcomes: Physical Function, Role Physical, General Health and Bodily Pain (each with a 0 to 100 scale where 0=worst, 100=best). The Summary Score is constructed as a T-score with a mean of 50 and standard deviation of 10, where higher scores indicate a better health status.
Time frame: RCT Week 25; OLE Week 25; OLE Week 53, OLE Week 77, OLE Week 101
Gout Flare Frequency
The the mean number of flares per subject (flare frequency)was assessed over 3-month periods for up to 2 years of treatment
Time frame: Up to 2 years
Gout Flare Incidence
Percentage of participants remaining in the study during the specified interval who experienced a gout flare during this interval.
Time frame: Assessed in 3-month intervals up to 2 years
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