The purpose of this pivotal Phase III study is to support the registration of canakinumab for the indication of gout in China, a replicate of global studies CACZ885H2356 \& CACZ885H2357 by demonstrating in patients with frequent flares of gout for whom NSAIDs and/or colchicine are contraindicated, not tolerated or ineffective, canakinumab 150 mg s.c. given upon acute gout flares relieves the signs and symptoms and prevents recurrence of gout flares compared to triamcinolone acetonide 40 mg i.m.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
136
Canakinumab and placebo matching to triamcinolone acetonide
Triamcinolone acetonide 40 mg and placebo matching to canakinumab
Novartis Investigative Site
Ciudad Autonoma de Bs As, Argentina
Novartis Investigative Site
Hefei, Anhui, China
Novartis Investigative Site
Hefei, Anhui, China
Novartis Investigative Site
Beijing, Beijing Municipality, China
Novartis Investigative Site
Guangzhou, Guangdong, China
Novartis Investigative Site
Nanjing, Jiangsu, China
Novartis Investigative Site
Xi’an, Shanxi, China
Novartis Investigative Site
Chengdu, Sichuan, China
Novartis Investigative Site
Chengdu, Sichuan, China
Novartis Investigative Site
Hangzhou, Zhejiang, China
...and 10 more locations
The Change in the Gout Pain Intensity in the Target Joint Following ACZ885 Administration Measured by Visual Analog Scale (VAS)
A higher score indicates greater pain intensity. Based on the distribution of pain VAS scores in postsurgical patients (knee replacement, hysterectomy, or laparoscopic myomectomy) who described their postoperative pain intensity as none, mild, moderate, or severe, the following cut points on the pain VAS have been recommended: no pain (0 - 4 mm), mild pain (5- 44 mm), moderate pain (45-74 mm), and severe pain (75- 100 mm)
Time frame: at 72 hours post-dose
Time to First New Flare: Survival Analysis by Treatment: Kaplan Meier Analysis
Measure canakinumab 150 mg s.c. is superior to triamcinolone acetonide 40 mg i.m. with respect to the time to the first new gout flare in observation period of 12 weeks
Time frame: 12 weeks
The Number of Patients With at Least 1 New Gout Flare
Time frame: 12 weeks
Patients Assessment of Gout Pain Intensity in the Most Effected Joint (0-100mm VAS): Summary Statistics by Timepoint and Treatment
A higher score indicates greater pain intensity. Based on the distribution of pain VAS scores in postsurgical patients (knee replacement, hysterectomy, or laparoscopic myomectomy) who described their postoperative pain intensity as none, mild, moderate, or severe, the following cut points on the pain VAS have been recommended: no pain (0 - 4 mm), mild pain (5- 44 mm), moderate pain (45-74 mm), and severe pain (75- 100 mm)
Time frame: baseline through 12 weeks
Patient's Assessment of Gout Pain Intensity in the Most Affected Joint (Likert Scale): Frequency Table by Timepoint and Treatment
Patients will score their current pain intensity in the most affected joint of the gout flare on a 5-point Likert scale (none, mild, moderate, severe, extreme).
Time frame: baseline through week 12
Patient's Global Assessment of Response to Treatment: Frequency Table by Timepoint and Treatment Using a Likert Scale.
Patients will score their response to pain on a 7-point Likert scale (excellent, good ,acceptable, slight,poor,very poor,not done).
Time frame: 72 hours through week 12
Physician's Assessment of Tenderness: Frequency Table by Timepoint and Treatment
Physicians will score their response to pain on a 5-point Likert scale (no pain, pain,pain and winces,pain winces and withdraws and not assessed).
Time frame: baseline 72 hours,7 days 4 weeks, 8 weeks and 12 weeks post dose
Physician's Assessment of Swelling: Frequency Table by Timepoint and Treatment
Physicians will score their response to pain on a 5-point Likert scale (no pain, pain,pain and winces,pain winces and withdraws and not assessed).
Time frame: baseline 72 hours,7 days 4 weeks, 8 weeks and 12 weeks post dose
Physician's Assessment of Erythema: Frequency Table by Timepoint and Treatment
Physicians will score their response of erythema on a 4-point Likert scale (absent, present not assessed and not assessable).
Time frame: baseline 72 hours,7 days 4 weeks, 8 weeks and 12 weeks post dose
Physician's Assessment of Range of Motion: Frequency Table by Timepoint and Treatment
Physicians will score their response ofrange of motion on a 5-point Likert scale (normal,mildly restricted, moderately restricted, severely restricted and immolbilized).
Time frame: baseline through week 12
Time to at Least a 50% Reduction in Baseline Pain Intensity: Survival Analysis by Treatment
Kaplan Meier estimate
Time frame: 12 weeks
Time to Complete Resolution of Pain: Survival Analysis by Treatment
Kaplan Meier estimate
Time frame: 12 weeks
Time to First Rescue Medication Intake
Time frame: 12 weeks
Percent Patients Who Took Rescue Medication
Time frame: 12 weeks
Amount of Rescue Medication Taken at Baseline Flare and Post Baseline Flare.
Paracetamol / acetaminophen, Prednisolone and Prednisone taken at baseline flare and post baseline flare.
Time frame: 12 weeks
High Sensitivity C-reactive Protein [hsCRP] Measured in the Serum at 72 Hours Post Dose
Time frame: 72 hours post dose
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