A Phase 2 interventional study of Placebo and Febuxostat in Gout, sponsored by Takeda. Completed. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2011-07-29.
Sponsored by Takeda · Phase 2, Interventional, and Diagnostic
The purpose of this study is to determine the efficacy of febuxostat, once daily (QD), in reducing serum urate levels in subjects with gout.
Gout is a chronic urate crystal deposition disorder, which if left untreated may result in progressive disease characterized by joint and bone destruction from tophaceous deposits and renal impairment due to gouty nephropathy. Hyperuricemia, defined as a serum urate concentration of >7.0 milligrams per deciliter (mg/dL), is the underlying metabolic aberration leading to urate crystal deposition in gout. Gout has several clinical presentations, including: recurrent acute attacks of inflammatory arthritis; deposition of monosodium urate monohydrate crystals in joints, bones and even parenchymal organs (tophaceous gout); renal impairment; and uric acid nephrolithiasis. As serum urate levels increase beyond >7.0 mg/dL, the risks for gouty arthritis or for renal calculi increase.
Currently allopurinol is the only xanthine oxidase inhibitor available. Allopurinol is the agent of choice for reduction of serum urate levels in patients with: uric acid overproduction; unresponsive or intolerant to uricosuric agents; impaired renal function; uric acid urolithiasis; or tophi.
Febuxostat (TMX-67) is a non-purine selective xanthine oxidase inhibitor being developed as an orally administered agent for management of hyperuricemia in patients with gout.
232 studies on the registry are indexed under Gout; 45 are open to participants now.
This study's enrollment of 153 is above the median of 121 across 202 interventional studies indexed under Gout.
Browse Gout studies →Takeda is the lead sponsor of 1,002 studies on the registry; 92 are open to participants now.
Of its 173 completed or terminated interventional studies of FDA-regulated products, 149 (86%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Drug: Placebo
Drug: Febuxostat
Drug: Febuxostat
Drug: Febuxostat
Febuxostat placebo-matching tablets, orally, once daily for up to 4 weeks.
Febuxostat 40 mg, tablets, orally, once daily for up to 4 weeks.
Also known as: TMX-67, Tei-6720, Uloric
Febuxostat 80 mg, tablets, orally, once daily for up to 4 weeks.
Also known as: TMX-67, Tei-6720, Uloric
Febuxostat 120 mg, tablets, orally, once daily for up to 4 weeks.
Also known as: TMX-67, Tei-6720, Uloric
Percentage of Subjects Whose Serum Urate Level Decreased to <6.0 Milligram Per Deciliter (mg/dL) at the Day 28 Visit.
Serum urate values were obtained at the Day 28 visit. The percentage of subjects whose serum urate decreased to \<6.0 mg/dL at the Day 28 visit was summarized.
Time frame: Day 28.
Percentage of Subjects Whose Serum Urate Level Decreased to <6.0 mg/dL at the Day 7 Visit.
Serum urate values were obtained at the Day 7 visit. The percentage of subjects whose serum urate decreased to \<6.0 mg/dL at the Day 7 visit was summarized.
Time frame: Day 7.
Percentage of Subjects Whose Serum Urate Level Decreased to <6.0 mg/dL at the Day 14 Visit.
Serum urate values were obtained at the Day 14 visit. The percentage of subjects whose serum urate decreased to \<6.0 mg/dL at the Day 14 visit was summarized.
Time frame: Day 14.
Percentage of Subjects Whose Serum Urate Level Decreased to <6.0 mg/dL at the Day 21 Visit.
Serum urate values were obtained at the Day 21 visit. The percentage of subjects whose serum urate decreased to \<6.0 mg/dL at the Day 21 visit was summarized.
Time frame: Day 21.
Percent Change in Serum Urate Levels From Baseline to the Day 7 Visit.
Serum urate values were obtained at the Day 7 visit. The percent change in serum urate from baseline to the Day 7 visit was summarized.
Time frame: Baseline and Day 7.
Percent Change in Serum Urate Levels From Baseline to the Day 14 Visit.
Serum urate values were obtained at the Day 14 visit. The percent change in serum urate from baseline to the Day 14 visit was summarized.
Time frame: Baseline and Day 14.
Percent Change in Serum Urate Levels From Baseline to the Day 21 Visit
Serum urate values were obtained at the Day 21 visit. The percent change in serum urate from baseline to the Day 21 visit was summarized.
Time frame: Baseline and Day 21.
Percent Change in Serum Urate Levels From Baseline to the Day 28 Visit.
Serum urate values were obtained at the Day 28 visit. The percent change in serum urate from baseline to the Day 28 visit was summarized.
Time frame: Baseline and Day 28.
Maximum Percent Change in Serum Urate Level From Baseline During the Entire Treatment Period.
Serum urate values were obtained at the Day 7, 14, 21,and 28 visits. The maximum percent change in serum urate levels obtained at any visit was summarized.
Time frame: Baseline and Any visit (Day 7, 14, 21,or 28)
Percent Change in 24-hour Urine Uric Acid Level From Baseline to Day 28.
24-hour urine uric acid levels were obtained at the Day 28 visit. The percent change in 24-hour urine uric acid level from baseline to the Day 28 visit was summarized.
Time frame: Baseline and Day 28.
Subjects were enrolled at 24 investigative sites from 31 January 2001 to 9 July 2001
| Milestone | Febuxostat 40 mg QD | Febuxostat 80 mg QD | Febuxostat 120 mg QD | Placebo QD |
|---|---|---|---|---|
| Started | 37 | 40 | 38 | 38 |
| Completed | 36 | 37 | 36 | 36 |
| Not completed | 1 | 3 | 2 | 2 |
| Withdrew: Adverse event | 1 | 2 | 2 | 1 |
| Withdrew: Gout flare | 0 | 0 | 0 | 1 |
| Withdrew: Other | 0 | 1 | 0 | 0 |
Serum urate values were obtained at the Day 28 visit. The percentage of subjects whose serum urate decreased to \<6.0 mg/dL at the Day 28 visit was summarized.
| percentage of subjects | Febuxostat 40 mg QD | Febuxostat 80 mg QD | Febuxostat 120 mg QD | Placebo QD |
|---|---|---|---|---|
| Percentage of Subjects Whose Serum Urate Level Decreased to <6.0 Milligram Per Deciliter (mg/dL) at the Day 28 Visit. | 56 | 76 | 94 | 0 |
Serum urate values were obtained at the Day 7 visit. The percentage of subjects whose serum urate decreased to \<6.0 mg/dL at the Day 7 visit was summarized.
| percentage of subjects | Febuxostat 40 mg QD | Febuxostat 80 mg QD | Febuxostat 120 mg QD | Placebo QD |
|---|---|---|---|---|
| Percentage of Subjects Whose Serum Urate Level Decreased to <6.0 mg/dL at the Day 7 Visit. | 50 | 59 | 91 | 3 |
Serum urate values were obtained at the Day 14 visit. The percentage of subjects whose serum urate decreased to \<6.0 mg/dL at the Day 14 visit was summarized.
| percentage of subjects | Febuxostat 40 mg QD | Febuxostat 80 mg QD | Febuxostat 120 mg QD | Placebo QD |
|---|---|---|---|---|
| Percentage of Subjects Whose Serum Urate Level Decreased to <6.0 mg/dL at the Day 14 Visit. | 56 | 68 | 94 | 0 |
Serum urate values were obtained at the Day 21 visit. The percentage of subjects whose serum urate decreased to \<6.0 mg/dL at the Day 21 visit was summarized.
| percentage of subjects | Febuxostat 40 mg QD | Febuxostat 80 mg QD | Febuxostat 120 mg QD | Placebo QD |
|---|---|---|---|---|
| Percentage of Subjects Whose Serum Urate Level Decreased to <6.0 mg/dL at the Day 21 Visit. | 59 | 76 | 97 | 0 |
Serum urate values were obtained at the Day 7 visit. The percent change in serum urate from baseline to the Day 7 visit was summarized.
| percent change from baseline | Febuxostat 40 mg QD | Febuxostat 80 mg QD | Febuxostat 120 mg QD | Placebo QD |
|---|---|---|---|---|
| Percent Change in Serum Urate Levels From Baseline to the Day 7 Visit. | -35.0 ± 9.67 | -39.2 ± 15.9 | -53.44 ± 12.3 | 0.71 ± 12.6 |
Serum urate values were obtained at the Day 14 visit. The percent change in serum urate from baseline to the Day 14 visit was summarized.
| percent change from baseline | Febuxostat 40 mg QD | Febuxostat 80 mg QD | Febuxostat 120 mg QD | Placebo QD |
|---|---|---|---|---|
| Percent Change in Serum Urate Levels From Baseline to the Day 14 Visit. | -37.1 ± 11.70 | -41.8 ± 14.63 | -56.9 ± 8.36 | 1.62 ± 10.21 |
Serum urate values were obtained at the Day 21 visit. The percent change in serum urate from baseline to the Day 21 visit was summarized.
| percent change from baseline | Febuxostat 40 mg QD | Febuxostat 80 mg QD | Febuxostat 120 mg QD | Placebo QD |
|---|---|---|---|---|
| Percent Change in Serum Urate Levels From Baseline to the Day 21 Visit | -37.3 ± 11.30 | -43.9 ± 16.3 | -59.4 ± 7.58 | -0.57 ± 10.63 |
Serum urate values were obtained at the Day 28 visit. The percent change in serum urate from baseline to the Day 28 visit was summarized.
| percent change from baseline | Febuxostat 40 mg QD | Febuxostat 80 mg QD | Febuxostat 120 mg QD | Placebo QD |
|---|---|---|---|---|
| Percent Change in Serum Urate Levels From Baseline to the Day 28 Visit. | -36.6 ± 12.07 | -44.3 ± 17.53 | -59.1 ± 9.92 | -2.2 ± 12.5 |
Serum urate values were obtained at the Day 7, 14, 21,and 28 visits. The maximum percent change in serum urate levels obtained at any visit was summarized.
| percent change from baseline | Febuxostat 40 mg QD | Febuxostat 80 mg QD | Febuxostat 120 mg QD | Placebo QD |
|---|---|---|---|---|
| Maximum Percent Change in Serum Urate Level From Baseline During the Entire Treatment Period. | 42.5 ± 10.04 | 49.2 ± 13.24 | 62.8 ± 7.05 | 10.0 ± 11.12 |
24-hour urine uric acid levels were obtained at the Day 28 visit. The percent change in 24-hour urine uric acid level from baseline to the Day 28 visit was summarized.
| percent change from baseline | Febuxostat 40 mg QD | Febuxostat 80 mg QD | Febuxostat 120 mg QD | Placebo QD |
|---|---|---|---|---|
| Percent Change in 24-hour Urine Uric Acid Level From Baseline to Day 28. | -43.6 ± 28.9 | -46.5 ± 27.0 | -45.7 ± 30.1 | 5.9 ± 37.1 |
Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Febuxostat 40 mg QD | — | 0/37 (0%) | 18/37 (48.6%) |
| Febuxostat 80 mg QD | — | 1/40 (2.5%) | 19/40 (47.5%) |
| Febuxostat 120 mg QD | — | 2/38 (5.3%) | 16/38 (42.1%) |
| Placebo QD | — | 0/38 (0%) | 17/38 (44.7%) |
| Event | Febuxostat 40 mg QD | Febuxostat 80 mg QD | Febuxostat 120 mg QD | Placebo QD |
|---|---|---|---|---|
| Suicide AttemptPsychiatric disorders | 0/37 | 0/40 | 1/38 | 0/38 |
| Back PainGeneral disorders | 0/37 | 0/40 | 1/38 | 0/38 |
| DeliriumNervous system disorders | 0/37 | 1/40 | 0/38 | 0/38 |
| Guillian Barre SyndromeNervous system disorders | 0/37 | 1/40 | 0/38 | 0/38 |
| PneumoniaRespiratory, thoracic and mediastinal disorders | 0/37 | 1/40 | 0/38 | 0/38 |
| Event | Febuxostat 40 mg QD | Febuxostat 80 mg QD | Febuxostat 120 mg QD | Placebo QD |
|---|---|---|---|---|
| DiarrhoeaGastrointestinal disorders | 1/37 | 8/40 | 4/38 | 4/38 |
| PainGeneral disorders | 6/37 | 3/40 | 2/38 | 4/38 |
| Back PainGeneral disorders | 3/37 | 2/40 | 2/38 | 1/38 |
| HeadacheNervous system disorders | 3/37 | 2/40 | 2/38 | 1/38 |
| Abdominal PainGeneral disorders | 1/37 | 1/40 | 2/38 | 3/38 |
| RashSkin and subcutaneous tissue disorders | 0/37 | 1/40 | 3/38 | 0/38 |
| Increased AppetiteGastrointestinal disorders | 2/37 | 0/40 | 0/38 | 0/38 |
| Liver Function Tests AbnormalInvestigations | 2/37 | 1/40 | 1/38 | 1/38 |
| ArthralgiaMusculoskeletal and connective tissue disorders | 2/37 | 1/40 | 2/38 | 0/38 |
| Flu SyndromeGeneral disorders | 1/37 | 0/40 | 1/38 | 2/38 |
| Age Continuous(years) | Febuxostat 40 mg QD | Febuxostat 80 mg QD | Febuxostat 120 mg QD | Placebo QD | Total |
|---|---|---|---|---|---|
| Mean | 52.2 ± 14.04 | 55.2 ± 13.09 | 56.2 ± 10.83 | 52.4 ± 12.63 | 54.0 ± 12.69 |
| Age, Customized(participants) | Febuxostat 40 mg QD | Febuxostat 80 mg QD | Febuxostat 120 mg QD | Placebo QD | Total |
|---|---|---|---|---|---|
| <45 years | 8 | 10 | 7 | 12 | 37 |
| 45 years to <65 years | 21 | 19 | 23 | 17 | 80 |
| ≥65 years | 8 | 11 | 8 | 9 | 36 |
| Sex: Female, Male(Participants) | Febuxostat 40 mg QD | Febuxostat 80 mg QD | Febuxostat 120 mg QD | Placebo QD | Total |
|---|---|---|---|---|---|
| Female | 4 | 2 | 5 | 6 | 17 |
| Male | 33 | 38 | 33 | 32 | 136 |
| Race/Ethnicity, Customized(participants) | Febuxostat 40 mg QD | Febuxostat 80 mg QD | Febuxostat 120 mg QD | Placebo QD | Total |
|---|---|---|---|---|---|
| White | 32 | 35 | 34 | 32 | 133 |
| Black or African American | 3 | 3 | 2 | 3 | 11 |
| Hispanic | 1 | 1 | 1 | 1 | 4 |
| Asian | 0 | 1 | 1 | 0 | 2 |
| Other | 1 | 0 | 0 | 2 | 3 |
| Body Mass Index(participants) | Febuxostat 40 mg QD | Febuxostat 80 mg QD | Febuxostat 120 mg QD | Placebo QD | Total |
|---|---|---|---|---|---|
| ≤25 kilogram per meter² (kg/m²) | 2 | 3 | 3 | 0 | 8 |
| >25 kg/m² to 30 kg/m² | 12 | 12 | 14 | 13 | 51 |
| >30 kg/m² to 35 kg/m² | 16 | 12 | 12 | 16 | 56 |
| >35 kg/m² to 40 kg/m² | 4 | 7 | 5 | 6 | 22 |
| >40 kg/m² | 3 | 6 | 3 | 3 | 15 |
| missing | 0 | 0 | 1 | 0 | 1 |
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