Study to Evaluate the Urate-Lowering Activity and Safety of Oral BCX4208 Administered in Subjects With Gout

Completed · Phase 2 · Has a placebo group

Conditions studied: Gout

In brief

The study will be conducted in two parts. The first is a parallel-group design, evaluating doses of 40 mg, 80 mg or 120 mg BCX-4208. The second part is planned as a dose-escalation study, evaluating higher doses including 160 mg, 240 mg and 320 mg BCX-4208. The study's primary endpoint is the change in uric acid in the blood compared to baseline measurement prior to treatment, assessed on Day 22.

Key facts

Study ID

NCT00985127

Run by

BioCryst Pharmaceuticals

People needed

99

Starts

2009-09-01

Expected to finish

2010-09-01

Last updated by the study team

2012-01-23

Who can join

Age: 18 and older, up to 69. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Age ≥18 to <70 years
• Have read and signed the ICF after the nature of the study has been fully explained
• Screening sUA ≥8.0 mg/dL
• Diagnosis of gout according to the preliminary criteria of the American Rheumatism Association (1977)
• Female participants must meet at least one of the following specifications:
• Be surgically sterile
• Be post-menopausal as defined by:
• females ≥55 years of age whose last menstrual period >1 year
• females between ≥45 and <55 years of age whose last menstrual period > 1 year and FSH >40 mIU/mL and estradiol <40 pg/mL
• Use oral contraceptives or some other form of hormonal birth control including hormonal vaginal rings or transdermal patches for 3 months prior to study drug dosing through 4 weeks after study drug administration
• Use an intrauterine device as birth control for 8 weeks prior to study drug dosing through 4 weeks after study drug administration
• Use (or ensure male partner[s]'s compliance with) a barrier contraception method (condom or diaphragm with a spermicide) for 4 weeks prior to study drug dosing through 4 weeks after study drug administration
• Male participants must be considered not of child-bearing potential defined as >1 year post-vasectomy or use a condom for 4 weeks prior to study drug dosing through 4 weeks after study drug administration. In addition, they must ensure their sexual partner complies with the female contraception requirements specified above.
• Be willing to avoid procreation for 3 months after study drug administration.
• Be willing and able to provide authorization for the use and disclosure of personal health information in accordance with Health Insurance Portability and Accountability policy.

You may not qualify if…

• Unstable angina
• History of cardiac arrhythmia
• History of congenital long QT
• Presence of cardiac signs or symptoms compatible with New York Heart Association Class III or Class IV functional status for congestive heart failure or angina
• Uncontrolled hypertension (above 150/95 mm Hg)
• History of moderate or severe renal impairment and/or previous clinical laboratory data indicating an estimated calculated creatinine clearance < 60 mL/min during the previous 12 months
• ALT/AST values >2.0 x ULN
• CD4+ cell counts by flow cytometry <500 cells/mm3 or >1600 cells/mm3
• Hemoglobin <12 g/dL or >17 g/dL (males) or < 11 g/dL or >16 g/dL (females)
• Hematocrit <37% or >51% (males) or <33 % or >47% (females)
• WBC <3.7 x 109/L or >11 X 109/L
• Immunocompromised due to illness or organ transplant
• Current use of systemic immunosuppressive medications or treatments
• Gout flare during the Screening Period that is resolved for less than 3 weeks prior to first treatment with study drug (exclusive of chronic synovitis/ arthritis)
• Recipient of any live, attenuated vaccine within 6 weeks of Screening
• History of clinically significant and relevant drug and/or food allergies
• History of chronic or recurrent infections
• History of any type of cancer (hematologic or solid tumor), that has required chemotherapy or radiation therapy in the previous 12 months, excluding non-melanomatous localized skin cancer
• Use of uric acid-lowering drugs within 30 days prior to the first dose of study drug or other prohibited medications within the timeframes specified in the protocol
• ACTH administration within 30 days of first treatment with study drug
• Intra-articular corticosteroid administration within 30 days of first treatment with study drug
• Systemic or oral glucocorticosteroid use within 4 weeks of first treatment with study drug or for a period of ≥ 6 months out of the last 12 months prior to the first treatment with study drug
• History of alcohol or drug abuse within the year prior to the signing of the ICF, or current evidence of substance dependence or abuse (alcohol intake > 3 drinks per day)
• Female subjects who are pregnant, planning a pregnancy or breastfeeding
• Positive pregnancy test

Where it is running

• Radiant Research, Inc. — Scottsdale, Arizona, United States
• Catalina Pointe Clinical Research — Tucson, Arizona, United States
• Irvine Center for Clinical Research — Irvine, California, United States
• San Diego Arthritis Medical Clinic — San Diego, California, United States
• Avail Clinical Research — DeLand, Florida, United States
• Anchor Research Center — Naples, Florida, United States
• East-West Medical Research Institute — Honolulu, Hawaii, United States
• Selah Medical Center — Boise, Idaho, United States
• Kentucky Medical Research Center — Lexington, Kentucky, United States
• Arthritis & Osteoporosis Center of Maryland — Frederick, Maryland, United States
• Olive Branch Family Medical Center — Olive Branch, Mississippi, United States
• Medex Healthcare Research — St Louis, Missouri, United States
• Bozeman Urgent Care Center — Bozeman, Montana, United States
• Heartland Clinical Research — Omaha, Nebraska, United States
• Arthritis Center of Reno — Reno, Nevada, United States
• New Mexico Clinical Research & Osteoporosis Center — Albuquerque, New Mexico, United States
• Triangle Medical Research Associates — Raleigh, North Carolina, United States
• STAT Research — Dayton, Ohio, United States
• Lynn Health Science Institute — Oklahoma City, Oklahoma, United States
• Altoona Center for Clinical Research — Duncansville, Pennsylvania, United States
• Carolinas Center for Rheumatology & Arthritis — Rock Hill, South Carolina, United States
• Health Concepts — Rapid City, South Dakota, United States
• Renaissance Clinical Research — Dallas, Texas, United States
• Northwest Clinical Research Center — Bellevue, Washington, United States

Full record on ClinicalTrials.gov

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