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NCT01029652 · OUTCOME

Physician's Global Assessment of Response to Treatment

Canakinumab in the Treatment of Acute Gout Flares and Prevention of New Flares in Patients Unable to Use Non-steroidal Anti-inflammatory Drugs (NSAIDs) and/or Colchicine Including a 12 Weeks Extension and an Open-label 48 Weeks Extension Study · Source last updated 2014-01-30

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
NUMBER
Unit
Percentage of participants
Interval / dispersion
Not reported
Time frame
72 hours post-dose (randomization), 72 hours post-dose for the last post-baseline flare (during 24 weeks overall)

What was measured

The study physician made a global assessment of the patient's response to treatment using a 5-point Likert scale: Very good, good, fair, poor, very poor. The percentage of patients in each category is reported. The physician completed the assessment without viewing any of the patient's assessments (pain intensity \[Visual Analog Scale and Likert scale\] and patient's global assessment of response to treatment).

Analysis population: The Full Analysis Set (FAS) consisted of all patients as randomized in the core study who had taken at least one dose of study drug. 'N' in each category indicates participants with observations analyzed for this endpoint at specified time points.

Groups in this outcome

Canakinumab 150 mg

Patients received 1 subcutaneous (sc) injection of canakinumab 150 mg and 1 intramuscular (im) injection of placebo to triamcinolone acetonide on Day 1. Patients could receive a re-dose of study drug on demand upon the occurrence of new flares, but re-dosing could not occur until 14 days had elapsed after the previous dose. Patients completing the 12 weeks core study were allowed to continue to be treated in another 12 weeks extension study for any new gout flare on demand with the same treatment as assigned in the core study. After completing the first extension study, patients were offered to enter the second extension study, whereby all patients were treated open-label "on demand" with canakinumab 150 mg sc upon new flare for 1 year for a total duration of 18 months following randomization in the core study.

Triamcinolone Acetonide 40 mg

Patients received 1 intramuscular (im) injection of triamcinolone acetonide 40 mg and 1 subcutaneous (sc) injection of placebo to canakinumab on Day 1. Patients could receive a re-dose of study drug on demand upon the occurrence of new flares, but re-dosing could not occur until 14 days had elapsed after the previous dose. Patients completing the 12 weeks core study were allowed to continue to be treated in another 12 week extension study for any new gout flare on demand with the same treatment as assigned in the core study. Patients under this arm who agreed to continue to 2nd extension period of 12 months, were switched to canakinumab 150 mg sc for any new gout flare during this period

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Canakinumab 150 mg113
Triamcinolone Acetonide 40 mg115

Reported measurements

Very good (Core) [N=113,110]
Values in Percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Canakinumab 150 mg16.8Not reportedNot reportedNot reportedNot reported
Triamcinolone Acetonide 40 mg15.5Not reportedNot reportedNot reportedNot reported
Good (Core) [N=113, 110]
Values in Percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Canakinumab 150 mg47.8Not reportedNot reportedNot reportedNot reported
Triamcinolone Acetonide 40 mg30.0Not reportedNot reportedNot reportedNot reported
Fair (Core) [N= 113, 110]
Values in Percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Canakinumab 150 mg26.5Not reportedNot reportedNot reportedNot reported
Triamcinolone Acetonide 40 mg32.7Not reportedNot reportedNot reportedNot reported
Poor (Core) [N= 113, 110]
Values in Percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Canakinumab 150 mg7.1Not reportedNot reportedNot reportedNot reported
Triamcinolone Acetonide 40 mg14.5Not reportedNot reportedNot reportedNot reported
Very poor (Core) [N=113, 110]
Values in Percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Canakinumab 150 mg1.8Not reportedNot reportedNot reportedNot reported
Triamcinolone Acetonide 40 mg7.3Not reportedNot reportedNot reportedNot reported
Very Good ( 24 weeks) [N=87, 79]
Values in Percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Canakinumab 150 mg43.7Not reportedNot reportedNot reportedNot reported
Triamcinolone Acetonide 40 mg27.8Not reportedNot reportedNot reportedNot reported
Good (24 weeks) [N=87, 79]
Values in Percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Canakinumab 150 mg50.6Not reportedNot reportedNot reportedNot reported
Triamcinolone Acetonide 40 mg50.6Not reportedNot reportedNot reportedNot reported
Fair (24 weeks) [N=87, 79]
Values in Percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Canakinumab 150 mg5.7Not reportedNot reportedNot reportedNot reported
Triamcinolone Acetonide 40 mg17.7Not reportedNot reportedNot reportedNot reported
Poor (24 weeks) [N=87, 79]
Values in Percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Canakinumab 150 mg0.0Not reportedNot reportedNot reportedNot reported
Triamcinolone Acetonide 40 mg3.8Not reportedNot reportedNot reportedNot reported
Very Poor (24 weeks) [N=87, 79]
Values in Percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Canakinumab 150 mg0.0Not reportedNot reportedNot reportedNot reported
Triamcinolone Acetonide 40 mg0.0Not reportedNot reportedNot reportedNot reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        value
        16.8
      2. group Id
        OG001
        value
        15.5
    title
    Very good (Core) [N=113,110]
  2. categories
    1. measurements
      1. group Id
        OG000
        value
        47.8
      2. group Id
        OG001
        value
        30.0
    title
    Good (Core) [N=113, 110]
  3. categories
    1. measurements
      1. group Id
        OG000
        value
        26.5
      2. group Id
        OG001
        value
        32.7
    title
    Fair (Core) [N= 113, 110]
  4. categories
    1. measurements
      1. group Id
        OG000
        value
        7.1
      2. group Id
        OG001
        value
        14.5
    title
    Poor (Core) [N= 113, 110]
  5. categories
    1. measurements
      1. group Id
        OG000
        value
        1.8
      2. group Id
        OG001
        value
        7.3
    title
    Very poor (Core) [N=113, 110]
  6. categories
    1. measurements
      1. group Id
        OG000
        value
        43.7
      2. group Id
        OG001
        value
        27.8
    title
    Very Good ( 24 weeks) [N=87, 79]
  7. categories
    1. measurements
      1. group Id
        OG000
        value
        50.6
      2. group Id
        OG001
        value
        50.6
    title
    Good (24 weeks) [N=87, 79]
  8. categories
    1. measurements
      1. group Id
        OG000
        value
        5.7
      2. group Id
        OG001
        value
        17.7
    title
    Fair (24 weeks) [N=87, 79]
  9. categories
    1. measurements
      1. group Id
        OG000
        value
        0.0
      2. group Id
        OG001
        value
        3.8
    title
    Poor (24 weeks) [N=87, 79]
  10. categories
    1. measurements
      1. group Id
        OG000
        value
        0.0
      2. group Id
        OG001
        value
        0.0
    title
    Very Poor (24 weeks) [N=87, 79]
denoms
  1. counts
    1. group Id
      OG000
      value
      113
    2. group Id
      OG001
      value
      115
    units
    Participants
description
The study physician made a global assessment of the patient's response to treatment using a 5-point Likert scale: Very good, good, fair, poor, very poor. The percentage of patients in each category is reported. The physician completed the assessment without viewing any of the patient's assessments (pain intensity \[Visual Analog Scale and Likert scale\] and patient's global assessment of response to treatment).
groups
  1. description
    Patients received 1 subcutaneous (sc) injection of canakinumab 150 mg and 1 intramuscular (im) injection of placebo to triamcinolone acetonide on Day 1. Patients could receive a re-dose of study drug on demand upon the occurrence of new flares, but re-dosing could not occur until 14 days had elapsed after the previous dose. Patients completing the 12 weeks core study were allowed to continue to be treated in another 12 weeks extension study for any new gout flare on demand with the same treatment as assigned in the core study. After completing the first extension study, patients were offered to enter the second extension study, whereby all patients were treated open-label "on demand" with canakinumab 150 mg sc upon new flare for 1 year for a total duration of 18 months following randomization in the core study.
    id
    OG000
    title
    Canakinumab 150 mg
  2. description
    Patients received 1 intramuscular (im) injection of triamcinolone acetonide 40 mg and 1 subcutaneous (sc) injection of placebo to canakinumab on Day 1. Patients could receive a re-dose of study drug on demand upon the occurrence of new flares, but re-dosing could not occur until 14 days had elapsed after the previous dose. Patients completing the 12 weeks core study were allowed to continue to be treated in another 12 week extension study for any new gout flare on demand with the same treatment as assigned in the core study. Patients under this arm who agreed to continue to 2nd extension period of 12 months, were switched to canakinumab 150 mg sc for any new gout flare during this period
    id
    OG001
    title
    Triamcinolone Acetonide 40 mg
param Type
NUMBER
population Description
The Full Analysis Set (FAS) consisted of all patients as randomized in the core study who had taken at least one dose of study drug. 'N' in each category indicates participants with observations analyzed for this endpoint at specified time points.
reporting Status
POSTED
time Frame
72 hours post-dose (randomization), 72 hours post-dose for the last post-baseline flare (during 24 weeks overall)
title
Physician's Global Assessment of Response to Treatment
type
SECONDARY
unit Of Measure
Percentage of participants

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Preserved source evidence · Not medical advice