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NCT01029652 · OUTCOME

High-sensitivity C-reactive Protein (hsCRP) Levels for Patients Re-treated With or Switched to Canakinumab

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
MEAN
Unit
mg/L
Interval / dispersion
Standard Deviation
Time frame
24 hours, 72 hours, 7 days, 4 weeks, 8 weeks and 12 weeks post-dose for the last post-baseline flare for patients re-treated with canakinumab or first post-baseline flare treated with canakinumab for patients switched treatment (during 72 weeks overall)

What was measured

High sensitivity C-reactive protein (hsCRP) levels were determined in blood serum in order to identify the presence of inflammation, to determine its severity, and to monitor the response to treatment. Analytes were measured by a central laboratory. The treatment effect reported for canakinumab arm was for last post-baseline flare after re-treated with canakinumab and for patient which switched to Canakinumab arm was for first post-baseline flare after receiving the first dose of canakinumab.

Analysis population: Modified Analysis Set (MAS) consists of all FAS patients who were either re-treated or switched to canakinumab during 72 weeks. At each timepoint only patients with a value at both baseline flare and the new flare are included

Groups in this outcome

Randomized to Canakinumab and Re-treated With Canakinumab

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.

Randomized to Triamcinolone and Switched to Canakinumab

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
Randomized to Canakinumab and Re-treated With Canakinumab69
Randomized to Triamcinolone and Switched to Canakinumab39

Reported measurements

24 hours post dose (n= 45, 24)
Values in mg/L · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Randomized to Canakinumab and Re-treated With Canakinumab28.942.26Not reportedNot reportedNot reported
Randomized to Triamcinolone and Switched to Canakinumab26.029.07Not reportedNot reportedNot reported
72 hours post dose (n=45, 34)
Values in mg/L · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Randomized to Canakinumab and Re-treated With Canakinumab10.614.69Not reportedNot reportedNot reported
Randomized to Triamcinolone and Switched to Canakinumab7.08.06Not reportedNot reportedNot reported
7 days post dose (n=67, 39)
Values in mg/L · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Randomized to Canakinumab and Re-treated With Canakinumab3.33.38Not reportedNot reportedNot reported
Randomized to Triamcinolone and Switched to Canakinumab3.23.57Not reportedNot reportedNot reported
4 weeks post dose (n=52, 35)
Values in mg/L · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Randomized to Canakinumab and Re-treated With Canakinumab9.248.57Not reportedNot reportedNot reported
Randomized to Triamcinolone and Switched to Canakinumab3.24.95Not reportedNot reportedNot reported
8 weeks post dose (n=45, 37)
Values in mg/L · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Randomized to Canakinumab and Re-treated With Canakinumab2.63.00Not reportedNot reportedNot reported
Randomized to Triamcinolone and Switched to Canakinumab3.06.74Not reportedNot reportedNot reported
12 weeks post dose (n=42, 33)
Values in mg/L · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Randomized to Canakinumab and Re-treated With Canakinumab6.512.99Not reportedNot reportedNot reported
Randomized to Triamcinolone and Switched to Canakinumab4.311.90Not reportedNot reportedNot reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        spread
        42.26
        value
        28.9
      2. group Id
        OG001
        spread
        29.07
        value
        26.0
    title
    24 hours post dose (n= 45, 24)
  2. categories
    1. measurements
      1. group Id
        OG000
        spread
        14.69
        value
        10.6
      2. group Id
        OG001
        spread
        8.06
        value
        7.0
    title
    72 hours post dose (n=45, 34)
  3. categories
    1. measurements
      1. group Id
        OG000
        spread
        3.38
        value
        3.3
      2. group Id
        OG001
        spread
        3.57
        value
        3.2
    title
    7 days post dose (n=67, 39)
  4. categories
    1. measurements
      1. group Id
        OG000
        spread
        48.57
        value
        9.2
      2. group Id
        OG001
        spread
        4.95
        value
        3.2
    title
    4 weeks post dose (n=52, 35)
  5. categories
    1. measurements
      1. group Id
        OG000
        spread
        3.00
        value
        2.6
      2. group Id
        OG001
        spread
        6.74
        value
        3.0
    title
    8 weeks post dose (n=45, 37)
  6. categories
    1. measurements
      1. group Id
        OG000
        spread
        12.99
        value
        6.5
      2. group Id
        OG001
        spread
        11.90
        value
        4.3
    title
    12 weeks post dose (n=42, 33)
denoms
  1. counts
    1. group Id
      OG000
      value
      69
    2. group Id
      OG001
      value
      39
    units
    Participants
description
High sensitivity C-reactive protein (hsCRP) levels were determined in blood serum in order to identify the presence of inflammation, to determine its severity, and to monitor the response to treatment. Analytes were measured by a central laboratory. The treatment effect reported for canakinumab arm was for last post-baseline flare after re-treated with canakinumab and for patient which switched to Canakinumab arm was for first post-baseline flare after receiving the first dose of canakinumab.
dispersion Type
Standard Deviation
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.
    id
    OG000
    title
    Randomized to Canakinumab and Re-treated With Canakinumab
  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
    Randomized to Triamcinolone and Switched to Canakinumab
param Type
MEAN
population Description
Modified Analysis Set (MAS) consists of all FAS patients who were either re-treated or switched to canakinumab during 72 weeks. At each timepoint only patients with a value at both baseline flare and the new flare are included
reporting Status
POSTED
time Frame
24 hours, 72 hours, 7 days, 4 weeks, 8 weeks and 12 weeks post-dose for the last post-baseline flare for patients re-treated with canakinumab or first post-baseline flare treated with canakinumab for patients switched treatment (during 72 weeks overall)
title
High-sensitivity C-reactive Protein (hsCRP) Levels for Patients Re-treated With or Switched to Canakinumab
type
SECONDARY
unit Of Measure
mg/L

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Preserved source evidence · Not medical advice