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NCT01080131 · OUTCOME

Physician's Assessment of Tenderness, Swelling, and Erythema of the Most Affected Joint

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 Colchicines Including a 12 Week Extension and a 1 Year Open-label 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 and 24 weeks post-dose

What was measured

The study physician assessed the most affected joint for: Tenderness on a 0-3 point scale: No pain, patient states that "there is pain", patient states "there is pain and winces", and patient states "there is pain, winces, and withdraws" on palpation or passive movement of the affected study joint; Swelling on a 0-3 point scale: No swelling, palpable, visible, and bulging beyond the joint margins; and Erythema: Present or absent. The percentage of participants in each category is reported.

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 available at the specified time point.

Groups in this outcome

Canakinumab 150 mg

Participants received 1 subcutaneous (sc) injection of canakinumab 150 mg and 1 intramuscular (im) injection of placebo to triamcinolone acetonide on Day 1. Participants 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. In the first extension study participants completing the 12 week core study could continue to be treated on demand with the same treatment for another 12 weeks for any new gout flare.

Triamcinolone Acetonide 40 mg

Participants received 1 intramuscular injection of triamcinolone acetonide 40 mg and 1 sc injection of placebo to canakinumab on Day 1. Participants 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. In the first extension study participants completing the 12 week core study could continue to be treated on demand with the same treatment for another 12 weeks for any new gout flare.

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 mg112
Triamcinolone Acetonide 40 mg114

Reported measurements

72 hours - Tenderness: No pain [N=107, 109]
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Canakinumab 150 mg47.7Not reportedNot reportedNot reportedNot reported
Triamcinolone Acetonide 40 mg30.3Not reportedNot reportedNot reportedNot reported
72 hours - Tenderness: Pain [N=107, 109]
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Canakinumab 150 mg43.9Not reportedNot reportedNot reportedNot reported
Triamcinolone Acetonide 40 mg46.8Not reportedNot reportedNot reportedNot reported
72 hours - Tenderness: Pain & winces [N=107, 109]
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Canakinumab 150 mg4.7Not reportedNot reportedNot reportedNot reported
Triamcinolone Acetonide 40 mg14.7Not reportedNot reportedNot reportedNot reported
72 hours - Tenderness:Winces/withdraws [N=107,109]
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Canakinumab 150 mg3.7Not reportedNot reportedNot reportedNot reported
Triamcinolone Acetonide 40 mg8.3Not reportedNot reportedNot reportedNot reported
24 weeks - Tenderness: No pain [N=79, 71]
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Canakinumab 150 mg88.6Not reportedNot reportedNot reportedNot reported
Triamcinolone Acetonide 40 mg91.5Not reportedNot reportedNot reportedNot reported
24 weeks - Tenderness: Pain [N=79, 71]
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Canakinumab 150 mg8.9Not reportedNot reportedNot reportedNot reported
Triamcinolone Acetonide 40 mg5.6Not reportedNot reportedNot reportedNot reported
24 weeks - Tenderness: Pain and winces [N=79, 71]
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Canakinumab 150 mg1.3Not reportedNot reportedNot reportedNot reported
Triamcinolone Acetonide 40 mg1.4Not reportedNot reportedNot reportedNot reported
24 weeks - Tenderness: Winces/withdraws [N=79, 71]
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Canakinumab 150 mg1.3Not reportedNot reportedNot reportedNot reported
Triamcinolone Acetonide 40 mg1.4Not reportedNot reportedNot reportedNot reported
72 hours - Swelling: No swelling [N=107,109]
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Canakinumab 150 mg47.7Not reportedNot reportedNot reportedNot reported
Triamcinolone Acetonide 40 mg35.8Not reportedNot reportedNot reportedNot reported
72 hours - Swelling: Palpable [N=107,109]
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Canakinumab 150 mg28.0Not reportedNot reportedNot reportedNot reported
Triamcinolone Acetonide 40 mg29.4Not reportedNot reportedNot reportedNot reported
72 hours - Swelling: Visible [N=107,109]
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Canakinumab 150 mg22.4Not reportedNot reportedNot reportedNot reported
Triamcinolone Acetonide 40 mg28.4Not reportedNot reportedNot reportedNot reported
72 hours - Swelling: Bulging [N=107,109]
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Canakinumab 150 mg1.9Not reportedNot reportedNot reportedNot reported
Triamcinolone Acetonide 40 mg6.4Not reportedNot reportedNot reportedNot reported
24 weeks - Swelling: No swelling [N=79, 71]
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Canakinumab 150 mg93.7Not reportedNot reportedNot reportedNot reported
Triamcinolone Acetonide 40 mg94.4Not reportedNot reportedNot reportedNot reported
24 weeks - Swelling: Palpable [N=79, 71]
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Canakinumab 150 mg5.1Not reportedNot reportedNot reportedNot reported
Triamcinolone Acetonide 40 mg4.2Not reportedNot reportedNot reportedNot reported
24 weeks - Swelling: Visible [N=79, 71]
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Canakinumab 150 mg1.3Not reportedNot reportedNot reportedNot reported
Triamcinolone Acetonide 40 mg1.4Not reportedNot reportedNot reportedNot reported
24 weeks - Swelling: Bulging [N=79, 71]
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
72 hours - Erythema: Absent [N=107, 108]
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Canakinumab 150 mg74.8Not reportedNot reportedNot reportedNot reported
Triamcinolone Acetonide 40 mg66.7Not reportedNot reportedNot reportedNot reported
72 hours - Erythema: Present [N=107, 108]
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Canakinumab 150 mg25.2Not reportedNot reportedNot reportedNot reported
Triamcinolone Acetonide 40 mg33.3Not reportedNot reportedNot reportedNot reported
24 weeks - Erythema: Absent [N=79, 71]
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Canakinumab 150 mg97.5Not reportedNot reportedNot reportedNot reported
Triamcinolone Acetonide 40 mg97.2Not reportedNot reportedNot reportedNot reported
24 weeks - Erythema: Present [N=79, 71]
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Canakinumab 150 mg2.5Not reportedNot reportedNot reportedNot reported
Triamcinolone Acetonide 40 mg2.8Not reportedNot reportedNot reportedNot reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        value
        47.7
      2. group Id
        OG001
        value
        30.3
    title
    72 hours - Tenderness: No pain [N=107, 109]
  2. categories
    1. measurements
      1. group Id
        OG000
        value
        43.9
      2. group Id
        OG001
        value
        46.8
    title
    72 hours - Tenderness: Pain [N=107, 109]
  3. categories
    1. measurements
      1. group Id
        OG000
        value
        4.7
      2. group Id
        OG001
        value
        14.7
    title
    72 hours - Tenderness: Pain & winces [N=107, 109]
  4. categories
    1. measurements
      1. group Id
        OG000
        value
        3.7
      2. group Id
        OG001
        value
        8.3
    title
    72 hours - Tenderness:Winces/withdraws [N=107,109]
  5. categories
    1. measurements
      1. group Id
        OG000
        value
        88.6
      2. group Id
        OG001
        value
        91.5
    title
    24 weeks - Tenderness: No pain [N=79, 71]
  6. categories
    1. measurements
      1. group Id
        OG000
        value
        8.9
      2. group Id
        OG001
        value
        5.6
    title
    24 weeks - Tenderness: Pain [N=79, 71]
  7. categories
    1. measurements
      1. group Id
        OG000
        value
        1.3
      2. group Id
        OG001
        value
        1.4
    title
    24 weeks - Tenderness: Pain and winces [N=79, 71]
  8. categories
    1. measurements
      1. group Id
        OG000
        value
        1.3
      2. group Id
        OG001
        value
        1.4
    title
    24 weeks - Tenderness: Winces/withdraws [N=79, 71]
  9. categories
    1. measurements
      1. group Id
        OG000
        value
        47.7
      2. group Id
        OG001
        value
        35.8
    title
    72 hours - Swelling: No swelling [N=107,109]
  10. categories
    1. measurements
      1. group Id
        OG000
        value
        28.0
      2. group Id
        OG001
        value
        29.4
    title
    72 hours - Swelling: Palpable [N=107,109]
  11. categories
    1. measurements
      1. group Id
        OG000
        value
        22.4
      2. group Id
        OG001
        value
        28.4
    title
    72 hours - Swelling: Visible [N=107,109]
  12. categories
    1. measurements
      1. group Id
        OG000
        value
        1.9
      2. group Id
        OG001
        value
        6.4
    title
    72 hours - Swelling: Bulging [N=107,109]
denoms
  1. counts
    1. group Id
      OG000
      value
      112
    2. group Id
      OG001
      value
      114
    units
    Participants
description
The study physician assessed the most affected joint for: Tenderness on a 0-3 point scale: No pain, patient states that "there is pain", patient states "there is pain and winces", and patient states "there is pain, winces, and withdraws" on palpation or passive movement of the affected study joint; Swelling on a 0-3 point scale: No swelling, palpable, visible, and bulging beyond the joint margins; and Erythema: Present or absent. The percentage of participants in each category is reported.
groups
  1. description
    Participants received 1 subcutaneous (sc) injection of canakinumab 150 mg and 1 intramuscular (im) injection of placebo to triamcinolone acetonide on Day 1. Participants 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. In the first extension study participants completing the 12 week core study could continue to be treated on demand with the same treatment for another 12 weeks for any new gout flare.
    id
    OG000
    title
    Canakinumab 150 mg
  2. description
    Participants received 1 intramuscular injection of triamcinolone acetonide 40 mg and 1 sc injection of placebo to canakinumab on Day 1. Participants 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. In the first extension study participants completing the 12 week core study could continue to be treated on demand with the same treatment for another 12 weeks for any new gout flare.
    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 available at the specified time point.
reporting Status
POSTED
time Frame
72 hours post-dose and 24 weeks post-dose
title
Physician's Assessment of Tenderness, Swelling, and Erythema of the Most Affected Joint
type
SECONDARY
unit Of Measure
percentage of participants

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Preserved source evidence · Not medical advice