Study of KRYSTEXXA® (Pegloticase) Plus Methotrexate in Participants With Uncontrolled Gout

PHASE4CompletedINTERVENTIONAL
Enrollment

152

Participants

Timeline

Start Date

June 13, 2019

Primary Completion Date

March 17, 2021

Study Completion Date

April 11, 2022

Conditions
Gout
Interventions
BIOLOGICAL

Pegloticase

IV pegloticase 8 mg Q2W

DRUG

methotrexate

Oral MTX 15 mg weekly

DRUG

placebo

Oral placebo for MTX

DIETARY_SUPPLEMENT

folic acid

Folic acid 1 mg orally every day beginning at Week -6 until prior to the Week 52 Visit.

DRUG

gout flare prophylaxis regimen

Prior to beginning the Pegloticase + IMM Period, participants must have been taking at least 1 protocol-standard gout flare prophylaxis regimen (i.e. colchicine and/or nonsteroidal anti-inflammatory drugs and/or low-dose prednisone ≤ 10 mg/day) for ≥ 1 week before the first dose of pegloticase and to continue flare prophylaxis per American College of Rheumatology guidelines \[Khanna D et al. 2012\] for the greater of 1) 6 months, 2) 3 months after achieving target serum urate (sUA \< 6 mg/dL) for participants with no tophi detected on physical exam, or 3) 6 months after achieving target serum urate (sUA \< 5 mg/dL) for participants with one or more tophi detected on initial physical exam that then resolved.

DRUG

fexofenadine

For IR prophylaxis, fexofenadine (180 mg orally) taken the day before each infusion and on the morning of each infusion.

DRUG

acetaminophen

For IR prophylaxis, acetaminophen (1000 mg orally) taken the morning of each infusion.

DRUG

methylprednisolone

For IR prophylaxis, methylprednisolone (125 mg IV) given over an infusion duration between 10 - 30 minutes, immediately prior to each infusion.

Trial Locations (60)

11702

Long Island Arthritis & Osteoporosis Care, Babylon

14127

Buffalo Rheumatology and Medicine, Orchard Park

16635

Altoona Center for Clinical Research, Duncansville

20745

MD Medical Research, Oxon Hill

20902

The Center for Rheumatology and Bone Research, Wheaton

27408

Medication Management, LLC, Greensboro

28025

NorthEast Rheumatology/Atrium Health, Concord

NorthEast Rheumatology, Concord

28144

ClinEdge PMG Research of Salisbury, LLC, Salisbury

28150

Shelby Clinical Research, LLC, Shelby

28401

PMG Research of Wilmington, LLC, Wilmington

28602

ClinEdge PMG Research of Hickory, LLC, Hickory

29486

Articularis Healthcare Group, Summerville

29601

Piedmont Arthritis Clinic, Greenville

32720

Avail Clinical Research, DeLand

32808

Omega Research Maitland, Orlando

33064

Napa Research Center, Pompano Beach

33166

Prohealth Research Center, Doral

33542

Florida Medical Clinic, LLC, Zephyrhills

33609

GCP Clinical Research, Tampa

33782

DMI Research, Pinellas Park

35294

University of Alabama, Birmingham

38119

Ramesh C. Gupta, M.D., Memphis

38305

West Tennessee Research Institute, Jackson

43551

Clinical Research Source Inc., Perrysburg

44130

Paramount Medical Research & Consulting, LLC, Middleburg Heights

45066

Premier Clinical/STAT Research - Springboro, Springboro

45417

Premier Clinical/STAT Research, Dayton

48081

Clinical Research Institute of Michigan, LLC, Saint Clair Shores

49525

Infusion Associates, Grand Rapids

53219

Rheumatic Disease Center, Glendale

59405

Benefis Hospital, Great Falls

68516

Physician Research Collaboration, LLC, Lincoln

72212

Applied Research Center of Arkansas, Inc, Little Rock

76710

Arthritis & Osteoporosis Clinic - Waco, Waco

77004

Diagnostic and Interventional Nephrology Of Houston, Houston

77024

Research Consultants - Frostwood, Houston

77089

Research Consultants - Astoria, Houston

77598

Clear Lake Specialties, Webster

78666

Arthritis Clinic of Central Texas, San Marcos

80045

University of Colorado Division of Rheumatology, Aurora

80230

Denver Arthritis Clinic, Denver

83642

St. Luke's Clinic - Rheumatology, Meridian

85210

Arizona Arthritis and Rheumatology Research, PLLC-East, Mesa

85306

Arizona Arthritis and Rheumatology Research, PLLC-West, Glendale

86001

Arizona Arthritis and Rheumatology Research, PLLC - Flagstaff, Flagstaff

87505

Santa Fe Rheumatology, Santa Fe

90036

Axis Clinical Trials, Los Angeles

90250

Advanced Investigative Medicine, Inc., Hawthorne

90404

Providence St. John's Health Clinic, Santa Monica

91042

Medvin Clinical Research, Tujunga

91405

San Fernando Valley Health Institute, Van Nuys

92020

TriWest Research Associates, El Cajon

92064

ACRC Studies, Poway

93003

Ventura Clinical Trials, Ventura

94578

East Bay Rheumatology Medical Group, Inc., San Leandro

95661

ClinEdge Sierra Rheumatology, Inc., Roseville

98021

Western Washington Arthritis Clinic, Bothell

99204

Arthritis Northwest, Spokane

99508

Orthopedic Physicians Alaska, Anchorage

Sponsors

Lead Sponsor

All Listed Sponsors
lead

Amgen

INDUSTRY

NCT03994731 - Study of KRYSTEXXA® (Pegloticase) Plus Methotrexate in Participants With Uncontrolled Gout | Biotech Hunter | Biotech Hunter