| - candidate number | 2458 |
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| - NTR Number | NTR901 |
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| - ISRCTN | ISRCTN21473387 |
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| - Date ISRCTN created | 26-feb-2007 |
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| - date ISRCTN requested | 21-feb-2007 |
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| - Date Registered NTR | 12-feb-2007 |
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| - Secondary IDs | N/A |
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| - Public Title | Biochemical efficacy and tolerability of allopurinol, benzbromarone and probenecid in gout. |
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| - Scientific Title | Biochemical efficacy and tolerability of allopurinol, benzbromarone and probenecid in gout: a randomised controlled trial of benzbromarone versus probenecid after failure of allopurinol. |
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| - ACRONYM | GOUT-1 |
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| - hypothesis | 1. Allopurinol has a poor efficacy and tolerability profile to lower serum urate to target levels <0.30 mmol/l.
2. Benzbromarone is more potent and is better tolerated than probenecid to lower serum urate to target levels <0.30 mmol/l. |
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| - Healt Condition(s) or Problem(s) studied | Gout, Hyperuricemia |
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| - Inclusion criteria | 1. Age >18 year;
2. Diagnosis gout based on crystal evidence or ARA criteria;
3. Eestimated creatinine clearance >50 ml/min;
4. Baseline values measured: serum urate, urinary urate excretion, serum creatinine. |
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| - Exclusion criteria | 1. Contra-indication for allopurinol, benzbromaron or probenecid;
2. Prior treatment with allopurinol, benzbromaron or probenecid.
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| - mec approval received | yes |
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| - multicenter trial | yes |
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| - randomised | yes |
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| - masking/blinding | None |
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| - control | Active |
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| - group | Parallel |
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| - Type | 2 or more arms, randomized |
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| - Studytype | intervention |
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| - planned startdate | 1-jun-2005 |
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| - planned closingdate | 31-mei-2007 |
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| - Target number of participants | 96 |
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| - Interventions | stage 1: allopurinol 1dd 300mg (8 weeks).
stage 2:
A. benzbromarone 1dd 200mg (8 weeks);
B. probenecide 2dd 1000mg (8 weeks). |
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| - Primary outcome | Success rate on study medication consisting of patient tolerability and attainment of target level serum urate <0.30 mmol/l after 8 weeks treatment. |
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| - Secondary outcome | 1. Serum urate lowering effect (% decrease) of the antihyperuricemic agent;
2. tolerability of the antihyperuricemic agent (adverse drug reactions).
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| - Timepoints | N/A |
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| - Trial web site | N/A |
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| - status | inclusion stopped: follow-up |
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| - CONTACT FOR PUBLIC QUERIES | drs M.K. Reinders |
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| - CONTACT for SCIENTIFIC QUERIES | drs M.K. Reinders |
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| - Sponsor/Initiator | Medical Centre Leeuwarden, Department of Clinical Pharmacy and Pharmacology |
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- Funding
(Source(s) of Monetary or Material Support) | Medical Centre Leeuwarden, Department of Clinical Pharmacy and Pharmacology |
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| - Publications | N/A |
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| - Brief summary | 1. To study the efficacy and tolerability of the uricostatic agent allopurinol 300 mg/day to decrease serum-urate to target values of <0.30 mmol/l in gout patients (stage 1).
2. To compare the efficacy and tolerability of the uricosuric agents benzbromarone 200 mg/day and probenecid 2000 mg/day to decrease serum urate to target values <0.30 mmol/l in gout patients inadequately treated with allopurinol (stage 2).
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| - Main changes (audit trail) | |
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| - RECORD | 12-feb-2007 - 1-dec-2009 |