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The goal of this clinical trial is to evaluate the efficacy and safety of AR882 Capsules in patients with primary gout and hyperuricemia. The main questions it aims to answer are:
What is the efficacy of AR882 Capsules in reducing serum uric acid levels in patients with primary gout and hyperuricemia?
Researchers will compare AR882 Capsules with Febuxostat Tablets to see :
Phase II: To explore the efficacy of AR882 Capsules in patients with primary gout and hyperuricemia, aiming to determine the dosing regimen for the Phase III study Phase III: To evaluate the efficacy of AR882 Capsules in patients with primary gout and hyperuricemia.
Participants will:
Be randomly assigned to receive either AR882 Capsules or Febuxostat Tablets. Undergo regular assessments of serum uric acid levels. Report any adverse events or side effects experienced during the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| AR882 50MG | Experimental | Titrated from 12.5 mg to 25 mg (2 weeks each), then 50 mg for 4 weeks, with matching Febuxostat placebo. |
|
| Febuxostat 40MG | Active Comparator | Titrated from 20 mg (4 weeks) to 40 mg (4 weeks) Febuxostat, with matching AR882 placebo. |
|
| AR882 75MG | Experimental | Titrated from 25 mg to 50 mg (2 weeks each), then 75 mg for 4 weeks, with matching Febuxostat placebo. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Febuxostat 20MG Tablets | Drug | Febuxostat 20MG Tablets |
| |
| Measure | Description | Time Frame |
|---|---|---|
| The percentage of participants with serum uric acid <360 μmol/L | 8 Weeks |
| Measure | Description | Time Frame |
|---|---|---|
| The percentage of participants with serum uric acid <300, 240 μmol/L | 8 Weeks | |
| The percentage of participants with serum uric acid <360, 300, 240 μmol/L | 2, 4, and 6 Weeks | |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Peking Union Medical College Hospital, Chinese Academy of Medical Science | Beijing | 100730 | China |
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| Febuxostat 20MG Placebo |
| Drug |
Febuxostat 20MG Placebo |
|
| AR882 25MG | Drug | AR882 25 MG Capsules |
|
| AR882 12.5MG | Drug | AR882 12.5 MG Capsules |
|
| AR882 25MG Placebo | Drug | AR882 25MG Placebo |
|
| AR882 12.5MG Placebo | Drug | AR882 12.5MG Placebo |
|
| Febuxostat 40MG Tablets | Drug | Febuxostat 40MG Tablets |
|
| Febuxostat 40MG Placebo | Drug | Febuxostat 40MG Placebo |
|
| The absolute change in serum uric acid levels from baseline |
| 2, 4, 6, and 8 Weeks |
| The percentage change in serum uric acid levels from baseline | 2, 4, 6, and 8 Weeks |
| Serum uric acid levels | 2, 4, 6, and 8 Weeks |
| Adverse events | 8 Weeks |
| ID | Term |
|---|---|
| D033461 | Hyperuricemia |
| D006073 | Gout |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D000070657 | Crystal Arthropathies |
| D012216 | Rheumatic Diseases |
| D011686 | Purine-Pyrimidine Metabolism, Inborn Errors |
| D008661 | Metabolism, Inborn Errors |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D000069465 | Febuxostat |
| ID | Term |
|---|---|
| D013844 | Thiazoles |
| D013457 | Sulfur Compounds |
| D009930 | Organic Chemicals |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
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