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Trial registered on ANZCTR
Registration number
ACTRN12613000114741
Ethics application status
Approved
Date submitted
11/12/2012
Date registered
31/01/2013
Date last updated
23/07/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
The time course and magnitude of allopurinol effect on serum uric acid in patients with gout
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Scientific title
Can a better understanding of time course and magnitude of allopurinol effect on serum uric acid provide the basis for a revised dosing strategy whcih will enable more patients to acheive the clinical target for serum uric acid of < 0.36 mmol/L?
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Secondary ID [1]
281648
0
Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Gout
287935
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Condition category
Condition code
Inflammatory and Immune System
288312
288312
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0
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Other inflammatory or immune system disorders
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
This is an observational study in patients who are initiating allopurinol for the treatment of gout. Blood sample for the measurement of allopurinol, oxypurinol and uric acid concentrations will be collected on Days 1,2,3,7,14,21 and 28. Patients will be observed for 28 days.
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Intervention code [1]
286184
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Not applicable
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Comparator / control treatment
Nil
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
288484
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The aim of this study is to collect intensive pharmacokinetic data from the initiation of allopurinol therapy to clarify the time course and magnitude of urate change in relation to the administered dose and to the measured allopurinol and oxypurinol plasma concentrations.
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Assessment method [1]
288484
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Timepoint [1]
288484
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Blood samples for the measurement of allopurinol and oxypurinol plasma concentrations and serum uric acid concentrations will be collected at baseline (prior to allopurinol therapy) and at 10-20 minutes, 20-40 minutes, 40-60 minutes, 1 - 2 hours, 2 - 3 hours, and 3 - 6 hours and 6-9 hours after the first dose of allopurinol. On Day 2 of therapy blood samples will be collected prior to the second dose and 2-10 hours after the dose. ON Days 3, 7, 14, 21 and 28 a single blood sample will be collected 2-10 hours after the daily dose of allopurinol. Note that all patients will be receiving allopurinol as part of normal care. The starting dose of allopurinol will be determined by the Rheumatologist and will vary depending on the patients’ co-morbidities.
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Secondary outcome [1]
300290
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Nil
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Assessment method [1]
300290
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Timepoint [1]
300290
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Nil
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Eligibility
Key inclusion criteria
Patients with gout as defined by the American College of Rheumatology Criteria who are initiating allopurinol as part of routine clinical care.
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Minimum age
18
Years
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Maximum age
100
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Patients who are unable or unwilling to give written informed consent
2. Patients taking concurrent losartan, diuretics or uricosuric agents.
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Study design
Purpose
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Duration
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Selection
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Timing
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/03/2013
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Actual
1/03/2013
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Date of last participant enrolment
Anticipated
28/02/2014
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Actual
28/04/2014
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Date of last data collection
Anticipated
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Actual
28/04/2014
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Sample size
Target
20
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Accrual to date
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Final
20
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Recruitment outside Australia
Country [1]
4740
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New Zealand
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State/province [1]
4740
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Otago
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Funding & Sponsors
Funding source category [1]
286447
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University
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Name [1]
286447
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University of Otago Research Grant
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Address [1]
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Research and Enterprise, PO Box 56, University of Otago, Dunedin, NZ 9054
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Country [1]
286447
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New Zealand
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Primary sponsor type
University
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Name
University of Otago Research Grant
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Address
Research and Enterprise, PO Box 56, University of Otago, Dunedin, NZ 9054
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Country
New Zealand
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Secondary sponsor category [1]
285234
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None
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Name [1]
285234
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Address [1]
285234
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Country [1]
285234
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Other collaborator category [1]
277215
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Individual
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Name [1]
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Assoc Prof Lisa Stamp
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Address [1]
277215
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Department of Medicine, PO Box 4345, University of Otago Christchurch, NZ, 8140
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Country [1]
277215
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New Zealand
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Other collaborator category [2]
277216
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Individual
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Name [2]
277216
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Professor Murray Barclay
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Address [2]
277216
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Department of Medicine, PO Box 4345, University of Otago Christchurch, NZ, 8140
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Country [2]
277216
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
288527
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Human Ethics Committee
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Ethics committee address [1]
288527
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Ground floor, Clocktower Building, University of Otago, Dunedin 9054
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Ethics committee country [1]
288527
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New Zealand
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Date submitted for ethics approval [1]
288527
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01/10/2012
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Approval date [1]
288527
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28/11/2012
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Ethics approval number [1]
288527
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Summary
Brief summary
Allopurinol is used to treat gout and works by reducing serum urate concentrations. Current prescribing guidelines frequently result in a suboptimal reduction in urate. This project aims to quantify the time course and magnitude of allopurinol effect on serum urate at the initiation of therapy in relation to plasma drug concentrations and dose. Serum urate and plasma drug concentrations will be measured and used to develop a model that will allow us to predict the probability of successful urate lowering under different dosing regimens. This model will be used to develop a revised dosing strategy in future research.
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Trial website
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Trial related presentations / publications
Wright DFB, Duffull SB, Merriman TR, Dalbeth N, Barclay ML, Stamp LK. Predicting allopurinol response in patients with gout. Br J Clin Pharmacol. 2016 81(2):277-289. Wright DFB, Duffull SB, Merriman TR, Dalbeth N, Barclay ML, Stamp LK. Can We Predict the Dose of Allopurinol to Achieve Target Urate? American College of Rheumatology Annual Meeting. Poster abstract number 2347, presented by Lisa Stamp. In: Arthritis & Rheumatology 67(supplement S10), 2015.
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Public notes
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Contacts
Principal investigator
Name
36510
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Mr Daniel Wright
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Address
36510
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School of Pharmacy, University of Otago, PO Box 56, Dunedin , New Zealand 9054
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Country
36510
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New Zealand
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Phone
36510
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+6434703476
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Fax
36510
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+6434707275
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Email
36510
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[email protected]
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Contact person for public queries
Name
36511
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Lisa Stamp
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Address
36511
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Department of Medicine, University of Otago Christchurch, PO BOX 4345, Christchurch New Zealand 8140
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Country
36511
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New Zealand
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Phone
36511
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+6433640953
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Fax
36511
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Email
36511
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[email protected]
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Contact person for scientific queries
Name
36512
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Lisa Stamp
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Address
36512
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Department of Medicine, University of Otago Christchurch, PO BOX 4345, Christchurch New Zealand 8140
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Country
36512
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New Zealand
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Phone
36512
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+6433640953
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Fax
36512
0
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Email
36512
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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