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ulodesine

Phase 2

Gout | Small molecule | Metabolic |BioCryst Pharmaceuticals, Inc.|Trials Updated: Nov 20, 2013

ulodesine development status

Highest phase Phase 2
Registered trials 1 across 1 sponsor since Dec 2010

ulodesine target and mechanism

Molecular targetPNP
Target classInhibitor
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLEDDMC
Total Trials2
Total Enrollment299

FDA Designations

No designations recorded

ulodesine clinical trials

ulodesine · 2 trials · 5 indications

Phase 2 2
NCT01407874A Randomized, Double-Blind, Dose-Response Study of the Safety and Uric Acid Effects of Oral Ulodesine Added to Allopurinol in Subjects With Gout and Concomitant Moderate Renal InsufficiencyGout
COMPLETED20 Analytics
NCT01265264Study to Evaluate sUA Lowering Activity, Safety and Efficacy of Oral Ulodesine Added to AllopurinolGout
COMPLETED279 Analytics
PHASE2COMPLETED
A Randomized, Double-Blind, Dose-Response Study of the Safety and Uric Acid Effects of Oral Ulodesine Added to Allopurinol in Subjects With Gout and Concomitant Moderate Renal Insufficiency
GoutUnlock trial analytics
PHASE2COMPLETED
Study to Evaluate sUA Lowering Activity, Safety and Efficacy of Oral Ulodesine Added to Allopurinol
GoutUnlock trial analytics

Study Endpoints

Primary Endpoints

To evaluate the overall safety and tolerability of ulodesine when combined with allopurinol in subjects with moderate renal insufficiency by assessment of percent change from baseline in CD4+ lymphocytes at Day 85.
85 days

Level of CD4+ lymphocytes to be measured at Day 85 compared to baseline.

To evaluate the dose response of ulodesine when combined with Allopurinol on sUA.
Day 85

Level of serum uric acid levels be measured at Day 85 to evaluate in subjects with Gout.

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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
PlaceboEXPERIMENTALPlacebo + Allopurinol 200mg
Ulodesine (BCX4208) 5mgEXPERIMENTALBCX4208 5mg + Allopurinol 200 mg
Ulodesine (BCX4208) 10mgEXPERIMENTALBCX4208 10mg + Allopurinol 200mg
ulodesine Placebo + Allopurinol 300mgEXPERIMENTALOral dose administered daily for 84 days.
ulodesine 5mg + Allopurinol 300mgEXPERIMENTALOral dose administered daily for 84 days.
ulodesine 10mg + Allopurinol 300mgEXPERIMENTALOral dose administered daily for 84 days.
ulodesine 20mg + Allopurinol 300mgEXPERIMENTALOral dose administered daily for 84 days.
ulodesine 40mg + Allopurinol 300mgEXPERIMENTALOral dose administered daily for 84 days.

Interventions

NameTypeDescription
PlaceboDRUGOral dose administered daily for 84 days.
Ulodesine (BCX4208) 5 mgDRUGOral dose administered daily for 84 days.
Ulodesine (BCX4208) 10 mgDRUGOral dose administered daily for 84 days.
ulodesineDRUGOral dose administered daily for 84 days.
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Eligibility Criteria

Age Range18 Years to 69 Years
SexALL
Healthy VolunteersNo
Study Sites10

Inclusion Criteria: 1. Age ≥ 18 to \< 70 years 2. Have read and signed the Informed Consent Form 3. Documented diagnosis of gout 4. Documented moderate renal insufficiency 5. Calculated creatinine clearance of ≥ 30 and \< 60 mL/min 6. Willing and able to take allopurinol 200 mg every day for the du...

Countries:United States
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Competitive Landscape -Gout 6 trials

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Frequently asked questions about ulodesine

What is ulodesine used for in gout?

Ulodesine is an investigational oral small molecule developed for the treatment of gout, a form of inflammatory arthritis linked to elevated serum uric acid. It has been studied as an add-on to allopurinol in patients with gout and hyperuricemia, including those with moderate renal insufficiency, to further lower serum uric acid levels.

What does ulodesine target?

Ulodesine targets purine nucleoside phosphorylase, or PNP, and acts as an inhibitor of that enzyme. By inhibiting PNP, ulodesine is designed to reduce uric acid production in the body. It is a small molecule and was studied in gout as an oral add-on therapy to allopurinol.

Who is developing ulodesine?

Ulodesine is being developed by BioCryst Pharmaceuticals, Inc., which trades on the Nasdaq under the ticker BCRX. The company sponsored the Phase 2 clinical trials of ulodesine in gout, including studies of the drug added to allopurinol in patients with gout and hyperuricemia.

What phase is ulodesine in?

Ulodesine is in Phase 2 clinical development and is investigational. Two Phase 2 trials have been completed, and no trials are currently active. The studies were randomized, double-blind, and controlled, and enrolled a total of 299 participants with gout and related conditions such as hyperuricemia and arthritis.

What clinical trials is ulodesine in?

Ulodesine has been studied in two completed Phase 2 trials. NCT01265264 evaluated serum uric acid lowering activity, safety, and efficacy of oral ulodesine added to allopurinol, enrolling 279 participants. NCT01407874 was a randomized, double-blind, dose-response study of oral ulodesine added to allopurinol in gout patients with moderate renal insufficiency, enrolling 20 participants.

Is ulodesine the same as BCX4208?

Yes, ulodesine is also known as BCX4208. The name BCX4208 5 mg refers to a dose strength of the same compound used in clinical study. Both names refer to the PNP inhibitor developed by BioCryst Pharmaceuticals for gout and hyperuricemia.