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Rilonacept

Phase 3

Gout | Monoclonal antibody | Musculoskeletal |Regeneron Pharmaceuticals, Inc.|Last Updated: May 2, 2017

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment1,646
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00958438PREventative Study Against URate-Lowering Drug-Induced Gout Exacerbations (PRE-SURGE 2)PHASE3 COMPLETED 248Jul 1, 2009Dec 1, 2010Apr 28, 201761 Germany, India +3
NCT00856206Review of Safety Using Rilonacept in Preventing Gout Exacerbations (RE-SURGE)PHASE3 COMPLETED 1,315Mar 1, 2009Jan 1, 2011Apr 28, 2017124 United States, Germany +4
NCT00610363Study of the Safety and Effectiveness of Rilonacept for the Prevention of Gout FlaresPHASE2 COMPLETED 83Nov 1, 2007Oct 1, 2008May 2, 201734 United States
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Study Endpoints
Primary Endpoints
Number of Gout Flares Per Participant Assessed From Day 1 to Day 113 (Week 16)
Day 1 to Day 113 (Week 16)

Gout flare was defined as acute articular pain typical of a gout attack that required treatment with an anti-inflammatory therapeutic: had at least 3 of the following 4 signs or symptoms: joint swelling, tenderness, redness, and pain and with at least 1 of the following: rapid onset of pain, decreased range of motion, joint warmth or other symptoms similar to a prior gout flare. Number of gout flares per participant was reported for this outcome measure.

Percentage of Participants With Treatment-Emergent Adverse Events (TEAEs)
Baseline up to Week 20

Any untoward medical occurrence in a participant who received investigational medicinal product (IMP) was considered an AE without regard to possibility of causal relationship with this treatment. Treatment-emergent adverse events (TEAEs) were defined as AEs that developed or worsened or became serious during on-treatment period (time from the administration of first dose of study drug up to 35 days after the last dose of study drug). A serious adverse event (SAE) was defined as any untoward medical occurrence that resulted in any of the following outcomes: death, life-threatening, required initial or prolonged in-patient hospitalization, persistent or significant disability/incapacity, congenital anomaly/birth defect, or considered as medically important event. Any TEAE included participants with both serious and non-serious AEs.

Number of Gout Flares Per Participant Assessed From Day 1 to Day 84 (Week 12)
Day 1 (Baseline) to Day 84 (Week 12)

A gout flare was defined as participant reported acute articular pain typical of a gout attack that required treatment with an anti-inflammatory therapeutic: had at least 3 of the following 4 signs or symptoms: joint swelling, tenderness, redness, and pain and with at least 1 of the following: rapid onset of pain, decreased range of motion, joint warmth or other symptoms similar to a prior gout flare. Number of gout flares per participant was reported for this outcome measure. For drop-outs, only flares occurred before Day 84 were counted, regardless whether the flares occurred during the treatment period or not.

Secondary Endpoints
Number of Modified Gout Flares Per Participant From Day 1 to Day 113 (Week 16)
Day 1 to Day 113 (Week 16)
Percentage of Participants With at Least One Flare From Day 1 to Day 113 (Week 16)
Day 1 to Day 113 (Week 16)
Percentage of Participants With at Least Two Flares From Day 1 to Day 113 (Week 16)
Day 1 to Day 113 (Week 16)
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
PlaceboPLACEBO_COMPARATORTwo subcutaneous injections of Placebo (for Rilonacept ) as a loading dose on Day 1 followed by a single injection once a week (qw) from Week 1 to Week 15.
Rilonacept 80 mgEXPERIMENTALTwo subcutaneous injections of Rilonacept 80 mg (for a total of 160 mg) as a loading dose on Day 1, followed by a single 80 mg injection of Rilonacept qw from Week 1 to Week 15.
Rilonacept 160 mgEXPERIMENTALTwo subcutaneous injections of Rilonacept 160 mg (for a total of 320 mg) as a loading dose on Day 1, followed by a single 160 mg injection of Rilonacept qw from Week 1 to Week 15.
Interventions
NameTypeDescription
PlaceboDRUGPlacebo loading dose followed by placebo subcutaneous (SC) injection (2 mL) once a week for 16 weeks.
RilonaceptDRUGRilonacept 160 mg SC loading dose followed by Rilonacept 80 mg/2 mL SC injections once a week for 16 weeks.
Placebo (for Rilonacept)OTHERPlacebo loading dose on Day 1 followed by single placebo injections (2 mL) qw for 17 weeks.
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Eligibility Criteria
Age Range18 Years — 80 Years
SexALL
Healthy VolunteersNo
Study Sites61

Inclusion Criteria: * Male or female 18 to 80 years of age; * Previously met the preliminary criteria of the American Rheumatism Association (ARA) for the classification of the acute arthritis of primary gout; * At least 2 gout flares in the year prior to the screening visit; * Serum uric acid grea...

Countries:GermanyIndiaIndonesiaSouth AfricaTaiwanUnited States
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Competitive Landscape -Gout 5 trials