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Febuxostat IR

Phase 3FDA approved 2009

Gout | Small molecule | Metabolic |Takeda Pharmaceutical Company Limited|Trials Updated: Nov 3, 2016

Febuxostat IR development status

FDA approval Feb 13, 2009 as Uloric
Approval holderTakeda Pharms Usa
ApplicationNDA021856
Highest phase Phase 3
Registered trials 2 across 1 sponsor since May 2014

Label indication ULORIC is a xanthine oxidase (XO) inhibitor indicated for the chronic management of hyperuricemia in adult patients with gout who have an inadequate response to a maximally titrated dose of allopurinol, who are intolerant to allopurinol, or for whom treatment with allopurinol is not advisable. FDA label

Febuxostat IR target and mechanism

Molecular targetXDH
Target classInhibitor
ModalitySmall molecule

Also known as Uloric

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment1,979

FDA Designations

No designations recorded

Febuxostat IR clinical trials

Febuxostat IR · 2 trials · 2 indications

Phase 3 1Phase 2 1
NCT02139046Efficacy and Safety of Extended Release and Immediate Release Febuxostat in Participants With GoutGout
COMPLETED1,790 Analytics
PHASE3COMPLETED
Efficacy and Safety of Extended Release and Immediate Release Febuxostat in Participants With Gout
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Study Endpoints

Primary Endpoints

Percentage of Participants With Serum Urate <5.0 mg/dL at Month 3
Month 3

Secondary Endpoints

Percentage of Participants With at Least One Gout Flare Requiring Treatment
Baseline to Month 3
Percentage of Participants With Serum Urate <6.0 mg/dL at Month 3
Month 3
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Febuxostat IR 40 mgACTIVE_COMPARATORFebuxostat Immediate Release (IR) 40 mg over-encapsulated tablet, orally, once daily, and colchicine 0.6 mg tablet, orally, every day (for participants with estimated glomerular filtration rate (eGFR) ≥ 60 mL/min) or every other day (if eGFR ≥ 15 - ≤ 59 mL/min), or, alternatively, if colchicine is not tolerated and the subject's eGFR is ≥ 50 mL/min, naproxen 250 mg tablets, orally, twice a day and lansoprazole 15 mg capsule, orally once daily, for 3 months.
Febuxostat IR 80 mgACTIVE_COMPARATORFebuxostat IR 80 mg over-encapsulated tablet, orally, once daily, and colchicine 0.6 mg tablet, orally, every day or every other day, or, alternatively, if colchicine is not tolerated and the subject's eGFR is ≥ 50 mL/min, naproxen 250 mg tablets, orally, twice a day and lansoprazole 15 mg capsule, orally once daily, for 3 months.
Febuxostat XR 40 mgEXPERIMENTALFebuxostat Extended Release (XR) 40 mg over-encapsulated capsule, orally, once daily, and colchicine 0.6 mg tablet, orally, every day or every other day, or, alternatively, if colchicine is not tolerated and the subject's eGFR is ≥ 50 mL/min, naproxen 250 mg tablets, orally, twice a day and lansoprazole 15 mg capsule, orally once daily, for 3 months.
Febuxostat XR 80 mgEXPERIMENTALFebuxostat XR 80 mg over-encapsulated capsule, orally, once daily, and colchicine 0.6 mg tablet, orally, every day or every other day, or, alternatively, if colchicine is not tolerated and the subject's eGFR is ≥ 50 mL/min, naproxen 250 mg tablets, orally, twice a day and lansoprazole 15 mg capsule, orally once daily, for 3 months.
PlaceboPLACEBO_COMPARATORFebuxostat placebo-matching capsule, orally, once daily, and colchicine 0.6 mg tablet, orally, every day or every other day, or, alternatively, if colchicine is not tolerated and the subject's eGFR is ≥ 50 mL/min, naproxen 250 mg tablets, orally, twice a day and lansoprazole 15 mg capsule, orally once daily, for 3 months.

Interventions

NameTypeDescription
Febuxostat IRDRUGFebuxostat IR over-encapsulated tablets
Febuxostat XRDRUGFebuxostat XR over-encapsulated capsules
Febuxostat placeboDRUGFebuxostat placebo-matching capsules
ColchicineDRUGColchicine tablets
NaproxenDRUGNaproxen tablets
LansoprazoleDRUGLansoprazole capsules
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites192

Inclusion Criteria: 1. In the opinion of the investigator, the participant is capable of understanding and complying with protocol requirements. 2. The participant or, when applicable, the participant's legally acceptable representative signs and dates a written, informed consent form and any requi...

Countries:United States
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Competitive Landscape -Gout 6 trials

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Frequently asked questions about Febuxostat IR

What is Febuxostat IR used for?

Febuxostat IR is used to treat gout, a form of inflammatory arthritis caused by elevated uric acid levels. It is an immediate-release small molecule developed by Takeda Pharmaceutical Company Limited. The clinical program studied adults with gout, including a trial in patients who also had moderate renal impairment.

What does Febuxostat IR target?

Febuxostat IR targets xanthine dehydrogenase, also known as XDH. It acts as an inhibitor of this enzyme, which is involved in purine metabolism and uric acid production. Inhibiting XDH reduces uric acid formation, the mechanism relevant to treating gout.

Who makes Febuxostat IR?

Febuxostat IR is developed by Takeda Pharmaceutical Company Limited, which trades under the ticker TAK. Takeda sponsored the clinical trials evaluating the immediate-release and extended-release formulations of febuxostat in patients with gout.

What phase is Febuxostat IR in?

Febuxostat IR has been studied in Phase 3 clinical development for gout. The program includes a completed Phase 3 trial and a completed Phase 2 trial. It is an investigational asset in this dataset rather than a marketed product.

What clinical trials is Febuxostat IR in?

Two completed trials studied Febuxostat IR. NCT02139046 was a Phase 3 trial of extended-release and immediate-release febuxostat in 1,790 participants with gout in the United States. NCT02128490 was a Phase 2 trial in 189 participants with gout and moderate renal impairment. Both were randomized, double-blind, and placebo-controlled.

How many patients were enrolled in Febuxostat IR trials?

The Febuxostat IR clinical program enrolled 1,979 participants across two completed trials. The larger Phase 3 study, NCT02139046, enrolled 1,790 adults with gout, while the Phase 2 study, NCT02128490, enrolled 189 adults with gout and moderate renal impairment. Both trials required participants to be at least 18 years old.