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Arthritis, GoutyPhase 3NCT00549549

Celebrex In Acute Gouty Arthritis Study

A Phase 3 study testing Indomethacin and Celecoxib in people with Arthritis, Gouty, run by Pfizer's Upjohn has merged with Mylan to form Viatris Inc. at 81 sites in 12 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is a multicenter, double-blind, double-dummy, randomized, active-controlled study that will include an 8-day treatment period followed by a 1-week follow-up period in patients experiencing symptoms of an acute exacerbation of gouty arthritis. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Arthritis, Gouty
What is being tested?
Indomethacin and Celecoxib
Could I receive a placebo?
No, everyone receives an active treatment
How many people
402 participants
Where
81 sitesin 12 countries
Study dates
Feb 2008to Dec 2009
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Acute gouty arthritis meeting the American College of Rheumatology (ACR) criteria for acute arthritis of primary gout;
  • Onset of pain from an acute gouty arthritis attack within 48 hours prior to Screening/Baseline (Visit 1);
  • A rating of moderate, severe, or extreme (2, 3, or 4, respectively) on the Patient's assessment of pain intensity in the index joint (5-point scale:0-4) at Screening/Baseline.

Who cannot join

  • Diagnosis of any other type of arthritis including those types suspected of being infectious in origin in the index joint or presence of any acute trauma of the index joint. Patients with osteoarthritis will be included as long as it is mild or moderate (according to investigator's criteria) and it does not affect the index joint;
  • Acute polyarticular gout involving greater than 4 joints or chronic gout.

Trial locations and contacts

81 sites in 12 countries.

81 sites in 12 countries

United States43 sites
  • Pfizer Investigational Site

    Atlanta, Georgia, 30342

  • Pfizer Investigational Site

    Beaumont, Texas, 77701

  • Pfizer Investigational Site

    Beaumont, Texas, 77706

  • Pfizer Investigational Site

    Bryan, Texas, 77802

  • Pfizer Investigational Site

    Chaska, Minnesota, 55318

  • Pfizer Investigational Site

    Columbia, Missouri, 65203

  • Pfizer Investigational Site

    Columbus, Missouri, 65212

  • Pfizer Investigational Site

    Dallas, Texas, 75235

  • Pfizer Investigational Site

    DeLand, Florida, 32720

  • Pfizer Investigational Site

    Duncansville, Pennsylvania, 16635

  • Pfizer Investigational Site

    Dunwoody, Georgia, 30338

  • Pfizer Investigational Site

    Gainesville, Florida, 32607

  • Pfizer Investigational Site

    Glendale, Arizona, 85304

  • Pfizer Investigational Site

    Havertown, Pennsylvania, 19083

  • Pfizer Investigational Site

    Lansing, Michigan, 48910-8595

  • Pfizer Investigational Site

    Lexington, Kentucky, 40504

  • Pfizer Investigational Site

    Longmont, Colorado, 80501

  • Pfizer Investigational Site

    Lyndhurst, Ohio, 44124

  • Pfizer Investigational Site

    Mesa, Arizona, 85202

  • Pfizer Investigational Site

    Milwaukee, Wisconsin, 53295

  • Pfizer Investigational Site

    Mineola, New York, 11501

  • Pfizer Investigational Site

    Mount Sterling, Kentucky, 40353

  • Pfizer Investigational Site

    Nashville, Tennessee, 37203

  • Pfizer Investigational Site

    New Tazewell, Tennessee, 37825

  • Pfizer Investigational Site

    Northglenn, Colorado, 80234

  • Pfizer Investigational Site

    Omaha, Nebraska, 68134

  • Pfizer Investigational Site

    Paradise Valley, Arizona, 85253

  • Pfizer Investigational Site

    Peoria, Arizona, 85381

  • Pfizer Investigational Site

    Richmond, Virginia, 23294

  • Pfizer Investigational Site

    Rockford, Illinois, 61107

  • Pfizer Investigational Site

    Roseville, California, 95661

  • Pfizer Investigational Site

    San Antonio, Texas, 78217

  • Pfizer Investigational Site

    San Antonio, Texas, 78224

  • Pfizer Investigational Site

    San Diego, California, 92103-6204

  • Pfizer Investigational Site

    San Luis Obispo, California, 93405

  • Pfizer Investigational Site

    Shreveport, Louisiana, 71105-5634

  • Pfizer Investigational Site

    Shreveport, Louisiana, 71106

  • Pfizer Investigational Site

    St Louis, Missouri, 63141

  • Pfizer Investigational Site

    Statesville, North Carolina, 28625

  • Pfizer Investigational Site

    Tampa, Florida, 33606

  • Pfizer Investigational Site

    Tyler, Texas, 75701

  • Pfizer Investigational Site

    Wheaton, Maryland, 20902

  • Pfizer Investigational Site

    Willoughby Hills, Ohio, 44094

Other trials in United States

Canada9 sites
  • Pfizer Investigational Site

    Corunna, Ontario, N0N 1G0

  • Pfizer Investigational Site

    Langley, British Columbia, V3A 4H9

  • Pfizer Investigational Site

    Québec, Quebec, G1W 4R4

  • Pfizer Investigational Site

    Sarnia, Ontario, N7T 4X3

  • Pfizer Investigational Site

    Saskatoon, Saskatchewan, S7K 7H9

  • Pfizer Investigational Site

    St. John's, Newfoundland and Labrador, A1A 3R5

  • Pfizer Investigational Site

    Toronto, Ontario, M3M 3E5

  • Pfizer Investigational Site

    Windsor, Ontario, N8X 5A6

  • Pfizer Investigational Site

    Winnipeg, Manitoba, R2V 4W3

Other trials in Canada

Philippines6 sites
  • Pfizer Investigational Site

    Las Piñas, 1742

  • Pfizer Investigational Site

    Lipa City, Batangas, 4217

  • Pfizer Investigational Site

    Manila, 1000

  • Pfizer Investigational Site

    Manila, 1003

  • Pfizer Investigational Site

    Manila, 1008

  • Pfizer Investigational Site

    Quezon City, 1102

Other trials in Philippines

Russia4 sites
  • Pfizer Investigational Site

    Moscow, 115522

  • Pfizer Investigational Site

    Petrozavodsk, 185019

  • Pfizer Investigational Site

    Saint Petersburg, 193015

  • Pfizer Investigational Site

    Saint Petersburg, 194291

Other trials in Russia

Colombia3 sites
  • Pfizer Investigational Site

    Barranquilla, Atlántico, 0000

  • Pfizer Investigational Site

    Barranquilla, Atlántico, 0

  • Pfizer Investigational Site

    Bucaramanga, Santander Department

Other trials in Colombia

Mexico3 sites
  • Pfizer Investigational Site

    Guadalajara, Jalisco, 44100

  • Pfizer Investigational Site

    México, D.F., 06726

  • Pfizer Investigational Site

    Mexico City, Mexico City, 06700

Other trials in Mexico

Peru3 sites
  • Pfizer Investigational Site

    Lima, 11

  • Pfizer Investigational Site

    Lima, 34

  • Pfizer Investigational Site

    Lima, L27

Other trials in Peru

Taiwan3 sites
  • Pfizer Investigational Site

    Hualien City, 970

  • Pfizer Investigational Site

    Taichung, 404

  • Pfizer Investigational Site

    Taipei, 106

Other trials in Taiwan

Costa Rica2 sites
  • Pfizer Investigational Site

    Cartago

  • Pfizer Investigational Site

    Heredia

Other trials in Costa Rica

South Korea2 sites
  • Pfizer Investigational Site

    Daegu, 705-718

  • Pfizer Investigational Site

    Suwon, Kyeongki-do, 443-721

Other trials in South Korea

Thailand2 sites
  • Pfizer Investigational Site

    Khon Kaen, 40002

  • Pfizer Investigational Site

    Phayathai, Bangkok, 10400

Other trials in Thailand

Spain1 site
  • Pfizer Investigational Site

    Seville, 41014

Other trials in Spain

About this study

Official title: A Phase 3, Randomized, Double-Blind, Multicenter, Active-Controlled Trial To Evaluate The Efficacy And Safety Of Celecoxib (Celebrex®) And Indomethacin In The Treatment Of Moderate To Severe Acute Gouty Arthritis

This is a multicenter, double-blind, double-dummy, randomized, active-controlled study that will include an 8-day treatment period followed by a 1-week follow-up period in patients experiencing symptoms of an acute exacerbation of gouty arthritis.

Being tested
Indomethacin, Celecoxib
Medical subject headings
Arthritis, Gouty

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • IndomethacinDrug

    indomethacin 50 mg three times a day (TID) for 8 days.

  • CelecoxibDrug

    An initial dose of celecoxib 800 mg followed by a second dose of 400 mg 12 hours later on Day 1 (celecoxib 800/400 mg regimen) and continuing 400 mg two times a day (BID) for 7 days.

  • CelecoxibDrug

    An initial dose of celecoxib 400 mg followed by a second dose of 200 mg 12 hours later (celecoxib 400/200 mg regimen) and continuing 200 mg two times a day (BID) for 7 days.

  • CelecoxibDrug

    Celecoxib 50 mg two times a day (BID) for 8 days

Study groups in NCT00549549
Study groupRoleWhat they receive
1Active comparatorNot described
Receives: Drug: Indomethacin
2ExperimentalNot described
Receives: Drug: Celecoxib
3ExperimentalNot described
Receives: Drug: Celecoxib
4ExperimentalNot described
Receives: Drug: Celecoxib

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline to Day 2 in Patient's Assessment of Pain Intensity

    The Patient's Pain Intensity in the Index Joint for the prior 24 hours was assessed by completion of the following 5 point scale: My pain over the past 24 hours has been: None (0), Mild (1), Moderate (2), Severe (3), or Extreme (4).

    Measured: Baseline and Day 2

Secondary outcomes (14)
  1. Change From Baseline in Physician's Assessment of the Index Joint on Days 5, 9, and 14/Early Termination: Tenderness

    Tenderness was assessed on the basis of palpation or passive motion using a 4 point scale with the following ratings: the patient had no tenderness (0), the patient complained of pain (1), the patient complained of pain and winced (2) and the patient complained of pain, winced, and withdrew (3).

    Measured: Baseline, Day 5, Day 9, and Day 14/Early Termination

  2. Change From Baseline in Physician's Assessment of the Index Joint on Days 5, 9, and 14/Early Termination: Swelling

    Swelling was assessed using a 4 point scale with the following ratings: none (0), palpable (1), visible (2), and bulging beyond joint margins (3)

    Measured: Baseline, Days 5, 9 and 14/Early Termination

  3. Number of Participants With Redness Present According to Physician's Assessment of the Index Joint on Day 5, Day 9, and Day 14/Early Termination

    Redness was assessed by the physician as present or absent.

    Measured: Baseline, Day 5, Day 9 and Day 14/Early Termination

  4. Number of Participants With Warmth Present According to Physician's Assessment of the Index Joint on Day 5, Day 9, and Day 14

    Warmth was assessed by the physician as present or absent.

    Measured: Baseline, Day 5, Day 9 and Day 14

  5. Change From Baseline in Patient's Assessment of Pain Intensity

    The Patient's assessment of pain for the prior 24 hours was assessed by completion of the following 5 point scale: My pain over the past 24 hours has been: None (0), Mild (1), Moderate, (2), Severe (3), and Extreme (4).

    Measured: Baseline, Day 2 to Day 13

  6. Change From Baseline in Patient's Assessment of Pain Intensity on Day 1

    The patient's assessment of pain was assessed by completion of the following 5 point scale: my pain at this time is none (0), mild (1), moderate, (2), severe (3), and extreme (4).

    Measured: Baseline, 2, 4, 8, 12 hours postdose Day 1, Day 2 (24 hours and 32 hours post first dose)

  7. Change From Baseline in Time Weighted Average of Patient's Assessment of Pain Intensity Over 8, 12, and 24 Hours

    Time weighted average over 8 (TWA-8), 12 (TWA-12) and 24 (TWA-24) hours post first dose of study medication on Day 1. Positive TWA values represent a reduction in pain intensity

    Measured: Baseline, 8, 12, and 24 hours post first dose

  8. Number of Participants With ≥30% and ≥50% Reduction From Baseline to Day 2 in Patient's Assessment of Pain Intensity

    The Patient's assessment of pain was assessed by completion of the following 5 point scale: My pain over the past 24 hours has been: None (0), Mild (1), Moderate, (2), Severe (3), and Extreme (4).

    Measured: Baseline, Day 2

  9. Participant's Assessment of Pain Intensity for the Average Pain Intensity at Baseline

    The participant's assessment of pain was assessed by completion of the following 5 point scale: My pain has been: None (0), Mild (1), Moderate, (2), Severe (3), and Extreme (4).

    Measured: Baseline

  10. Percentage Change From Baseline in the Patient's Assessment of Pain Intensity for the Average Pain Intensity on Days 2-4, Days 2-8 and Days 2-13

    The participant's assessment of pain was assessed by completion of the following 5 point scale: My change in pain has been: None (0), Mild (1), Moderate, (2), Severe (3), and Extreme (4). Average change over days was calculated by taking the change from Baseline to the average Pain Intensity score over the days for each patient.

    Measured: Baseline to Day 13

  11. Number of Participants With Withdrawal From Treatment Due to Lack of Efficacy

    Withdrawal due to lack of efficacy was assessed from Days 1 to 8

    Measured: Day 1 to Day 8

  12. Participants Global Evaluation of Study Medication Score

    The participant rated the study medication that they received during the study by completing the following question:

    How would you rate the study medication you received for pain? 4=Excellent, 3=Good, 2=Fair, 1=Poor

    Measured: Day 9

  13. Number of Participants With Pre-specified Gastrointestinal (GI) Adverse Events

    The gastrointestinal tolerability was measured by incidence of moderate or severe GI adverse events (nausea, abdominal pain and dyspepsia)

    Measured: Baseline to Day 14/Early Termination

  14. Number of Participants With Moderate or Severe Central Nervous System (CNS) Adverse Events

    The pre-specfied CNS AEs were headache, nausea, dizziness, vertigo, vomiting and somnolence.

    Measured: Baseline to Day 14/Early Termination

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Oct 2007 (estimated)
  2. Study startFeb 2008
  3. Primary completionDec 2009
  4. Study completionDec 2009

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
402 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00549549
Sponsor's protocol ID
A3191219
Status last verified
Feb 2021
First submitted
24 Oct 2007
Last updated
21 Feb 2021
Data monitoring committee
Yes

Publications

  • Fravel MA, Ernst ME. Management of gout in the older adult. Am J Geriatr Pharmacother. 2011 Oct;9(5):271-85. doi: 10.1016/j.amjopharm.2011.07.004. Epub 2011 Aug 17.

    PubMed 21849262

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Indomethacin and Celecoxib in people with Arthritis, Gouty, run by Pfizer's Upjohn has merged with Mylan to form Viatris Inc. at 81 sites in 12 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 21 Feb 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 81 sites in United States, Canada, Philippines, Russia, Colombia and 7 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 24 Feb 2011). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change From Baseline to Day 2 in Patient's Assessment of Pain Intensity (time frame: Baseline and Day 2). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00549549, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Feb 2021.

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