Acute GoutPhase 1/2NCT05328531
Clinical Study of Genakumab for Injection in Patients With Acute Gout
A Phase 1/2 study testing Genakumab for Injection in people with Acute Gout, run by Changchun GeneScience Pharmaceutical Co., Ltd. at 1 site in China.
Trial summary
To evaluate the safety and tolerability of single subcutaneous injection of Genakumab for Injection in patients with acute gout Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Acute Gout
- What is being tested?
- Genakumab for Injection
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 121 participants
- Where
- 1 siteChina
- Study dates
- 22 May 2021to 9 Jun 2022
- Phase
- Phase 1/2
- Are there results?
- None posted in the registry
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 to 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male or female, 18 years ≤ age ≤65 years
- Meeting the American College of Rheumatology (ACR) 2015 preliminary criteria for the classification of acute arthritis of primary gout
- Contraindication, intolerance or lack of efficacy for NSAIDs and/or colchicine
- Body mass index of less than or equal to 45 kg/m2
- Onset of current acute gout flare within 5 days prior to study entry
- Baseline pain intensity ≥ 50 mm on the 0-100 mm visual analog scale (VAS)
- History of gout flare prior to study entry
Who cannot join
- evidence/suspicion of infectious/septic arthritis, or other acute inflammatory arthritis
- Presence of severe renal function impairment
- Use of specified pain relief medications or biologics ( corticosteroids, narcotics, paracetamol/acetominophen, ibuprofen, colchicine, IL-blocker, and tumor necrosis factor inhibitor) within specified periods prior to study entry
- Live vaccinations within 3 months prior to randomization
- Requirement for administration of antibiotics against latent tuberculosis (TB)
- Any active or recurrent bacterial, fungal, or viral infection
- QTc>450ms for male, QTc>470ms for female
Trial locations and contacts
1 site in 1 country.
China1 site
Shanghai Huashan Hospital affiliated to Fudan University
Shanghai, Shanghai Municipality, 310000
About this study
Official title: The Phase Ib/II Clinical Study of the Safety, Tolerability, Pharmacokinetics and Efficacy of Genakumab for Injection in Patients With Acute Gout
To evaluate the safety and tolerability of single subcutaneous injection of Genakumab for Injection in patients with acute gout
Read the detailed description
Phase Ib: single arm, open lable, single dose, dose escalation,design. There are 3 dose groups with 10 participant s in each group.
Phase II: randomized, double-blind, active control design.There are 2 dose groups of Genakumab for Injection with 30 participant s in each group and 1 group of Compound Betamethasone Injection with 30 praticipants.
- Conditions
- Acute Gout
- Being tested
- Genakumab for Injection, Placebo for Genakumab for Injection
- Keywords
- acute gout
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Genakumab for InjectionDrug
150 mg/1ml/bottle
Placebo for Genakumab for InjectionDrug
The placebo contains other excipients except Genakumab, and its appearance is consistent with that of Genakumab for injection
| Study group | Role | What they receive |
|---|---|---|
| Genakumab for injection 50mg (Ib) | Experimental | subcutaneous injection, single dose Receives: Drug: Genakumab for Injection |
| Genakumab for injection 100mg (Ib) | Experimental | subcutaneous injection, single dose Receives: Drug: Genakumab for Injection |
| Genakumab for injection 195mg (Ib) | Experimental | subcutaneous injection, single dose Receives: Drug: Genakumab for Injection |
| Genakumab for injection 100mg (II) | Experimental | Genakumab for injection, subcutaneous injection, single dose Placebo for Compound Betamethasone Injection, intramuscular injection, single dose Receives: Drug: Genakumab for Injection |
| Genakumab for injection 195mg (II) | Experimental | Genakumab for injection, subcutaneous injection, single dose Placebo for Compound Betamethasone Injection, intramuscular injection, single dose Receives: Drug: Genakumab for Injection |
| Compound Betamethasone Injection 1ml (II) | Active comparator | Compound Betamethasone Injection, 1 ml, intramuscular injection, single dose Placebo for Genakumab for injection, 100mg, subcutaneous injection, single dose Receives: Drug: Placebo for Genakumab for Injection |
What is being measured
The primary outcome is the main question the study is designed to answer.
Peak Plasma Concentration (Cmax)
Blood samples will be collected at indicated time points for pharmacokinetic analysis.
Measured: baseline, 24hours, 48hours, 120hours, Day 7, Day 14, Day 21, Day 28, Day 56, Day 84, Day 112
pain intensity change from baseline to 72 hours post dose as measured on a 0-100 mm Visual Analog Scale (VAS)
0-100 mm Visual Analog Scale(VAS): 0= no pain and 100= severe pain
Measured: 72 hours post-dose
Secondary outcomes (2)
Percentage of Participants With Treatment Emergent Adverse Events (TEAEs)
Adverse events (AEs) were defined as any unfavourable and unintended diagnosis, symptom, sign (including an abnormal laboratory finding), syndrome or disease which either occurs during study, having been absent at baseline, or, if present at baseline, appears to worsen. Serious adverse events (SAEs) were defined as any untoward medical occurrences that result in death, are life threatening, require (or prolong) hospitalisation, cause persistent or significant disability/incapacity, result in congenital anomalies or birth defects, or are other conditions which in judgement of investigators represent significant hazards
Measured: up to 16 weeks
High Sensitivity C-reactive Protein (hsCRP)
High sensitivity C-reactive protein (hsCRP) was determined in serum at all visits (except Visit 2 and Visit 4 ) in order to identify the presence of inflammation, to determine its severity, and to monitor response to treatment.
Measured: at 72 hours and 7 days, 4, 8 and 12 weeks post-dose
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Apr 2022
- Study start22 May 2021
- Primary completion9 Jun 2022
- Study completion9 Jun 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Acute GoutStudies of the same condition, open and under way.
- More trials run by Changchun GeneScience Pharmaceutical Co., Ltd.The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 1/2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Group A : 50mg by single subcutaneous injection; Group B : 100mg by single subcutaneous injection Group C : 195mg by single subcutaneous injection;Group D : 100mg by single subcutaneous injection Group E : 195mg by single subcutaneous injection; Group F: 1ML Compound Betamethasone Injection by single intramuscular injection
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 121 participants (actual)
Sponsor and investigators
- Lead sponsor
- Changchun GeneScience Pharmaceutical Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Huashan Hospital, Hainan General Hospital, Linyi People's Hospital, The Second Affiliated Hospital of Chongqing Medical University, Changhai Hospital, The First Affiliated Hospital with Nanjing Medical University, Shengjing Hospital, Affiliated Hospital of Nantong University
- Responsible party
- Sponsor
- Investigators
- Hejian Zou, Principal investigator, Huashan HospitalJing Zhang, Principal investigator, Huashan Hospital of Fudan Univeisity
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05328531
- Sponsor's protocol ID
- Gensci048GA-Ib/II
- Status last verified
- Feb 2025
- First submitted
- 29 Mar 2022
- Last updated
- 27 Feb 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Xue Y, Zhang N, Hu J, Gou W, Chen L, Tang L, Li Y, Ma L, Zhang Z, Li M, Dong L, Duan X, Qin L, Yuan G, Miao L, Wu J, Qian L, Hu W, Tan W, Li J, Da Z, Xu Q, Chen C, Luo T, Zhang J, Zou H. Evaluation of the Safety, Tolerability, Pharmacokinetics, and Efficacy of Subcutaneous Firsekibart in Gout: A Phase Ib/II Clinical Trial. Int J Rheum Dis. 2026 Jul;29(7):e70785. doi: 10.1111/1756-185x.70785.
PubMed 42498684
Study at a glance
From the registry record, last updated by the sponsor on 27 Feb 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Phase Ib/II Clinical Study of the Safety, Tolerability, Pharmacokinetics and Efficacy of Genakumab for Injection in Patients With Acute Gout
- ClinicalTrials.gov ID
- NCT05328531
- Acronym / sponsor ID
- Gensci048GA-Ib/II
- Conditions
- Acute Gout
- Keywords
- acute gout
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 121 participants (actual)
- Lead sponsor
- Changchun GeneScience Pharmaceutical Co., Ltd.Industry (pharma, biotech, devices)
- Collaborators
- Huashan Hospital, Hainan General Hospital, Linyi People's Hospital, The Second Affiliated Hospital of Chongqing Medical University, Changhai Hospital, The First Affiliated Hospital with Nanjing Medical University, Shengjing Hospital, Affiliated Hospital of Nantong University
- Study start
- 22 May 2021 (actual)
- Primary completion
- 9 Jun 2022 (actual)
- Study completion
- 9 Jun 2022 (actual)
- First posted
- 14 Apr 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To evaluate the safety and tolerability of single subcutaneous injection of Genakumab for Injection in patients with acute gout
Detailed description
Phase Ib: single arm, open lable, single dose, dose escalation,design. There are 3 dose groups with 10 participant s in each group.
Phase II: randomized, double-blind, active control design.There are 2 dose groups of Genakumab for Injection with 30 participant s in each group and 1 group of Compound Betamethasone Injection with 30 praticipants.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 6
- Model description
- Group A : 50mg by single subcutaneous injection; Group B : 100mg by single subcutaneous injection Group C : 195mg by single subcutaneous injection;Group D : 100mg by single subcutaneous injection Group E : 195mg by single subcutaneous injection; Group F: 1ML Compound Betamethasone Injection by single intramuscular injection
| Arm | Type | Receives |
|---|---|---|
| Genakumab for injection 50mg (Ib) | Experimental | Drug: Genakumab for Injectionsubcutaneous injection, single dose |
| Genakumab for injection 100mg (Ib) | Experimental | Drug: Genakumab for Injectionsubcutaneous injection, single dose |
| Genakumab for injection 195mg (Ib) | Experimental | Drug: Genakumab for Injectionsubcutaneous injection, single dose |
| Genakumab for injection 100mg (II) | Experimental | Drug: Genakumab for InjectionGenakumab for injection, subcutaneous injection, single dose Placebo for Compound Betamethasone Injection, intramuscular injection, single dose |
| Genakumab for injection 195mg (II) | Experimental | Drug: Genakumab for InjectionGenakumab for injection, subcutaneous injection, single dose Placebo for Compound Betamethasone Injection, intramuscular injection, single dose |
| Compound Betamethasone Injection 1ml (II) | Active comparator | Drug: Placebo for Genakumab for InjectionCompound Betamethasone Injection, 1 ml, intramuscular injection, single dose Placebo for Genakumab for injection, 100mg, subcutaneous injection, single dose |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Male or female, 18 years ≤ age ≤65 years
- Meeting the American College of Rheumatology (ACR) 2015 preliminary criteria for the classification of acute arthritis of primary gout
- Contraindication, intolerance or lack of efficacy for NSAIDs and/or colchicine
- Body mass index of less than or equal to 45 kg/m2
- Onset of current acute gout flare within 5 days prior to study entry
Key exclusion criteria (7 listed)
- evidence/suspicion of infectious/septic arthritis, or other acute inflammatory arthritis
- Presence of severe renal function impairment
- Use of specified pain relief medications or biologics ( corticosteroids, narcotics, paracetamol/acetominophen, ibuprofen, colchicine, IL-blocker, and tumor necrosis factor inhibitor) within specified periods prior to study entry
- Live vaccinations within 3 months prior to randomization
- Requirement for administration of antibiotics against latent tuberculosis (TB)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Genakumab for Injection150 mg/1ml/bottle | Drug | Genakumab for injection 100mg (II), Genakumab for injection 100mg (Ib), Genakumab for injection 195mg (II), Genakumab for injection 195mg (Ib), Genakumab for injection 50mg (Ib) |
| Placebo for Genakumab for InjectionThe placebo contains other excipients except Genakumab, and its appearance is consistent with that of Genakumab for injection | Drug | Compound Betamethasone Injection 1ml (II) |
Primary outcome
Peak Plasma Concentration (Cmax)
Time frame: baseline, 24hours, 48hours, 120hours, Day 7, Day 14, Day 21, Day 28, Day 56, Day 84, Day 112
Blood samples will be collected at indicated time points for pharmacokinetic analysis.
pain intensity change from baseline to 72 hours post dose as measured on a 0-100 mm Visual Analog Scale (VAS)
Time frame: 72 hours post-dose
0-100 mm Visual Analog Scale(VAS): 0= no pain and 100= severe pain
2 secondary outcomes
Percentage of Participants With Treatment Emergent Adverse Events (TEAEs)
Time frame: up to 16 weeks
High Sensitivity C-reactive Protein (hsCRP)
Time frame: at 72 hours and 7 days, 4, 8 and 12 weeks post-dose
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Feb 2025.
- Derived from this study: PubMed 42498684Xue Y, Zhang N, Hu J, Gou W, Chen L, Tang L, Li Y, Ma L, Zhang Z, Li M, Dong L, Duan X, Qin L, Yuan G, Miao L, Wu J, Qian L, Hu W, Tan W, Li J, Da Z, Xu Q, Chen C, Luo T, Zhang J, Zou H. Evaluation of the Safety, Tolerability, Pharmacokinetics, and Efficacy of Subcutaneous Firsekibart in Gout: A Phase Ib/II Clinical Trial. Int J Rheum Dis. 2026 Jul;29(7):e70785. doi: 10.1111/1756-185x.70785.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Hejian Zou principal investigator
Huashan Hospital
Jing Zhang principal investigator
Huashan Hospital of Fudan Univeisity
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing Genakumab for Injection in people with Acute Gout, run by Changchun GeneScience Pharmaceutical Co., Ltd. at 1 site in China.
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 7 inclusion and 7 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 27 Feb 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. 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 combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Peak Plasma Concentration (Cmax) (time frame: baseline, 24hours, 48hours, 120hours, Day 7, Day 14, Day 21, Day 28, Day 56, Day 84, Day 112). The study lists 2 primary outcomes in all. 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 NCT05328531, 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 27 Feb 2025.