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Enzyme Therapy

Pegloticase + Methotrexate Q2W for Gout

Phase 4
Recruiting
Research Sponsored by Horizon Therapeutics Ireland DAC
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up month 6
Awards & highlights

Study Summary

"This trial is comparing two different dosing schedules of pegloticase with methotrexate in patients with uncontrolled refractory gout. The main goal is to see if the higher dose of

Who is the study for?
Adults over 18 with uncontrolled refractory gout, who have high uric acid levels and haven't responded to standard treatments. Participants must stop any oral gout medications before starting the trial and use contraception if necessary. Women of childbearing potential need negative pregnancy tests.Check my eligibility
What is being tested?
The study is testing whether giving Pegloticase every four weeks with Methotrexate (MTX) is as effective as every two weeks for reducing uric acid in gout patients. The first half is blinded, then all get the four-week treatment for another six months.See study design
What are the potential side effects?
Pegloticase can cause reactions like rash or pain at the injection site, nausea, headache, and possible flare-ups of gout symptoms. Methotrexate may lead to liver issues, mouth sores, low blood cell counts, and lung problems.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~month 6
This trial's timeline: 3 weeks for screening, Varies for treatment, and month 6 for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Proportion of Participants achieving and maintaining serum uric acid (sUA) < 6 mg/dL at least 80% of the time
Secondary outcome measures
Proportion of Participants with complete resolution of ≥ 1 tophus

Trial Design

2Treatment groups
Experimental Treatment
Group I: Pegloticase + Methotrexate Q4WExperimental Treatment2 Interventions
16 mg pegloticase will be administered intravenously every 4 weeks for 24 weeks during double blind treatment and 24 weeks during open label.
Group II: Pegloticase + Methotrexate Q2WExperimental Treatment2 Interventions
8 mg pegloticase will be administered intravenously every 2 weeks for 24 weeks during double blind treatment and 16 mg pegloticase every 4 weeks for 24 weeks during open label.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Pegloticase
2021
Completed Phase 4
~560
Methotrexate
2013
Completed Phase 4
~3800

Find a Location

Who is running the clinical trial?

Horizon Therapeutics Ireland DACLead Sponsor
20 Previous Clinical Trials
2,236 Total Patients Enrolled
6 Trials studying Gout
438 Patients Enrolled for Gout

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

In how many distinct clinics is this experimental investigation currently being conducted?

"Enrollment for this research is ongoing at 18 distinct sites, including but not limited to Denver, Duncansville, and Chicago. Opting for a site in close proximity can reduce travel commitments when participating in the study."

Answered by AI

Is the enrollment process currently open for this research study?

"Indeed, the details on clinicaltrials.gov affirm that this medical research is actively enrolling subjects. The trial was initially listed on 1/22/2024 and last revised on 3/21/2024. It aims to recruit a total of 240 participants spread across 18 locations."

Answered by AI

Has the combination of Pegloticase and Methotrexate every 4 weeks been granted approval by the FDA?

"Our team at Power rates the safety of Pegloticase + Methotrexate Q4W as 3 on a scale from 1 to 3. This high rating is due to its approval status, being part of a Phase 4 trial."

Answered by AI

How large is the participant pool in this particular research endeavor?

"Indeed, the details on clinicaltrials.gov affirm that this specific clinical trial is actively seeking individuals to participate. The study was initially listed on January 22nd, 2024, and most recently revised on March 21st of the same year. In total, the research aims to enroll 240 participants across a network of 18 locations."

Answered by AI
~160 spots leftby Sep 2025