What this study is
The primary objective of this trial is to evaluate the effect of pegloticase 18 mg subcutaneously (SC) every two weeks with methotrexate (MTX) versus pegloticase 8 mg intravenously (IV) every two weeks with MTX on the response rate during Month 6, as measured by the sustained normalization of serum uric acid (sUA) to < 6 mg/dL for at least 80% of the time during Month 6.
What's being tested
- Pegloticase
Intervention · DRUG
Participants will receive pegloticase either SC or IV.
- Methotrexate
Intervention · DRUG
MTX will be administered orally.
Study details
- Official title
- A Phase 3, Multicenter, Double-blind, Randomized Controlled Study Evaluating the Efficacy and Safety of Pegloticase Administered by Subcutaneous Injection Compared With Pegloticase Administered by Intravenous Injection, Both Administered Concurrently With Methotrexate Weekly, in Participants With Uncontrolled Gout
- Sponsor
- Amgen
- Conditions
- Uncontrolled Gout
- Enrolling
- 270 people
- Starts
- 2026-02-09
- Est. completion
- 2028-06-18
- Design
- Double-blind, randomized, parallel groups, Phase 3
- Record
- View on ClinicalTrials.gov ↗
Who can join
Age 18 Years and overSex ALLHealthy volunteers Not acceptedYou may qualify if
- Participant has provided informed consent before initiation of any trial-specific activities/procedures.
- Age ≥ 18 years or ≥ legal age within the country if it is older than 18 years.
- Participants willing and able to comply with the prescribed treatment protocol and evaluations for the duration of the trial.
- Participants with uncontrolled gout, as meeting the protocol defined criteria.
You can't join if
- Glucose-6-phosphate dehydrogenase deficiency (tested at the screening visit).
- Liver transaminase levels (aspartate aminotransferase [AST] or alanine aminotransferase [ALT]) > 1.25 x upper limit of normal (ULN) or albumin < the lower limit of normal (LLN) at the screening visit.
- Uncontrolled diabetes mellitus and/or hemoglobin A1c (HbA1c) > 8%.
- Known intolerance to MTX.
- Participant received prior treatment with pegloticase, another recombinant uricase (ie, rasburicase or pegadricase), or concomitant therapy with a polyethylene glycol (PEG)-conjugated drug.
- A known intolerance to all protocol standard gout flare prophylaxis regimens (ie, participant must be able to tolerate at least 1 of the following: colchicine and/or non-steroidal anti-inflammatory drug and/or low-dose prednisone ≤ 10 mg/day or equivalent dose of other corticosteroid).
- Chronic renal impairment defined as estimated glomerular filtration rate (eGFR) based on Modification of Diet in Renal Disease (MDRD) calculations < 40 mL/min/1.73 m^2 or currently on dialysis.
Sign in and we'll check these against your records.Full criteria on ClinicalTrials.gov ↗
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Study locations (75)
75 openUniversity of Alabama at Birmingham
Birmingham, Alabama, United States
RecruitingOrthopedic Physicians Alaska
Anchorage, Alaska, United States
RecruitingUnity Health Searcy Medical Center
Searcy, Arkansas, United States
RecruitingPrecision Rheumatology
Anaheim, California, United States
RecruitingAdvanced Clinical Research Center, LLC dba TriWest Research Associates
Chula Vista, California, United States
RecruitingVeterans Affairs Long Beach Health Care System
Long Beach, California, United States
RecruitingSolace Clinical Research
Tustin, California, United States
RecruitingJiva Health
Walnut Creek, California, United States
RecruitingDenver Arthritis Clinic PC
Denver, Colorado, United States
RecruitingArthritis and Rheumatic Disease Specialties
Aventura, Florida, United States
RecruitingD and H Pompano Research Center
Aventura, Florida, United States
RecruitingBay Pines Veterans Affairs Healthcare System
Bay Pines, Florida, United States
RecruitingDiscovery Health Research Center
Coral Springs, Florida, United States
RecruitingHillcrest Medical Research
DeLand, Florida, United States
RecruitingNew Generation of Medical Research
Hialeah, Florida, United States
RecruitingHomestead Associates In Research Inc
Homestead, Florida, United States
RecruitingDecision Management International Research
Largo, Florida, United States
RecruitingPharmax Research Clinic
Miami, Florida, United States
RecruitingWell Pharma Medical Research Corp
Miami, Florida, United States
RecruitingD and H National Research Centers
Miami, Florida, United States
RecruitingAdvanced Clinical Research
Miami, Florida, United States
RecruitingEntrust Clinical Research
Miami, Florida, United States
RecruitingFelicidad Medical Research
Miami, Florida, United States
RecruitingIntegral Rheumatology and Immunology Specialists
Plantation, Florida, United States
RecruitingD and H Tamarac Research Center
Tamarac, Florida, United States
RecruitingNodal Medical Center Research
Tampa, Florida, United States
RecruitingClinPro Research Solutions LLC
Tampa, Florida, United States
RecruitingGCP Clinical Research, LLC
Tampa, Florida, United States
RecruitingConquest Research - Winter Park
Winter Park, Florida, United States
RecruitingSpatium Urgent Care
Marietta, Georgia, United States
RecruitingVista Clinical Research
Newnan, Georgia, United States
RecruitingGreater Chicago Specialty Physicians
Boise, Idaho, United States
RecruitingSaint Lukes Intermountain Research Center
Meridian, Idaho, United States
RecruitingCharter Research
Chicago, Illinois, United States
RecruitingFlourish Research Ravenswood
Chicago, Illinois, United States
RecruitingWillow Rheumatology and Wellness
Willowbrook, Illinois, United States
RecruitingClinical Trials Management, LLC, d/b/a Flourish Research
Mandeville, Louisiana, United States
RecruitingKur Research at Columbia Medical Practice
Columbia, Maryland, United States
RecruitingMD Medical Research
Oxon Hill, Maryland, United States
RecruitingJune DO PC
Lansing, Michigan, United States
RecruitingClinical Research Institute of Michigan
Saint Clair Shores, Michigan, United States
RecruitingOakland Medical Research Center
Troy, Michigan, United States
RecruitingUniversity of Kansas Medical Center
Kansas City, Missouri, United States
RecruitingBioluminux Clinical Research - Hamilton
Hamilton, New Jersey, United States
RecruitingRaymond G Murphy Veteran Affairs Medical Center
Albuquerque, New Mexico, United States
RecruitingInspire Santa Fe Medical Group
Santa Fe, New Mexico, United States
RecruitingBuffalo Rheumatology and Medicine
Orchard Park, New York, United States
RecruitingArthritis and Osteoporosis Consultants of the Carolinas
Charlotte, North Carolina, United States
RecruitingJoint and Muscle Research Institute
Charlotte, North Carolina, United States
RecruitingOnsite Clinical Solutions, LLC
Charlotte, North Carolina, United States
RecruitingResearch Carolina Elite
Denver, North Carolina, United States
RecruitingTriad Clinical Trials, LLC
Greensboro, North Carolina, United States
RecruitingCape Fear Arthritis Care, PLLC
Leland, North Carolina, United States
RecruitingAccellacare Salisbury
Salisbury, North Carolina, United States
RecruitingCarolina Research Center Inc
Shelby, North Carolina, United States
RecruitingShelby Clinical Research
Shelby, North Carolina, United States
RecruitingThe Ohio State University
Columbus, Ohio, United States
RecruitingParamount Medical Research and Consulting LLC
Middleburg Heights, Ohio, United States
RecruitingLynn Health Science Institute
Oklahoma City, Oklahoma, United States
RecruitingAltoona Center for Clinical Research
Duncansville, Pennsylvania, United States
RecruitingArticularis Healthcare Group Inc dba Low Country Rheumatology
Summerville, South Carolina, United States
RecruitingHealth Concepts
Rapid City, South Dakota, United States
RecruitingWest Tennessee Research Institute
Jackson, Tennessee, United States
RecruitingPioneer Research Solutions Inc
Bellaire, Texas, United States
RecruitingSouthwest Rheumatology
Dallas, Texas, United States
RecruitingResearch Physicians Network, LLC
Houston, Texas, United States
RecruitingTexas Arthritis & Rheumatology Associates
Katy, Texas, United States
RecruitingBiopharma Informatic, LLC
Katy, Texas, United States
RecruitingEpic Clinical Research
Lewisville, Texas, United States
RecruitingBe Well Clinical Studies
Round Rock, Texas, United States
RecruitingSiena Research Network
Sugar Land, Texas, United States
RecruitingAdvanced Rheumatology of Houston
The Woodlands, Texas, United States
RecruitingVirginia Commonwealth University
Richmond, Virginia, United States
RecruitingOverlake Arthritis and Osteoperosis Center
Bellevue, Washington, United States
Recruiting
1 site outside the US
Caribbean Health Research Center
San Juan, Puerto Rico
Recruiting
Study team
Sponsor
Amgen
Study ID 20230219
Study director
MD
Amgen
Frequently asked questions
The sponsor hasn't published answers to common questions for this trial.