The USA's Regeneron Pharmaceuticals has initiated patient enrollment in a Phase III program evaluating the efficacy and safety of Arcalyst (rilonacept), also known as interleukin-1 Trap, in the prevention of gout flares associated with the start of urate-lowering drug therapy.
Arcalyst is approved in the USA for the treatment of cryopyrin-associated periodic syndromes, including familial cold auto-inflammatory syndrome and Muckle-Wells Syndrome in adults and children 12 and older.
This trial in gout was designed following discussions with the US Food and Drug Administration. It will consist of four clinical studies. The North American-based PRE-SURGE 1 study and the global PRE-SURGE 2 trial are each evaluating the number of gout flares per patient over the first 16 weeks of initiation of allopurinol, which is used to reduce serum uric acid levels in gout patients.
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