Anakinra in the treatment of acute calcium pyrophosphate arthritis

ISRCTN ISRCTN46471047
DOI https://doi.org/10.1186/ISRCTN46471047
Secondary identifying numbers 14-11
Submission date
28/02/2011
Registration date
18/03/2011
Last edited
18/03/2011
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Musculoskeletal Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Alexander So
Scientific

Service de Rhumatologie
Ave Pierre Decker 4
CHUV
Lausanne
1011
Switzerland

Study information

Study designRandomised double blind controlled study
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleA multicentre, randomised, controlled, double-blind study, evaluating the efficacy and safety of anakinra in chondrocalcinosis (Étude multicentrique randomisée contrôlée en double-aveugle contre placebo, évaluant l’efficacité et la sécurité de l’anakinra dans la crise de chondrocalcinose articulaire)
Study acronymAPAC
Study objectivesTo demonstrate that 3 x daily injections of anakinra is effective in treatment of acute symptoms of calcium pyrophosphate arthritis in comparison with an active comparator, prednisolone 30mg daily for 3 days
Ethics approval(s)Cantonal ethics committee for research on human (Commission cantonale d'éthique de la recherche sur l'être humain"), the date of approval 20/2/2011, reference no: 14/11
Health condition(s) or problem(s) studiedChondrocalcinosis
Intervention3 x daily injection of anakinra 100mg versus 3 x daily oral intake of prednisolone 30mg.

The primary end point is at day 7 and the study will run over a total of 28 days.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)Anakinra
Primary outcome measureVisual Analogue Scale (VAS) pain score of arthritis in the target joint at 72h
Secondary outcome measures1. Effect of therapy on pain and symptoms of arthritis up to day 28 using a VAS and Likert scales for pain and patient and physician assessment of signs and symptoms of inflammation
2. Tolerance and side effects of the treatments will be assessed by the investigators
Overall study start date01/05/2011
Completion date31/12/2011

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
Upper age limit99 Years
SexBoth
Target number of participants75
Key inclusion criteria1. Informed consent
2. Male or female from 18-99 years of age
3. Diagnosis of acute calcium pyrophosphate arthritis based on symptoms of acute arthritis and presence of crystals of chronic calcium pyrophosphate dihydrate (CPPD) in the synovial liquid at screening or from a prior analysis
4. The start of the acute arthritis should be less than 5 days from inclusion in the study
Key exclusion criteria1. Corticotherapy orally with dose equivalent of prednisone > 10mg during the 24 h preceding inclusion
2. Corticotherapy intramuscular (im) or intravenous (iv) during the 72h preceding inclusion, no matter the dose
3. Corticotherapy intra-articularly during 7 days preceding inclusion
4. Chronic oral corticotherapy of > 10mg daily
5. Uncontrolled respiratory or cardiac failure
6. Other causes of acute arthritis
7. Active gastric or duodenal ulceration
8. Untreated and active malignancy
9. Known intolerance or allergy to the study medications
10. Active and untreated infection assessed by investigator as a contraindication to study medications
11. Other medical problems that are judged prejudicial to the inclusion of the patient in the study by the investigator
12. Pregancy or active breast feeding
Date of first enrolment01/05/2011
Date of final enrolment31/12/2011

Locations

Countries of recruitment

  • Switzerland

Study participating centre

Service de Rhumatologie
Lausanne
1011
Switzerland

Sponsor information

University Hospital Centre and University of Lausanne (CHUV) (Switzerland)-Service of Rheumatology
Hospital/treatment centre

Service de Rhumatologie
c/o Prof Alexander So
CHUV
Lausanne
1011
Switzerland

ROR logo "ROR" https://ror.org/05a353079

Funders

Funder type

Hospital/treatment centre

University Hospital Centre and University of Lausanne (CHUV) (Switzerland) -Research Fund of the Service of Rheumatology

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan