HealthDay News — Arhalofenate (800mg) is safe and significantly decreases gout flares compared to allopurinol (300mg), according to a study published online July 27 in Arthritis & Rheumatology.
Jeffrey Poiley, MD, from Arthritis Associates in Orlando, Florida, and colleagues from the Arhalofenate Flare Study conducted a randomized controlled phase IIb trial in which patients were randomly assigned (2:2:2:2:1) to receive 600 mg of arhalofenate, 800 mg of arhalofenate, 300 mg of allopurinol, 300 mg of allopurinol plus 0.6 mg of colchicine, or placebo once a day. To qualify, patients (239) had had at least three flares of gout during the previous year, had discontinued urate-lowering therapy and colchicine, and had a serum uric acid level of 7.5 to 12 mg/dL.
The researchers observed a 46% decrease in flare incidence in the 800mg arhalofenate group versus the 300mg allopurinol group (P=0.0056); 800mg arhalofenate was also significantly better than placebo (P=0.049). However, 800mg arhalofenate was not significantly different from treatment with 300mg allopurinol plus 0.6mg colchicine (P=0.091). Mean changes in serum uric acid level were −12.5% with 600mg arhalofenate and −16.5% with 800mg arhalofenate (P=0.001 and 0.0001, respectively), compared to −0.9% with placebo. The groups showed no meaningful differences in adverse events between groups, and there were no serious adverse events tied to arhalofenate.
“Arhalofenate is the first urate-lowering antiflare therapy,” the authors write.
Several authors disclosed financial ties to CymaBay Therapeutics, which manufactures arhalofenate and funded the study.