A new drug called febuxostat has been found to reduce plasma levels of uric acid more effectively in Gout than the currently used drug allopurinol. If the results of the clinical trial are successful//, then it would mean the end of a 40 year search for successful treatment of Gout.
Gout is characterized by accumulation and deposition of needle shaped uric acid crystals in the joints, thereby leading to inflammation and pain. Progressively, it leads to a condition called ‘Gouty arthritis’ and is associated by a significant reduction in joint mobility.
The only existing standard treatment for Gout is administration of allopurinol, which reduces the levels of uric acid production by blocking certain key steps in uric acid synthesis. In addition, it also decreases the plasma levels of uric acid over a period of time.
The study was conducted amongst a group of 762 patients, diagnosed to suffer from Gout and is believed to be the largest clinical trial ever done on patients with Gout. The mechanism of action of Febuxostat is very similar to allopurinol.
The study participants were either given allopurinol or febuxostat (two different doses) as a form of treatment, the goal of which was to reduce plasma uric acid levels by as much as 6 mg/dl. Allopurinol treatment was taken by 21% of the members, followed by 53 and 62% who took 80 and 120mg of febuxostat respectively.
At the end of the study, it was found that the new drug was more effective than allopurinol when used for more than a year, as revealed by statistical tests. However, a large number of patients were found to discontinue from the study due to the high incidence of adverse effects. The main site of drug metabolism is the liver which facilitates administration of the drug to patients with compromised kidney function as well.
The drug has not yet been approved by the U.S. Food and Drug Administration agency (FDA) for therapeutic use. More studies are
clearly indicated to determine the long term clinical benefits of the new drug, taking into critical consideration the safety.
Related medicine news :1
. Clinical trials need to be more frank2
. Physicians Lack Clinical Guidelines For Treating Elderly With Multiple Illnesses 3
. The Growing Rise In Clinical Research Could Lead To A Compromise In Quality Of Research And Ethics4
. Clinical Comparisons Between ADHD Drugs Are Less5
. A Novel System For Clinical Banking Of Umbilical Cord Blood 6
. Clinical Renal Trails Do Not Have Sufficient Women Participants7
. Clinical Trials Of New Anti-Cancer Drug To Be Initiated In New Zealand8
. Green Tea Consumption Found To Improve Clinical Outcome In Cancer Patients9
. Cancer Clinical Research in India10
. New Generation Clinical Trials Could Save Time And Money, Improve Patient Care11
. Clinical Impact of Activity and Abdominal Pressure on Pelvic Floor Dysfunction Need to Be Further Analyzed