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Lin Y, Chen X, Ding H, Ye P, Gu J, Wang X, Jiang Z, Li D, Wang Z, Long W, Li Z, Jiang G, Li X, Bi L, Jiang L, Wu J, Guo L, Cai X, Lu X, Chen Q, Chen H, Peng A, Zuo X, Ning R, Zhang Z, Tai Y, Zhang T, Bao C. Efficacy and safety of a selective URAT1 inhibitor SHR4640 in Chinese subjects with hyperuricemia: a randomized controlled phase II study. Rheumatology (Oxford) 2021; 60:5089-5097. [PMID: 33693494 DOI: 10.1093/rheumatology/keab198] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2020] [Accepted: 02/22/2021] [Indexed: 02/05/2023] Open
Abstract
OBJECTIVES To evaluate the efficacy and safety of SHR4640, a highly selective urate transporter 1 inhibitor in Chinese subjects with hyperuricemia. METHODS This was a randomized double-blind dose-ranging phase II study. Subjects whose serum uric acid levels ≥480 µmol/l with gout, or sUA levels ≥480 µmol/l without gout but with comorbidities, or sUA levels ≥540 µmol/l were enrolled. Subjects were randomly assigned (1:1:1:1:1) to receive once daily 2.5 mg/5 mg/10 mg of SHR4640, 50 mg of benzbromarone, and placebo, respectively. The primary end point was the proportion of subjects achieved target sUA level of ≤ 360 µmol/l at week 5. RESULTS About 99.5% of subjects (n = 197) were male and 95.9% of subjects had gout history. The proportions of subjects achieved target sUA at week 5 were 32.5%, 72.5% and 61.5% in 5 mg, 10 mg of SHR4640 and benzbromarone groups, respectively, significantly higher than placebo group (0%; p< 0.05 for 5 mg and 10 mg of SHR4640 group). The sUA was reduced by 32.7%, 46.8% and 41.8% at week 5 with 5 mg, 10 mg of SHR4640 and benzbromarone, respectively, vs placebo (5.9%; p< 0.001 for each comparison). The incidences of gout flares requiring intervention were similar among all groups. Occurrences of treatment-emergent adverse events (TEAEs) were comparable across all groups, and serious TEAEs were not reported. CONCLUSIONS The present study indicated a superior sUA-lowering effect, and well tolerated safety profile after 5-week treatment with once-daily 5 mg/10 mg of SHR4640 as comparing with placebo in Chinese subjects with hyperuricemia. TRIAL REGISTRATION ClinicalTrials.gov number, NCT03185793.
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Affiliation(s)
- Yanwei Lin
- Renji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, China
| | - Xiaoxiang Chen
- Renji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, China
| | - Huihua Ding
- Renji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, China
| | - Ping Ye
- Renji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, China
| | - Jieruo Gu
- The, Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
| | - Xiaoxia Wang
- Second Hospital of Shanxi Medical University, Taiyuan, China
| | - Zhenyu Jiang
- The First Bethune Hospital of Jilin University, Changchun, China
| | - Detian Li
- Shengjing Hospital of China Medical University, Shenyang, China
| | | | - Wubin Long
- Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, Chengdu, China
| | - Zhijun Li
- The First Affiliated Hospital of Bengbu Medical College, Bengbu, China
| | - Gengru Jiang
- Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China
| | - Xiaomei Li
- The First Affiliated Hospital of USTC Anhui Provincial Hospital, Hefei, China
| | - Liqi Bi
- China-Japan Union Hospital of Jilin University, Changchun, China
| | - Lindi Jiang
- Zhongshan Hospital Affiliated to Fudan University, Shanghai, China
| | - Jian Wu
- The First Affiliated Hospital of SooChow University, Suzhou, China
| | - Lian Guo
- Chongqing Sanxia Central Hospital, Wanzhou, China
| | - Xiaoyan Cai
- Guangzhou First People's Hospital, Guangzhou, China
| | - Xin Lu
- China-Japan Friendship Hospital, Beijing, China
| | - Qinkai Chen
- The First Affiliated Hospital of Nanchang University, Nanchang, China
| | - Hong Chen
- The First Affiliated Hospital of Hainan Medical College, Haikou, China
| | - Ai Peng
- Shanghai Tenth People's Hospital, Shanghai, China
| | - Xiaoxia Zuo
- Xiangya Hospital Central South University, Changsha, China
| | - Rui Ning
- Jiangsu Hengrui Medicine Co., Ltd, China., Shanghai
| | - Zhe Zhang
- Jiangsu Hengrui Medicine Co., Ltd, China., Shanghai
| | - Yanfei Tai
- Jiangsu Hengrui Medicine Co., Ltd, China., Shanghai
| | - Tao Zhang
- Jiangsu Hengrui Medicine Co., Ltd, China., Shanghai
| | - Chunde Bao
- Renji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, China
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