Page last updated: 2024-10-27

fenofibrate and Hyperuricemia

fenofibrate has been researched along with Hyperuricemia in 8 studies

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Hyperuricemia: Excessive URIC ACID or urate in blood as defined by its solubility in plasma at 37 degrees C; greater than 0.42mmol per liter (7.0mg/dL) in men or 0.36mmol per liter (6.0mg/dL) in women. This condition is caused by overproduction of uric acid or impaired renal clearance. Hyperuricemia can be acquired, drug-induced or genetically determined (LESCH-NYHAN SYNDROME). It is associated with HYPERTENSION and GOUT.

Research Excerpts

ExcerptRelevanceReference
"To assess the short-term urate-lowering effect of fenofibrate in men on long-term allopurinol therapy for hyperuricaemia and gout."9.10Fenofibrate enhances urate reduction in men treated with allopurinol for hyperuricaemia and gout. ( Ball, SG; Feher, MD; Hepburn, AL; Hogarth, MB; Kaye, SA, 2003)
"Fenofibrate (160 mg/d) was added."5.40Fenofibrate increases serum creatinine in a patient with familial nephropathy associated to hyperuricemia. ( Beltrán, LM; Puig, JG; Salgueiro, G; Torres, RJ, 2014)
"Micronised fenofibrate treatment could significantly improve lipid and uric acid metabolism in patients with hypertriglyceridemia and hyperuricemia, and is generally safe and well tolerated."5.14[Effects of micronized fenofibrate on lipid and uric acid metabolism in patients with hyperlipidemia]. ( Chen, H; Li, LJ; Luo, Y; Ren, JY; Wang, L, 2009)
"To assess the short-term urate-lowering effect of fenofibrate in men on long-term allopurinol therapy for hyperuricaemia and gout."5.10Fenofibrate enhances urate reduction in men treated with allopurinol for hyperuricaemia and gout. ( Ball, SG; Feher, MD; Hepburn, AL; Hogarth, MB; Kaye, SA, 2003)
"A combination of fenofibrate or losartan with anti-hyperuricaemic agents is a good option for the treatment of gout patients with hypertriglyceridaemia and/or hypertension, though the additional hypouricaemic effect may be modest."5.10Effects of combination treatment using anti-hyperuricaemic agents with fenofibrate and/or losartan on uric acid metabolism. ( Fukuchi, M; Ka, T; Moriwaki, Y; Takahashi, S; Tsutsumi, Z; Yamamoto, T, 2003)
"Thus, the treatment of hypertension and hyperlipidemia associated with hyperuricemia is also important."2.44[Other antihyperuricemic agents]. ( Hisatome, I; Igawa, O; Ogino, K, 2008)
"Fenofibrate (160 mg/d) was added."1.40Fenofibrate increases serum creatinine in a patient with familial nephropathy associated to hyperuricemia. ( Beltrán, LM; Puig, JG; Salgueiro, G; Torres, RJ, 2014)

Research

Studies (8)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's6 (75.00)29.6817
2010's2 (25.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Salgueiro, G1
Beltrán, LM1
Torres, RJ1
Puig, JG1
Li, LJ1
Chen, H1
Ren, JY1
Wang, L1
Luo, Y1
Perez-Ruiz, F1
Herrero-Beites, AM1
Carmona, L1
Feher, MD2
Hepburn, AL2
Hogarth, MB1
Ball, SG1
Kaye, SA2
Bardin, T1
Takahashi, S1
Moriwaki, Y1
Yamamoto, T1
Tsutsumi, Z1
Ka, T1
Fukuchi, M1
Ogino, K1
Igawa, O1
Hisatome, I1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
FEnofibRate as a Metabolic INtervention for Coronavirus Disease 2019[NCT04517396]Phase 2701 participants (Actual)Interventional2020-08-18Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

All-Cause Death

Death from any cause during the observation period (NCT04517396)
Timeframe: Up to 30 days

InterventionParticipants (Count of Participants)
Fenofibrate + Usual Care19
Placebo + Usual Care22

Exploratory Hierarchical Composite Endpoint

The exploratory global rank score, or global severity score, is a nonparametric, hierarchically ranked outcome. The global rank score was generated by ranking all 701 participants on a scale of 1 to 701, from worst to best clinical outcomes. Participants were ranked by (1) time to death; (2) the number of days supported by invasive mechanical ventilation or extracorporeal membrane oxygenation (ECMO); (3) The inspired concentration of oxygen/percent oxygen saturation (FiO2/SpO2) ratio area under the curve; (4) The number of days out of the hospital during the 30 day-period following randomization. (NCT04517396)
Timeframe: Up to 30 days

Interventionscore on a scale (Median)
Fenofibrate + Usual Care5.03
Placebo + Usual Care5.03

Number of Days Alive and Out of the Hospital During the 30 Days Following Randomization

Number of days that participants were alive and out of the hospital during the 30 days following randomization (NCT04517396)
Timeframe: Up to 30 days

Interventiondays (Median)
Fenofibrate + Usual Care30
Placebo + Usual Care30

Number of Days Alive, Out of the Intensive Care Unit, Free of Mechanical Ventilation/Extracorporeal Membrane Oxygenation, or Maximal Available Respiratory Support in the 30 Days Following Randomization

Number of days participants were alive, out of the intensive care unit, free of mechanical ventilation/extracorporeal membrane oxygenation, or maximal available respiratory support during the 30 days that followed randomization (NCT04517396)
Timeframe: Up to 30 days

Interventiondays (Mean)
Fenofibrate + Usual Care28.8
Placebo + Usual Care28.3

Primary Hierarchical Composite Endpoint

The primary endpoint of the trial is a global rank score that ranks patient outcomes according to 5 factors. The global rank score, or global severity score, is a nonparametric, hierarchically ranked outcome. The global rank score was generated by ranking all 701 participants on a scale of 1 to 701, from worst to best clinical outcomes. Participants were ranked by (1) time to death; (2) the number of days supported by invasive mechanical ventilation or extracorporeal membrane oxygenation (ECMO); (3) The inspired concentration of oxygen/percent oxygen saturation (FiO2/SpO2) ratio area under the curve; (4) For participants enrolled as outpatients who are subsequently hospitalized, the number of days out of the hospital during the 30 day-period following randomization; (5) For participants enrolled as outpatients who don't get hospitalized during the 30-day observation period, the modified Borg dyspnea scale (NCT04517396)
Timeframe: 30 days

InterventionRanked Severity Score (Median)
Fenofibrate + Usual Care5.32
Placebo + Usual Care5.33

Secondary Hierarchical Composite Endpoint

The secondary global rank score, or global severity score, is a nonparametric, hierarchically ranked outcome. The global rank score was generated by ranking all 701 participants on a scale of 1 to 701, from worst to best clinical outcomes. Participants were ranked by (1) time to death; (2) the number of days supported by invasive mechanical ventilation or extracorporeal membrane oxygenation (ECMO); (3) The inspired concentration of oxygen/percent oxygen saturation (FiO2/SpO2) ratio area under the curve; (4) For participants enrolled as outpatients who are subsequently hospitalized, the number of days out of the hospital during the 30 day-period following randomization; (5) For participants enrolled as outpatients who don't get hospitalized during the 30-day observation period, a COVID-19 symptom scale rating fever, cough, dyspnea, muscle aches, sore throat, loss of smell or taste, headache, diarrhea, fatigue, nausea/vomiting, chest pain (each are rated from 0-10 then summed). (NCT04517396)
Timeframe: Up to 30 days

Interventionscore on a scale (Median)
Fenofibrate + Usual Care5.05
Placebo + Usual Care5.05

Seven-category Ordinal Scale

A seven-category ordinal scale consisting of the following categories: 1, not hospitalized with resumption of normal activities; 2, not hospitalized, but unable to resume normal activities; 3, hospitalized, not requiring supplemental oxygen; 4, hospitalized, requiring supplemental oxygen; 5, hospitalized, requiring nasal high-flow oxygen therapy, noninvasive mechanical ventilation, or both; 6, hospitalized, requiring extracorporeal membrane oxygenation (ECMO), invasive mechanical ventilation, or both; and 7, death. (NCT04517396)
Timeframe: At 15 days

Interventionscore on a scale (Median)
Fenofibrate + Usual Care1
Placebo + Usual Care1

Reviews

1 review available for fenofibrate and Hyperuricemia

ArticleYear
[Other antihyperuricemic agents].
    Nihon rinsho. Japanese journal of clinical medicine, 2008, Volume: 66, Issue:4

    Topics: Antihypertensive Agents; Cardiovascular Diseases; Drug Therapy, Combination; Fenofibrate; Gout; Gout

2008

Trials

3 trials available for fenofibrate and Hyperuricemia

ArticleYear
[Effects of micronized fenofibrate on lipid and uric acid metabolism in patients with hyperlipidemia].
    Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences, 2009, Oct-18, Volume: 41, Issue:5

    Topics: Adult; Aged; Female; Fenofibrate; Humans; Hyperlipidemias; Hyperuricemia; Hypolipidemic Agents; Lipi

2009
Fenofibrate enhances urate reduction in men treated with allopurinol for hyperuricaemia and gout.
    Rheumatology (Oxford, England), 2003, Volume: 42, Issue:2

    Topics: Acute Disease; Adult; Aged; Alkaline Phosphatase; Allopurinol; Arthritis, Gouty; Chronic Disease; Cr

2003
Effects of combination treatment using anti-hyperuricaemic agents with fenofibrate and/or losartan on uric acid metabolism.
    Annals of the rheumatic diseases, 2003, Volume: 62, Issue:6

    Topics: Adult; Angiotensin Receptor Antagonists; Drug Therapy, Combination; Fenofibrate; Gout Suppressants;

2003

Other Studies

4 other studies available for fenofibrate and Hyperuricemia

ArticleYear
Fenofibrate increases serum creatinine in a patient with familial nephropathy associated to hyperuricemia.
    Nucleosides, nucleotides & nucleic acids, 2014, Volume: 33, Issue:4-6

    Topics: Adult; Creatinine; Female; Fenofibrate; Gout; Humans; Hypertriglyceridemia; Hyperuricemia; Kidney; K

2014
A two-stage approach to the treatment of hyperuricemia in gout: the "dirty dish" hypothesis.
    Arthritis and rheumatism, 2011, Volume: 63, Issue:12

    Topics: Aged; Cohort Studies; Colchicine; Crystallization; Female; Fenofibrate; Follow-Up Studies; Gout; Gou

2011
Long-term remission from gout associated with fenofibrate therapy.
    Clinical rheumatology, 2003, Volume: 22, Issue:1

    Topics: Fenofibrate; Gout; Humans; Hyperlipidemias; Hyperuricemia; Hypolipidemic Agents; Lipids; Male; Middl

2003
Fenofibrate and losartan.
    Annals of the rheumatic diseases, 2003, Volume: 62, Issue:6

    Topics: Drug Therapy, Combination; Fenofibrate; Gout Suppressants; Humans; Hypertension; Hyperuricemia; Losa

2003