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Early Phase 1 N=8 Randomized Treatment

Effect of Probenecid on Synovial Fluid ATP Levels in CPPD

Calcium Pyrophosphate Deposition Disease

Enrolled (actual)
8
Serious AEs
0.0%
Results posted
Jul 2022
Primary outcome: Primary: ATP Levels in Synovial Fluid — 4.4; 31.4 nanomoles/ml

Study Design & Population

Study type
Interventional
Phase
Early Phase 1
Interventions
Probenecid (Drug)
Age
Adult, Older Adult · 21+ yrs
Sex
All
Sponsor
VA Office of Research and Development
Primary completion
Apr 2021

Outcome Measures

OutcomeResultp-value
PRIMARY
ATP Levels in Synovial Fluid
4.4; 31.4

Summary

This study will investigate the hypothesis that probenecid, a medication currently used for gout, reduces levels of ATP in the joint fluid of patients with calcium pyrophosphate deposition disease (CPPD), another common type of crystal-related arthritis. There is good evidence that CPPD results from an excess of ATP in joints. The investigators will measure levels of ATP in joint fluid before and after 5 days of treatment with probenecid. This study will serve to rationalize larger studies of probenecid in CPPD.

Eligibility Criteria

Inclusion Criteria

  • Age >21 years,
  • CPPD diagnosed by Ryan /McCarty criteria
  • Joint effusion in a shoulder or knee

Exclusion Criteria

  • Inability to sign informed consent
  • Age stage 2)
  • Blood dyscrasias
  • Current use of drugs which interact with probenecid
  • Concurrent gout
  • Active infection, including bacteremia and overlying cellulitis
  • Recent joint trauma
  • Intra-articular corticosteroids in the affected joint within three months
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02243631). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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