SEL-212 Phase II COMPARE trial [27] and Phase III-DISSOLVE 1 & 2 trials [29, 30]

COMPAREDISSOLVE 1DISSOLVE 2
Treatment groupsSEL-212 [ImmTOR (0.15 mg/kg) and pegadricase (0.2 mg/kg)] monthly vs pegloticase 8 mg bi-weekly for six monthsSEL-110 (high dose: 0.15 mg/kg and low dose: 0.1 mg/kg) +SEL-035 (0.2 mg/kg) vs placeboSEL-110 (high and low doses) +SEL-035 vs placebo
Population studiedn = 170 (n = 83 for SEL-212, n = 87 for pegloticase)
Patients with uncontrolled gout
n = 112 Uncontrolled gout refractory to conventional treatment (US)n = 153 Uncontrolled gout refractory to conventional treatment (Global)
EfficacyPegadricase did not meet the primary endpoint of statistical superiority SU (serum urate) < 6 mg/dL for at least 80% of the time during months 3 and 6 combined: 59% pegadricase vs 46% pegloticase, P = 0.181
Decrease in mean SU levels compared to pegloticase (P = 0.0033)
Studies met the primary efficacy endpoint of achieving and maintaining a SU < 6 mg/dL for ≥ 80% of the time during the sixth treatment period. High-dose group: 56% and 46% of pts responded to treatment; Low-dose group: 48% and 40% of pts responded to treatment
AEs n (%)45 (54.2%)Pooled AEs: 3.4% and 4.5% infusion reactions to high and low doses, respectively.
Serious AEs: 3.4% (n = 4 anaphylaxis, n = 2 gout flares)
        Gout flare27 (32.5%)NA
        Infusion-related reaction13 (15.7%)NA
        Headache4 (4.8%)NA
        Hypertriglyceridemia3 (3.6%)NA
        Aphthous ulcer2 (2.4%) NA

NA: not available; pts: patients